Images of the left foot and ankle demonstrate a crescentic area of fluid density along the posteromedial aspect of the heel presumably representing patients blister. There is diffuse edema, however, we see no focal fluid collection to suggest abscess nor do we see imaging features of osteomyelitis. The tendons appear normal given limitations of CT. Arterial calcifications are noted. A subchondral cyst within the first metatarsal head is likely degenerative in etiology. Sclerosis of the medial sesamoid bone beneath the first metatarsal head could represent osteonecrosis but is of questionable clinical significance. No ankle joint effusion is identified.
anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}, 'fluid': {}, 'heel': {}}location descriptor_fin: ['left']clinical findings_fin: {'patients blister': {'clinical finding': 'patients blister', 'cf_snomed': {'blister': 417237009}, 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'blister'}}clinical findings_fin: {'diffuse edema': {'clinical finding': 'diffuse edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'edema'}, 'focal fluid collection': {'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'arterial calcifications': {'clinical finding': 'arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'arterial', 'observation': 'calcification'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'subchondral cyst': {'clinical finding': 'subchondral cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'sesamoid bone': {'location descriptor': 'medial'}, 'metatarsal': {}, 'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'osteonecrosis': {'clinical finding': 'osteonecrosis', 'existence': 'unc_dx', 'observation': 'osteonecrosis'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'foot': {'location descriptor': 'left'}, 'ankle': {}, 'fluid': {}, 'heel': {}}location descriptor_fin: ['left']clinical findings_fin: {'patients blister': {'clinical finding': 'patients blister', 'cf_snomed': {'blister': 417237009}, 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'blister'}}clinical findings_fin: {'diffuse edema': {'clinical finding': 'diffuse edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'edema'}, 'focal fluid collection': {'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection'}, 'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}, 'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'arterial calcifications': {'clinical finding': 'arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'arterial', 'observation': 'calcification'}}anatomical entity_fin: {'metatarsal': {}, 'head': {}}clinical findings_fin: {'subchondral cyst': {'clinical finding': 'subchondral cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'sesamoid bone': {'location descriptor': 'medial'}, 'metatarsal': {}, 'head': {}}location descriptor_fin: ['medial']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'osteonecrosis': {'clinical finding': 'osteonecrosis', 'existence': 'unc_dx', 'observation': 'osteonecrosis'}}anatomical entity_fin: {'ankle joint': {}}clinical findings_fin: {'ankle joint effusion': {'clinical finding': 'ankle joint effusion', 'cf_snomed': {'ankle joint effusion': 202383000}, 'existence': 'neg_dx', 'descriptive_term': 'ankle joint', 'observation': 'effusion'}} [/INST] Images of the left foot and ankle demonstrate a crescentic area of fluid density along the posteromedial aspect of the heel presumably representing patients blister. There is diffuse edema, however, we see no focal fluid collection to suggest abscess nor do we see imaging features of osteomyelitis. The tendons appear normal given limitations of CT. Arterial calcifications are noted. A subchondral cyst within the first metatarsal head is likely degenerative in etiology. Sclerosis of the medial sesamoid bone beneath the first metatarsal head could represent osteonecrosis but is of questionable clinical significance. No ankle joint effusion is identified. </s>