There is increased size of the right pontine tonsil compared to prior, with mass effect on the left pontine tonsil and narrowing of the oropharynx. Within the right pontine tonsil there is an area of low attenuation measuring 2.5 x 2.2 cm, previously 1.2 x 1.1 cm. There is swelling of the adjacent soft palate. There is no extension into the retropharyngeal space. There are few borderline enlarged jugulodigastric lymph nodes, the largest measuring 1.9 x 1.5 cm, unchanged. The nasopharyngeal adenoids are also enlarged, unchanged from prior. The orbits are unremarkable. Limited view of the brain parenchyma is unremarkable. The oral cavity, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The osseous structures are unremarkable. Limited view of the chest is unremarkable.
anatomical entity_fin: {'tonsil': {}, 'oropharynx': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '1.2 x 1.1 cm'}]anatomical entity_fin: {'tonsil': {}}location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}}anatomical entity_fin: {'soft palate': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'few borderline enlarged jugulodigastric lymph nodes': {'clinical finding': 'few borderline enlarged jugulodigastric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few borderline enlarged jugulodigastric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'quantity_term': 'few', 'change_term': 'enlarged'}}clinical findings_fin: {'nasopharyngeal adenoids': {'clinical finding': 'nasopharyngeal adenoids', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal', 'observation': 'adenoid'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'limited view of the brain parenchyma': {'clinical finding': 'limited view of the brain parenchyma'}}anatomical entity_fin: {'oral cavity': {}, 'hypopharynx': {}, 'larynx': {}, 'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'thyroid glands': {}}clinical findings_fin: {'parotid , submandibular , and thyroid glands are unremarkable': {'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'limited view of the chest': {'clinical finding': 'limited view of the chest'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'tonsil': {}, 'oropharynx': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}size_fin: [{'size': '2.5 x 2.2 cm'}, {'size': '1.2 x 1.1 cm'}]anatomical entity_fin: {'tonsil': {}}location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}}anatomical entity_fin: {'soft palate': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'swelling': {'clinical finding': 'swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'observation': 'swell'}}size_fin: [{'size': '1.9 x 1.5 cm', 'size_descriptor': 'nodes'}]clinical findings_fin: {'few borderline enlarged jugulodigastric lymph nodes': {'clinical finding': 'few borderline enlarged jugulodigastric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few borderline enlarged jugulodigastric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'quantity_term': 'few', 'change_term': 'enlarged'}}clinical findings_fin: {'nasopharyngeal adenoids': {'clinical finding': 'nasopharyngeal adenoids', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal', 'observation': 'adenoid'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'limited view of the brain parenchyma': {'clinical finding': 'limited view of the brain parenchyma'}}anatomical entity_fin: {'oral cavity': {}, 'hypopharynx': {}, 'larynx': {}, 'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'thyroid glands': {}}clinical findings_fin: {'parotid , submandibular , and thyroid glands are unremarkable': {'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'limited view of the chest': {'clinical finding': 'limited view of the chest'}} [/INST] There is increased size of the right pontine tonsil compared to prior, with mass effect on the left pontine tonsil and narrowing of the oropharynx. Within the right pontine tonsil there is an area of low attenuation measuring 2.5 x 2.2 cm, previously 1.2 x 1.1 cm. There is swelling of the adjacent soft palate. There is no extension into the retropharyngeal space. There are few borderline enlarged jugulodigastric lymph nodes, the largest measuring 1.9 x 1.5 cm, unchanged. The nasopharyngeal adenoids are also enlarged, unchanged from prior. The orbits are unremarkable. Limited view of the brain parenchyma is unremarkable. The oral cavity, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The osseous structures are unremarkable. Limited view of the chest is unremarkable. </s>