.There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no abnormal parenchymal or leptomeningeal enhancement. The osseous structures are intact. There is mild anterior ethmoid mucosal thickening. The mastoid air cells are clear. There are improved treatment related changes of the neck including laryngeal and pharyngeal edema, thickening of the platysma and reticulation of the fat planes. There is no abnormal soft tissue mass. The right submandibular gland is absent or atrophic. The other major salivary glands and thyroid gland are unchanged in appearance. Scattered small cervical lymph nodes are identified without evidence of cervical lymphadenopathy. Reference right level two lymph node measures 5 x 4 mm , previously 6 x 5 mm. Reference left level four lymph node measures 9 x 8 mm , previously 8 x 8 mm. The imaged cervical spine shows degenerative changes without focal osseous lesion or acute fracture. The visualized lung apices are unremarkable. Small bilateral pleural effusions are partially imaged. See same-day CT chest for additional details. The carotid arteries and jugular veins are patent. Left chest wall pacemaker partially imaged.
anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior ethmoid mucosal thickening': {'clinical finding': 'mild anterior ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild anterior ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['reticulation', 'fat']procedure_fin: ['treatment']clinical findings_fin: {'improved treatment related changes': {'clinical finding': 'improved treatment related changes', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'improved treatment related', 'observation': 'change'}, 'laryngeal and pharyngeal edema': {'clinical finding': 'laryngeal and pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'laryngeal and pharyngeal', 'observation': 'edema'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'other major salivary glands and thyroid gland are unchanged in appearance': {'clinical finding': 'other major salivary glands and thyroid gland are unchanged in appearance', 'change_term': 'unchanged'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 4 mm'}, {'size': '6 x 5 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level two lymph node': {'clinical finding': 'reference right level two lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level two lymph', 'observation': 'node'}}size_fin: [{'size': '9 x 8 mm'}, {'size': '8 x 8 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level four lymph node': {'clinical finding': 'reference left level four lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level four lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker partially imaged': {'clinical finding': 'left chest wall pacemaker partially imaged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}clinical findings_fin: {'abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['anterior']clinical findings_fin: {'mild anterior ethmoid mucosal thickening': {'clinical finding': 'mild anterior ethmoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild anterior ethmoid mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'neck': {}}imaging observation_fin: ['reticulation', 'fat']procedure_fin: ['treatment']clinical findings_fin: {'improved treatment related changes': {'clinical finding': 'improved treatment related changes', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'improved treatment related', 'observation': 'change'}, 'laryngeal and pharyngeal edema': {'clinical finding': 'laryngeal and pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'laryngeal and pharyngeal', 'observation': 'edema'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'}, 'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'other major salivary glands and thyroid gland are unchanged in appearance': {'clinical finding': 'other major salivary glands and thyroid gland are unchanged in appearance', 'change_term': 'unchanged'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 4 mm'}, {'size': '6 x 5 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level two lymph node': {'clinical finding': 'reference right level two lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level two lymph', 'observation': 'node'}}size_fin: [{'size': '9 x 8 mm'}, {'size': '8 x 8 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level four lymph node': {'clinical finding': 'reference left level four lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level four lymph', 'observation': 'node'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'small bilateral pleural effusions': {'clinical finding': 'small bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'left chest wall pacemaker partially imaged': {'clinical finding': 'left chest wall pacemaker partially imaged'}} [/INST] .There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no abnormal parenchymal or leptomeningeal enhancement. The osseous structures are intact. There is mild anterior ethmoid mucosal thickening. The mastoid air cells are clear. There are improved treatment related changes of the neck including laryngeal and pharyngeal edema, thickening of the platysma and reticulation of the fat planes. There is no abnormal soft tissue mass. The right submandibular gland is absent or atrophic. The other major salivary glands and thyroid gland are unchanged in appearance. Scattered small cervical lymph nodes are identified without evidence of cervical lymphadenopathy. Reference right level two lymph node measures 5 x 4 mm , previously 6 x 5 mm. Reference left level four lymph node measures 9 x 8 mm , previously 8 x 8 mm. The imaged cervical spine shows degenerative changes without focal osseous lesion or acute fracture. The visualized lung apices are unremarkable. Small bilateral pleural effusions are partially imaged. See same-day CT chest for additional details. The carotid arteries and jugular veins are patent. Left chest wall pacemaker partially imaged. </s>