. There is no evidence of intracranial hemorrhage. There are new moderate areas of hypoattenuation in the right parietal lobe, and in the left insula extending superiorly into the left corona radiata via the left putamen representing age indeterminate, probably subacute strokes these are unchanged. There is minimal ex vacuo dilatation of the left lateral ventricle suggesting element of chronicity superimposed on subacute component in the left-sided infarct. No acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde. There is abrupt occlusion of the left M1 segment near its origin with a tiny stump opacifying with contrast at the origin. Few left MCA branches are noted to fill, however there is asymmetric paucity of vessels in the left MCA territory as compared to the right. Both A1, anterior communicating, and left posterior communicating arteries are patent. The right posterior communicating artery is not seen and may be hypoplastic. The right vertebral artery is developmentally hypoplastic. Both vertebral arteries join to form the basilar artery. There is no intracranial aneurysm. The great vessel origins are intact. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde from collateral supply. There is minimal luminal irregularity without significant stenosis at the origin of the right carotid bulb. The vertebral arteries are widely patent. The right vertebral artery is nondominant. The thyroid gland is unremarkable. The lung apices show interlobular septal thickening and hazy attenuation of the lung parenchyma which may be related to pulmonary edema. There are minimal degenerative changes in the cervical spine.
clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right parietal lobe': {}, 'left insula': {}, 'left corona radiata': {}, 'left putamen': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, ', probably subacute strokes': {'clinical finding': ', probably subacute strokes', 'existence': 'pos_dx', 'descriptive_term': ' probably subacute', 'observation': 'stroke'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}, 'left-sided infarct': {'clinical finding': 'left-sided infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'infarct'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'otherwise normal in size and configuration': {'clinical finding': 'otherwise normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'abrupt occlusion': {'clinical finding': 'abrupt occlusion', 'existence': 'pos_dx', 'descriptive_term': 'abrupt', 'observation': 'occlusion', 'strength_term': 'abrupt'}, 'tiny stump': {'clinical finding': 'tiny stump', 'existence': 'pos_dx', 'descriptive_term': 'tiny', 'observation': 'stump', 'strength_term': 'tiny'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'few left mca branches are noted to fill , however there is asymmetric paucity': {'clinical finding': 'few left mca branches are noted to fill , however there is asymmetric paucity'}}anatomical entity_fin: {'left posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right posterior communicating artery': {}}clinical findings_fin: {'not seen and may be hypoplastic': {'clinical finding': 'not seen and may be hypoplastic'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'right vertebral artery is developmentally hypoplastic': {'clinical finding': 'right vertebral artery is developmentally hypoplastic'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}}clinical findings_fin: {'intracranial aneurysm': {'clinical finding': 'intracranial aneurysm', 'cf_snomed': {'intracranial aneurysm': 128609009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'aneurysm'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'collateral supply': {'clinical finding': 'collateral supply', 'existence': 'pos_dx', 'descriptive_term': 'collateral', 'observation': 'supply'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal luminal irregularity': {'clinical finding': 'minimal luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal luminal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'nondominant': {'clinical finding': 'nondominant', 'existence': 'pos_dx', 'observation': 'nondominant'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}, 'lung parenchyma': {}}clinical findings_fin: {'interlobular septal thickening': {'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative changes': {'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right parietal lobe': {}, 'left insula': {}, 'left corona radiata': {}, 'left putamen': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, ', probably subacute strokes': {'clinical finding': ', probably subacute strokes', 'existence': 'pos_dx', 'descriptive_term': ' probably subacute', 'observation': 'stroke'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}, 'left-sided infarct': {'clinical finding': 'left-sided infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'infarct'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'otherwise normal in size and configuration': {'clinical finding': 'otherwise normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull and extracranial soft tissues are unremarkable': {'clinical finding': 'skull and extracranial soft tissues are unremarkable'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'abrupt occlusion': {'clinical finding': 'abrupt occlusion', 'existence': 'pos_dx', 'descriptive_term': 'abrupt', 'observation': 'occlusion', 'strength_term': 'abrupt'}, 'tiny stump': {'clinical finding': 'tiny stump', 'existence': 'pos_dx', 'descriptive_term': 'tiny', 'observation': 'stump', 'strength_term': 'tiny'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'few left mca branches are noted to fill , however there is asymmetric paucity': {'clinical finding': 'few left mca branches are noted to fill , however there is asymmetric paucity'}}anatomical entity_fin: {'left posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right posterior communicating artery': {}}clinical findings_fin: {'not seen and may be hypoplastic': {'clinical finding': 'not seen and may be hypoplastic'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'right vertebral artery is developmentally hypoplastic': {'clinical finding': 'right vertebral artery is developmentally hypoplastic'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}}clinical findings_fin: {'intracranial aneurysm': {'clinical finding': 'intracranial aneurysm', 'cf_snomed': {'intracranial aneurysm': 128609009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'aneurysm'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'collateral supply': {'clinical finding': 'collateral supply', 'existence': 'pos_dx', 'descriptive_term': 'collateral', 'observation': 'supply'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal luminal irregularity': {'clinical finding': 'minimal luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal luminal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'nondominant': {'clinical finding': 'nondominant', 'existence': 'pos_dx', 'observation': 'nondominant'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}, 'lung parenchyma': {}}clinical findings_fin: {'interlobular septal thickening': {'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative changes': {'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} [/INST] . There is no evidence of intracranial hemorrhage. There are new moderate areas of hypoattenuation in the right parietal lobe, and in the left insula extending superiorly into the left corona radiata via the left putamen representing age indeterminate, probably subacute strokes these are unchanged. There is minimal ex vacuo dilatation of the left lateral ventricle suggesting element of chronicity superimposed on subacute component in the left-sided infarct. No acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde. There is abrupt occlusion of the left M1 segment near its origin with a tiny stump opacifying with contrast at the origin. Few left MCA branches are noted to fill, however there is asymmetric paucity of vessels in the left MCA territory as compared to the right. Both A1, anterior communicating, and left posterior communicating arteries are patent. The right posterior communicating artery is not seen and may be hypoplastic. The right vertebral artery is developmentally hypoplastic. Both vertebral arteries join to form the basilar artery. There is no intracranial aneurysm. The great vessel origins are intact. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde from collateral supply. There is minimal luminal irregularity without significant stenosis at the origin of the right carotid bulb. The vertebral arteries are widely patent. The right vertebral artery is nondominant. The thyroid gland is unremarkable. The lung apices show interlobular septal thickening and hazy attenuation of the lung parenchyma which may be related to pulmonary edema. There are minimal degenerative changes in the cervical spine. </s>