PHARYNX/. There are persistent posttreatment findings, including diffuse pharyngeal edema, slightly improved in some areas compared to prior. There is persistent epiglottic thickening and stable mild esophageal wall edema, likely treatment-related. No new enhancing soft tissue mass or discrete fluid collection is identified within the pharynx or larynx. The submandibular, sublingual, and parotid glands have an unremarkable noncontrast appearance. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. Scattered small cervical lymph nodes are identified. A reference left level 2A lymph node measures 8 x 7 mm , unchanged from prior. Scattered small left level 3 and 4 lymph nodes are again seen, the largest measuring up to 4 mm in short axis , unchanged. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices show some pleuroparenchymal scarring, without new focal nodule. The carotid arteries and jugular veins are patent. A four vessel arch is incidentally noted.
clinical findings_fin: {'persistent posttreatment': {'clinical finding': 'persistent posttreatment', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'posttreatment', 'temporal_term': 'persistent'}, 'diffuse pharyngeal edema': {'clinical finding': 'diffuse pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse pharyngeal', 'observation': 'edema'}}anatomical entity_fin: {'wall': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent epiglottic thickening': {'clinical finding': 'persistent epiglottic thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent epiglottic', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'stable mild esophageal wall edema': {'clinical finding': 'stable mild esophageal wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild esophageal wall', 'observation': 'edema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'pharynx': {}, 'larynx': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new enhancing soft tissue mass': {'clinical finding': 'new enhancing soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'new enhancing soft tissue', 'observation': 'mass', 'temporal_term': 'new'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '8 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level 2a lymph node': {'clinical finding': 'reference left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level 2a lymph', 'observation': 'node'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'scattered small left level 3 and 4 lymph nodes': {'clinical finding': 'scattered small left level 3 and 4 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small left level 3 and 4 lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'some pleuroparenchymal scarring': {'clinical finding': 'some pleuroparenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'some pleuroparenchymal', 'observation': 'scarr', 'quantity_term': 'some'}, 'new focal nodule': {'clinical finding': 'new focal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'vessel arch is incidentally noted': {'clinical finding': 'vessel arch is incidentally noted'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'persistent posttreatment': {'clinical finding': 'persistent posttreatment', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'posttreatment', 'temporal_term': 'persistent'}, 'diffuse pharyngeal edema': {'clinical finding': 'diffuse pharyngeal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse pharyngeal', 'observation': 'edema'}}anatomical entity_fin: {'wall': {}}procedure_fin: ['treatment']clinical findings_fin: {'persistent epiglottic thickening': {'clinical finding': 'persistent epiglottic thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent epiglottic', 'observation': 'thickening', 'temporal_term': 'persistent'}, 'stable mild esophageal wall edema': {'clinical finding': 'stable mild esophageal wall edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild esophageal wall', 'observation': 'edema', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'pharynx': {}, 'larynx': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'new enhancing soft tissue mass': {'clinical finding': 'new enhancing soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'new enhancing soft tissue', 'observation': 'mass', 'temporal_term': 'new'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable noncontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '8 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left level 2a lymph node': {'clinical finding': 'reference left level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level 2a lymph', 'observation': 'node'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'scattered small left level 3 and 4 lymph nodes': {'clinical finding': 'scattered small left level 3 and 4 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small left level 3 and 4 lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'cervical spine is unremarkable': {'clinical finding': 'cervical spine is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'some pleuroparenchymal scarring': {'clinical finding': 'some pleuroparenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'some pleuroparenchymal', 'observation': 'scarr', 'quantity_term': 'some'}, 'new focal nodule': {'clinical finding': 'new focal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'vessel arch is incidentally noted': {'clinical finding': 'vessel arch is incidentally noted'}} [/INST] PHARYNX/. There are persistent posttreatment findings, including diffuse pharyngeal edema, slightly improved in some areas compared to prior. There is persistent epiglottic thickening and stable mild esophageal wall edema, likely treatment-related. No new enhancing soft tissue mass or discrete fluid collection is identified within the pharynx or larynx. The submandibular, sublingual, and parotid glands have an unremarkable noncontrast appearance. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. Scattered small cervical lymph nodes are identified. A reference left level 2A lymph node measures 8 x 7 mm , unchanged from prior. Scattered small left level 3 and 4 lymph nodes are again seen, the largest measuring up to 4 mm in short axis , unchanged. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine is unremarkable. The visualized lung apices show some pleuroparenchymal scarring, without new focal nodule. The carotid arteries and jugular veins are patent. A four vessel arch is incidentally noted. </s>