. Pneumocephalus has resolved. There is a hypoattenuating, likely subdural, collection along the right frontal lobe extending to the vertex which measures up to 10 mm in thickness. It is of low attenuation but slightly higher than that of CSF. In addition, there is a small amount of dense material anteriorly along the right frontal lobe, just posterior to the right frontal sinus, which may be postoperative epidural or dural thickening or fluid. There are small hypoattenuating foci in the subcortical white matter which are nonspecific but likely related to age-indeterminate small vessel ischemic disease. There is no midline shift or mass effect. The ventricles and sulci are within normal limits. There are bilateral lens implants. There are postoperative changes from CSF leak repair on the right including resection of the middle turbinate, multiple ethmoid air cells, and the ethmoid bulla. Graft material or a rind of soft tissue density is seen along the fovea ethmoidalis. The skull base in this area appears thin but this is of uncertain clinical significance given the recent surgery. In addition, there is a thin, channel-like lucency in the roof of the right frontal sinus that was also present on prior exams. There is new high attenuation material within the right frontal sinus. There is also soft tissue thickening in the remaining right ethmoid air cells and bilateral sphenoid sinuses. The bilateral maxillary sinus ostia are patent. The right ostiomeatal unit is obstructed but the left is patent. The lamina papyracea are intact bilaterally. The nasal septum is midline. Bilateral orbits and the posterior nasopharynx appear unremarkable.
clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'neg_dx', 'observation': 'pneumocephalus'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'hypoattenuating'}]anatomical entity_fin: {'right frontal lobe': {}, 'vertex': {}}clinical findings_fin: {'hypoattenuating, likely subdural': {'clinical finding': 'hypoattenuating, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating likely', 'observation': 'subdural'}}clinical findings_fin: {'low attenuation but slightly higher': {'clinical finding': 'low attenuation but slightly higher'}}anatomical entity_fin: {'right frontal lobe': {}, 'frontal sinus': {'location descriptor': 'right'}, 'fluid': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'postoperative epidural or dural thickening': {'clinical finding': 'postoperative epidural or dural thickening', 'existence': 'unc_dx', 'descriptive_term': 'postoperative epidural or dural', 'observation': 'thickening'}}imaging observation_fin: ['foci']clinical findings_fin: {'small hypoattenuating foci': {'clinical finding': 'small hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'middle': {}, 'cells': {}, 'bulla': {}}location descriptor_fin: ['right']procedure_fin: ['repair']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'csf leak': {'clinical finding': 'csf leak', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'leak'}}anatomical entity_fin: {'graft': {}, 'fovea ethmoidalis': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roof': {}, 'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present': {'clinical finding': 'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new high attenuation': {'clinical finding': 'new high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'new high', 'observation': 'attenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'bilateral sphenoid sinuses': {'clinical finding': 'bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pneumocephalus': {'clinical finding': 'pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'neg_dx', 'observation': 'pneumocephalus'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'hypoattenuating'}]anatomical entity_fin: {'right frontal lobe': {}, 'vertex': {}}clinical findings_fin: {'hypoattenuating, likely subdural': {'clinical finding': 'hypoattenuating, likely subdural', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating likely', 'observation': 'subdural'}}clinical findings_fin: {'low attenuation but slightly higher': {'clinical finding': 'low attenuation but slightly higher'}}anatomical entity_fin: {'right frontal lobe': {}, 'frontal sinus': {'location descriptor': 'right'}, 'fluid': {}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'postoperative epidural or dural thickening': {'clinical finding': 'postoperative epidural or dural thickening', 'existence': 'unc_dx', 'descriptive_term': 'postoperative epidural or dural', 'observation': 'thickening'}}imaging observation_fin: ['foci']clinical findings_fin: {'small hypoattenuating foci': {'clinical finding': 'small hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}, 'age-indeterminate small vessel ischemic disease': {'clinical finding': 'age-indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}anatomical entity_fin: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'middle': {}, 'cells': {}, 'bulla': {}}location descriptor_fin: ['right']procedure_fin: ['repair']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'csf leak': {'clinical finding': 'csf leak', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'leak'}}anatomical entity_fin: {'graft': {}, 'fovea ethmoidalis': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'unc_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}anatomical entity_fin: {'skull': {}, 'base': {}}clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}anatomical entity_fin: {'roof': {}, 'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present': {'clinical finding': 'addition , there is a thin , channel -like lucency in the roof of the right frontal sinus that was also present', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'new high attenuation': {'clinical finding': 'new high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'new high', 'observation': 'attenuation', 'temporal_term': 'new'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right', 'bilateral']clinical findings_fin: {'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}, 'bilateral sphenoid sinuses': {'clinical finding': 'bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral sphenoid', 'observation': 'sinus'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'obstructed': {'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] . Pneumocephalus has resolved. There is a hypoattenuating, likely subdural, collection along the right frontal lobe extending to the vertex which measures up to 10 mm in thickness. It is of low attenuation but slightly higher than that of CSF. In addition, there is a small amount of dense material anteriorly along the right frontal lobe, just posterior to the right frontal sinus, which may be postoperative epidural or dural thickening or fluid. There are small hypoattenuating foci in the subcortical white matter which are nonspecific but likely related to age-indeterminate small vessel ischemic disease. There is no midline shift or mass effect. The ventricles and sulci are within normal limits. There are bilateral lens implants. There are postoperative changes from CSF leak repair on the right including resection of the middle turbinate, multiple ethmoid air cells, and the ethmoid bulla. Graft material or a rind of soft tissue density is seen along the fovea ethmoidalis. The skull base in this area appears thin but this is of uncertain clinical significance given the recent surgery. In addition, there is a thin, channel-like lucency in the roof of the right frontal sinus that was also present on prior exams. There is new high attenuation material within the right frontal sinus. There is also soft tissue thickening in the remaining right ethmoid air cells and bilateral sphenoid sinuses. The bilateral maxillary sinus ostia are patent. The right ostiomeatal unit is obstructed but the left is patent. The lamina papyracea are intact bilaterally. The nasal septum is midline. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s>