No abnormal enhancement or soft tissue mass is seen to suggest recurrent tumor. Again seen are postsurgical changes of thyroid gland resection with multiple clips on the left. Again seen are small scattered cervical lymph nodes. Reference submandibular lymph nodes are unchanged on the right measuring 6 mm and smaller on the left. No cervical lymphadenopathy by CT size criteria. The parotid and submandibular glands are unremarkable. The airway is patent. The imaged portion of the paranasal sinuses and mastoid air cells are clear. The imaged orbits are unremarkable. Limited examination of the intracranial contents are unremarkable. Major cervical vessels are grossly patent. Mild degenerative changes are seen in the cervical spine including disc osteophyte complexes at the C5-C6 and C6-C7 levels with up to moderate bilateral neural foraminal stenosis at C5-C6. Centrilobular emphysema at the lung apices again seen. Left apical pulmonary micronodule appears similar to prior study. Please see same day chest CT report for additional details.
clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}}anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'thyroid gland': {'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland'}}clinical findings_fin: {'small scattered cervical lymph nodes': {'clinical finding': 'small scattered cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'submandibular lymph nodes': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'reference submandibular lymph nodes': {'clinical finding': 'reference submandibular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference submandibular lymph', 'observation': 'node'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and submandibular glands are unremarkable': {'clinical finding': 'parotid and submandibular glands are unremarkable'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'imaged orbits are unremarkable': {'clinical finding': 'imaged orbits are unremarkable'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'limited examination of the intracranial contents': {'clinical finding': 'limited examination of the intracranial contents'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}, 'moderate bilateral neural foraminal stenosis': {'clinical finding': 'moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'chest': {}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}, 'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}}anatomical entity_fin: {'thyroid gland': {}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'thyroid gland': {'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland'}}clinical findings_fin: {'small scattered cervical lymph nodes': {'clinical finding': 'small scattered cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered cervical lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '6 mm'}]anatomical entity_fin: {'submandibular lymph nodes': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'reference submandibular lymph nodes': {'clinical finding': 'reference submandibular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference submandibular lymph', 'observation': 'node'}}clinical findings_fin: {'cervical lymphadenopathy': {'clinical finding': 'cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'parotid and submandibular glands are unremarkable': {'clinical finding': 'parotid and submandibular glands are unremarkable'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'imaged orbits are unremarkable': {'clinical finding': 'imaged orbits are unremarkable'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'limited examination of the intracranial contents': {'clinical finding': 'limited examination of the intracranial contents'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'disc osteophyte': {'clinical finding': 'disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'osteophyte'}, 'moderate bilateral neural foraminal stenosis': {'clinical finding': 'moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical pulmonary micronodule': {'clinical finding': 'left apical pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical pulmonary', 'observation': 'micronodule'}}anatomical entity_fin: {'chest': {}} [/INST] No abnormal enhancement or soft tissue mass is seen to suggest recurrent tumor. Again seen are postsurgical changes of thyroid gland resection with multiple clips on the left. Again seen are small scattered cervical lymph nodes. Reference submandibular lymph nodes are unchanged on the right measuring 6 mm and smaller on the left. No cervical lymphadenopathy by CT size criteria. The parotid and submandibular glands are unremarkable. The airway is patent. The imaged portion of the paranasal sinuses and mastoid air cells are clear. The imaged orbits are unremarkable. Limited examination of the intracranial contents are unremarkable. Major cervical vessels are grossly patent. Mild degenerative changes are seen in the cervical spine including disc osteophyte complexes at the C5-C6 and C6-C7 levels with up to moderate bilateral neural foraminal stenosis at C5-C6. Centrilobular emphysema at the lung apices again seen. Left apical pulmonary micronodule appears similar to prior study. Please see same day chest CT report for additional details. </s>