There are post-treatment findings related to surgery and radiation therapy for a sinonasal tumor. There is increase in size of the tumor centered within the left maxillary sinus with extension into the left orbital and into the premaxillary and retromaxillary fat through dehiscent sinus walls. The mass now measures up to approximately 45 mm, previously 30 mm, although it is difficult to delineate tumor from potentially trapped secretions. However, there is decreased left neck lymphadenopathy. For example, a left level 2B lymph node measures measures 7 x 12 mm, previously 25 x 32 mm. The erosions in the right central skull base are unchanged. There is no significant lymphadenopathy in the neck. There are multiple unchanged hypoattenuating thyroid nodules. The salivary glands are unremarkable. The cervical vasculature is patent. There are degenerative changes of the cervical spine. There is an unchanged nonspecific subcentimeter focus in the left cheek subcutaneous tissues.
procedure_fin: ['treatment']clinical findings_fin: {'sinonasal tumor': {'clinical finding': 'sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'walls': {}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '45 mm'}, {'size': '30 mm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'decreased left neck lymphadenopathy': {'clinical finding': 'decreased left neck lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased left neck', 'observation': 'lymphadenopathy', 'strength_term': 'decreased', 'change_term': 'decreased'}}size_fin: [{'size': '7 x 12 mm'}, {'size': '25 x 32 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2b lymph node': {'clinical finding': 'left level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2b lymph', 'observation': 'node'}}anatomical entity_fin: {'skull': {'location descriptor': 'right central'}, 'base': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multiple unchanged hypoattenuating thyroid nodules': {'clinical finding': 'multiple unchanged hypoattenuating thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple unchanged hypoattenuating thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'cheek': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged nonspecific subcentimeter focus': {'clinical finding': 'unchanged nonspecific subcentimeter focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific subcentimeter', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}
<s>[INST] Write the finding section for a radiology report based on the following information: procedure_fin: ['treatment']clinical findings_fin: {'sinonasal tumor': {'clinical finding': 'sinonasal tumor', 'existence': 'pos_dx', 'descriptive_term': 'sinonasal', 'observation': 'tumor'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'walls': {}}imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '45 mm'}, {'size': '30 mm'}]clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'decreased left neck lymphadenopathy': {'clinical finding': 'decreased left neck lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'decreased left neck', 'observation': 'lymphadenopathy', 'strength_term': 'decreased', 'change_term': 'decreased'}}size_fin: [{'size': '7 x 12 mm'}, {'size': '25 x 32 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2b lymph node': {'clinical finding': 'left level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2b lymph', 'observation': 'node'}}anatomical entity_fin: {'skull': {'location descriptor': 'right central'}, 'base': {}}location descriptor_fin: ['right', 'central']clinical findings_fin: {'erosions': {'clinical finding': 'erosions', 'existence': 'pos_dx', 'observation': 'erosion'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multiple unchanged hypoattenuating thyroid nodules': {'clinical finding': 'multiple unchanged hypoattenuating thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple unchanged hypoattenuating thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'cheek': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged nonspecific subcentimeter focus': {'clinical finding': 'unchanged nonspecific subcentimeter focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific subcentimeter', 'observation': 'focus', 'strength_term': 'unchanged', 'change_term': 'unchanged'}} [/INST] There are post-treatment findings related to surgery and radiation therapy for a sinonasal tumor. There is increase in size of the tumor centered within the left maxillary sinus with extension into the left orbital and into the premaxillary and retromaxillary fat through dehiscent sinus walls. The mass now measures up to approximately 45 mm, previously 30 mm, although it is difficult to delineate tumor from potentially trapped secretions. However, there is decreased left neck lymphadenopathy. For example, a left level 2B lymph node measures measures 7 x 12 mm, previously 25 x 32 mm. The erosions in the right central skull base are unchanged. There is no significant lymphadenopathy in the neck. There are multiple unchanged hypoattenuating thyroid nodules. The salivary glands are unremarkable. The cervical vasculature is patent. There are degenerative changes of the cervical spine. There is an unchanged nonspecific subcentimeter focus in the left cheek subcutaneous tissues. </s>