. Extensive dental amalgam streak artifact again obscures portions of the neck. There are post-treatment findings related to radiation therapy, right neck dissection with flap reconstruction, and submandibular gland resection. There is persistent ill-defined soft tissue along the margins of the right neck flap and overlying skin thickening, which is likely treatment-related. There is persistent mild supraglottic edema. Otherwise, there is no discernible mass lesion or significant cervical lymphadenopathy by size criteria. There is fatty atrophy of the right tongue, which is likely due to denervation. The airways are otherwise patent. The right internal jugular vein has been sacrificed. There is mild plaque at the carotid bifurcations. The thyroid gland is unchanged. There is an unchanged mildly sclerotic focus in the C6 vertebral body. There are secretions in the hypopharynx. There are bilateral temporomandibular joint degenerative changes and multilevel degenerative cervical spondylosis. There is no evidence of intracranial mass. There is unchanged non-opacification of the right sigmoid sinus and jugular bulb. There is unchanged mild nonspecific cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The mastoid air cells are clear. There is persistent opacification of the left maxillary and bilateral sphenoid sinuses. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants.
anatomical entity_fin: {'neck': {}}clinical findings_fin: {'extensive dental amalgam streak artifact': {'clinical finding': 'extensive dental amalgam streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive dental amalgam streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'submandibular gland': {}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck dissection': {'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck flap': {'clinical finding': 'right neck flap', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'flap'}, 'overlying skin thickening': {'clinical finding': 'overlying skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'overlying skin', 'observation': 'thickening'}}clinical findings_fin: {'persistent mild supraglottic edema': {'clinical finding': 'persistent mild supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild supraglottic', 'observation': 'edema', 'strength_term': 'mild', 'temporal_term': 'persistent'}}clinical findings_fin: {'discernible mass lesion': {'clinical finding': 'discernible mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discernible mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'denervation': {'clinical finding': 'denervation', 'cf_snomed': {'denervation': 66277009}, 'existence': 'unc_dx', 'observation': 'denervation'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sacrificed': {'clinical finding': 'sacrificed', 'existence': 'pos_dx', 'observation': 'sacrifice'}}clinical findings_fin: {'is mild plaque at the carotid bifurcations': {'clinical finding': 'is mild plaque at the carotid bifurcations', 'cf_snomed': {'plaque': 1522000}}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unchanged': {'clinical finding': 'thyroid gland is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'c6 vertebral body': {}}clinical findings_fin: {'unchanged mildly sclerotic focus': {'clinical finding': 'unchanged mildly sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mildly sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - mildly', 'change_term': 'unchanged'}}anatomical entity_fin: {'hypopharynx': {}}anatomical entity_fin: {'temporomandibular joint': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral temporomandibular joint degenerative changes': {'clinical finding': 'bilateral temporomandibular joint degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral temporomandibular joint degenerative', 'observation': 'change'}, 'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}anatomical entity_fin: {'sigmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged non-opacification': {'clinical finding': 'unchanged non-opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'non-opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'unchanged mild nonspecific cerebral white matter hypoattenuation': {'clinical finding': 'unchanged mild nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}clinical findings_fin: {'ventricles are unchanged in size and configuration': {'clinical finding': 'ventricles are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'persistent opacification': {'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent'}, 'left maxillary and bilateral sphenoid sinuses': {'clinical finding': 'left maxillary and bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary and bilateral sphenoid', 'observation': 'sinus'}}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: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}}clinical findings_fin: {'extensive dental amalgam streak artifact': {'clinical finding': 'extensive dental amalgam streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive dental amalgam streak', 'observation': 'artifact', 'strength_term': 'extensive'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}, 'submandibular gland': {}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck dissection': {'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection'}, 'flap reconstruction': {'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'}}anatomical entity_fin: {'neck': {'location descriptor': 'right'}}imaging observation_fin: ['margins']location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right neck flap': {'clinical finding': 'right neck flap', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'flap'}, 'overlying skin thickening': {'clinical finding': 'overlying skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'overlying skin', 'observation': 'thickening'}}clinical findings_fin: {'persistent mild supraglottic edema': {'clinical finding': 'persistent mild supraglottic edema', 'cf_snomed': {'supraglottic edema': 5248000}, 'existence': 'pos_dx', 'descriptive_term': 'persistent mild supraglottic', 'observation': 'edema', 'strength_term': 'mild', 'temporal_term': 'persistent'}}clinical findings_fin: {'discernible mass lesion': {'clinical finding': 'discernible mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discernible mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'tongue': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}, 'denervation': {'clinical finding': 'denervation', 'cf_snomed': {'denervation': 66277009}, 'existence': 'unc_dx', 'observation': 'denervation'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sacrificed': {'clinical finding': 'sacrificed', 'existence': 'pos_dx', 'observation': 'sacrifice'}}clinical findings_fin: {'is mild plaque at the carotid bifurcations': {'clinical finding': 'is mild plaque at the carotid bifurcations', 'cf_snomed': {'plaque': 1522000}}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unchanged': {'clinical finding': 'thyroid gland is unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'c6 vertebral body': {}}clinical findings_fin: {'unchanged mildly sclerotic focus': {'clinical finding': 'unchanged mildly sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mildly sclerotic', 'observation': 'focus', 'strength_term': 'unchanged - mildly', 'change_term': 'unchanged'}}anatomical entity_fin: {'hypopharynx': {}}anatomical entity_fin: {'temporomandibular joint': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral temporomandibular joint degenerative changes': {'clinical finding': 'bilateral temporomandibular joint degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral temporomandibular joint degenerative', 'observation': 'change'}, 'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}anatomical entity_fin: {'sigmoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged non-opacification': {'clinical finding': 'unchanged non-opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'non-opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'cerebral white matter': {}}clinical findings_fin: {'unchanged mild nonspecific cerebral white matter hypoattenuation': {'clinical finding': 'unchanged mild nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mild nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'unchanged - mild', 'change_term': 'unchanged'}}clinical findings_fin: {'ventricles are unchanged in size and configuration': {'clinical finding': 'ventricles are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'persistent opacification': {'clinical finding': 'persistent opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'opacification', 'temporal_term': 'persistent'}, 'left maxillary and bilateral sphenoid sinuses': {'clinical finding': 'left maxillary and bilateral sphenoid sinuses', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'left maxillary and bilateral sphenoid', 'observation': 'sinus'}}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: {'lens': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral'] [/INST] . Extensive dental amalgam streak artifact again obscures portions of the neck. There are post-treatment findings related to radiation therapy, right neck dissection with flap reconstruction, and submandibular gland resection. There is persistent ill-defined soft tissue along the margins of the right neck flap and overlying skin thickening, which is likely treatment-related. There is persistent mild supraglottic edema. Otherwise, there is no discernible mass lesion or significant cervical lymphadenopathy by size criteria. There is fatty atrophy of the right tongue, which is likely due to denervation. The airways are otherwise patent. The right internal jugular vein has been sacrificed. There is mild plaque at the carotid bifurcations. The thyroid gland is unchanged. There is an unchanged mildly sclerotic focus in the C6 vertebral body. There are secretions in the hypopharynx. There are bilateral temporomandibular joint degenerative changes and multilevel degenerative cervical spondylosis. There is no evidence of intracranial mass. There is unchanged non-opacification of the right sigmoid sinus and jugular bulb. There is unchanged mild nonspecific cerebral white matter hypoattenuation. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The mastoid air cells are clear. There is persistent opacification of the left maxillary and bilateral sphenoid sinuses. The skull and extracranial soft tissues are unremarkable. There are bilateral lens implants. </s>