Study slightly limited due to patient motion. No evidence of acute intracranial hemorrhage. There is encephalomalacia in the left temporal and parietal lobes from prior MCA territory infarct, unchanged. Hypoattenuation within the pons is unchanged and likely related to chronic ischemia. Ventricles and sulci are prominent, suggestive of mild to moderate age-related volume loss. No hydrocephalus. Mild ex vacuo dilatation of left lateral ventricle is unchanged. Periventricular and subcortical hypoattenuation is nonspecific but may be related to age indeterminate mild small vessel ischemic disease. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear.
clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'parietal lobes': {}}location descriptor_fin: ['left']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior mca territory infarct': {'clinical finding': 'prior mca territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'prior mca territory', 'observation': 'infarct'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'chronic ischemia': {'clinical finding': 'chronic ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'ischemia', 'temporal_term': 'chronic'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'mild to moderate age-related volume loss': {'clinical finding': 'mild to moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'unc_dx', 'descriptive_term': 'mild to moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'mild ex vacuo dilatation of left lateral ventricle': {'clinical finding': 'mild ex vacuo dilatation of left lateral ventricle', 'cf_snomed': {'dilatation': 25322007}}}clinical findings_fin: {'periventricular and subcortical hypoattenuation': {'clinical finding': 'periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical', 'observation': 'hypoattenuation'}, 'age indeterminate mild small vessel ischemic disease': {'clinical finding': 'age indeterminate mild small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate mild small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'parietal lobes': {}}location descriptor_fin: ['left']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior mca territory infarct': {'clinical finding': 'prior mca territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'prior mca territory', 'observation': 'infarct'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'chronic ischemia': {'clinical finding': 'chronic ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'ischemia', 'temporal_term': 'chronic'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'mild to moderate age-related volume loss': {'clinical finding': 'mild to moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'unc_dx', 'descriptive_term': 'mild to moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'mild ex vacuo dilatation of left lateral ventricle': {'clinical finding': 'mild ex vacuo dilatation of left lateral ventricle', 'cf_snomed': {'dilatation': 25322007}}}clinical findings_fin: {'periventricular and subcortical hypoattenuation': {'clinical finding': 'periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical', 'observation': 'hypoattenuation'}, 'age indeterminate mild small vessel ischemic disease': {'clinical finding': 'age indeterminate mild small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate mild small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] Study slightly limited due to patient motion. No evidence of acute intracranial hemorrhage. There is encephalomalacia in the left temporal and parietal lobes from prior MCA territory infarct, unchanged. Hypoattenuation within the pons is unchanged and likely related to chronic ischemia. Ventricles and sulci are prominent, suggestive of mild to moderate age-related volume loss. No hydrocephalus. Mild ex vacuo dilatation of left lateral ventricle is unchanged. Periventricular and subcortical hypoattenuation is nonspecific but may be related to age indeterminate mild small vessel ischemic disease. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. </s>