Nonenhanced head. Examination demonstrates a focus of low attenuation in the right frontal subcortical white matter similar to prior exam from July 2015 and additional subtle smaller foci of similar density changes of white matter suggestive of age indeterminate small vessel ischemic strokes. No acute intracranial hemorrhage or mass effect. CT however is insensitive for early detection of an acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex and cortical sulci, ventricular system and CSF spaces. Images through the orbits demonstrate left orbital enucleation and placement of prosthesis similar to prior exam.
anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'additional subtle smaller foci': {'clinical finding': 'additional subtle smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subtle smaller', 'observation': 'foci', 'strength_term': 'subtle'}, 'similar density changes': {'clinical finding': 'similar density changes', 'existence': 'pos_dx', 'descriptive_term': 'similar density', 'observation': 'change'}, 'ischemic strokes': {'clinical finding': 'ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke'}}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'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces': {'clinical finding': 'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'orbital enucleation and placement of prosthesis similar to prior exam': {'clinical finding': 'orbital enucleation and placement of prosthesis similar to prior exam'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'additional subtle smaller foci': {'clinical finding': 'additional subtle smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subtle smaller', 'observation': 'foci', 'strength_term': 'subtle'}, 'similar density changes': {'clinical finding': 'similar density changes', 'existence': 'pos_dx', 'descriptive_term': 'similar density', 'observation': 'change'}, 'ischemic strokes': {'clinical finding': 'ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke'}}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'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces': {'clinical finding': 'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'orbital enucleation and placement of prosthesis similar to prior exam': {'clinical finding': 'orbital enucleation and placement of prosthesis similar to prior exam'}} [/INST] Nonenhanced head. Examination demonstrates a focus of low attenuation in the right frontal subcortical white matter similar to prior exam from July 2015 and additional subtle smaller foci of similar density changes of white matter suggestive of age indeterminate small vessel ischemic strokes. No acute intracranial hemorrhage or mass effect. CT however is insensitive for early detection of an acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex and cortical sulci, ventricular system and CSF spaces. Images through the orbits demonstrate left orbital enucleation and placement of prosthesis similar to prior exam. </s>