. The comminuted fracture of the anterior aspect of the humeral head is seen with fractures through the superior lesser tubercle. Additionally, there is slight cortical destruction of the medial aspect of the greater tubercle. A 7 mm ossific fragment is seen adjacent to the middle glenohumeral ligament, probably a displaced fragment from the humeral head. Glenohumeral joint alignment appears anatomic. The glenoid process is intact. Metallic bullet fragment is seen immediately posterior to the humeral head. A superficial soft tissue wound is seen along the anterior aspect of the shoulder with foci of gas seen in the deltoid muscle. ADDITIONAL
anatomical entity_fin: {'head': {}, 'tubercle': {}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}}anatomical entity_fin: {'tubercle': {}}location descriptor_fin: ['medial']clinical findings_fin: {'slight cortical destruction': {'clinical finding': 'slight cortical destruction', 'existence': 'pos_dx', 'descriptive_term': 'slight cortical', 'observation': 'destruction'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'fragment'}]anatomical entity_fin: {'middle glenohumeral ligament': {}, 'head': {}}location descriptor_fin: ['adjacent', 'displaced']clinical findings_fin: {'7 mm ossific fragment': {'clinical finding': '7 mm ossific fragment', 'existence': 'pos_dx', 'descriptive_term': '7 mm ossific', 'observation': 'fragment'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment appears anatomic': {'clinical finding': 'glenohumeral joint alignment appears anatomic'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['posterior']object_fin: ['bullet']clinical findings_fin: {'metallic bullet fragment is seen': {'clinical finding': 'metallic bullet fragment is seen'}}anatomical entity_fin: {'shoulder': {}, 'deltoid muscle': {}}imaging observation_fin: ['foci']location descriptor_fin: ['superficial', 'anterior']clinical findings_fin: {'superficial soft tissue wound': {'clinical finding': 'superficial soft tissue wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'superficial soft tissue', 'observation': 'wound'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}, 'tubercle': {}}location descriptor_fin: ['anterior', 'superior']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'observation': 'fracture'}}anatomical entity_fin: {'tubercle': {}}location descriptor_fin: ['medial']clinical findings_fin: {'slight cortical destruction': {'clinical finding': 'slight cortical destruction', 'existence': 'pos_dx', 'descriptive_term': 'slight cortical', 'observation': 'destruction'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'fragment'}]anatomical entity_fin: {'middle glenohumeral ligament': {}, 'head': {}}location descriptor_fin: ['adjacent', 'displaced']clinical findings_fin: {'7 mm ossific fragment': {'clinical finding': '7 mm ossific fragment', 'existence': 'pos_dx', 'descriptive_term': '7 mm ossific', 'observation': 'fragment'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment appears anatomic': {'clinical finding': 'glenohumeral joint alignment appears anatomic'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['posterior']object_fin: ['bullet']clinical findings_fin: {'metallic bullet fragment is seen': {'clinical finding': 'metallic bullet fragment is seen'}}anatomical entity_fin: {'shoulder': {}, 'deltoid muscle': {}}imaging observation_fin: ['foci']location descriptor_fin: ['superficial', 'anterior']clinical findings_fin: {'superficial soft tissue wound': {'clinical finding': 'superficial soft tissue wound', 'cf_snomed': {'wound': 416462003}, 'existence': 'pos_dx', 'descriptive_term': 'superficial soft tissue', 'observation': 'wound'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}} [/INST] . The comminuted fracture of the anterior aspect of the humeral head is seen with fractures through the superior lesser tubercle. Additionally, there is slight cortical destruction of the medial aspect of the greater tubercle. A 7 mm ossific fragment is seen adjacent to the middle glenohumeral ligament, probably a displaced fragment from the humeral head. Glenohumeral joint alignment appears anatomic. The glenoid process is intact. Metallic bullet fragment is seen immediately posterior to the humeral head. A superficial soft tissue wound is seen along the anterior aspect of the shoulder with foci of gas seen in the deltoid muscle. ADDITIONAL </s>