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. Moderate-sized bilateral pleural effusions and bibasilar atelectasis or consolidation. Centrilobular emphysema. Multifocal areas of scarring particularly right upper lobe. Calcified and noncalcified pulmonary nodules. No lung nodules are particularly suspicious for metastatic disease. Tracheostomy tube. Mediastinal gas possibly related to tract placement. Correlate clinically. NG tube. Mild atherosclerotic calcifications. PICC line via right subclavian approach, terminates in cavoatrial junction. Enlarged right main pulmonary artery. Correlate for pulmonary arterial hypertension. Sclerotic foci thoracic vertebral bodies likely benign possibly related to Schmorls nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild atherosclerotic calcifications. No pathologic size nodes. Dobbhoff tube tip in the region of antrum. Nonobstructive bowel gas pattern. No evidence of ascites or carcinomatosis. Anasarca. No significant abnormality noted. No significant abnormality noted. Foley catheter in place and air in urinary bladder presumably from instrumentation. No significant abnormality noted. No significant abnormality noted. Discogenic disease. Osteoporosis. Degenerative changes. No definite lytic or sclerotic metastases. No significant abnormality noted | location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate-sized bilateral pleural effusions': {'clinical finding': 'moderate-sized bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate-sized bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate-sized'}, 'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'calcified and noncalcified pulmonary nodules': {'clinical finding': 'calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'calcified and noncalcified pulmonary', 'observation': 'nodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}clinical findings_fin: {'mediastinal gas': {'clinical finding': 'mediastinal gas', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'gas'}, 'tract placement': {'clinical finding': 'tract placement', 'existence': 'unc_dx', 'descriptive_term': 'tract', 'observation': 'placement'}}object_fin: ['tube']clinical findings_fin: {'ng tube': {'clinical finding': 'ng tube'}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}location descriptor_fin: ['right']anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}imaging observation_fin: ['foci']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}, 'schmorls nodes': {'clinical finding': 'schmorls nodes', 'existence': 'unc_dx', 'descriptive_term': 'schmorls', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}anatomical entity_fin: {'antrum': {}}object_fin: ['dobbhoff tube']clinical findings_fin: {'dobbhoff tube': {'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'urinary bladder': {}}object_fin: ['catheter']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'discogenic disease': {'clinical finding': 'discogenic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'discogenic', 'observation': 'disease'}}clinical findings_fin: {'definite lytic or sclerotic metastases': {'clinical finding': 'definite lytic or sclerotic metastases', 'existence': 'neg_dx', 'descriptive_term': 'definite lytic or sclerotic', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate-sized bilateral pleural effusions': {'clinical finding': 'moderate-sized bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate-sized bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate-sized'}, 'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'calcified and noncalcified pulmonary nodules': {'clinical finding': 'calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'calcified and noncalcified pulmonary', 'observation': 'nodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung nodules': {'clinical finding': 'lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}clinical findings_fin: {'mediastinal gas': {'clinical finding': 'mediastinal gas', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'gas'}, 'tract placement': {'clinical finding': 'tract placement', 'existence': 'unc_dx', 'descriptive_term': 'tract', 'observation': 'placement'}}object_fin: ['tube']clinical findings_fin: {'ng tube': {'clinical finding': 'ng tube'}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}location descriptor_fin: ['right']anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'thoracic vertebral bodies': {}}imaging observation_fin: ['foci']clinical findings_fin: {'sclerotic foci': {'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci'}, 'schmorls nodes': {'clinical finding': 'schmorls nodes', 'existence': 'unc_dx', 'descriptive_term': 'schmorls', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild atherosclerotic calcifications': {'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'pathologic size nodes': {'clinical finding': 'pathologic size nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologic size', 'observation': 'node'}}anatomical entity_fin: {'antrum': {}}object_fin: ['dobbhoff tube']clinical findings_fin: {'dobbhoff tube': {'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'nonobstructive bowel gas pattern': {'clinical finding': 'nonobstructive bowel gas pattern', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive bowel gas', 'observation': 'pattern'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'neg_dx', 'observation': 'ascite'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'urinary bladder': {}}object_fin: ['catheter']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'discogenic disease': {'clinical finding': 'discogenic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'discogenic', 'observation': 'disease'}}clinical findings_fin: {'definite lytic or sclerotic metastases': {'clinical finding': 'definite lytic or sclerotic metastases', 'existence': 'neg_dx', 'descriptive_term': 'definite lytic or sclerotic', 'observation': 'metastase'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Moderate-sized bilateral pleural effusions and bibasilar atelectasis or consolidation. Centrilobular emphysema. Multifocal areas of scarring particularly right upper lobe. Calcified and noncalcified pulmonary nodules. No lung nodules are particularly suspicious for metastatic disease. Tracheostomy tube. Mediastinal gas possibly related to tract placement. Correlate clinically. NG tube. Mild atherosclerotic calcifications. PICC line via right subclavian approach, terminates in cavoatrial junction. Enlarged right main pulmonary artery. Correlate for pulmonary arterial hypertension. Sclerotic foci thoracic vertebral bodies likely benign possibly related to Schmorls nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild atherosclerotic calcifications. No pathologic size nodes. Dobbhoff tube tip in the region of antrum. Nonobstructive bowel gas pattern. No evidence of ascites or carcinomatosis. Anasarca. No significant abnormality noted. No significant abnormality noted. Foley catheter in place and air in urinary bladder presumably from instrumentation. No significant abnormality noted. No significant abnormality noted. Discogenic disease. Osteoporosis. Degenerative changes. No definite lytic or sclerotic metastases. No significant abnormality noted </s> |
. No significant abnormality noted. Stable aneurysmal dilatation of the ascending aorta, measuring 4.5 cm. Unchanged small mediastinal and hilar lymph nodes. No significant abnormality noted. Stable hepatomegaly, liver measures 23 cm in longitudinal dimension. Atrophic left lobe, correlate with patients postsurgical history as well. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal lesions, majority unchanged in size and appearance. Right-sided partially exophytic posterior lesion mildly increased in size, measuring 1.5 x 1.5 cm on image 124 series 3, previously measured 1.3 x 1.3 cm. Mild interval decrease in size of partially exophytic lesion extending from left kidney more superiorly, measures up to 1.2 cm on image 100 series 3, previously measured 1.6 cm. Subcentimeter pelvic and retroperitoneal lymph nodes. Status post right hemicolectomy with ileocolonic anastomosis present. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Visualized osseous structures stable in appearance, including punctate right femoral head sclerotic focus, most likely a bone island. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of the ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of the ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'unchanged small mediastinal and hilar lymph nodes': {'clinical finding': 'unchanged small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '23 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hepatomegaly': {'clinical finding': 'stable hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hepatomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'atrophic left lobe , correlate': {'clinical finding': 'atrophic left lobe , correlate', 'change_term': 'atrophic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal lesions': {'clinical finding': 'multiple bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.3 x 1.3 cm'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right-sided partially exophytic posterior lesion': {'clinical finding': 'right-sided partially exophytic posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided partially exophytic posterior', 'observation': 'lesion', 'strength_term': 'partially'}}size_fin: [{'size': '1.2 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'partially exophytic lesion': {'clinical finding': 'partially exophytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially exophytic', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'subcentimeter pelvic and retroperitoneal lymph nodes': {'clinical finding': 'subcentimeter pelvic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'anastomosis': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'status post right hemicolectomy with ileocolonic anastomosis present': {'clinical finding': 'status post right hemicolectomy with ileocolonic anastomosis present', 'cf_snomed': {'anastomosis': 41796003}}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'punctate right femoral head sclerotic': {'clinical finding': 'punctate right femoral head sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'punctate right femoral head', 'observation': 'sclerotic'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'stable aneurysmal dilatation of the ascending aorta': {'clinical finding': 'stable aneurysmal dilatation of the ascending aorta', 'cf_snomed': {'dilatation': 25322007}, 'change_term': 'stable'}}clinical findings_fin: {'unchanged small mediastinal and hilar lymph nodes': {'clinical finding': 'unchanged small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '23 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hepatomegaly': {'clinical finding': 'stable hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hepatomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'atrophic left lobe , correlate': {'clinical finding': 'atrophic left lobe , correlate', 'change_term': 'atrophic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral renal lesions': {'clinical finding': 'multiple bilateral renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'lesion', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.5 x 1.5 cm'}, {'size': '1.3 x 1.3 cm'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right-sided partially exophytic posterior lesion': {'clinical finding': 'right-sided partially exophytic posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided partially exophytic posterior', 'observation': 'lesion', 'strength_term': 'partially'}}size_fin: [{'size': '1.2 cm'}, {'size': '1.6 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'partially exophytic lesion': {'clinical finding': 'partially exophytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'partially exophytic', 'observation': 'lesion', 'strength_term': 'partially'}}clinical findings_fin: {'subcentimeter pelvic and retroperitoneal lymph nodes': {'clinical finding': 'subcentimeter pelvic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pelvic and retroperitoneal lymph', 'observation': 'node'}}anatomical entity_fin: {'anastomosis': {}}procedure_fin: ['right hemicolectomy']clinical findings_fin: {'status post right hemicolectomy with ileocolonic anastomosis present': {'clinical finding': 'status post right hemicolectomy with ileocolonic anastomosis present', 'cf_snomed': {'anastomosis': 41796003}}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'head': {}}location descriptor_fin: ['right']clinical findings_fin: {'punctate right femoral head sclerotic': {'clinical finding': 'punctate right femoral head sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'punctate right femoral head', 'observation': 'sclerotic'}} [/INST] . No significant abnormality noted. Stable aneurysmal dilatation of the ascending aorta, measuring 4.5 cm. Unchanged small mediastinal and hilar lymph nodes. No significant abnormality noted. Stable hepatomegaly, liver measures 23 cm in longitudinal dimension. Atrophic left lobe, correlate with patients postsurgical history as well. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral renal lesions, majority unchanged in size and appearance. Right-sided partially exophytic posterior lesion mildly increased in size, measuring 1.5 x 1.5 cm on image 124 series 3, previously measured 1.3 x 1.3 cm. Mild interval decrease in size of partially exophytic lesion extending from left kidney more superiorly, measures up to 1.2 cm on image 100 series 3, previously measured 1.6 cm. Subcentimeter pelvic and retroperitoneal lymph nodes. Status post right hemicolectomy with ileocolonic anastomosis present. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. Visualized osseous structures stable in appearance, including punctate right femoral head sclerotic focus, most likely a bone island. </s> |
. Multiple pulmonary nodules and mediastinal or hilar lymphadenopathy are noted see separately dictated chest CT report for complete details. Liver enhances homogenously without focal lesion. Gallbladder wall calcifications are unchanged. No significant abnormality noted. Pancreas is unremarkable. Right adrenal lesion is increased slightly in size, measuring 3.5 x 2.9 cm , previously 3.6 x 2.4 cm. Status post right nephrectomy. Multiple soft tissue masses in the nephrectomy bed are redemonstrated. The previously measured soft tissue mass in the medial resection bed is stable in size, measuring 4.4 x 2.8 cm in coronal dimensions , previously 4.6 x 3.1 cm. Another soft tissue nodule anterior to the right psoas muscle has grown, measuring 3.6 x 2.5 cm , previously 2.4 x 1.7 cm. Smaller adjacent lesion posteriorly has also increased in size. The left kidney is unremarkable without evidence of suspicious mass lesion, hydronephrosis or ureteronephrosis. Bulky left retroperitoneal adenopathy again noted. Conglomerate left para-aortic nodal mass measures 8.2 x 3.6 cm coronally , previously 8.6 x 4.0 cm. Severe. The bowel is normal in caliber without evidence of obstruction or ileus. Diverticulosis again noted. Mesenteric haziness noted on series 7, image 97 is stable and remains nonspecific. Degenerative changes of the thoracolumbar spine without evidence of suspicious focal osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Diverticulosis. Degenerative changes of the spine. No significant abnormality noted. | anatomical entity_fin: {'chest': {}}clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}clinical findings_fin: {'gallbladder wall calcifications': {'clinical finding': 'gallbladder wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}size_fin: [{'size': '3.5 x 2.9 cm'}, {'size': '3.6 x 2.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal lesion': {'clinical finding': 'right adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'lesion'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']procedure_fin: ['nephrectomy']clinical findings_fin: {'multiple soft tissue masses': {'clinical finding': 'multiple soft tissue masses', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'multiple soft tissue', 'observation': 'mass', 'quantity_term': 'multiple'}}size_fin: [{'size': '4.4 x 2.8 cm'}, {'size': '4.6 x 3.1 cm'}]location descriptor_fin: ['medial']clinical findings_fin: {'previously measured soft tissue mass': {'clinical finding': 'previously measured soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured soft tissue', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 2.5 cm'}, {'size': '2.4 x 1.7 cm'}]anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'another soft tissue nodule': {'clinical finding': 'another soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'smaller adjacent lesion': {'clinical finding': 'smaller adjacent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller adjacent', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'suspicious mass lesion': {'clinical finding': 'suspicious mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'bulky left retroperitoneal adenopathy': {'clinical finding': 'bulky left retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bulky left retroperitoneal', 'observation': 'adenopathy'}}size_fin: [{'size': '8.2 x 3.6 cm'}, {'size': '8.6 x 4.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'conglomerate left para-aortic nodal mass': {'clinical finding': 'conglomerate left para-aortic nodal mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate left para-aortic nodal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'suspicious focal osseous lesion': {'clinical finding': 'suspicious focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'chest': {}}clinical findings_fin: {'multiple pulmonary nodules': {'clinical finding': 'multiple pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, 'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}, 'wall': {}}clinical findings_fin: {'gallbladder wall calcifications': {'clinical finding': 'gallbladder wall calcifications', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'pancreas is unremarkable': {'clinical finding': 'pancreas is unremarkable'}}size_fin: [{'size': '3.5 x 2.9 cm'}, {'size': '3.6 x 2.4 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right adrenal lesion': {'clinical finding': 'right adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'lesion'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']procedure_fin: ['nephrectomy']clinical findings_fin: {'multiple soft tissue masses': {'clinical finding': 'multiple soft tissue masses', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'multiple soft tissue', 'observation': 'mass', 'quantity_term': 'multiple'}}size_fin: [{'size': '4.4 x 2.8 cm'}, {'size': '4.6 x 3.1 cm'}]location descriptor_fin: ['medial']clinical findings_fin: {'previously measured soft tissue mass': {'clinical finding': 'previously measured soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously measured soft tissue', 'observation': 'mass'}}size_fin: [{'size': '3.6 x 2.5 cm'}, {'size': '2.4 x 1.7 cm'}]anatomical entity_fin: {'psoas muscle': {'location descriptor': 'right'}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'another soft tissue nodule': {'clinical finding': 'another soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another soft tissue', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'smaller adjacent lesion': {'clinical finding': 'smaller adjacent lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'smaller adjacent', 'observation': 'lesion'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'suspicious mass lesion': {'clinical finding': 'suspicious mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious mass', 'observation': 'lesion'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'bulky left retroperitoneal adenopathy': {'clinical finding': 'bulky left retroperitoneal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bulky left retroperitoneal', 'observation': 'adenopathy'}}size_fin: [{'size': '8.2 x 3.6 cm'}, {'size': '8.6 x 4.0 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'conglomerate left para-aortic nodal mass': {'clinical finding': 'conglomerate left para-aortic nodal mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate left para-aortic nodal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}clinical findings_fin: {'mesenteric haziness': {'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'suspicious focal osseous lesion': {'clinical finding': 'suspicious focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious focal osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Multiple pulmonary nodules and mediastinal or hilar lymphadenopathy are noted see separately dictated chest CT report for complete details. Liver enhances homogenously without focal lesion. Gallbladder wall calcifications are unchanged. No significant abnormality noted. Pancreas is unremarkable. Right adrenal lesion is increased slightly in size, measuring 3.5 x 2.9 cm , previously 3.6 x 2.4 cm. Status post right nephrectomy. Multiple soft tissue masses in the nephrectomy bed are redemonstrated. The previously measured soft tissue mass in the medial resection bed is stable in size, measuring 4.4 x 2.8 cm in coronal dimensions , previously 4.6 x 3.1 cm. Another soft tissue nodule anterior to the right psoas muscle has grown, measuring 3.6 x 2.5 cm , previously 2.4 x 1.7 cm. Smaller adjacent lesion posteriorly has also increased in size. The left kidney is unremarkable without evidence of suspicious mass lesion, hydronephrosis or ureteronephrosis. Bulky left retroperitoneal adenopathy again noted. Conglomerate left para-aortic nodal mass measures 8.2 x 3.6 cm coronally , previously 8.6 x 4.0 cm. Severe. The bowel is normal in caliber without evidence of obstruction or ileus. Diverticulosis again noted. Mesenteric haziness noted on series 7, image 97 is stable and remains nonspecific. Degenerative changes of the thoracolumbar spine without evidence of suspicious focal osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. Diverticulosis. Degenerative changes of the spine. No significant abnormality noted. </s> |
. Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodule in the right posterior inferior hemithorax measuring 22 mm in maximal thickness , previously 15 mm. Just superior to this lesion is another pleural nodule measuring 20 x 15 mm , previously 18 x 15 mm. Additionally there is a more well-defined lesion adjacent to the right seventh rib. No significant abnormality noted. Right chest wall mass measures 70 x 46 mm , previously 63 x 29 mm. Multiple old right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No suspicious hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissue lesion posterior to the suprahepatic IVC measures 20 x 19 mm , previously 11 x 11 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['right']clinical findings_fin: {'persistent loculated right pleural effusion': {'clinical finding': 'persistent loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent loculated right pleural', 'observation': 'effusion', 'temporal_term': 'persistent'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}imaging observation_fin: ['apical', 'reticulation']location descriptor_fin: ['right']clinical findings_fin: {'apical and subpleural reticulation': {'clinical finding': 'apical and subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'apical and subpleural', 'observation': 'reticulation'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '22 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'hemithorax': {'location descriptor': 'posterior inferior'}}location descriptor_fin: ['right', 'posterior', 'inferior']clinical findings_fin: {'pleural nodule': {'clinical finding': 'pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'nodule'}}size_fin: [{'size': '20 x 15 mm'}, {'size': '18 x 15 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'another pleural nodule': {'clinical finding': 'another pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another pleural', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'more well-defined lesion': {'clinical finding': 'more well-defined lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more well-defined', 'observation': 'lesion', 'quantity_term': 'more'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '70 x 46 mm'}, {'size': '63 x 29 mm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}anatomical entity_fin: {'rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple old right rib fractures': {'clinical finding': 'multiple old right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple old right rib', 'observation': 'fracture', 'quantity_term': 'multiple', 'temporal_term': 'old'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '20 x 19 mm'}, {'size': '11 x 11 mm'}]location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'persistent loculated right pleural effusion': {'clinical finding': 'persistent loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent loculated right pleural', 'observation': 'effusion', 'temporal_term': 'persistent'}, 'associated atelectasis': {'clinical finding': 'associated atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}imaging observation_fin: ['apical', 'reticulation']location descriptor_fin: ['right']clinical findings_fin: {'apical and subpleural reticulation': {'clinical finding': 'apical and subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'apical and subpleural', 'observation': 'reticulation'}}location descriptor_fin: ['left']clinical findings_fin: {'left basilar atelectasis': {'clinical finding': 'left basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'}}size_fin: [{'size': '22 mm'}, {'size': '15 mm'}]anatomical entity_fin: {'hemithorax': {'location descriptor': 'posterior inferior'}}location descriptor_fin: ['right', 'posterior', 'inferior']clinical findings_fin: {'pleural nodule': {'clinical finding': 'pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'nodule'}}size_fin: [{'size': '20 x 15 mm'}, {'size': '18 x 15 mm'}]location descriptor_fin: ['superior']clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}, 'another pleural nodule': {'clinical finding': 'another pleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'another pleural', 'observation': 'nodule'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'more well-defined lesion': {'clinical finding': 'more well-defined lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'more well-defined', 'observation': 'lesion', 'quantity_term': 'more'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '70 x 46 mm'}, {'size': '63 x 29 mm'}]anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'chest wall mass': {'clinical finding': 'chest wall mass', 'existence': 'pos_dx', 'descriptive_term': 'chest wall', 'observation': 'mass'}}anatomical entity_fin: {'rib': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'multiple old right rib fractures': {'clinical finding': 'multiple old right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple old right rib', 'observation': 'fracture', 'quantity_term': 'multiple', 'temporal_term': 'old'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '20 x 19 mm'}, {'size': '11 x 11 mm'}]location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue lesion': {'clinical finding': 'soft tissue lesion', 'cf_snomed': {'soft tissue lesion': 239953001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodule in the right posterior inferior hemithorax measuring 22 mm in maximal thickness , previously 15 mm. Just superior to this lesion is another pleural nodule measuring 20 x 15 mm , previously 18 x 15 mm. Additionally there is a more well-defined lesion adjacent to the right seventh rib. No significant abnormality noted. Right chest wall mass measures 70 x 46 mm , previously 63 x 29 mm. Multiple old right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. No suspicious hepatic lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissue lesion posterior to the suprahepatic IVC measures 20 x 19 mm , previously 11 x 11 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Again seen are multifocal bilateral lung nodules and masses. The majority of the nodules have decreased in size. Index lesion in the left lower lobe measures 0.7 x 0.6 cm , previously 0.8 x 0.6 cm. Note that a nonindex mass adjacent to this index lesion in the left lower lobe is markedly decreased in size compared to prior. Cardiac size is within normal limits without pericardial effusion. No pathologically enlarged mediastinal or hilar lymph nodes. None. No axillary lymphadenopathy. Status post cholecystectomy. No liver lesions are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. Multilevel degenerative changes affect the thoracolumbar spine. There is grade 1 anterolisthesis of L4 and L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right inguinal lymph node currently measures 1.7 x 0.9 cm , previously 1.9 x 1.1 cm. Status post appendectomy. The previous identified soft tissue density lesion in the subcutaneous tissues of the anterior right abdominal wall currently measure 0.6 x 0.4 cm , previously 0.7 x 0.6 cm. There is a small umbilical hernia containing fat. Previously seen right perineal lesion appears less convex compared to prior examination and measures 3.2 x 1.6 cm , previously 3.3 x 1.8 cm. | anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal bilateral lung nodules': {'clinical finding': 'multifocal bilateral lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal bilateral lung', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '0.8 x 0.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['adjacent', 'left', 'lower']clinical findings_fin: {'nonindex mass': {'clinical finding': 'nonindex mass', 'existence': 'pos_dx', 'descriptive_term': 'nonindex', 'observation': 'mass'}, 'this index lesion': {'clinical finding': 'this index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this index', 'observation': 'lesion'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'pathologically enlarged mediastinal or hilar lymph nodes': {'clinical finding': 'pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.7 x 0.9 cm'}, {'size': '1.9 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'index right inguinal lymph node': {'clinical finding': 'index right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right inguinal lymph', 'observation': 'node'}}procedure_fin: ['appendectomy']size_fin: [{'size': '0.6 x 0.4 cm'}, {'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior right'}, 'wall': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'previous identified soft tissue density lesion': {'clinical finding': 'previous identified soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified soft tissue density', 'observation': 'lesion', 'temporal_term': 'previous'}}imaging observation_fin: ['fat']clinical findings_fin: {'small umbilical hernia': {'clinical finding': 'small umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small umbilical', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '3.2 x 1.6 cm'}, {'size': '3.3 x 1.8 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right perineal lesion': {'clinical finding': 'previously seen right perineal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right perineal', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multifocal bilateral lung nodules': {'clinical finding': 'multifocal bilateral lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal bilateral lung', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'pos_dx', 'observation': 'mass'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}size_fin: [{'size': '0.7 x 0.6 cm'}, {'size': '0.8 x 0.6 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'index lesion': {'clinical finding': 'index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['adjacent', 'left', 'lower']clinical findings_fin: {'nonindex mass': {'clinical finding': 'nonindex mass', 'existence': 'pos_dx', 'descriptive_term': 'nonindex', 'observation': 'mass'}, 'this index lesion': {'clinical finding': 'this index lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this index', 'observation': 'lesion'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'pathologically enlarged mediastinal or hilar lymph nodes': {'clinical finding': 'pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver lesions': {'clinical finding': 'liver lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.7 x 0.9 cm'}, {'size': '1.9 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'index right inguinal lymph node': {'clinical finding': 'index right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index right inguinal lymph', 'observation': 'node'}}procedure_fin: ['appendectomy']size_fin: [{'size': '0.6 x 0.4 cm'}, {'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior right'}, 'wall': {}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'previous identified soft tissue density lesion': {'clinical finding': 'previous identified soft tissue density lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified soft tissue density', 'observation': 'lesion', 'temporal_term': 'previous'}}imaging observation_fin: ['fat']clinical findings_fin: {'small umbilical hernia': {'clinical finding': 'small umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small umbilical', 'observation': 'hernia', 'strength_term': 'small'}}size_fin: [{'size': '3.2 x 1.6 cm'}, {'size': '3.3 x 1.8 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'previously seen right perineal lesion': {'clinical finding': 'previously seen right perineal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen right perineal', 'observation': 'lesion'}} [/INST] . Again seen are multifocal bilateral lung nodules and masses. The majority of the nodules have decreased in size. Index lesion in the left lower lobe measures 0.7 x 0.6 cm , previously 0.8 x 0.6 cm. Note that a nonindex mass adjacent to this index lesion in the left lower lobe is markedly decreased in size compared to prior. Cardiac size is within normal limits without pericardial effusion. No pathologically enlarged mediastinal or hilar lymph nodes. None. No axillary lymphadenopathy. Status post cholecystectomy. No liver lesions are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. Multilevel degenerative changes affect the thoracolumbar spine. There is grade 1 anterolisthesis of L4 and L5. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index right inguinal lymph node currently measures 1.7 x 0.9 cm , previously 1.9 x 1.1 cm. Status post appendectomy. The previous identified soft tissue density lesion in the subcutaneous tissues of the anterior right abdominal wall currently measure 0.6 x 0.4 cm , previously 0.7 x 0.6 cm. There is a small umbilical hernia containing fat. Previously seen right perineal lesion appears less convex compared to prior examination and measures 3.2 x 1.6 cm , previously 3.3 x 1.8 cm. </s> |
. Lung volumes appear similar. Moderate circumferential subpleural reticulation and bronchiolectasis. Mild honeycombing and traction bronchiectasis. No areas of groundglass opacities to suggest acute exacerbation. 8 x 13 mm x 9 mm nodule right upper lobe, previously 6 x 9 mm on 1/9/2015 and smaller on remote prior examinations. Although this could reflect focal fibrosis, it is now at least mildly suspicious for a primary neoplasm as the borders appear convex on some images. New nodule at the right lung base abutting the diaphragm , too small to characterize and may be followed. New areas of subpleural consolidation in the lung periphery nonspecific and most likely reflect areas of organizing pneumonia but should also be monitored. Dendriform ossification seen within areas affected by fibrosis. Main pulmonary artery enlarged, 34 mm, consistent with pulmonary hypertension. Mild cardiomegaly. Patulous thoracic esophagus. Mildly enlarged mediastinal and hilar lymph nodes not significantly changed. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Colonic diverticuli. The stomach is distended and contains a large volume of debris, correlate for diabetic gastroparesis. | anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung volumes appear similar': {'clinical finding': 'lung volumes appear similar'}}imaging observation_fin: ['reticulation']clinical findings_fin: {'moderate circumferential subpleural reticulation': {'clinical finding': 'moderate circumferential subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'moderate circumferential subpleural', 'observation': 'reticulation', 'strength_term': 'moderate'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'mild honeycombing': {'clinical finding': 'mild honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'honeycombing', 'strength_term': 'mild'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '9 mm'}, {'size': '6 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}imaging observation_fin: ['borders']clinical findings_fin: {'focal fibrosis': {'clinical finding': 'focal fibrosis', 'cf_snomed': {'focal fibrosis': 45559001}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'fibrosis'}, 'primary neoplasm': {'clinical finding': 'primary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'neoplasm'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'diaphragm': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'subpleural consolidation': {'clinical finding': 'subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'consolidation'}, 'organizing pneumonia': {'clinical finding': 'organizing pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'organizing', 'observation': 'pneumonia'}}clinical findings_fin: {'dendriform ossification': {'clinical finding': 'dendriform ossification', 'existence': 'pos_dx', 'descriptive_term': 'dendriform', 'observation': 'ossification'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}}size_fin: [{'size': '34 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous thoracic esophagus': {'clinical finding': 'patulous thoracic esophagus'}}clinical findings_fin: {'mildly enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'mildly enlarged mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'colonic diverticuli': {'clinical finding': 'colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticuli'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'diabetic gastroparesis': {'clinical finding': 'diabetic gastroparesis', 'existence': 'pos_dx', 'descriptive_term': 'diabetic', 'observation': 'gastroparesis'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {}}clinical findings_fin: {'lung volumes appear similar': {'clinical finding': 'lung volumes appear similar'}}imaging observation_fin: ['reticulation']clinical findings_fin: {'moderate circumferential subpleural reticulation': {'clinical finding': 'moderate circumferential subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'moderate circumferential subpleural', 'observation': 'reticulation', 'strength_term': 'moderate'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'pos_dx', 'observation': 'bronchiolectasis'}}clinical findings_fin: {'mild honeycombing': {'clinical finding': 'mild honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'honeycombing', 'strength_term': 'mild'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '9 mm'}, {'size': '6 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}imaging observation_fin: ['borders']clinical findings_fin: {'focal fibrosis': {'clinical finding': 'focal fibrosis', 'cf_snomed': {'focal fibrosis': 45559001}, 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'fibrosis'}, 'primary neoplasm': {'clinical finding': 'primary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'primary', 'observation': 'neoplasm'}}anatomical entity_fin: {'right lung': {}, 'base': {}, 'diaphragm': {}}clinical findings_fin: {'new nodule': {'clinical finding': 'new nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'subpleural consolidation': {'clinical finding': 'subpleural consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'consolidation'}, 'organizing pneumonia': {'clinical finding': 'organizing pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'organizing', 'observation': 'pneumonia'}}clinical findings_fin: {'dendriform ossification': {'clinical finding': 'dendriform ossification', 'existence': 'pos_dx', 'descriptive_term': 'dendriform', 'observation': 'ossification'}, 'fibrosis': {'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis'}}size_fin: [{'size': '34 mm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous thoracic esophagus': {'clinical finding': 'patulous thoracic esophagus'}}clinical findings_fin: {'mildly enlarged mediastinal and hilar lymph nodes': {'clinical finding': 'mildly enlarged mediastinal and hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'colonic diverticuli': {'clinical finding': 'colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticuli'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}, 'diabetic gastroparesis': {'clinical finding': 'diabetic gastroparesis', 'existence': 'pos_dx', 'descriptive_term': 'diabetic', 'observation': 'gastroparesis'}} [/INST] . Lung volumes appear similar. Moderate circumferential subpleural reticulation and bronchiolectasis. Mild honeycombing and traction bronchiectasis. No areas of groundglass opacities to suggest acute exacerbation. 8 x 13 mm x 9 mm nodule right upper lobe, previously 6 x 9 mm on 1/9/2015 and smaller on remote prior examinations. Although this could reflect focal fibrosis, it is now at least mildly suspicious for a primary neoplasm as the borders appear convex on some images. New nodule at the right lung base abutting the diaphragm , too small to characterize and may be followed. New areas of subpleural consolidation in the lung periphery nonspecific and most likely reflect areas of organizing pneumonia but should also be monitored. Dendriform ossification seen within areas affected by fibrosis. Main pulmonary artery enlarged, 34 mm, consistent with pulmonary hypertension. Mild cardiomegaly. Patulous thoracic esophagus. Mildly enlarged mediastinal and hilar lymph nodes not significantly changed. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Colonic diverticuli. The stomach is distended and contains a large volume of debris, correlate for diabetic gastroparesis. </s> |
Todays CT portion grossly demonstrates multiple bilateral small to medium-sized pulmonary nodules, some of which are cavitary. Multiple hypodense hepatic lesions are present. A punctate calcification is noted in the left central kidney. Regional thickening of the rectal wall is also identified. Todays PET examination demonstrates a large markedly hypermetabolic rectal mass , consistent with the patients diagnosis of rectal cancer. It is similar in activity but has increased slightly increased slightly in size from previous. Hypermetabolic regional lymph nodes involving left inguinal, left iliac, just below the iliac bifurcation, and at the left periaortic pelvic retroperitoneum have increased in size, number, and activity from previous, indicating progression of metastatic disease. The abnormal left inguinal nodes are provided for reference. Multiple markedly hypermetabolic hepatic metastases have increased in size, number, and metabolic activity from previous, indicating additional metastatic progression. The largest lesion in the right inferior hepatic lobe is provided for reference. Again, some of the larger hepatic metastases appear centrally necrotic. Multiple markedly hypermetabolic pulmonary parenchymal metastases have increased in size, number, and metabolic activity, indicating additional metastatic progression. The largest lesion in the right perihilar region is provided for reference. Hypermetabolic activity again surrounding the left shoulder is consistent with inflammation. | location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral small to medium-sized pulmonary nodules': {'clinical finding': 'multiple bilateral small to medium-sized pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small to medium-sized pulmonary', 'observation': 'nodule', 'strength_term': 'small - medium', 'quantity_term': 'multiple'}}clinical findings_fin: {'multiple hypodense hepatic lesions': {'clinical finding': 'multiple hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}}anatomical entity_fin: {'kidney': {'location descriptor': 'left central'}}location descriptor_fin: ['left', 'central']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'wall': {}}clinical findings_fin: {'regional thickening': {'clinical finding': 'regional thickening', 'existence': 'pos_dx', 'descriptive_term': 'regional', 'observation': 'thickening'}}clinical findings_fin: {'large markedly hypermetabolic rectal mass': {'clinical finding': 'large markedly hypermetabolic rectal mass', 'cf_snomed': {'rectal mass': 248523006}, 'existence': 'pos_dx', 'descriptive_term': 'large markedly hypermetabolic rectal', 'observation': 'mass', 'strength_term': 'large'}, 'rectal cancer': {'clinical finding': 'rectal cancer', 'existence': 'pos_dx', 'descriptive_term': 'rectal', 'observation': 'cancer'}}clinical findings_fin: {'it is similar in activity but has increased': {'clinical finding': 'it is similar in activity but has increased', 'change_term': 'increased'}}anatomical entity_fin: {'retroperitoneum': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic regional lymph nodes': {'clinical finding': 'hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic regional lymph', 'observation': 'node'}, 'progression': {'clinical finding': 'progression', 'existence': 'unc_dx', 'observation': 'progression'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}location descriptor_fin: ['left']clinical findings_fin: {'abnormal left inguinal nodes': {'clinical finding': 'abnormal left inguinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'abnormal left inguinal', 'observation': 'node'}}clinical findings_fin: {'multiple markedly hypermetabolic hepatic metastases': {'clinical finding': 'multiple markedly hypermetabolic hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple markedly hypermetabolic hepatic', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'additional metastatic progression': {'clinical finding': 'additional metastatic progression', 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'progression'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}clinical findings_fin: {'larger hepatic metastases': {'clinical finding': 'larger hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'larger hepatic', 'observation': 'metastase'}}clinical findings_fin: {'multiple markedly hypermetabolic pulmonary parenchymal metastases': {'clinical finding': 'multiple markedly hypermetabolic pulmonary parenchymal metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple markedly hypermetabolic pulmonary parenchymal', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'additional metastatic progression': {'clinical finding': 'additional metastatic progression', 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'progression'}}location descriptor_fin: ['right']clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}anatomical entity_fin: {'shoulder': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple bilateral small to medium-sized pulmonary nodules': {'clinical finding': 'multiple bilateral small to medium-sized pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral small to medium-sized pulmonary', 'observation': 'nodule', 'strength_term': 'small - medium', 'quantity_term': 'multiple'}}clinical findings_fin: {'multiple hypodense hepatic lesions': {'clinical finding': 'multiple hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}}anatomical entity_fin: {'kidney': {'location descriptor': 'left central'}}location descriptor_fin: ['left', 'central']clinical findings_fin: {'punctate calcification': {'clinical finding': 'punctate calcification', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'wall': {}}clinical findings_fin: {'regional thickening': {'clinical finding': 'regional thickening', 'existence': 'pos_dx', 'descriptive_term': 'regional', 'observation': 'thickening'}}clinical findings_fin: {'large markedly hypermetabolic rectal mass': {'clinical finding': 'large markedly hypermetabolic rectal mass', 'cf_snomed': {'rectal mass': 248523006}, 'existence': 'pos_dx', 'descriptive_term': 'large markedly hypermetabolic rectal', 'observation': 'mass', 'strength_term': 'large'}, 'rectal cancer': {'clinical finding': 'rectal cancer', 'existence': 'pos_dx', 'descriptive_term': 'rectal', 'observation': 'cancer'}}clinical findings_fin: {'it is similar in activity but has increased': {'clinical finding': 'it is similar in activity but has increased', 'change_term': 'increased'}}anatomical entity_fin: {'retroperitoneum': {}}location descriptor_fin: ['left']clinical findings_fin: {'hypermetabolic regional lymph nodes': {'clinical finding': 'hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic regional lymph', 'observation': 'node'}, 'progression': {'clinical finding': 'progression', 'existence': 'unc_dx', 'observation': 'progression'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}location descriptor_fin: ['left']clinical findings_fin: {'abnormal left inguinal nodes': {'clinical finding': 'abnormal left inguinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'abnormal left inguinal', 'observation': 'node'}}clinical findings_fin: {'multiple markedly hypermetabolic hepatic metastases': {'clinical finding': 'multiple markedly hypermetabolic hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple markedly hypermetabolic hepatic', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'additional metastatic progression': {'clinical finding': 'additional metastatic progression', 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'progression'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}clinical findings_fin: {'larger hepatic metastases': {'clinical finding': 'larger hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'larger hepatic', 'observation': 'metastase'}}clinical findings_fin: {'multiple markedly hypermetabolic pulmonary parenchymal metastases': {'clinical finding': 'multiple markedly hypermetabolic pulmonary parenchymal metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple markedly hypermetabolic pulmonary parenchymal', 'observation': 'metastase', 'quantity_term': 'multiple'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}, 'additional metastatic progression': {'clinical finding': 'additional metastatic progression', 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'progression'}}location descriptor_fin: ['right']clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}anatomical entity_fin: {'shoulder': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}} [/INST] Todays CT portion grossly demonstrates multiple bilateral small to medium-sized pulmonary nodules, some of which are cavitary. Multiple hypodense hepatic lesions are present. A punctate calcification is noted in the left central kidney. Regional thickening of the rectal wall is also identified. Todays PET examination demonstrates a large markedly hypermetabolic rectal mass , consistent with the patients diagnosis of rectal cancer. It is similar in activity but has increased slightly increased slightly in size from previous. Hypermetabolic regional lymph nodes involving left inguinal, left iliac, just below the iliac bifurcation, and at the left periaortic pelvic retroperitoneum have increased in size, number, and activity from previous, indicating progression of metastatic disease. The abnormal left inguinal nodes are provided for reference. Multiple markedly hypermetabolic hepatic metastases have increased in size, number, and metabolic activity from previous, indicating additional metastatic progression. The largest lesion in the right inferior hepatic lobe is provided for reference. Again, some of the larger hepatic metastases appear centrally necrotic. Multiple markedly hypermetabolic pulmonary parenchymal metastases have increased in size, number, and metabolic activity, indicating additional metastatic progression. The largest lesion in the right perihilar region is provided for reference. Hypermetabolic activity again surrounding the left shoulder is consistent with inflammation. </s> |
There is physiologic distribution of the radiopharmaceutical. Abnormal focus of activity posterior and inferior to the left thyroid gland consistent with an enlarged parathyroid gland. The right thyroid lobe appears to measure 4.2 cm and the left lobe 4.3 cm in length. | non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}, 'parathyroid gland': {}}location descriptor_fin: ['posterior', 'inferior', 'left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '4.2 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left'] | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: {'thyroid gland': {'location descriptor': 'left'}, 'parathyroid gland': {}}location descriptor_fin: ['posterior', 'inferior', 'left']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '4.2 cm'}, {'size': '4.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left'] [/INST] There is physiologic distribution of the radiopharmaceutical. Abnormal focus of activity posterior and inferior to the left thyroid gland consistent with an enlarged parathyroid gland. The right thyroid lobe appears to measure 4.2 cm and the left lobe 4.3 cm in length. </s> |
Nonenhanced maxillofacial. Frontal sinuses are well pneumatized and without evidence of disease. Ethmoid sinuses are well pneumatized and without evidence os disease. Sphenoid sinus is well pneumatized and without evidence of disease. Left maxillary sinus is well pneumatized and with patent left osteomeatal unit. Right maxillary sinus demonstrate two retention cysts with the larger measuring at 33 x 25 x 30 mm. Patent right osteomeatal unit. Nasal cavity demonstrate significant leftward nasal septum deviation with tiny nasal bony septum which are in contact ant deform the mucosal lining of the left middle turbinate. There is also concha bullosa of the right middle turbinate corresponding to the level of leftward nasal septum deviation. Bilateral mastoid air cells and the middle ear cavities. Unremarkable orbits. | clinical findings_fin: {'nonenhanced maxillofacial': {'clinical finding': 'nonenhanced maxillofacial'}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'disease': {'clinical finding': 'disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'observation': 'disease'}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'os disease': {'clinical finding': 'os disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'os', 'observation': 'disease'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'disease': {'clinical finding': 'disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'observation': 'disease'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '33 x 25 x 30 mm', 'size_descriptor': 'sinus'}]anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'two retention cysts': {'clinical finding': 'two retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'two retention', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'patent right osteomeatal unit': {'clinical finding': 'patent right osteomeatal unit', 'change_term': 'patent'}}anatomical entity_fin: {'nasal cavity': {}, 'lining': {}, 'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'significant leftward nasal septum deviation': {'clinical finding': 'significant leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'significant leftward nasal septum', 'observation': 'deviation'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'concha bullosa': {'clinical finding': 'concha bullosa', 'cf_snomed': {'concha bullosa': 232360002}, 'existence': 'pos_dx', 'descriptive_term': 'concha', 'observation': 'bullosa'}, 'leftward nasal septum deviation': {'clinical finding': 'leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'leftward nasal septum', 'observation': 'deviation'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'unremarkable orbits': {'clinical finding': 'unremarkable orbits'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'nonenhanced maxillofacial': {'clinical finding': 'nonenhanced maxillofacial'}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'disease': {'clinical finding': 'disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'observation': 'disease'}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'os disease': {'clinical finding': 'os disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'os', 'observation': 'disease'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'disease': {'clinical finding': 'disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'observation': 'disease'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}size_fin: [{'size': '33 x 25 x 30 mm', 'size_descriptor': 'sinus'}]anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'two retention cysts': {'clinical finding': 'two retention cysts', 'cf_snomed': {'retention': 36850000}, 'existence': 'pos_dx', 'descriptive_term': 'two retention', 'observation': 'cyst'}}location descriptor_fin: ['right']clinical findings_fin: {'patent right osteomeatal unit': {'clinical finding': 'patent right osteomeatal unit', 'change_term': 'patent'}}anatomical entity_fin: {'nasal cavity': {}, 'lining': {}, 'middle': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'significant leftward nasal septum deviation': {'clinical finding': 'significant leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'significant leftward nasal septum', 'observation': 'deviation'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'concha bullosa': {'clinical finding': 'concha bullosa', 'cf_snomed': {'concha bullosa': 232360002}, 'existence': 'pos_dx', 'descriptive_term': 'concha', 'observation': 'bullosa'}, 'leftward nasal septum deviation': {'clinical finding': 'leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'leftward nasal septum', 'observation': 'deviation'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'unremarkable orbits': {'clinical finding': 'unremarkable orbits'}} [/INST] Nonenhanced maxillofacial. Frontal sinuses are well pneumatized and without evidence of disease. Ethmoid sinuses are well pneumatized and without evidence os disease. Sphenoid sinus is well pneumatized and without evidence of disease. Left maxillary sinus is well pneumatized and with patent left osteomeatal unit. Right maxillary sinus demonstrate two retention cysts with the larger measuring at 33 x 25 x 30 mm. Patent right osteomeatal unit. Nasal cavity demonstrate significant leftward nasal septum deviation with tiny nasal bony septum which are in contact ant deform the mucosal lining of the left middle turbinate. There is also concha bullosa of the right middle turbinate corresponding to the level of leftward nasal septum deviation. Bilateral mastoid air cells and the middle ear cavities. Unremarkable orbits. </s> |
No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Focal mucosal thickening in the right maxillary sinus. Incidentally noted carious right first mandibular molar. Calvarium is intact. No orbital fracture. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'focal mucosal thickening': {'clinical finding': 'focal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'focal mucosal', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}, 'first mandibular molar': {'clinical finding': 'first mandibular molar', 'existence': 'pos_dx', 'descriptive_term': 'first mandibular', 'observation': 'molar'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'orbital fracture': {'clinical finding': 'orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital', 'observation': 'fracture'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'focal mucosal thickening': {'clinical finding': 'focal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'focal mucosal', 'observation': 'thickening'}}location descriptor_fin: ['right']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}, 'first mandibular molar': {'clinical finding': 'first mandibular molar', 'existence': 'pos_dx', 'descriptive_term': 'first mandibular', 'observation': 'molar'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'orbital fracture': {'clinical finding': 'orbital fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'orbital', 'observation': 'fracture'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits without evidence of hydrocephalus. No extra-axial collections. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Focal mucosal thickening in the right maxillary sinus. Incidentally noted carious right first mandibular molar. Calvarium is intact. No orbital fracture. </s> |
There is diffuse prominence of the adenoids and tonsils. There is no significant lymphadenopathy in the neck. There is a hypoattenuating right thyroid nodule that measures up to 11 mm. The major salivary glands are unremarkable. The major cervical vessels are patent. There is a right internal jugular venous catheter. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | anatomical entity_fin: {'tonsils': {}}clinical findings_fin: {'adenoids': {'clinical finding': 'adenoids', 'existence': 'pos_dx', 'observation': 'adenoid'}}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'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating right thyroid nodule': {'clinical finding': 'hypoattenuating right thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'tonsils': {}}clinical findings_fin: {'adenoids': {'clinical finding': 'adenoids', 'existence': 'pos_dx', 'observation': 'adenoid'}}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'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating right thyroid nodule': {'clinical finding': 'hypoattenuating right thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is diffuse prominence of the adenoids and tonsils. There is no significant lymphadenopathy in the neck. There is a hypoattenuating right thyroid nodule that measures up to 11 mm. The major salivary glands are unremarkable. The major cervical vessels are patent. There is a right internal jugular venous catheter. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. </s> |
. Emphysema. Areas of peripheral scarring. Pleural spaces are clear. No dominant lung lesions. Heart size is normal. No pericardial effusion. Coronary artery calcifications, aortic artery calcifications. Right chest wall port terminates at the cavoatrial junction. No significant abnormality noted. Multiple hepatic lesions with some new lesions at the the dome of the right hepatic lobe. The dominant conglomerate right hepatic lobe segment 6 mass measures 8.9 x 7.1 cm previously, 6.7 x 5.1 cm. No significant abnormality noted. No significant abnormality noted. Large nodule in the left adrenal gland is unchanged. Left renal cyst. No hydronephrosis. Calcific arteriosclerotic disease affects the aorta. Colonic diverticulosis. Subtle new nodularity of the right peritoneal surface. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Clonic diverticulosis. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral scarring': {'clinical finding': 'peripheral scarring', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'scarr'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'pleural spaces': {'clinical finding': 'pleural spaces', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'space'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'dominant lung lesions': {'clinical finding': 'dominant lung lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'artery': {}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}, 'aortic artery calcifications': {'clinical finding': 'aortic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic artery', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple hepatic lesions': {'clinical finding': 'multiple hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'some new lesions': {'clinical finding': 'some new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'some new', 'observation': 'lesion', 'quantity_term': 'some', 'temporal_term': 'new'}}size_fin: [{'size': '8.9 x 7.1 cm', 'size_descriptor': 'conglomerate'}, {'size': '6.7 x 5.1 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'6 mass': {'clinical finding': '6 mass', 'existence': 'pos_dx', 'descriptive_term': '6', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'large nodule': {'clinical finding': 'large nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'nodule', 'strength_term': 'large'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}location descriptor_fin: ['right']clinical findings_fin: {'subtle new nodularity': {'clinical finding': 'subtle new nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle new', 'observation': 'nodularity', 'strength_term': 'subtle', 'temporal_term': 'new'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'clonic diverticulosis': {'clinical finding': 'clonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'clonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral scarring': {'clinical finding': 'peripheral scarring', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'scarr'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'pleural spaces': {'clinical finding': 'pleural spaces', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'space'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lung': {}}clinical findings_fin: {'dominant lung lesions': {'clinical finding': 'dominant lung lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'artery': {}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}, 'aortic artery calcifications': {'clinical finding': 'aortic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic artery', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple hepatic lesions': {'clinical finding': 'multiple hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'lesion', 'quantity_term': 'multiple'}, 'some new lesions': {'clinical finding': 'some new lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'some new', 'observation': 'lesion', 'quantity_term': 'some', 'temporal_term': 'new'}}size_fin: [{'size': '8.9 x 7.1 cm', 'size_descriptor': 'conglomerate'}, {'size': '6.7 x 5.1 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'6 mass': {'clinical finding': '6 mass', 'existence': 'pos_dx', 'descriptive_term': '6', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'large nodule': {'clinical finding': 'large nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'nodule', 'strength_term': 'large'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cyst': {'clinical finding': 'left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'calcific arteriosclerotic disease': {'clinical finding': 'calcific arteriosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'calcific arteriosclerotic', 'observation': 'disease'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}}location descriptor_fin: ['right']clinical findings_fin: {'subtle new nodularity': {'clinical finding': 'subtle new nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle new', 'observation': 'nodularity', 'strength_term': 'subtle', 'temporal_term': 'new'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'clonic diverticulosis': {'clinical finding': 'clonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'clonic', 'observation': 'diverticulosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Emphysema. Areas of peripheral scarring. Pleural spaces are clear. No dominant lung lesions. Heart size is normal. No pericardial effusion. Coronary artery calcifications, aortic artery calcifications. Right chest wall port terminates at the cavoatrial junction. No significant abnormality noted. Multiple hepatic lesions with some new lesions at the the dome of the right hepatic lobe. The dominant conglomerate right hepatic lobe segment 6 mass measures 8.9 x 7.1 cm previously, 6.7 x 5.1 cm. No significant abnormality noted. No significant abnormality noted. Large nodule in the left adrenal gland is unchanged. Left renal cyst. No hydronephrosis. Calcific arteriosclerotic disease affects the aorta. Colonic diverticulosis. Subtle new nodularity of the right peritoneal surface. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Clonic diverticulosis. No significant abnormality noted. No significant abnormality noted. </s> |
. Moderate upper lobe predominant centrilobular emphysema. In the left upper lobe there is a 1.8 x 1.1 cm cavitary nodule with spiculation and tethering of the adjacent fissure highly suspicious for primary lung cancer. No additional suspicious pulmonary mass or nodule. No focal consolidation pleural effusions or pneumothorax. Aspirate is noted in the distal trachea. There is no mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. There is however mild asymmetric lymphoid tissue prominence in the left hilum. Normal cardiac size without pericardial effusion. Mild. No significant abnormality noted. Normal liver morphology. Right hepatic lobe benign hemangioma. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder. No significant abnormality noted. There is mild peripancreatic fluid along the body and tail of the pancreas with adjacent peritoneal fascial thickening consistent with acute pancreatitis. The pancreas enhances homogeneously. No associated discrete fluid collection, arterial or venous complication. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the infrarenal abdominal aorta without aneurysmal dilatation. Moderate. The small and large bowel is normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Trace pelvic fluid is likely related to the fracture mentioned pancreatitis. Moderate atherosclerotic calcification of the common iliac arteries. Mild aneurysmal dilatation of the right common iliac artery measuring 1.3 cm. | anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate upper lobe predominant centrilobular emphysema': {'clinical finding': 'moderate upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'adjacent']clinical findings_fin: {'1.8 x 1.1 cm cavitary nodule': {'clinical finding': '1.8 x 1.1 cm cavitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 8 x 1 1 cm cavitary', 'observation': 'nodule'}, 'spiculation': {'clinical finding': 'spiculation', 'existence': 'pos_dx', 'observation': 'spiculation'}, 'adjacent fissure': {'clinical finding': 'adjacent fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'fissure'}, 'primary lung cancer': {'clinical finding': 'primary lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'cancer'}}clinical findings_fin: {'additional suspicious pulmonary mass': {'clinical finding': 'additional suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation pleural effusions': {'clinical finding': 'focal consolidation pleural effusions', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal consolidation pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'trachea': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'aspirate is noted in the distal trachea': {'clinical finding': 'aspirate is noted in the distal trachea'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'lymphoid tissue': {}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetric lymphoid tissue': {'clinical finding': 'mild asymmetric lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric lymphoid', 'observation': 'tissue', 'strength_term': 'mild'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal liver morphology': {'clinical finding': 'normal liver morphology'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe benign hemangioma': {'clinical finding': 'right hepatic lobe benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'body': {}, 'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'adjacent peritoneal fascial thickening': {'clinical finding': 'adjacent peritoneal fascial thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent peritoneal fascial', 'observation': 'thickening'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'associated discrete fluid collection': {'clinical finding': 'associated discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'associated discrete fluid', 'observation': 'collection'}, 'arterial or venous complication': {'clinical finding': 'arterial or venous complication', 'existence': 'neg_dx', 'descriptive_term': 'arterial or venous', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}, 'pancreatitis': {'clinical finding': 'pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'observation': 'pancreatitis'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild aneurysmal dilatation of the right common iliac artery': {'clinical finding': 'mild aneurysmal dilatation of the right common iliac artery', 'cf_snomed': {'dilatation': 25322007}}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate upper lobe predominant centrilobular emphysema': {'clinical finding': 'moderate upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper', 'adjacent']clinical findings_fin: {'1.8 x 1.1 cm cavitary nodule': {'clinical finding': '1.8 x 1.1 cm cavitary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '1 8 x 1 1 cm cavitary', 'observation': 'nodule'}, 'spiculation': {'clinical finding': 'spiculation', 'existence': 'pos_dx', 'observation': 'spiculation'}, 'adjacent fissure': {'clinical finding': 'adjacent fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'fissure'}, 'primary lung cancer': {'clinical finding': 'primary lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'cancer'}}clinical findings_fin: {'additional suspicious pulmonary mass': {'clinical finding': 'additional suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation pleural effusions': {'clinical finding': 'focal consolidation pleural effusions', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal consolidation pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'trachea': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'aspirate is noted in the distal trachea': {'clinical finding': 'aspirate is noted in the distal trachea'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'lymphoid tissue': {}, 'hilum': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild asymmetric lymphoid tissue': {'clinical finding': 'mild asymmetric lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric lymphoid', 'observation': 'tissue', 'strength_term': 'mild'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal liver morphology': {'clinical finding': 'normal liver morphology'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right hepatic lobe benign hemangioma': {'clinical finding': 'right hepatic lobe benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal suspicious liver lesion': {'clinical finding': 'focal suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'body': {}, 'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}, 'adjacent peritoneal fascial thickening': {'clinical finding': 'adjacent peritoneal fascial thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent peritoneal fascial', 'observation': 'thickening'}, 'acute pancreatitis': {'clinical finding': 'acute pancreatitis', 'cf_snomed': {'acute pancreatitis': 197456007}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'pancreatitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'associated discrete fluid collection': {'clinical finding': 'associated discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'associated discrete fluid', 'observation': 'collection'}, 'arterial or venous complication': {'clinical finding': 'arterial or venous complication', 'existence': 'neg_dx', 'descriptive_term': 'arterial or venous', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small and large bowel is normal': {'clinical finding': 'small and large bowel is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'observation': 'fracture'}, 'pancreatitis': {'clinical finding': 'pancreatitis', 'cf_snomed': {'pancreatitis': 75694006}, 'existence': 'pos_dx', 'observation': 'pancreatitis'}}anatomical entity_fin: {'common iliac arteries': {}}clinical findings_fin: {'moderate atherosclerotic calcification': {'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'common iliac artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild aneurysmal dilatation of the right common iliac artery': {'clinical finding': 'mild aneurysmal dilatation of the right common iliac artery', 'cf_snomed': {'dilatation': 25322007}}} [/INST] . Moderate upper lobe predominant centrilobular emphysema. In the left upper lobe there is a 1.8 x 1.1 cm cavitary nodule with spiculation and tethering of the adjacent fissure highly suspicious for primary lung cancer. No additional suspicious pulmonary mass or nodule. No focal consolidation pleural effusions or pneumothorax. Aspirate is noted in the distal trachea. There is no mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. There is however mild asymmetric lymphoid tissue prominence in the left hilum. Normal cardiac size without pericardial effusion. Mild. No significant abnormality noted. Normal liver morphology. Right hepatic lobe benign hemangioma. No focal suspicious liver lesion, biliary ductal dilatation or vascular abnormality. Normally distended gallbladder. No significant abnormality noted. There is mild peripancreatic fluid along the body and tail of the pancreas with adjacent peritoneal fascial thickening consistent with acute pancreatitis. The pancreas enhances homogeneously. No associated discrete fluid collection, arterial or venous complication. No significant abnormality noted. No significant abnormality noted. Moderate atherosclerotic calcification of the infrarenal abdominal aorta without aneurysmal dilatation. Moderate. The small and large bowel is normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Trace pelvic fluid is likely related to the fracture mentioned pancreatitis. Moderate atherosclerotic calcification of the common iliac arteries. Mild aneurysmal dilatation of the right common iliac artery measuring 1.3 cm. </s> |
. Aspirated debris in central airways. Emphysema. Scattered punctate micronodules are unchanged. Tracheostomy tube in expected location. Right chest port tip at RA or SVC junction. No change in ectatic ascending aorta. Severe. Widespread osseous metastases are unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. Mixing artifact in IVC. Mild celiac artery narrowing origin is unchanged. With. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube tip in stomach. Widespread osseous metastases are unchanged. No significant abnormality noted. | anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'aspirated debris': {'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris'}}clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'ectatic': {'clinical finding': 'ectatic', 'existence': 'neg_dx', 'observation': 'ectatic'}}clinical findings_fin: {'widespread osseous metastases': {'clinical finding': 'widespread osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread osseous', 'observation': 'metastase', 'strength_term': 'widespread'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'celiac artery': {}, 'origin': {}}clinical findings_fin: {'mild celiac artery narrowing': {'clinical finding': 'mild celiac artery narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild celiac artery', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'widespread osseous metastases': {'clinical finding': 'widespread osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread osseous', 'observation': 'metastase', 'strength_term': 'widespread'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'aspirated debris': {'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris'}}clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'ectatic': {'clinical finding': 'ectatic', 'existence': 'neg_dx', 'observation': 'ectatic'}}clinical findings_fin: {'widespread osseous metastases': {'clinical finding': 'widespread osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread osseous', 'observation': 'metastase', 'strength_term': 'widespread'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'stable left renal cyst': {'clinical finding': 'stable left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'celiac artery': {}, 'origin': {}}clinical findings_fin: {'mild celiac artery narrowing': {'clinical finding': 'mild celiac artery narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild celiac artery', 'observation': 'narrowing', 'strength_term': 'mild'}}anatomical entity_fin: {'stomach': {}}object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: {'widespread osseous metastases': {'clinical finding': 'widespread osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'widespread osseous', 'observation': 'metastase', 'strength_term': 'widespread'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Aspirated debris in central airways. Emphysema. Scattered punctate micronodules are unchanged. Tracheostomy tube in expected location. Right chest port tip at RA or SVC junction. No change in ectatic ascending aorta. Severe. Widespread osseous metastases are unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. Mixing artifact in IVC. Mild celiac artery narrowing origin is unchanged. With. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube tip in stomach. Widespread osseous metastases are unchanged. No significant abnormality noted. </s> |
. New small right greater than left pleural effusions with adjacent compressive atelectasis. Cardiomegaly noted with contrast reflux into the IVC and portal veins. Interval cholecystectomy changes noted. Multifocal hypodense hepatic lesions appearing similar to prior exam, some of which are decreased in size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal hypodensities too small to characterize and appearing similar to prior exam. Ectatic left common iliac artery. No other significant abnormality noted. Moderate. Diverticulosis without evidence of complication. Trace abdominal ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of complication. No significant abnormality noted. No significant abnormality noted | location descriptor_fin: ['right', 'left', 'adjacent']clinical findings_fin: {'new small right greater than left pleural effusions': {'clinical finding': 'new small right greater than left pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small right greater than left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new', 'change_term': 'greater'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'contrast reflux': {'clinical finding': 'contrast reflux', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'reflux'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'interval cholecystectomy changes': {'clinical finding': 'interval cholecystectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'interval cholecystectomy', 'observation': 'change'}}clinical findings_fin: {'multifocal hypodense hepatic lesions': {'clinical finding': 'multifocal hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodense hepatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal hypodensities': {'clinical finding': 'bilateral renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'hypodensity'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left', 'adjacent']clinical findings_fin: {'new small right greater than left pleural effusions': {'clinical finding': 'new small right greater than left pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'new small right greater than left pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new', 'change_term': 'greater'}, 'adjacent compressive atelectasis': {'clinical finding': 'adjacent compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'contrast reflux': {'clinical finding': 'contrast reflux', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'reflux'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'interval cholecystectomy changes': {'clinical finding': 'interval cholecystectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'interval cholecystectomy', 'observation': 'change'}}clinical findings_fin: {'multifocal hypodense hepatic lesions': {'clinical finding': 'multifocal hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal hypodense hepatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal hypodensities': {'clinical finding': 'bilateral renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'hypodensity'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . New small right greater than left pleural effusions with adjacent compressive atelectasis. Cardiomegaly noted with contrast reflux into the IVC and portal veins. Interval cholecystectomy changes noted. Multifocal hypodense hepatic lesions appearing similar to prior exam, some of which are decreased in size. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal hypodensities too small to characterize and appearing similar to prior exam. Ectatic left common iliac artery. No other significant abnormality noted. Moderate. Diverticulosis without evidence of complication. Trace abdominal ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of complication. No significant abnormality noted. No significant abnormality noted </s> |
There are multiple hypodense foci located in the left cerebellar hemisphere, pons which have been evolving since 7/28/2015. There is encephalomalacia present along the medial aspect of the left occipital lobe associated with ex vacuo effect on the left lateral ventricle. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Atherosclerotic calcifications are present along the distal internal carotid arteries. | anatomical entity_fin: {'pons': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'multiple hypodense foci': {'clinical finding': 'multiple hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left occipital lobe': {}, 'left lateral ventricle': {}}location descriptor_fin: ['medial']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo effect': {'clinical finding': 'ex vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'effect'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'pons': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: {'multiple hypodense foci': {'clinical finding': 'multiple hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'foci', 'quantity_term': 'multiple'}}anatomical entity_fin: {'left occipital lobe': {}, 'left lateral ventricle': {}}location descriptor_fin: ['medial']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'ex vacuo effect': {'clinical finding': 'ex vacuo effect', 'existence': 'pos_dx', 'descriptive_term': 'ex vacuo', 'observation': 'effect'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}} [/INST] There are multiple hypodense foci located in the left cerebellar hemisphere, pons which have been evolving since 7/28/2015. There is encephalomalacia present along the medial aspect of the left occipital lobe associated with ex vacuo effect on the left lateral ventricle. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Atherosclerotic calcifications are present along the distal internal carotid arteries. </s> |
Todays CT portion grossly demonstrates multiple enlarged anterior mediastinal lymph nodes, the largest of which is located in the right suprahilar or paratracheal region and measures up to 7 cm. Right chest port tip is in the SVC. Todays PET examination demonstrates numerous significantly hypermetabolic thoracic lymph nodes. These extend from the right uppermost mediastinum, throughout the bilateral anterior mediastinum, and inferiorly to the right cardiophrenic region. The largest node is located in the right suprahilar or paratracheal region. No suspicious FDG avid lesions are noted in the abdomen, pelvis, or visualized skeleton. | size_fin: [{'size': '7 cm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'anterior mediastinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple enlarged anterior mediastinal lymph nodes': {'clinical finding': 'multiple enlarged anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged anterior mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'numerous significantly hypermetabolic thoracic lymph nodes': {'clinical finding': 'numerous significantly hypermetabolic thoracic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous significantly hypermetabolic thoracic lymph', 'observation': 'node', 'quantity_term': 'numerous'}}anatomical entity_fin: {'mediastinum': {}, 'anterior mediastinum': {'location descriptor': 'bilateral'}}location descriptor_fin: ['right', 'bilateral']location descriptor_fin: ['right']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}, 'skeleton': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '7 cm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'anterior mediastinal lymph nodes': {}}location descriptor_fin: ['right']clinical findings_fin: {'multiple enlarged anterior mediastinal lymph nodes': {'clinical finding': 'multiple enlarged anterior mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged anterior mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'numerous significantly hypermetabolic thoracic lymph nodes': {'clinical finding': 'numerous significantly hypermetabolic thoracic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous significantly hypermetabolic thoracic lymph', 'observation': 'node', 'quantity_term': 'numerous'}}anatomical entity_fin: {'mediastinum': {}, 'anterior mediastinum': {'location descriptor': 'bilateral'}}location descriptor_fin: ['right', 'bilateral']location descriptor_fin: ['right']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}, 'skeleton': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}} [/INST] Todays CT portion grossly demonstrates multiple enlarged anterior mediastinal lymph nodes, the largest of which is located in the right suprahilar or paratracheal region and measures up to 7 cm. Right chest port tip is in the SVC. Todays PET examination demonstrates numerous significantly hypermetabolic thoracic lymph nodes. These extend from the right uppermost mediastinum, throughout the bilateral anterior mediastinum, and inferiorly to the right cardiophrenic region. The largest node is located in the right suprahilar or paratracheal region. No suspicious FDG avid lesions are noted in the abdomen, pelvis, or visualized skeleton. </s> |
There are interval postoperative findings related to resection of the fused portions of the left coronoid process and zygomatic arch. There is a drain in the surgical bed, where there is also a small amount of blood products and or or hemostatic material, as well as trace emphysema and punctate bone fragments medial and lateral to the anterior left zygomatic arch osteotomy margin. The residual portion of the left coronoid process no longer contacts the remaining zygomatic arch. The right coronal process extends up to approximately 6 mm superior to the upper margin of the zygomatic arch. There is left parasagittal left palate with crowding with malalignment and deformity of multiple maxillary teeth. The mandible is small resulting in maxillary overjet, particularly on the left side. The temporomandibular joint spaces are narrowed, but there is no evidence of osseous fusion across the joint spaces. There is diffuse paranasal sinus mucosal thickening. The nasal septum is intact, but is deviated to the left. The middle nasal turbinates show conchae bullosae. The left cribriform plate, lateral lamellae and fovea ethmoidalis are slightly higher than the right. There is right transnasal intubation. | anatomical entity_fin: {'left coronoid process': {}, 'zygomatic arch': {}}clinical findings_fin: {'interval postoperative': {'clinical finding': 'interval postoperative', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'postoperative'}}anatomical entity_fin: {'zygomatic arch': {'location descriptor': 'anterior left'}}imaging observation_fin: ['blood products', 'margin']location descriptor_fin: ['medial', 'lateral', 'anterior', 'left']procedure_fin: ['osteotomy']clinical findings_fin: {'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}, 'hemostatic material': {'clinical finding': 'hemostatic material', 'existence': 'unc_dx', 'descriptive_term': 'hemostatic', 'observation': 'material'}, 'trace emphysema': {'clinical finding': 'trace emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'emphysema'}, 'punctate bone fragments': {'clinical finding': 'punctate bone fragments', 'cf_snomed': {'bone fragment': 699531001}, 'existence': 'pos_dx', 'descriptive_term': 'punctate bone', 'observation': 'fragment'}}anatomical entity_fin: {'left coronoid process': {}, 'zygomatic arch': {}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'process'}]anatomical entity_fin: {'zygomatic arch': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'superior', 'upper']anatomical entity_fin: {'palate': {'location descriptor': 'left'}}imaging observation_fin: ['teeth']location descriptor_fin: ['left']clinical findings_fin: {'left parasagittal': {'clinical finding': 'left parasagittal', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'parasagittal'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'pos_dx', 'observation': 'malalignment'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}}anatomical entity_fin: {'mandible': {}}location descriptor_fin: ['left']clinical findings_fin: {'maxillary overjet': {'clinical finding': 'maxillary overjet', 'existence': 'pos_dx', 'descriptive_term': 'maxillary', 'observation': 'overjet'}}anatomical entity_fin: {'temporomandibular joint': {}, 'joint': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'diffuse paranasal sinus mucosal thickening': {'clinical finding': 'diffuse paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse paranasal sinus mucosal', 'observation': 'thickening'}}location descriptor_fin: ['deviated', 'left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}}anatomical entity_fin: {'middle nasal turbinates': {}}clinical findings_fin: {'conchae bullosae': {'clinical finding': 'conchae bullosae', 'existence': 'pos_dx', 'descriptive_term': 'conchae', 'observation': 'bullosae'}}anatomical entity_fin: {'cribriform plate': {'location descriptor': 'left'}, 'fovea ethmoidalis': {}}location descriptor_fin: ['left', 'lateral', 'right']location descriptor_fin: ['right'] | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left coronoid process': {}, 'zygomatic arch': {}}clinical findings_fin: {'interval postoperative': {'clinical finding': 'interval postoperative', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'postoperative'}}anatomical entity_fin: {'zygomatic arch': {'location descriptor': 'anterior left'}}imaging observation_fin: ['blood products', 'margin']location descriptor_fin: ['medial', 'lateral', 'anterior', 'left']procedure_fin: ['osteotomy']clinical findings_fin: {'blood products': {'clinical finding': 'blood products', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'product'}, 'hemostatic material': {'clinical finding': 'hemostatic material', 'existence': 'unc_dx', 'descriptive_term': 'hemostatic', 'observation': 'material'}, 'trace emphysema': {'clinical finding': 'trace emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'emphysema'}, 'punctate bone fragments': {'clinical finding': 'punctate bone fragments', 'cf_snomed': {'bone fragment': 699531001}, 'existence': 'pos_dx', 'descriptive_term': 'punctate bone', 'observation': 'fragment'}}anatomical entity_fin: {'left coronoid process': {}, 'zygomatic arch': {}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'process'}]anatomical entity_fin: {'zygomatic arch': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'superior', 'upper']anatomical entity_fin: {'palate': {'location descriptor': 'left'}}imaging observation_fin: ['teeth']location descriptor_fin: ['left']clinical findings_fin: {'left parasagittal': {'clinical finding': 'left parasagittal', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'parasagittal'}, 'malalignment': {'clinical finding': 'malalignment', 'existence': 'pos_dx', 'observation': 'malalignment'}, 'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}}anatomical entity_fin: {'mandible': {}}location descriptor_fin: ['left']clinical findings_fin: {'maxillary overjet': {'clinical finding': 'maxillary overjet', 'existence': 'pos_dx', 'descriptive_term': 'maxillary', 'observation': 'overjet'}}anatomical entity_fin: {'temporomandibular joint': {}, 'joint': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}, 'osseous fusion': {'clinical finding': 'osseous fusion', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'fusion'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'diffuse paranasal sinus mucosal thickening': {'clinical finding': 'diffuse paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse paranasal sinus mucosal', 'observation': 'thickening'}}location descriptor_fin: ['deviated', 'left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}}anatomical entity_fin: {'middle nasal turbinates': {}}clinical findings_fin: {'conchae bullosae': {'clinical finding': 'conchae bullosae', 'existence': 'pos_dx', 'descriptive_term': 'conchae', 'observation': 'bullosae'}}anatomical entity_fin: {'cribriform plate': {'location descriptor': 'left'}, 'fovea ethmoidalis': {}}location descriptor_fin: ['left', 'lateral', 'right']location descriptor_fin: ['right'] [/INST] There are interval postoperative findings related to resection of the fused portions of the left coronoid process and zygomatic arch. There is a drain in the surgical bed, where there is also a small amount of blood products and or or hemostatic material, as well as trace emphysema and punctate bone fragments medial and lateral to the anterior left zygomatic arch osteotomy margin. The residual portion of the left coronoid process no longer contacts the remaining zygomatic arch. The right coronal process extends up to approximately 6 mm superior to the upper margin of the zygomatic arch. There is left parasagittal left palate with crowding with malalignment and deformity of multiple maxillary teeth. The mandible is small resulting in maxillary overjet, particularly on the left side. The temporomandibular joint spaces are narrowed, but there is no evidence of osseous fusion across the joint spaces. There is diffuse paranasal sinus mucosal thickening. The nasal septum is intact, but is deviated to the left. The middle nasal turbinates show conchae bullosae. The left cribriform plate, lateral lamellae and fovea ethmoidalis are slightly higher than the right. There is right transnasal intubation. </s> |
The residual cervical lymph nodes are now smaller, measure less than 5 mm in short axis each. There is a right subclavian venous catheter. The carotid arteries are patent. The thyroid and major salivary glands are unremarkable. There is no destructive osseous lesion. The airway is patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. The partially imaged superior and anterior mediastinal soft tissue prominence has not significantly changed. There are small right maxillary sinus retention cyst. | size_fin: [{'size': '5 mm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'residual cervical lymph nodes': {'clinical finding': 'residual cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'residual cervical lymph', 'observation': 'node', 'temporal_term': 'residual'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'destructive osseous lesion': {'clinical finding': 'destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['superior', 'anterior']clinical findings_fin: {'imaged superior and anterior mediastinal soft tissue prominence has not significantly changed': {'clinical finding': 'imaged superior and anterior mediastinal soft tissue prominence has not significantly changed', 'change_term': 'changed'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small right maxillary sinus retention cyst': {'clinical finding': 'small right maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small right maxillary sinus retention', 'observation': 'cyst', 'strength_term': 'small'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 mm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'residual cervical lymph nodes': {'clinical finding': 'residual cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'residual cervical lymph', 'observation': 'node', 'temporal_term': 'residual'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}clinical findings_fin: {'destructive osseous lesion': {'clinical finding': 'destructive osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['superior', 'anterior']clinical findings_fin: {'imaged superior and anterior mediastinal soft tissue prominence has not significantly changed': {'clinical finding': 'imaged superior and anterior mediastinal soft tissue prominence has not significantly changed', 'change_term': 'changed'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small right maxillary sinus retention cyst': {'clinical finding': 'small right maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small right maxillary sinus retention', 'observation': 'cyst', 'strength_term': 'small'}} [/INST] The residual cervical lymph nodes are now smaller, measure less than 5 mm in short axis each. There is a right subclavian venous catheter. The carotid arteries are patent. The thyroid and major salivary glands are unremarkable. There is no destructive osseous lesion. The airway is patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. The partially imaged superior and anterior mediastinal soft tissue prominence has not significantly changed. There are small right maxillary sinus retention cyst. </s> |
The cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits. There is no acute intracranial hemorrhage or mass. The ventricles and sulci are within normal limits in size and configuration, and the midline is maintained. There is no extraaxial fluid collection. There is no evidence of fracture. There is no scalp hematoma seen. The visualized portions of the paranasal sinuses and mastoid air cells are normally pneumatized. | anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits': {'clinical finding': 'cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits'}}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'}}location descriptor_fin: ['midline']clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'scalp hematoma': {'clinical finding': 'scalp hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'scalp', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits': {'clinical finding': 'cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits'}}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'}}location descriptor_fin: ['midline']clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}anatomical entity_fin: {'scalp': {}}imaging observation_fin: ['hematoma']clinical findings_fin: {'scalp hematoma': {'clinical finding': 'scalp hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'scalp', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} [/INST] The cerebral and cerebellar hemispheres as well as the brainstem appear within normal limits. There is no acute intracranial hemorrhage or mass. The ventricles and sulci are within normal limits in size and configuration, and the midline is maintained. There is no extraaxial fluid collection. There is no evidence of fracture. There is no scalp hematoma seen. The visualized portions of the paranasal sinuses and mastoid air cells are normally pneumatized. </s> |
. Left posterolateral eighth rib deformity suggestive of nondisplaced fracture, age indeterminate. Underlying left lower lobe patchy opacities may represent contusion or atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. No evidence of splenic laceration. Pancreas is atrophic. No adrenal nodularity or thickening. Kidneys are atrophic without focal lesion. No hydronephrosis or ureteronephrosis. A right iliac fossa transplant contains a simple cyst and other stable subcentimeter hypoattenuating lesions too small to further characterize, though is otherwise unremarkable. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Atrophic right rectus abdominis muscle. Bilateral psoas muscle atrophy is again noted. Moderate to severe degenerative changes affect the lumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Calcified vas deferens redemonstrated. Mild prostatic enlargement is again noted. | anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left posterolateral eighth rib deformity': {'clinical finding': 'left posterolateral eighth rib deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'left posterolateral eighth rib', 'observation': 'deformity'}, 'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe patchy opacities': {'clinical finding': 'left lower lobe patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe patchy', 'observation': 'opacity'}, 'contusion': {'clinical finding': 'contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'observation': 'contusion'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'splenic laceration': {'clinical finding': 'splenic laceration', 'cf_snomed': {'laceration': 35933005}, 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}, 'other stable subcentimeter hypoattenuating lesions': {'clinical finding': 'other stable subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other stable subcentimeter hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'right rectus abdominis': {}}clinical findings_fin: {'atrophic right rectus abdominis muscle': {'clinical finding': 'atrophic right rectus abdominis muscle', 'existence': 'pos_dx', 'descriptive_term': 'atrophic right rectus abdominis', 'observation': 'muscle', 'change_term': 'atrophic'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral psoas muscle atrophy': {'clinical finding': 'bilateral psoas muscle atrophy', 'cf_snomed': {'muscle atrophy': 88092000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral psoas muscle', 'observation': 'atrophy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate to severe degenerative changes': {'clinical finding': 'moderate to severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vas deferens': {}}clinical findings_fin: {'calcified vas deferens redemonstrated': {'clinical finding': 'calcified vas deferens redemonstrated', 'change_term': 'calcified'}}clinical findings_fin: {'mild prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'mild prostatic', 'observation': 'enlargement', 'strength_term': 'mild'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'left posterolateral eighth rib deformity': {'clinical finding': 'left posterolateral eighth rib deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'left posterolateral eighth rib', 'observation': 'deformity'}, 'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe patchy opacities': {'clinical finding': 'left lower lobe patchy opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe patchy', 'observation': 'opacity'}, 'contusion': {'clinical finding': 'contusion', 'cf_snomed': {'contusion': 125667009}, 'existence': 'unc_dx', 'observation': 'contusion'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'splenic laceration': {'clinical finding': 'splenic laceration', 'cf_snomed': {'laceration': 35933005}, 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}}clinical findings_fin: {'adrenal nodularity': {'clinical finding': 'adrenal nodularity', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'nodularity'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'neg_dx', 'observation': 'thickening'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'focal lesion': {'clinical finding': 'focal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'ureteronephrosis': {'clinical finding': 'ureteronephrosis', 'existence': 'neg_dx', 'observation': 'ureteronephrosis'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}, 'other stable subcentimeter hypoattenuating lesions': {'clinical finding': 'other stable subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'other stable subcentimeter hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'right rectus abdominis': {}}clinical findings_fin: {'atrophic right rectus abdominis muscle': {'clinical finding': 'atrophic right rectus abdominis muscle', 'existence': 'pos_dx', 'descriptive_term': 'atrophic right rectus abdominis', 'observation': 'muscle', 'change_term': 'atrophic'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral psoas muscle atrophy': {'clinical finding': 'bilateral psoas muscle atrophy', 'cf_snomed': {'muscle atrophy': 88092000}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral psoas muscle', 'observation': 'atrophy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate to severe degenerative changes': {'clinical finding': 'moderate to severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'vas deferens': {}}clinical findings_fin: {'calcified vas deferens redemonstrated': {'clinical finding': 'calcified vas deferens redemonstrated', 'change_term': 'calcified'}}clinical findings_fin: {'mild prostatic enlargement': {'clinical finding': 'mild prostatic enlargement', 'cf_snomed': {'enlargement': 442021009}, 'existence': 'pos_dx', 'descriptive_term': 'mild prostatic', 'observation': 'enlargement', 'strength_term': 'mild'}} [/INST] . Left posterolateral eighth rib deformity suggestive of nondisplaced fracture, age indeterminate. Underlying left lower lobe patchy opacities may represent contusion or atelectasis. Liver enhances homogenously without focal lesion. Status post cholecystectomy. No evidence of splenic laceration. Pancreas is atrophic. No adrenal nodularity or thickening. Kidneys are atrophic without focal lesion. No hydronephrosis or ureteronephrosis. A right iliac fossa transplant contains a simple cyst and other stable subcentimeter hypoattenuating lesions too small to further characterize, though is otherwise unremarkable. No significant retroperitoneal lymphadenopathy. Mild. The bowel is normal in caliber without evidence of obstruction or ileus. Atrophic right rectus abdominis muscle. Bilateral psoas muscle atrophy is again noted. Moderate to severe degenerative changes affect the lumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No inguinal, iliac chain, or pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Calcified vas deferens redemonstrated. Mild prostatic enlargement is again noted. </s> |
. Unchanged scattered micronodules. No new pulmonary nodule. No focal consolidation, pleural effusion or pneumothorax. The heart size is within normal limits. No pericardial effusion is present. No hilar or mediastinal adenopathy is identified. No axillary adenopathy. Partial right hepatectomy has been performed. Cluster of hypodensities within segment 8 are probably unchanged. There is a new hypodense lesion within segment 6 measuring 3.0 x 3.0 cm. Embolization coils are present within the hepatic arteries. Punctate dependent gallstone, with no gallbladder wall thickening or pericholecystic fluid to suggest cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Removal of gastrostomy tube. No evidence of bowel obstruction, pneumatosis or pneumoperitoneum. Stable postsurgical changes after sarcoma resection, with suture line within the left lower quadrant. Unchanged nonspecific sclerotic lesion within the right lateral seventh rib. No suspicious osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Removal of gastrostomy tube. No evidence of bowel obstruction, pneumatosis or pneumoperitoneum. Stable postsurgical changes after sarcoma resection, with suture line within the left lower quadrant. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'unchanged scattered micronodules': {'clinical finding': 'unchanged scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is within normal limits': {'clinical finding': 'heart size is within normal limits'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal adenopathy': {'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'}}clinical findings_fin: {'axillary adenopathy': {'clinical finding': 'axillary adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'adenopathy'}}location descriptor_fin: ['right']procedure_fin: ['hepatectomy']clinical findings_fin: {'partial right hepatectomy has been performed': {'clinical finding': 'partial right hepatectomy has been performed'}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '3.0 x 3.0 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'new hypodense lesion': {'clinical finding': 'new hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new hypodense', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'hepatic arteries': {}}procedure_fin: ['embolization']clinical findings_fin: {'embolization coils are present within the hepatic arteries': {'clinical finding': 'embolization coils are present within the hepatic arteries', 'cf_snomed': {'hepatic artery': 76015000}}}clinical findings_fin: {'punctate dependent gallstone': {'clinical finding': 'punctate dependent gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate dependent', 'observation': 'gallstone'}, 'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['tube']procedure_fin: ['gastrostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']object_fin: ['suture']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'sarcoma resection': {'clinical finding': 'sarcoma resection', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'sarcoma', 'observation': 'resection'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'unchanged nonspecific sclerotic lesion': {'clinical finding': 'unchanged nonspecific sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific sclerotic', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['tube']procedure_fin: ['gastrostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']object_fin: ['suture']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'sarcoma resection': {'clinical finding': 'sarcoma resection', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'sarcoma', 'observation': 'resection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'unchanged scattered micronodules': {'clinical finding': 'unchanged scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is within normal limits': {'clinical finding': 'heart size is within normal limits'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal adenopathy': {'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'}}clinical findings_fin: {'axillary adenopathy': {'clinical finding': 'axillary adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'adenopathy'}}location descriptor_fin: ['right']procedure_fin: ['hepatectomy']clinical findings_fin: {'partial right hepatectomy has been performed': {'clinical finding': 'partial right hepatectomy has been performed'}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}size_fin: [{'size': '3.0 x 3.0 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'new hypodense lesion': {'clinical finding': 'new hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new hypodense', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'hepatic arteries': {}}procedure_fin: ['embolization']clinical findings_fin: {'embolization coils are present within the hepatic arteries': {'clinical finding': 'embolization coils are present within the hepatic arteries', 'cf_snomed': {'hepatic artery': 76015000}}}clinical findings_fin: {'punctate dependent gallstone': {'clinical finding': 'punctate dependent gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'punctate dependent', 'observation': 'gallstone'}, 'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['tube']procedure_fin: ['gastrostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']object_fin: ['suture']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'sarcoma resection': {'clinical finding': 'sarcoma resection', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'sarcoma', 'observation': 'resection'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'unchanged nonspecific sclerotic lesion': {'clinical finding': 'unchanged nonspecific sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged nonspecific sclerotic', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['tube']procedure_fin: ['gastrostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']object_fin: ['suture']clinical findings_fin: {'stable postsurgical changes': {'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'sarcoma resection': {'clinical finding': 'sarcoma resection', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'sarcoma', 'observation': 'resection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Unchanged scattered micronodules. No new pulmonary nodule. No focal consolidation, pleural effusion or pneumothorax. The heart size is within normal limits. No pericardial effusion is present. No hilar or mediastinal adenopathy is identified. No axillary adenopathy. Partial right hepatectomy has been performed. Cluster of hypodensities within segment 8 are probably unchanged. There is a new hypodense lesion within segment 6 measuring 3.0 x 3.0 cm. Embolization coils are present within the hepatic arteries. Punctate dependent gallstone, with no gallbladder wall thickening or pericholecystic fluid to suggest cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Removal of gastrostomy tube. No evidence of bowel obstruction, pneumatosis or pneumoperitoneum. Stable postsurgical changes after sarcoma resection, with suture line within the left lower quadrant. Unchanged nonspecific sclerotic lesion within the right lateral seventh rib. No suspicious osseous lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Removal of gastrostomy tube. No evidence of bowel obstruction, pneumatosis or pneumoperitoneum. Stable postsurgical changes after sarcoma resection, with suture line within the left lower quadrant. No significant abnormality noted. No significant abnormality noted </s> |
Brain. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No intracranial arterial stenosis is appreciated. There is triplication of the anterior cerebral artery. The left A1 segment appears to bifurcate into the pericallosal artery and the left callosomarginal artery whereas the right A1 segment supplies the right callosomarginal artery. The right A1 segment is a little bit smaller than the left A1 segment. The anterior communicating artery is small to medium size. There is a 7.5 mm x 5.5 mm anteriorly directed aneurysm which originates at the anterior communicating artery region but specifically from the left side at the bifurcation of the left A1 segment into callosomarginal and pericallosal arteries. The aneurysm has a 2.5 mm neck. There is a 2.5 mm infundibulum at the origin of the right posterior communicating artery. The posterior communicating arteries are very small. The left superior cerebellar artery originates from the left P1 segment. There is extracranial origin of the left posterior inferior cerebellar artery. The right vertebral artery is larger than the left vertebral artery. The CSF spaces are appropriate for the patients stated age with no midline shift. The patient is status post nasal cavity surgery with removal of the anterior aspect of the nasal septum, anterior nasal spine of the maxilla and some of the right-sided nasal cartilage. Periventricular and subcortical white matter hypodensities of a mild degree are present. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. | anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'intracranial arterial stenosis': {'clinical finding': 'intracranial arterial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial arterial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior cerebral artery': {}}clinical findings_fin: {'triplication': {'clinical finding': 'triplication', 'existence': 'pos_dx', 'observation': 'triplication'}}anatomical entity_fin: {'pericallosal artery': {}, 'left callosomarginal artery': {}, 'right callosomarginal artery': {}}location descriptor_fin: ['left', 'right']location descriptor_fin: ['right', 'left']clinical findings_fin: {'little bit smaller than the left a1 segment': {'clinical finding': 'little bit smaller than the left a1 segment'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}size_fin: [{'size': '7.5 mm x 5.5 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'anterior communicating artery': {}, 'pericallosal arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'7.5 mm x 5.5 mm anteriorly directed aneurysm': {'clinical finding': '7.5 mm x 5.5 mm anteriorly directed aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': '7 5 mm x 5 5 mm anteriorly directed', 'observation': 'aneurysm'}}size_fin: [{'size': '2.5 mm', 'size_descriptor': 'neck'}]anatomical entity_fin: {'neck': {}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}size_fin: [{'size': '2.5 mm', 'size_descriptor': 'infundibulum'}]anatomical entity_fin: {'infundibulum': {}, 'origin': {}, 'right posterior communicating artery': {}}anatomical entity_fin: {'posterior communicating arteries': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'left superior cerebellar artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'origin': {}, 'left posterior inferior cerebellar artery': {}}anatomical entity_fin: {'right vertebral artery': {}, 'left vertebral artery': {}}clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'nasal cavity': {}, 'spine': {}, 'maxilla': {}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'status post nasal cavity surgery': {'clinical finding': 'status post nasal cavity surgery', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'status post nasal cavity', 'observation': 'surgery'}, 'removal': {'clinical finding': 'removal', 'existence': 'pos_dx', 'observation': 'removal'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'intracranial arterial stenosis': {'clinical finding': 'intracranial arterial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial arterial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior cerebral artery': {}}clinical findings_fin: {'triplication': {'clinical finding': 'triplication', 'existence': 'pos_dx', 'observation': 'triplication'}}anatomical entity_fin: {'pericallosal artery': {}, 'left callosomarginal artery': {}, 'right callosomarginal artery': {}}location descriptor_fin: ['left', 'right']location descriptor_fin: ['right', 'left']clinical findings_fin: {'little bit smaller than the left a1 segment': {'clinical finding': 'little bit smaller than the left a1 segment'}}anatomical entity_fin: {'anterior communicating artery': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}size_fin: [{'size': '7.5 mm x 5.5 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'anterior communicating artery': {}, 'pericallosal arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'7.5 mm x 5.5 mm anteriorly directed aneurysm': {'clinical finding': '7.5 mm x 5.5 mm anteriorly directed aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': '7 5 mm x 5 5 mm anteriorly directed', 'observation': 'aneurysm'}}size_fin: [{'size': '2.5 mm', 'size_descriptor': 'neck'}]anatomical entity_fin: {'neck': {}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'observation': 'aneurysm'}}size_fin: [{'size': '2.5 mm', 'size_descriptor': 'infundibulum'}]anatomical entity_fin: {'infundibulum': {}, 'origin': {}, 'right posterior communicating artery': {}}anatomical entity_fin: {'posterior communicating arteries': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'left superior cerebellar artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'origin': {}, 'left posterior inferior cerebellar artery': {}}anatomical entity_fin: {'right vertebral artery': {}, 'left vertebral artery': {}}clinical findings_fin: {'larger': {'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'nasal cavity': {}, 'spine': {}, 'maxilla': {}}location descriptor_fin: ['anterior', 'right']clinical findings_fin: {'status post nasal cavity surgery': {'clinical finding': 'status post nasal cavity surgery', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'status post nasal cavity', 'observation': 'surgery'}, 'removal': {'clinical finding': 'removal', 'existence': 'pos_dx', 'observation': 'removal'}, 'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] Brain. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No intracranial arterial stenosis is appreciated. There is triplication of the anterior cerebral artery. The left A1 segment appears to bifurcate into the pericallosal artery and the left callosomarginal artery whereas the right A1 segment supplies the right callosomarginal artery. The right A1 segment is a little bit smaller than the left A1 segment. The anterior communicating artery is small to medium size. There is a 7.5 mm x 5.5 mm anteriorly directed aneurysm which originates at the anterior communicating artery region but specifically from the left side at the bifurcation of the left A1 segment into callosomarginal and pericallosal arteries. The aneurysm has a 2.5 mm neck. There is a 2.5 mm infundibulum at the origin of the right posterior communicating artery. The posterior communicating arteries are very small. The left superior cerebellar artery originates from the left P1 segment. There is extracranial origin of the left posterior inferior cerebellar artery. The right vertebral artery is larger than the left vertebral artery. The CSF spaces are appropriate for the patients stated age with no midline shift. The patient is status post nasal cavity surgery with removal of the anterior aspect of the nasal septum, anterior nasal spine of the maxilla and some of the right-sided nasal cartilage. Periventricular and subcortical white matter hypodensities of a mild degree are present. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s> |
Nonenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is prominence of cortical sulci which may be at the upper limits of normal for age however possibility of underlying parenchymal volume loss should also be considered. This appearance remains similar to prior exam from 2014. Ventricular system are within normal size for age and with maintained midline. CSF spaces remain widely patent. The gray-white matter differentiation is preserved. Unremarkable calvarium, orbits, paranasal sinuses and mastoid air cells. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}location descriptor_fin: ['upper']clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'within normal': {'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , orbits , paranasal sinuses and mastoid air cells'}} | Write the finding section for a radiology report based on the following information: | <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'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}location descriptor_fin: ['upper']clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}location descriptor_fin: ['midline']clinical findings_fin: {'within normal': {'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , orbits , paranasal sinuses and mastoid air cells'}} [/INST] Nonenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is prominence of cortical sulci which may be at the upper limits of normal for age however possibility of underlying parenchymal volume loss should also be considered. This appearance remains similar to prior exam from 2014. Ventricular system are within normal size for age and with maintained midline. CSF spaces remain widely patent. The gray-white matter differentiation is preserved. Unremarkable calvarium, orbits, paranasal sinuses and mastoid air cells. </s> |
. Eft upper lobe lung nodule is new. It measures1.3 x 1.1 cm. Heart size is normal. No pericardial effusion. Index anterior mediastinal lymph node measures 2.0 x 1.6 cm previously, 2.1 x 1.4 cm. Right chest wall port terminates at the cavoatrial junction. Bilobar hepatic masses. The segment 8 lesion that extends to the caudate measures 7.8 x 6.8 cm previously, 6.5 x 5.1 cm. The lesion underneath the capsule in segment 8 measures 3.5 x 3.0 cm previously, 4.6 x 4.0 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Regression of hydronephrosis of the left kidney. The left kidney enhances poorly. Right kidney has a cyst at its lower pole. Extensive retroperitoneal lymphadenopathy. The periaortic lymph node mass has increased in size measuring 9.9 x 9.0 cm previously, 8.9 x 7.8 cm. Small bowel loops are tethered to the retroperitoneal mass. No bowel obstruction. There is new peritoneal lesions anteriorly. There are postsurgical changes in the colon with a right lower abdominal ostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes affects the hips. No significant abnormality noted | anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe lung nodule': {'clinical finding': 'upper lobe lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'upper lobe lung', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '2.0 x 1.6 cm'}, {'size': '2.1 x 1.4 cm'}]anatomical entity_fin: {'anterior mediastinal lymph node': {}}clinical findings_fin: {'index anterior mediastinal lymph node': {'clinical finding': 'index anterior mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index anterior mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'bilobar hepatic masses': {'clinical finding': 'bilobar hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic', 'observation': 'mass'}}size_fin: [{'size': '7.8 x 6.8 cm'}, {'size': '6.5 x 5.1 cm'}]clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', 'observation': 'lesion'}}size_fin: [{'size': '3.5 x 3.0 cm'}, {'size': '4.6 x 4.0 cm'}]anatomical entity_fin: {'capsule': {}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'left kidney': {}}anatomical entity_fin: {'right kidney': {}, 'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'extensive retroperitoneal lymphadenopathy': {'clinical finding': 'extensive retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive retroperitoneal', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'}}size_fin: [{'size': '9.9 x 9.0 cm'}, {'size': '8.9 x 7.8 cm'}]clinical findings_fin: {'periaortic lymph node mass': {'clinical finding': 'periaortic lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'periaortic lymph node', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'retroperitoneal mass': {'clinical finding': 'retroperitoneal mass', 'cf_snomed': {'retroperitoneal mass': 69559004}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'new peritoneal lesions': {'clinical finding': 'new peritoneal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new peritoneal', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hips': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}, 'lung': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe lung nodule': {'clinical finding': 'upper lobe lung nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'upper lobe lung', 'observation': 'nodule'}}size_fin: [{'size': '1.3 x 1.1 cm'}]anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '2.0 x 1.6 cm'}, {'size': '2.1 x 1.4 cm'}]anatomical entity_fin: {'anterior mediastinal lymph node': {}}clinical findings_fin: {'index anterior mediastinal lymph node': {'clinical finding': 'index anterior mediastinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index anterior mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'bilobar hepatic masses': {'clinical finding': 'bilobar hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'bilobar hepatic', 'observation': 'mass'}}size_fin: [{'size': '7.8 x 6.8 cm'}, {'size': '6.5 x 5.1 cm'}]clinical findings_fin: {'segment 8 lesion': {'clinical finding': 'segment 8 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 8', 'observation': 'lesion'}}size_fin: [{'size': '3.5 x 3.0 cm'}, {'size': '4.6 x 4.0 cm'}]anatomical entity_fin: {'capsule': {}}clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'left kidney': {}}anatomical entity_fin: {'right kidney': {}, 'pole': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'observation': 'cyst'}}clinical findings_fin: {'extensive retroperitoneal lymphadenopathy': {'clinical finding': 'extensive retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'extensive retroperitoneal', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'}}size_fin: [{'size': '9.9 x 9.0 cm'}, {'size': '8.9 x 7.8 cm'}]clinical findings_fin: {'periaortic lymph node mass': {'clinical finding': 'periaortic lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'periaortic lymph node', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'retroperitoneal mass': {'clinical finding': 'retroperitoneal mass', 'cf_snomed': {'retroperitoneal mass': 69559004}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'new peritoneal lesions': {'clinical finding': 'new peritoneal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new peritoneal', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}}imaging observation_fin: ['colon']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hips': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Eft upper lobe lung nodule is new. It measures1.3 x 1.1 cm. Heart size is normal. No pericardial effusion. Index anterior mediastinal lymph node measures 2.0 x 1.6 cm previously, 2.1 x 1.4 cm. Right chest wall port terminates at the cavoatrial junction. Bilobar hepatic masses. The segment 8 lesion that extends to the caudate measures 7.8 x 6.8 cm previously, 6.5 x 5.1 cm. The lesion underneath the capsule in segment 8 measures 3.5 x 3.0 cm previously, 4.6 x 4.0 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Regression of hydronephrosis of the left kidney. The left kidney enhances poorly. Right kidney has a cyst at its lower pole. Extensive retroperitoneal lymphadenopathy. The periaortic lymph node mass has increased in size measuring 9.9 x 9.0 cm previously, 8.9 x 7.8 cm. Small bowel loops are tethered to the retroperitoneal mass. No bowel obstruction. There is new peritoneal lesions anteriorly. There are postsurgical changes in the colon with a right lower abdominal ostomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes affects the hips. No significant abnormality noted </s> |
. Poorly defined groundglass opacity in the right middle lobe is unchanged. Intrapulmonary lymph nodes in the right major fissure also appear similar to prior. Enlarged superior prevascular and partially imaged supraclavicular lymph nodes are not significantly changed. Slight interval enlargement of right cardiophrenic lymph nodes. The heart size is within normal limits, no significant pericardial effusion. Soft tissue density in the anterior mediastinum likely represents thymic hyperplasia. None. No significant abnormality noted. Scattered hypoattenuating hepatic lesions, which have increased when compared to prior outside study. A lesion in the periphery of the left hepatic lobe measures 19 x 16 mm , previously 14 x 10 mm. Surgically absent. Status post distal pancreatectomy. No pancreatic ductal dilatation. No definite pancreatic lesion is identified. No significant abnormality noted. No significant abnormality noted. Left pararenal metastasis, measuring 31 x 28 mm , previously 26 x 23 mm. IVC filter which terminates at the level of the renal veins. None. Multiple mesenteric metastatic implants for reference, a nodule in the left paracolic gutter measures 10 x 7 mm , not definitely visualized on previous study. The bowel is of normal caliber, without evidence of obstruction. Large amount of stool seen within the rectum. Postoperative changes related to previous bowel obstruction seen within the pelvis. No significant abnormality noted. No significant abnormality noted. Surgically absent. Surgically absent. Enlarged right inguinal lymph node measuring 21 x 19 mm , previously 15 x 15 mm. Status post apparent pelvic lymph node dissection. As above. No significant abnormality noted. No significant abnormality noted. | anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'poorly defined groundglass opacity': {'clinical finding': 'poorly defined groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'poorly defined groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'right major fissure': {}}clinical findings_fin: {'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['superior']clinical findings_fin: {'enlarged superior prevascular and partially imaged supraclavicular lymph nodes': {'clinical finding': 'enlarged superior prevascular and partially imaged supraclavicular lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged superior prevascular and partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged - superior - partially', 'change_term': 'enlarged'}}location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic lymph nodes': {'clinical finding': 'right cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating hepatic lesions': {'clinical finding': 'hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '19 x 16 mm'}, {'size': '14 x 10 mm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'definite pancreatic lesion': {'clinical finding': 'definite pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite pancreatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '31 x 28 mm'}, {'size': '26 x 23 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pararenal metastasis': {'clinical finding': 'left pararenal metastasis', 'existence': 'pos_dx', 'descriptive_term': 'left pararenal', 'observation': 'metastasis'}}anatomical entity_fin: {'renal veins': {}}object_fin: ['filter']size_fin: [{'size': '10 x 7 mm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple mesenteric metastatic implants': {'clinical finding': 'multiple mesenteric metastatic implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple mesenteric metastatic', 'observation': 'implant', 'quantity_term': 'multiple'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'large amount of stool seen within the rectum': {'clinical finding': 'large amount of stool seen within the rectum'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous bowel obstruction': {'clinical finding': 'previous bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'previous bowel', 'observation': 'obstruction', 'temporal_term': 'previous'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '21 x 19 mm'}, {'size': '15 x 15 mm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right inguinal lymph node': {'clinical finding': 'enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}procedure_fin: ['lymph node dissection']clinical findings_fin: {'apparent pelvic lymph node dissection': {'clinical finding': 'apparent pelvic lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'apparent pelvic lymph node', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'poorly defined groundglass opacity': {'clinical finding': 'poorly defined groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'poorly defined groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'right major fissure': {}}clinical findings_fin: {'intrapulmonary lymph nodes': {'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'}}anatomical entity_fin: {'supraclavicular lymph nodes': {}}location descriptor_fin: ['superior']clinical findings_fin: {'enlarged superior prevascular and partially imaged supraclavicular lymph nodes': {'clinical finding': 'enlarged superior prevascular and partially imaged supraclavicular lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged superior prevascular and partially imaged supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged - superior - partially', 'change_term': 'enlarged'}}location descriptor_fin: ['right']clinical findings_fin: {'right cardiophrenic lymph nodes': {'clinical finding': 'right cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right cardiophrenic lymph', 'observation': 'node'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'thymic hyperplasia': {'clinical finding': 'thymic hyperplasia', 'cf_snomed': {'hyperplasia': 76197007}, 'existence': 'pos_dx', 'descriptive_term': 'thymic', 'observation': 'hyperplasia'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hypoattenuating hepatic lesions': {'clinical finding': 'hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating hepatic', 'observation': 'lesion'}}size_fin: [{'size': '19 x 16 mm'}, {'size': '14 x 10 mm'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['left']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']clinical findings_fin: {'definite pancreatic lesion': {'clinical finding': 'definite pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'definite pancreatic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '31 x 28 mm'}, {'size': '26 x 23 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left pararenal metastasis': {'clinical finding': 'left pararenal metastasis', 'existence': 'pos_dx', 'descriptive_term': 'left pararenal', 'observation': 'metastasis'}}anatomical entity_fin: {'renal veins': {}}object_fin: ['filter']size_fin: [{'size': '10 x 7 mm'}]anatomical entity_fin: {'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multiple mesenteric metastatic implants': {'clinical finding': 'multiple mesenteric metastatic implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple mesenteric metastatic', 'observation': 'implant', 'quantity_term': 'multiple'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'large amount of stool seen within the rectum': {'clinical finding': 'large amount of stool seen within the rectum'}}anatomical entity_fin: {'bowel': {}, 'pelvis': {}}clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'previous bowel obstruction': {'clinical finding': 'previous bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'previous bowel', 'observation': 'obstruction', 'temporal_term': 'previous'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '21 x 19 mm'}, {'size': '15 x 15 mm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged right inguinal lymph node': {'clinical finding': 'enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}procedure_fin: ['lymph node dissection']clinical findings_fin: {'apparent pelvic lymph node dissection': {'clinical finding': 'apparent pelvic lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'apparent pelvic lymph node', 'observation': 'dissection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Poorly defined groundglass opacity in the right middle lobe is unchanged. Intrapulmonary lymph nodes in the right major fissure also appear similar to prior. Enlarged superior prevascular and partially imaged supraclavicular lymph nodes are not significantly changed. Slight interval enlargement of right cardiophrenic lymph nodes. The heart size is within normal limits, no significant pericardial effusion. Soft tissue density in the anterior mediastinum likely represents thymic hyperplasia. None. No significant abnormality noted. Scattered hypoattenuating hepatic lesions, which have increased when compared to prior outside study. A lesion in the periphery of the left hepatic lobe measures 19 x 16 mm , previously 14 x 10 mm. Surgically absent. Status post distal pancreatectomy. No pancreatic ductal dilatation. No definite pancreatic lesion is identified. No significant abnormality noted. No significant abnormality noted. Left pararenal metastasis, measuring 31 x 28 mm , previously 26 x 23 mm. IVC filter which terminates at the level of the renal veins. None. Multiple mesenteric metastatic implants for reference, a nodule in the left paracolic gutter measures 10 x 7 mm , not definitely visualized on previous study. The bowel is of normal caliber, without evidence of obstruction. Large amount of stool seen within the rectum. Postoperative changes related to previous bowel obstruction seen within the pelvis. No significant abnormality noted. No significant abnormality noted. Surgically absent. Surgically absent. Enlarged right inguinal lymph node measuring 21 x 19 mm , previously 15 x 15 mm. Status post apparent pelvic lymph node dissection. As above. No significant abnormality noted. No significant abnormality noted. </s> |
Again seen is diffuse nasopharyngeal mucosal thickening and edema, similar to prior, without discrete enhancing mass lesion identified. Additional edema involving the supraglottic larynx and hypopharynx is noted. The left piriform sinus is now more readily visualized, without local mass lesion. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. There is persistent partial opacification of the bilateral maxillary sinuses and ethmoid air cells. There is complete opacification of the bilateral middle ears and mastoid air cells. The sphenoid portions of skull base are diffusely sclerotic, without focal lesions, unchanged from prior and likely treatment related. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. The cervical spine shows mild degenerative findings, with stable mild retrolisthesis of C4 on C5, unchanged. The visualized lungs show apical scarring and emphysema. The carotid arteries and jugular veins are patent. | imaging observation_fin: ['enhancing']clinical findings_fin: {'diffuse nasopharyngeal mucosal thickening': {'clinical finding': 'diffuse nasopharyngeal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nasopharyngeal mucosal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete enhancing mass lesion': {'clinical finding': 'discrete enhancing mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete enhancing mass', 'observation': 'lesion'}}anatomical entity_fin: {'larynx': {}, 'hypopharynx': {}}clinical findings_fin: {'additional edema': {'clinical finding': 'additional edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'edema'}}location descriptor_fin: ['left']clinical findings_fin: {'local mass lesion': {'clinical finding': 'local mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'local mass', 'observation': 'lesion'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ears': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}, 'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}}anatomical entity_fin: {'skull': {}, 'base': {}}procedure_fin: ['treatment']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'stable mild retrolisthesis': {'clinical finding': 'stable mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'retrolisthesis', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']clinical findings_fin: {'apical scarring': {'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['enhancing']clinical findings_fin: {'diffuse nasopharyngeal mucosal thickening': {'clinical finding': 'diffuse nasopharyngeal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nasopharyngeal mucosal', 'observation': 'thickening'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'discrete enhancing mass lesion': {'clinical finding': 'discrete enhancing mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'discrete enhancing mass', 'observation': 'lesion'}}anatomical entity_fin: {'larynx': {}, 'hypopharynx': {}}clinical findings_fin: {'additional edema': {'clinical finding': 'additional edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'edema'}}location descriptor_fin: ['left']clinical findings_fin: {'local mass lesion': {'clinical finding': 'local mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'local mass', 'observation': 'lesion'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ears': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}, 'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}}anatomical entity_fin: {'skull': {}, 'base': {}}procedure_fin: ['treatment']clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}, 'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'stable mild retrolisthesis': {'clinical finding': 'stable mild retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'retrolisthesis', 'strength_term': 'stable - mild', 'change_term': 'stable'}}anatomical entity_fin: {'lungs': {}}imaging observation_fin: ['apical']clinical findings_fin: {'apical scarring': {'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'}, 'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}} [/INST] Again seen is diffuse nasopharyngeal mucosal thickening and edema, similar to prior, without discrete enhancing mass lesion identified. Additional edema involving the supraglottic larynx and hypopharynx is noted. The left piriform sinus is now more readily visualized, without local mass lesion. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. There is persistent partial opacification of the bilateral maxillary sinuses and ethmoid air cells. There is complete opacification of the bilateral middle ears and mastoid air cells. The sphenoid portions of skull base are diffusely sclerotic, without focal lesions, unchanged from prior and likely treatment related. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. The cervical spine shows mild degenerative findings, with stable mild retrolisthesis of C4 on C5, unchanged. The visualized lungs show apical scarring and emphysema. The carotid arteries and jugular veins are patent. </s> |
There are postoperative findings related to right parotidectomy. There is no evidence of measurable mass lesions or significant lymphadenopathy in the neck based on size criteria. The thyroid gland appears normal. There is persistent hyperemia of the right submandibular gland. There is atherosclerotic plaque at the carotid bifurcations. There is multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. There is persistent partial opacification of right mastoid air cells and middle ear. There is biapical pulmonary scarring. There is a persistent subcentimeter retention cyst in the left maxillary sinus. | location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland appears normal': {'clinical finding': 'thyroid gland appears normal'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'persistent hyperemia': {'clinical finding': 'persistent hyperemia', 'cf_snomed': {'hyperemia': 30098003}, 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperemia', 'temporal_term': 'persistent'}, 'right submandibular gland': {'clinical finding': 'right submandibular gland', 'existence': 'pos_dx', 'descriptive_term': 'right submandibular', 'observation': 'gland'}}clinical findings_fin: {'atherosclerotic plaque': {'clinical finding': 'atherosclerotic plaque', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'plaque'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}, 'middle ear': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}, 'right mastoid air cells': {'clinical finding': 'right mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'right mastoid air', 'observation': 'cell'}}clinical findings_fin: {'biapical pulmonary scarring': {'clinical finding': 'biapical pulmonary scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pulmonary', 'observation': 'scarr'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'persistent subcentimeter retention cyst': {'clinical finding': 'persistent subcentimeter retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent subcentimeter retention', 'observation': 'cyst', 'temporal_term': 'persistent'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland appears normal': {'clinical finding': 'thyroid gland appears normal'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'persistent hyperemia': {'clinical finding': 'persistent hyperemia', 'cf_snomed': {'hyperemia': 30098003}, 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperemia', 'temporal_term': 'persistent'}, 'right submandibular gland': {'clinical finding': 'right submandibular gland', 'existence': 'pos_dx', 'descriptive_term': 'right submandibular', 'observation': 'gland'}}clinical findings_fin: {'atherosclerotic plaque': {'clinical finding': 'atherosclerotic plaque', 'cf_snomed': {'plaque': 1522000}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'plaque'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}, 'middle ear': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent partial opacification': {'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent'}, 'right mastoid air cells': {'clinical finding': 'right mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'right mastoid air', 'observation': 'cell'}}clinical findings_fin: {'biapical pulmonary scarring': {'clinical finding': 'biapical pulmonary scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pulmonary', 'observation': 'scarr'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'persistent subcentimeter retention cyst': {'clinical finding': 'persistent subcentimeter retention cyst', 'cf_snomed': {'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent subcentimeter retention', 'observation': 'cyst', 'temporal_term': 'persistent'}} [/INST] There are postoperative findings related to right parotidectomy. There is no evidence of measurable mass lesions or significant lymphadenopathy in the neck based on size criteria. The thyroid gland appears normal. There is persistent hyperemia of the right submandibular gland. There is atherosclerotic plaque at the carotid bifurcations. There is multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. There is persistent partial opacification of right mastoid air cells and middle ear. There is biapical pulmonary scarring. There is a persistent subcentimeter retention cyst in the left maxillary sinus. </s> |
Absence of oral contrast limits evaluation of bowel. Mild atherosclerotic calcification of the abdominal aorta. The right kidney is supplied by two arteries with independent origins the accessory right renal artery has a low insertion on the abdominal aorta immediately above the iliac bifurcation. The left kidney is supplied by a single renal artery. Conventional renal venous drainage bilaterally. The abdominal aorta and remaining peripheral branches are widely patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The right kidney measures 6.6 cm in width and 11.7 cm in length. The left kidney measures 5.8 cm in width and 12.1 cm in length. No hydronephrosis or hydroureter. No renal masses are identified. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'right kidney': {}, 'arteries': {}, 'origins': {}, 'right renal artery': {}, 'insertion': {}, 'abdominal aorta': {}}clinical findings_fin: {'supplied': {'clinical finding': 'supplied', 'existence': 'pos_dx', 'observation': 'supply'}}anatomical entity_fin: {'left kidney': {}, 'renal artery': {}}clinical findings_fin: {'supplied': {'clinical finding': 'supplied', 'existence': 'pos_dx', 'observation': 'supply'}}procedure_fin: ['drainage']anatomical entity_fin: {'abdominal aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6.6 cm'}, {'size': '11.7 cm'}]anatomical entity_fin: {'right kidney': {}}size_fin: [{'size': '5.8 cm'}, {'size': '12.1 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}clinical findings_fin: {'renal masses': {'clinical finding': 'renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'atherosclerotic calcification of the abdominal aorta': {'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'right kidney': {}, 'arteries': {}, 'origins': {}, 'right renal artery': {}, 'insertion': {}, 'abdominal aorta': {}}clinical findings_fin: {'supplied': {'clinical finding': 'supplied', 'existence': 'pos_dx', 'observation': 'supply'}}anatomical entity_fin: {'left kidney': {}, 'renal artery': {}}clinical findings_fin: {'supplied': {'clinical finding': 'supplied', 'existence': 'pos_dx', 'observation': 'supply'}}procedure_fin: ['drainage']anatomical entity_fin: {'abdominal aorta': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6.6 cm'}, {'size': '11.7 cm'}]anatomical entity_fin: {'right kidney': {}}size_fin: [{'size': '5.8 cm'}, {'size': '12.1 cm'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'hydroureter': {'clinical finding': 'hydroureter', 'cf_snomed': {'hydroureter': 69758005}, 'existence': 'neg_dx', 'observation': 'hydroureter'}}clinical findings_fin: {'renal masses': {'clinical finding': 'renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Absence of oral contrast limits evaluation of bowel. Mild atherosclerotic calcification of the abdominal aorta. The right kidney is supplied by two arteries with independent origins the accessory right renal artery has a low insertion on the abdominal aorta immediately above the iliac bifurcation. The left kidney is supplied by a single renal artery. Conventional renal venous drainage bilaterally. The abdominal aorta and remaining peripheral branches are widely patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The right kidney measures 6.6 cm in width and 11.7 cm in length. The left kidney measures 5.8 cm in width and 12.1 cm in length. No hydronephrosis or hydroureter. No renal masses are identified. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. Exam is slightly limited by motion artifact. Small right pleural effusion. Bilateral lung base nodules compatible with history of metastatic cancer. For reference, left lung base lesion measures 0.7 x 0.6 cm. Partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy. For reference, subcarinal lymph node measures 3.0 x 2.4 cm. Hepatomegaly with numerous hepatic hypodensities compatible with metastases. For reference right posterior lesion measures 2.6 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypodensities in the kidneys too small to characterize. Mild symmetric perinephric fat stranding. No significant abnormality noted. Moderate. Contrast-filled esophagus, correlate with symptoms of reflux. Diffuse osseous lesions. No significant abnormality noted. Metallic densities in the prostate noted. No significant abnormality noted. No significant abnormality noted. Sigmoid diverticulosis without evidence of diverticulitis. Bilateral fat-containing inguinal hernias. Diffuse osseous lesions. No significant abnormality noted | artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'base': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral lung base nodules': {'clinical finding': 'bilateral lung base nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lung base', 'observation': 'nodule'}, 'metastatic cancer': {'clinical finding': 'metastatic cancer', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'cancer'}}size_fin: [{'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'left lung base lesion': {'clinical finding': 'left lung base lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left lung base', 'observation': 'lesion'}}clinical findings_fin: {'partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy': {'clinical finding': 'partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'partially imaged mediastinal hilar and cardiophrenic', 'observation': 'lymphadenopathy', 'strength_term': 'partially'}}size_fin: [{'size': '3.0 x 2.4 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}, 'numerous hepatic hypodensities': {'clinical finding': 'numerous hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior lesion': {'clinical finding': 'right posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}imaging observation_fin: ['fat']clinical findings_fin: {'mild symmetric perinephric fat stranding': {'clinical finding': 'mild symmetric perinephric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild symmetric perinephric fat', 'observation': 'strand', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}}clinical findings_fin: {'diffuse osseous lesions': {'clinical finding': 'diffuse osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'metallic densities': {'clinical finding': 'metallic densities', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'density'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'sigmoid diverticulosis': {'clinical finding': 'sigmoid diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral fat-containing inguinal hernias': {'clinical finding': 'bilateral fat-containing inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral fat-containing inguinal', 'observation': 'hernias'}}clinical findings_fin: {'diffuse osseous lesions': {'clinical finding': 'diffuse osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: {'motion artifact': {'clinical finding': 'motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'}}location descriptor_fin: ['right']clinical findings_fin: {'small right pleural effusion': {'clinical finding': 'small right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'lung': {'location descriptor': 'bilateral'}, 'base': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral lung base nodules': {'clinical finding': 'bilateral lung base nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lung base', 'observation': 'nodule'}, 'metastatic cancer': {'clinical finding': 'metastatic cancer', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'cancer'}}size_fin: [{'size': '0.7 x 0.6 cm'}]anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'left lung base lesion': {'clinical finding': 'left lung base lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'left lung base', 'observation': 'lesion'}}clinical findings_fin: {'partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy': {'clinical finding': 'partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'partially imaged mediastinal hilar and cardiophrenic', 'observation': 'lymphadenopathy', 'strength_term': 'partially'}}size_fin: [{'size': '3.0 x 2.4 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'subcarinal lymph node': {}}clinical findings_fin: {'subcarinal lymph node': {'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'}}clinical findings_fin: {'hepatomegaly': {'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'}, 'numerous hepatic hypodensities': {'clinical finding': 'numerous hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'metastases': {'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'}}size_fin: [{'size': '2.6 x 2.4 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right posterior lesion': {'clinical finding': 'right posterior lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right posterior', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'}}imaging observation_fin: ['fat']clinical findings_fin: {'mild symmetric perinephric fat stranding': {'clinical finding': 'mild symmetric perinephric fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild symmetric perinephric fat', 'observation': 'strand', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}}clinical findings_fin: {'diffuse osseous lesions': {'clinical finding': 'diffuse osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'metallic densities': {'clinical finding': 'metallic densities', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'density'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'sigmoid diverticulosis': {'clinical finding': 'sigmoid diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral fat-containing inguinal hernias': {'clinical finding': 'bilateral fat-containing inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral fat-containing inguinal', 'observation': 'hernias'}}clinical findings_fin: {'diffuse osseous lesions': {'clinical finding': 'diffuse osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Exam is slightly limited by motion artifact. Small right pleural effusion. Bilateral lung base nodules compatible with history of metastatic cancer. For reference, left lung base lesion measures 0.7 x 0.6 cm. Partially imaged mediastinal, hilar, and cardiophrenic lymphadenopathy. For reference, subcarinal lymph node measures 3.0 x 2.4 cm. Hepatomegaly with numerous hepatic hypodensities compatible with metastases. For reference right posterior lesion measures 2.6 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypodensities in the kidneys too small to characterize. Mild symmetric perinephric fat stranding. No significant abnormality noted. Moderate. Contrast-filled esophagus, correlate with symptoms of reflux. Diffuse osseous lesions. No significant abnormality noted. Metallic densities in the prostate noted. No significant abnormality noted. No significant abnormality noted. Sigmoid diverticulosis without evidence of diverticulitis. Bilateral fat-containing inguinal hernias. Diffuse osseous lesions. No significant abnormality noted </s> |
.Scattered micronodules, likely postinflammatory not substantially changed compared to prior. Unchanged right hilar lymph node measuring 1.3 x 1.2 cm. Scattered small mediastinal lymph nodes also stable. Moderate. Unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. Few scattered hepatic cysts, unchanged. No suspicious hepatic lesions. Patent hepatic vasculature. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter bilateral renal hypoattenuating foci, too small to characterize. Focal areas of left renal cortical thinning or scar. No lymphadenopathy. Scattered small retroperitoneal lymph nodes. Mild. Scattered colonic diverticula. Mostly unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. There is increasing collapse of the T11 vertebral body compared to prior consider correlation with thoracic spine MRI as clinically indicated. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. No pelvic lymphadenopathy. Scattered colonic diverticula. Unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. No significant abnormality noted | clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}size_fin: [{'size': '1.3 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'unchanged right hilar lymph node': {'clinical finding': 'unchanged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right hilar lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'unchanged sclerotic metastases': {'clinical finding': 'unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'few scattered hepatic cysts': {'clinical finding': 'few scattered hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'few scattered hepatic', 'observation': 'cyst', 'quantity_term': 'few'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent hepatic vasculature': {'clinical finding': 'patent hepatic vasculature', 'change_term': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'subcentimeter bilateral renal hypoattenuating foci': {'clinical finding': 'subcentimeter bilateral renal hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter bilateral renal hypoattenuating', 'observation': 'foci'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cortical thinning': {'clinical finding': 'left renal cortical thinning', 'existence': 'unc_dx', 'descriptive_term': 'left renal cortical', 'observation': 'thinning'}, 'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered small retroperitoneal lymph nodes': {'clinical finding': 'scattered small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mostly unchanged sclerotic metastases': {'clinical finding': 'mostly unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'mostly unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'t11 vertebral body': {}, 'thoracic spine': {}}clinical findings_fin: {'increasing collapse': {'clinical finding': 'increasing collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'increasing', 'observation': 'collapse', 'strength_term': 'increasing', 'change_term': 'increasing'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'unchanged sclerotic metastases': {'clinical finding': 'unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}size_fin: [{'size': '1.3 x 1.2 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'unchanged right hilar lymph node': {'clinical finding': 'unchanged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right hilar lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'unchanged sclerotic metastases': {'clinical finding': 'unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'few scattered hepatic cysts': {'clinical finding': 'few scattered hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'few scattered hepatic', 'observation': 'cyst', 'quantity_term': 'few'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent hepatic vasculature': {'clinical finding': 'patent hepatic vasculature', 'change_term': 'patent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'subcentimeter bilateral renal hypoattenuating foci': {'clinical finding': 'subcentimeter bilateral renal hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter bilateral renal hypoattenuating', 'observation': 'foci'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal cortical thinning': {'clinical finding': 'left renal cortical thinning', 'existence': 'unc_dx', 'descriptive_term': 'left renal cortical', 'observation': 'thinning'}, 'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered small retroperitoneal lymph nodes': {'clinical finding': 'scattered small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'mostly unchanged sclerotic metastases': {'clinical finding': 'mostly unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'mostly unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'t11 vertebral body': {}, 'thoracic spine': {}}clinical findings_fin: {'increasing collapse': {'clinical finding': 'increasing collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'increasing', 'observation': 'collapse', 'strength_term': 'increasing', 'change_term': 'increasing'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'scattered colonic diverticula': {'clinical finding': 'scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered colonic', 'observation': 'diverticula'}}anatomical entity_fin: {'skeleton': {}, 'ribs': {}, 'sternum': {}, 'spine': {}, 'pelvis': {}, 'femurs': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'unchanged sclerotic metastases': {'clinical finding': 'unchanged sclerotic metastases', 'existence': 'pos_dx', 'descriptive_term': 'unchanged sclerotic', 'observation': 'metastase', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] .Scattered micronodules, likely postinflammatory not substantially changed compared to prior. Unchanged right hilar lymph node measuring 1.3 x 1.2 cm. Scattered small mediastinal lymph nodes also stable. Moderate. Unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. Few scattered hepatic cysts, unchanged. No suspicious hepatic lesions. Patent hepatic vasculature. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter bilateral renal hypoattenuating foci, too small to characterize. Focal areas of left renal cortical thinning or scar. No lymphadenopathy. Scattered small retroperitoneal lymph nodes. Mild. Scattered colonic diverticula. Mostly unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. There is increasing collapse of the T11 vertebral body compared to prior consider correlation with thoracic spine MRI as clinically indicated. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. No pelvic lymphadenopathy. Scattered colonic diverticula. Unchanged sclerotic metastases throughout the visualized skeleton, including the ribs, sternum, thoracolumbar spine, pelvis, and proximal femurs. No significant abnormality noted </s> |
Limited evaluation in the absence of intravenous contrast. Interval resolution of bilateral pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes status post cystoprostatectomy, unchanged. New mild right hydronephrosis which continues to the ureter-ileal anastomosis. Subcentimeter exophytic left renal lesion, too small to characterize, unchanged. No significant abnormality noted. Postoperative changes status post ileal conduit and small bowel resection. Right lower quadrant ileostomy. Increased rectus diastasis with increased protruding nonobstructed bowel loops. Interval resolution of previously identified left pelvic fluid collection. New inflammatory changes of the sigmoid colon, with bowel wall thickening and adjacent stranding. New loculated collection anterior to the rectum measuring 4.4 x 3.0 cm. No free intraperitoneal air identified. No suspicious osseous lesion. Increased rectus diastasis with increased protruding nonobstructed bowel loops. No significant abnormality noted. PROSTATE/. Status post cystoprostatectomy. No significant abnormality noted. No significant abnormality noted. Postoperative changes status post ileal conduit and small bowel resection. Right lower quadrant ileostomy. Increased rectus diastasis with increased protruding nonobstructed bowel loops. Interval resolution of previously identified left pelvic fluid collection. New inflammatory changes of the sigmoid colon, with bowel wall thickening and adjacent stranding. New loculated collection anterior to the rectum measuring 4.4 x 3.0 cm. No free intraperitoneal air identified. Mixed sclerotic and lytic lesion within the left iliac bone, unchanged since June 2014 and of uncertain clinical significance. No significant abnormality noted. | location descriptor_fin: ['bilateral']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'ureter': {}, 'anastomosis': {}}location descriptor_fin: ['right']clinical findings_fin: {'new mild right hydronephrosis': {'clinical finding': 'new mild right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'new mild right', 'observation': 'hydronephrosis', 'strength_term': 'mild', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter exophytic left renal lesion': {'clinical finding': 'subcentimeter exophytic left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter exophytic left renal', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}procedure_fin: ['ileal conduit']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously identified left pelvic fluid collection': {'clinical finding': 'previously identified left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left pelvic fluid', 'observation': 'collection'}}anatomical entity_fin: {'sigmoid colon': {}, 'bowel': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new inflammatory changes': {'clinical finding': 'new inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'new inflammatory', 'observation': 'change', 'temporal_term': 'new'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'adjacent stranding': {'clinical finding': 'adjacent stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'strand'}}size_fin: [{'size': '4.4 x 3.0 cm', 'size_descriptor': 'anterior'}]anatomical entity_fin: {'rectum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'new loculated collection anterior to the rectum measuring': {'clinical finding': 'new loculated collection anterior to the rectum measuring'}}clinical findings_fin: {'free intraperitoneal air identified': {'clinical finding': 'free intraperitoneal air identified'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}procedure_fin: ['ileal conduit']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously identified left pelvic fluid collection': {'clinical finding': 'previously identified left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left pelvic fluid', 'observation': 'collection'}}anatomical entity_fin: {'sigmoid colon': {}, 'bowel': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new inflammatory changes': {'clinical finding': 'new inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'new inflammatory', 'observation': 'change', 'temporal_term': 'new'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'adjacent stranding': {'clinical finding': 'adjacent stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'strand'}}size_fin: [{'size': '4.4 x 3.0 cm', 'size_descriptor': 'anterior'}]anatomical entity_fin: {'rectum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'new loculated collection anterior to the rectum measuring': {'clinical finding': 'new loculated collection anterior to the rectum measuring'}}clinical findings_fin: {'free intraperitoneal air identified': {'clinical finding': 'free intraperitoneal air identified'}}location descriptor_fin: ['left']clinical findings_fin: {'mixed sclerotic and lytic lesion': {'clinical finding': 'mixed sclerotic and lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'mixed sclerotic and lytic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'ureter': {}, 'anastomosis': {}}location descriptor_fin: ['right']clinical findings_fin: {'new mild right hydronephrosis': {'clinical finding': 'new mild right hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'pos_dx', 'descriptive_term': 'new mild right', 'observation': 'hydronephrosis', 'strength_term': 'mild', 'temporal_term': 'new'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter exophytic left renal lesion': {'clinical finding': 'subcentimeter exophytic left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter exophytic left renal', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}procedure_fin: ['ileal conduit']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously identified left pelvic fluid collection': {'clinical finding': 'previously identified left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left pelvic fluid', 'observation': 'collection'}}anatomical entity_fin: {'sigmoid colon': {}, 'bowel': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new inflammatory changes': {'clinical finding': 'new inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'new inflammatory', 'observation': 'change', 'temporal_term': 'new'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'adjacent stranding': {'clinical finding': 'adjacent stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'strand'}}size_fin: [{'size': '4.4 x 3.0 cm', 'size_descriptor': 'anterior'}]anatomical entity_fin: {'rectum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'new loculated collection anterior to the rectum measuring': {'clinical finding': 'new loculated collection anterior to the rectum measuring'}}clinical findings_fin: {'free intraperitoneal air identified': {'clinical finding': 'free intraperitoneal air identified'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}procedure_fin: ['ileal conduit']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'increased rectus diastasis': {'clinical finding': 'increased rectus diastasis', 'existence': 'pos_dx', 'descriptive_term': 'increased rectus', 'observation': 'diastasis', 'strength_term': 'increased', 'change_term': 'increased'}, 'increased protruding nonobstructed': {'clinical finding': 'increased protruding nonobstructed', 'existence': 'pos_dx', 'descriptive_term': 'increased protruding', 'observation': 'nonobstructed', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously identified left pelvic fluid collection': {'clinical finding': 'previously identified left pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left pelvic fluid', 'observation': 'collection'}}anatomical entity_fin: {'sigmoid colon': {}, 'bowel': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'new inflammatory changes': {'clinical finding': 'new inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'new inflammatory', 'observation': 'change', 'temporal_term': 'new'}, 'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'adjacent stranding': {'clinical finding': 'adjacent stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'strand'}}size_fin: [{'size': '4.4 x 3.0 cm', 'size_descriptor': 'anterior'}]anatomical entity_fin: {'rectum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'new loculated collection anterior to the rectum measuring': {'clinical finding': 'new loculated collection anterior to the rectum measuring'}}clinical findings_fin: {'free intraperitoneal air identified': {'clinical finding': 'free intraperitoneal air identified'}}location descriptor_fin: ['left']clinical findings_fin: {'mixed sclerotic and lytic lesion': {'clinical finding': 'mixed sclerotic and lytic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'mixed sclerotic and lytic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Limited evaluation in the absence of intravenous contrast. Interval resolution of bilateral pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes status post cystoprostatectomy, unchanged. New mild right hydronephrosis which continues to the ureter-ileal anastomosis. Subcentimeter exophytic left renal lesion, too small to characterize, unchanged. No significant abnormality noted. Postoperative changes status post ileal conduit and small bowel resection. Right lower quadrant ileostomy. Increased rectus diastasis with increased protruding nonobstructed bowel loops. Interval resolution of previously identified left pelvic fluid collection. New inflammatory changes of the sigmoid colon, with bowel wall thickening and adjacent stranding. New loculated collection anterior to the rectum measuring 4.4 x 3.0 cm. No free intraperitoneal air identified. No suspicious osseous lesion. Increased rectus diastasis with increased protruding nonobstructed bowel loops. No significant abnormality noted. PROSTATE/. Status post cystoprostatectomy. No significant abnormality noted. No significant abnormality noted. Postoperative changes status post ileal conduit and small bowel resection. Right lower quadrant ileostomy. Increased rectus diastasis with increased protruding nonobstructed bowel loops. Interval resolution of previously identified left pelvic fluid collection. New inflammatory changes of the sigmoid colon, with bowel wall thickening and adjacent stranding. New loculated collection anterior to the rectum measuring 4.4 x 3.0 cm. No free intraperitoneal air identified. Mixed sclerotic and lytic lesion within the left iliac bone, unchanged since June 2014 and of uncertain clinical significance. No significant abnormality noted. </s> |
. Status post hysterectomy. Within the vaginal cuff, centered more on the left, there is a lobulated, gray T2, low T1 mass, measuring approximately 2.4 x 1.4 x 2.8 cm on sagittal images. This mass demonstrates some diffusion, and parts of it demonstrate avid enhancement with no significant washout. This mass also apparently has a fat plane between the urethra anteriorly, and rectum, posterior, and seems to be contained within the cuff. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | procedure_fin: ['hysterectomy']size_fin: [{'size': '2.4 x 1.4 x 2.8 cm', 'size_descriptor': 't2'}]anatomical entity_fin: {'vaginal cuff': {}}location descriptor_fin: ['left']clinical findings_fin: {'lobulated, gray t2, low t1 mass': {'clinical finding': 'lobulated, gray t2, low t1 mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated gray t2 low t1', 'observation': 'mass', 'change_term': 'lobulated'}}procedure_fin: ['diffusion']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'neg_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}}anatomical entity_fin: {'urethra': {}, 'rectum': {}}imaging observation_fin: ['fat']location descriptor_fin: ['posterior']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: procedure_fin: ['hysterectomy']size_fin: [{'size': '2.4 x 1.4 x 2.8 cm', 'size_descriptor': 't2'}]anatomical entity_fin: {'vaginal cuff': {}}location descriptor_fin: ['left']clinical findings_fin: {'lobulated, gray t2, low t1 mass': {'clinical finding': 'lobulated, gray t2, low t1 mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated gray t2 low t1', 'observation': 'mass', 'change_term': 'lobulated'}}procedure_fin: ['diffusion']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}, 'avid enhancement': {'clinical finding': 'avid enhancement', 'existence': 'neg_dx', 'descriptive_term': 'avid', 'observation': 'enhancement'}}anatomical entity_fin: {'urethra': {}, 'rectum': {}}imaging observation_fin: ['fat']location descriptor_fin: ['posterior']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Status post hysterectomy. Within the vaginal cuff, centered more on the left, there is a lobulated, gray T2, low T1 mass, measuring approximately 2.4 x 1.4 x 2.8 cm on sagittal images. This mass demonstrates some diffusion, and parts of it demonstrate avid enhancement with no significant washout. This mass also apparently has a fat plane between the urethra anteriorly, and rectum, posterior, and seems to be contained within the cuff. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
A tracheostomy tube is in place with soft tissue thickening surrounding the stoma and along the ostomy tract. The supraglottic larynx is edematous and the typical anatomic architecture is distorted. The airway at this level appears to be completely effaced. Asymmetric soft tissue thickening is seen along the left paraglottic space. There appear to be pooling secretions within the lower pharynx and at the base of tongue on the right. Subcutaneous reticulation is seen in the soft tissues of the anterior neck. The fascial planes along the strap muscles are effaced. No pathologic adenopathy is detected by size criteria. The salivary glands are unremarkable. The divided thyroid is free of focal lesions. The cervical vessels appear to enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Emphysema and groundglass opacity is evident in the lung apices. Several small calcified nodules are also evident. Evidence of prior sinonasal surgery is seen. It appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most of the ethmoid air cells. The nasal septum is also deficient. Mucosal thickening is evident within the residual ethmoid air cells and along the small residual maxillary sinus walls. The mastoid air cells are largely clear. No destructive osseous lesions are seen elsewhere. | object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'stoma': {'clinical finding': 'stoma', 'cf_snomed': {'stoma': 245857005}, 'existence': 'pos_dx', 'observation': 'stoma'}}anatomical entity_fin: {'larynx': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'typical anatomic architecture': {'clinical finding': 'typical anatomic architecture', 'existence': 'pos_dx', 'descriptive_term': 'typical anatomic', 'observation': 'architecture'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'paraglottic space': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'asymmetric soft tissue thickening': {'clinical finding': 'asymmetric soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'pharynx': {'location descriptor': 'lower'}, 'base': {}, 'tongue': {}}location descriptor_fin: ['lower', 'right']anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['anterior']clinical findings_fin: {'subcutaneous reticulation': {'clinical finding': 'subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'reticulation'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'several small calcified nodules': {'clinical finding': 'several small calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'several small calcified', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'change_term': 'calcified'}}clinical findings_fin: {'prior sinonasal surgery': {'clinical finding': 'prior sinonasal surgery', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'surgery'}}anatomical entity_fin: {'middle': {}, 'cells': {}}location descriptor_fin: ['superior']clinical findings_fin: {'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most': {'clinical finding': 'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deficient': {'clinical finding': 'deficient', 'existence': 'pos_dx', 'observation': 'deficient'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}, 'walls': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'stoma': {'clinical finding': 'stoma', 'cf_snomed': {'stoma': 245857005}, 'existence': 'pos_dx', 'observation': 'stoma'}}anatomical entity_fin: {'larynx': {}}clinical findings_fin: {'edematous': {'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'}, 'typical anatomic architecture': {'clinical finding': 'typical anatomic architecture', 'existence': 'pos_dx', 'descriptive_term': 'typical anatomic', 'observation': 'architecture'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}anatomical entity_fin: {'paraglottic space': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'asymmetric soft tissue thickening': {'clinical finding': 'asymmetric soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric soft tissue', 'observation': 'thickening'}}anatomical entity_fin: {'pharynx': {'location descriptor': 'lower'}, 'base': {}, 'tongue': {}}location descriptor_fin: ['lower', 'right']anatomical entity_fin: {'neck': {'location descriptor': 'anterior'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['anterior']clinical findings_fin: {'subcutaneous reticulation': {'clinical finding': 'subcutaneous reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'reticulation'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'emphysema': {'clinical finding': 'emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'observation': 'emphysema'}, 'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'several small calcified nodules': {'clinical finding': 'several small calcified nodules', 'cf_snomed': {'calcified nodule': 255003}, 'existence': 'pos_dx', 'descriptive_term': 'several small calcified', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'change_term': 'calcified'}}clinical findings_fin: {'prior sinonasal surgery': {'clinical finding': 'prior sinonasal surgery', 'existence': 'pos_dx', 'descriptive_term': 'prior sinonasal', 'observation': 'surgery'}}anatomical entity_fin: {'middle': {}, 'cells': {}}location descriptor_fin: ['superior']clinical findings_fin: {'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most': {'clinical finding': 'it appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deficient': {'clinical finding': 'deficient', 'existence': 'pos_dx', 'observation': 'deficient'}}anatomical entity_fin: {'cells': {}, 'maxillary sinus': {}, 'walls': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'residual': {'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}} [/INST] A tracheostomy tube is in place with soft tissue thickening surrounding the stoma and along the ostomy tract. The supraglottic larynx is edematous and the typical anatomic architecture is distorted. The airway at this level appears to be completely effaced. Asymmetric soft tissue thickening is seen along the left paraglottic space. There appear to be pooling secretions within the lower pharynx and at the base of tongue on the right. Subcutaneous reticulation is seen in the soft tissues of the anterior neck. The fascial planes along the strap muscles are effaced. No pathologic adenopathy is detected by size criteria. The salivary glands are unremarkable. The divided thyroid is free of focal lesions. The cervical vessels appear to enhance normally with evidence of atherosclerotic calcification at the carotid bifurcations. Emphysema and groundglass opacity is evident in the lung apices. Several small calcified nodules are also evident. Evidence of prior sinonasal surgery is seen. It appears that maxillary antrostomies have been performed along with resection of the middle and superior turbinates and most of the ethmoid air cells. The nasal septum is also deficient. Mucosal thickening is evident within the residual ethmoid air cells and along the small residual maxillary sinus walls. The mastoid air cells are largely clear. No destructive osseous lesions are seen elsewhere. </s> |
.There is no evidence of intracranial hemorrhage. There are scattered patchy foci of hypoattenuation within the supratentorial white matter that are most compatible with age indeterminant small vessel ischemic disease. There is diffuse volume loss of the cerebellum and to a lesser extent the brainstem. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of flow-limiting stenosis or occlusion. There are subcentimeter thyroid nodules. There are degenerative changes of the cervical spine with multilevel disc height loss and end plate degenerative changes as well as grade 1 anterolisthesis of C3 on C4 and minimal grade 1 retrolisthesis of C4 on C5 and C5 on C6. There is probable resultant mild spinal canal stenosis at C3-C4. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered patchy foci': {'clinical finding': 'scattered patchy foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered patchy', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age indeterminant small vessel ischemic disease': {'clinical finding': 'age indeterminant small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminant small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'cerebellum': {}, 'brainstem': {}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'origin': {}, 'left subclavian artery': {}, 'common carotid artery': {'location descriptor': 'left'}, 'brachiocephalic artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'common carotid arteries': {}, 'internal carotid arteries': {}}clinical findings_fin: {'common carotid arteries and cervical internal carotid arteries are normal in course and caliber': {'clinical finding': 'common carotid arteries and cervical internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'vertebral artery': {}, 'origins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'subcentimeter thyroid nodules': {'clinical finding': 'subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}, 'end plate': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'multilevel disc height loss': {'clinical finding': 'multilevel disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc height', 'observation': 'loss'}, 'end plate degenerative changes': {'clinical finding': 'end plate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'end plate degenerative', 'observation': 'change'}, 'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}, 'retrolisthesis': {'clinical finding': 'retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'observation': 'retrolisthesis'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'probable resultant mild spinal canal stenosis': {'clinical finding': 'probable resultant mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'probable resultant mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered patchy foci': {'clinical finding': 'scattered patchy foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered patchy', 'observation': 'foci'}, 'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'age indeterminant small vessel ischemic disease': {'clinical finding': 'age indeterminant small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminant small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}anatomical entity_fin: {'cerebellum': {}, 'brainstem': {}}clinical findings_fin: {'diffuse volume loss': {'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'origin': {}, 'left subclavian artery': {}, 'common carotid artery': {'location descriptor': 'left'}, 'brachiocephalic artery': {}}location descriptor_fin: ['left']anatomical entity_fin: {'common carotid arteries': {}, 'internal carotid arteries': {}}clinical findings_fin: {'common carotid arteries and cervical internal carotid arteries are normal in course and caliber': {'clinical finding': 'common carotid arteries and cervical internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'vertebral artery': {}, 'origins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'occlusion': {'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'}}clinical findings_fin: {'subcentimeter thyroid nodules': {'clinical finding': 'subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'cervical spine': {}, 'disc': {}, 'end plate': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'multilevel disc height loss': {'clinical finding': 'multilevel disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc height', 'observation': 'loss'}, 'end plate degenerative changes': {'clinical finding': 'end plate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'end plate degenerative', 'observation': 'change'}, 'anterolisthesis': {'clinical finding': 'anterolisthesis', 'existence': 'pos_dx', 'observation': 'anterolisthesis'}, 'retrolisthesis': {'clinical finding': 'retrolisthesis', 'cf_snomed': {'retrolisthesis': 416981004}, 'existence': 'pos_dx', 'observation': 'retrolisthesis'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'probable resultant mild spinal canal stenosis': {'clinical finding': 'probable resultant mild spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'probable resultant mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'}} [/INST] .There is no evidence of intracranial hemorrhage. There are scattered patchy foci of hypoattenuation within the supratentorial white matter that are most compatible with age indeterminant small vessel ischemic disease. There is diffuse volume loss of the cerebellum and to a lesser extent the brainstem. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. There is a separate origin of the left subclavian artery, left common carotid artery, and brachiocephalic artery from the arch. The common carotid arteries and cervical internal carotid arteries are normal in course and caliber. Both vertebral artery origins are patent. There is no evidence of flow-limiting stenosis or occlusion. There are subcentimeter thyroid nodules. There are degenerative changes of the cervical spine with multilevel disc height loss and end plate degenerative changes as well as grade 1 anterolisthesis of C3 on C4 and minimal grade 1 retrolisthesis of C4 on C5 and C5 on C6. There is probable resultant mild spinal canal stenosis at C3-C4. </s> |
Nonenhanced head. There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter differentiation. Unremarkable calvarium, soft tissues of the scalp, paranasal sinuses and mastoid air cells. Images through the orbits demonstrate a tiny bony defect along the right lamina papyracea which likely representing an anatomical variation of small bony indications and less likely a chronic blowout fracture. There is minute bilateral retro-orbital fat through this defect. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , soft tissues of the scalp , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , soft tissues of the scalp , paranasal sinuses and mastoid air cells'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['right']clinical findings_fin: {'tiny bony defect': {'clinical finding': 'tiny bony defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'tiny bony', 'observation': 'defect', 'strength_term': 'tiny'}, 'anatomical variation': {'clinical finding': 'anatomical variation', 'existence': 'unc_dx', 'descriptive_term': 'anatomical', 'observation': 'variation'}, 'chronic blowout fracture': {'clinical finding': 'chronic blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic blowout', 'observation': 'fracture', 'temporal_term': 'chronic'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'minute bilateral retro-orbital fat': {'clinical finding': 'minute bilateral retro-orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'minute bilateral retro-orbital', 'observation': 'fat'}, 'this defect': {'clinical finding': 'this defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'defect'}} | Write the finding section for a radiology report based on the following information: | <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'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable calvarium , soft tissues of the scalp , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable calvarium , soft tissues of the scalp , paranasal sinuses and mastoid air cells'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['right']clinical findings_fin: {'tiny bony defect': {'clinical finding': 'tiny bony defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'tiny bony', 'observation': 'defect', 'strength_term': 'tiny'}, 'anatomical variation': {'clinical finding': 'anatomical variation', 'existence': 'unc_dx', 'descriptive_term': 'anatomical', 'observation': 'variation'}, 'chronic blowout fracture': {'clinical finding': 'chronic blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic blowout', 'observation': 'fracture', 'temporal_term': 'chronic'}}imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: {'minute bilateral retro-orbital fat': {'clinical finding': 'minute bilateral retro-orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'minute bilateral retro-orbital', 'observation': 'fat'}, 'this defect': {'clinical finding': 'this defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'defect'}} [/INST] Nonenhanced head. There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter differentiation. Unremarkable calvarium, soft tissues of the scalp, paranasal sinuses and mastoid air cells. Images through the orbits demonstrate a tiny bony defect along the right lamina papyracea which likely representing an anatomical variation of small bony indications and less likely a chronic blowout fracture. There is minute bilateral retro-orbital fat through this defect. </s> |
Todays CT portion grossly demonstrates a right upper lobe solid well marginated nodule measuring approximately 1.5 cm, with questionable central low density. No intrathoracic lymphadenopathy is noted on CT. The thyroid is heterogeneous, with a dominant left thyroid nodule. IVC filter noted. Todays PET examination demonstrates mildly increased activity of the right upper lobe nodule , equal to blood pool activity, and indeterminate. The A right hilar lymph node has mildly increased metabolic activity , nonspecific. No other abnormal FDG avid lesion is identified. | size_fin: [{'size': '1.5 cm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'central']clinical findings_fin: {'right upper lobe solid well marginated nodule': {'clinical finding': 'right upper lobe solid well marginated nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'right upper lobe solid well marginated', 'observation': 'nodule'}}clinical findings_fin: {'intrathoracic lymphadenopathy': {'clinical finding': 'intrathoracic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'intrathoracic', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'dominant left thyroid nodule': {'clinical finding': 'dominant left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'dominant left thyroid', 'observation': 'nodule'}}object_fin: ['filter']clinical findings_fin: {'ivc filter noted': {'clinical finding': 'ivc filter noted'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['blood']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe nodule': {'clinical finding': 'right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'a right hilar lymph node': {'clinical finding': 'a right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'a right hilar lymph', 'observation': 'node'}, 'mildly increased metabolic activity': {'clinical finding': 'mildly increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'mildly increased metabolic', 'observation': 'activity', 'strength_term': 'mildly - increased', 'change_term': 'increased'}}clinical findings_fin: {'other abnormal fdg avid lesion': {'clinical finding': 'other abnormal fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other abnormal fdg avid', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.5 cm', 'size_descriptor': 'portion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'central']clinical findings_fin: {'right upper lobe solid well marginated nodule': {'clinical finding': 'right upper lobe solid well marginated nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'right upper lobe solid well marginated', 'observation': 'nodule'}}clinical findings_fin: {'intrathoracic lymphadenopathy': {'clinical finding': 'intrathoracic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'intrathoracic', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'heterogeneous': {'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous'}, 'dominant left thyroid nodule': {'clinical finding': 'dominant left thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'dominant left thyroid', 'observation': 'nodule'}}object_fin: ['filter']clinical findings_fin: {'ivc filter noted': {'clinical finding': 'ivc filter noted'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['blood']location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe nodule': {'clinical finding': 'right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['right']clinical findings_fin: {'a right hilar lymph node': {'clinical finding': 'a right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'a right hilar lymph', 'observation': 'node'}, 'mildly increased metabolic activity': {'clinical finding': 'mildly increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'mildly increased metabolic', 'observation': 'activity', 'strength_term': 'mildly - increased', 'change_term': 'increased'}}clinical findings_fin: {'other abnormal fdg avid lesion': {'clinical finding': 'other abnormal fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other abnormal fdg avid', 'observation': 'lesion'}} [/INST] Todays CT portion grossly demonstrates a right upper lobe solid well marginated nodule measuring approximately 1.5 cm, with questionable central low density. No intrathoracic lymphadenopathy is noted on CT. The thyroid is heterogeneous, with a dominant left thyroid nodule. IVC filter noted. Todays PET examination demonstrates mildly increased activity of the right upper lobe nodule , equal to blood pool activity, and indeterminate. The A right hilar lymph node has mildly increased metabolic activity , nonspecific. No other abnormal FDG avid lesion is identified. </s> |
. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with mild to moderate chronic small vessel ischemic disease. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Moderate atherosclerotic vascular calcification is noted involving the cavernous internal carotid and distal vertebral arteries. There is a 15 x 12 mm cystic lesion involving the subcutaneous soft tissues overlying the parotid gland inferior to the level of the external auditory canal. Cerumen in the left external auditory canal. No acute fracture or subluxation is demonstrated in the cervical spine. There are extensive postsurgical changes in the cervical spine extending from C3 to C7 including partial corpectomy with placement of interbody cage device spanning from C3 to the C7 levels. Posteriorly there is evidence of partial laminectomies with wire fixation extending from C3 to C7. There is evidence of solid osseous fusion involving the vertebral bodies as well as the posterior elements from C3 to C7. There is mild to moderate spinal canal stenosis at the C2-C3 level with effacement of the ventral and dorsal thecal sac related to disc bulge and ligamentum flavum thickening. There is mild to moderate bilateral neural foraminal stenosis at C7-T1. There is also moderate stenosis involving the bilateral T1-T2 neural foramina. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild to moderate chronic small vessel ischemic disease': {'clinical finding': 'mild to moderate chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - moderate - small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic vascular calcification': {'clinical finding': 'moderate atherosclerotic vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic vascular', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '15 x 12 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'parotid gland': {}, 'external auditory canal': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'15 x 12 mm cystic lesion': {'clinical finding': '15 x 12 mm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '15 x 12 mm cystic', 'observation': 'lesion'}}anatomical entity_fin: {'external auditory canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'extensive postsurgical changes': {'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive'}, 'partial corpectomy': {'clinical finding': 'partial corpectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'corpectomy', 'strength_term': 'partial'}, 'interbody cage device': {'clinical finding': 'interbody cage device', 'existence': 'pos_dx', 'descriptive_term': 'interbody cage', 'observation': 'device'}}object_fin: ['wire']anatomical entity_fin: {'osseous': {}, 'vertebral bodies': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'solid osseous fusion': {'clinical finding': 'solid osseous fusion', 'existence': 'pos_dx', 'descriptive_term': 'solid osseous', 'observation': 'fusion'}}anatomical entity_fin: {'spinal canal': {}, 'thecal sac': {}, 'disc': {}, 'ligamentum flavum': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral neural foraminal stenosis': {'clinical finding': 'mild to moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'neural foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'mass-effect': {'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'gray-white differentiation is maintained': {'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'mild to moderate chronic small vessel ischemic disease': {'clinical finding': 'mild to moderate chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - moderate - small', 'temporal_term': 'chronic'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic vascular calcification': {'clinical finding': 'moderate atherosclerotic vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic vascular', 'observation': 'calcification', 'strength_term': 'moderate'}}size_fin: [{'size': '15 x 12 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'parotid gland': {}, 'external auditory canal': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'15 x 12 mm cystic lesion': {'clinical finding': '15 x 12 mm cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '15 x 12 mm cystic', 'observation': 'lesion'}}anatomical entity_fin: {'external auditory canal': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'spine': {}}clinical findings_fin: {'acute fracture': {'clinical finding': 'acute fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'subluxation': {'clinical finding': 'subluxation', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'cervical spine': {}}clinical findings_fin: {'extensive postsurgical changes': {'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive'}, 'partial corpectomy': {'clinical finding': 'partial corpectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'corpectomy', 'strength_term': 'partial'}, 'interbody cage device': {'clinical finding': 'interbody cage device', 'existence': 'pos_dx', 'descriptive_term': 'interbody cage', 'observation': 'device'}}object_fin: ['wire']anatomical entity_fin: {'osseous': {}, 'vertebral bodies': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'solid osseous fusion': {'clinical finding': 'solid osseous fusion', 'existence': 'pos_dx', 'descriptive_term': 'solid osseous', 'observation': 'fusion'}}anatomical entity_fin: {'spinal canal': {}, 'thecal sac': {}, 'disc': {}, 'ligamentum flavum': {}}clinical findings_fin: {'mild to moderate spinal canal stenosis': {'clinical finding': 'mild to moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}, 'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'ligamentum flavum thickening': {'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening'}}anatomical entity_fin: {'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild to moderate bilateral neural foraminal stenosis': {'clinical finding': 'mild to moderate bilateral neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'neural foramina': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate stenosis': {'clinical finding': 'moderate stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'stenosis', 'strength_term': 'moderate'}} [/INST] . No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with mild to moderate chronic small vessel ischemic disease. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Moderate atherosclerotic vascular calcification is noted involving the cavernous internal carotid and distal vertebral arteries. There is a 15 x 12 mm cystic lesion involving the subcutaneous soft tissues overlying the parotid gland inferior to the level of the external auditory canal. Cerumen in the left external auditory canal. No acute fracture or subluxation is demonstrated in the cervical spine. There are extensive postsurgical changes in the cervical spine extending from C3 to C7 including partial corpectomy with placement of interbody cage device spanning from C3 to the C7 levels. Posteriorly there is evidence of partial laminectomies with wire fixation extending from C3 to C7. There is evidence of solid osseous fusion involving the vertebral bodies as well as the posterior elements from C3 to C7. There is mild to moderate spinal canal stenosis at the C2-C3 level with effacement of the ventral and dorsal thecal sac related to disc bulge and ligamentum flavum thickening. There is mild to moderate bilateral neural foraminal stenosis at C7-T1. There is also moderate stenosis involving the bilateral T1-T2 neural foramina. </s> |
. Streaky bibasilar atelectasis. No focal lesions. No pleural effusions. The liver lesion seen on prior exam has slightly decreased in size however there is now an area of clear focal nodular enhancement within the wall of the lesion suggesting active disease. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retrocrural and porta hepatis and lymph nodes. Moderate. There is a small lipoma in the third portion the duodenum. There is no evidence of obstruction. There are no inflammatory changes noted. No significant abnormality noted. No significant abnormality noted. The prostate is mildly enlarged. There is mild bladder distention without wall thickening. No significant abnormality noted. There is no evidence of obstruction. There are no inflammatory changes noted. Multilevel degenerative changes of the lumbar spine. Stable sclerotic focus in the proximal right femur is again seen. No significant abnormality notedwall of the lesion, nonspecific. | clinical findings_fin: {'streaky bibasilar atelectasis': {'clinical finding': 'streaky bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'liver': {}, 'wall': {}}clinical findings_fin: {'liver lesion': {'clinical finding': 'liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}, 'clear focal nodular enhancement': {'clinical finding': 'clear focal nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'clear focal nodular', 'observation': 'enhancement'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'active disease': {'clinical finding': 'active disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'active', 'observation': 'disease', 'strength_term': 'active'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'small lipoma': {'clinical finding': 'small lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lipoma', 'strength_term': 'small'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder distention': {'clinical finding': 'mild bladder distention', 'cf_snomed': {'bladder distention': 54768000}, 'existence': 'pos_dx', 'descriptive_term': 'mild bladder', 'observation': 'distention', 'strength_term': 'mild'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'stable sclerotic focus': {'clinical finding': 'stable sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'stable sclerotic', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'streaky bibasilar atelectasis': {'clinical finding': 'streaky bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'streaky bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'liver': {}, 'wall': {}}clinical findings_fin: {'liver lesion': {'clinical finding': 'liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'lesion'}, 'clear focal nodular enhancement': {'clinical finding': 'clear focal nodular enhancement', 'existence': 'pos_dx', 'descriptive_term': 'clear focal nodular', 'observation': 'enhancement'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'active disease': {'clinical finding': 'active disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'active', 'observation': 'disease', 'strength_term': 'active'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is unremarkable': {'clinical finding': 'gallbladder is unremarkable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}anatomical entity_fin: {'duodenum': {}}clinical findings_fin: {'small lipoma': {'clinical finding': 'small lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lipoma', 'strength_term': 'small'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'mild bladder distention': {'clinical finding': 'mild bladder distention', 'cf_snomed': {'bladder distention': 54768000}, 'existence': 'pos_dx', 'descriptive_term': 'mild bladder', 'observation': 'distention', 'strength_term': 'mild'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'right femur': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'stable sclerotic focus': {'clinical finding': 'stable sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'stable sclerotic', 'observation': 'focus', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}} [/INST] . Streaky bibasilar atelectasis. No focal lesions. No pleural effusions. The liver lesion seen on prior exam has slightly decreased in size however there is now an area of clear focal nodular enhancement within the wall of the lesion suggesting active disease. The gallbladder is unremarkable. There is no intrahepatic or extrahepatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable retrocrural and porta hepatis and lymph nodes. Moderate. There is a small lipoma in the third portion the duodenum. There is no evidence of obstruction. There are no inflammatory changes noted. No significant abnormality noted. No significant abnormality noted. The prostate is mildly enlarged. There is mild bladder distention without wall thickening. No significant abnormality noted. There is no evidence of obstruction. There are no inflammatory changes noted. Multilevel degenerative changes of the lumbar spine. Stable sclerotic focus in the proximal right femur is again seen. No significant abnormality notedwall of the lesion, nonspecific. </s> |
. Focal 4-5 mm nodule in the right lower lobe on image 241 of series There is a focus of calcification along the anterior aspect of this nodule. There is mild distal subsegmental atelectasis or scar. Calcified mediastinal lymph nodes. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left kidney is small and atrophic. | size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'anterior']clinical findings_fin: {'mm nodule': {'clinical finding': 'mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'mm', 'observation': 'nodule'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'this nodule': {'clinical finding': 'this nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'nodule'}}location descriptor_fin: ['distal', 'subsegmental']clinical findings_fin: {'mild distal subsegmental atelectasis': {'clinical finding': 'mild distal subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild distal subsegmental', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'anterior']clinical findings_fin: {'mm nodule': {'clinical finding': 'mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'mm', 'observation': 'nodule'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'this nodule': {'clinical finding': 'this nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'nodule'}}location descriptor_fin: ['distal', 'subsegmental']clinical findings_fin: {'mild distal subsegmental atelectasis': {'clinical finding': 'mild distal subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild distal subsegmental', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'calcified mediastinal lymph nodes': {'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}} [/INST] . Focal 4-5 mm nodule in the right lower lobe on image 241 of series There is a focus of calcification along the anterior aspect of this nodule. There is mild distal subsegmental atelectasis or scar. Calcified mediastinal lymph nodes. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left kidney is small and atrophic. </s> |
Enhanced head. There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is also no detectable abnormal parenchymal or leptomeningeal enhancement. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter differentiation. Calvarium and soft tissues of the scalp are unremarkable. Images through the orbits are unremarkable. Visualized paranasal sinuses demonstrate moderate right maxillary sinus opacification and well pneumatized other paranasal sinuses otherwise. Mild rightward nasal septum deviation is noted. Bilateral mastoid air cells and middle ear cavities are well pneumatized. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}clinical findings_fin: {'detectable abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'detectable abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'detectable abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'calvarium and soft tissues of the scalp are unremarkable': {'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'images through the orbits are unremarkable': {'clinical finding': 'images through the orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right maxillary sinus opacification': {'clinical finding': 'moderate right maxillary sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'neg_dx', 'descriptive_term': 'moderate right maxillary sinus', 'observation': 'opacification', 'strength_term': 'moderate'}, 'well pneumatized': {'clinical finding': 'well pneumatized', 'existence': 'pos_dx', 'descriptive_term': 'well', 'observation': 'pneumatized'}}clinical findings_fin: {'mild rightward nasal septum deviation': {'clinical finding': 'mild rightward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward nasal septum', 'observation': 'deviation', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}clinical findings_fin: {'detectable acute intracranial process': {'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}clinical findings_fin: {'detectable abnormal parenchymal or leptomeningeal enhancement': {'clinical finding': 'detectable abnormal parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'detectable abnormal parenchymal or leptomeningeal', 'observation': 'enhancement'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'calvarium and soft tissues of the scalp are unremarkable': {'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'images through the orbits are unremarkable': {'clinical finding': 'images through the orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate right maxillary sinus opacification': {'clinical finding': 'moderate right maxillary sinus opacification', 'cf_snomed': {'sinus': 419351001}, 'existence': 'neg_dx', 'descriptive_term': 'moderate right maxillary sinus', 'observation': 'opacification', 'strength_term': 'moderate'}, 'well pneumatized': {'clinical finding': 'well pneumatized', 'existence': 'pos_dx', 'descriptive_term': 'well', 'observation': 'pneumatized'}}clinical findings_fin: {'mild rightward nasal septum deviation': {'clinical finding': 'mild rightward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild rightward nasal septum', 'observation': 'deviation', 'strength_term': 'mild'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}} [/INST] Enhanced head. There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. There is also no detectable abnormal parenchymal or leptomeningeal enhancement. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter differentiation. Calvarium and soft tissues of the scalp are unremarkable. Images through the orbits are unremarkable. Visualized paranasal sinuses demonstrate moderate right maxillary sinus opacification and well pneumatized other paranasal sinuses otherwise. Mild rightward nasal septum deviation is noted. Bilateral mastoid air cells and middle ear cavities are well pneumatized. </s> |
. There is no consolidation noted within the lung bases. There is no pleural effusion. There are no focal lesions. There are no focal lesions noted within the liver. There is no intrahepatic or extrahepatic ductal dilatation. There are no focal lesions noted within the spleen. There are no focal lesions within the pancreas. The pancreatic duct is not dilated. No significant abnormality noted. The kidneys enhance symmetrically. There is a small hypoattenuating lesion noted within the superior pole of the right kidney, consistent with a benign simple cyst. There is no hydronephrosis. No significant abnormality noted. Mild. There is mucosal enhancement and thickening of the bowel wall extending from the rectum to the cecum, consistent with pan-colitis. There is no free air. There is no evidence of abscess formation. The appendix is not visualized. There is a small, fat-containing periumbilical hernia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mucosal enhancement and thickening of the bowel wall extending from the rectum to the cecum, consistent with pan-colitis. There is no free air. There is no evidence of abscess formation. The appendix is not visualized. There is a small, fat-containing periumbilical hernia. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'right kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'small hypoattenuating lesion': {'clinical finding': 'small hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'wall': {}, 'rectum': {}, 'cecum': {}}clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'pan-colitis': {'clinical finding': 'pan-colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'pos_dx', 'observation': 'pan-colitis'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not visualized': {'clinical finding': 'appendix is not visualized'}}imaging observation_fin: ['fat']clinical findings_fin: {'small, fat-containing periumbilical hernia': {'clinical finding': 'small, fat-containing periumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing periumbilical', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'wall': {}, 'rectum': {}, 'cecum': {}}clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'pan-colitis': {'clinical finding': 'pan-colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'pos_dx', 'observation': 'pan-colitis'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not visualized': {'clinical finding': 'appendix is not visualized'}}imaging observation_fin: ['fat']clinical findings_fin: {'small, fat-containing periumbilical hernia': {'clinical finding': 'small, fat-containing periumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing periumbilical', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'focal lesions': {'clinical finding': 'focal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}anatomical entity_fin: {'pole': {'location descriptor': 'superior'}, 'right kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'small hypoattenuating lesion': {'clinical finding': 'small hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}, 'benign simple cyst': {'clinical finding': 'benign simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'benign simple', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'wall': {}, 'rectum': {}, 'cecum': {}}clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'pan-colitis': {'clinical finding': 'pan-colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'pos_dx', 'observation': 'pan-colitis'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not visualized': {'clinical finding': 'appendix is not visualized'}}imaging observation_fin: ['fat']clinical findings_fin: {'small, fat-containing periumbilical hernia': {'clinical finding': 'small, fat-containing periumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing periumbilical', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}, 'wall': {}, 'rectum': {}, 'cecum': {}}clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'pan-colitis': {'clinical finding': 'pan-colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'pos_dx', 'observation': 'pan-colitis'}}clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix is not visualized': {'clinical finding': 'appendix is not visualized'}}imaging observation_fin: ['fat']clinical findings_fin: {'small, fat-containing periumbilical hernia': {'clinical finding': 'small, fat-containing periumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing periumbilical', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There is no consolidation noted within the lung bases. There is no pleural effusion. There are no focal lesions. There are no focal lesions noted within the liver. There is no intrahepatic or extrahepatic ductal dilatation. There are no focal lesions noted within the spleen. There are no focal lesions within the pancreas. The pancreatic duct is not dilated. No significant abnormality noted. The kidneys enhance symmetrically. There is a small hypoattenuating lesion noted within the superior pole of the right kidney, consistent with a benign simple cyst. There is no hydronephrosis. No significant abnormality noted. Mild. There is mucosal enhancement and thickening of the bowel wall extending from the rectum to the cecum, consistent with pan-colitis. There is no free air. There is no evidence of abscess formation. The appendix is not visualized. There is a small, fat-containing periumbilical hernia. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mucosal enhancement and thickening of the bowel wall extending from the rectum to the cecum, consistent with pan-colitis. There is no free air. There is no evidence of abscess formation. The appendix is not visualized. There is a small, fat-containing periumbilical hernia. No significant abnormality noted. No significant abnormality noted </s> |
Enhanced head. Examination demonstrates postoperative changes of a small left posterior parietal craniotomy for resection of tumor. A low-attenuation surgical cavity measures at approximately 14 x 6 x 13 mm is detected. There is minimal increased density immediately under the surgical flap which could represent postoperative blood product or enhancement. There are no precontrast images. Possibility of residual tumor is a consideration and follow-up with an MRI exam would be more sensitive for detection of residual tumor. A tiny focus of enhancement in the right superior frontal gyrus measures approximately a 3 mm which is not significantly different when compared to the prior MRI exam. No detectable additional foci of parenchymal or leptomeningeal enhancement. Ventricular system and CSF spaces are within normal and with maintained midline. Calvarium demonstrate no lytic or sclerotic changes. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '14 x 6 x 13 mm', 'size_descriptor': 'cavity'}]clinical findings_fin: {'low-attenuation surgical cavity': {'clinical finding': 'low-attenuation surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation surgical', 'observation': 'cavity'}}imaging observation_fin: ['blood']clinical findings_fin: {'minimal increased density': {'clinical finding': 'minimal increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased'}, 'surgical flap': {'clinical finding': 'surgical flap', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'flap'}, 'postoperative blood product': {'clinical finding': 'postoperative blood product', 'existence': 'unc_dx', 'descriptive_term': 'postoperative blood', 'observation': 'product'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}}clinical findings_fin: {'residual tumor_1': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'residual tumor_2': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '3 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'right superior frontal gyrus': {}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}imaging observation_fin: ['foci']clinical findings_fin: {'detectable additional foci': {'clinical finding': 'detectable additional foci', 'existence': 'neg_dx', 'descriptive_term': 'detectable additional', 'observation': 'foci'}, 'parenchymal or leptomeningeal enhancement': {'clinical finding': 'parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal or leptomeningeal', 'observation': 'enhancement'}}location descriptor_fin: ['midline']clinical findings_fin: {'ventricular system and csf spaces are within normal and with maintained midline': {'clinical finding': 'ventricular system and csf spaces are within normal and with maintained midline', 'change_term': 'maintained'}}clinical findings_fin: {'lytic or sclerotic changes': {'clinical finding': 'lytic or sclerotic changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', 'observation': 'change'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'enhanced head': {'clinical finding': 'enhanced head'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}size_fin: [{'size': '14 x 6 x 13 mm', 'size_descriptor': 'cavity'}]clinical findings_fin: {'low-attenuation surgical cavity': {'clinical finding': 'low-attenuation surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation surgical', 'observation': 'cavity'}}imaging observation_fin: ['blood']clinical findings_fin: {'minimal increased density': {'clinical finding': 'minimal increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'minimal increased', 'observation': 'density', 'strength_term': 'minimal - increased', 'quantity_term': 'minimal', 'change_term': 'increased'}, 'surgical flap': {'clinical finding': 'surgical flap', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'flap'}, 'postoperative blood product': {'clinical finding': 'postoperative blood product', 'existence': 'unc_dx', 'descriptive_term': 'postoperative blood', 'observation': 'product'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'unc_dx', 'observation': 'enhancement'}}clinical findings_fin: {'residual tumor_1': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'residual tumor_2': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}}follow-up_fin: follow-up recommendedsize_fin: [{'size': '3 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'right superior frontal gyrus': {}}clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}imaging observation_fin: ['foci']clinical findings_fin: {'detectable additional foci': {'clinical finding': 'detectable additional foci', 'existence': 'neg_dx', 'descriptive_term': 'detectable additional', 'observation': 'foci'}, 'parenchymal or leptomeningeal enhancement': {'clinical finding': 'parenchymal or leptomeningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal or leptomeningeal', 'observation': 'enhancement'}}location descriptor_fin: ['midline']clinical findings_fin: {'ventricular system and csf spaces are within normal and with maintained midline': {'clinical finding': 'ventricular system and csf spaces are within normal and with maintained midline', 'change_term': 'maintained'}}clinical findings_fin: {'lytic or sclerotic changes': {'clinical finding': 'lytic or sclerotic changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', 'observation': 'change'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , paranasal sinuses and mastoid air cells'}} [/INST] Enhanced head. Examination demonstrates postoperative changes of a small left posterior parietal craniotomy for resection of tumor. A low-attenuation surgical cavity measures at approximately 14 x 6 x 13 mm is detected. There is minimal increased density immediately under the surgical flap which could represent postoperative blood product or enhancement. There are no precontrast images. Possibility of residual tumor is a consideration and follow-up with an MRI exam would be more sensitive for detection of residual tumor. A tiny focus of enhancement in the right superior frontal gyrus measures approximately a 3 mm which is not significantly different when compared to the prior MRI exam. No detectable additional foci of parenchymal or leptomeningeal enhancement. Ventricular system and CSF spaces are within normal and with maintained midline. Calvarium demonstrate no lytic or sclerotic changes. Unremarkable images through the orbits, paranasal sinuses and mastoid air cells. </s> |
. Minimal dependent atelectasis. Partially visualized mild coronary artery calcifications. No significant pericardial effusion. No intra or extrahepatic biliary dilatation. There is a segment VI lesion, also demonstrated on prior outside MR that demonstrates no significant enhancement during arterial and portal venous phase imaging, but decreases in size on delayed images, consistent with delayed enhancement. This measures 1 x 1.1 cm on image 57/160 of series 11, and the appearance is suggestive of hemangioma. In addition, there is a focal area of enhancement seen only in arterial phase medial to this region, best seen on image 56/91 of series This was not definitely present on the prior MR, but may re present a transient flow abnormality associated with hemangioma. No other hepatic mass or lesion is identified. Status post cholecystectomy. Minimal enlargement of the caudate and left hepatic lobes as well as minimal nodular contour of the liver, suggestive of early cirrhosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. The bowel is of normal caliber, without evidence of obstruction. Diverticulosis without evidence of acute diverticulitis. No significant abnormality noted. Slightly prominent collateral vessels in the abdomen and pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. Partially imaged right femoral intramedullary rod. Mild degenerative changes of the lumbar spine. No significant abnormality noted | clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'partially visualized mild coronary artery calcifications': {'clinical finding': 'partially visualized mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized mild coronary artery', 'observation': 'calcification', 'strength_term': 'partially - mild'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'segment vi lesion': {'clinical finding': 'segment vi lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment vi', 'observation': 'lesion'}, 'significant enhancement': {'clinical finding': 'significant enhancement', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'enhancement'}, 'delayed enhancement': {'clinical finding': 'delayed enhancement', 'existence': 'pos_dx', 'descriptive_term': 'delayed', 'observation': 'enhancement', 'temporal_term': 'delayed'}}size_fin: [{'size': '1 x 1.1 cm', 'size_descriptor': 'appearance'}]clinical findings_fin: {'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}location descriptor_fin: ['medial']clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'transient flow abnormality': {'clinical finding': 'transient flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'transient flow', 'observation': 'abnormality'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'other hepatic mass': {'clinical finding': 'other hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'other hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'lobes': {}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'minimal nodular contour': {'clinical finding': 'minimal nodular contour', 'existence': 'pos_dx', 'descriptive_term': 'minimal nodular', 'observation': 'contour', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'early cirrhosis': {'clinical finding': 'early cirrhosis', 'cf_snomed': {'early cirrhosis': 371139006}, 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'cirrhosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'slightly prominent collateral vessels': {'clinical finding': 'slightly prominent collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'slightly prominent collateral', 'observation': 'vessel', 'strength_term': 'prominent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right femoral intramedullary rod': {'clinical finding': 'right femoral intramedullary rod', 'existence': 'pos_dx', 'descriptive_term': 'right femoral intramedullary', 'observation': 'rod'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'minimal dependent atelectasis': {'clinical finding': 'minimal dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'partially visualized mild coronary artery calcifications': {'clinical finding': 'partially visualized mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized mild coronary artery', 'observation': 'calcification', 'strength_term': 'partially - mild'}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'segment vi lesion': {'clinical finding': 'segment vi lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment vi', 'observation': 'lesion'}, 'significant enhancement': {'clinical finding': 'significant enhancement', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'enhancement'}, 'delayed enhancement': {'clinical finding': 'delayed enhancement', 'existence': 'pos_dx', 'descriptive_term': 'delayed', 'observation': 'enhancement', 'temporal_term': 'delayed'}}size_fin: [{'size': '1 x 1.1 cm', 'size_descriptor': 'appearance'}]clinical findings_fin: {'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}location descriptor_fin: ['medial']clinical findings_fin: {'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'transient flow abnormality': {'clinical finding': 'transient flow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'transient flow', 'observation': 'abnormality'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}}clinical findings_fin: {'other hepatic mass': {'clinical finding': 'other hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'other hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'lobes': {}, 'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'minimal nodular contour': {'clinical finding': 'minimal nodular contour', 'existence': 'pos_dx', 'descriptive_term': 'minimal nodular', 'observation': 'contour', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'early cirrhosis': {'clinical finding': 'early cirrhosis', 'cf_snomed': {'early cirrhosis': 371139006}, 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'cirrhosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'slightly prominent collateral vessels': {'clinical finding': 'slightly prominent collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'slightly prominent collateral', 'observation': 'vessel', 'strength_term': 'prominent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['right']clinical findings_fin: {'right femoral intramedullary rod': {'clinical finding': 'right femoral intramedullary rod', 'existence': 'pos_dx', 'descriptive_term': 'right femoral intramedullary', 'observation': 'rod'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Minimal dependent atelectasis. Partially visualized mild coronary artery calcifications. No significant pericardial effusion. No intra or extrahepatic biliary dilatation. There is a segment VI lesion, also demonstrated on prior outside MR that demonstrates no significant enhancement during arterial and portal venous phase imaging, but decreases in size on delayed images, consistent with delayed enhancement. This measures 1 x 1.1 cm on image 57/160 of series 11, and the appearance is suggestive of hemangioma. In addition, there is a focal area of enhancement seen only in arterial phase medial to this region, best seen on image 56/91 of series This was not definitely present on the prior MR, but may re present a transient flow abnormality associated with hemangioma. No other hepatic mass or lesion is identified. Status post cholecystectomy. Minimal enlargement of the caudate and left hepatic lobes as well as minimal nodular contour of the liver, suggestive of early cirrhosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. The bowel is of normal caliber, without evidence of obstruction. Diverticulosis without evidence of acute diverticulitis. No significant abnormality noted. Slightly prominent collateral vessels in the abdomen and pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. Partially imaged right femoral intramedullary rod. Mild degenerative changes of the lumbar spine. No significant abnormality noted </s> |
Todays CT portion grossly demonstrates an ill-defined hypodense hepatic lesion similar to recent diagnostic CT. There are several small isodense renal lesions again noted. Todays PET examination demonstrates a large irregularly lobular markedly hypermetabolic mass which resides largely in the liver but is also indistinguishable from the gallbladder compatible with malignancy, possibly a primary gallbladder cancer. There are multiple small but markedly hypermetabolic regional lymph nodes seen in the portal hepatic and celiac stations. A borderline enlarged mildly hypermetabolic right cardiophrenic lymph node could represent additional lymph node metastasis. No suspicious FDG avid lesions are noted in the neck, thorax or pelvis. Of note the small left renal lesion which was suspicious on recent CT is not hypermetabolic however this does not exclude the possibility of a synchronous renal cell cancer. | clinical findings_fin: {'ill-defined hypodense hepatic lesion': {'clinical finding': 'ill-defined hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypodense hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'several small isodense renal lesions': {'clinical finding': 'several small isodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several small isodense renal', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'several'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}clinical findings_fin: {'large irregularly lobular markedly hypermetabolic mass': {'clinical finding': 'large irregularly lobular markedly hypermetabolic mass', 'existence': 'unc_dx', 'descriptive_term': 'large irregularly lobular markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'pos_dx', 'observation': 'malignancy'}, 'possibly a primary gallbladder cancer': {'clinical finding': 'possibly a primary gallbladder cancer', 'existence': 'pos_dx', 'descriptive_term': 'possibly a primary gallbladder', 'observation': 'cancer'}}clinical findings_fin: {'multiple small but markedly hypermetabolic regional lymph nodes': {'clinical finding': 'multiple small but markedly hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small but markedly hypermetabolic regional lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}location descriptor_fin: ['right']clinical findings_fin: {'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node': {'clinical finding': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged - mildly', 'change_term': 'enlarged'}, 'additional lymph node metastasis': {'clinical finding': 'additional lymph node metastasis', 'existence': 'unc_dx', 'descriptive_term': 'additional lymph node', 'observation': 'metastasis'}}anatomical entity_fin: {'neck': {}, 'thorax': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal lesion': {'clinical finding': 'small left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'small left renal', 'observation': 'lesion', 'strength_term': 'small'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'ill-defined hypodense hepatic lesion': {'clinical finding': 'ill-defined hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypodense hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'several small isodense renal lesions': {'clinical finding': 'several small isodense renal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several small isodense renal', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'several'}}anatomical entity_fin: {'liver': {}, 'gallbladder': {}}clinical findings_fin: {'large irregularly lobular markedly hypermetabolic mass': {'clinical finding': 'large irregularly lobular markedly hypermetabolic mass', 'existence': 'unc_dx', 'descriptive_term': 'large irregularly lobular markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'pos_dx', 'observation': 'malignancy'}, 'possibly a primary gallbladder cancer': {'clinical finding': 'possibly a primary gallbladder cancer', 'existence': 'pos_dx', 'descriptive_term': 'possibly a primary gallbladder', 'observation': 'cancer'}}clinical findings_fin: {'multiple small but markedly hypermetabolic regional lymph nodes': {'clinical finding': 'multiple small but markedly hypermetabolic regional lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small but markedly hypermetabolic regional lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'}}location descriptor_fin: ['right']clinical findings_fin: {'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node': {'clinical finding': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mildly hypermetabolic right cardiophrenic lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged - mildly', 'change_term': 'enlarged'}, 'additional lymph node metastasis': {'clinical finding': 'additional lymph node metastasis', 'existence': 'unc_dx', 'descriptive_term': 'additional lymph node', 'observation': 'metastasis'}}anatomical entity_fin: {'neck': {}, 'thorax': {}, 'pelvis': {}}clinical findings_fin: {'suspicious fdg avid lesions': {'clinical finding': 'suspicious fdg avid lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal lesion': {'clinical finding': 'small left renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'small left renal', 'observation': 'lesion', 'strength_term': 'small'}} [/INST] Todays CT portion grossly demonstrates an ill-defined hypodense hepatic lesion similar to recent diagnostic CT. There are several small isodense renal lesions again noted. Todays PET examination demonstrates a large irregularly lobular markedly hypermetabolic mass which resides largely in the liver but is also indistinguishable from the gallbladder compatible with malignancy, possibly a primary gallbladder cancer. There are multiple small but markedly hypermetabolic regional lymph nodes seen in the portal hepatic and celiac stations. A borderline enlarged mildly hypermetabolic right cardiophrenic lymph node could represent additional lymph node metastasis. No suspicious FDG avid lesions are noted in the neck, thorax or pelvis. Of note the small left renal lesion which was suspicious on recent CT is not hypermetabolic however this does not exclude the possibility of a synchronous renal cell cancer. </s> |
. Incompletely imaged sternotomy. Diffuse hepatic steatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or perinephric fluid or stranding. No nonobstructing radiopaque intrarenal calculi. Somewhat prominent mid pole of left kidney most likely related to dromedary hump. Mild aortobiiliac atherosclerotic disease. Extensive left-sided colonic diverticulosis without evidence of acute diverticulitis. Normal appendix. PROSTATE/. Prominent calcification-containing prostate measuring up to 4.3 cm. Bladder collapsed, making assessment for underlying wall thickening suboptimal but circumferential wall thickening suggested. Correlation with patients clinical history and urinalysis suggested to exclude chronic sequela from bladder outlet obstruction or acute cystitis. Hip osteoarthritis. | clinical findings_fin: {'incompletely imaged sternotomy': {'clinical finding': 'incompletely imaged sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged', 'observation': 'sternotomy'}}clinical findings_fin: {'diffuse hepatic steatosis': {'clinical finding': 'diffuse hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}clinical findings_fin: {'nonobstructing radiopaque intrarenal calculi': {'clinical finding': 'nonobstructing radiopaque intrarenal calculi', 'existence': 'neg_dx', 'descriptive_term': 'nonobstructing radiopaque intrarenal', 'observation': 'calculi'}}anatomical entity_fin: {'pole': {}, 'left kidney': {}}imaging observation_fin: ['dromedary hump']clinical findings_fin: {'dromedary hump': {'clinical finding': 'dromedary hump', 'existence': 'pos_dx', 'descriptive_term': 'dromedary', 'observation': 'hump'}}clinical findings_fin: {'mild aortobiiliac atherosclerotic disease': {'clinical finding': 'mild aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left-sided colonic diverticulosis': {'clinical finding': 'extensive left-sided colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive left-sided colonic', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'calcification'}]anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'prominent calcification-containing': {'clinical finding': 'prominent calcification-containing', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'underlying wall thickening': {'clinical finding': 'underlying wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'underlying wall', 'observation': 'thickening'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'chronic sequela': {'clinical finding': 'chronic sequela', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'sequela', 'temporal_term': 'chronic'}, 'bladder outlet obstruction': {'clinical finding': 'bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'bladder outlet', 'observation': 'obstruction'}, 'acute cystitis': {'clinical finding': 'acute cystitis', 'cf_snomed': {'acute cystitis': 68226007}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'cystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'hip': {}}clinical findings_fin: {'hip osteoarthritis': {'clinical finding': 'hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'hip', 'observation': 'osteoarthritis'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'incompletely imaged sternotomy': {'clinical finding': 'incompletely imaged sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged', 'observation': 'sternotomy'}}clinical findings_fin: {'diffuse hepatic steatosis': {'clinical finding': 'diffuse hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse hepatic', 'observation': 'steatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'stranding': {'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'}}clinical findings_fin: {'nonobstructing radiopaque intrarenal calculi': {'clinical finding': 'nonobstructing radiopaque intrarenal calculi', 'existence': 'neg_dx', 'descriptive_term': 'nonobstructing radiopaque intrarenal', 'observation': 'calculi'}}anatomical entity_fin: {'pole': {}, 'left kidney': {}}imaging observation_fin: ['dromedary hump']clinical findings_fin: {'dromedary hump': {'clinical finding': 'dromedary hump', 'existence': 'pos_dx', 'descriptive_term': 'dromedary', 'observation': 'hump'}}clinical findings_fin: {'mild aortobiiliac atherosclerotic disease': {'clinical finding': 'mild aortobiiliac atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left-sided colonic diverticulosis': {'clinical finding': 'extensive left-sided colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive left-sided colonic', 'observation': 'diverticulosis', 'strength_term': 'extensive'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'calcification'}]anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'prominent calcification-containing': {'clinical finding': 'prominent calcification-containing', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'calcification', 'strength_term': 'prominent'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['assessment']clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'underlying wall thickening': {'clinical finding': 'underlying wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'underlying wall', 'observation': 'thickening'}, 'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'chronic sequela': {'clinical finding': 'chronic sequela', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'sequela', 'temporal_term': 'chronic'}, 'bladder outlet obstruction': {'clinical finding': 'bladder outlet obstruction', 'cf_snomed': {'bladder outlet obstruction': 416991005}, 'existence': 'unc_dx', 'descriptive_term': 'bladder outlet', 'observation': 'obstruction'}, 'acute cystitis': {'clinical finding': 'acute cystitis', 'cf_snomed': {'acute cystitis': 68226007}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'cystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'hip': {}}clinical findings_fin: {'hip osteoarthritis': {'clinical finding': 'hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'hip', 'observation': 'osteoarthritis'}} [/INST] . Incompletely imaged sternotomy. Diffuse hepatic steatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis or perinephric fluid or stranding. No nonobstructing radiopaque intrarenal calculi. Somewhat prominent mid pole of left kidney most likely related to dromedary hump. Mild aortobiiliac atherosclerotic disease. Extensive left-sided colonic diverticulosis without evidence of acute diverticulitis. Normal appendix. PROSTATE/. Prominent calcification-containing prostate measuring up to 4.3 cm. Bladder collapsed, making assessment for underlying wall thickening suboptimal but circumferential wall thickening suggested. Correlation with patients clinical history and urinalysis suggested to exclude chronic sequela from bladder outlet obstruction or acute cystitis. Hip osteoarthritis. </s> |
. 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'}} | Write the finding section for a radiology report based on the following information: | <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> |
There is no evidence of intracranial hemorrhage or mass. There is an unchanged punctate lesion in the right thalamus, encephalomalacia in the left peritrigonal region, and diffuse patchy periventricular and subcortical white matter hypoattenuation. These are stable compared to the prior exam. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The deformity of the anterior and lateral walls of the left maxillary sinus are only partially visualized and better visualized on the previous exam from 9/25/2015. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right thalamus': {}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged punctate lesion': {'clinical finding': 'unchanged punctate lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged punctate', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'diffuse patchy periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'diffuse patchy periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse patchy periventricular and subcortical white matter', 'observation': 'hypoattenuation'}}clinical findings_fin: {'these are stable compared to the prior exam': {'clinical finding': 'these are stable compared to the prior exam', 'change_term': 'stable'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'walls': {'location descriptor': 'lateral'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'lateral', 'left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right thalamus': {}}location descriptor_fin: ['left']clinical findings_fin: {'unchanged punctate lesion': {'clinical finding': 'unchanged punctate lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged punctate', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'diffuse patchy periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'diffuse patchy periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse patchy periventricular and subcortical white matter', 'observation': 'hypoattenuation'}}clinical findings_fin: {'these are stable compared to the prior exam': {'clinical finding': 'these are stable compared to the prior exam', 'change_term': 'stable'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}, 'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'walls': {'location descriptor': 'lateral'}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'lateral', 'left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}} [/INST] There is no evidence of intracranial hemorrhage or mass. There is an unchanged punctate lesion in the right thalamus, encephalomalacia in the left peritrigonal region, and diffuse patchy periventricular and subcortical white matter hypoattenuation. These are stable compared to the prior exam. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The deformity of the anterior and lateral walls of the left maxillary sinus are only partially visualized and better visualized on the previous exam from 9/25/2015. </s> |
Other than minimal mucosal thickening within the lateral left sphenoid sinus, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is mildly as shaped. Bilateral orbits and the posterior nasopharynx appear unremarkable. | anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'lateral left'}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['lateral', 'left', 'bilateral']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of bilateral haller cells': {'clinical finding': 'note is made of bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'lateral left'}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}, 'fluid': {}}location descriptor_fin: ['lateral', 'left', 'bilateral']clinical findings_fin: {'minimal mucosal thickening': {'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'bilateral'}, 'sphenoethmoidal recesses': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral maxillary sinus ostia': {'clinical finding': 'bilateral maxillary sinus ostia', 'cf_snomed': {'bilateral maxillary sinus': 313302006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'note is made of bilateral haller cells': {'clinical finding': 'note is made of bilateral haller cells'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'floor': {}, 'anterior cranial fossa': {}, 'cribriform plate': {}}clinical findings_fin: {'floor of the anterior cranial fossa and cribriform plate region are unremarkable': {'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'orbits': {'location descriptor': 'bilateral'}, 'nasopharynx': {'location descriptor': 'posterior'}}location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: {'bilateral orbits and the posterior nasopharynx appear unremarkable': {'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable'}} [/INST] Other than minimal mucosal thickening within the lateral left sphenoid sinus, the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. Note is made of bilateral Haller cells. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is mildly as shaped. Bilateral orbits and the posterior nasopharynx appear unremarkable. </s> |
. Extensive pulmonary metastases. For reference, a right lower lobe lesion measures 42 x 32 mm , previously 35 x 26 mm. A right middle lobe lesion measures 18 x 16 mm previously 14 x 12 mm. The necrotic left upper lobe lesion abutting the mediastinum also appears larger and more heterogeneous this lesion cases and narrows branches of the left lobar pulmonary arteries. The heart size is within normal limits, no significant pericardial effusion. Additional mediastinal or hilar lymphadenopathy, which appears slightly more prominent than on previous study. Left chest port tip in the distal SVC. None. No significant abnormality noted. Status post partial left hepatectomy, without discrete hepatic mass or lesion remaining. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes, which are larger than on previous outside study. For reference, a prominent gastrohepatic node measures 14 x 17 mm previously measuring 13 mm in short axis. None. The bowel is of normal caliber, without evidence of obstruction. Multilevel degenerative changes in the visualized spine, most severe in the lower lumbar spine. Partially calcified mesenteric lymph node adjacent to the spleen is not significantly changed, measuring 15 x 9 mm. No significant abnormality noted. No significant abnormality noted. As above. As above. As above. No significant abnormality noted. | clinical findings_fin: {'extensive pulmonary metastases': {'clinical finding': 'extensive pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '42 x 32 mm'}, {'size': '35 x 26 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}size_fin: [{'size': '18 x 16 mm'}, {'size': '14 x 12 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe lesion': {'clinical finding': 'right middle lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'mediastinum': {}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'necrotic left upper lobe lesion': {'clinical finding': 'necrotic left upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'necrotic left upper lobe', 'observation': 'lesion'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'additional mediastinal or hilar lymphadenopathy': {'clinical finding': 'additional mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'additional mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'distal']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']procedure_fin: ['hepatectomy']clinical findings_fin: {'discrete hepatic mass': {'clinical finding': 'discrete hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 17 mm'}, {'size': '13 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent gastrohepatic node': {'clinical finding': 'prominent gastrohepatic node', 'existence': 'pos_dx', 'descriptive_term': 'prominent gastrohepatic', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}size_fin: [{'size': '15 x 9 mm'}]anatomical entity_fin: {'mesenteric lymph node': {}, 'spleen': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'partially calcified mesenteric lymph node': {'clinical finding': 'partially calcified mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified mesenteric lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'extensive pulmonary metastases': {'clinical finding': 'extensive pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'metastase', 'strength_term': 'extensive'}}size_fin: [{'size': '42 x 32 mm'}, {'size': '35 x 26 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe lesion': {'clinical finding': 'right lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'lesion'}}size_fin: [{'size': '18 x 16 mm'}, {'size': '14 x 12 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe lesion': {'clinical finding': 'right middle lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'mediastinum': {}, 'pulmonary arteries': {}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'necrotic left upper lobe lesion': {'clinical finding': 'necrotic left upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'necrotic left upper lobe', 'observation': 'lesion'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}clinical findings_fin: {'additional mediastinal or hilar lymphadenopathy': {'clinical finding': 'additional mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'additional mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'distal']object_fin: ['port']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']procedure_fin: ['hepatectomy']clinical findings_fin: {'discrete hepatic mass': {'clinical finding': 'discrete hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete hepatic', 'observation': 'mass'}, 'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes': {'clinical finding': 'multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged gastrohepatic portacaval and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 17 mm'}, {'size': '13 mm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'prominent gastrohepatic node': {'clinical finding': 'prominent gastrohepatic node', 'existence': 'pos_dx', 'descriptive_term': 'prominent gastrohepatic', 'observation': 'node', 'strength_term': 'prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'severe': {'clinical finding': 'severe', 'existence': 'pos_dx', 'observation': 'severe'}}size_fin: [{'size': '15 x 9 mm'}]anatomical entity_fin: {'mesenteric lymph node': {}, 'spleen': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'partially calcified mesenteric lymph node': {'clinical finding': 'partially calcified mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified mesenteric lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Extensive pulmonary metastases. For reference, a right lower lobe lesion measures 42 x 32 mm , previously 35 x 26 mm. A right middle lobe lesion measures 18 x 16 mm previously 14 x 12 mm. The necrotic left upper lobe lesion abutting the mediastinum also appears larger and more heterogeneous this lesion cases and narrows branches of the left lobar pulmonary arteries. The heart size is within normal limits, no significant pericardial effusion. Additional mediastinal or hilar lymphadenopathy, which appears slightly more prominent than on previous study. Left chest port tip in the distal SVC. None. No significant abnormality noted. Status post partial left hepatectomy, without discrete hepatic mass or lesion remaining. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple enlarged gastrohepatic, portacaval, and retroperitoneal lymph nodes, which are larger than on previous outside study. For reference, a prominent gastrohepatic node measures 14 x 17 mm previously measuring 13 mm in short axis. None. The bowel is of normal caliber, without evidence of obstruction. Multilevel degenerative changes in the visualized spine, most severe in the lower lumbar spine. Partially calcified mesenteric lymph node adjacent to the spleen is not significantly changed, measuring 15 x 9 mm. No significant abnormality noted. No significant abnormality noted. As above. As above. As above. No significant abnormality noted. </s> |
. Scattered punctate micronodules are stable and presumably postinflammatory. There is diffuse nonspecific mild to moderate bronchial wall thickening. No change in mild lingula ground glass opacity which is not typical of metastatic disease and may represent aspirate or infection. No significant abnormality noted. Degenerative change involving the spine. Small presumed hemangiomas are unchanged. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis. Small subcentimeter hypodensity in left lobe as too small to characterize but stable and presumably benign. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered small subcentimeter lymph nodes are unchanged. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative change and presumed hemangiomas unchanged. No significant abnormality noted. | clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}clinical findings_fin: {'diffuse nonspecific mild to moderate bronchial wall thickening': {'clinical finding': 'diffuse nonspecific mild to moderate bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nonspecific mild to moderate bronchial wall', 'observation': 'thickening', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'mild lingula ground glass opacity': {'clinical finding': 'mild lingula ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'neg_dx', 'descriptive_term': 'mild lingula ground glass', 'observation': 'opacity', 'strength_term': 'mild'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'small presumed hemangiomas': {'clinical finding': 'small presumed hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'small presumed', 'observation': 'hemangiomas', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small subcentimeter hypodensity': {'clinical finding': 'small subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered small subcentimeter lymph nodes': {'clinical finding': 'scattered small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'presumed hemangiomas': {'clinical finding': 'presumed hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'hemangiomas'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered punctate micronodules': {'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'}}clinical findings_fin: {'diffuse nonspecific mild to moderate bronchial wall thickening': {'clinical finding': 'diffuse nonspecific mild to moderate bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse nonspecific mild to moderate bronchial wall', 'observation': 'thickening', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'lingula': {}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'mild lingula ground glass opacity': {'clinical finding': 'mild lingula ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'neg_dx', 'descriptive_term': 'mild lingula ground glass', 'observation': 'opacity', 'strength_term': 'mild'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}, 'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'small presumed hemangiomas': {'clinical finding': 'small presumed hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'small presumed', 'observation': 'hemangiomas', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'small subcentimeter hypodensity': {'clinical finding': 'small subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter', 'observation': 'hypodensity', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'scattered small subcentimeter lymph nodes': {'clinical finding': 'scattered small subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'degenerative change': {'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'presumed hemangiomas': {'clinical finding': 'presumed hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'hemangiomas'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered punctate micronodules are stable and presumably postinflammatory. There is diffuse nonspecific mild to moderate bronchial wall thickening. No change in mild lingula ground glass opacity which is not typical of metastatic disease and may represent aspirate or infection. No significant abnormality noted. Degenerative change involving the spine. Small presumed hemangiomas are unchanged. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis. Small subcentimeter hypodensity in left lobe as too small to characterize but stable and presumably benign. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered small subcentimeter lymph nodes are unchanged. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative change and presumed hemangiomas unchanged. No significant abnormality noted. </s> |
.Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching with single left and right renal arteries noted. Minimal bibasilar atelectasis. Mild fatty infiltration of the liver. Postsurgical cholecystectomy changes noted. No other significant abnormalities noted. No significant abnormality noted. No significant abnormality noted. Hypodense nodule within the left adrenal gland measuring <10 HU consistent with an adenoma. Retroaortic left renal vein noted. Contrast opacifies the collecting system without complication. No evidence of hydronephrosis, urolithiasis, or nephrolithiasis. No duplicated collecting system or ureters. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Contrast opacifies the bladder without evidence of abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'right renal arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'early branching with single left and right renal arteries noted': {'clinical finding': 'early branching with single left and right renal arteries noted'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical cholecystectomy changes': {'clinical finding': 'postsurgical cholecystectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical cholecystectomy', 'observation': 'change'}}clinical findings_fin: {'other significant abnormalities': {'clinical finding': 'other significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'hypodense nodule': {'clinical finding': 'hypodense nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'observation': 'adenoma'}}anatomical entity_fin: {'left renal vein': {}}clinical findings_fin: {'retroaortic left renal vein noted': {'clinical finding': 'retroaortic left renal vein noted'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'complication': {'clinical finding': 'complication', 'existence': 'pos_dx', 'observation': 'complication'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'urolithiasis': {'clinical finding': 'urolithiasis', 'cf_snomed': {'urolithiasis': 95566004}, 'existence': 'neg_dx', 'observation': 'urolithiasis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'arterial system': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}anatomical entity_fin: {'right renal arteries': {}}location descriptor_fin: ['left']clinical findings_fin: {'early branching with single left and right renal arteries noted': {'clinical finding': 'early branching with single left and right renal arteries noted'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'mild fatty infiltration': {'clinical finding': 'mild fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'postsurgical cholecystectomy changes': {'clinical finding': 'postsurgical cholecystectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical cholecystectomy', 'observation': 'change'}}clinical findings_fin: {'other significant abnormalities': {'clinical finding': 'other significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'hypodense nodule': {'clinical finding': 'hypodense nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'nodule'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'pos_dx', 'observation': 'adenoma'}}anatomical entity_fin: {'left renal vein': {}}clinical findings_fin: {'retroaortic left renal vein noted': {'clinical finding': 'retroaortic left renal vein noted'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'complication': {'clinical finding': 'complication', 'existence': 'pos_dx', 'observation': 'complication'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'urolithiasis': {'clinical finding': 'urolithiasis', 'cf_snomed': {'urolithiasis': 95566004}, 'existence': 'neg_dx', 'observation': 'urolithiasis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] .Contrast opacifies the arterial system with extension to the peripheral vessels. No early branching with single left and right renal arteries noted. Minimal bibasilar atelectasis. Mild fatty infiltration of the liver. Postsurgical cholecystectomy changes noted. No other significant abnormalities noted. No significant abnormality noted. No significant abnormality noted. Hypodense nodule within the left adrenal gland measuring <10 HU consistent with an adenoma. Retroaortic left renal vein noted. Contrast opacifies the collecting system without complication. No evidence of hydronephrosis, urolithiasis, or nephrolithiasis. No duplicated collecting system or ureters. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Contrast opacifies the bladder without evidence of abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. There is a 9 x 9 mm nodule in the left upper lobe. Additional scattered micronodules are noted bilaterally. Mild lung base scarring is noted. The heart and pericardium appear normal. There is minimal coronary artery calcification. There is no significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. Subcentimeter arterially enhancing lesions in the dome of the liver are isoattenuating to liver on venous and delayed phase images favor benign etiology such as hemangiomas. No suspicious hepatic lesions are identified. The gallbladder is decompressed. Approximately 1 cm hypoattenuating lesion in the spleen gradually becomes isoattenuating to normal splenic parenchyma on the delayed phase images and likely represents a hemangioma. There is a 52 x 24-mm masslike area of hypoattenuation and hypoenhancement in the pancreatic head. Additionally, there is dilation of the entire pancreatic duct to approximately 9 mm in the body of the pancreas. This tumor encases and narrows the hepatic artery near its origin. The tumor also abuts the splenic and superior mesenteric veins at the confluence and the anterior aspect of the proximal portal vein , however these vessels are not encased or attenuated. The adrenal glands are normal. The right kidney is small and the renal cortex is thinned. There are scattered renal cortical cysts. There are small retroperitoneal lymph nodes. There is mild, scattered atherosclerotic calcification of the abdominal aorta and its branches. There is subtle omental stranding and nodularity seen in the upper abdomen. The small bowel appears normal. There is colonic diverticulosis without evidence of diverticulitis. The appendix appears normal. There is mild degenerative change in the lower lumbar spine. No significant abnormality noted. No significant abnormality noted. The bladder appears normal. No significant lymphadenopathy noted. There is a small amount of pelvic free fluid. No significant abnormality noted. No significant abnormality noted. | size_fin: [{'size': '9 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'9 x 9 mm nodule': {'clinical finding': '9 x 9 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 x 9 mm', 'observation': 'nodule'}}clinical findings_fin: {'additional scattered micronodules': {'clinical finding': 'additional scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered', 'observation': 'micronodule'}}anatomical entity_fin: {'lung': {}, 'base': {}}clinical findings_fin: {'mild lung base scarring': {'clinical finding': 'mild lung base scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild lung base', 'observation': 'scarr', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'minimal coronary artery calcification': {'clinical finding': 'minimal coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal coronary artery', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'subcentimeter arterially enhancing lesions': {'clinical finding': 'subcentimeter arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter arterially enhancing', 'observation': 'lesion'}, 'hemangiomas': {'clinical finding': 'hemangiomas', 'existence': 'unc_dx', 'observation': 'hemangiomas'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'spleen': {}, 'parenchyma': {}}clinical findings_fin: {'approximately 1 cm hypoattenuating lesion': {'clinical finding': 'approximately 1 cm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'approximately 1 cm hypoattenuating', 'observation': 'lesion'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}size_fin: [{'size': '52 x 24', 'size_descriptor': 'masslike'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'hypoenhancement': {'clinical finding': 'hypoenhancement', 'existence': 'pos_dx', 'observation': 'hypoenhancement'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}, 'pancreas': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}}anatomical entity_fin: {'hepatic artery': {}, 'origin': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'narrows': {'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'superior mesenteric veins': {}, 'portal vein': {'location descriptor': 'proximal'}}location descriptor_fin: ['anterior', 'proximal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal': {'clinical finding': 'adrenal glands are normal'}}anatomical entity_fin: {'right kidney': {}, 'cortex': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}, 'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}clinical findings_fin: {'scattered renal cortical cysts': {'clinical finding': 'scattered renal cortical cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered renal cortical', 'observation': 'cyst'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild, scattered atherosclerotic calcification': {'clinical finding': 'mild, scattered atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'subtle omental stranding': {'clinical finding': 'subtle omental stranding', 'existence': 'pos_dx', 'descriptive_term': 'subtle omental', 'observation': 'strand', 'strength_term': 'subtle'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel appears': {'clinical finding': 'small bowel appears'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative change': {'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder appears normal': {'clinical finding': 'bladder appears normal'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '9 x 9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'9 x 9 mm nodule': {'clinical finding': '9 x 9 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 x 9 mm', 'observation': 'nodule'}}clinical findings_fin: {'additional scattered micronodules': {'clinical finding': 'additional scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered', 'observation': 'micronodule'}}anatomical entity_fin: {'lung': {}, 'base': {}}clinical findings_fin: {'mild lung base scarring': {'clinical finding': 'mild lung base scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild lung base', 'observation': 'scarr', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium appear normal': {'clinical finding': 'heart and pericardium appear normal'}}clinical findings_fin: {'minimal coronary artery calcification': {'clinical finding': 'minimal coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal coronary artery', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'subcentimeter arterially enhancing lesions': {'clinical finding': 'subcentimeter arterially enhancing lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter arterially enhancing', 'observation': 'lesion'}, 'hemangiomas': {'clinical finding': 'hemangiomas', 'existence': 'unc_dx', 'observation': 'hemangiomas'}}clinical findings_fin: {'suspicious hepatic lesions': {'clinical finding': 'suspicious hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'spleen': {}, 'parenchyma': {}}clinical findings_fin: {'approximately 1 cm hypoattenuating lesion': {'clinical finding': 'approximately 1 cm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'approximately 1 cm hypoattenuating', 'observation': 'lesion'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'unc_dx', 'observation': 'hemangioma'}}size_fin: [{'size': '52 x 24', 'size_descriptor': 'masslike'}]anatomical entity_fin: {'head': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'hypoenhancement': {'clinical finding': 'hypoenhancement', 'existence': 'pos_dx', 'observation': 'hypoenhancement'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'dilation'}]anatomical entity_fin: {'pancreatic duct': {}, 'body': {}, 'pancreas': {}}clinical findings_fin: {'dilation': {'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation'}}anatomical entity_fin: {'hepatic artery': {}, 'origin': {}}clinical findings_fin: {'this tumor': {'clinical finding': 'this tumor', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'tumor'}, 'narrows': {'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'superior mesenteric veins': {}, 'portal vein': {'location descriptor': 'proximal'}}location descriptor_fin: ['anterior', 'proximal']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal': {'clinical finding': 'adrenal glands are normal'}}anatomical entity_fin: {'right kidney': {}, 'cortex': {}}clinical findings_fin: {'small': {'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'}, 'thinned': {'clinical finding': 'thinned', 'existence': 'pos_dx', 'observation': 'thin'}}clinical findings_fin: {'scattered renal cortical cysts': {'clinical finding': 'scattered renal cortical cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'scattered renal cortical', 'observation': 'cyst'}}clinical findings_fin: {'small retroperitoneal lymph nodes': {'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild, scattered atherosclerotic calcification': {'clinical finding': 'mild, scattered atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}anatomical entity_fin: {'upper abdomen': {}}clinical findings_fin: {'subtle omental stranding': {'clinical finding': 'subtle omental stranding', 'existence': 'pos_dx', 'descriptive_term': 'subtle omental', 'observation': 'strand', 'strength_term': 'subtle'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel appears': {'clinical finding': 'small bowel appears'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'appendix appears normal': {'clinical finding': 'appendix appears normal'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative change': {'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'bladder appears normal': {'clinical finding': 'bladder appears normal'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'pelvic free fluid': {'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . There is a 9 x 9 mm nodule in the left upper lobe. Additional scattered micronodules are noted bilaterally. Mild lung base scarring is noted. The heart and pericardium appear normal. There is minimal coronary artery calcification. There is no significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. Subcentimeter arterially enhancing lesions in the dome of the liver are isoattenuating to liver on venous and delayed phase images favor benign etiology such as hemangiomas. No suspicious hepatic lesions are identified. The gallbladder is decompressed. Approximately 1 cm hypoattenuating lesion in the spleen gradually becomes isoattenuating to normal splenic parenchyma on the delayed phase images and likely represents a hemangioma. There is a 52 x 24-mm masslike area of hypoattenuation and hypoenhancement in the pancreatic head. Additionally, there is dilation of the entire pancreatic duct to approximately 9 mm in the body of the pancreas. This tumor encases and narrows the hepatic artery near its origin. The tumor also abuts the splenic and superior mesenteric veins at the confluence and the anterior aspect of the proximal portal vein , however these vessels are not encased or attenuated. The adrenal glands are normal. The right kidney is small and the renal cortex is thinned. There are scattered renal cortical cysts. There are small retroperitoneal lymph nodes. There is mild, scattered atherosclerotic calcification of the abdominal aorta and its branches. There is subtle omental stranding and nodularity seen in the upper abdomen. The small bowel appears normal. There is colonic diverticulosis without evidence of diverticulitis. The appendix appears normal. There is mild degenerative change in the lower lumbar spine. No significant abnormality noted. No significant abnormality noted. The bladder appears normal. No significant lymphadenopathy noted. There is a small amount of pelvic free fluid. No significant abnormality noted. No significant abnormality noted. </s> |
. Tubular filling defect in the left lower lobe pulmonary artery extending to the segmental branches, compatible with acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. No focal airspace consolidation. No pleural effusions. No suspicious pulmonary nodules or masses. The heart is normal in size, without pericardial effusion. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. There is irregular contrast opacification of the left internal jugular vein. The other systemic veins are not evaluated due to phase of contrast. No significant abnormality noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'pulmonary artery': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'tubular filling defect': {'clinical finding': 'tubular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular filling', 'observation': 'defect'}, 'left lower lobe pulmonary': {'clinical finding': 'left lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pulmonary'}, 'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'irregular contrast opacification': {'clinical finding': 'irregular contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'irregular contrast', 'observation': 'opacification'}}anatomical entity_fin: {'systemic veins': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'pulmonary artery': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'tubular filling defect': {'clinical finding': 'tubular filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'tubular filling', 'observation': 'defect'}, 'left lower lobe pulmonary': {'clinical finding': 'left lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pulmonary'}, 'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'pos_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in caliber': {'clinical finding': 'main pulmonary artery is normal in caliber'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'irregular contrast opacification': {'clinical finding': 'irregular contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'irregular contrast', 'observation': 'opacification'}}anatomical entity_fin: {'systemic veins': {}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Tubular filling defect in the left lower lobe pulmonary artery extending to the segmental branches, compatible with acute pulmonary embolus. The main pulmonary artery is normal in caliber. No evidence of right heart strain. No focal airspace consolidation. No pleural effusions. No suspicious pulmonary nodules or masses. The heart is normal in size, without pericardial effusion. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. There is irregular contrast opacification of the left internal jugular vein. The other systemic veins are not evaluated due to phase of contrast. No significant abnormality noted. </s> |
Again seen are surgical changes of right-sided temporal craniotomy and mastoidectomy with fixation instruments in place. There are changes of recent transmastoid surgery for approach to the right petrous apex lesion. Within the limits of CT imaging, the expansile cystic lesion has been debulked with relief of mass effect on the brainstem. Again seen is bony dehiscence of the right distal carotid canal near the right petrous apex. There is no significant intracranial hemorrhage, mass effect or midline shift. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. The paranasal sinuses and left mastoid air cells are clear. | location descriptor_fin: ['right']clinical findings_fin: {'surgical changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}, 'fixation instruments': {'clinical finding': 'fixation instruments', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'instrument'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'recent transmastoid surgery': {'clinical finding': 'recent transmastoid surgery', 'existence': 'pos_dx', 'descriptive_term': 'recent transmastoid', 'observation': 'surgery'}, 'right petrous apex lesion': {'clinical finding': 'right petrous apex lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'right petrous apex', 'observation': 'lesion'}}anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'expansile cystic lesion': {'clinical finding': 'expansile cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile cystic', 'observation': 'lesion'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'carotid canal': {'location descriptor': 'right distal'}, 'apex': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'bony dehiscence': {'clinical finding': 'bony dehiscence', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'dehiscence'}}location descriptor_fin: ['midline']clinical findings_fin: {'significant intracranial hemorrhage': {'clinical finding': 'significant intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'significant intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'surgical changes': {'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'}, 'fixation instruments': {'clinical finding': 'fixation instruments', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'instrument'}}anatomical entity_fin: {'apex': {}}location descriptor_fin: ['right']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'recent transmastoid surgery': {'clinical finding': 'recent transmastoid surgery', 'existence': 'pos_dx', 'descriptive_term': 'recent transmastoid', 'observation': 'surgery'}, 'right petrous apex lesion': {'clinical finding': 'right petrous apex lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'right petrous apex', 'observation': 'lesion'}}anatomical entity_fin: {'brainstem': {}}clinical findings_fin: {'expansile cystic lesion': {'clinical finding': 'expansile cystic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'expansile cystic', 'observation': 'lesion'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'carotid canal': {'location descriptor': 'right distal'}, 'apex': {}}location descriptor_fin: ['right', 'distal']clinical findings_fin: {'bony dehiscence': {'clinical finding': 'bony dehiscence', 'cf_snomed': {'dehiscence': 11108009}, 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'dehiscence'}}location descriptor_fin: ['midline']clinical findings_fin: {'significant intracranial hemorrhage': {'clinical finding': 'significant intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'significant intracranial', 'observation': 'hemorrhage'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] Again seen are surgical changes of right-sided temporal craniotomy and mastoidectomy with fixation instruments in place. There are changes of recent transmastoid surgery for approach to the right petrous apex lesion. Within the limits of CT imaging, the expansile cystic lesion has been debulked with relief of mass effect on the brainstem. Again seen is bony dehiscence of the right distal carotid canal near the right petrous apex. There is no significant intracranial hemorrhage, mass effect or midline shift. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. The paranasal sinuses and left mastoid air cells are clear. </s> |
There is a comminuted fracture of the greater trochanter with minimal posterior displacement of the distal fracture fragments. No intertrochanteric component is identified. Mild osteoarthritis affects the right hip with joint space narrowing and subchondral sclerosis. Degenerative changes including vacuum phenomenon in the right SI joint. Incompletely imaged enlarged prostate with mild nonspecific bladder wall thickening. | location descriptor_fin: ['posterior', 'distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'minimal posterior displacement': {'clinical finding': 'minimal posterior displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal posterior', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'distal fracture fragments': {'clinical finding': 'distal fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}clinical findings_fin: {'intertrochanteric component is identified': {'clinical finding': 'intertrochanteric component is identified'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}, 'joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}, 'joint space narrowing': {'clinical finding': 'joint space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'joint space', 'observation': 'narrowing'}, 'subchondral sclerosis': {'clinical finding': 'subchondral sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'sclerosis'}}anatomical entity_fin: {'joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'vacuum phenomenon': {'clinical finding': 'vacuum phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'prostate': {}, 'bladder': {}}clinical findings_fin: {'incompletely imaged enlarged': {'clinical finding': 'incompletely imaged enlarged', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged', 'observation': 'enlarged'}, 'mild nonspecific bladder wall thickening': {'clinical finding': 'mild nonspecific bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior', 'distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'minimal posterior displacement': {'clinical finding': 'minimal posterior displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal posterior', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'distal fracture fragments': {'clinical finding': 'distal fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}clinical findings_fin: {'intertrochanteric component is identified': {'clinical finding': 'intertrochanteric component is identified'}}anatomical entity_fin: {'hip': {'location descriptor': 'right'}, 'joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}, 'joint space narrowing': {'clinical finding': 'joint space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'joint space', 'observation': 'narrowing'}, 'subchondral sclerosis': {'clinical finding': 'subchondral sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'sclerosis'}}anatomical entity_fin: {'joint': {}}location descriptor_fin: ['right']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'vacuum phenomenon': {'clinical finding': 'vacuum phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'phenomenon'}}anatomical entity_fin: {'prostate': {}, 'bladder': {}}clinical findings_fin: {'incompletely imaged enlarged': {'clinical finding': 'incompletely imaged enlarged', 'existence': 'pos_dx', 'descriptive_term': 'incompletely imaged', 'observation': 'enlarged'}, 'mild nonspecific bladder wall thickening': {'clinical finding': 'mild nonspecific bladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific bladder wall', 'observation': 'thickening', 'strength_term': 'mild'}} [/INST] There is a comminuted fracture of the greater trochanter with minimal posterior displacement of the distal fracture fragments. No intertrochanteric component is identified. Mild osteoarthritis affects the right hip with joint space narrowing and subchondral sclerosis. Degenerative changes including vacuum phenomenon in the right SI joint. Incompletely imaged enlarged prostate with mild nonspecific bladder wall thickening. </s> |
. The right frontal sinuses not pneumatized. The left frontal sinus and frontoethmoidal recess are clear. There is moderate left anterior ethmoid air cell opacification and mild right anterior ethmoid opacification. There is near-complete opacification of bilateral maxillary sinuses left more than the right. There is occluded left ostiomeatal unit and compromised right ostiomeatal unit. There is moderate opacification of posterior ethmoid air cells. There is near-complete opacification of the sphenoid sinus. Bilateral sphenoethmoidal recesses are clear. There is minimal leftward nasal septal deviation. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. Bilateral mastoids arent pneumatized and unremarkable. Visualized portions of the orbits are unremarkable. | location descriptor_fin: ['right']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left', 'anterior', 'right']clinical findings_fin: {'moderate left anterior ethmoid air cell opacification': {'clinical finding': 'moderate left anterior ethmoid air cell opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate left anterior ethmoid air cell', 'observation': 'opacification', 'strength_term': 'moderate'}, 'mild right anterior ethmoid opacification': {'clinical finding': 'mild right anterior ethmoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild right anterior ethmoid', 'observation': 'opacification', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'moderate opacification': {'clinical finding': 'moderate opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'opacification', 'strength_term': 'moderate'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}anatomical entity_fin: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate morphology is within normal limits': {'clinical finding': 'nasal turbinate morphology is within normal limits'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'roof': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'visualized portions of the orbits': {'clinical finding': 'visualized portions of the orbits'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'frontal sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cell': {}}location descriptor_fin: ['left', 'anterior', 'right']clinical findings_fin: {'moderate left anterior ethmoid air cell opacification': {'clinical finding': 'moderate left anterior ethmoid air cell opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate left anterior ethmoid air cell', 'observation': 'opacification', 'strength_term': 'moderate'}, 'mild right anterior ethmoid opacification': {'clinical finding': 'mild right anterior ethmoid opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild right anterior ethmoid', 'observation': 'opacification', 'strength_term': 'mild'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}anatomical entity_fin: {'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'moderate opacification': {'clinical finding': 'moderate opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'opacification', 'strength_term': 'moderate'}}anatomical entity_fin: {'sphenoid sinus': {}}clinical findings_fin: {'near-complete opacification': {'clinical finding': 'near-complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'opacification'}}anatomical entity_fin: {'sphenoethmoidal recesses': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal turbinate': {}}clinical findings_fin: {'nasal turbinate morphology is within normal limits': {'clinical finding': 'nasal turbinate morphology is within normal limits'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'roof': {}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'visualized portions of the orbits': {'clinical finding': 'visualized portions of the orbits'}} [/INST] . The right frontal sinuses not pneumatized. The left frontal sinus and frontoethmoidal recess are clear. There is moderate left anterior ethmoid air cell opacification and mild right anterior ethmoid opacification. There is near-complete opacification of bilateral maxillary sinuses left more than the right. There is occluded left ostiomeatal unit and compromised right ostiomeatal unit. There is moderate opacification of posterior ethmoid air cells. There is near-complete opacification of the sphenoid sinus. Bilateral sphenoethmoidal recesses are clear. There is minimal leftward nasal septal deviation. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. Bilateral mastoids arent pneumatized and unremarkable. Visualized portions of the orbits are unremarkable. </s> |
Moderate to severe osteoarthritis affects the right hip with osteophyte formation and subchondral cysts. The musculature of the hip appears normal. Note is made of healing or healed fractures of the right obturator ring. On the large field-of-view images, there is relatively mild osteoarthritis of the left hip. Mild osteoarthritis affects the sacroiliac joints, left greater than right. Degenerative disc disease and facet joint osteoarthritis affects the lower lumbar spine. Note is made of scattered arterial calcifications. There is a right iliac fossa renal transplant. Evaluation of the knees is limited by metal streak artifact due to the patients bilateral total knee arthroplasty devices. | anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate to severe osteoarthritis': {'clinical finding': 'moderate to severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'osteoarthritis', 'strength_term': 'moderate - severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'musculature': {}, 'hip': {}}clinical findings_fin: {'musculature of the hip appears normal': {'clinical finding': 'musculature of the hip appears normal'}}imaging observation_fin: ['obturator']location descriptor_fin: ['right']clinical findings_fin: {'healing': {'clinical finding': 'healing', 'existence': 'unc_dx', 'observation': 'heal'}, 'healed fractures': {'clinical finding': 'healed fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'healed', 'observation': 'fracture', 'strength_term': 'healed', 'change_term': 'healed'}, 'right obturator ring': {'clinical finding': 'right obturator ring', 'existence': 'pos_dx', 'descriptive_term': 'right obturator', 'observation': 'ring'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'relatively mild osteoarthritis': {'clinical finding': 'relatively mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'relatively mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}anatomical entity_fin: {'sacroiliac joints': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}, 'joint': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative disc disease': {'clinical finding': 'degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative disc', 'observation': 'disease'}, 'facet joint osteoarthritis': {'clinical finding': 'facet joint osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'facet joint', 'observation': 'osteoarthritis'}}clinical findings_fin: {'scattered arterial calcifications': {'clinical finding': 'scattered arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered arterial', 'observation': 'calcification'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'knees': {}, 'knee': {}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'metal streak artifact': {'clinical finding': 'metal streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal streak', 'observation': 'artifact'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'hip': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'moderate to severe osteoarthritis': {'clinical finding': 'moderate to severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'osteoarthritis', 'strength_term': 'moderate - severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'musculature': {}, 'hip': {}}clinical findings_fin: {'musculature of the hip appears normal': {'clinical finding': 'musculature of the hip appears normal'}}imaging observation_fin: ['obturator']location descriptor_fin: ['right']clinical findings_fin: {'healing': {'clinical finding': 'healing', 'existence': 'unc_dx', 'observation': 'heal'}, 'healed fractures': {'clinical finding': 'healed fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'unc_dx', 'descriptive_term': 'healed', 'observation': 'fracture', 'strength_term': 'healed', 'change_term': 'healed'}, 'right obturator ring': {'clinical finding': 'right obturator ring', 'existence': 'pos_dx', 'descriptive_term': 'right obturator', 'observation': 'ring'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'relatively mild osteoarthritis': {'clinical finding': 'relatively mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'relatively mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}anatomical entity_fin: {'sacroiliac joints': {}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild osteoarthritis': {'clinical finding': 'mild osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'}}anatomical entity_fin: {'facet': {}, 'joint': {}, 'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative disc disease': {'clinical finding': 'degenerative disc disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative disc', 'observation': 'disease'}, 'facet joint osteoarthritis': {'clinical finding': 'facet joint osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'facet joint', 'observation': 'osteoarthritis'}}clinical findings_fin: {'scattered arterial calcifications': {'clinical finding': 'scattered arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered arterial', 'observation': 'calcification'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'knees': {}, 'knee': {}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'metal streak artifact': {'clinical finding': 'metal streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metal streak', 'observation': 'artifact'}} [/INST] Moderate to severe osteoarthritis affects the right hip with osteophyte formation and subchondral cysts. The musculature of the hip appears normal. Note is made of healing or healed fractures of the right obturator ring. On the large field-of-view images, there is relatively mild osteoarthritis of the left hip. Mild osteoarthritis affects the sacroiliac joints, left greater than right. Degenerative disc disease and facet joint osteoarthritis affects the lower lumbar spine. Note is made of scattered arterial calcifications. There is a right iliac fossa renal transplant. Evaluation of the knees is limited by metal streak artifact due to the patients bilateral total knee arthroplasty devices. </s> |
PHARYNX/. The nasopharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable postcontrast appearance. The thyroid gland is unremarkable. There is an area of abnormal enhancement in the right lateral aspect of the oral tongue extending posteriorly to the level of the anterior tonsillar pillar and measuring approximately 47 x 10 mm , correlating with a known history of tongue cancer. A more nodular component anterolaterally measures approximately 13 x 10 mm. The tumor abuts the posterior aspect of the right mylohyoid muscle. There is no adjacent osseous destruction. There is mild asymmetric prominence of right-sided cervical lymph nodes. For reference, a right level 1B lymph node measures 10 x 5 mm and did not show significant FDG activity on prior PET imaging. A right level 2 lymph node measures 12 x 9 mm with mild FDG uptake on prior PET imaging. A right level 3 lymph node measures 8 x 6 mm , appears somewhat rounded, and was previously seen to show increased FDG uptake on prior PET imaging. Small left-sided cervical lymph nodes are noted. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. There is minimal scattered paranasal sinus mucosal thickening. Moderate degenerative changes affect cervical spine. No destructive osseous lesions are noted. The visualized lung apices show centrilobular emphysema. Scattered small mediastinal lymph nodes are partially imaged. See same-day CT chest for further evaluation. A retropharyngeal right carotid course is noted. There is atherosclerotic calcification of the bilateral common and internal carotid arteries, without significant focal narrowing, as well as extensive atherosclerotic calcification of the partially imaged thoracic aorta and its branches. | anatomical entity_fin: {'nasopharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}size_fin: [{'size': '47 x 10 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'tongue': {}}location descriptor_fin: ['right', 'lateral', 'anterior']clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'tongue cancer': {'clinical finding': 'tongue cancer', 'existence': 'pos_dx', 'descriptive_term': 'tongue', 'observation': 'cancer'}}size_fin: [{'size': '13 x 10 mm', 'size_descriptor': 'component'}]clinical findings_fin: {'more nodular component anterolaterally measures': {'clinical finding': 'more nodular component anterolaterally measures'}}anatomical entity_fin: {'mylohyoid muscle': {'location descriptor': 'right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent osseous destruction': {'clinical finding': 'adjacent osseous destruction', 'existence': 'neg_dx', 'descriptive_term': 'adjacent osseous', 'observation': 'destruction'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymph nodes': {'clinical finding': 'right-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical lymph', 'observation': 'node'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}}size_fin: [{'size': '12 x 9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 2 lymph node': {'clinical finding': 'right level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2 lymph', 'observation': 'node'}, 'mild fdg uptake': {'clinical finding': 'mild fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild fdg', 'observation': 'uptake', 'strength_term': 'mild'}}size_fin: [{'size': '8 x 6 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}, 'increased fdg uptake': {'clinical finding': 'increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased fdg', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided cervical lymph nodes': {'clinical finding': 'small left-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided cervical lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal right carotid course': {'clinical finding': 'retropharyngeal right carotid course', 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal right carotid', 'observation': 'course'}}anatomical entity_fin: {'internal carotid arteries': {}, 'thoracic aorta': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'significant focal narrowing': {'clinical finding': 'significant focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant focal', 'observation': 'narrowing'}, 'extensive atherosclerotic calcification': {'clinical finding': 'extensive atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'nasopharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'epiglottis': {}}imaging observation_fin: ['cords']clinical findings_fin: {'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': {'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'}}anatomical entity_fin: {'parotid glands': {}}clinical findings_fin: {'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance': {'clinical finding': 'submandibular , sublingual , and parotid glands have an unremarkable postcontrast appearance'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}size_fin: [{'size': '47 x 10 mm', 'size_descriptor': 'area'}]anatomical entity_fin: {'tongue': {}}location descriptor_fin: ['right', 'lateral', 'anterior']clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'tongue cancer': {'clinical finding': 'tongue cancer', 'existence': 'pos_dx', 'descriptive_term': 'tongue', 'observation': 'cancer'}}size_fin: [{'size': '13 x 10 mm', 'size_descriptor': 'component'}]clinical findings_fin: {'more nodular component anterolaterally measures': {'clinical finding': 'more nodular component anterolaterally measures'}}anatomical entity_fin: {'mylohyoid muscle': {'location descriptor': 'right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent osseous destruction': {'clinical finding': 'adjacent osseous destruction', 'existence': 'neg_dx', 'descriptive_term': 'adjacent osseous', 'observation': 'destruction'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided cervical lymph nodes': {'clinical finding': 'right-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right-sided cervical lymph', 'observation': 'node'}}size_fin: [{'size': '10 x 5 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}}size_fin: [{'size': '12 x 9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 2 lymph node': {'clinical finding': 'right level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2 lymph', 'observation': 'node'}, 'mild fdg uptake': {'clinical finding': 'mild fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild fdg', 'observation': 'uptake', 'strength_term': 'mild'}}size_fin: [{'size': '8 x 6 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}, 'increased fdg uptake': {'clinical finding': 'increased fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased fdg', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}}location descriptor_fin: ['left']clinical findings_fin: {'small left-sided cervical lymph nodes': {'clinical finding': 'small left-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small left-sided cervical lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are unremarkable': {'clinical finding': 'orbits are unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'moderate degenerative changes': {'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'}}clinical findings_fin: {'destructive osseous lesions': {'clinical finding': 'destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'chest': {}}location descriptor_fin: ['right']clinical findings_fin: {'retropharyngeal right carotid course': {'clinical finding': 'retropharyngeal right carotid course', 'existence': 'pos_dx', 'descriptive_term': 'retropharyngeal right carotid', 'observation': 'course'}}anatomical entity_fin: {'internal carotid arteries': {}, 'thoracic aorta': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'significant focal narrowing': {'clinical finding': 'significant focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'neg_dx', 'descriptive_term': 'significant focal', 'observation': 'narrowing'}, 'extensive atherosclerotic calcification': {'clinical finding': 'extensive atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'}} [/INST] PHARYNX/. The nasopharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The submandibular, sublingual, and parotid glands have an unremarkable postcontrast appearance. The thyroid gland is unremarkable. There is an area of abnormal enhancement in the right lateral aspect of the oral tongue extending posteriorly to the level of the anterior tonsillar pillar and measuring approximately 47 x 10 mm , correlating with a known history of tongue cancer. A more nodular component anterolaterally measures approximately 13 x 10 mm. The tumor abuts the posterior aspect of the right mylohyoid muscle. There is no adjacent osseous destruction. There is mild asymmetric prominence of right-sided cervical lymph nodes. For reference, a right level 1B lymph node measures 10 x 5 mm and did not show significant FDG activity on prior PET imaging. A right level 2 lymph node measures 12 x 9 mm with mild FDG uptake on prior PET imaging. A right level 3 lymph node measures 8 x 6 mm , appears somewhat rounded, and was previously seen to show increased FDG uptake on prior PET imaging. Small left-sided cervical lymph nodes are noted. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits are unremarkable. There is minimal scattered paranasal sinus mucosal thickening. Moderate degenerative changes affect cervical spine. No destructive osseous lesions are noted. The visualized lung apices show centrilobular emphysema. Scattered small mediastinal lymph nodes are partially imaged. See same-day CT chest for further evaluation. A retropharyngeal right carotid course is noted. There is atherosclerotic calcification of the bilateral common and internal carotid arteries, without significant focal narrowing, as well as extensive atherosclerotic calcification of the partially imaged thoracic aorta and its branches. </s> |
. Well-circumscribed right lower lobe nodule costophrenic angle measures 9 x 6 mm , previously 9 x 6 mm. The contour is slightly lobular. On the source images, lipid attenuation is identified , suggestive of but not pathognomonic for a hamartoma as no calcifications are identified. No additional suspicious nodules or masses, pneumothorax or pleural fluid. No masses. Normal heart size. No visible lymphadenopathy. None visible. Nonspecific macrocalcifications in the left breast is unchanged. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Calcified gastrohepatic lymph nodes suggestive of prior healed granulomatous infection. | size_fin: [{'size': '9 x 6 mm'}, {'size': '9 x 6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['angle']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'well-circumscribed right lower lobe nodule': {'clinical finding': 'well-circumscribed right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed right lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}, 'lobular': {'clinical finding': 'lobular', 'existence': 'pos_dx', 'observation': 'lobular'}}clinical findings_fin: {'lipid attenuation': {'clinical finding': 'lipid attenuation', 'existence': 'unc_dx', 'descriptive_term': 'lipid', 'observation': 'attenuation'}, 'hamartoma': {'clinical finding': 'hamartoma', 'cf_snomed': {'hamartoma': 400006008}, 'existence': 'unc_dx', 'observation': 'hamartoma'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'}}clinical findings_fin: {'additional suspicious nodules': {'clinical finding': 'additional suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}clinical findings_fin: {'visible lymphadenopathy': {'clinical finding': 'visible lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'nonspecific macrocalcifications': {'clinical finding': 'nonspecific macrocalcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'macrocalcification'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'calcified gastrohepatic lymph nodes': {'clinical finding': 'calcified gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified gastrohepatic lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior healed granulomatous infection': {'clinical finding': 'prior healed granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'infection', 'strength_term': 'healed', 'change_term': 'healed'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '9 x 6 mm'}, {'size': '9 x 6 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['angle']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'well-circumscribed right lower lobe nodule': {'clinical finding': 'well-circumscribed right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed right lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}, 'lobular': {'clinical finding': 'lobular', 'existence': 'pos_dx', 'observation': 'lobular'}}clinical findings_fin: {'lipid attenuation': {'clinical finding': 'lipid attenuation', 'existence': 'unc_dx', 'descriptive_term': 'lipid', 'observation': 'attenuation'}, 'hamartoma': {'clinical finding': 'hamartoma', 'cf_snomed': {'hamartoma': 400006008}, 'existence': 'unc_dx', 'observation': 'hamartoma'}, 'calcifications': {'clinical finding': 'calcifications', 'existence': 'neg_dx', 'observation': 'calcification'}}clinical findings_fin: {'additional suspicious nodules': {'clinical finding': 'additional suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}}clinical findings_fin: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'normal heart size': {'clinical finding': 'normal heart size'}}clinical findings_fin: {'visible lymphadenopathy': {'clinical finding': 'visible lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'breast': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'nonspecific macrocalcifications': {'clinical finding': 'nonspecific macrocalcifications', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'macrocalcification'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'calcified gastrohepatic lymph nodes': {'clinical finding': 'calcified gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified gastrohepatic lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior healed granulomatous infection': {'clinical finding': 'prior healed granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'infection', 'strength_term': 'healed', 'change_term': 'healed'}} [/INST] . Well-circumscribed right lower lobe nodule costophrenic angle measures 9 x 6 mm , previously 9 x 6 mm. The contour is slightly lobular. On the source images, lipid attenuation is identified , suggestive of but not pathognomonic for a hamartoma as no calcifications are identified. No additional suspicious nodules or masses, pneumothorax or pleural fluid. No masses. Normal heart size. No visible lymphadenopathy. None visible. Nonspecific macrocalcifications in the left breast is unchanged. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Calcified gastrohepatic lymph nodes suggestive of prior healed granulomatous infection. </s> |
Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Prominence of supratentorial ventricular system and cortical sulci is noted which although may be within upper limits of normal for a possibility of underlying parenchymal volume loss should also be considered. The gray-white matter differentiation is preserved and there is no convincing evidence of periventricular or subcortical small vessel ischemic disease. Mild bilateral cavernous carotid vascular calcification is an expected finding for the age. Calvarium and soft tissues of the scalp are unremarkable. Unremarkable images through the orbits, visualized paranasal sinuses and bilateral mastoid air cells. Wax build up within bilateral external auditory canals are noted. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}location descriptor_fin: ['upper']clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}, 'periventricular or subcortical small vessel ischemic disease': {'clinical finding': 'periventricular or subcortical small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'periventricular or subcortical small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral cavernous carotid vascular calcification': {'clinical finding': 'mild bilateral cavernous carotid vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'unc_dx', 'descriptive_term': 'mild bilateral cavernous carotid vascular', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'calvarium and soft tissues of the scalp are unremarkable': {'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unremarkable images through the orbits , visualized paranasal sinuses and bilateral mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , visualized paranasal sinuses and bilateral mastoid air cells'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'noted': {'clinical finding': 'noted'}} | Write the finding section for a radiology report based on the following information: | <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'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}location descriptor_fin: ['upper']clinical findings_fin: {'underlying parenchymal volume loss': {'clinical finding': 'underlying parenchymal volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'gray-white matter differentiation': {'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'}, 'periventricular or subcortical small vessel ischemic disease': {'clinical finding': 'periventricular or subcortical small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'periventricular or subcortical small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mild bilateral cavernous carotid vascular calcification': {'clinical finding': 'mild bilateral cavernous carotid vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'unc_dx', 'descriptive_term': 'mild bilateral cavernous carotid vascular', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'calvarium and soft tissues of the scalp are unremarkable': {'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'unremarkable images through the orbits , visualized paranasal sinuses and bilateral mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , visualized paranasal sinuses and bilateral mastoid air cells'}}anatomical entity_fin: {'external auditory canals': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'noted': {'clinical finding': 'noted'}} [/INST] Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Prominence of supratentorial ventricular system and cortical sulci is noted which although may be within upper limits of normal for a possibility of underlying parenchymal volume loss should also be considered. The gray-white matter differentiation is preserved and there is no convincing evidence of periventricular or subcortical small vessel ischemic disease. Mild bilateral cavernous carotid vascular calcification is an expected finding for the age. Calvarium and soft tissues of the scalp are unremarkable. Unremarkable images through the orbits, visualized paranasal sinuses and bilateral mastoid air cells. Wax build up within bilateral external auditory canals are noted. </s> |
Evaluation of the shoulder is slightly limited secondary to streak artifact from the contralateral shoulder arthroplasty device. Severe osteoarthritis affects the glenohumeral joint with bone-on-bone apposition, osteophyte formation and subchondral cysts. The glenohumeral joint alignment is within normal limits. Faint calcification within the glenohumeral joint may represent chondrocalcinosis. There is slight widening of the acromioclavicular joint which may reflect prior trauma or surgery. Evaluation of the rotator cuff is limited. Calcification within the supraspinatus tendon is consistent with calcific tendinosis. There may be mild atrophy of the supraspinatus muscle but this is equivocal. Degenerative arthritic changes affect the visualized spine. The remaining visualized soft tissue structures are unremarkable. | anatomical entity_fin: {'shoulder': {'location descriptor': 'contralateral'}}location descriptor_fin: ['contralateral']object_fin: ['arthroplasty device']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'contralateral shoulder arthroplasty': {'clinical finding': 'contralateral shoulder arthroplasty', 'existence': 'unc_dx', 'descriptive_term': 'contralateral shoulder', 'observation': 'arthroplasty'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'severe osteoarthritis': {'clinical finding': 'severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'osteoarthritis', 'strength_term': 'severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment is within normal limits': {'clinical finding': 'glenohumeral joint alignment is within normal limits'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'faint calcification': {'clinical finding': 'faint calcification', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'calcification'}, 'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'unc_dx', 'observation': 'chondrocalcinosis'}}anatomical entity_fin: {'acromioclavicular joint': {}}clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}clinical findings_fin: {'evaluation of the rotator cuff is limited': {'clinical finding': 'evaluation of the rotator cuff is limited'}}anatomical entity_fin: {'supraspinatus tendon': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'calcific tendinosis': {'clinical finding': 'calcific tendinosis', 'cf_snomed': {'tendinosis': 724152009}, 'existence': 'pos_dx', 'descriptive_term': 'calcific', 'observation': 'tendinosis'}}anatomical entity_fin: {'supraspinatus muscle': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}clinical findings_fin: {'remaining visualized soft tissue structures are unremarkable': {'clinical finding': 'remaining visualized soft tissue structures are unremarkable'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'shoulder': {'location descriptor': 'contralateral'}}location descriptor_fin: ['contralateral']object_fin: ['arthroplasty device']clinical findings_fin: {'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'contralateral shoulder arthroplasty': {'clinical finding': 'contralateral shoulder arthroplasty', 'existence': 'unc_dx', 'descriptive_term': 'contralateral shoulder', 'observation': 'arthroplasty'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'severe osteoarthritis': {'clinical finding': 'severe osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'osteoarthritis', 'strength_term': 'severe'}, 'osteophyte': {'clinical finding': 'osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'observation': 'osteophyte'}, 'subchondral cysts': {'clinical finding': 'subchondral cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'glenohumeral joint alignment is within normal limits': {'clinical finding': 'glenohumeral joint alignment is within normal limits'}}anatomical entity_fin: {'glenohumeral joint': {}}clinical findings_fin: {'faint calcification': {'clinical finding': 'faint calcification', 'existence': 'pos_dx', 'descriptive_term': 'faint', 'observation': 'calcification'}, 'chondrocalcinosis': {'clinical finding': 'chondrocalcinosis', 'cf_snomed': {'chondrocalcinosis': 239838005}, 'existence': 'unc_dx', 'observation': 'chondrocalcinosis'}}anatomical entity_fin: {'acromioclavicular joint': {}}clinical findings_fin: {'slight widening': {'clinical finding': 'slight widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'}, 'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}clinical findings_fin: {'evaluation of the rotator cuff is limited': {'clinical finding': 'evaluation of the rotator cuff is limited'}}anatomical entity_fin: {'supraspinatus tendon': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}, 'calcific tendinosis': {'clinical finding': 'calcific tendinosis', 'cf_snomed': {'tendinosis': 724152009}, 'existence': 'pos_dx', 'descriptive_term': 'calcific', 'observation': 'tendinosis'}}anatomical entity_fin: {'supraspinatus muscle': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative arthritic changes': {'clinical finding': 'degenerative arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative arthritic', 'observation': 'change'}}clinical findings_fin: {'remaining visualized soft tissue structures are unremarkable': {'clinical finding': 'remaining visualized soft tissue structures are unremarkable'}} [/INST] Evaluation of the shoulder is slightly limited secondary to streak artifact from the contralateral shoulder arthroplasty device. Severe osteoarthritis affects the glenohumeral joint with bone-on-bone apposition, osteophyte formation and subchondral cysts. The glenohumeral joint alignment is within normal limits. Faint calcification within the glenohumeral joint may represent chondrocalcinosis. There is slight widening of the acromioclavicular joint which may reflect prior trauma or surgery. Evaluation of the rotator cuff is limited. Calcification within the supraspinatus tendon is consistent with calcific tendinosis. There may be mild atrophy of the supraspinatus muscle but this is equivocal. Degenerative arthritic changes affect the visualized spine. The remaining visualized soft tissue structures are unremarkable. </s> |
. This examination is diagnostic for the evaluation of pulmonary embolism to the subsegmental level. No pulmonary embolus is present. There is subsegmental atelectasis within the posterior basal segments of bilateral lower lobes. Within the lateral left lower lobe, there is a groundglass focus measuring approximately 11 x 16 mm. It does appear flat on the coronal images. Ill-defined groundglass more central to this nodule. In the clinical setting of suspected endocarditis, septic embolus is a consideration. Recommend repeat CT thorax in 8 weeks or at the termination of antibiotic treatment, to ensure resolution. Other considerations include scar from prior inflammation or septic embolus. Less likely is an indolent adenocarcinoma. No pneumothorax or pleural effusion. Two ventricular ICD electrodes occupy the right ventricle. Both electrode tips appear to extend just beyond the right ventricular apex, terminating within the epicardial fat. There is no associated pericardial effusion, pericardial thickening or pneumopericardium. There is beam hardening artifact present which limits evaluation of the exact location of the electrode tips but small right ventricular apical wall perforations may be present. None. Immediately superior to the pulse generator, there is induration of the subcutaneous fat with skin thickening that extends to the superior field-of-view. There is beam hardening artifact at the level of the pulse generator however, no focal abscess at the pocket is identified. Upon discussion with the nurse caring for the patient, Carrie, the patient has suspected pocket infection and possible endocarditis. There is limited visualization of the tricuspid valve due to additional beam hardening artifact and therefore potential vegetation on this valve cannot be evaluated. No significant vegetation is identified on the pulmonic, mitral or aortic valves. Of note, this examination was not ECG gated which may limit visualization of the valves. Consider echocardiogram for further evaluation of the cardiac valves. No intracardiac thrombus is visualized. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Evidence of fatty infiltration adjacent to the falciform ligament. | location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['subsegmental', 'posterior', 'bilateral', 'lower']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}size_fin: [{'size': '11 x 16 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['lateral', 'left', 'lower']location descriptor_fin: ['central']clinical findings_fin: {'ill-defined groundglass': {'clinical finding': 'ill-defined groundglass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'groundglass', 'strength_term': 'ill-defined'}, 'this nodule': {'clinical finding': 'this nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'nodule'}}clinical findings_fin: {'suspected endocarditis': {'clinical finding': 'suspected endocarditis', 'cf_snomed': {'endocarditis': 56819008}, 'existence': 'pos_dx', 'descriptive_term': 'suspected', 'observation': 'endocarditis'}, 'septic embolus': {'clinical finding': 'septic embolus', 'cf_snomed': {'septic embolus': 72237000}, 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'embolus'}}anatomical entity_fin: {'thorax': {}}non-anatomical substance_fin: ['antibiotic']procedure_fin: ['treatment']clinical findings_fin: {'resolution': {'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'}}clinical findings_fin: {'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}, 'septic embolus': {'clinical finding': 'septic embolus', 'cf_snomed': {'septic embolus': 72237000}, 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'embolus'}}clinical findings_fin: {'indolent adenocarcinoma': {'clinical finding': 'indolent adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'unc_dx', 'descriptive_term': 'indolent', 'observation': 'adenocarcinoma'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'right ventricle': {}}clinical findings_fin: {'two ventricular icd electrodes': {'clinical finding': 'two ventricular icd electrodes', 'existence': 'pos_dx', 'descriptive_term': 'two ventricular icd', 'observation': 'electrode'}}anatomical entity_fin: {'apex': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']object_fin: ['electrode']clinical findings_fin: {'associated pericardial effusion': {'clinical finding': 'associated pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'associated pericardial', 'observation': 'effusion'}, 'pericardial thickening': {'clinical finding': 'pericardial thickening', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'thickening'}, 'pneumopericardium': {'clinical finding': 'pneumopericardium', 'cf_snomed': {'pneumopericardium': 82542004}, 'existence': 'neg_dx', 'observation': 'pneumopericardium'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']object_fin: ['electrode']clinical findings_fin: {'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'small right ventricular apical wall perforations': {'clinical finding': 'small right ventricular apical wall perforations', 'cf_snomed': {'perforation': 36191001}, 'existence': 'unc_dx', 'descriptive_term': 'small right ventricular apical wall', 'observation': 'perforation', 'strength_term': 'small'}}anatomical entity_fin: {'subcutaneous fat': {}}location descriptor_fin: ['superior']clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}clinical findings_fin: {'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'pulse generator': {'clinical finding': 'pulse generator', 'existence': 'pos_dx', 'descriptive_term': 'pulse', 'observation': 'generator'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}}clinical findings_fin: {'suspected pocket infection': {'clinical finding': 'suspected pocket infection', 'existence': 'unc_dx', 'descriptive_term': 'suspected pocket', 'observation': 'infection'}, 'possible endocarditis': {'clinical finding': 'possible endocarditis', 'cf_snomed': {'endocarditis': 56819008}, 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'endocarditis'}}anatomical entity_fin: {'tricuspid valve': {}}object_fin: ['valve']clinical findings_fin: {'additional beam hardening artifact': {'clinical finding': 'additional beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'additional beam hardening', 'observation': 'artifact'}, 'potential vegetation': {'clinical finding': 'potential vegetation', 'existence': 'unc_dx', 'descriptive_term': 'potential', 'observation': 'vegetation'}}anatomical entity_fin: {'aortic valves': {}}clinical findings_fin: {'significant vegetation': {'clinical finding': 'significant vegetation', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'vegetation'}}clinical findings_fin: {'intracardiac thrombus': {'clinical finding': 'intracardiac thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'intracardiac', 'observation': 'thrombus'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: {'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: {'pulmonary embolism': {'clinical finding': 'pulmonary embolism', 'cf_snomed': {'pulmonary embolism': 59282003}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'}}clinical findings_fin: {'pulmonary embolus': {'clinical finding': 'pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'}}anatomical entity_fin: {'lobes': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['subsegmental', 'posterior', 'bilateral', 'lower']clinical findings_fin: {'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}size_fin: [{'size': '11 x 16 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['lateral', 'left', 'lower']location descriptor_fin: ['central']clinical findings_fin: {'ill-defined groundglass': {'clinical finding': 'ill-defined groundglass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'groundglass', 'strength_term': 'ill-defined'}, 'this nodule': {'clinical finding': 'this nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'nodule'}}clinical findings_fin: {'suspected endocarditis': {'clinical finding': 'suspected endocarditis', 'cf_snomed': {'endocarditis': 56819008}, 'existence': 'pos_dx', 'descriptive_term': 'suspected', 'observation': 'endocarditis'}, 'septic embolus': {'clinical finding': 'septic embolus', 'cf_snomed': {'septic embolus': 72237000}, 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'embolus'}}anatomical entity_fin: {'thorax': {}}non-anatomical substance_fin: ['antibiotic']procedure_fin: ['treatment']clinical findings_fin: {'resolution': {'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'}}clinical findings_fin: {'scar': {'clinical finding': 'scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'unc_dx', 'observation': 'scar'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}, 'septic embolus': {'clinical finding': 'septic embolus', 'cf_snomed': {'septic embolus': 72237000}, 'existence': 'unc_dx', 'descriptive_term': 'septic', 'observation': 'embolus'}}clinical findings_fin: {'indolent adenocarcinoma': {'clinical finding': 'indolent adenocarcinoma', 'cf_snomed': {'adenocarcinoma': 1187332001}, 'existence': 'unc_dx', 'descriptive_term': 'indolent', 'observation': 'adenocarcinoma'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'right ventricle': {}}clinical findings_fin: {'two ventricular icd electrodes': {'clinical finding': 'two ventricular icd electrodes', 'existence': 'pos_dx', 'descriptive_term': 'two ventricular icd', 'observation': 'electrode'}}anatomical entity_fin: {'apex': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']object_fin: ['electrode']clinical findings_fin: {'associated pericardial effusion': {'clinical finding': 'associated pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'associated pericardial', 'observation': 'effusion'}, 'pericardial thickening': {'clinical finding': 'pericardial thickening', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'thickening'}, 'pneumopericardium': {'clinical finding': 'pneumopericardium', 'cf_snomed': {'pneumopericardium': 82542004}, 'existence': 'neg_dx', 'observation': 'pneumopericardium'}}anatomical entity_fin: {'wall': {}}imaging observation_fin: ['apical']location descriptor_fin: ['right']object_fin: ['electrode']clinical findings_fin: {'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'small right ventricular apical wall perforations': {'clinical finding': 'small right ventricular apical wall perforations', 'cf_snomed': {'perforation': 36191001}, 'existence': 'unc_dx', 'descriptive_term': 'small right ventricular apical wall', 'observation': 'perforation', 'strength_term': 'small'}}anatomical entity_fin: {'subcutaneous fat': {}}location descriptor_fin: ['superior']clinical findings_fin: {'skin thickening': {'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'}}clinical findings_fin: {'beam hardening artifact': {'clinical finding': 'beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'beam hardening', 'observation': 'artifact'}, 'pulse generator': {'clinical finding': 'pulse generator', 'existence': 'pos_dx', 'descriptive_term': 'pulse', 'observation': 'generator'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}}clinical findings_fin: {'suspected pocket infection': {'clinical finding': 'suspected pocket infection', 'existence': 'unc_dx', 'descriptive_term': 'suspected pocket', 'observation': 'infection'}, 'possible endocarditis': {'clinical finding': 'possible endocarditis', 'cf_snomed': {'endocarditis': 56819008}, 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'endocarditis'}}anatomical entity_fin: {'tricuspid valve': {}}object_fin: ['valve']clinical findings_fin: {'additional beam hardening artifact': {'clinical finding': 'additional beam hardening artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'additional beam hardening', 'observation': 'artifact'}, 'potential vegetation': {'clinical finding': 'potential vegetation', 'existence': 'unc_dx', 'descriptive_term': 'potential', 'observation': 'vegetation'}}anatomical entity_fin: {'aortic valves': {}}clinical findings_fin: {'significant vegetation': {'clinical finding': 'significant vegetation', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'vegetation'}}clinical findings_fin: {'intracardiac thrombus': {'clinical finding': 'intracardiac thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'intracardiac', 'observation': 'thrombus'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: {'fatty infiltration': {'clinical finding': 'fatty infiltration', 'cf_snomed': {'fatty infiltration': 45752008}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'}} [/INST] . This examination is diagnostic for the evaluation of pulmonary embolism to the subsegmental level. No pulmonary embolus is present. There is subsegmental atelectasis within the posterior basal segments of bilateral lower lobes. Within the lateral left lower lobe, there is a groundglass focus measuring approximately 11 x 16 mm. It does appear flat on the coronal images. Ill-defined groundglass more central to this nodule. In the clinical setting of suspected endocarditis, septic embolus is a consideration. Recommend repeat CT thorax in 8 weeks or at the termination of antibiotic treatment, to ensure resolution. Other considerations include scar from prior inflammation or septic embolus. Less likely is an indolent adenocarcinoma. No pneumothorax or pleural effusion. Two ventricular ICD electrodes occupy the right ventricle. Both electrode tips appear to extend just beyond the right ventricular apex, terminating within the epicardial fat. There is no associated pericardial effusion, pericardial thickening or pneumopericardium. There is beam hardening artifact present which limits evaluation of the exact location of the electrode tips but small right ventricular apical wall perforations may be present. None. Immediately superior to the pulse generator, there is induration of the subcutaneous fat with skin thickening that extends to the superior field-of-view. There is beam hardening artifact at the level of the pulse generator however, no focal abscess at the pocket is identified. Upon discussion with the nurse caring for the patient, Carrie, the patient has suspected pocket infection and possible endocarditis. There is limited visualization of the tricuspid valve due to additional beam hardening artifact and therefore potential vegetation on this valve cannot be evaluated. No significant vegetation is identified on the pulmonic, mitral or aortic valves. Of note, this examination was not ECG gated which may limit visualization of the valves. Consider echocardiogram for further evaluation of the cardiac valves. No intracardiac thrombus is visualized. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Evidence of fatty infiltration adjacent to the falciform ligament. </s> |
. The lungs and pleural spaces are clear. There is a right IJ Swan-Ganz catheter that terminates in a subsegmental right middle lobe pulmonary artery. Retraction is recommended. A univentricular ICD electrode terminates at the RV apex with the pulse generator in the left anterior thorax. An intra-aortic balloon pump is present, terminating approximately 2 cm above the left mainstem bronchus and the proximal descending thoracic aorta. The left ventricle is upper limits of normal size. No pericardial effusion is present. There are several small lymph nodes within the superior anterior mediastinum. There is a dominant nodule within the anterior mediastinum, immediately anterior to the thoracic arch, measuring 12 x 17 mm. This may represent a thymoma. None. No significant abnormality noted. No evidence of chest wall deformity. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | anatomical entity_fin: {'lungs': {}, 'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle': {'location descriptor': 'subsegmental right'}, 'lobe': {}, 'pulmonary artery': {}}location descriptor_fin: ['right', 'subsegmental']object_fin: ['swan-ganz catheter']clinical findings_fin: {'right ij swan-ganz catheter': {'clinical finding': 'right ij swan-ganz catheter', 'existence': 'pos_dx', 'descriptive_term': 'right ij swan-ganz', 'observation': 'catheter'}}anatomical entity_fin: {'apex': {}, 'thorax': {'location descriptor': 'left anterior'}}location descriptor_fin: ['left', 'anterior']object_fin: ['electrode']clinical findings_fin: {'pulse generator': {'clinical finding': 'pulse generator', 'existence': 'pos_dx', 'descriptive_term': 'pulse', 'observation': 'generator'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'pump'}]anatomical entity_fin: {'bronchus': {}, 'descending thoracic aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['left', 'proximal']object_fin: ['balloon']clinical findings_fin: {'intra-aortic balloon pump is present': {'clinical finding': 'intra-aortic balloon pump is present'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal size': {'clinical finding': 'upper limits of normal size', 'cf_snomed': {'normal size': 53461003}}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'several small lymph nodes': {'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '12 x 17 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'anterior mediastinum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'dominant nodule': {'clinical finding': 'dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'nodule'}}clinical findings_fin: {'thymoma': {'clinical finding': 'thymoma', 'cf_snomed': {'thymoma': 444231005}, 'existence': 'unc_dx', 'observation': 'thymoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'chest wall deformity': {'clinical finding': 'chest wall deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'neg_dx', 'descriptive_term': 'chest wall', 'observation': 'deformity'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lungs': {}, 'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'middle': {'location descriptor': 'subsegmental right'}, 'lobe': {}, 'pulmonary artery': {}}location descriptor_fin: ['right', 'subsegmental']object_fin: ['swan-ganz catheter']clinical findings_fin: {'right ij swan-ganz catheter': {'clinical finding': 'right ij swan-ganz catheter', 'existence': 'pos_dx', 'descriptive_term': 'right ij swan-ganz', 'observation': 'catheter'}}anatomical entity_fin: {'apex': {}, 'thorax': {'location descriptor': 'left anterior'}}location descriptor_fin: ['left', 'anterior']object_fin: ['electrode']clinical findings_fin: {'pulse generator': {'clinical finding': 'pulse generator', 'existence': 'pos_dx', 'descriptive_term': 'pulse', 'observation': 'generator'}}size_fin: [{'size': '2 cm', 'size_descriptor': 'pump'}]anatomical entity_fin: {'bronchus': {}, 'descending thoracic aorta': {'location descriptor': 'proximal'}}location descriptor_fin: ['left', 'proximal']object_fin: ['balloon']clinical findings_fin: {'intra-aortic balloon pump is present': {'clinical finding': 'intra-aortic balloon pump is present'}}anatomical entity_fin: {'left ventricle': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper limits of normal size': {'clinical finding': 'upper limits of normal size', 'cf_snomed': {'normal size': 53461003}}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'anterior mediastinum': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'several small lymph nodes': {'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '12 x 17 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'anterior mediastinum': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'dominant nodule': {'clinical finding': 'dominant nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'nodule'}}clinical findings_fin: {'thymoma': {'clinical finding': 'thymoma', 'cf_snomed': {'thymoma': 444231005}, 'existence': 'unc_dx', 'observation': 'thymoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'chest wall deformity': {'clinical finding': 'chest wall deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'neg_dx', 'descriptive_term': 'chest wall', 'observation': 'deformity'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . The lungs and pleural spaces are clear. There is a right IJ Swan-Ganz catheter that terminates in a subsegmental right middle lobe pulmonary artery. Retraction is recommended. A univentricular ICD electrode terminates at the RV apex with the pulse generator in the left anterior thorax. An intra-aortic balloon pump is present, terminating approximately 2 cm above the left mainstem bronchus and the proximal descending thoracic aorta. The left ventricle is upper limits of normal size. No pericardial effusion is present. There are several small lymph nodes within the superior anterior mediastinum. There is a dominant nodule within the anterior mediastinum, immediately anterior to the thoracic arch, measuring 12 x 17 mm. This may represent a thymoma. None. No significant abnormality noted. No evidence of chest wall deformity. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is no focal calcified lesion or other mass lesion identified. The ventricles, sulci, and cisterns are symmetric and unremarkable. Myelination pattern is appropriate for a term newborn. The osseous structures are intact. The paranasal sinuses are under pneumatized, normal for age. There is mild fluid within the left middle ear and mastoid air cells. | anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'focal calcified lesion': {'clinical finding': 'focal calcified lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal calcified', 'observation': 'lesion', 'change_term': 'calcified'}, 'other mass lesion': {'clinical finding': 'other mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other mass', 'observation': 'lesion'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'fluid': {}, 'middle ear': {'location descriptor': 'left'}, 'mastoid air cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['midline']clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}clinical findings_fin: {'focal calcified lesion': {'clinical finding': 'focal calcified lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal calcified', 'observation': 'lesion', 'change_term': 'calcified'}, 'other mass lesion': {'clinical finding': 'other mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other mass', 'observation': 'lesion'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'fluid': {}, 'middle ear': {'location descriptor': 'left'}, 'mastoid air cells': {}}location descriptor_fin: ['left']clinical findings_fin: {'mastoid': {'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'}} [/INST] There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. There is no focal calcified lesion or other mass lesion identified. The ventricles, sulci, and cisterns are symmetric and unremarkable. Myelination pattern is appropriate for a term newborn. The osseous structures are intact. The paranasal sinuses are under pneumatized, normal for age. There is mild fluid within the left middle ear and mastoid air cells. </s> |
The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Atherosclerotic calcifications are present along the distal vertebral arteries. Atherosclerotic calcifications are present along the arteries within the scalp soft tissues. The visualized portions of the paranasal sinuses demonstrate mucosal thickening in the maxillary sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. | location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'arteries': {}, 'scalp': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}clinical findings_fin: {'periventricular and subcortical white matter hypodensities': {'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'abnormal mass lesions': {'clinical finding': 'abnormal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'brain': {}, 'parenchyma': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}}anatomical entity_fin: {'vertebral arteries': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'arteries': {}, 'scalp': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'unc_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Atherosclerotic calcifications are present along the distal vertebral arteries. Atherosclerotic calcifications are present along the arteries within the scalp soft tissues. The visualized portions of the paranasal sinuses demonstrate mucosal thickening in the maxillary sinuses. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. </s> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is mild to moderate scattered mucosal thickening within the ethmoid air cells. The right maxillary sinuses diminutive. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Incidental partially empty sella is noted. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. The left vertebral artery is dominant. There is no evidence of flow-limiting stenosis or aneurysm. CTA NECK | clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'mild to moderate scattered mucosal thickening': {'clinical finding': 'mild to moderate scattered mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate scattered mucosal', 'observation': 'thickening', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['right']anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'incidental partially empty sella is noted': {'clinical finding': 'incidental partially empty sella is noted'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}anatomical entity_fin: {'left vertebral artery': {}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'cta neck': {'clinical finding': 'cta neck'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'mild to moderate scattered mucosal thickening': {'clinical finding': 'mild to moderate scattered mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate scattered mucosal', 'observation': 'thickening', 'strength_term': 'mild - moderate'}}location descriptor_fin: ['right']anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'incidental partially empty sella is noted': {'clinical finding': 'incidental partially empty sella is noted'}}anatomical entity_fin: {'internal carotid arteries': {}}clinical findings_fin: {'intracranial internal carotid arteries are normal in course and caliber': {'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'}}anatomical entity_fin: {'middle': {}, 'anterior cerebral arteries': {}}clinical findings_fin: {'middle and anterior cerebral arteries are unremarkable': {'clinical finding': 'middle and anterior cerebral arteries are unremarkable'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}, 'posterior cerebral arteries': {}}clinical findings_fin: {'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': {'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'}}anatomical entity_fin: {'left vertebral artery': {}}clinical findings_fin: {'flow-limiting stenosis': {'clinical finding': 'flow-limiting stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis'}, 'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'cta neck': {'clinical finding': 'cta neck'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is mild to moderate scattered mucosal thickening within the ethmoid air cells. The right maxillary sinuses diminutive. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Incidental partially empty sella is noted. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. The left vertebral artery is dominant. There is no evidence of flow-limiting stenosis or aneurysm. CTA NECK </s> |
. No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Intraluminal focal high density within the mid esophagus at the level of the aortic arch most likely represents recently swelled medication. Thickening of the wall the distal esophagus is similar in appearance to the prior exam and may represent this patients underlying neoplasm. Cardiac size is normal without evidence of pericardial effusion. None. Mild degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small left renal hypoattenuating lesion most likely representing a cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'esophagus': {}, 'aortic arch': {}}non-anatomical substance_fin: ['medication']clinical findings_fin: {'intraluminal focal high density': {'clinical finding': 'intraluminal focal high density', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal focal high', 'observation': 'density'}}anatomical entity_fin: {'wall': {}, 'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'this patients underlying neoplasm': {'clinical finding': 'this patients underlying neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'this patients underlying', 'observation': 'neoplasm'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal hypoattenuating lesion': {'clinical finding': 'small left renal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small left renal hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'hilar or mediastinal lymphadenopathy': {'clinical finding': 'hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'esophagus': {}, 'aortic arch': {}}non-anatomical substance_fin: ['medication']clinical findings_fin: {'intraluminal focal high density': {'clinical finding': 'intraluminal focal high density', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal focal high', 'observation': 'density'}}anatomical entity_fin: {'wall': {}, 'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'this patients underlying neoplasm': {'clinical finding': 'this patients underlying neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'unc_dx', 'descriptive_term': 'this patients underlying', 'observation': 'neoplasm'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'small left renal hypoattenuating lesion': {'clinical finding': 'small left renal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small left renal hypoattenuating', 'observation': 'lesion', 'strength_term': 'small'}, 'cyst': {'clinical finding': 'cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No suspicious pulmonary nodules or masses. No pleural effusions. No hilar or mediastinal lymphadenopathy. Intraluminal focal high density within the mid esophagus at the level of the aortic arch most likely represents recently swelled medication. Thickening of the wall the distal esophagus is similar in appearance to the prior exam and may represent this patients underlying neoplasm. Cardiac size is normal without evidence of pericardial effusion. None. Mild degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small left renal hypoattenuating lesion most likely representing a cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Bibasilar discoid atelectasis. Catheter tip noted at the cavoatrial junction. Ascending aortic aneurysmal dilation is stable in appearance and measures up to 4.4 cm. The liver contour is nodular suggestive of cirrhosis. Hypodensity within segment 4A appears similar to prior exam and causes narrowing of the main and left portal veins. Right, left, and common bile duct stents appear patent with pneumobilia present. Interval removal of percutaneous cholecystostomy tube. Intrahepatic biliary ductal dilatation appears similar to prior exam. Mucosal enhancement of the gallbladder with foci of air and surrounding fluid. Stable splenomegaly noted. Left nephrectomy surgical changes noted. A right hyperdense renal lesion measures 1.9 x 2.3 cm, similar to prior exam and likely represents an indeterminate cyst. Foci of gas noted in pancreatic duct. No significant abnormality noted. No significant abnormality noted. Retroperitoneal lymphadenopathy with reference aortic bifurcation lesion measuring 2.0 x 2.3 cm, unchanged from prior. Mild. No bowel thickening or dilatation. Abdominal ascites noted. Right breast density likely fibroglandular tissue. Degenerative changes of the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bowel thickening or dilatation. Pelvis ascites noted. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'bibasilar discoid atelectasis': {'clinical finding': 'bibasilar discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar discoid', 'observation': 'atelectasis'}}object_fin: ['catheter']clinical findings_fin: {'catheter tip noted at the cavoatrial junction': {'clinical finding': 'catheter tip noted at the cavoatrial junction'}}size_fin: [{'size': '4.4 cm', 'size_descriptor': 'dilation'}]clinical findings_fin: {'ascending aortic aneurysmal dilation': {'clinical finding': 'ascending aortic aneurysmal dilation', 'existence': 'pos_dx', 'descriptive_term': 'ascending aortic aneurysmal', 'observation': 'dilation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver contour': {'clinical finding': 'liver contour', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'contour'}, 'nodular': {'clinical finding': 'nodular', 'existence': 'pos_dx', 'observation': 'nodular'}, 'cirrhosis': {'clinical finding': 'cirrhosis', 'existence': 'pos_dx', 'observation': 'cirrhosis'}}anatomical entity_fin: {'left portal veins': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'and common bile duct stents': {'clinical finding': 'and common bile duct stents', 'existence': 'pos_dx', 'descriptive_term': 'and common bile duct', 'observation': 'stent'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}object_fin: ['tube']procedure_fin: ['percutaneous cholecystostomy']clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}, 'fluid': {}}imaging observation_fin: ['foci']clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}clinical findings_fin: {'stable splenomegaly': {'clinical finding': 'stable splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'splenomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: {'left nephrectomy surgical changes': {'clinical finding': 'left nephrectomy surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left nephrectomy surgical', 'observation': 'change'}}size_fin: [{'size': '1.9 x 2.3 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'right hyperdense renal lesion': {'clinical finding': 'right hyperdense renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hyperdense renal', 'observation': 'lesion'}, 'indeterminate cyst': {'clinical finding': 'indeterminate cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'indeterminate', 'observation': 'cyst'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.0 x 2.3 cm', 'size_descriptor': 'lymphadenopathy'}]clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}, 'reference aortic bifurcation lesion': {'clinical finding': 'reference aortic bifurcation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference aortic bifurcation', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}, 'fibroglandular tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'right breast density': {'clinical finding': 'right breast density', 'existence': 'unc_dx', 'descriptive_term': 'right breast', 'observation': 'density'}, 'likely fibroglandular tissue': {'clinical finding': 'likely fibroglandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'likely fibroglandular', 'observation': 'tissue'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'pelvis ascites': {'clinical finding': 'pelvis ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvis', 'observation': 'ascite'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'bibasilar discoid atelectasis': {'clinical finding': 'bibasilar discoid atelectasis', 'cf_snomed': {'discoid atelectasis': 40779009}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar discoid', 'observation': 'atelectasis'}}object_fin: ['catheter']clinical findings_fin: {'catheter tip noted at the cavoatrial junction': {'clinical finding': 'catheter tip noted at the cavoatrial junction'}}size_fin: [{'size': '4.4 cm', 'size_descriptor': 'dilation'}]clinical findings_fin: {'ascending aortic aneurysmal dilation': {'clinical finding': 'ascending aortic aneurysmal dilation', 'existence': 'pos_dx', 'descriptive_term': 'ascending aortic aneurysmal', 'observation': 'dilation'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver contour': {'clinical finding': 'liver contour', 'existence': 'pos_dx', 'descriptive_term': 'liver', 'observation': 'contour'}, 'nodular': {'clinical finding': 'nodular', 'existence': 'pos_dx', 'observation': 'nodular'}, 'cirrhosis': {'clinical finding': 'cirrhosis', 'existence': 'pos_dx', 'observation': 'cirrhosis'}}anatomical entity_fin: {'left portal veins': {}}clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'common bile duct': {}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'and common bile duct stents': {'clinical finding': 'and common bile duct stents', 'existence': 'pos_dx', 'descriptive_term': 'and common bile duct', 'observation': 'stent'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}object_fin: ['tube']procedure_fin: ['percutaneous cholecystostomy']clinical findings_fin: {'intrahepatic biliary ductal dilatation': {'clinical finding': 'intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'intrahepatic biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}, 'fluid': {}}imaging observation_fin: ['foci']clinical findings_fin: {'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'foci': {'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci'}}clinical findings_fin: {'stable splenomegaly': {'clinical finding': 'stable splenomegaly', 'cf_snomed': {'splenomegaly': 16294009}, 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'splenomegaly', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: {'left nephrectomy surgical changes': {'clinical finding': 'left nephrectomy surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'left nephrectomy surgical', 'observation': 'change'}}size_fin: [{'size': '1.9 x 2.3 cm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['right']clinical findings_fin: {'right hyperdense renal lesion': {'clinical finding': 'right hyperdense renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right hyperdense renal', 'observation': 'lesion'}, 'indeterminate cyst': {'clinical finding': 'indeterminate cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'indeterminate', 'observation': 'cyst'}}anatomical entity_fin: {'pancreatic duct': {}}imaging observation_fin: ['foci']clinical findings_fin: {'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.0 x 2.3 cm', 'size_descriptor': 'lymphadenopathy'}]clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}, 'reference aortic bifurcation lesion': {'clinical finding': 'reference aortic bifurcation lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference aortic bifurcation', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal ascites': {'clinical finding': 'abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'ascite'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}, 'fibroglandular tissue': {}}location descriptor_fin: ['right']clinical findings_fin: {'right breast density': {'clinical finding': 'right breast density', 'existence': 'unc_dx', 'descriptive_term': 'right breast', 'observation': 'density'}, 'likely fibroglandular tissue': {'clinical finding': 'likely fibroglandular tissue', 'existence': 'pos_dx', 'descriptive_term': 'likely fibroglandular', 'observation': 'tissue'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'pelvis ascites': {'clinical finding': 'pelvis ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'pelvis', 'observation': 'ascite'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bibasilar discoid atelectasis. Catheter tip noted at the cavoatrial junction. Ascending aortic aneurysmal dilation is stable in appearance and measures up to 4.4 cm. The liver contour is nodular suggestive of cirrhosis. Hypodensity within segment 4A appears similar to prior exam and causes narrowing of the main and left portal veins. Right, left, and common bile duct stents appear patent with pneumobilia present. Interval removal of percutaneous cholecystostomy tube. Intrahepatic biliary ductal dilatation appears similar to prior exam. Mucosal enhancement of the gallbladder with foci of air and surrounding fluid. Stable splenomegaly noted. Left nephrectomy surgical changes noted. A right hyperdense renal lesion measures 1.9 x 2.3 cm, similar to prior exam and likely represents an indeterminate cyst. Foci of gas noted in pancreatic duct. No significant abnormality noted. No significant abnormality noted. Retroperitoneal lymphadenopathy with reference aortic bifurcation lesion measuring 2.0 x 2.3 cm, unchanged from prior. Mild. No bowel thickening or dilatation. Abdominal ascites noted. Right breast density likely fibroglandular tissue. Degenerative changes of the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No bowel thickening or dilatation. Pelvis ascites noted. No significant abnormality noted. No significant abnormality noted </s> |
Again seen are post treatment changes in the neck including thickening of the aryepiglottic folds and loss of the fat planes of the neck soft tissues. Otherwise, the nasopharynx, oropharynx, hypopharynx, larynx , upper trachea, and esophagus are unremarkable without enhancing solid mass lesion or discrete fluid collection. Punctate tonsilloliths are noted. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. The visualized intracranial contents are unremarkable without mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. Mild degenerative changes affect the cervical spine, similar to prior. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. | anatomical entity_fin: {'neck': {}, 'aryepiglottic folds': {}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'post treatment changes': {'clinical finding': 'post treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post treatment', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}, 'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['upper']clinical findings_fin: {'solid mass lesion': {'clinical finding': 'solid mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'solid mass', 'observation': 'lesion'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'punctate tonsilloliths': {'clinical finding': 'punctate tonsilloliths', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'tonsillolith'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'unc_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}, 'aryepiglottic folds': {}}imaging observation_fin: ['fat']procedure_fin: ['treatment']clinical findings_fin: {'post treatment changes': {'clinical finding': 'post treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post treatment', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}, 'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['upper']clinical findings_fin: {'solid mass lesion': {'clinical finding': 'solid mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'solid mass', 'observation': 'lesion'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}clinical findings_fin: {'punctate tonsilloliths': {'clinical finding': 'punctate tonsilloliths', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'tonsillolith'}}clinical findings_fin: {'scattered small cervical lymph nodes': {'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}, 'thyroid gland': {}}clinical findings_fin: {'major salivary glands and thyroid gland are unremarkable': {'clinical finding': 'major salivary glands and thyroid gland are unremarkable'}}anatomical entity_fin: {'contents': {}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'unc_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}anatomical entity_fin: {'orbits': {}, 'paranasal sinuses': {}}clinical findings_fin: {'orbits and paranasal sinuses are unremarkable': {'clinical finding': 'orbits and paranasal sinuses are unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized lung apices are unremarkable': {'clinical finding': 'visualized lung apices are unremarkable'}}anatomical entity_fin: {'arteries': {}, 'veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}} [/INST] Again seen are post treatment changes in the neck including thickening of the aryepiglottic folds and loss of the fat planes of the neck soft tissues. Otherwise, the nasopharynx, oropharynx, hypopharynx, larynx , upper trachea, and esophagus are unremarkable without enhancing solid mass lesion or discrete fluid collection. Punctate tonsilloliths are noted. Scattered small cervical lymph nodes are unchanged, without lymphadenopathy. The major salivary glands and thyroid gland are unremarkable. The visualized intracranial contents are unremarkable without mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. Mild degenerative changes affect the cervical spine, similar to prior. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s> |
Todays CT portion grossly demonstrates atelectasis or scarring in both posterior lung bases. Inflammatory stranding surrounds both kidneys. Bilateral ureteral stents are noted. Todays PET examination demonstrates complete interval resolution of previous hypermetabolic tumor foci within the abdomen and pelvis without FDG avid tumor currently in the neck, chest, abdomen or pelvis. Decreased marrow activity in the lumbar spine and pelvis is consistent with interval radiation therapy. | anatomical entity_fin: {'lung': {'location descriptor': 'posterior'}, 'bases': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'inflammatory stranding': {'clinical finding': 'inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'strand'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral ureteral stents': {'clinical finding': 'bilateral ureteral stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ureteral', 'observation': 'stent'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}, 'neck': {}, 'chest': {}}imaging observation_fin: ['foci']clinical findings_fin: {'complete interval resolution': {'clinical finding': 'complete interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'complete interval', 'observation': 'resolution'}, 'previous hypermetabolic tumor foci': {'clinical finding': 'previous hypermetabolic tumor foci', 'existence': 'pos_dx', 'descriptive_term': 'previous hypermetabolic tumor', 'observation': 'foci', 'temporal_term': 'previous'}, 'avid tumor': {'clinical finding': 'avid tumor', 'existence': 'neg_dx', 'descriptive_term': 'avid', 'observation': 'tumor'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'decreased marrow activity': {'clinical finding': 'decreased marrow activity', 'existence': 'pos_dx', 'descriptive_term': 'decreased marrow', 'observation': 'activity', 'strength_term': 'decreased', 'change_term': 'decreased'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung': {'location descriptor': 'posterior'}, 'bases': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'inflammatory stranding': {'clinical finding': 'inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'strand'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral ureteral stents': {'clinical finding': 'bilateral ureteral stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ureteral', 'observation': 'stent'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}, 'neck': {}, 'chest': {}}imaging observation_fin: ['foci']clinical findings_fin: {'complete interval resolution': {'clinical finding': 'complete interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'complete interval', 'observation': 'resolution'}, 'previous hypermetabolic tumor foci': {'clinical finding': 'previous hypermetabolic tumor foci', 'existence': 'pos_dx', 'descriptive_term': 'previous hypermetabolic tumor', 'observation': 'foci', 'temporal_term': 'previous'}, 'avid tumor': {'clinical finding': 'avid tumor', 'existence': 'neg_dx', 'descriptive_term': 'avid', 'observation': 'tumor'}}anatomical entity_fin: {'spine': {}, 'pelvis': {}}clinical findings_fin: {'decreased marrow activity': {'clinical finding': 'decreased marrow activity', 'existence': 'pos_dx', 'descriptive_term': 'decreased marrow', 'observation': 'activity', 'strength_term': 'decreased', 'change_term': 'decreased'}} [/INST] Todays CT portion grossly demonstrates atelectasis or scarring in both posterior lung bases. Inflammatory stranding surrounds both kidneys. Bilateral ureteral stents are noted. Todays PET examination demonstrates complete interval resolution of previous hypermetabolic tumor foci within the abdomen and pelvis without FDG avid tumor currently in the neck, chest, abdomen or pelvis. Decreased marrow activity in the lumbar spine and pelvis is consistent with interval radiation therapy. </s> |
. Scattered micronodules. No suspicious lesions. Correlate with smoking history. These can be followed. No significant abnormality noted. None. No significant abnormality noted. | clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious lesions': {'clinical finding': 'suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered micronodules': {'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious lesions': {'clinical finding': 'suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Scattered micronodules. No suspicious lesions. Correlate with smoking history. These can be followed. No significant abnormality noted. None. No significant abnormality noted. </s> |
. Persistent and not significantly changed large and loculated right pleural effusion with associated compressive atelectasis in the right lower lobe. Again seen are postsurgical changes related to partial right middle lobectomy. Mild right pleural thickening is stable. No new pulmonary nodule or mass is identified. Postsurgical changes again seen within the mediastinum. The heart size is within normal limits, no significant pericardial effusion. Stable appearance of right paratracheal lymph node measuring 5x 7 mm , unchanged. Additional small mediastinal, hilar, and cardiophrenic lymph nodes are not enlarged by size criteria and are not significantly changed. Moderate. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. Hypoattenuation along the falciform ligament represents focal fat deposition. The additional hypoattenuating lesion in segment 4b is unchanged and may represent a perfusion defect. No significant abnormality noted. No significant abnormality noted. Atrophic appearing kidneys with cortical scarring suggestive of chronic kidney disease. Additional subcentimeter hypoattenuating lesions are unchanged and likely represent small cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. The bowel is of normal caliber, without evidence of obstruction. Scattered multilevel degenerative changes of the thoracolumbar spine. Small fat-containing umbilical hernia. | anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'persistent and not significantly changed large and loculated right pleural effusion': {'clinical finding': 'persistent and not significantly changed large and loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent and not significantly changed large and loculated right pleural', 'observation': 'effusion', 'strength_term': 'large', 'temporal_term': 'persistent', 'change_term': 'changed'}, 'associated compressive atelectasis': {'clinical finding': 'associated compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'partial right middle lobectomy': {'clinical finding': 'partial right middle lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial right middle', 'observation': 'lobectomy', 'strength_term': 'partial'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right pleural thickening': {'clinical finding': 'mild right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild right pleural', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '5x 7 mm', 'size_descriptor': 'appearance'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'additional small mediastinal, hilar, and cardiophrenic lymph nodes': {'clinical finding': 'additional small mediastinal, hilar, and cardiophrenic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small mediastinal hilar and cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['falciform ligament']clinical findings_fin: {'focal fat deposition': {'clinical finding': 'focal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'deposition'}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}, 'perfusion defect': {'clinical finding': 'perfusion defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'descriptive_term': 'perfusion', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}, 'kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'cortical scarring': {'clinical finding': 'cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'scarr'}, 'chronic kidney disease': {'clinical finding': 'chronic kidney disease', 'cf_snomed': {'chronic kidney disease': 709044004}, 'existence': 'unc_dx', 'descriptive_term': 'chronic kidney', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'additional subcentimeter hypoattenuating lesions': {'clinical finding': 'additional subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'lesion'}, 'small cysts': {'clinical finding': 'small cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'persistent and not significantly changed large and loculated right pleural effusion': {'clinical finding': 'persistent and not significantly changed large and loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'persistent and not significantly changed large and loculated right pleural', 'observation': 'effusion', 'strength_term': 'large', 'temporal_term': 'persistent', 'change_term': 'changed'}, 'associated compressive atelectasis': {'clinical finding': 'associated compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'partial right middle lobectomy': {'clinical finding': 'partial right middle lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial right middle', 'observation': 'lobectomy', 'strength_term': 'partial'}}location descriptor_fin: ['right']clinical findings_fin: {'mild right pleural thickening': {'clinical finding': 'mild right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild right pleural', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'new pulmonary nodule': {'clinical finding': 'new pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '5x 7 mm', 'size_descriptor': 'appearance'}]location descriptor_fin: ['right']clinical findings_fin: {'right paratracheal lymph node': {'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'}}clinical findings_fin: {'additional small mediastinal, hilar, and cardiophrenic lymph nodes': {'clinical finding': 'additional small mediastinal, hilar, and cardiophrenic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional small mediastinal hilar and cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'}}clinical findings_fin: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']imaging observation_fin: ['falciform ligament']clinical findings_fin: {'focal fat deposition': {'clinical finding': 'focal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'deposition'}}clinical findings_fin: {'additional hypoattenuating lesion': {'clinical finding': 'additional hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional hypoattenuating', 'observation': 'lesion'}, 'perfusion defect': {'clinical finding': 'perfusion defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'unc_dx', 'descriptive_term': 'perfusion', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}, 'kidney': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'cortical scarring': {'clinical finding': 'cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'scarr'}, 'chronic kidney disease': {'clinical finding': 'chronic kidney disease', 'cf_snomed': {'chronic kidney disease': 709044004}, 'existence': 'unc_dx', 'descriptive_term': 'chronic kidney', 'observation': 'disease', 'temporal_term': 'chronic'}}clinical findings_fin: {'additional subcentimeter hypoattenuating lesions': {'clinical finding': 'additional subcentimeter hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'lesion'}, 'small cysts': {'clinical finding': 'small cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}imaging observation_fin: ['fat']clinical findings_fin: {'small fat-containing umbilical hernia': {'clinical finding': 'small fat-containing umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'}} [/INST] . Persistent and not significantly changed large and loculated right pleural effusion with associated compressive atelectasis in the right lower lobe. Again seen are postsurgical changes related to partial right middle lobectomy. Mild right pleural thickening is stable. No new pulmonary nodule or mass is identified. Postsurgical changes again seen within the mediastinum. The heart size is within normal limits, no significant pericardial effusion. Stable appearance of right paratracheal lymph node measuring 5x 7 mm , unchanged. Additional small mediastinal, hilar, and cardiophrenic lymph nodes are not enlarged by size criteria and are not significantly changed. Moderate. Status post sternotomy. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. Hypoattenuation along the falciform ligament represents focal fat deposition. The additional hypoattenuating lesion in segment 4b is unchanged and may represent a perfusion defect. No significant abnormality noted. No significant abnormality noted. Atrophic appearing kidneys with cortical scarring suggestive of chronic kidney disease. Additional subcentimeter hypoattenuating lesions are unchanged and likely represent small cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. The bowel is of normal caliber, without evidence of obstruction. Scattered multilevel degenerative changes of the thoracolumbar spine. Small fat-containing umbilical hernia. </s> |
. Few scattered pulmonary micronodules are favored to be postinflammatory. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. The largest is a precarinal lymph node measuring 5 mm in short axis. Mild atherosclerotic calcification of the thoracic aorta. Mild. Postsurgical changes of the left axillary region with soft tissue thickening and induration. Just inferior to the surgical bed is a nonspecific 1.1 x 1.1 cm lymph node. Old healed posterior left rib fractures. No suspicious liver lesion, biliary ductal dilatation or vascular abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe atherosclerotic disease of the abdominal aorta without aneurysmal dilatation. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Calcified uterine masses compatible with leiomyomata. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the iliac and femoral arteries. Non-specific punctate sclerotic focus in the left ischial tuberosity. No significant abnormality noted. | clinical findings_fin: {'few scattered pulmonary micronodules': {'clinical finding': 'few scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'precarinal lymph node': {'clinical finding': 'precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['inferior']clinical findings_fin: {'nonspecific 1.1 x 1.1 cm lymph node': {'clinical finding': 'nonspecific 1.1 x 1.1 cm lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific 1 1 x 1 1 cm lymph', 'observation': 'node'}}anatomical entity_fin: {'rib': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'old healed posterior left rib fractures': {'clinical finding': 'old healed posterior left rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed posterior left rib', 'observation': 'fracture', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'suspicious liver lesion': {'clinical finding': 'suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'severe atherosclerotic disease': {'clinical finding': 'severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'disease', 'strength_term': 'severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcified uterine masses': {'clinical finding': 'calcified uterine masses', 'existence': 'pos_dx', 'descriptive_term': 'calcified uterine', 'observation': 'mass', 'change_term': 'calcified'}, 'leiomyomata': {'clinical finding': 'leiomyomata', 'existence': 'pos_dx', 'observation': 'leiomyomata'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'femoral arteries': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'ischial tuberosity': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'non-specific punctate sclerotic': {'clinical finding': 'non-specific punctate sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'non-specific punctate', 'observation': 'sclerotic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'few scattered pulmonary micronodules': {'clinical finding': 'few scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'}}clinical findings_fin: {'suspicious pulmonary mass': {'clinical finding': 'suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'mass'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'supraclavicular, mediastinal or hilar lymphadenopathy': {'clinical finding': 'supraclavicular, mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular mediastinal or hilar', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'precarinal lymph node': {'clinical finding': 'precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal lymph', 'observation': 'node'}}anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'axillary region': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'soft tissue thickening': {'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['inferior']clinical findings_fin: {'nonspecific 1.1 x 1.1 cm lymph node': {'clinical finding': 'nonspecific 1.1 x 1.1 cm lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific 1 1 x 1 1 cm lymph', 'observation': 'node'}}anatomical entity_fin: {'rib': {'location descriptor': 'posterior left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'old healed posterior left rib fractures': {'clinical finding': 'old healed posterior left rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed posterior left rib', 'observation': 'fracture', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'suspicious liver lesion': {'clinical finding': 'suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious liver', 'observation': 'lesion'}, 'vascular abnormality': {'clinical finding': 'vascular abnormality', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'severe atherosclerotic disease': {'clinical finding': 'severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'disease', 'strength_term': 'severe'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'calcified uterine masses': {'clinical finding': 'calcified uterine masses', 'existence': 'pos_dx', 'descriptive_term': 'calcified uterine', 'observation': 'mass', 'change_term': 'calcified'}, 'leiomyomata': {'clinical finding': 'leiomyomata', 'existence': 'pos_dx', 'observation': 'leiomyomata'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'femoral arteries': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'ischial tuberosity': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'non-specific punctate sclerotic': {'clinical finding': 'non-specific punctate sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'non-specific punctate', 'observation': 'sclerotic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Few scattered pulmonary micronodules are favored to be postinflammatory. No suspicious pulmonary mass or nodule. No focal consolidation, pleural effusions or pneumothorax. No supraclavicular, mediastinal or hilar lymphadenopathy measuring greater than 1 cm in short axis. The largest is a precarinal lymph node measuring 5 mm in short axis. Mild atherosclerotic calcification of the thoracic aorta. Mild. Postsurgical changes of the left axillary region with soft tissue thickening and induration. Just inferior to the surgical bed is a nonspecific 1.1 x 1.1 cm lymph node. Old healed posterior left rib fractures. No suspicious liver lesion, biliary ductal dilatation or vascular abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe atherosclerotic disease of the abdominal aorta without aneurysmal dilatation. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Calcified uterine masses compatible with leiomyomata. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcification of the iliac and femoral arteries. Non-specific punctate sclerotic focus in the left ischial tuberosity. No significant abnormality noted. </s> |
Nonenhanced head. There is no evidence of an acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and grade-white matter differentiation. Unremarkable calvarium and soft tissues of the scalp. Unremarkable images through the orbits. Well pneumatized bilateral mastoid air cells and middle ear cavities. Visualized paranasal sinuses demonstrate minimal frothy contents of the sphenoid sinus and unremarkable otherwise. | anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no evidence of an acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no evidence of an acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'grade-white matter differentiation': {'clinical finding': 'grade-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grade-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'unremarkable calvarium and soft tissues': {'clinical finding': 'unremarkable calvarium and soft tissues'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'unremarkable images through the orbits': {'clinical finding': 'unremarkable images through the orbits'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'well pneumatized bilateral mastoid air cells': {'clinical finding': 'well pneumatized bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'well pneumatized bilateral mastoid air', 'observation': 'cell'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}anatomical entity_fin: {'paranasal sinuses': {}, 'contents': {}, 'sphenoid sinus': {}}clinical findings_fin: {'visualized paranasal sinuses demonstrate': {'clinical finding': 'visualized paranasal sinuses demonstrate'}} | Write the finding section for a radiology report based on the following information: | <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'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'is no evidence of an acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': {'clinical finding': 'is no evidence of an acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'grade-white matter differentiation': {'clinical finding': 'grade-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grade-white matter', 'observation': 'differentiation'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'unremarkable calvarium and soft tissues': {'clinical finding': 'unremarkable calvarium and soft tissues'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'unremarkable images through the orbits': {'clinical finding': 'unremarkable images through the orbits'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavities': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'well pneumatized bilateral mastoid air cells': {'clinical finding': 'well pneumatized bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'well pneumatized bilateral mastoid air', 'observation': 'cell'}, 'middle ear cavities': {'clinical finding': 'middle ear cavities', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'}}anatomical entity_fin: {'paranasal sinuses': {}, 'contents': {}, 'sphenoid sinus': {}}clinical findings_fin: {'visualized paranasal sinuses demonstrate': {'clinical finding': 'visualized paranasal sinuses demonstrate'}} [/INST] Nonenhanced head. There is no evidence of an acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and grade-white matter differentiation. Unremarkable calvarium and soft tissues of the scalp. Unremarkable images through the orbits. Well pneumatized bilateral mastoid air cells and middle ear cavities. Visualized paranasal sinuses demonstrate minimal frothy contents of the sphenoid sinus and unremarkable otherwise. </s> |
. No significant abnormality noted. Patient status post cholecystectomy without other abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Short segment intussusception is seen mid abdomen centrally at the abdomen with peptic junction. This does not cause proximal obstruction and is unlikely to be a cause of clinical symptomatology. No evidence of other gastrointestinal tract abnormality seen. Small amount of free mesenteric fluid is seen in the dependent pelvis to degree seen physiologically in female patients of this age. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Short segment intussusception is seen mid abdomen centrally at the abdomen with peptic junction. This does not cause proximal obstruction and is unlikely to be a cause of clinical symptomatology. No evidence of other gastrointestinal tract abnormality seen. Anterior abdominal wall umbilical hernia containing only mesenteric fat. Small amount of free mesenteric fluid is seen in the dependent pelvis to degree seen physiologically in female patients of this age. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'short segment intussusception': {'clinical finding': 'short segment intussusception', 'existence': 'pos_dx', 'descriptive_term': 'short segment', 'observation': 'intussusception'}}location descriptor_fin: ['proximal']clinical findings_fin: {'proximal obstruction': {'clinical finding': 'proximal obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'proximal', 'observation': 'obstruction'}}anatomical entity_fin: {'gastrointestinal tract': {}}clinical findings_fin: {'other gastrointestinal tract abnormality': {'clinical finding': 'other gastrointestinal tract abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other gastrointestinal tract', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen in the dependent pelvis to degree': {'clinical finding': 'small amount of free mesenteric fluid is seen in the dependent pelvis to degree'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'short segment intussusception': {'clinical finding': 'short segment intussusception', 'existence': 'pos_dx', 'descriptive_term': 'short segment', 'observation': 'intussusception'}}location descriptor_fin: ['proximal']clinical findings_fin: {'proximal obstruction': {'clinical finding': 'proximal obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'proximal', 'observation': 'obstruction'}}anatomical entity_fin: {'gastrointestinal tract': {}}clinical findings_fin: {'other gastrointestinal tract abnormality': {'clinical finding': 'other gastrointestinal tract abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other gastrointestinal tract', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {}}imaging observation_fin: ['fat']clinical findings_fin: {'anterior abdominal wall umbilical hernia': {'clinical finding': 'anterior abdominal wall umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal wall umbilical', 'observation': 'hernia'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen in the dependent pelvis to degree': {'clinical finding': 'small amount of free mesenteric fluid is seen in the dependent pelvis to degree'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'short segment intussusception': {'clinical finding': 'short segment intussusception', 'existence': 'pos_dx', 'descriptive_term': 'short segment', 'observation': 'intussusception'}}location descriptor_fin: ['proximal']clinical findings_fin: {'proximal obstruction': {'clinical finding': 'proximal obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'proximal', 'observation': 'obstruction'}}anatomical entity_fin: {'gastrointestinal tract': {}}clinical findings_fin: {'other gastrointestinal tract abnormality': {'clinical finding': 'other gastrointestinal tract abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other gastrointestinal tract', 'observation': 'abnormality'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen in the dependent pelvis to degree': {'clinical finding': 'small amount of free mesenteric fluid is seen in the dependent pelvis to degree'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'short segment intussusception': {'clinical finding': 'short segment intussusception', 'existence': 'pos_dx', 'descriptive_term': 'short segment', 'observation': 'intussusception'}}location descriptor_fin: ['proximal']clinical findings_fin: {'proximal obstruction': {'clinical finding': 'proximal obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'proximal', 'observation': 'obstruction'}}anatomical entity_fin: {'gastrointestinal tract': {}}clinical findings_fin: {'other gastrointestinal tract abnormality': {'clinical finding': 'other gastrointestinal tract abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other gastrointestinal tract', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {}}imaging observation_fin: ['fat']clinical findings_fin: {'anterior abdominal wall umbilical hernia': {'clinical finding': 'anterior abdominal wall umbilical hernia', 'cf_snomed': {'umbilical hernia': 396347007}, 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal wall umbilical', 'observation': 'hernia'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen in the dependent pelvis to degree': {'clinical finding': 'small amount of free mesenteric fluid is seen in the dependent pelvis to degree'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. Patient status post cholecystectomy without other abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Short segment intussusception is seen mid abdomen centrally at the abdomen with peptic junction. This does not cause proximal obstruction and is unlikely to be a cause of clinical symptomatology. No evidence of other gastrointestinal tract abnormality seen. Small amount of free mesenteric fluid is seen in the dependent pelvis to degree seen physiologically in female patients of this age. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Short segment intussusception is seen mid abdomen centrally at the abdomen with peptic junction. This does not cause proximal obstruction and is unlikely to be a cause of clinical symptomatology. No evidence of other gastrointestinal tract abnormality seen. Anterior abdominal wall umbilical hernia containing only mesenteric fat. Small amount of free mesenteric fluid is seen in the dependent pelvis to degree seen physiologically in female patients of this age. No significant abnormality noted. No significant abnormality noted </s> |
. Decreased size of the right lower lobe spiculated solid nodule, now measuring 9 x 7 mm , previously 12 x 11 mm. The adjacent peribronchial nodule is also decreased in size. The right upper lobe groundglass nodule is unchanged at 17 x 14 mm , without solid components. Moderate apical predominant centrilobular emphysema. Scattered nonspecific micronodules. No new suspicious pulmonary masses or nodules. Mild right lower lobe subsegmental atelectasis again noted. No pleural effusions. No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion. Minimal atherosclerotic calcification of the aorta. None. Right breast posterior depth subcentimeter mass, stable since 2008, possibly a lymph node. Punctate left thyroid lobe calcification, incompletely evaluated by CT. Healed right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable right hepatic hypodensity, likely a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Infrarenal IVC filter. Moderate vascular calcification of the abdominal aorta without aneurysmal dilatation. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior anterior abdominal wall midline fat-containing hernia. | size_fin: [{'size': '9 x 7 mm'}, {'size': '12 x 11 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe spiculated solid nodule': {'clinical finding': 'right lower lobe spiculated solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe spiculated solid', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent peribronchial nodule': {'clinical finding': 'adjacent peribronchial nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent peribronchial', 'observation': 'nodule'}}size_fin: [{'size': '17 x 14 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe groundglass nodule': {'clinical finding': 'right upper lobe groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe groundglass', 'observation': 'nodule'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant centrilobular emphysema': {'clinical finding': 'moderate apical predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'scattered nonspecific micronodules': {'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary masses': {'clinical finding': 'new suspicious pulmonary masses', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: {'mild right lower lobe subsegmental atelectasis': {'clinical finding': 'mild right lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild right lower lobe subsegmental', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'minimal atherosclerotic calcification': {'clinical finding': 'minimal atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right breast posterior depth subcentimeter mass': {'clinical finding': 'right breast posterior depth subcentimeter mass', 'existence': 'pos_dx', 'descriptive_term': 'right breast posterior depth subcentimeter', 'observation': 'mass'}, 'possibly a lymph node': {'clinical finding': 'possibly a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'possibly a lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {}, 'rib': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'punctate left thyroid lobe calcification': {'clinical finding': 'punctate left thyroid lobe calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate left thyroid lobe', 'observation': 'calcification'}, 'right rib fractures': {'clinical finding': 'right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'right rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right hepatic hypodensity': {'clinical finding': 'stable right hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable right hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}, 'likely a cyst': {'clinical finding': 'likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely a', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['filter']anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate vascular calcification': {'clinical finding': 'moderate vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate vascular', 'observation': 'calcification', 'strength_term': 'moderate'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'superior'}}imaging observation_fin: ['fat']location descriptor_fin: ['superior', 'midline']clinical findings_fin: {'superior anterior abdominal wall midline fat-containing hernia': {'clinical finding': 'superior anterior abdominal wall midline fat-containing hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'superior anterior abdominal wall midline fat-containing', 'observation': 'hernia', 'strength_term': 'superior'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '9 x 7 mm'}, {'size': '12 x 11 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe spiculated solid nodule': {'clinical finding': 'right lower lobe spiculated solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe spiculated solid', 'observation': 'nodule'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent peribronchial nodule': {'clinical finding': 'adjacent peribronchial nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent peribronchial', 'observation': 'nodule'}}size_fin: [{'size': '17 x 14 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe groundglass nodule': {'clinical finding': 'right upper lobe groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe groundglass', 'observation': 'nodule'}}imaging observation_fin: ['apical']clinical findings_fin: {'moderate apical predominant centrilobular emphysema': {'clinical finding': 'moderate apical predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate apical predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}clinical findings_fin: {'scattered nonspecific micronodules': {'clinical finding': 'scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious pulmonary masses': {'clinical finding': 'new suspicious pulmonary masses', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: {'mild right lower lobe subsegmental atelectasis': {'clinical finding': 'mild right lower lobe subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild right lower lobe subsegmental', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'minimal atherosclerotic calcification': {'clinical finding': 'minimal atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right breast posterior depth subcentimeter mass': {'clinical finding': 'right breast posterior depth subcentimeter mass', 'existence': 'pos_dx', 'descriptive_term': 'right breast posterior depth subcentimeter', 'observation': 'mass'}, 'possibly a lymph node': {'clinical finding': 'possibly a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'possibly a lymph', 'observation': 'node'}}anatomical entity_fin: {'lobe': {}, 'rib': {'location descriptor': 'right'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'punctate left thyroid lobe calcification': {'clinical finding': 'punctate left thyroid lobe calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate left thyroid lobe', 'observation': 'calcification'}, 'right rib fractures': {'clinical finding': 'right rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'right rib', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'stable right hepatic hypodensity': {'clinical finding': 'stable right hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable right hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'}, 'likely a cyst': {'clinical finding': 'likely a cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely a', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}object_fin: ['filter']anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'moderate vascular calcification': {'clinical finding': 'moderate vascular calcification', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate vascular', 'observation': 'calcification', 'strength_term': 'moderate'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}anatomical entity_fin: {'anterior abdominal wall': {'location descriptor': 'superior'}}imaging observation_fin: ['fat']location descriptor_fin: ['superior', 'midline']clinical findings_fin: {'superior anterior abdominal wall midline fat-containing hernia': {'clinical finding': 'superior anterior abdominal wall midline fat-containing hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'superior anterior abdominal wall midline fat-containing', 'observation': 'hernia', 'strength_term': 'superior'}} [/INST] . Decreased size of the right lower lobe spiculated solid nodule, now measuring 9 x 7 mm , previously 12 x 11 mm. The adjacent peribronchial nodule is also decreased in size. The right upper lobe groundglass nodule is unchanged at 17 x 14 mm , without solid components. Moderate apical predominant centrilobular emphysema. Scattered nonspecific micronodules. No new suspicious pulmonary masses or nodules. Mild right lower lobe subsegmental atelectasis again noted. No pleural effusions. No mediastinal or hilar lymphadenopathy. Normal sized heart without pericardial effusion. Minimal atherosclerotic calcification of the aorta. None. Right breast posterior depth subcentimeter mass, stable since 2008, possibly a lymph node. Punctate left thyroid lobe calcification, incompletely evaluated by CT. Healed right rib fractures. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable right hepatic hypodensity, likely a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Infrarenal IVC filter. Moderate vascular calcification of the abdominal aorta without aneurysmal dilatation. No lymphadenopathy. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior anterior abdominal wall midline fat-containing hernia. </s> |
. There is no evidence of intracranial hemorrhage. There are new moderate areas of hypoattenuation in the right parietal lobe, and in the left insula extending superiorly into the left corona radiata via the left putamen representing age indeterminate, probably subacute strokes these are unchanged. There is minimal ex vacuo dilatation of the left lateral ventricle suggesting element of chronicity superimposed on subacute component in the left-sided infarct. No acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde. There is abrupt occlusion of the left M1 segment near its origin with a tiny stump opacifying with contrast at the origin. Few left MCA branches are noted to fill, however there is asymmetric paucity of vessels in the left MCA territory as compared to the right. Both A1, anterior communicating, and left posterior communicating arteries are patent. The right posterior communicating artery is not seen and may be hypoplastic. The right vertebral artery is developmentally hypoplastic. Both vertebral arteries join to form the basilar artery. There is no intracranial aneurysm. The great vessel origins are intact. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde from collateral supply. There is minimal luminal irregularity without significant stenosis at the origin of the right carotid bulb. The vertebral arteries are widely patent. The right vertebral artery is nondominant. The thyroid gland is unremarkable. The lung apices show interlobular septal thickening and hazy attenuation of the lung parenchyma which may be related to pulmonary edema. There are minimal degenerative changes in the cervical spine. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right parietal lobe': {}, 'left insula': {}, 'left corona radiata': {}, 'left putamen': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, ', probably subacute strokes': {'clinical finding': ', probably subacute strokes', 'existence': 'pos_dx', 'descriptive_term': ' probably subacute', 'observation': 'stroke'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}, 'left-sided infarct': {'clinical finding': 'left-sided infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'infarct'}}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: {'otherwise normal in size and configuration': {'clinical finding': 'otherwise normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'abrupt occlusion': {'clinical finding': 'abrupt occlusion', 'existence': 'pos_dx', 'descriptive_term': 'abrupt', 'observation': 'occlusion', 'strength_term': 'abrupt'}, 'tiny stump': {'clinical finding': 'tiny stump', 'existence': 'pos_dx', 'descriptive_term': 'tiny', 'observation': 'stump', 'strength_term': 'tiny'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'few left mca branches are noted to fill , however there is asymmetric paucity': {'clinical finding': 'few left mca branches are noted to fill , however there is asymmetric paucity'}}anatomical entity_fin: {'left posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right posterior communicating artery': {}}clinical findings_fin: {'not seen and may be hypoplastic': {'clinical finding': 'not seen and may be hypoplastic'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'right vertebral artery is developmentally hypoplastic': {'clinical finding': 'right vertebral artery is developmentally hypoplastic'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}}clinical findings_fin: {'intracranial aneurysm': {'clinical finding': 'intracranial aneurysm', 'cf_snomed': {'intracranial aneurysm': 128609009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'aneurysm'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'collateral supply': {'clinical finding': 'collateral supply', 'existence': 'pos_dx', 'descriptive_term': 'collateral', 'observation': 'supply'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal luminal irregularity': {'clinical finding': 'minimal luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal luminal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'nondominant': {'clinical finding': 'nondominant', 'existence': 'pos_dx', 'observation': 'nondominant'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}, 'lung parenchyma': {}}clinical findings_fin: {'interlobular septal thickening': {'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative changes': {'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right parietal lobe': {}, 'left insula': {}, 'left corona radiata': {}, 'left putamen': {}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, ', probably subacute strokes': {'clinical finding': ', probably subacute strokes', 'existence': 'pos_dx', 'descriptive_term': ' probably subacute', 'observation': 'stroke'}}anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'chronicity': {'clinical finding': 'chronicity', 'existence': 'unc_dx', 'observation': 'chronicity'}, 'left-sided infarct': {'clinical finding': 'left-sided infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'infarct'}}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: {'otherwise normal in size and configuration': {'clinical finding': 'otherwise normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'abrupt occlusion': {'clinical finding': 'abrupt occlusion', 'existence': 'pos_dx', 'descriptive_term': 'abrupt', 'observation': 'occlusion', 'strength_term': 'abrupt'}, 'tiny stump': {'clinical finding': 'tiny stump', 'existence': 'pos_dx', 'descriptive_term': 'tiny', 'observation': 'stump', 'strength_term': 'tiny'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'few left mca branches are noted to fill , however there is asymmetric paucity': {'clinical finding': 'few left mca branches are noted to fill , however there is asymmetric paucity'}}anatomical entity_fin: {'left posterior communicating arteries': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right posterior communicating artery': {}}clinical findings_fin: {'not seen and may be hypoplastic': {'clinical finding': 'not seen and may be hypoplastic'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'right vertebral artery is developmentally hypoplastic': {'clinical finding': 'right vertebral artery is developmentally hypoplastic'}}anatomical entity_fin: {'vertebral arteries': {}, 'basilar artery': {}}clinical findings_fin: {'intracranial aneurysm': {'clinical finding': 'intracranial aneurysm', 'cf_snomed': {'intracranial aneurysm': 128609009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'aneurysm'}}anatomical entity_fin: {'origins': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}, 'origin': {}}location descriptor_fin: ['left']clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}, 'collateral supply': {'clinical finding': 'collateral supply', 'existence': 'pos_dx', 'descriptive_term': 'collateral', 'observation': 'supply'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'minimal luminal irregularity': {'clinical finding': 'minimal luminal irregularity', 'existence': 'pos_dx', 'descriptive_term': 'minimal luminal', 'observation': 'irregularity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'vertebral arteries': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'nondominant': {'clinical finding': 'nondominant', 'existence': 'pos_dx', 'observation': 'nondominant'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}, 'lung parenchyma': {}}clinical findings_fin: {'interlobular septal thickening': {'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening'}, 'pulmonary edema': {'clinical finding': 'pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'minimal degenerative changes': {'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}} [/INST] . There is no evidence of intracranial hemorrhage. There are new moderate areas of hypoattenuation in the right parietal lobe, and in the left insula extending superiorly into the left corona radiata via the left putamen representing age indeterminate, probably subacute strokes these are unchanged. There is minimal ex vacuo dilatation of the left lateral ventricle suggesting element of chronicity superimposed on subacute component in the left-sided infarct. No acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde. There is abrupt occlusion of the left M1 segment near its origin with a tiny stump opacifying with contrast at the origin. Few left MCA branches are noted to fill, however there is asymmetric paucity of vessels in the left MCA territory as compared to the right. Both A1, anterior communicating, and left posterior communicating arteries are patent. The right posterior communicating artery is not seen and may be hypoplastic. The right vertebral artery is developmentally hypoplastic. Both vertebral arteries join to form the basilar artery. There is no intracranial aneurysm. The great vessel origins are intact. The left internal carotid artery is entirely occluded from the origin to the level of the ophthalmic segment which minimally fills retrograde from collateral supply. There is minimal luminal irregularity without significant stenosis at the origin of the right carotid bulb. The vertebral arteries are widely patent. The right vertebral artery is nondominant. The thyroid gland is unremarkable. The lung apices show interlobular septal thickening and hazy attenuation of the lung parenchyma which may be related to pulmonary edema. There are minimal degenerative changes in the cervical spine. </s> |
The frontal sinuses are clear though the walls of the frontal sinuses are thickened which may reflect prior chronic inflammation. The frontoethmoidal recesses are clear. The right sphenoid sinus is nearly completely opacified and the left is clear with the exception of minimal peripheral mucosal thickening. The left sphenoethmoidal recess seems to be patent. Again, the walls of the sphenoid sinuses are chronically thickened. Sequelae of functional endoscopic sinus surgery are seen. Only minimal peripheral mucosal thickening is seen in the right maxillary sinus with a widely patent neo-antrum. Moderate peripheral mucosal thickening is seen within the left maxillary sinus but again with a widely patent neo-antrum. The nasal septum is intact. The nasal cavity itself is clear. The turbinates demonstrate postoperative change but are otherwise unremarkable. | anatomical entity_fin: {'walls': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'prior chronic inflammation': {'clinical finding': 'prior chronic inflammation', 'cf_snomed': {'chronic inflammation': 84499006}, 'existence': 'unc_dx', 'descriptive_term': 'prior chronic', 'observation': 'inflammation', 'temporal_term': 'chronic'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left', 'peripheral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal peripheral mucosal thickening': {'clinical finding': 'minimal peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripheral mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'sphenoethmoidal recess': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'walls': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}clinical findings_fin: {'functional endoscopic sinus surgery': {'clinical finding': 'functional endoscopic sinus surgery', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'functional endoscopic sinus', 'observation': 'surgery'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'antrum': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'only minimal peripheral mucosal thickening': {'clinical finding': 'only minimal peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'only minimal peripheral mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'widely patent': {'clinical finding': 'widely patent', 'existence': 'neg_dx', 'descriptive_term': 'widely', 'observation': 'patent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'antrum': {}}location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'moderate peripheral mucosal thickening': {'clinical finding': 'moderate peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate peripheral mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}, 'widely patent': {'clinical finding': 'widely patent', 'existence': 'neg_dx', 'descriptive_term': 'widely', 'observation': 'patent'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'neg_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'walls': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'prior chronic inflammation': {'clinical finding': 'prior chronic inflammation', 'cf_snomed': {'chronic inflammation': 84499006}, 'existence': 'unc_dx', 'descriptive_term': 'prior chronic', 'observation': 'inflammation', 'temporal_term': 'chronic'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left', 'peripheral']clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal peripheral mucosal thickening': {'clinical finding': 'minimal peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripheral mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'sphenoethmoidal recess': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'walls': {}}clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}}clinical findings_fin: {'functional endoscopic sinus surgery': {'clinical finding': 'functional endoscopic sinus surgery', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'functional endoscopic sinus', 'observation': 'surgery'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}, 'antrum': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'only minimal peripheral mucosal thickening': {'clinical finding': 'only minimal peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'only minimal peripheral mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'widely patent': {'clinical finding': 'widely patent', 'existence': 'neg_dx', 'descriptive_term': 'widely', 'observation': 'patent'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}, 'antrum': {}}location descriptor_fin: ['peripheral', 'left']clinical findings_fin: {'moderate peripheral mucosal thickening': {'clinical finding': 'moderate peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate peripheral mucosal', 'observation': 'thickening', 'strength_term': 'moderate'}, 'widely patent': {'clinical finding': 'widely patent', 'existence': 'neg_dx', 'descriptive_term': 'widely', 'observation': 'patent'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'postoperative change': {'clinical finding': 'postoperative change', 'existence': 'neg_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}} [/INST] The frontal sinuses are clear though the walls of the frontal sinuses are thickened which may reflect prior chronic inflammation. The frontoethmoidal recesses are clear. The right sphenoid sinus is nearly completely opacified and the left is clear with the exception of minimal peripheral mucosal thickening. The left sphenoethmoidal recess seems to be patent. Again, the walls of the sphenoid sinuses are chronically thickened. Sequelae of functional endoscopic sinus surgery are seen. Only minimal peripheral mucosal thickening is seen in the right maxillary sinus with a widely patent neo-antrum. Moderate peripheral mucosal thickening is seen within the left maxillary sinus but again with a widely patent neo-antrum. The nasal septum is intact. The nasal cavity itself is clear. The turbinates demonstrate postoperative change but are otherwise unremarkable. </s> |
. Small left lung base cyst. No pleural or pericardial effusions. Cholelithiasis without evidence of acute gallbladder inflammation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis. Right renal simple appearing cysts. Left renal hypodensities are too small to characterize but likely benign cysts. No hydroureteronephrosis. Symmetric nephrograms. Symmetric bilateral excretion into normal pelvicalyceal systems and ureters without filling defect or marrow abnormality. Evaluation of the bladder and regional lymphadenopathy is limited by streak artifact from bilateral hip arthroplasty devices. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Evaluation of the pelvis is severely compromised by streak artifact from bilateral hip arthroplasty devices. Prostatomegaly. No gross abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'small left lung base cyst': {'clinical finding': 'small left lung base cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left lung base', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'pleural or pericardial effusions': {'clinical finding': 'pleural or pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pleural or pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute gallbladder inflammation': {'clinical finding': 'acute gallbladder inflammation', 'existence': 'neg_dx', 'descriptive_term': 'acute gallbladder', 'observation': 'inflammation', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal simple appearing cysts': {'clinical finding': 'right renal simple appearing cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal simple appearing', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}clinical findings_fin: {'symmetric nephrograms': {'clinical finding': 'symmetric nephrograms'}}anatomical entity_fin: {'ureters': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral excretion': {'clinical finding': 'symmetric bilateral excretion', 'existence': 'pos_dx', 'descriptive_term': 'symmetric bilateral', 'observation': 'excretion'}, 'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'marrow abnormality': {'clinical finding': 'marrow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'marrow', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'regional lymphadenopathy': {'clinical finding': 'regional lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'descriptive_term': 'regional', 'observation': 'lymphadenopathy'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'prostatomegaly': {'clinical finding': 'prostatomegaly', 'existence': 'pos_dx', 'observation': 'prostatomegaly'}}clinical findings_fin: {'gross abnormality': {'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'small left lung base cyst': {'clinical finding': 'small left lung base cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left lung base', 'observation': 'cyst', 'strength_term': 'small'}}clinical findings_fin: {'pleural or pericardial effusions': {'clinical finding': 'pleural or pericardial effusions', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pleural or pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute gallbladder inflammation': {'clinical finding': 'acute gallbladder inflammation', 'existence': 'neg_dx', 'descriptive_term': 'acute gallbladder', 'observation': 'inflammation', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal simple appearing cysts': {'clinical finding': 'right renal simple appearing cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal simple appearing', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal hypodensities': {'clinical finding': 'left renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'hydroureteronephrosis': {'clinical finding': 'hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'neg_dx', 'observation': 'hydroureteronephrosis'}}clinical findings_fin: {'symmetric nephrograms': {'clinical finding': 'symmetric nephrograms'}}anatomical entity_fin: {'ureters': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'symmetric bilateral excretion': {'clinical finding': 'symmetric bilateral excretion', 'existence': 'pos_dx', 'descriptive_term': 'symmetric bilateral', 'observation': 'excretion'}, 'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'marrow abnormality': {'clinical finding': 'marrow abnormality', 'existence': 'unc_dx', 'descriptive_term': 'marrow', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'regional lymphadenopathy': {'clinical finding': 'regional lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'unc_dx', 'descriptive_term': 'regional', 'observation': 'lymphadenopathy'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']procedure_fin: ['arthroplasty']clinical findings_fin: {'compromised': {'clinical finding': 'compromised', 'existence': 'pos_dx', 'observation': 'compromised'}, 'streak artifact': {'clinical finding': 'streak artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}}clinical findings_fin: {'prostatomegaly': {'clinical finding': 'prostatomegaly', 'existence': 'pos_dx', 'observation': 'prostatomegaly'}}clinical findings_fin: {'gross abnormality': {'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Small left lung base cyst. No pleural or pericardial effusions. Cholelithiasis without evidence of acute gallbladder inflammation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis. Right renal simple appearing cysts. Left renal hypodensities are too small to characterize but likely benign cysts. No hydroureteronephrosis. Symmetric nephrograms. Symmetric bilateral excretion into normal pelvicalyceal systems and ureters without filling defect or marrow abnormality. Evaluation of the bladder and regional lymphadenopathy is limited by streak artifact from bilateral hip arthroplasty devices. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Evaluation of the pelvis is severely compromised by streak artifact from bilateral hip arthroplasty devices. Prostatomegaly. No gross abnormality. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. A hypoattenuating focus of the liver is unchanged over multiple imaging studies and likely represents a benign hemangioma. Additional subcentimeter hypoattenuating foci in the liver show no significant interval change. No new focal hepatic lesion is seen. Mild fatty liver, new from 2013 CT. No significant abnormality noted. Status post resection of a previously described exophytic mass of the pancreatic neck. No new pancreatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'benign hemangioma': {'clinical finding': 'benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'additional subcentimeter hypoattenuating foci': {'clinical finding': 'additional subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'foci'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}clinical findings_fin: {'new focal hepatic lesion': {'clinical finding': 'new focal hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new focal hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'previously described exophytic mass': {'clinical finding': 'previously described exophytic mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described exophytic', 'observation': 'mass'}}clinical findings_fin: {'new pancreatic lesion': {'clinical finding': 'new pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new pancreatic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'hypoattenuating focus': {'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus'}, 'benign hemangioma': {'clinical finding': 'benign hemangioma', 'cf_snomed': {'benign hemangioma': 253053003}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'hemangioma', 'strength_term': 'benign'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'additional subcentimeter hypoattenuating foci': {'clinical finding': 'additional subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter hypoattenuating', 'observation': 'foci'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}clinical findings_fin: {'new focal hepatic lesion': {'clinical finding': 'new focal hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new focal hepatic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'previously described exophytic mass': {'clinical finding': 'previously described exophytic mass', 'existence': 'pos_dx', 'descriptive_term': 'previously described exophytic', 'observation': 'mass'}}clinical findings_fin: {'new pancreatic lesion': {'clinical finding': 'new pancreatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new pancreatic', 'observation': 'lesion', 'temporal_term': 'new'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Mild. No significant abnormality noted. A hypoattenuating focus of the liver is unchanged over multiple imaging studies and likely represents a benign hemangioma. Additional subcentimeter hypoattenuating foci in the liver show no significant interval change. No new focal hepatic lesion is seen. Mild fatty liver, new from 2013 CT. No significant abnormality noted. Status post resection of a previously described exophytic mass of the pancreatic neck. No new pancreatic lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
Post procedural CT of the brain was performed after deep electrode placement using left posterior parietal approach. There are streak artifacts related to the tip of the electrodes in the left temporal occipital region in multiple directions. 1 electrode is terminating anteriorly and along the medial aspect of the temporal lobe similar to previous exam. Additional electrode is going towards the midline. A third one is seen lateral to the left lateral ventricle. Patient is status post remote left parietal craniotomy. There is a large area of encephalomalacia within the left parieto-occipital lobe with ex vacuo dilatation of the occipital horn of the left lateral ventricle, unchanged from previous. There is left posterior parietal soft tissue hematoma unchanged. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are prominent cortical sulcal spaces, similar to previous. There is no extraaxial fluid collection. | anatomical entity_fin: {'brain': {}}location descriptor_fin: ['left', 'posterior']object_fin: ['electrode']clinical findings_fin: {'post procedural ct of the brain was performed after deep electrode placement using': {'clinical finding': 'post procedural ct of the brain was performed after deep electrode placement using'}}location descriptor_fin: ['left']clinical findings_fin: {'streak artifacts': {'clinical finding': 'streak artifacts', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'electrodes': {'clinical finding': 'electrodes', 'existence': 'pos_dx', 'observation': 'electrode'}}anatomical entity_fin: {'temporal lobe': {}}location descriptor_fin: ['medial']object_fin: ['electrode']clinical findings_fin: {'medial aspect of the temporal lobe similar to previous exam': {'clinical finding': 'medial aspect of the temporal lobe similar to previous exam'}}location descriptor_fin: ['midline']object_fin: ['electrode']anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'third one is seen': {'clinical finding': 'third one is seen'}}location descriptor_fin: ['left']anatomical entity_fin: {'occipital lobe': {}, 'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'posterior parietal soft tissue hematoma': {'clinical finding': 'posterior parietal soft tissue hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'posterior parietal soft tissue', 'observation': 'hematoma'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'prominent cortical sulcal spaces': {'clinical finding': 'prominent cortical sulcal spaces', 'existence': 'pos_dx', 'descriptive_term': 'prominent cortical sulcal', 'observation': 'space', 'strength_term': 'prominent'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'brain': {}}location descriptor_fin: ['left', 'posterior']object_fin: ['electrode']clinical findings_fin: {'post procedural ct of the brain was performed after deep electrode placement using': {'clinical finding': 'post procedural ct of the brain was performed after deep electrode placement using'}}location descriptor_fin: ['left']clinical findings_fin: {'streak artifacts': {'clinical finding': 'streak artifacts', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'}, 'electrodes': {'clinical finding': 'electrodes', 'existence': 'pos_dx', 'observation': 'electrode'}}anatomical entity_fin: {'temporal lobe': {}}location descriptor_fin: ['medial']object_fin: ['electrode']clinical findings_fin: {'medial aspect of the temporal lobe similar to previous exam': {'clinical finding': 'medial aspect of the temporal lobe similar to previous exam'}}location descriptor_fin: ['midline']object_fin: ['electrode']anatomical entity_fin: {'left lateral ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'third one is seen': {'clinical finding': 'third one is seen'}}location descriptor_fin: ['left']anatomical entity_fin: {'occipital lobe': {}, 'left lateral ventricle': {}}location descriptor_fin: ['left']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'posterior parietal soft tissue hematoma': {'clinical finding': 'posterior parietal soft tissue hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'pos_dx', 'descriptive_term': 'posterior parietal soft tissue', 'observation': 'hematoma'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}clinical findings_fin: {'prominent cortical sulcal spaces': {'clinical finding': 'prominent cortical sulcal spaces', 'existence': 'pos_dx', 'descriptive_term': 'prominent cortical sulcal', 'observation': 'space', 'strength_term': 'prominent'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}} [/INST] Post procedural CT of the brain was performed after deep electrode placement using left posterior parietal approach. There are streak artifacts related to the tip of the electrodes in the left temporal occipital region in multiple directions. 1 electrode is terminating anteriorly and along the medial aspect of the temporal lobe similar to previous exam. Additional electrode is going towards the midline. A third one is seen lateral to the left lateral ventricle. Patient is status post remote left parietal craniotomy. There is a large area of encephalomalacia within the left parieto-occipital lobe with ex vacuo dilatation of the occipital horn of the left lateral ventricle, unchanged from previous. There is left posterior parietal soft tissue hematoma unchanged. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are prominent cortical sulcal spaces, similar to previous. There is no extraaxial fluid collection. </s> |
A crescentic left paramedian extra-axial collection is noted at the vertex, underlying the anterior fontanelle, which on coronal reconstruction system crosses the midline, possibly involving the superior sagittal sinus. Given this location and appearance, the differential diagnosis includes venous epidural hemorrhage versus subdural hemorrhage. Separately, there is a 24-mm AP by 19-mm transverse by 25-mm craniocaudal collection within the mid falx demonstrating a fluid or level consistent with an intra-falcine subdural hematoma. Subdural hemorrhage is also noted elsewhere involving the falx as well as along bilateral tentorial leaflets. Scattered subarachnoid hemorrhage is also evident. An intracranial pressure monitoring device is been placed via the right frontal bone without evidence of post-procedural complication. Overlying scalp swelling is noted. The ventricles and sulci are normal in size. There is no midline shift. Fluid is present within bilateral middle ear cavities and mastoid air cells. The patient is intubated. | anatomical entity_fin: {'vertex': {}, 'fontanelle': {'location descriptor': 'anterior'}, 'superior sagittal sinus': {}}location descriptor_fin: ['left', 'anterior', 'midline']clinical findings_fin: {'crescentic left paramedian extra-axial collection is noted at the vertex , underlying': {'clinical finding': 'crescentic left paramedian extra-axial collection is noted at the vertex , underlying'}}clinical findings_fin: {'venous epidural hemorrhage': {'clinical finding': 'venous epidural hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'venous epidural', 'observation': 'hemorrhage'}, 'subdural hemorrhage': {'clinical finding': 'subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'hemorrhage'}}size_fin: [{'size': '24-mm', 'size_descriptor': 'ap'}, {'size': '19-mm', 'size_descriptor': 'transverse'}, {'size': '25-mm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'fluid': {}}imaging observation_fin: ['falx']clinical findings_fin: {'intra-falcine subdural hematoma': {'clinical finding': 'intra-falcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'intra-falcine subdural', 'observation': 'hematoma'}}imaging observation_fin: ['falx']location descriptor_fin: ['bilateral']clinical findings_fin: {'subdural hemorrhage': {'clinical finding': 'subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'hemorrhage'}}clinical findings_fin: {'scattered subarachnoid hemorrhage': {'clinical finding': 'scattered subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subarachnoid', 'observation': 'hemorrhage'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'intracranial pressure': {'clinical finding': 'intracranial pressure', 'cf_snomed': {'pressure': 13543005}, 'existence': 'pos_dx', 'descriptive_term': 'intracranial', 'observation': 'pressure'}, 'post-procedural complication': {'clinical finding': 'post-procedural complication', 'existence': 'neg_dx', 'descriptive_term': 'post-procedural', 'observation': 'complication'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'overlying scalp swelling': {'clinical finding': 'overlying scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'overlying scalp', 'observation': 'swell'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'fluid': {}, 'middle ear cavities': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'vertex': {}, 'fontanelle': {'location descriptor': 'anterior'}, 'superior sagittal sinus': {}}location descriptor_fin: ['left', 'anterior', 'midline']clinical findings_fin: {'crescentic left paramedian extra-axial collection is noted at the vertex , underlying': {'clinical finding': 'crescentic left paramedian extra-axial collection is noted at the vertex , underlying'}}clinical findings_fin: {'venous epidural hemorrhage': {'clinical finding': 'venous epidural hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'venous epidural', 'observation': 'hemorrhage'}, 'subdural hemorrhage': {'clinical finding': 'subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'hemorrhage'}}size_fin: [{'size': '24-mm', 'size_descriptor': 'ap'}, {'size': '19-mm', 'size_descriptor': 'transverse'}, {'size': '25-mm', 'size_descriptor': 'collection'}]anatomical entity_fin: {'fluid': {}}imaging observation_fin: ['falx']clinical findings_fin: {'intra-falcine subdural hematoma': {'clinical finding': 'intra-falcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'intra-falcine subdural', 'observation': 'hematoma'}}imaging observation_fin: ['falx']location descriptor_fin: ['bilateral']clinical findings_fin: {'subdural hemorrhage': {'clinical finding': 'subdural hemorrhage', 'cf_snomed': {'subdural hemorrhage': 35486000}, 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'hemorrhage'}}clinical findings_fin: {'scattered subarachnoid hemorrhage': {'clinical finding': 'scattered subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subarachnoid', 'observation': 'hemorrhage'}}anatomical entity_fin: {'frontal bone': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'intracranial pressure': {'clinical finding': 'intracranial pressure', 'cf_snomed': {'pressure': 13543005}, 'existence': 'pos_dx', 'descriptive_term': 'intracranial', 'observation': 'pressure'}, 'post-procedural complication': {'clinical finding': 'post-procedural complication', 'existence': 'neg_dx', 'descriptive_term': 'post-procedural', 'observation': 'complication'}}anatomical entity_fin: {'scalp': {}}clinical findings_fin: {'overlying scalp swelling': {'clinical finding': 'overlying scalp swelling', 'cf_snomed': {'swelling': 65124004}, 'existence': 'pos_dx', 'descriptive_term': 'overlying scalp', 'observation': 'swell'}}clinical findings_fin: {'ventricles and sulci are normal in size': {'clinical finding': 'ventricles and sulci are normal in size'}}location descriptor_fin: ['midline']clinical findings_fin: {'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}anatomical entity_fin: {'fluid': {}, 'middle ear cavities': {'location descriptor': 'bilateral'}, 'mastoid air cells': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}} [/INST] A crescentic left paramedian extra-axial collection is noted at the vertex, underlying the anterior fontanelle, which on coronal reconstruction system crosses the midline, possibly involving the superior sagittal sinus. Given this location and appearance, the differential diagnosis includes venous epidural hemorrhage versus subdural hemorrhage. Separately, there is a 24-mm AP by 19-mm transverse by 25-mm craniocaudal collection within the mid falx demonstrating a fluid or level consistent with an intra-falcine subdural hematoma. Subdural hemorrhage is also noted elsewhere involving the falx as well as along bilateral tentorial leaflets. Scattered subarachnoid hemorrhage is also evident. An intracranial pressure monitoring device is been placed via the right frontal bone without evidence of post-procedural complication. Overlying scalp swelling is noted. The ventricles and sulci are normal in size. There is no midline shift. Fluid is present within bilateral middle ear cavities and mastoid air cells. The patient is intubated. </s> |
No evidence of acute ischemic or hemorrhagic lesion. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. Mucosal thickening with air-fluid level on the sphenoid sinus, ethmoid sinus and bilateral maxillary sinus indicating sinusitis. No change since prior scan. | clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'sphenoid sinus': {}, 'ethmoid sinus': {}, 'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'air-fluid level': {'clinical finding': 'air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}, 'sphenoid sinus': {'clinical finding': 'sphenoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus'}, 'sinusitis': {'clinical finding': 'sinusitis', 'cf_snomed': {'sinusitis': 36971009}, 'existence': 'pos_dx', 'observation': 'sinusitis'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute ischemic or hemorrhagic lesion': {'clinical finding': 'acute ischemic or hemorrhagic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'symmetric': {'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'intra- or extra-axial fluid collection': {'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection'}, 'acute hemorrhage': {'clinical finding': 'acute hemorrhage', 'cf_snomed': {'acute hemorrhage': 8573003}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'sphenoid sinus': {}, 'ethmoid sinus': {}, 'maxillary sinus': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'mucosal thickening': {'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'}, 'air-fluid level': {'clinical finding': 'air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}, 'sphenoid sinus': {'clinical finding': 'sphenoid sinus', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus'}, 'sinusitis': {'clinical finding': 'sinusitis', 'cf_snomed': {'sinusitis': 36971009}, 'existence': 'pos_dx', 'observation': 'sinusitis'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}} [/INST] No evidence of acute ischemic or hemorrhagic lesion. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. Mucosal thickening with air-fluid level on the sphenoid sinus, ethmoid sinus and bilateral maxillary sinus indicating sinusitis. No change since prior scan. </s> |
. Unchanged multiple bilateral pulmonary micronodules. No suspicious nodule or mass. Stable appearance of the mediastinal ground glass opacity, consistent with previous radiation treatment. No significant pleural effusion. Small hilar lymph nodes appear similar to prior. No new adenopathy is seen. Mild esophageal thickening appears similar to prior. Moderate. Patient is status post anterior spinal fusion and right rotator cuff repair. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of bilateral renal cysts and subcentimeter hypoattenuating foci, which are too small to characterize. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged multiple bilateral pulmonary micronodules': {'clinical finding': 'unchanged multiple bilateral pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged multiple bilateral pulmonary', 'observation': 'micronodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['treatment']clinical findings_fin: {'mediastinal ground glass opacity': {'clinical finding': 'mediastinal ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal ground glass', 'observation': 'opacity'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}clinical findings_fin: {'small hilar lymph nodes': {'clinical finding': 'small hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small hilar lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'new adenopathy': {'clinical finding': 'new adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'adenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'mild esophageal thickening': {'clinical finding': 'mild esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild esophageal', 'observation': 'thickening', 'strength_term': 'mild'}}location descriptor_fin: ['anterior', 'right']procedure_fin: ['spinal fusion', 'repair']clinical findings_fin: {'post anterior spinal fusion': {'clinical finding': 'post anterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'post anterior spinal', 'observation': 'fusion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}, 'subcentimeter hypoattenuating foci': {'clinical finding': 'subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: {'unchanged multiple bilateral pulmonary micronodules': {'clinical finding': 'unchanged multiple bilateral pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged multiple bilateral pulmonary', 'observation': 'micronodule', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}procedure_fin: ['treatment']clinical findings_fin: {'mediastinal ground glass opacity': {'clinical finding': 'mediastinal ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal ground glass', 'observation': 'opacity'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}clinical findings_fin: {'small hilar lymph nodes': {'clinical finding': 'small hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small hilar lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'new adenopathy': {'clinical finding': 'new adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'adenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'mild esophageal thickening': {'clinical finding': 'mild esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild esophageal', 'observation': 'thickening', 'strength_term': 'mild'}}location descriptor_fin: ['anterior', 'right']procedure_fin: ['spinal fusion', 'repair']clinical findings_fin: {'post anterior spinal fusion': {'clinical finding': 'post anterior spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'post anterior spinal', 'observation': 'fusion'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral renal cysts': {'clinical finding': 'bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'}, 'subcentimeter hypoattenuating foci': {'clinical finding': 'subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Unchanged multiple bilateral pulmonary micronodules. No suspicious nodule or mass. Stable appearance of the mediastinal ground glass opacity, consistent with previous radiation treatment. No significant pleural effusion. Small hilar lymph nodes appear similar to prior. No new adenopathy is seen. Mild esophageal thickening appears similar to prior. Moderate. Patient is status post anterior spinal fusion and right rotator cuff repair. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable appearance of bilateral renal cysts and subcentimeter hypoattenuating foci, which are too small to characterize. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
Note is made of a nondisplaced fracture through the waist of the lunate bone. There is an additional subcentimeter well-corticated ossicle along the dorsal aspect of the lunate which presumably represents prior trauma. There is also irregularity and sclerosis of the fragments of the lunate bone consistent with the stated history of Kienböcks disease. Note is made of negative ulnar variance. No additional fractures are identified. The imaged musculature appears normal. The extensor and flexor tendons appear grossly intact within the limitations of CT examination. | anatomical entity_fin: {'waist': {}, 'lunate': {}}clinical findings_fin: {'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'ossicle': {}, 'lunate': {}}clinical findings_fin: {'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}anatomical entity_fin: {'lunate': {}}clinical findings_fin: {'irregularity': {'clinical finding': 'irregularity', 'existence': 'pos_dx', 'observation': 'irregularity'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'kienböcks disease': {'clinical finding': 'kienböcks disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'kienb cks', 'observation': 'disease'}}clinical findings_fin: {'negative ulnar variance': {'clinical finding': 'negative ulnar variance', 'existence': 'pos_dx', 'descriptive_term': 'negative ulnar', 'observation': 'variance'}}clinical findings_fin: {'additional fractures': {'clinical finding': 'additional fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'fracture'}}anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'imaged musculature appears': {'clinical finding': 'imaged musculature appears'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'waist': {}, 'lunate': {}}clinical findings_fin: {'nondisplaced fracture': {'clinical finding': 'nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture'}}anatomical entity_fin: {'ossicle': {}, 'lunate': {}}clinical findings_fin: {'prior trauma': {'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'}}anatomical entity_fin: {'lunate': {}}clinical findings_fin: {'irregularity': {'clinical finding': 'irregularity', 'existence': 'pos_dx', 'observation': 'irregularity'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'kienböcks disease': {'clinical finding': 'kienböcks disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'kienb cks', 'observation': 'disease'}}clinical findings_fin: {'negative ulnar variance': {'clinical finding': 'negative ulnar variance', 'existence': 'pos_dx', 'descriptive_term': 'negative ulnar', 'observation': 'variance'}}clinical findings_fin: {'additional fractures': {'clinical finding': 'additional fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'fracture'}}anatomical entity_fin: {'musculature': {}}clinical findings_fin: {'imaged musculature appears': {'clinical finding': 'imaged musculature appears'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] Note is made of a nondisplaced fracture through the waist of the lunate bone. There is an additional subcentimeter well-corticated ossicle along the dorsal aspect of the lunate which presumably represents prior trauma. There is also irregularity and sclerosis of the fragments of the lunate bone consistent with the stated history of Kienböcks disease. Note is made of negative ulnar variance. No additional fractures are identified. The imaged musculature appears normal. The extensor and flexor tendons appear grossly intact within the limitations of CT examination. </s> |
. Multiple micronodules, some of which are calcified, compatible with previous infection. Interval resolution of a right pleural effusion. No sign of pneumonia or other acute findings. No significant lymphadenopathy. A mildly enlarged lower right paratracheal node is unchanged, likely reactive. No pericardial effusion. Severe. Spinal fixation rods in place, producing considerable artifact. Posterior rib and vertebral lesions, consistent with multiple myeloma. Previous laminectomy at T8-T9. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited examination due to absence of contrast material and extensive artifact. Perisplenic calcifications, unchanged from previous. | clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'previous infection': {'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'neg_dx', 'observation': 'pneumonia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'mildly enlarged lower right paratracheal node': {'clinical finding': 'mildly enlarged lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged lower right paratracheal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'spinal fixation rods': {'clinical finding': 'spinal fixation rods', 'existence': 'pos_dx', 'descriptive_term': 'spinal fixation', 'observation': 'rod'}, 'considerable artifact': {'clinical finding': 'considerable artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'considerable', 'observation': 'artifact'}}anatomical entity_fin: {'posterior rib': {}}clinical findings_fin: {'posterior rib and vertebral lesions': {'clinical finding': 'posterior rib and vertebral lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior rib and vertebral', 'observation': 'lesion'}, 'multiple myeloma': {'clinical finding': 'multiple myeloma', 'cf_snomed': {'multiple myeloma': 109989006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'myeloma', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'extensive artifact': {'clinical finding': 'extensive artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'artifact', 'strength_term': 'extensive'}}clinical findings_fin: {'perisplenic calcifications': {'clinical finding': 'perisplenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'perisplenic', 'observation': 'calcification'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'multiple micronodules': {'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple'}, 'previous infection': {'clinical finding': 'previous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous', 'observation': 'infection', 'temporal_term': 'previous'}}location descriptor_fin: ['right']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}}clinical findings_fin: {'pneumonia': {'clinical finding': 'pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'neg_dx', 'observation': 'pneumonia'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['lower', 'right']clinical findings_fin: {'mildly enlarged lower right paratracheal node': {'clinical finding': 'mildly enlarged lower right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged lower right paratracheal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'spinal fixation rods': {'clinical finding': 'spinal fixation rods', 'existence': 'pos_dx', 'descriptive_term': 'spinal fixation', 'observation': 'rod'}, 'considerable artifact': {'clinical finding': 'considerable artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'considerable', 'observation': 'artifact'}}anatomical entity_fin: {'posterior rib': {}}clinical findings_fin: {'posterior rib and vertebral lesions': {'clinical finding': 'posterior rib and vertebral lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'posterior rib and vertebral', 'observation': 'lesion'}, 'multiple myeloma': {'clinical finding': 'multiple myeloma', 'cf_snomed': {'multiple myeloma': 109989006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'myeloma', 'quantity_term': 'multiple'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'extensive artifact': {'clinical finding': 'extensive artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'artifact', 'strength_term': 'extensive'}}clinical findings_fin: {'perisplenic calcifications': {'clinical finding': 'perisplenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'perisplenic', 'observation': 'calcification'}} [/INST] . Multiple micronodules, some of which are calcified, compatible with previous infection. Interval resolution of a right pleural effusion. No sign of pneumonia or other acute findings. No significant lymphadenopathy. A mildly enlarged lower right paratracheal node is unchanged, likely reactive. No pericardial effusion. Severe. Spinal fixation rods in place, producing considerable artifact. Posterior rib and vertebral lesions, consistent with multiple myeloma. Previous laminectomy at T8-T9. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited examination due to absence of contrast material and extensive artifact. Perisplenic calcifications, unchanged from previous. </s> |
. No pleural effusion or consolidation. No focal hepatic mass. No biliary ductal dilatation. Gallbladder is contracted. Small accessory splenule. Normal in appearance. No significant abnormality noted. No hydronephrosis or focal mass. No retroperitoneal adenopathy. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No adenopathy. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'focal hepatic mass': {'clinical finding': 'focal hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}clinical findings_fin: {'small accessory splenule': {'clinical finding': 'small accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'small accessory', 'observation': 'splenule', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'focal mass': {'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass'}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'observation': 'consolidation'}}clinical findings_fin: {'focal hepatic mass': {'clinical finding': 'focal hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}}clinical findings_fin: {'small accessory splenule': {'clinical finding': 'small accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'small accessory', 'observation': 'splenule', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'focal mass': {'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass'}}clinical findings_fin: {'retroperitoneal adenopathy': {'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No pleural effusion or consolidation. No focal hepatic mass. No biliary ductal dilatation. Gallbladder is contracted. Small accessory splenule. Normal in appearance. No significant abnormality noted. No hydronephrosis or focal mass. No retroperitoneal adenopathy. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No adenopathy. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted </s> |
. Foci of linear scarring or subsegmental atelectasis identified. No evidence of infection or other significant abnormality. No significant abnormality noted. None. No significant abnormality noted. Specifically, no evidence of a left back mass or other soft tissue abnormality. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | imaging observation_fin: ['foci']location descriptor_fin: ['subsegmental']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'unc_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'back': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left back mass': {'clinical finding': 'left back mass', 'existence': 'neg_dx', 'descriptive_term': 'left back', 'observation': 'mass'}, 'other soft tissue abnormality': {'clinical finding': 'other soft tissue abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other soft tissue', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']location descriptor_fin: ['subsegmental']clinical findings_fin: {'linear scarring': {'clinical finding': 'linear scarring', 'existence': 'unc_dx', 'descriptive_term': 'linear', 'observation': 'scarr'}, 'subsegmental atelectasis': {'clinical finding': 'subsegmental atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection'}, 'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'back': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left back mass': {'clinical finding': 'left back mass', 'existence': 'neg_dx', 'descriptive_term': 'left back', 'observation': 'mass'}, 'other soft tissue abnormality': {'clinical finding': 'other soft tissue abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other soft tissue', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Foci of linear scarring or subsegmental atelectasis identified. No evidence of infection or other significant abnormality. No significant abnormality noted. None. No significant abnormality noted. Specifically, no evidence of a left back mass or other soft tissue abnormality. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
There is a small amount of aerated fluid within the left maxillary sinus. The sphenoethmoidal recesses are slightly narrowed bilaterally. The maxillary outflow is not well visualized bilaterally and may be slightly narrowed to which some small infraorbital air cells probably contribute. There is a large concha bullosa of the left middle nasal turbinate. The remaining paranasal sinuses are grossly clear. The nasal septum is intact and demonstrates an s-shaped curvature. The mastoid air cells and middle ear cavities are pneumatized. There is atherosclerotic calcification of the bilateral internal carotid arteries. The visualized brain, orbits, skull, and scalp are unremarkable. | anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'is a small amount of aerated fluid within the left maxillary sinus': {'clinical finding': 'is a small amount of aerated fluid within the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'sphenoethmoidal recesses': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'unc_dx', 'observation': 'narrow'}}anatomical entity_fin: {'middle nasal turbinate': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large concha bullosa': {'clinical finding': 'large concha bullosa', 'cf_snomed': {'large concha': 247241000}, 'existence': 'pos_dx', 'descriptive_term': 'large concha', 'observation': 'bullosa', 'strength_term': 'large'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 's-shaped curvature': {'clinical finding': 's-shaped curvature', 'existence': 'pos_dx', 'descriptive_term': 's-shaped', 'observation': 'curvature'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavities': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'brain': {}, 'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'visualized brain , orbits , skull , and scalp': {'clinical finding': 'visualized brain , orbits , skull , and scalp'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'is a small amount of aerated fluid within the left maxillary sinus': {'clinical finding': 'is a small amount of aerated fluid within the left maxillary sinus', 'cf_snomed': {'sinus': 419351001}}}anatomical entity_fin: {'sphenoethmoidal recesses': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'narrowed': {'clinical finding': 'narrowed', 'existence': 'unc_dx', 'observation': 'narrow'}}anatomical entity_fin: {'middle nasal turbinate': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'large concha bullosa': {'clinical finding': 'large concha bullosa', 'cf_snomed': {'large concha': 247241000}, 'existence': 'pos_dx', 'descriptive_term': 'large concha', 'observation': 'bullosa', 'strength_term': 'large'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 's-shaped curvature': {'clinical finding': 's-shaped curvature', 'existence': 'pos_dx', 'descriptive_term': 's-shaped', 'observation': 'curvature'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ear cavities': {}}clinical findings_fin: {'pneumatized': {'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'brain': {}, 'orbits': {}, 'skull': {}, 'scalp': {}}clinical findings_fin: {'visualized brain , orbits , skull , and scalp': {'clinical finding': 'visualized brain , orbits , skull , and scalp'}} [/INST] There is a small amount of aerated fluid within the left maxillary sinus. The sphenoethmoidal recesses are slightly narrowed bilaterally. The maxillary outflow is not well visualized bilaterally and may be slightly narrowed to which some small infraorbital air cells probably contribute. There is a large concha bullosa of the left middle nasal turbinate. The remaining paranasal sinuses are grossly clear. The nasal septum is intact and demonstrates an s-shaped curvature. The mastoid air cells and middle ear cavities are pneumatized. There is atherosclerotic calcification of the bilateral internal carotid arteries. The visualized brain, orbits, skull, and scalp are unremarkable. </s> |
There appears to be fluid within the left maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated to the right and there is a left concha bullosa. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. There is probable cerumen within the bilateral | anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['deviated', 'right', 'left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'left concha bullosa': {'clinical finding': 'left concha bullosa', 'cf_snomed': {'concha bullosa': 232360002}, 'existence': 'pos_dx', 'descriptive_term': 'left concha', 'observation': 'bullosa'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': {'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'probable cerumen': {'clinical finding': 'probable cerumen', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cerumen'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'fluid': {}, 'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}location descriptor_fin: ['deviated', 'right', 'left']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'deviated': {'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'}, 'left concha bullosa': {'clinical finding': 'left concha bullosa', 'cf_snomed': {'concha bullosa': 232360002}, 'existence': 'pos_dx', 'descriptive_term': 'left concha', 'observation': 'bullosa'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'optic canals': {}}clinical findings_fin: {'carotid grooves and optic canals are covered by bone': {'clinical finding': 'carotid grooves and optic canals are covered by bone'}}anatomical entity_fin: {'nasopharynx': {}, 'orbits': {}}clinical findings_fin: {'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': {'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'probable cerumen': {'clinical finding': 'probable cerumen', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cerumen'}} [/INST] There appears to be fluid within the left maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated to the right and there is a left concha bullosa. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. There is probable cerumen within the bilateral </s> |
Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. Minimal apical scarring. Mild basilar atelectasis or scarring. Stable nonspecific right middle lobe nodule measuring 8 x 5 mm , unchanged. Few scattered nonspecific pulmonary micronodules are not significantly changed in size or number. No new suspicious pulmonary mass or nodule. No mediastinal or hilar lymphadenopathy. Normal cardiac size. Trace pericardial fluid or thickening, unchanged. None. No axillary lymphadenopathy. Bilateral minimal gynecomastia. Cholelithiasis without evidence of acute cholecystitis. No suspicious liver lesion given the limitation of a noncontrast CT. No significant abnormality noted. No significant abnormality noted. Left adrenal mass measures 6.9 x 6.3 cm compared to 7.4 x 6.6 cm previously. Stable mild nonspecific adjacent fat stranding. Status post right nephrectomy. Interval decreased conspicuity of previously seen hyperdense lesions likely reflecting evolving hemorrhagic cysts. Additional too small to characterize hypodensities are not significantly changed in size. Renal sinus cysts. Mild atherosclerotic calcification of the abdominal aorta. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. Mild. No significant abnormality noted. Colonic diverticulosis without acute diverticulitis. Degenerative changes. No significant abnormality noted. Mild prostatomegaly. Partially collapsed urinary bladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'solid organ': {}, 'bowel': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimal apical scarring': {'clinical finding': 'minimal apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimal apical', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}size_fin: [{'size': '8 x 5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable nonspecific right middle lobe nodule': {'clinical finding': 'stable nonspecific right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific right middle lobe', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'few scattered nonspecific pulmonary micronodules': {'clinical finding': 'few scattered nonspecific pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'few scattered nonspecific pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal cardiac size': {'clinical finding': 'normal cardiac size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral minimal gynecomastia': {'clinical finding': 'bilateral minimal gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral minimal', 'observation': 'gynecomastia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'suspicious liver lesion': {'clinical finding': 'suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious liver', 'observation': 'lesion'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6.9 x 6.3 cm'}, {'size': '7.4 x 6.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal mass': {'clinical finding': 'left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'stable mild nonspecific adjacent fat stranding': {'clinical finding': 'stable mild nonspecific adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'stable mild nonspecific adjacent fat', 'observation': 'strand', 'strength_term': 'stable - mild', 'change_term': 'stable'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'previously seen hyperdense lesions': {'clinical finding': 'previously seen hyperdense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen hyperdense', 'observation': 'lesion'}, 'evolving hemorrhagic cysts': {'clinical finding': 'evolving hemorrhagic cysts', 'cf_snomed': {'hemorrhagic cyst': 52321009}, 'existence': 'pos_dx', 'descriptive_term': 'evolving hemorrhagic', 'observation': 'cyst'}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'unc_dx', 'observation': 'hypodensity'}}anatomical entity_fin: {'renal sinus': {}}clinical findings_fin: {'renal sinus cysts': {'clinical finding': 'renal sinus cysts', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'renal sinus', 'observation': 'cyst'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild prostatomegaly': {'clinical finding': 'mild prostatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'prostatomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'partially collapsed': {'clinical finding': 'partially collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partially', 'observation': 'collapse', 'strength_term': 'partially'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'solid organ': {}, 'bowel': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimal apical scarring': {'clinical finding': 'minimal apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimal apical', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'mild basilar atelectasis': {'clinical finding': 'mild basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}size_fin: [{'size': '8 x 5 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable nonspecific right middle lobe nodule': {'clinical finding': 'stable nonspecific right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific right middle lobe', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'few scattered nonspecific pulmonary micronodules': {'clinical finding': 'few scattered nonspecific pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'few scattered nonspecific pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'}}clinical findings_fin: {'new suspicious pulmonary mass': {'clinical finding': 'new suspicious pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'mass', 'temporal_term': 'new'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal cardiac size': {'clinical finding': 'normal cardiac size'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'axillary lymphadenopathy': {'clinical finding': 'axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral minimal gynecomastia': {'clinical finding': 'bilateral minimal gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral minimal', 'observation': 'gynecomastia', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'acute cholecystitis': {'clinical finding': 'acute cholecystitis', 'cf_snomed': {'acute cholecystitis': 65275009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'cholecystitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'suspicious liver lesion': {'clinical finding': 'suspicious liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious liver', 'observation': 'lesion'}, 'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6.9 x 6.3 cm'}, {'size': '7.4 x 6.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left adrenal mass': {'clinical finding': 'left adrenal mass', 'cf_snomed': {'adrenal mass': 237783006}, 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'stable mild nonspecific adjacent fat stranding': {'clinical finding': 'stable mild nonspecific adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'stable mild nonspecific adjacent fat', 'observation': 'strand', 'strength_term': 'stable - mild', 'change_term': 'stable'}}location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: {'previously seen hyperdense lesions': {'clinical finding': 'previously seen hyperdense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously seen hyperdense', 'observation': 'lesion'}, 'evolving hemorrhagic cysts': {'clinical finding': 'evolving hemorrhagic cysts', 'cf_snomed': {'hemorrhagic cyst': 52321009}, 'existence': 'pos_dx', 'descriptive_term': 'evolving hemorrhagic', 'observation': 'cyst'}}clinical findings_fin: {'hypodensities': {'clinical finding': 'hypodensities', 'existence': 'unc_dx', 'observation': 'hypodensity'}}anatomical entity_fin: {'renal sinus': {}}clinical findings_fin: {'renal sinus cysts': {'clinical finding': 'renal sinus cysts', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'renal sinus', 'observation': 'cyst'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic calcification': {'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lymphadenopathy'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mild prostatomegaly': {'clinical finding': 'mild prostatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'prostatomegaly', 'strength_term': 'mild'}}anatomical entity_fin: {'urinary bladder': {}}clinical findings_fin: {'partially collapsed': {'clinical finding': 'partially collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partially', 'observation': 'collapse', 'strength_term': 'partially'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. Minimal apical scarring. Mild basilar atelectasis or scarring. Stable nonspecific right middle lobe nodule measuring 8 x 5 mm , unchanged. Few scattered nonspecific pulmonary micronodules are not significantly changed in size or number. No new suspicious pulmonary mass or nodule. No mediastinal or hilar lymphadenopathy. Normal cardiac size. Trace pericardial fluid or thickening, unchanged. None. No axillary lymphadenopathy. Bilateral minimal gynecomastia. Cholelithiasis without evidence of acute cholecystitis. No suspicious liver lesion given the limitation of a noncontrast CT. No significant abnormality noted. No significant abnormality noted. Left adrenal mass measures 6.9 x 6.3 cm compared to 7.4 x 6.6 cm previously. Stable mild nonspecific adjacent fat stranding. Status post right nephrectomy. Interval decreased conspicuity of previously seen hyperdense lesions likely reflecting evolving hemorrhagic cysts. Additional too small to characterize hypodensities are not significantly changed in size. Renal sinus cysts. Mild atherosclerotic calcification of the abdominal aorta. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. Mild. No significant abnormality noted. Colonic diverticulosis without acute diverticulitis. Degenerative changes. No significant abnormality noted. Mild prostatomegaly. Partially collapsed urinary bladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left punctate nonobstructing intrarenal stone. There is symmetric excretion of contrast bilaterally into the neobladder. The ureters are normal in caliber throughout the course with no mass lesions or filling defects identified. No significant abnormality noted. Mild. Small hiatal hernia. Colonic diverticulosis without evidence of diverticulitis. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post cystectomy with neobladder formation. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left punctate nonobstructing intrarenal stone': {'clinical finding': 'left punctate nonobstructing intrarenal stone', 'existence': 'pos_dx', 'descriptive_term': 'left punctate nonobstructing intrarenal', 'observation': 'stone'}}clinical findings_fin: {'excretion of contrast': {'clinical finding': 'excretion of contrast', 'existence': 'pos_dx', 'descriptive_term': 'excretion of', 'observation': 'contrast'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'mass lesions': {'clinical finding': 'mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystectomy']clinical findings_fin: {'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'left punctate nonobstructing intrarenal stone': {'clinical finding': 'left punctate nonobstructing intrarenal stone', 'existence': 'pos_dx', 'descriptive_term': 'left punctate nonobstructing intrarenal', 'observation': 'stone'}}clinical findings_fin: {'excretion of contrast': {'clinical finding': 'excretion of contrast', 'existence': 'pos_dx', 'descriptive_term': 'excretion of', 'observation': 'contrast'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'mass lesions': {'clinical finding': 'mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystectomy']clinical findings_fin: {'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'colonic diverticulosis': {'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] Absence of oral contrast limits evaluation of bowel. No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left punctate nonobstructing intrarenal stone. There is symmetric excretion of contrast bilaterally into the neobladder. The ureters are normal in caliber throughout the course with no mass lesions or filling defects identified. No significant abnormality noted. Mild. Small hiatal hernia. Colonic diverticulosis without evidence of diverticulitis. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post cystectomy with neobladder formation. No significant abnormality noted. Colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s> |
. Innumerable pulmonary metastases, increased from prior. Reference right apical nodule measures 1.3 cm , previously 0.8 cm. Reference right lower lobe pulmonary nodule measures 1.1 cm , previously 0.7 cm. Small pleural effusions, right greater the left. No lymphadenopathy. Moderate coronary artery calcifications. No significant abnormality noted. No significant abnormality noted. Splenomegaly. The splenic vein is patent. Status post Whipple procedure. No significant abnormality noted. No significant abnormality noted. Significant increase in infiltrative abdominal lymphadenopathy. Reference aortocaval lymph node mass measures 6.2 x 4.7 cm , previously 4.0 x 2.8 cm. There is mass effect upon the IVC, which is deviated posterolaterally. Tumor encases the celiac axis, SMA and SMV. Large amount of ascites. Lateral to the right hepatic lobe is a rind of soft tissue, new from the prior exam suspicious for peritoneal carcinomatosis. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. Pelvic lymphadenopathy. Comparison measurements are difficult to make given extensive ascites. Reference left external iliac lymph node measures 1.4 x 0.9 cm , previously 1.7 x 1.2 cm. No significant abnormality noted. Total left hip arthroplasty. | clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '1.3 cm'}, {'size': '0.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical nodule': {'clinical finding': 'reference right apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'}}size_fin: [{'size': '1.1 cm'}, {'size': '0.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'status post whipple': {'clinical finding': 'status post whipple', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'whipple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'infiltrative abdominal lymphadenopathy': {'clinical finding': 'infiltrative abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative abdominal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6.2 x 4.7 cm'}, {'size': '4.0 x 2.8 cm'}]clinical findings_fin: {'reference aortocaval lymph node mass': {'clinical finding': 'reference aortocaval lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph node', 'observation': 'mass'}}location descriptor_fin: ['deviated']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'axis': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}}size_fin: [{'size': '1.4 x 0.9 cm'}, {'size': '1.7 x 1.2 cm'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left external iliac lymph node': {'clinical finding': 'reference left external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left external iliac lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty'] | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'innumerable pulmonary metastases': {'clinical finding': 'innumerable pulmonary metastases', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'metastase'}}size_fin: [{'size': '1.3 cm'}, {'size': '0.8 cm'}]imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'reference right apical nodule': {'clinical finding': 'reference right apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right apical', 'observation': 'nodule'}}size_fin: [{'size': '1.1 cm'}, {'size': '0.7 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe pulmonary nodule': {'clinical finding': 'reference right lower lobe pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe pulmonary', 'observation': 'nodule'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'small pleural effusions': {'clinical finding': 'small pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'status post whipple': {'clinical finding': 'status post whipple', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'whipple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'infiltrative abdominal lymphadenopathy': {'clinical finding': 'infiltrative abdominal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'infiltrative abdominal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6.2 x 4.7 cm'}, {'size': '4.0 x 2.8 cm'}]clinical findings_fin: {'reference aortocaval lymph node mass': {'clinical finding': 'reference aortocaval lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'reference aortocaval lymph node', 'observation': 'mass'}}location descriptor_fin: ['deviated']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'axis': {}}clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'peritoneal carcinomatosis': {'clinical finding': 'peritoneal carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'extensive ascites': {'clinical finding': 'extensive ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'ascite', 'strength_term': 'extensive'}}size_fin: [{'size': '1.4 x 0.9 cm'}, {'size': '1.7 x 1.2 cm'}]anatomical entity_fin: {'external iliac lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left external iliac lymph node': {'clinical finding': 'reference left external iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left external iliac lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {'location descriptor': 'left'}}location descriptor_fin: ['left']procedure_fin: ['arthroplasty'] [/INST] . Innumerable pulmonary metastases, increased from prior. Reference right apical nodule measures 1.3 cm , previously 0.8 cm. Reference right lower lobe pulmonary nodule measures 1.1 cm , previously 0.7 cm. Small pleural effusions, right greater the left. No lymphadenopathy. Moderate coronary artery calcifications. No significant abnormality noted. No significant abnormality noted. Splenomegaly. The splenic vein is patent. Status post Whipple procedure. No significant abnormality noted. No significant abnormality noted. Significant increase in infiltrative abdominal lymphadenopathy. Reference aortocaval lymph node mass measures 6.2 x 4.7 cm , previously 4.0 x 2.8 cm. There is mass effect upon the IVC, which is deviated posterolaterally. Tumor encases the celiac axis, SMA and SMV. Large amount of ascites. Lateral to the right hepatic lobe is a rind of soft tissue, new from the prior exam suspicious for peritoneal carcinomatosis. No significant abnormality noted. Status post prostatectomy. No significant abnormality noted. Pelvic lymphadenopathy. Comparison measurements are difficult to make given extensive ascites. Reference left external iliac lymph node measures 1.4 x 0.9 cm , previously 1.7 x 1.2 cm. No significant abnormality noted. Total left hip arthroplasty. </s> |
No significant change in the size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension. No significant change in the midline shift. Redemonstrated is hypodensity along a track from a previous right transfrontal ventricular catheter. The left lateral ventricle has slightly decreased in size, with the remaining ventricular system stable. Again visualized is persistent hyperattenuation along the posterior aspect of the cerebellum which is similar to the prior exam. There is persistent periventricular hypoattenuation that likely represents transependymal CSF flow versus confluent small vessel ischemic disease. | anatomical entity_fin: {'left thalamus': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'large intraparenchymal hemorrhage': {'clinical finding': 'large intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'large intraparenchymal', 'observation': 'hemorrhage', 'strength_term': 'large'}, 'associated vasogenic edema': {'clinical finding': 'associated vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'}}location descriptor_fin: ['midline']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'persistent hyperattenuation': {'clinical finding': 'persistent hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperattenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'persistent periventricular hypoattenuation': {'clinical finding': 'persistent periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent periventricular', 'observation': 'hypoattenuation', 'temporal_term': 'persistent'}, 'transependymal csf flow': {'clinical finding': 'transependymal csf flow', 'existence': 'unc_dx', 'descriptive_term': 'transependymal csf', 'observation': 'flow'}, 'confluent small vessel ischemic disease': {'clinical finding': 'confluent small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'confluent small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'left thalamus': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'large intraparenchymal hemorrhage': {'clinical finding': 'large intraparenchymal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'large intraparenchymal', 'observation': 'hemorrhage', 'strength_term': 'large'}, 'associated vasogenic edema': {'clinical finding': 'associated vasogenic edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'}}location descriptor_fin: ['midline']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'midline shift': {'clinical finding': 'midline shift', 'cf_snomed': {'shift': 9546005}, 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'persistent hyperattenuation': {'clinical finding': 'persistent hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperattenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'persistent periventricular hypoattenuation': {'clinical finding': 'persistent periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent periventricular', 'observation': 'hypoattenuation', 'temporal_term': 'persistent'}, 'transependymal csf flow': {'clinical finding': 'transependymal csf flow', 'existence': 'unc_dx', 'descriptive_term': 'transependymal csf', 'observation': 'flow'}, 'confluent small vessel ischemic disease': {'clinical finding': 'confluent small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'confluent small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}} [/INST] No significant change in the size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension. No significant change in the midline shift. Redemonstrated is hypodensity along a track from a previous right transfrontal ventricular catheter. The left lateral ventricle has slightly decreased in size, with the remaining ventricular system stable. Again visualized is persistent hyperattenuation along the posterior aspect of the cerebellum which is similar to the prior exam. There is persistent periventricular hypoattenuation that likely represents transependymal CSF flow versus confluent small vessel ischemic disease. </s> |
. Postsurgical changes with a wedge resection the right lung appears unchanged. No new nodules or right effusion. The left upper lobe changes are also similar with scarring. Specifically the small punctate nodule previously identified is not currently distinguishable clearly and no additional new suspicious abnormalities observed. No effusion. No lymphadenopathy. Cardiac and pericardial appearance is otherwise unremarkable. None. Scattered mild degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Upper abdomen is limited in evaluation, specifically the previously identified liver lesion is currently beyond the inferior edge of the field of view. A hepatic cyst is observed in the dome as well as a poorly defined hypodensity on the single last image along the posterior right lobe, please consider dedicated imaging. | anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'right effusion': {'clinical finding': 'right effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe changes': {'clinical finding': 'left upper lobe changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'small punctate nodule': {'clinical finding': 'small punctate nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'small punctate', 'observation': 'nodule', 'strength_term': 'small'}, 'additional new suspicious abnormalities': {'clinical finding': 'additional new suspicious abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional new suspicious', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac and pericardial appearance is otherwise unremarkable': {'clinical finding': 'cardiac and pericardial appearance is otherwise unremarkable'}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}, 'liver': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'previously identified liver lesion': {'clinical finding': 'previously identified liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously identified liver', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}, 'defined hypodensity': {'clinical finding': 'defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'defined', 'observation': 'hypodensity'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right lung': {}}imaging observation_fin: ['wedge']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}, 'right effusion': {'clinical finding': 'right effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'effusion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe changes': {'clinical finding': 'left upper lobe changes', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'change'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}}clinical findings_fin: {'small punctate nodule': {'clinical finding': 'small punctate nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'small punctate', 'observation': 'nodule', 'strength_term': 'small'}, 'additional new suspicious abnormalities': {'clinical finding': 'additional new suspicious abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional new suspicious', 'observation': 'abnormality', 'temporal_term': 'new'}}clinical findings_fin: {'effusion': {'clinical finding': 'effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'cardiac and pericardial appearance is otherwise unremarkable': {'clinical finding': 'cardiac and pericardial appearance is otherwise unremarkable'}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}, 'suspicious new lytic or blastic lesions': {'clinical finding': 'suspicious new lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'upper abdomen': {}, 'liver': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'previously identified liver lesion': {'clinical finding': 'previously identified liver lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously identified liver', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'posterior right'}}location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'hepatic cyst': {'clinical finding': 'hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'}, 'defined hypodensity': {'clinical finding': 'defined hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'defined', 'observation': 'hypodensity'}} [/INST] . Postsurgical changes with a wedge resection the right lung appears unchanged. No new nodules or right effusion. The left upper lobe changes are also similar with scarring. Specifically the small punctate nodule previously identified is not currently distinguishable clearly and no additional new suspicious abnormalities observed. No effusion. No lymphadenopathy. Cardiac and pericardial appearance is otherwise unremarkable. None. Scattered mild degenerative changes without suspicious new lytic or blastic lesions observed. Absence of enteric contrast material limits sensitivity for abdominal pathology. Upper abdomen is limited in evaluation, specifically the previously identified liver lesion is currently beyond the inferior edge of the field of view. A hepatic cyst is observed in the dome as well as a poorly defined hypodensity on the single last image along the posterior right lobe, please consider dedicated imaging. </s> |
. Incidentally noted is a ascending aorta measuring 4.5 cm in diameter. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | size_fin: [{'size': '4.5 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'incidentally noted is a ascending aorta': {'clinical finding': 'incidentally noted is a ascending aorta'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '4.5 cm', 'size_descriptor': 'aorta'}]anatomical entity_fin: {'ascending aorta': {}}clinical findings_fin: {'incidentally noted is a ascending aorta': {'clinical finding': 'incidentally noted is a ascending aorta'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Incidentally noted is a ascending aorta measuring 4.5 cm in diameter. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
There is interval in size of the multiple left cervical and axillary lymph nodes. For example, a left level 2 lymph node measures 18 x 27 mm, previously 4 x 7 mm. The thyroid and major salivary glands are unremarkable. There is a subcentimeter right pharyngocele. The major cervical vessels are patent. There is a right subclavian venous catheter. The osseous structures are unremarkable. The airways are patent. There is mild mucosal thickening in the maxillary sinuses. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple left cervical and axillary lymph nodes': {'clinical finding': 'multiple left cervical and axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple left cervical and axillary lymph', 'observation': 'node', 'quantity_term': 'multiple'}}size_fin: [{'size': '18 x 27 mm'}, {'size': '4 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2 lymph node': {'clinical finding': 'left level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2 lymph', 'observation': 'node'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'axillary lymph nodes': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple left cervical and axillary lymph nodes': {'clinical finding': 'multiple left cervical and axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple left cervical and axillary lymph', 'observation': 'node', 'quantity_term': 'multiple'}}size_fin: [{'size': '18 x 27 mm'}, {'size': '4 x 7 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 2 lymph node': {'clinical finding': 'left level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 2 lymph', 'observation': 'node'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unremarkable': {'clinical finding': 'thyroid and major salivary glands are unremarkable'}}location descriptor_fin: ['right']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is interval in size of the multiple left cervical and axillary lymph nodes. For example, a left level 2 lymph node measures 18 x 27 mm, previously 4 x 7 mm. The thyroid and major salivary glands are unremarkable. There is a subcentimeter right pharyngocele. The major cervical vessels are patent. There is a right subclavian venous catheter. The osseous structures are unremarkable. The airways are patent. There is mild mucosal thickening in the maxillary sinuses. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. </s> |
. 6 mm left lower lobe peribronchial nodule on image 71 of series Other micronodules are unchanged compared to previous study. PA and central airways. Port catheter again noted. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right lobe hepatic hemangioma, unchanged. No significant abnormality noted. No significant abnormality noted. Renal hypodensities again noted. Nonobstructive left-sided nephrolithiasis, as before. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe peribronchial nodule': {'clinical finding': 'left lower lobe peribronchial nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe peribronchial', 'observation': 'nodule'}, 'series other micronodules': {'clinical finding': 'series other micronodules', 'existence': 'pos_dx', 'descriptive_term': 'series other', 'observation': 'micronodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['port', 'catheter']clinical findings_fin: {'port catheter again noted': {'clinical finding': 'port catheter again noted'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right lobe hepatic hemangioma': {'clinical finding': 'right lobe hepatic hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'right lobe hepatic', 'observation': 'hemangioma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive left-sided nephrolithiasis': {'clinical finding': 'nonobstructive left-sided nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left-sided', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '6 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower lobe peribronchial nodule': {'clinical finding': 'left lower lobe peribronchial nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe peribronchial', 'observation': 'nodule'}, 'series other micronodules': {'clinical finding': 'series other micronodules', 'existence': 'pos_dx', 'descriptive_term': 'series other', 'observation': 'micronodule'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']object_fin: ['port', 'catheter']clinical findings_fin: {'port catheter again noted': {'clinical finding': 'port catheter again noted'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right lobe hepatic hemangioma': {'clinical finding': 'right lobe hepatic hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'right lobe hepatic', 'observation': 'hemangioma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}}location descriptor_fin: ['left']clinical findings_fin: {'nonobstructive left-sided nephrolithiasis': {'clinical finding': 'nonobstructive left-sided nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left-sided', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'gi': {'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'}}clinical findings_fin: {'gross abnormalities': {'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . 6 mm left lower lobe peribronchial nodule on image 71 of series Other micronodules are unchanged compared to previous study. PA and central airways. Port catheter again noted. Mild. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Right lobe hepatic hemangioma, unchanged. No significant abnormality noted. No significant abnormality noted. Renal hypodensities again noted. Nonobstructive left-sided nephrolithiasis, as before. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Biapical scarring consistent with radiation reaction is unchanged. Scattered pulmonary micronodules. No suspicious pulmonary nodules. Persistent right middle lobe consolidation or partial atelectasis. Right lower lobe clustered nodular tree-in-bud opacities have increased. These findings are likely related to aspiration. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. Mildly enlarged left lower paratracheal lymph node measures 8 mm , unchanged. No hilar lymphadenopathy. None. No supraclavicular or axillary lymphadenopathy. The osseous structures are within normal limits for the patients age. Bifid right fourth rib, a normal variant. Absence of enteric contrast material limits sensitivity for abdominal pathology. 8 mm hypoattenuating lesion in the tail of pancreas is unchanged. | clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent right middle lobe consolidation': {'clinical finding': 'persistent right middle lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent right middle lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'partial atelectasis': {'clinical finding': 'partial atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'atelectasis', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left', 'lower']clinical findings_fin: {'mildly enlarged left lower paratracheal lymph node': {'clinical finding': 'mildly enlarged left lower paratracheal lymph node', 'cf_snomed': {'left lower paratracheal lymph node': 127936005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged left lower paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal limits for the patients age': {'clinical finding': 'normal limits for the patients age'}}anatomical entity_fin: {'rib': {}, 'normal variant': {}}location descriptor_fin: ['right']clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'tail of pancreas': {}}clinical findings_fin: {'8 mm hypoattenuating lesion': {'clinical finding': '8 mm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating', 'observation': 'lesion'}} | Write the finding section for a radiology report based on the following information: | <s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'biapical scarring': {'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'}}clinical findings_fin: {'scattered pulmonary micronodules': {'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'}}clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'persistent right middle lobe consolidation': {'clinical finding': 'persistent right middle lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'persistent right middle lobe', 'observation': 'consolidation', 'temporal_term': 'persistent'}, 'partial atelectasis': {'clinical finding': 'partial atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'partial', 'observation': 'atelectasis', 'strength_term': 'partial'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'observation': 'opacity'}}clinical findings_fin: {'aspiration': {'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['left', 'lower']clinical findings_fin: {'mildly enlarged left lower paratracheal lymph node': {'clinical finding': 'mildly enlarged left lower paratracheal lymph node', 'cf_snomed': {'left lower paratracheal lymph node': 127936005}, 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged left lower paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'normal limits for the patients age': {'clinical finding': 'normal limits for the patients age'}}anatomical entity_fin: {'rib': {}, 'normal variant': {}}location descriptor_fin: ['right']clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'tail of pancreas': {}}clinical findings_fin: {'8 mm hypoattenuating lesion': {'clinical finding': '8 mm hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '8 mm hypoattenuating', 'observation': 'lesion'}} [/INST] . Biapical scarring consistent with radiation reaction is unchanged. Scattered pulmonary micronodules. No suspicious pulmonary nodules. Persistent right middle lobe consolidation or partial atelectasis. Right lower lobe clustered nodular tree-in-bud opacities have increased. These findings are likely related to aspiration. No pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. Mildly enlarged left lower paratracheal lymph node measures 8 mm , unchanged. No hilar lymphadenopathy. None. No supraclavicular or axillary lymphadenopathy. The osseous structures are within normal limits for the patients age. Bifid right fourth rib, a normal variant. Absence of enteric contrast material limits sensitivity for abdominal pathology. 8 mm hypoattenuating lesion in the tail of pancreas is unchanged. </s> |