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. Innumerable pulmonary nodules compatible with metastatic disease. Several scattered bilobar hypodense hepatic lesions with suggestion of peripheral enhancement, the largest conglomerate in the periphery of the right lobe of the liver measuring 3.9 x 3.3 cm , most compatible with metastatic disease. Patent portal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate left and mild right-sided hydroureteronephrosis secondary to pelvic mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As below. No significant abnormality noted. No significant abnormality noted. Status post left hemicolectomy. Left pelvic heterogenous hypoattenuating mass one large component measuring 6.0 x 6.0 cm , most compatible with colon cancer given history, and extending across the midline. This mass likely invades the uterus and upper vagina. Another component of the mass is seen anterior to the left psoas muscle near the resection site. Numerous serosal and peritoneal implants, for example one in the right lower quadrant measures 1.1 x 1.2 cm. No significant abnormality noted. No significant abnormality noted. | clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.9 x 3.3 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'several scattered bilobar hypodense hepatic lesions': {'clinical finding': 'several scattered bilobar hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several scattered bilobar hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'largest conglomerate': {'clinical finding': 'largest conglomerate', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'conglomerate'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent portal vein': {'clinical finding': 'patent portal vein', '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'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right-sided hydroureteronephrosis': {'clinical finding': 'moderate left and mild right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right-sided', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - mild'}, 'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', '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'}}procedure_fin: ['left hemicolectomy']size_fin: [{'size': '6.0 x 6.0 cm'}]imaging observation_fin: ['colon']location descriptor_fin: ['left', 'midline']clinical findings_fin: {'left pelvic heterogenous hypoattenuating mass': {'clinical finding': 'left pelvic heterogenous hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic heterogenous hypoattenuating', 'observation': 'mass'}, 'colon cancer': {'clinical finding': 'colon cancer', 'existence': 'pos_dx', 'descriptive_term': 'colon', 'observation': 'cancer'}}anatomical entity_fin: {'uterus': {}, 'vagina': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}size_fin: [{'size': '1.1 x 1.2 cm', 'size_descriptor': 'implants'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'implants': {'clinical finding': 'implants', 'existence': 'pos_dx', 'observation': 'implant'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '3.9 x 3.3 cm', 'size_descriptor': 'lesions'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}, 'liver': {}}location descriptor_fin: ['peripheral', 'right']clinical findings_fin: {'several scattered bilobar hypodense hepatic lesions': {'clinical finding': 'several scattered bilobar hypodense hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'several scattered bilobar hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'several'}, 'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}, 'largest conglomerate': {'clinical finding': 'largest conglomerate', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'conglomerate'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'portal vein': {}}clinical findings_fin: {'patent portal vein': {'clinical finding': 'patent portal vein', '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'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left and mild right-sided hydroureteronephrosis': {'clinical finding': 'moderate left and mild right-sided hydroureteronephrosis', 'cf_snomed': {'hydroureteronephrosis': 40068008}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left and mild right-sided', 'observation': 'hydroureteronephrosis', 'strength_term': 'moderate - mild'}, 'pelvic mass': {'clinical finding': 'pelvic mass', 'cf_snomed': {'pelvic mass': 74285003}, 'existence': 'pos_dx', 'descriptive_term': 'pelvic', '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'}}procedure_fin: ['left hemicolectomy']size_fin: [{'size': '6.0 x 6.0 cm'}]imaging observation_fin: ['colon']location descriptor_fin: ['left', 'midline']clinical findings_fin: {'left pelvic heterogenous hypoattenuating mass': {'clinical finding': 'left pelvic heterogenous hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic heterogenous hypoattenuating', 'observation': 'mass'}, 'colon cancer': {'clinical finding': 'colon cancer', 'existence': 'pos_dx', 'descriptive_term': 'colon', 'observation': 'cancer'}}anatomical entity_fin: {'uterus': {}, 'vagina': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'this mass': {'clinical finding': 'this mass', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'mass'}}anatomical entity_fin: {'psoas muscle': {'location descriptor': 'left'}}location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}size_fin: [{'size': '1.1 x 1.2 cm', 'size_descriptor': 'implants'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'implants': {'clinical finding': 'implants', 'existence': 'pos_dx', 'observation': 'implant'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Innumerable pulmonary nodules compatible with metastatic disease. Several scattered bilobar hypodense hepatic lesions with suggestion of peripheral enhancement, the largest conglomerate in the periphery of the right lobe of the liver measuring 3.9 x 3.3 cm , most compatible with metastatic disease. Patent portal vein. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate left and mild right-sided hydroureteronephrosis secondary to pelvic mass. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As below. No significant abnormality noted. No significant abnormality noted. Status post left hemicolectomy. Left pelvic heterogenous hypoattenuating mass one large component measuring 6.0 x 6.0 cm , most compatible with colon cancer given history, and extending across the midline. This mass likely invades the uterus and upper vagina. Another component of the mass is seen anterior to the left psoas muscle near the resection site. Numerous serosal and peritoneal implants, for example one in the right lower quadrant measures 1.1 x 1.2 cm. No significant abnormality noted. No significant abnormality noted. </s> |
. 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. Stomach is dilated. The small bowel is dilated measuring up to 3.8 cm with a transition in the mid abdomen. There is a right lower abdominal ostomy with an ostomy catheter. There is a left lower abdominal drain that terminates within the pelvis. No free air or pneumatosis. Patient is status post complete proctocolectomy. There is some mesenteric edema. No drainable mesentery fluid collections. Postsurgical changes in the midline abdomen with a surgical staple line. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Post surgical changes with a creation of a right lower abdominal ostomy. No pelvic fluid collections. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'stomach': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['catheter']anatomical entity_fin: {'abdominal': {'location descriptor': 'left lower'}, 'pelvis': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}}clinical findings_fin: {'some mesenteric edema': {'clinical finding': 'some mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mesenteric', 'observation': 'edema', 'quantity_term': 'some'}}anatomical entity_fin: {'mesentery': {}, 'fluid': {}}anatomical entity_fin: {'abdomen': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']object_fin: ['surgical staple']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'surgical staple line': {'clinical finding': 'surgical staple line', 'existence': 'pos_dx', 'descriptive_term': 'surgical staple', 'observation': 'line'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'pelvic fluid collections': {'clinical finding': 'pelvic fluid collections'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'stomach': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '3.8 cm'}]anatomical entity_fin: {'bowel': {}, 'abdomen': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'abdominal': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['catheter']anatomical entity_fin: {'abdominal': {'location descriptor': 'left lower'}, 'pelvis': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'free air': {'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}}clinical findings_fin: {'some mesenteric edema': {'clinical finding': 'some mesenteric edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'some mesenteric', 'observation': 'edema', 'quantity_term': 'some'}}anatomical entity_fin: {'mesentery': {}, 'fluid': {}}anatomical entity_fin: {'abdomen': {'location descriptor': 'midline'}}location descriptor_fin: ['midline']object_fin: ['surgical staple']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'surgical staple line': {'clinical finding': 'surgical staple line', 'existence': 'pos_dx', 'descriptive_term': 'surgical staple', 'observation': 'line'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'pelvic fluid collections': {'clinical finding': 'pelvic fluid collections'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stomach is dilated. The small bowel is dilated measuring up to 3.8 cm with a transition in the mid abdomen. There is a right lower abdominal ostomy with an ostomy catheter. There is a left lower abdominal drain that terminates within the pelvis. No free air or pneumatosis. Patient is status post complete proctocolectomy. There is some mesenteric edema. No drainable mesentery fluid collections. Postsurgical changes in the midline abdomen with a surgical staple line. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Post surgical changes with a creation of a right lower abdominal ostomy. No pelvic fluid collections. No significant abnormality noted. No significant abnormality noted. </s> |
. Bibasilar atelectasis. No significant abnormality noted. Right chest wall Port-A-Cath tip in the superior cavoatrial junction. Cholelithiasis. Stable hypodensity along the falciform ligament in the left hepatic lobe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodensities are too small to characterize. No significant abnormality noted. Primary malignancy again noted at the gastroesophageal junction, previously measuring approximately 2.8 x 2.2 cm , now measuring approximately 2.1 x 1.7 cm. Malignancy is difficult to accurately visualize. 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: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'superior']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left']clinical findings_fin: {'stable hypodensity': {'clinical finding': 'stable hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hypodensity', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter hypodensities': {'clinical finding': 'subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.8 x 2.2 cm'}, {'size': '2.1 x 1.7 cm'}]anatomical entity_fin: {'gastroesophageal junction': {}}clinical findings_fin: {'primary malignancy': {'clinical finding': 'primary malignancy', 'existence': 'pos_dx', 'descriptive_term': 'primary', 'observation': 'malignancy'}}clinical findings_fin: {'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'superior']object_fin: ['port']clinical findings_fin: {'right chest wall port-a-cath': {'clinical finding': 'right chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall', 'observation': 'port-a-'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['falciform ligament']location descriptor_fin: ['left']clinical findings_fin: {'stable hypodensity': {'clinical finding': 'stable hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hypodensity', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'subcentimeter hypodensities': {'clinical finding': 'subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.8 x 2.2 cm'}, {'size': '2.1 x 1.7 cm'}]anatomical entity_fin: {'gastroesophageal junction': {}}clinical findings_fin: {'primary malignancy': {'clinical finding': 'primary malignancy', 'existence': 'pos_dx', 'descriptive_term': 'primary', 'observation': 'malignancy'}}clinical findings_fin: {'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Bibasilar atelectasis. No significant abnormality noted. Right chest wall Port-A-Cath tip in the superior cavoatrial junction. Cholelithiasis. Stable hypodensity along the falciform ligament in the left hepatic lobe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodensities are too small to characterize. No significant abnormality noted. Primary malignancy again noted at the gastroesophageal junction, previously measuring approximately 2.8 x 2.2 cm , now measuring approximately 2.1 x 1.7 cm. Malignancy is difficult to accurately visualize. 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> |
There is no intracranial hemorrhage. There is an 8 x 8 mm rounded, midline structure isodense to brain parenchyma in the suprasellar region which on axial images may be contiguous with the anterior cerebral artery or ACOM region. Now retrospectively, this lesion is unchanged in size from previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The previously described old left orbital floor and lamina papyracea blowout fracture is redemonstrated. There is associated enophthalmos of the left globe. The left maxillary sinus is smaller than the right with associated mucosal thickening similar to previous exam. There is heterogeneous, patchy areas of lucency and sclerosis of the posterior right maxilla alveolar process without an associated tooth. This may represent an odontogenic process without concern for acute pathology. The remaining maxillofacial sinuses and mastoid cells are clear. There is an unchanged large lipoma overlying the right occipital scalp. Incidentally noted torus palatinus. | clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'isodense'}]anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'anterior cerebral artery': {}}location descriptor_fin: ['midline']clinical findings_fin: {'isodense': {'clinical finding': 'isodense', 'existence': 'pos_dx', 'observation': 'isodense'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously described old left orbital floor and lamina papyracea blowout fracture': {'clinical finding': 'previously described old left orbital floor and lamina papyracea blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described old left orbital floor and lamina papyracea blowout', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'associated enophthalmos': {'clinical finding': 'associated enophthalmos', 'cf_snomed': {'enophthalmos': 80093006}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'enophthalmos'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'associated mucosal thickening': {'clinical finding': 'associated mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'maxilla': {'location descriptor': 'posterior right'}}imaging observation_fin: ['tooth']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'lucency': {'clinical finding': 'lucency', 'existence': 'pos_dx', 'observation': 'lucency'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'associated tooth': {'clinical finding': 'associated tooth', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'tooth'}}clinical findings_fin: {'odontogenic': {'clinical finding': 'odontogenic', 'existence': 'unc_dx', 'observation': 'odontogenic'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged large lipoma': {'clinical finding': 'unchanged large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged large', 'observation': 'lipoma', 'strength_term': 'unchanged - large', 'change_term': 'unchanged'}}clinical findings_fin: {'incidentally noted torus palatinus': {'clinical finding': 'incidentally noted torus palatinus', 'cf_snomed': {'torus': 70033004}}} | 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'}}size_fin: [{'size': '8 x 8 mm', 'size_descriptor': 'isodense'}]anatomical entity_fin: {'brain': {}, 'parenchyma': {}, 'anterior cerebral artery': {}}location descriptor_fin: ['midline']clinical findings_fin: {'isodense': {'clinical finding': 'isodense', 'existence': 'pos_dx', 'observation': 'isodense'}}clinical findings_fin: {'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'floor': {}}location descriptor_fin: ['left']clinical findings_fin: {'previously described old left orbital floor and lamina papyracea blowout fracture': {'clinical finding': 'previously described old left orbital floor and lamina papyracea blowout fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'previously described old left orbital floor and lamina papyracea blowout', 'observation': 'fracture', 'temporal_term': 'old'}}anatomical entity_fin: {'globe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'associated enophthalmos': {'clinical finding': 'associated enophthalmos', 'cf_snomed': {'enophthalmos': 80093006}, 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'enophthalmos'}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'associated mucosal thickening': {'clinical finding': 'associated mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated mucosal', 'observation': 'thickening'}}anatomical entity_fin: {'maxilla': {'location descriptor': 'posterior right'}}imaging observation_fin: ['tooth']location descriptor_fin: ['posterior', 'right']clinical findings_fin: {'lucency': {'clinical finding': 'lucency', 'existence': 'pos_dx', 'observation': 'lucency'}, 'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}, 'associated tooth': {'clinical finding': 'associated tooth', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'tooth'}}clinical findings_fin: {'odontogenic': {'clinical finding': 'odontogenic', 'existence': 'unc_dx', 'observation': 'odontogenic'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'scalp': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged large lipoma': {'clinical finding': 'unchanged large lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged large', 'observation': 'lipoma', 'strength_term': 'unchanged - large', 'change_term': 'unchanged'}}clinical findings_fin: {'incidentally noted torus palatinus': {'clinical finding': 'incidentally noted torus palatinus', 'cf_snomed': {'torus': 70033004}}} [/INST] There is no intracranial hemorrhage. There is an 8 x 8 mm rounded, midline structure isodense to brain parenchyma in the suprasellar region which on axial images may be contiguous with the anterior cerebral artery or ACOM region. Now retrospectively, this lesion is unchanged in size from previous exam. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no extraaxial fluid collection. The previously described old left orbital floor and lamina papyracea blowout fracture is redemonstrated. There is associated enophthalmos of the left globe. The left maxillary sinus is smaller than the right with associated mucosal thickening similar to previous exam. There is heterogeneous, patchy areas of lucency and sclerosis of the posterior right maxilla alveolar process without an associated tooth. This may represent an odontogenic process without concern for acute pathology. The remaining maxillofacial sinuses and mastoid cells are clear. There is an unchanged large lipoma overlying the right occipital scalp. Incidentally noted torus palatinus. </s> |
. Technically adequate study without evidence of acute pulmonary medicine. The main pulmonary artery is normal in diameter. No evidence of right heart strain. Minimal dependent basilar atelectasis without significant pulmonary or pleural abnormality. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. | clinical findings_fin: {'acute pulmonary': {'clinical finding': 'acute pulmonary', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'pulmonary', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in diameter': {'clinical finding': 'main pulmonary artery is normal in diameter'}}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'}}clinical findings_fin: {'minimal dependent basilar atelectasis': {'clinical finding': 'minimal dependent basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant pulmonary or pleural abnormality': {'clinical finding': 'significant pulmonary or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant pulmonary or pleural', 'observation': 'abnormality'}}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'}}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: {'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: clinical findings_fin: {'acute pulmonary': {'clinical finding': 'acute pulmonary', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'pulmonary', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery is normal in diameter': {'clinical finding': 'main pulmonary artery is normal in diameter'}}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'}}clinical findings_fin: {'minimal dependent basilar atelectasis': {'clinical finding': 'minimal dependent basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'significant pulmonary or pleural abnormality': {'clinical finding': 'significant pulmonary or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant pulmonary or pleural', 'observation': 'abnormality'}}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'}}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: {'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] . Technically adequate study without evidence of acute pulmonary medicine. The main pulmonary artery is normal in diameter. No evidence of right heart strain. Minimal dependent basilar atelectasis without significant pulmonary or pleural abnormality. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
. 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. None. Normal appearing mucosal pattern of the duodenum, jejunum, and ileum without bowel thickening, hyperemia, or stricturing. No terminal ileal abnormalities. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'duodenum': {}, 'jejunum': {}, 'ileum': {}, 'bowel': {}}clinical findings_fin: {'normal appearing mucosal pattern': {'clinical finding': 'normal appearing mucosal pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal appearing mucosal', 'observation': 'pattern', 'strength_term': 'normal'}, 'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'hyperemia': {'clinical finding': 'hyperemia', 'cf_snomed': {'hyperemia': 30098003}, 'existence': 'unc_dx', 'observation': 'hyperemia'}, 'stricturing': {'clinical finding': 'stricturing', 'cf_snomed': {'stricture': 27551008}, 'existence': 'unc_dx', 'observation': 'stricture'}}clinical findings_fin: {'terminal ileal abnormalities': {'clinical finding': 'terminal ileal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'terminal ileal', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'duodenum': {}, 'jejunum': {}, 'ileum': {}, 'bowel': {}}clinical findings_fin: {'normal appearing mucosal pattern': {'clinical finding': 'normal appearing mucosal pattern', 'existence': 'pos_dx', 'descriptive_term': 'normal appearing mucosal', 'observation': 'pattern', 'strength_term': 'normal'}, 'bowel thickening': {'clinical finding': 'bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'thickening'}, 'hyperemia': {'clinical finding': 'hyperemia', 'cf_snomed': {'hyperemia': 30098003}, 'existence': 'unc_dx', 'observation': 'hyperemia'}, 'stricturing': {'clinical finding': 'stricturing', 'cf_snomed': {'stricture': 27551008}, 'existence': 'unc_dx', 'observation': 'stricture'}}clinical findings_fin: {'terminal ileal abnormalities': {'clinical finding': 'terminal ileal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'terminal ileal', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Normal appearing mucosal pattern of the duodenum, jejunum, and ileum without bowel thickening, hyperemia, or stricturing. No terminal ileal abnormalities. 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> |
. Coronary artery cavitations. Mitral valve consultations. Unchanged inferior right hemangioma and presumed hepatic cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right renal cyst. Stable scarring of the left kidney. Stable positioning of a left nephroureteral stent. No significant abnormality noted. No significant abnormality noted. Redemonstrated vertebral body compression fractures. Significant degenerative changes in the posterior facet joints causing narrowing of the spinal canal, redemonstrated. No significant abnormality noted. PROSTATE/. Status post cystoprostatectomy. Status post cystoprostatectomy. Redemonstrated likely lymphocele along the left external iliac chain is unchanged. No obstruction. Unchanged compression deformities of the lower thoracic and lumbar spine. No significant abnormality noted. | anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery cavitations': {'clinical finding': 'coronary artery cavitations', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'cavitation'}}anatomical entity_fin: {'mitral valve': {}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'unchanged inferior right hemangioma': {'clinical finding': 'unchanged inferior right hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged inferior right', 'observation': 'hemangioma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'presumed hepatic cysts': {'clinical finding': 'presumed hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'presumed hepatic', '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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'stable scarring': {'clinical finding': 'stable scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']object_fin: ['nephroureteral stent']clinical findings_fin: {'left nephroureteral stent': {'clinical finding': 'left nephroureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'left nephroureteral', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'vertebral body': {}}clinical findings_fin: {'redemonstrated vertebral body compression fractures': {'clinical finding': 'redemonstrated vertebral body compression fractures', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated vertebral body compression', 'observation': 'fracture'}}anatomical entity_fin: {'facet': {'location descriptor': 'posterior'}, 'joints': {}, 'spinal canal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'significant degenerative changes': {'clinical finding': 'significant degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'significant degenerative', 'observation': 'change'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']procedure_fin: ['cystoprostatectomy']location descriptor_fin: ['left', 'external']clinical findings_fin: {'redemonstrated likely lymphocele': {'clinical finding': 'redemonstrated likely lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated likely', 'observation': 'lymphocele'}}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: {'unchanged compression deformities': {'clinical finding': 'unchanged compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged compression', 'observation': 'deformity', '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: anatomical entity_fin: {'coronary artery': {}}clinical findings_fin: {'coronary artery cavitations': {'clinical finding': 'coronary artery cavitations', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'cavitation'}}anatomical entity_fin: {'mitral valve': {}}location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'unchanged inferior right hemangioma': {'clinical finding': 'unchanged inferior right hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged inferior right', 'observation': 'hemangioma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'presumed hepatic cysts': {'clinical finding': 'presumed hepatic cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'presumed hepatic', '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'}}location descriptor_fin: ['right']clinical findings_fin: {'right renal cyst': {'clinical finding': 'right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'stable scarring': {'clinical finding': 'stable scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}location descriptor_fin: ['left']object_fin: ['nephroureteral stent']clinical findings_fin: {'left nephroureteral stent': {'clinical finding': 'left nephroureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'left nephroureteral', 'observation': 'stent'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'vertebral body': {}}clinical findings_fin: {'redemonstrated vertebral body compression fractures': {'clinical finding': 'redemonstrated vertebral body compression fractures', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated vertebral body compression', 'observation': 'fracture'}}anatomical entity_fin: {'facet': {'location descriptor': 'posterior'}, 'joints': {}, 'spinal canal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'significant degenerative changes': {'clinical finding': 'significant degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'significant degenerative', 'observation': 'change'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['cystoprostatectomy']procedure_fin: ['cystoprostatectomy']location descriptor_fin: ['left', 'external']clinical findings_fin: {'redemonstrated likely lymphocele': {'clinical finding': 'redemonstrated likely lymphocele', 'cf_snomed': {'lymphocele': 234109007}, 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated likely', 'observation': 'lymphocele'}}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: {'unchanged compression deformities': {'clinical finding': 'unchanged compression deformities', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged compression', 'observation': 'deformity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Coronary artery cavitations. Mitral valve consultations. Unchanged inferior right hemangioma and presumed hepatic cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right renal cyst. Stable scarring of the left kidney. Stable positioning of a left nephroureteral stent. No significant abnormality noted. No significant abnormality noted. Redemonstrated vertebral body compression fractures. Significant degenerative changes in the posterior facet joints causing narrowing of the spinal canal, redemonstrated. No significant abnormality noted. PROSTATE/. Status post cystoprostatectomy. Status post cystoprostatectomy. Redemonstrated likely lymphocele along the left external iliac chain is unchanged. No obstruction. Unchanged compression deformities of the lower thoracic and lumbar spine. No significant abnormality noted. </s> |
. Stable basilar linear scarring. No specific evidence of interstitial lung disease or small airways disease. No pleural effusions identified. Residual thymic tissue unchanged. No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. The main pulmonary artery diameter is within normal limits. None. Extensive left axillary lymphadenopathy is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy clips. Otherwise unremarkable. | clinical findings_fin: {'stable basilar linear scarring': {'clinical finding': 'stable basilar linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable basilar linear', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'interstitial lung disease': {'clinical finding': 'interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'neg_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease'}, 'small airways disease': {'clinical finding': 'small airways disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'small airways', 'observation': 'disease', 'strength_term': 'small'}}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: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery diameter is within normal limits': {'clinical finding': 'main pulmonary artery diameter is within normal limits'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left axillary lymphadenopathy': {'clinical finding': 'extensive left axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'pos_dx', 'descriptive_term': 'extensive left axillary', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise 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: clinical findings_fin: {'stable basilar linear scarring': {'clinical finding': 'stable basilar linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable basilar linear', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'interstitial lung disease': {'clinical finding': 'interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'neg_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease'}, 'small airways disease': {'clinical finding': 'small airways disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'small airways', 'observation': 'disease', 'strength_term': 'small'}}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: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery diameter is within normal limits': {'clinical finding': 'main pulmonary artery diameter is within normal limits'}}location descriptor_fin: ['left']clinical findings_fin: {'extensive left axillary lymphadenopathy': {'clinical finding': 'extensive left axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'pos_dx', 'descriptive_term': 'extensive left axillary', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}clinical findings_fin: {'otherwise unremarkable': {'clinical finding': 'otherwise unremarkable'}} [/INST] . Stable basilar linear scarring. No specific evidence of interstitial lung disease or small airways disease. No pleural effusions identified. Residual thymic tissue unchanged. No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. The main pulmonary artery diameter is within normal limits. None. Extensive left axillary lymphadenopathy is unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholecystectomy clips. Otherwise unremarkable. </s> |
The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. | 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: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, '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: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}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: 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: {'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}, '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: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'subdural hematomas': {'clinical finding': 'subdural hematomas', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. </s> |
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Flattened one-limbed disc-shaped right-sided adrenal gland, related to congenitally absent right kidney. Mild left-sided hydronephroureter with obstructing 7 mm proximal ureteral stone, corresponding Hounsfield units of 295 seen. Mild perinephric stranding. Nonvisualization of right kidney without evidence of surgical clips or known history of prior nephrectomy, flattened disc-shaped right-sided adrenal gland also seen, again favoring a congenitally absent right kidney. No significant abnormality noted. Focal submucosal fat deposition seen in descending colon, likely reflecting site of prior inflammation. Normal appendix. PROSTATE/. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'adrenal gland': {}, 'right kidney': {}}location descriptor_fin: ['right']clinical findings_fin: {'congenitally absent right kidney': {'clinical finding': 'congenitally absent right kidney', 'existence': 'pos_dx', 'descriptive_term': 'congenitally absent right', 'observation': 'kidney', 'quantity_term': 'absent'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'stone'}]location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'mild left-sided hydronephroureter': {'clinical finding': 'mild left-sided hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided', 'observation': 'hydronephroureter', 'strength_term': 'mild'}, 'obstructing 7 mm proximal ureteral stone': {'clinical finding': 'obstructing 7 mm proximal ureteral stone', 'existence': 'pos_dx', 'descriptive_term': 'obstructing 7 mm proximal ureteral', 'observation': 'stone'}}clinical findings_fin: {'mild perinephric stranding': {'clinical finding': 'mild perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perinephric', 'observation': 'strand', 'strength_term': 'mild'}}anatomical entity_fin: {'right kidney': {}, 'adrenal gland': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']procedure_fin: ['nephrectomy']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'neg_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'congenitally': {'clinical finding': 'congenitally', 'existence': 'pos_dx', 'observation': 'congenitally'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'descending colon': {}}clinical findings_fin: {'focal submucosal fat deposition': {'clinical finding': 'focal submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'adrenal gland': {}, 'right kidney': {}}location descriptor_fin: ['right']clinical findings_fin: {'congenitally absent right kidney': {'clinical finding': 'congenitally absent right kidney', 'existence': 'pos_dx', 'descriptive_term': 'congenitally absent right', 'observation': 'kidney', 'quantity_term': 'absent'}}size_fin: [{'size': '7 mm', 'size_descriptor': 'stone'}]location descriptor_fin: ['left', 'proximal']clinical findings_fin: {'mild left-sided hydronephroureter': {'clinical finding': 'mild left-sided hydronephroureter', 'existence': 'pos_dx', 'descriptive_term': 'mild left-sided', 'observation': 'hydronephroureter', 'strength_term': 'mild'}, 'obstructing 7 mm proximal ureteral stone': {'clinical finding': 'obstructing 7 mm proximal ureteral stone', 'existence': 'pos_dx', 'descriptive_term': 'obstructing 7 mm proximal ureteral', 'observation': 'stone'}}clinical findings_fin: {'mild perinephric stranding': {'clinical finding': 'mild perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perinephric', 'observation': 'strand', 'strength_term': 'mild'}}anatomical entity_fin: {'right kidney': {}, 'adrenal gland': {}}location descriptor_fin: ['right']object_fin: ['surgical clips']procedure_fin: ['nephrectomy']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'neg_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'congenitally': {'clinical finding': 'congenitally', 'existence': 'pos_dx', 'observation': 'congenitally'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'descending colon': {}}clinical findings_fin: {'focal submucosal fat deposition': {'clinical finding': 'focal submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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. No significant abnormality noted. No significant abnormality noted. Flattened one-limbed disc-shaped right-sided adrenal gland, related to congenitally absent right kidney. Mild left-sided hydronephroureter with obstructing 7 mm proximal ureteral stone, corresponding Hounsfield units of 295 seen. Mild perinephric stranding. Nonvisualization of right kidney without evidence of surgical clips or known history of prior nephrectomy, flattened disc-shaped right-sided adrenal gland also seen, again favoring a congenitally absent right kidney. No significant abnormality noted. Focal submucosal fat deposition seen in descending colon, likely reflecting site of prior inflammation. Normal appendix. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </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 for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The visualized portions of the paranasal sinuses are grossly clear. Mastoid air cells are clear. Calvarium is intact. | 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'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}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'}} | 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'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}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'}} [/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 for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The visualized portions of the paranasal sinuses are grossly clear. Mastoid air cells are clear. Calvarium is intact. </s> |
. There is dense, patchy airspace consolidation affecting the right lower lobe, concerning for consolidative pneumonia. Patchy atelectatic changes along the dependent portions of the left lower lobe. There is a moderate amount of perihepatic free air. There is no portal venous gas. There is a minimal amount of pericholecystic fluid in the setting of intra-abdominal ascites. No intrahepatic or extrahepatic biliary dilation. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Scattered foci of free air within the retroperitoneum and the pararenal space. None. An enteric tube is visualized extending from the distal esophagus into the lumen of the body of the stomach. Patient is status-post colectomy with end ileostomy and Hartmans pouch. Small bowel loops are not overtly dilated, measuring a maximum of 2.5 cm. There is bowel wall thickening affecting a long segment of proximal jejunal loops, with distal bowel loops unaffected. There is significant peritoneal ascites and free air. No evidence of oral contrast extravasation to suggest focal bowel perforation or injury. No evidence of focal fluid collections or abscess. There is some left-sided posterior peritoneal thickening and enhancement, suggesting an inflammatory process. Midline subcutaneous tissue defect within the anterior abdominal wall, consistent with postoperative changes. No significant abnormality noted. No significant abnormality noted. There is a mild amount of intraluminal free air, please correlate with history of recent Foley catheter insertion. No significant abnormality noted. Status post colectomy with Hartmans pouch, suture line visible within the pelvis. There is no evidence of decreased since or adjacent fluid collections. No significant abnormality noted. There is a moderate volume of free fluid in the pelvis. | anatomical entity_fin: {'airspace': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'dense, patchy airspace consolidation': {'clinical finding': 'dense, patchy airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'dense patchy airspace', 'observation': 'consolidation'}, 'consolidative pneumonia': {'clinical finding': 'consolidative pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'consolidative', 'observation': 'pneumonia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patchy atelectatic changes': {'clinical finding': 'patchy atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'patchy atelectatic', 'observation': 'change'}}clinical findings_fin: {'perihepatic free air': {'clinical finding': 'perihepatic free air', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic free', 'observation': 'air'}}clinical findings_fin: {'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'intra-abdominal ascites': {'clinical finding': 'intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'ascite'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary dilation': {'clinical finding': 'intrahepatic or extrahepatic biliary dilation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary', 'observation': 'dilation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}anatomical entity_fin: {'retroperitoneum': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'lumen': {}, 'body': {}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'enteric tube is visualized': {'clinical finding': 'enteric tube is visualized'}}procedure_fin: ['ileostomy']size_fin: [{'size': '2.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'significant peritoneal ascites': {'clinical finding': 'significant peritoneal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant peritoneal', 'observation': 'ascite'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast extravasation': {'clinical finding': 'oral contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'oral contrast', 'observation': 'extravasation'}, 'focal bowel perforation': {'clinical finding': 'focal bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'focal bowel', 'observation': 'perforation'}, 'injury': {'clinical finding': 'injury', 'existence': 'neg_dx', 'observation': 'injury'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'some left-sided posterior peritoneal thickening': {'clinical finding': 'some left-sided posterior peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some left-sided posterior peritoneal', 'observation': 'thickening', 'quantity_term': 'some'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'inflammatory process': {'clinical finding': 'inflammatory process', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'process'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline subcutaneous tissue defect': {'clinical finding': 'midline subcutaneous tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline subcutaneous tissue', 'observation': 'defect'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', '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'}}procedure_fin: ['catheter insertion']clinical findings_fin: {'intraluminal free air': {'clinical finding': 'intraluminal free air', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal free', 'observation': 'air'}, 'recent foley catheter insertion': {'clinical finding': 'recent foley catheter insertion', 'existence': 'pos_dx', 'descriptive_term': 'recent foley catheter', 'observation': 'insertion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['suture']clinical findings_fin: {'hartmans pouch': {'clinical finding': 'hartmans pouch', 'existence': 'pos_dx', 'descriptive_term': 'hartmans', 'observation': 'pouch'}}anatomical entity_fin: {'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is no evidence of decreased since or adjacent fluid collections': {'clinical finding': 'is no evidence of decreased since or adjacent fluid collections', 'change_term': 'decreased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} | 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: {'airspace': {}, 'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'dense, patchy airspace consolidation': {'clinical finding': 'dense, patchy airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'dense patchy airspace', 'observation': 'consolidation'}, 'consolidative pneumonia': {'clinical finding': 'consolidative pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'unc_dx', 'descriptive_term': 'consolidative', 'observation': 'pneumonia'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'patchy atelectatic changes': {'clinical finding': 'patchy atelectatic changes', 'existence': 'pos_dx', 'descriptive_term': 'patchy atelectatic', 'observation': 'change'}}clinical findings_fin: {'perihepatic free air': {'clinical finding': 'perihepatic free air', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic free', 'observation': 'air'}}clinical findings_fin: {'portal venous gas': {'clinical finding': 'portal venous gas', 'existence': 'neg_dx', 'descriptive_term': 'portal venous', 'observation': 'gas'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'intra-abdominal ascites': {'clinical finding': 'intra-abdominal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'ascite'}}clinical findings_fin: {'intrahepatic or extrahepatic biliary dilation': {'clinical finding': 'intrahepatic or extrahepatic biliary dilation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic biliary', 'observation': 'dilation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}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'}}anatomical entity_fin: {'retroperitoneum': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'lumen': {}, 'body': {}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'enteric tube is visualized': {'clinical finding': 'enteric tube is visualized'}}procedure_fin: ['ileostomy']size_fin: [{'size': '2.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'}}anatomical entity_fin: {'bowel': {'location descriptor': 'distal'}}location descriptor_fin: ['proximal', 'distal']clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}}clinical findings_fin: {'significant peritoneal ascites': {'clinical finding': 'significant peritoneal ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'significant peritoneal', 'observation': 'ascite'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}}anatomical entity_fin: {'bowel': {}}non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast extravasation': {'clinical finding': 'oral contrast extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'oral contrast', 'observation': 'extravasation'}, 'focal bowel perforation': {'clinical finding': 'focal bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'focal bowel', 'observation': 'perforation'}, 'injury': {'clinical finding': 'injury', 'existence': 'neg_dx', 'observation': 'injury'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'abscess': {'clinical finding': 'abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'observation': 'abscess'}}location descriptor_fin: ['left', 'posterior']clinical findings_fin: {'some left-sided posterior peritoneal thickening': {'clinical finding': 'some left-sided posterior peritoneal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some left-sided posterior peritoneal', 'observation': 'thickening', 'quantity_term': 'some'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'inflammatory process': {'clinical finding': 'inflammatory process', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'process'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline subcutaneous tissue defect': {'clinical finding': 'midline subcutaneous tissue defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'midline subcutaneous tissue', 'observation': 'defect'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', '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'}}procedure_fin: ['catheter insertion']clinical findings_fin: {'intraluminal free air': {'clinical finding': 'intraluminal free air', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal free', 'observation': 'air'}, 'recent foley catheter insertion': {'clinical finding': 'recent foley catheter insertion', 'existence': 'pos_dx', 'descriptive_term': 'recent foley catheter', 'observation': 'insertion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}object_fin: ['suture']clinical findings_fin: {'hartmans pouch': {'clinical finding': 'hartmans pouch', 'existence': 'pos_dx', 'descriptive_term': 'hartmans', 'observation': 'pouch'}}anatomical entity_fin: {'fluid': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'is no evidence of decreased since or adjacent fluid collections': {'clinical finding': 'is no evidence of decreased since or adjacent fluid collections', 'change_term': 'decreased'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] . There is dense, patchy airspace consolidation affecting the right lower lobe, concerning for consolidative pneumonia. Patchy atelectatic changes along the dependent portions of the left lower lobe. There is a moderate amount of perihepatic free air. There is no portal venous gas. There is a minimal amount of pericholecystic fluid in the setting of intra-abdominal ascites. No intrahepatic or extrahepatic biliary dilation. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Scattered foci of free air within the retroperitoneum and the pararenal space. None. An enteric tube is visualized extending from the distal esophagus into the lumen of the body of the stomach. Patient is status-post colectomy with end ileostomy and Hartmans pouch. Small bowel loops are not overtly dilated, measuring a maximum of 2.5 cm. There is bowel wall thickening affecting a long segment of proximal jejunal loops, with distal bowel loops unaffected. There is significant peritoneal ascites and free air. No evidence of oral contrast extravasation to suggest focal bowel perforation or injury. No evidence of focal fluid collections or abscess. There is some left-sided posterior peritoneal thickening and enhancement, suggesting an inflammatory process. Midline subcutaneous tissue defect within the anterior abdominal wall, consistent with postoperative changes. No significant abnormality noted. No significant abnormality noted. There is a mild amount of intraluminal free air, please correlate with history of recent Foley catheter insertion. No significant abnormality noted. Status post colectomy with Hartmans pouch, suture line visible within the pelvis. There is no evidence of decreased since or adjacent fluid collections. No significant abnormality noted. There is a moderate volume of free fluid in the pelvis. </s> |
. Unchanged scattered micronodules, presumably benign. Calcified pleural plaques suggestive of asbestos exposure unchanged. No suspicious nodules. Status post CABG. No mediastinal or hilar adenopathy. Cardiac size normal. No pericardial effusion. Severe. Status post sternotomy. Wires and clips intact. Degenerative changes of the spine. Unchanged fusion of L2/L3 vertebrae. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small subcentimeter hypoattenuating focus in the liver unchanged and likely benign. No significant abnormality noted. No significant abnormality noted. Small left kidney cortical cyst, unchanged. No significant abnormality noted. Diffuse atherosclerotic calcification of the abdominal aorta and its branches. 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: {'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: {'calcified pleural plaques': {'clinical finding': 'calcified pleural plaques', 'cf_snomed': {'pleural plaque': 233658003}, 'existence': 'pos_dx', 'descriptive_term': 'calcified pleural', 'observation': 'plaque', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar adenopathy': {'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'cardiac size normal': {'clinical finding': 'cardiac size normal'}}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: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}object_fin: ['clips']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'vertebrae': {}}clinical findings_fin: {'unchanged fusion': {'clinical finding': 'unchanged fusion', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'fusion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small subcentimeter hypoattenuating focus': {'clinical finding': 'small subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter hypoattenuating', 'observation': 'focus', '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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small left kidney cortical cyst': {'clinical finding': 'small left kidney cortical cyst', 'cf_snomed': {'small left kidney': 765156001, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left kidney cortical', 'observation': 'cyst', 'strength_term': 'small'}}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: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}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: 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: {'calcified pleural plaques': {'clinical finding': 'calcified pleural plaques', 'cf_snomed': {'pleural plaque': 233658003}, 'existence': 'pos_dx', 'descriptive_term': 'calcified pleural', 'observation': 'plaque', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious nodules': {'clinical finding': 'suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}}clinical findings_fin: {'mediastinal or hilar adenopathy': {'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'}}clinical findings_fin: {'cardiac size normal': {'clinical finding': 'cardiac size normal'}}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: {'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}}object_fin: ['clips']clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}anatomical entity_fin: {'vertebrae': {}}clinical findings_fin: {'unchanged fusion': {'clinical finding': 'unchanged fusion', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'fusion', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'small subcentimeter hypoattenuating focus': {'clinical finding': 'small subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter hypoattenuating', 'observation': 'focus', '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'}}anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'small left kidney cortical cyst': {'clinical finding': 'small left kidney cortical cyst', 'cf_snomed': {'small left kidney': 765156001, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left kidney cortical', 'observation': 'cyst', 'strength_term': 'small'}}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: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'abdominal aorta': {'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'}}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] . Unchanged scattered micronodules, presumably benign. Calcified pleural plaques suggestive of asbestos exposure unchanged. No suspicious nodules. Status post CABG. No mediastinal or hilar adenopathy. Cardiac size normal. No pericardial effusion. Severe. Status post sternotomy. Wires and clips intact. Degenerative changes of the spine. Unchanged fusion of L2/L3 vertebrae. Absence of enteric contrast material limits sensitivity for abdominal pathology. Small subcentimeter hypoattenuating focus in the liver unchanged and likely benign. No significant abnormality noted. No significant abnormality noted. Small left kidney cortical cyst, unchanged. No significant abnormality noted. Diffuse atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
There is mild mucosal thickening in the bilateral maxillary and ethmoid sinuses, as well as bubbly secretions in the right maxillary sinus. The nasal cavity is essentially clear. The nasal septum is essentially midline. 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. | anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'midline': {'clinical finding': 'midline', 'existence': 'pos_dx', 'observation': 'midline'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_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'}} | 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: {'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'mild mucosal thickening': {'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}location descriptor_fin: ['midline']clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}, 'midline': {'clinical finding': 'midline', 'existence': 'pos_dx', 'observation': 'midline'}}anatomical entity_fin: {'roofs': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_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'}} [/INST] There is mild mucosal thickening in the bilateral maxillary and ethmoid sinuses, as well as bubbly secretions in the right maxillary sinus. The nasal cavity is essentially clear. The nasal septum is essentially midline. 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. </s> |
. No significant abnormality noted. No significant abnormality noted. Bilateral gynecomastia. Indeterminate 9 mm right upper chest subcutaneous nodular focus, image 10 series Right posterior punctate hepatic parenchymal calcification, likely sequela of prior granulomatous disease. Hypoattenuating liver foci, too small to characterize. Without significant change accounting for differences in technique is thickening at level of gallbladder fundus, may reflect adenomyomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Bilateral mild ureteral wall thickening, may be chronic but nonspecific. Nodular renal contours. Subcentimeter retroperitoneal or left para-aortic lymph nodes. Large sliding-type hiatal hernia with greater than 50% of stomach located intrathoracically. Small calcified periportal lymph nodes. Descending and sigmoid colon diverticulosis without evidence of acute diverticulitis, additional scattered colonic diverticula seen more proximally. Normal appendix. No significant abnormality noted. Thickened and trabeculated bladder, likely reflecting chronic cystitis or bladder outlet obstruction. No significant abnormality noted. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Multiple healed left-sided rib fractures. Spinal degenerative disease. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 gynecomastia': {'clinical finding': 'bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'chest': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'posterior']clinical findings_fin: {'right upper chest subcutaneous nodular': {'clinical finding': 'right upper chest subcutaneous nodular', 'existence': 'pos_dx', 'descriptive_term': 'right upper chest subcutaneous', 'observation': 'nodular'}, 'right posterior punctate hepatic parenchymal calcification': {'clinical finding': 'right posterior punctate hepatic parenchymal calcification', 'existence': 'pos_dx', 'descriptive_term': 'right posterior punctate hepatic parenchymal', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'hypoattenuating liver foci': {'clinical finding': 'hypoattenuating liver foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating liver', 'observation': 'foci'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral mild ureteral wall thickening': {'clinical finding': 'bilateral mild ureteral wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild ureteral wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'nodular renal contours': {'clinical finding': 'nodular renal contours', 'existence': 'pos_dx', 'descriptive_term': 'nodular renal', 'observation': 'contour'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'subcentimeter retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter retroperitoneal or left para-aortic lymph', 'observation': 'node'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'large sliding-type hiatal hernia': {'clinical finding': 'large sliding-type hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large sliding-type hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'small calcified periportal lymph nodes': {'clinical finding': 'small calcified periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified periportal lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'descending and sigmoid colon diverticulosis': {'clinical finding': 'descending and sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'descending and sigmoid colon', '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'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'thickened and trabeculated': {'clinical finding': 'thickened and trabeculated', 'existence': 'pos_dx', 'descriptive_term': 'thickened and', 'observation': 'trabeculated', 'change_term': 'thickened'}, 'chronic cystitis': {'clinical finding': 'chronic cystitis', 'cf_snomed': {'chronic cystitis': 33655002}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'cystitis', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple healed left-sided rib fractures': {'clinical finding': 'multiple healed left-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'quantity_term': 'multiple', 'change_term': 'healed'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}} | 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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral gynecomastia': {'clinical finding': 'bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'focus'}]anatomical entity_fin: {'chest': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper', 'posterior']clinical findings_fin: {'right upper chest subcutaneous nodular': {'clinical finding': 'right upper chest subcutaneous nodular', 'existence': 'pos_dx', 'descriptive_term': 'right upper chest subcutaneous', 'observation': 'nodular'}, 'right posterior punctate hepatic parenchymal calcification': {'clinical finding': 'right posterior punctate hepatic parenchymal calcification', 'existence': 'pos_dx', 'descriptive_term': 'right posterior punctate hepatic parenchymal', 'observation': 'calcification'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'hypoattenuating liver foci': {'clinical finding': 'hypoattenuating liver foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating liver', 'observation': 'foci'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}, 'adenomyomatosis': {'clinical finding': 'adenomyomatosis', 'cf_snomed': {'adenomyomatosis': 699661003}, 'existence': 'unc_dx', 'observation': 'adenomyomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral mild ureteral wall thickening': {'clinical finding': 'bilateral mild ureteral wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mild ureteral wall', 'observation': 'thickening', 'strength_term': 'mild'}}clinical findings_fin: {'nodular renal contours': {'clinical finding': 'nodular renal contours', 'existence': 'pos_dx', 'descriptive_term': 'nodular renal', 'observation': 'contour'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter retroperitoneal or left para-aortic lymph nodes': {'clinical finding': 'subcentimeter retroperitoneal or left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter retroperitoneal or left para-aortic lymph', 'observation': 'node'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'large sliding-type hiatal hernia': {'clinical finding': 'large sliding-type hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large sliding-type hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'small calcified periportal lymph nodes': {'clinical finding': 'small calcified periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified periportal lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'descending and sigmoid colon diverticulosis': {'clinical finding': 'descending and sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'descending and sigmoid colon', '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'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'normal appendix': {'clinical finding': 'normal appendix'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'thickened and trabeculated': {'clinical finding': 'thickened and trabeculated', 'existence': 'pos_dx', 'descriptive_term': 'thickened and', 'observation': 'trabeculated', 'change_term': 'thickened'}, 'chronic cystitis': {'clinical finding': 'chronic cystitis', 'cf_snomed': {'chronic cystitis': 33655002}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'cystitis', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'multiple healed left-sided rib fractures': {'clinical finding': 'multiple healed left-sided rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'multiple healed left-sided rib', 'observation': 'fracture', 'strength_term': 'healed', 'quantity_term': 'multiple', 'change_term': 'healed'}}clinical findings_fin: {'spinal degenerative disease': {'clinical finding': 'spinal degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'spinal degenerative', 'observation': 'disease'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Bilateral gynecomastia. Indeterminate 9 mm right upper chest subcutaneous nodular focus, image 10 series Right posterior punctate hepatic parenchymal calcification, likely sequela of prior granulomatous disease. Hypoattenuating liver foci, too small to characterize. Without significant change accounting for differences in technique is thickening at level of gallbladder fundus, may reflect adenomyomatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. Bilateral mild ureteral wall thickening, may be chronic but nonspecific. Nodular renal contours. Subcentimeter retroperitoneal or left para-aortic lymph nodes. Large sliding-type hiatal hernia with greater than 50% of stomach located intrathoracically. Small calcified periportal lymph nodes. Descending and sigmoid colon diverticulosis without evidence of acute diverticulitis, additional scattered colonic diverticula seen more proximally. Normal appendix. No significant abnormality noted. Thickened and trabeculated bladder, likely reflecting chronic cystitis or bladder outlet obstruction. No significant abnormality noted. Please refer to concomitant nuclear medicine bone scan from same day for additional findings. Multiple healed left-sided rib fractures. Spinal degenerative disease. </s> |
. Debris is noted within the trachea. Scattered benign-appearing calcified and noncalcified micronodules are again noted not significantly changed from the prior exam. No pneumothorax or pleural effusion. No suspicious nodule or mass. Small filling defect within the right innominate vein and propagates into the SVC likely related to prior Port-A-Cath. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Mild ventricular apex thinning. Mild. No significant lymphadenopathy. Mild degenerative disease affects the osseous structures. Superior end plate depression of L1 is unchanged. Unchanged subscapular lipoma. Interval port removal with subcutaneous gas and soft tissue attenuation in the port cavity. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged subcentimeter hypoattenuating foci in the liver too small to further characterize, probably benign. No significant abnormality noted. No significant abnormality noted. Unchanged hypoattenuating renal foci, likely cysts. No significant abnormality noted. Mildly prominent subcentimeter aortic lymph node not significantly changed since prior exam. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior end plate depression of L1 is unchanged. No significant abnormality noted. | anatomical entity_fin: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'scattered benign-appearing calcified and noncalcified micronodules': {'clinical finding': 'scattered benign-appearing calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered benign-appearing calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'benign', 'change_term': 'calcified'}}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'}}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'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'small filling defect': {'clinical finding': 'small filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'small filling', 'observation': 'defect', 'strength_term': 'small'}, 'prior port-a-cath': {'clinical finding': 'prior port-a-cath', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'port-a-'}}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: {'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'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'mild ventricular apex thinning': {'clinical finding': 'mild ventricular apex thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild ventricular apex', 'observation': 'thinning', 'strength_term': 'mild'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild degenerative disease': {'clinical finding': 'mild degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'unchanged subscapular lipoma': {'clinical finding': 'unchanged subscapular lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subscapular', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}object_fin: ['port']procedure_fin: ['port removal']clinical findings_fin: {'interval port removal': {'clinical finding': 'interval port removal', 'existence': 'pos_dx', 'descriptive_term': 'interval port', 'observation': 'removal'}, 'subcutaneous gas': {'clinical finding': 'subcutaneous gas', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'gas'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'unchanged subcentimeter hypoattenuating foci': {'clinical finding': 'unchanged subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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']clinical findings_fin: {'unchanged hypoattenuating renal foci': {'clinical finding': 'unchanged hypoattenuating renal foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hypoattenuating renal', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent subcentimeter aortic lymph node': {'clinical finding': 'mildly prominent subcentimeter aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'mildly prominent subcentimeter aortic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}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: {'trachea': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'scattered benign-appearing calcified and noncalcified micronodules': {'clinical finding': 'scattered benign-appearing calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered benign-appearing calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'benign', 'change_term': 'calcified'}}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'}}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'}}anatomical entity_fin: {'vein': {}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'small filling defect': {'clinical finding': 'small filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'small filling', 'observation': 'defect', 'strength_term': 'small'}, 'prior port-a-cath': {'clinical finding': 'prior port-a-cath', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'port-a-'}}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: {'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'}}anatomical entity_fin: {'apex': {}}clinical findings_fin: {'mild ventricular apex thinning': {'clinical finding': 'mild ventricular apex thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild ventricular apex', 'observation': 'thinning', 'strength_term': 'mild'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'mild degenerative disease': {'clinical finding': 'mild degenerative disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'}}anatomical entity_fin: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'unchanged subscapular lipoma': {'clinical finding': 'unchanged subscapular lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subscapular', 'observation': 'lipoma', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}object_fin: ['port']procedure_fin: ['port removal']clinical findings_fin: {'interval port removal': {'clinical finding': 'interval port removal', 'existence': 'pos_dx', 'descriptive_term': 'interval port', 'observation': 'removal'}, 'subcutaneous gas': {'clinical finding': 'subcutaneous gas', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'gas'}, 'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'unchanged subcentimeter hypoattenuating foci': {'clinical finding': 'unchanged subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter hypoattenuating', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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']clinical findings_fin: {'unchanged hypoattenuating renal foci': {'clinical finding': 'unchanged hypoattenuating renal foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hypoattenuating renal', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'likely cysts': {'clinical finding': 'likely cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'mildly prominent subcentimeter aortic lymph node': {'clinical finding': 'mildly prominent subcentimeter aortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'mildly prominent subcentimeter aortic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}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: {'end plate': {'location descriptor': 'superior'}}location descriptor_fin: ['superior']clinical findings_fin: {'superior end plate depression': {'clinical finding': 'superior end plate depression', 'existence': 'pos_dx', 'descriptive_term': 'superior end plate', 'observation': 'depression', 'strength_term': 'superior'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Debris is noted within the trachea. Scattered benign-appearing calcified and noncalcified micronodules are again noted not significantly changed from the prior exam. No pneumothorax or pleural effusion. No suspicious nodule or mass. Small filling defect within the right innominate vein and propagates into the SVC likely related to prior Port-A-Cath. The heart size is normal without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Mild ventricular apex thinning. Mild. No significant lymphadenopathy. Mild degenerative disease affects the osseous structures. Superior end plate depression of L1 is unchanged. Unchanged subscapular lipoma. Interval port removal with subcutaneous gas and soft tissue attenuation in the port cavity. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged subcentimeter hypoattenuating foci in the liver too small to further characterize, probably benign. No significant abnormality noted. No significant abnormality noted. Unchanged hypoattenuating renal foci, likely cysts. No significant abnormality noted. Mildly prominent subcentimeter aortic lymph node not significantly changed since prior exam. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Superior end plate depression of L1 is unchanged. No significant abnormality noted. </s> |
. Stable appearance of right pleural nodularity compatible with history of mesothelioma. At the inferior cavoatrial junction level right pleural measurement 7:00 position measures 6 mm unchanged from the prior exam. 00 position measures 5 mm unchanged from the prior exam. Right diaphragmatic patch is unchanged. Small left pleural effusion similar to the prior exam. Mildly enlarged mediastinal lymph nodes. Reference precarinal lymph node unchanged measuring 10 mm. Stable paraesophageal lymph node measuring 12 mm in its short axis. Cardiac size is normal without evidence of a pericardial effusion. Focal pericardial thickening on the right may represent tumor and is unchanged. Mild. Chest Port-A-Cath with its tip in the SVC. Absence of enteric contrast material limits sensitivity for abdominal pathology. Retroperitoneal soft tissue mass extending from the right pleura caudally into the abdomen better characterized on current CT of the abdomen and pelvis. | location descriptor_fin: ['right']clinical findings_fin: {'right pleural nodularity': {'clinical finding': 'right pleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'nodularity'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'position'}]location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'mm unchanged from the prior exam': {'clinical finding': 'mm unchanged from the prior exam', 'change_term': 'unchanged'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'mm unchanged from the prior exam': {'clinical finding': 'mm unchanged from the prior exam', 'change_term': 'unchanged'}}location descriptor_fin: ['right']clinical findings_fin: {'diaphragmatic patch': {'clinical finding': 'diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '10 mm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'stable paraesophageal lymph node': {'clinical finding': 'stable paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable paraesophageal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'focal pericardial thickening': {'clinical finding': 'focal pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'focal pericardial', 'observation': 'thickening'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']clinical findings_fin: {'chest port-a-cath': {'clinical finding': 'chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'chest', 'observation': 'port-a-'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pleura': {'location descriptor': 'right'}, 'abdomen': {}, 'pelvis': {}}location descriptor_fin: ['right']clinical findings_fin: {'retroperitoneal soft tissue mass': {'clinical finding': 'retroperitoneal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal soft tissue', 'observation': 'mass'}} | 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: {'right pleural nodularity': {'clinical finding': 'right pleural nodularity', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'nodularity'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'position'}]location descriptor_fin: ['inferior', 'right']clinical findings_fin: {'mm unchanged from the prior exam': {'clinical finding': 'mm unchanged from the prior exam', 'change_term': 'unchanged'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'mm unchanged from the prior exam': {'clinical finding': 'mm unchanged from the prior exam', 'change_term': 'unchanged'}}location descriptor_fin: ['right']clinical findings_fin: {'diaphragmatic patch': {'clinical finding': 'diaphragmatic patch', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'patch'}}location descriptor_fin: ['left']clinical findings_fin: {'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '10 mm'}]clinical findings_fin: {'reference precarinal lymph node': {'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'stable paraesophageal lymph node': {'clinical finding': 'stable paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable paraesophageal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'focal pericardial thickening': {'clinical finding': 'focal pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'focal pericardial', 'observation': 'thickening'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']clinical findings_fin: {'chest port-a-cath': {'clinical finding': 'chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'chest', 'observation': 'port-a-'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'pleura': {'location descriptor': 'right'}, 'abdomen': {}, 'pelvis': {}}location descriptor_fin: ['right']clinical findings_fin: {'retroperitoneal soft tissue mass': {'clinical finding': 'retroperitoneal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal soft tissue', 'observation': 'mass'}} [/INST] . Stable appearance of right pleural nodularity compatible with history of mesothelioma. At the inferior cavoatrial junction level right pleural measurement 7:00 position measures 6 mm unchanged from the prior exam. 00 position measures 5 mm unchanged from the prior exam. Right diaphragmatic patch is unchanged. Small left pleural effusion similar to the prior exam. Mildly enlarged mediastinal lymph nodes. Reference precarinal lymph node unchanged measuring 10 mm. Stable paraesophageal lymph node measuring 12 mm in its short axis. Cardiac size is normal without evidence of a pericardial effusion. Focal pericardial thickening on the right may represent tumor and is unchanged. Mild. Chest Port-A-Cath with its tip in the SVC. Absence of enteric contrast material limits sensitivity for abdominal pathology. Retroperitoneal soft tissue mass extending from the right pleura caudally into the abdomen better characterized on current CT of the abdomen and pelvis. </s> |
. Left pleural effusion and overlying consolidation with scattered groundglass opacities in this region. Irregularly marginated 8 mm nodule superior segment left lower lobe image 134 series 5 which should be followed in the future as this could represent a small lung cancer. Mild centrilobular emphysema is noted. Innumerable small micronodules some of which are calcified, likely benign. Moderate cardiomegaly, the right atrium quite dilated. Normal caliber right main pulmonary artery. Calcified mediastinal and hilar lymph nodes from healed granulomatous disease, but no other evidence of lymphadenopathy. Single chamber left subclavian pacemaker noted. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild intrahepatic biliary ductal dilatation. Innumerable splenic calcifications from most likely prior histoplasmosis. | location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'overlying consolidation': {'clinical finding': 'overlying consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'consolidation'}, 'scattered groundglass opacities': {'clinical finding': 'scattered groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'irregularly marginated 8 mm nodule': {'clinical finding': 'irregularly marginated 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'irregularly marginated 8 mm', 'observation': 'nodule'}, 'small lung cancer': {'clinical finding': 'small lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'small lung', 'observation': 'cancer', 'strength_term': 'small'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable small micronodules': {'clinical finding': 'innumerable small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal caliber right main pulmonary artery': {'clinical finding': 'normal caliber right main pulmonary artery'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'single chamber left subclavian pacemaker noted': {'clinical finding': 'single chamber left subclavian pacemaker 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'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable splenic calcifications': {'clinical finding': 'innumerable splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable splenic', 'observation': 'calcification'}, 'most likely prior histoplasmosis': {'clinical finding': 'most likely prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'most likely prior', 'observation': 'histoplasmosis', 'quantity_term': 'most'}} | 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: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'overlying consolidation': {'clinical finding': 'overlying consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'consolidation'}, 'scattered groundglass opacities': {'clinical finding': 'scattered groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'scattered groundglass', 'observation': 'opacity'}}size_fin: [{'size': '8 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: {'irregularly marginated 8 mm nodule': {'clinical finding': 'irregularly marginated 8 mm nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'irregularly marginated 8 mm', 'observation': 'nodule'}, 'small lung cancer': {'clinical finding': 'small lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'small lung', 'observation': 'cancer', 'strength_term': 'small'}}clinical findings_fin: {'mild centrilobular emphysema': {'clinical finding': 'mild centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable small micronodules': {'clinical finding': 'innumerable small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable small', 'observation': 'micronodule', 'strength_term': 'small'}}anatomical entity_fin: {'right atrium': {}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}, 'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'main pulmonary artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'normal caliber right main pulmonary artery': {'clinical finding': 'normal caliber right main pulmonary artery'}}clinical findings_fin: {'calcified mediastinal and hilar lymph nodes': {'clinical finding': 'calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'healed granulomatous disease': {'clinical finding': 'healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: {'single chamber left subclavian pacemaker noted': {'clinical finding': 'single chamber left subclavian pacemaker 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'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}}clinical findings_fin: {'innumerable splenic calcifications': {'clinical finding': 'innumerable splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'innumerable splenic', 'observation': 'calcification'}, 'most likely prior histoplasmosis': {'clinical finding': 'most likely prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'most likely prior', 'observation': 'histoplasmosis', 'quantity_term': 'most'}} [/INST] . Left pleural effusion and overlying consolidation with scattered groundglass opacities in this region. Irregularly marginated 8 mm nodule superior segment left lower lobe image 134 series 5 which should be followed in the future as this could represent a small lung cancer. Mild centrilobular emphysema is noted. Innumerable small micronodules some of which are calcified, likely benign. Moderate cardiomegaly, the right atrium quite dilated. Normal caliber right main pulmonary artery. Calcified mediastinal and hilar lymph nodes from healed granulomatous disease, but no other evidence of lymphadenopathy. Single chamber left subclavian pacemaker noted. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild intrahepatic biliary ductal dilatation. Innumerable splenic calcifications from most likely prior histoplasmosis. </s> |
. Status post sternotomy and mitral valve repair. Diffuse hepatic steatosis, making evaluation for underlying lesion suboptimal. Status post cholecystectomy. Splenule, image 17 series No significant abnormality noted. No significant abnormality noted. Partially duplicated left renal collecting system seen. Scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes. Colonic diverticula without evidence of acute diverticulitis. PROSTATE/. Nonvisualization of prostate, presumably related to prior prostatectomy. No significant abnormality noted. Decreased osseous mineralization. Grade 1 anterolisthesis of L5 on S1. Please refer to dedicated nuclear medicine bone scan for additional findings. Incompletely imaged catheter in scrotal area, image 122 series 3, correlate with patients clinical history or physical exam. | anatomical entity_fin: {'mitral valve': {}}procedure_fin: ['repair']clinical findings_fin: {'status post sternotomy': {'clinical finding': 'status post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'sternotomy'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}, 'underlying lesion': {'clinical finding': 'underlying lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'duplicated left renal collecting system seen': {'clinical finding': 'duplicated left renal collecting system seen'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal and gastrohepatic lymph', 'observation': 'node'}}clinical findings_fin: {'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: {'prostate': {}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'decreased osseous mineralization': {'clinical finding': 'decreased osseous mineralization', 'change_term': 'decreased'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}object_fin: ['catheter']clinical findings_fin: {'imaged catheter in scrotal area , image 122 series 3 , correlate with patients clinical history or physical exam': {'clinical finding': 'imaged catheter in scrotal area , image 122 series 3 , correlate with patients clinical history or physical exam'}} | 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: {'mitral valve': {}}procedure_fin: ['repair']clinical findings_fin: {'status post sternotomy': {'clinical finding': 'status post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'sternotomy'}}clinical findings_fin: {'hepatic steatosis': {'clinical finding': 'hepatic steatosis', 'cf_snomed': {'steatosis': 1187537008}, 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'}, 'underlying lesion': {'clinical finding': 'underlying lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'lesion'}}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'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'duplicated left renal collecting system seen': {'clinical finding': 'duplicated left renal collecting system seen'}}clinical findings_fin: {'scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes': {'clinical finding': 'scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter retroperitoneal and gastrohepatic lymph', 'observation': 'node'}}clinical findings_fin: {'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: {'prostate': {}}procedure_fin: ['prostatectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'decreased osseous mineralization': {'clinical finding': 'decreased osseous mineralization', 'change_term': 'decreased'}}clinical findings_fin: {'grade 1 anterolisthesis': {'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'}}object_fin: ['catheter']clinical findings_fin: {'imaged catheter in scrotal area , image 122 series 3 , correlate with patients clinical history or physical exam': {'clinical finding': 'imaged catheter in scrotal area , image 122 series 3 , correlate with patients clinical history or physical exam'}} [/INST] . Status post sternotomy and mitral valve repair. Diffuse hepatic steatosis, making evaluation for underlying lesion suboptimal. Status post cholecystectomy. Splenule, image 17 series No significant abnormality noted. No significant abnormality noted. Partially duplicated left renal collecting system seen. Scattered subcentimeter retroperitoneal and gastrohepatic lymph nodes. Colonic diverticula without evidence of acute diverticulitis. PROSTATE/. Nonvisualization of prostate, presumably related to prior prostatectomy. No significant abnormality noted. Decreased osseous mineralization. Grade 1 anterolisthesis of L5 on S1. Please refer to dedicated nuclear medicine bone scan for additional findings. Incompletely imaged catheter in scrotal area, image 122 series 3, correlate with patients clinical history or physical exam. </s> |
There is moderate bilateral frontotemporal periventricular white matter hypoattenuation. In addition, there is patchy subcortical hypoattenuation in the frontal lobes. These findings are nonspecific but probably represent microvascular ischemia. There is mild, symmetric dilatation of the lateral ventricles and the other CSF-containing spaces, reflecting volume loss. There is no loss of gray-white matter differentiation. There is no intracranial hemorrhage, mass effect or midline shift. There is no extra-axial fluid collection. The orbits are notable for bilateral eye lens replacement as well as scleral calcification. The mastoid air cells and the paranasal sinuses are clear. There is no skull fracture or destructive lesion. There is severe atherosclerotic calcification of the cavernous internal carotid arteries and the intracranial left vertebral arteries. | location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral frontotemporal periventricular white matter hypoattenuation': {'clinical finding': 'moderate bilateral frontotemporal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral frontotemporal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy subcortical hypoattenuation': {'clinical finding': 'patchy subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy subcortical', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}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'}, '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: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'orbits': {}, 'eye': {'location descriptor': 'bilateral'}, 'lens': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scleral calcification': {'clinical finding': 'scleral calcification', 'existence': 'pos_dx', 'descriptive_term': 'scleral', 'observation': 'calcification'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'internal carotid arteries': {}, 'left vertebral arteries': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}} | 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 bilateral frontotemporal periventricular white matter hypoattenuation': {'clinical finding': 'moderate bilateral frontotemporal periventricular white matter hypoattenuation', 'cf_snomed': {'periventricular white matter': 37065005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral frontotemporal periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate'}}anatomical entity_fin: {'frontal lobes': {}}clinical findings_fin: {'patchy subcortical hypoattenuation': {'clinical finding': 'patchy subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy subcortical', 'observation': 'hypoattenuation'}}clinical findings_fin: {'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'volume loss': {'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'}}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'}, '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: {'extra-axial fluid collection': {'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'}}anatomical entity_fin: {'orbits': {}, 'eye': {'location descriptor': 'bilateral'}, 'lens': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'scleral calcification': {'clinical finding': 'scleral calcification', 'existence': 'pos_dx', 'descriptive_term': 'scleral', 'observation': 'calcification'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}, 'destructive lesion': {'clinical finding': 'destructive lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'}}anatomical entity_fin: {'internal carotid arteries': {}, 'left vertebral arteries': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}} [/INST] There is moderate bilateral frontotemporal periventricular white matter hypoattenuation. In addition, there is patchy subcortical hypoattenuation in the frontal lobes. These findings are nonspecific but probably represent microvascular ischemia. There is mild, symmetric dilatation of the lateral ventricles and the other CSF-containing spaces, reflecting volume loss. There is no loss of gray-white matter differentiation. There is no intracranial hemorrhage, mass effect or midline shift. There is no extra-axial fluid collection. The orbits are notable for bilateral eye lens replacement as well as scleral calcification. The mastoid air cells and the paranasal sinuses are clear. There is no skull fracture or destructive lesion. There is severe atherosclerotic calcification of the cavernous internal carotid arteries and the intracranial left vertebral arteries. </s> |
. Mild bibasilar atelectasis. No other significant abnormality identified. Cholecystectomy post-surgical changes noted. No other significant abnormality identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys have normal morphology without evidence of stones, hydronephrosis, perinephric stranding, edema, or other complication. No significant abnormality noted. Mild. Persistent small fat containing ventral hernia with mesh similar in appearance to prior exam. No other significant abnormalities identified. No significant abnormality noted. Right femoral catheter with tip in the IVC. Interval removal of VP shunt with resolution of anterior abdominal cystic fluid collection. No significant abnormality noted. Foley catheter with tip in a non-distended bladder. No significant abnormality noted. No significant abnormality noted. Persistent small fat containing ventral hernia with mesh similar in appearance to prior exam. No other significant abnormalities identified. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'mild bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'cholecystectomy post-surgical changes': {'clinical finding': 'cholecystectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy post-surgical', 'observation': 'change'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'stones': {'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'other complication': {'clinical finding': 'other complication', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']clinical findings_fin: {'persistent small fat': {'clinical finding': 'persistent small fat', 'existence': 'pos_dx', 'descriptive_term': 'persistent small', 'observation': 'fat', 'strength_term': 'small', 'temporal_term': 'persistent'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}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'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'vp shunt': {'clinical finding': 'vp shunt', 'existence': 'pos_dx', 'descriptive_term': 'vp', 'observation': 'shunt'}, 'resolution': {'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'}, 'anterior abdominal cystic fluid collection': {'clinical finding': 'anterior abdominal cystic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal cystic fluid', 'observation': 'collection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'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'}}imaging observation_fin: ['fat']clinical findings_fin: {'persistent small fat': {'clinical finding': 'persistent small fat', 'existence': 'pos_dx', 'descriptive_term': 'persistent small', 'observation': 'fat', 'strength_term': 'small', 'temporal_term': 'persistent'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}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'}} | 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: {'mild bibasilar atelectasis': {'clinical finding': 'mild bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'other significant abnormality': {'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'cholecystectomy post-surgical changes': {'clinical finding': 'cholecystectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy post-surgical', 'observation': 'change'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'stones': {'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric stranding': {'clinical finding': 'perinephric stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'strand'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'other complication': {'clinical finding': 'other complication', 'existence': 'unc_dx', 'descriptive_term': 'other', 'observation': 'complication'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}imaging observation_fin: ['fat']clinical findings_fin: {'persistent small fat': {'clinical finding': 'persistent small fat', 'existence': 'pos_dx', 'descriptive_term': 'persistent small', 'observation': 'fat', 'strength_term': 'small', 'temporal_term': 'persistent'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}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'}}location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: {'abdominal': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'vp shunt': {'clinical finding': 'vp shunt', 'existence': 'pos_dx', 'descriptive_term': 'vp', 'observation': 'shunt'}, 'resolution': {'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'}, 'anterior abdominal cystic fluid collection': {'clinical finding': 'anterior abdominal cystic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'anterior abdominal cystic fluid', 'observation': 'collection'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'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'}}imaging observation_fin: ['fat']clinical findings_fin: {'persistent small fat': {'clinical finding': 'persistent small fat', 'existence': 'pos_dx', 'descriptive_term': 'persistent small', 'observation': 'fat', 'strength_term': 'small', 'temporal_term': 'persistent'}, 'ventral hernia': {'clinical finding': 'ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'hernia'}}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'}} [/INST] . Mild bibasilar atelectasis. No other significant abnormality identified. Cholecystectomy post-surgical changes noted. No other significant abnormality identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys have normal morphology without evidence of stones, hydronephrosis, perinephric stranding, edema, or other complication. No significant abnormality noted. Mild. Persistent small fat containing ventral hernia with mesh similar in appearance to prior exam. No other significant abnormalities identified. No significant abnormality noted. Right femoral catheter with tip in the IVC. Interval removal of VP shunt with resolution of anterior abdominal cystic fluid collection. No significant abnormality noted. Foley catheter with tip in a non-distended bladder. No significant abnormality noted. No significant abnormality noted. Persistent small fat containing ventral hernia with mesh similar in appearance to prior exam. No other significant abnormalities identified. No significant abnormality noted. No significant abnormality noted </s> |
. Innumerable pulmonary nodules, increased in size. Reference left upper lobe perihilar nodule increased in size, measuring 10 x 8 mm on image 42 series 4, previously measured 9 x 8 mm. Axillary surgical clips. Incompletely imaged thyroid demonstrated subcentimeter right-sided posterior thyroid nodule, stable. Right chest wall port with tip near cavoatrial junction. Stable small lateral right breast micronodule air to the, image 43 series Subtle hypoattenuating lesions seen in hepatic dome, one of which appears slightly larger accounting for differences in technique, measuring 10 mm on image 74 series 3, previously measured approximately 6 mm. Additional subcentimeter hepatic dome focus not significantly changed on image 73 series Unchanged subcentimeter nodularity along posterior or medial right hepatic lobe on image 117 series 3 without significant change, peritoneal metastatic deposit not entirely excluded. No significant abnormality noted. Mild interval enlargement of ill-defined residual pancreatic body soft tissue attenuation, measuring 2.6 x 1.4 cm on image 97 series 3, previously remeasured at this level as 1.6 x 1 cm. Adjacent luminal narrowing splenic vein again seen. Worsening soft tissue attenuation around SMA, image 106 series 3, measuring up to 6 mm along right aspect of image 106 series 3, previously measured up to 3 mm. Persistent soft tissue attenuation around celiac trunk. Atrophy of pancreatic tail. No significant abnormality noted. No significant abnormality noted. Enlarged retroperitoneal including paraaortic and aortocaval lymphadenopathy. Cluster of left paraaortic lymph nodes without significant change, measuring 3.4 x 3 cm in image 116 series 3, previously measured 3.4 x 3.1 cm. Without significant change in size but decreased internal attenuation seen of additional left paraaortic lymph node, measuring 2.3 x 1.7 cm on image 127 series 3, previously measured 2.1 x 1.5 cm. Interval increase in size of nonreference aortocaval lymph node, measuring 3.1 x 2 cm on image 117 series 3, previous measured 2.7 x 1.7 cm. Colonic submucosal fat deposition again seen, compatible with sequela of prior inflammation. Status post hysterectomy. No significant abnormality noted. Severe left-sided hip osteoarthritis. | clinical findings_fin: {'innumerable pulmonary nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe perihilar nodule': {'clinical finding': 'reference left upper lobe perihilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe perihilar', 'observation': 'nodule'}}object_fin: ['surgical clips']clinical findings_fin: {'axillary surgical clips': {'clinical finding': 'axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'axillary surgical', 'observation': 'clip'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'subcentimeter right-sided posterior thyroid nodule': {'clinical finding': 'subcentimeter right-sided posterior thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter right-sided posterior thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '10 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'breast': {'location descriptor': 'lateral right'}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'stable small lateral right breast micronodule air': {'clinical finding': 'stable small lateral right breast micronodule air', 'existence': 'pos_dx', 'descriptive_term': 'stable small lateral right breast micronodule', 'observation': 'air', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'subtle hypoattenuating lesions': {'clinical finding': 'subtle hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subtle hypoattenuating', 'observation': 'lesion', 'strength_term': 'subtle'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['posterior', 'medial', 'right']clinical findings_fin: {'additional subcentimeter hepatic dome focus': {'clinical finding': 'additional subcentimeter hepatic dome focus', 'existence': 'neg_dx', 'descriptive_term': 'additional subcentimeter hepatic dome', 'observation': 'focus'}, 'unchanged subcentimeter nodularity': {'clinical finding': 'unchanged subcentimeter nodularity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter', 'observation': 'nodularity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'peritoneal metastatic': {'clinical finding': 'peritoneal metastatic', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'metastatic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 1.4 cm'}, {'size': '1.6 x 1 cm'}]anatomical entity_fin: {'body': {}}clinical findings_fin: {'ill-defined residual': {'clinical finding': 'ill-defined residual', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'residual', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'splenic vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent luminal narrowing': {'clinical finding': 'adjacent luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent luminal', 'observation': 'narrowing'}}size_fin: [{'size': '6 mm'}, {'size': '3 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'persistent soft tissue attenuation': {'clinical finding': 'persistent soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent soft tissue', 'observation': 'attenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'paraaortic and aortocaval lymphadenopathy': {'clinical finding': 'paraaortic and aortocaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'paraaortic and aortocaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.4 x 3 cm'}, {'size': '3.4 x 3.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2.3 x 1.7 cm'}, {'size': '2.1 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'additional left paraaortic lymph node': {'clinical finding': 'additional left paraaortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'additional left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '3.1 x 2 cm'}, {'size': '2.7 x 1.7 cm'}]clinical findings_fin: {'nonreference aortocaval lymph node': {'clinical finding': 'nonreference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonreference aortocaval lymph', 'observation': 'node'}}clinical findings_fin: {'colonic submucosal fat deposition': {'clinical finding': 'colonic submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'colonic submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']clinical findings_fin: {'severe left-sided hip osteoarthritis': {'clinical finding': 'severe left-sided hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe left-sided hip', 'observation': 'osteoarthritis', 'strength_term': 'severe'}} | 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 nodules': {'clinical finding': 'innumerable pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '10 x 8 mm'}, {'size': '9 x 8 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'reference left upper lobe perihilar nodule': {'clinical finding': 'reference left upper lobe perihilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left upper lobe perihilar', 'observation': 'nodule'}}object_fin: ['surgical clips']clinical findings_fin: {'axillary surgical clips': {'clinical finding': 'axillary surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'axillary surgical', 'observation': 'clip'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'subcentimeter right-sided posterior thyroid nodule': {'clinical finding': 'subcentimeter right-sided posterior thyroid nodule', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'neg_dx', 'descriptive_term': 'subcentimeter right-sided posterior thyroid', 'observation': 'nodule'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']size_fin: [{'size': '10 mm'}, {'size': '6 mm'}]anatomical entity_fin: {'breast': {'location descriptor': 'lateral right'}}location descriptor_fin: ['lateral', 'right']clinical findings_fin: {'stable small lateral right breast micronodule air': {'clinical finding': 'stable small lateral right breast micronodule air', 'existence': 'pos_dx', 'descriptive_term': 'stable small lateral right breast micronodule', 'observation': 'air', 'strength_term': 'stable - small', 'change_term': 'stable'}, 'subtle hypoattenuating lesions': {'clinical finding': 'subtle hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subtle hypoattenuating', 'observation': 'lesion', 'strength_term': 'subtle'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['posterior', 'medial', 'right']clinical findings_fin: {'additional subcentimeter hepatic dome focus': {'clinical finding': 'additional subcentimeter hepatic dome focus', 'existence': 'neg_dx', 'descriptive_term': 'additional subcentimeter hepatic dome', 'observation': 'focus'}, 'unchanged subcentimeter nodularity': {'clinical finding': 'unchanged subcentimeter nodularity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter', 'observation': 'nodularity', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'peritoneal metastatic': {'clinical finding': 'peritoneal metastatic', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'metastatic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '2.6 x 1.4 cm'}, {'size': '1.6 x 1 cm'}]anatomical entity_fin: {'body': {}}clinical findings_fin: {'ill-defined residual': {'clinical finding': 'ill-defined residual', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'residual', 'strength_term': 'ill-defined'}}anatomical entity_fin: {'splenic vein': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent luminal narrowing': {'clinical finding': 'adjacent luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent luminal', 'observation': 'narrowing'}}size_fin: [{'size': '6 mm'}, {'size': '3 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'soft tissue attenuation': {'clinical finding': 'soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'attenuation'}}anatomical entity_fin: {'trunk': {}}clinical findings_fin: {'persistent soft tissue attenuation': {'clinical finding': 'persistent soft tissue attenuation', 'existence': 'pos_dx', 'descriptive_term': 'persistent soft tissue', 'observation': 'attenuation', 'temporal_term': 'persistent'}}clinical findings_fin: {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}, 'pancreatic tail': {'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'paraaortic and aortocaval lymphadenopathy': {'clinical finding': 'paraaortic and aortocaval lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'paraaortic and aortocaval', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '3.4 x 3 cm'}, {'size': '3.4 x 3.1 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'left paraaortic lymph nodes': {'clinical finding': 'left paraaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paraaortic lymph', 'observation': 'node'}, 'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}}size_fin: [{'size': '2.3 x 1.7 cm'}, {'size': '2.1 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'additional left paraaortic lymph node': {'clinical finding': 'additional left paraaortic lymph node', 'existence': 'neg_dx', 'descriptive_term': 'additional left paraaortic lymph', 'observation': 'node'}}size_fin: [{'size': '3.1 x 2 cm'}, {'size': '2.7 x 1.7 cm'}]clinical findings_fin: {'nonreference aortocaval lymph node': {'clinical finding': 'nonreference aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonreference aortocaval lymph', 'observation': 'node'}}clinical findings_fin: {'colonic submucosal fat deposition': {'clinical finding': 'colonic submucosal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'colonic submucosal fat', 'observation': 'deposition'}, 'prior inflammation': {'clinical finding': 'prior inflammation', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'}}procedure_fin: ['hysterectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'hip': {}}location descriptor_fin: ['left']clinical findings_fin: {'severe left-sided hip osteoarthritis': {'clinical finding': 'severe left-sided hip osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'descriptive_term': 'severe left-sided hip', 'observation': 'osteoarthritis', 'strength_term': 'severe'}} [/INST] . Innumerable pulmonary nodules, increased in size. Reference left upper lobe perihilar nodule increased in size, measuring 10 x 8 mm on image 42 series 4, previously measured 9 x 8 mm. Axillary surgical clips. Incompletely imaged thyroid demonstrated subcentimeter right-sided posterior thyroid nodule, stable. Right chest wall port with tip near cavoatrial junction. Stable small lateral right breast micronodule air to the, image 43 series Subtle hypoattenuating lesions seen in hepatic dome, one of which appears slightly larger accounting for differences in technique, measuring 10 mm on image 74 series 3, previously measured approximately 6 mm. Additional subcentimeter hepatic dome focus not significantly changed on image 73 series Unchanged subcentimeter nodularity along posterior or medial right hepatic lobe on image 117 series 3 without significant change, peritoneal metastatic deposit not entirely excluded. No significant abnormality noted. Mild interval enlargement of ill-defined residual pancreatic body soft tissue attenuation, measuring 2.6 x 1.4 cm on image 97 series 3, previously remeasured at this level as 1.6 x 1 cm. Adjacent luminal narrowing splenic vein again seen. Worsening soft tissue attenuation around SMA, image 106 series 3, measuring up to 6 mm along right aspect of image 106 series 3, previously measured up to 3 mm. Persistent soft tissue attenuation around celiac trunk. Atrophy of pancreatic tail. No significant abnormality noted. No significant abnormality noted. Enlarged retroperitoneal including paraaortic and aortocaval lymphadenopathy. Cluster of left paraaortic lymph nodes without significant change, measuring 3.4 x 3 cm in image 116 series 3, previously measured 3.4 x 3.1 cm. Without significant change in size but decreased internal attenuation seen of additional left paraaortic lymph node, measuring 2.3 x 1.7 cm on image 127 series 3, previously measured 2.1 x 1.5 cm. Interval increase in size of nonreference aortocaval lymph node, measuring 3.1 x 2 cm on image 117 series 3, previous measured 2.7 x 1.7 cm. Colonic submucosal fat deposition again seen, compatible with sequela of prior inflammation. Status post hysterectomy. No significant abnormality noted. Severe left-sided hip osteoarthritis. </s> |
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys show normal morphology. No abnormal calcifications are seen in the urinary tract. No solid renal masses are seen. Prompt and symmetric excretion of contrast material is seen into normal pyelocalyceal systems bilaterally. No urothelial abnormalities are seen. The ureters are well opacified throughout their entire length without focal abnormality. No adenopathy or other abnormality seen. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate again seen without other abnormality. No significant abnormality noted. No adenopathy seen. No significant abnormality noted. Diffuse degenerative changes again seen throughout the lumbar spine. No focal abnormalities are otherwise seen. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'kidneys show normal morphology': {'clinical finding': 'kidneys show normal morphology'}}anatomical entity_fin: {'urinary tract': {}}clinical findings_fin: {'abnormal calcifications': {'clinical finding': 'abnormal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'calcification'}}clinical findings_fin: {'solid renal masses': {'clinical finding': 'solid renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'solid renal', 'observation': 'mass'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'urothelial abnormalities': {'clinical finding': 'urothelial abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'urothelial', 'observation': 'abnormality'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}, '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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'pos_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: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse degenerative changes': {'clinical finding': 'diffuse degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse degenerative', 'observation': 'change'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'kidneys show normal morphology': {'clinical finding': 'kidneys show normal morphology'}}anatomical entity_fin: {'urinary tract': {}}clinical findings_fin: {'abnormal calcifications': {'clinical finding': 'abnormal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'calcification'}}clinical findings_fin: {'solid renal masses': {'clinical finding': 'solid renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'solid renal', 'observation': 'mass'}}clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}}clinical findings_fin: {'urothelial abnormalities': {'clinical finding': 'urothelial abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'urothelial', 'observation': 'abnormality'}}anatomical entity_fin: {'ureters': {}}clinical findings_fin: {'focal abnormality': {'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}, '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'}}anatomical entity_fin: {'prostate': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'other abnormality': {'clinical finding': 'other abnormality', 'existence': 'pos_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: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'diffuse degenerative changes': {'clinical finding': 'diffuse degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse degenerative', 'observation': 'change'}}clinical findings_fin: {'focal abnormalities': {'clinical finding': 'focal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'focal', '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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys show normal morphology. No abnormal calcifications are seen in the urinary tract. No solid renal masses are seen. Prompt and symmetric excretion of contrast material is seen into normal pyelocalyceal systems bilaterally. No urothelial abnormalities are seen. The ureters are well opacified throughout their entire length without focal abnormality. No adenopathy or other abnormality seen. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate again seen without other abnormality. No significant abnormality noted. No adenopathy seen. No significant abnormality noted. Diffuse degenerative changes again seen throughout the lumbar spine. No focal abnormalities are otherwise seen. No significant abnormality noted </s> |
. Left apical opacity with traction bronchiectasis may reflect subacute radiation pneumonitis with involving fibrosis, correlate with radiation field. Reference right upper lobe nodule measures 4 mm, decreased from prior 5 mm. Remaining bilateral pulmonary nodules are subjectively smaller in size. No significant pleural effusion. Filling defect in the left ventricle, likely representing thrombus. Post-operative changes noted within the thyroid bed. Overall improvement in lymphadenopathy. Level VI cervical lymph node is decreased in size from prior. Reference prevascular lymph node measures 29 x 30 mm, decreased from prior 45 x 47 mm. Reference left hilar lymph node measures 9 mm, slightly decreased from prior 10 mm. No cardiomegaly or pericardial effusion. Atherosclerotic disease of the aorta and its corresponding branches. The thoracic aorta is mildly ectatic, the ascending segment measures 44 mm in AP dimension. Mild. T4 vertebral body hemangioma unchanged from prior exams. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypodense hepatic lesion in the posterior portion of segment VII, which has been present since 2013 and is likely benign. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. 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. | imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical opacity': {'clinical finding': 'left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'subacute radiation pneumonitis': {'clinical finding': 'subacute radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'unc_dx', 'descriptive_term': 'subacute radiation', 'observation': 'pneumonitis'}, 'involving fibrosis': {'clinical finding': 'involving fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'involving', 'observation': 'fibrosis'}}size_fin: [{'size': '4 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'remaining bilateral pulmonary nodules': {'clinical finding': 'remaining bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'remaining bilateral pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'level vi cervical lymph node': {'clinical finding': 'level vi cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level vi cervical lymph', 'observation': 'node'}}size_fin: [{'size': '29 x 30 mm'}, {'size': '45 x 47 mm'}]clinical findings_fin: {'reference prevascular lymph node': {'clinical finding': 'reference prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}size_fin: [{'size': '44 mm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'t4 vertebral body': {}}clinical findings_fin: {'vertebral body hemangioma': {'clinical finding': 'vertebral body hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral body', 'observation': 'hemangioma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['posterior']clinical findings_fin: {'stable hypodense hepatic lesion': {'clinical finding': 'stable hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense hepatic', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral 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: {'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: imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical opacity': {'clinical finding': 'left apical opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'subacute radiation pneumonitis': {'clinical finding': 'subacute radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'unc_dx', 'descriptive_term': 'subacute radiation', 'observation': 'pneumonitis'}, 'involving fibrosis': {'clinical finding': 'involving fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'involving', 'observation': 'fibrosis'}}size_fin: [{'size': '4 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'reference right upper lobe nodule': {'clinical finding': 'reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'nodule'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'remaining bilateral pulmonary nodules': {'clinical finding': 'remaining bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'remaining bilateral pulmonary', 'observation': 'nodule'}}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'}}anatomical entity_fin: {'left ventricle': {}}clinical findings_fin: {'filling defect': {'clinical finding': 'filling defect', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'}, 'thrombus': {'clinical finding': 'thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'observation': 'thrombus'}}clinical findings_fin: {'post-operative changes': {'clinical finding': 'post-operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post-operative', 'observation': 'change'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'level vi cervical lymph node': {'clinical finding': 'level vi cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'level vi cervical lymph', 'observation': 'node'}}size_fin: [{'size': '29 x 30 mm'}, {'size': '45 x 47 mm'}]clinical findings_fin: {'reference prevascular lymph node': {'clinical finding': 'reference prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular lymph', 'observation': 'node'}}size_fin: [{'size': '9 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left hilar lymph node': {'clinical finding': 'reference left hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar lymph', 'observation': 'node'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic disease': {'clinical finding': 'atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'}}size_fin: [{'size': '44 mm'}]anatomical entity_fin: {'thoracic aorta': {}}clinical findings_fin: {'ectatic': {'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'}}anatomical entity_fin: {'t4 vertebral body': {}}clinical findings_fin: {'vertebral body hemangioma': {'clinical finding': 'vertebral body hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral body', 'observation': 'hemangioma'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['posterior']clinical findings_fin: {'stable hypodense hepatic lesion': {'clinical finding': 'stable hypodense hepatic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense hepatic', 'observation': 'lesion', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'stable bilateral renal cysts': {'clinical finding': 'stable bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral 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: {'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] . Left apical opacity with traction bronchiectasis may reflect subacute radiation pneumonitis with involving fibrosis, correlate with radiation field. Reference right upper lobe nodule measures 4 mm, decreased from prior 5 mm. Remaining bilateral pulmonary nodules are subjectively smaller in size. No significant pleural effusion. Filling defect in the left ventricle, likely representing thrombus. Post-operative changes noted within the thyroid bed. Overall improvement in lymphadenopathy. Level VI cervical lymph node is decreased in size from prior. Reference prevascular lymph node measures 29 x 30 mm, decreased from prior 45 x 47 mm. Reference left hilar lymph node measures 9 mm, slightly decreased from prior 10 mm. No cardiomegaly or pericardial effusion. Atherosclerotic disease of the aorta and its corresponding branches. The thoracic aorta is mildly ectatic, the ascending segment measures 44 mm in AP dimension. Mild. T4 vertebral body hemangioma unchanged from prior exams. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypodense hepatic lesion in the posterior portion of segment VII, which has been present since 2013 and is likely benign. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. 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> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Mild hypoattenuation within the pons may be related to age indeterminate ischemia. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Left lens is thin, likely related to cataracts. | 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'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'mild hypoattenuation': {'clinical finding': 'mild hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hypoattenuation', 'strength_term': 'mild'}, 'age indeterminate ischemia': {'clinical finding': 'age indeterminate ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate', 'observation': 'ischemia'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}, 'cataracts': {'clinical finding': 'cataracts', 'cf_snomed': {'cataract': 193570009}, 'existence': 'unc_dx', 'observation': 'cataract'}} | 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'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'mild hypoattenuation': {'clinical finding': 'mild hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hypoattenuation', 'strength_term': 'mild'}, 'age indeterminate ischemia': {'clinical finding': 'age indeterminate ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate', 'observation': 'ischemia'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'lens': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}, 'cataracts': {'clinical finding': 'cataracts', 'cf_snomed': {'cataract': 193570009}, 'existence': 'unc_dx', 'observation': 'cataract'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Mild hypoattenuation within the pons may be related to age indeterminate ischemia. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Left lens is thin, likely related to cataracts. </s> |
. There is abnormal enhancement in the region of the cecum , but no active extravasation is identified. The celiac axis demonstrates conventional anatomy. There is good peripheral contrast opacification consistent with appropriate blood flow. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral hypoattenuating lesions is consistent with simple renal cysts. No significant abnormality noted. There is colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted | anatomical entity_fin: {'cecum': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'active extravasation': {'clinical finding': 'active extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'extravasation', 'strength_term': 'active'}}anatomical entity_fin: {'axis': {}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypoattenuating lesions': {'clinical finding': 'bilateral hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypoattenuating', 'observation': 'lesion'}, 'simple renal cysts': {'clinical finding': 'simple renal cysts', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'simple renal', 'observation': 'cyst'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'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: {'cecum': {}}clinical findings_fin: {'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}, 'active extravasation': {'clinical finding': 'active extravasation', 'cf_snomed': {'extravasation': 76676007}, 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'extravasation', 'strength_term': 'active'}}anatomical entity_fin: {'axis': {}}imaging observation_fin: ['blood']location descriptor_fin: ['peripheral']clinical findings_fin: {'good peripheral contrast opacification': {'clinical finding': 'good peripheral contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'good peripheral contrast', 'observation': 'opacification'}, 'appropriate blood flow': {'clinical finding': 'appropriate blood flow', 'existence': 'pos_dx', 'descriptive_term': 'appropriate blood', 'observation': 'flow'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral hypoattenuating lesions': {'clinical finding': 'bilateral hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypoattenuating', 'observation': 'lesion'}, 'simple renal cysts': {'clinical finding': 'simple renal cysts', 'cf_snomed': {'simple renal cyst': 77945009}, 'existence': 'pos_dx', 'descriptive_term': 'simple renal', 'observation': 'cyst'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'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] . There is abnormal enhancement in the region of the cecum , but no active extravasation is identified. The celiac axis demonstrates conventional anatomy. There is good peripheral contrast opacification consistent with appropriate blood flow. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral hypoattenuating lesions is consistent with simple renal cysts. No significant abnormality noted. There is colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is colonic diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted </s> |
. The aorta and great vessels are normal in caliber. No evidence of aortic dissection. Mild ectasia of the left common iliac artery. The celiac artery, SMA, and IMA are patent. Moderate to severe atherosclerotic disease affects the aorta and its branch vessels. Central airways are patent. No pneumothorax or pleural effusion. Granuloma in the right upper lobe below. Atelectasis or scarring at the lung bases. No suspicious nodule or mass. Scattered subcentimeter nonspecific micronodules. Patulous debris-filled esophagus. No significant mediastinal or hilar lymphadenopathy. Prominent 9 mm right hilar lymph node. Mild cardiomegaly without pericardial effusion. Mild. No significant lymphadenopathy. A gallstone measuring 6 mm in the distal common bile duct. Layering gallstones in the gallbladder. Small amount of pericholecystic fluid. Severe intrahepatic and extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesion in the kidneys are too small to further characterize. No hydronephrosis or perinephric inflammation. Bilateral symmetric excretion of contrast without filling defects noted in the collecting systems. No significant lymphadenopathy. Moderate. Mild focal thickening and mucosal enhancement of the pyloric region of the stomach or duodenal bulb raising the question of peptic ulcer disease. Diverticulosis without evidence of diverticulitis. Small bowel caliber is within normal limits without evidence of obstruction. Right-sided lumbar hernia, containing colon, appearing similar to the prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild ectasia': {'clinical finding': 'mild ectasia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ectasia', 'strength_term': 'mild'}}anatomical entity_fin: {'celiac artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerotic disease': {'clinical finding': 'moderate to severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}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'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'prominent 9 mm right hilar lymph node': {'clinical finding': 'prominent 9 mm right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent 9 mm right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'gallstone'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering gallstones': {'clinical finding': 'layering gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'gallstone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}}clinical findings_fin: {'severe intrahepatic and extrahepatic biliary ductal dilatation': {'clinical finding': 'severe intrahepatic and extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'severe intrahepatic and extrahepatic biliary ductal', 'observation': 'dilatation', '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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric inflammation': {'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral symmetric excretion': {'clinical finding': 'bilateral symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'bilateral symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}, 'duodenal bulb': {}}clinical findings_fin: {'mild focal thickening': {'clinical finding': 'mild focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal', 'observation': 'thickening', 'strength_term': 'mild'}, 'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'peptic ulcer disease': {'clinical finding': 'peptic ulcer disease', 'cf_snomed': {'peptic ulcer': 13200003, 'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peptic ulcer', 'observation': 'disease'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'right-sided lumbar hernia': {'clinical finding': 'right-sided lumbar hernia', 'cf_snomed': {'lumbar hernia': 23344004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided lumbar', 'observation': 'hernia'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}clinical findings_fin: {'aortic dissection': {'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'}}anatomical entity_fin: {'common iliac artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'mild ectasia': {'clinical finding': 'mild ectasia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ectasia', 'strength_term': 'mild'}}anatomical entity_fin: {'celiac artery': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate to severe atherosclerotic disease': {'clinical finding': 'moderate to severe atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe atherosclerotic', 'observation': 'disease', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}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: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'granuloma': {'clinical finding': 'granuloma', 'cf_snomed': {'granuloma': 45647009}, 'existence': 'pos_dx', 'observation': 'granuloma'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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'}}clinical findings_fin: {'scattered subcentimeter nonspecific micronodules': {'clinical finding': 'scattered subcentimeter nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter nonspecific', 'observation': 'micronodule'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous debris': {'clinical finding': 'patulous debris', 'existence': 'pos_dx', 'descriptive_term': 'patulous', 'observation': 'debris'}}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'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'prominent 9 mm right hilar lymph node': {'clinical finding': 'prominent 9 mm right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent 9 mm right hilar lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'mild cardiomegaly': {'clinical finding': 'mild cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '6 mm', 'size_descriptor': 'gallstone'}]anatomical entity_fin: {'common bile duct': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'gallstone': {'clinical finding': 'gallstone', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'observation': 'gallstone'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'layering gallstones': {'clinical finding': 'layering gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'gallstone'}}clinical findings_fin: {'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}}clinical findings_fin: {'severe intrahepatic and extrahepatic biliary ductal dilatation': {'clinical finding': 'severe intrahepatic and extrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'severe intrahepatic and extrahepatic biliary ductal', 'observation': 'dilatation', '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'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'subcentimeter hypoattenuating lesion': {'clinical finding': 'subcentimeter hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'perinephric inflammation': {'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral symmetric excretion': {'clinical finding': 'bilateral symmetric excretion', 'existence': 'pos_dx', 'descriptive_term': 'bilateral symmetric', 'observation': 'excretion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}, 'filling defects': {'clinical finding': 'filling defects', 'cf_snomed': {'filling defect': 43468004}, 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'stomach': {}, 'duodenal bulb': {}}clinical findings_fin: {'mild focal thickening': {'clinical finding': 'mild focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal', 'observation': 'thickening', 'strength_term': 'mild'}, 'mucosal enhancement': {'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement'}, 'peptic ulcer disease': {'clinical finding': 'peptic ulcer disease', 'cf_snomed': {'peptic ulcer': 13200003, 'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'peptic ulcer', 'observation': 'disease'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}imaging observation_fin: ['colon']location descriptor_fin: ['right']clinical findings_fin: {'right-sided lumbar hernia': {'clinical finding': 'right-sided lumbar hernia', 'cf_snomed': {'lumbar hernia': 23344004}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided lumbar', 'observation': 'hernia'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . The aorta and great vessels are normal in caliber. No evidence of aortic dissection. Mild ectasia of the left common iliac artery. The celiac artery, SMA, and IMA are patent. Moderate to severe atherosclerotic disease affects the aorta and its branch vessels. Central airways are patent. No pneumothorax or pleural effusion. Granuloma in the right upper lobe below. Atelectasis or scarring at the lung bases. No suspicious nodule or mass. Scattered subcentimeter nonspecific micronodules. Patulous debris-filled esophagus. No significant mediastinal or hilar lymphadenopathy. Prominent 9 mm right hilar lymph node. Mild cardiomegaly without pericardial effusion. Mild. No significant lymphadenopathy. A gallstone measuring 6 mm in the distal common bile duct. Layering gallstones in the gallbladder. Small amount of pericholecystic fluid. Severe intrahepatic and extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypoattenuating lesion in the kidneys are too small to further characterize. No hydronephrosis or perinephric inflammation. Bilateral symmetric excretion of contrast without filling defects noted in the collecting systems. No significant lymphadenopathy. Moderate. Mild focal thickening and mucosal enhancement of the pyloric region of the stomach or duodenal bulb raising the question of peptic ulcer disease. Diverticulosis without evidence of diverticulitis. Small bowel caliber is within normal limits without evidence of obstruction. Right-sided lumbar hernia, containing colon, appearing similar to the prior exam. No evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No hydrocephalus. No extra-axial collections. Mild global parenchymal volume loss is noted, which appears advanced for age. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. | 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'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}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: 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'}}clinical findings_fin: {'mild global parenchymal volume loss': {'clinical finding': 'mild global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild global parenchymal volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}} [/INST] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. No hydrocephalus. No extra-axial collections. Mild global parenchymal volume loss is noted, which appears advanced for age. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. </s> |
. The upper lobe spiculated mass measuring 2.9 cm x 2.9 cm. The stranding is noted to the pleural surfaces. No additional suspicious pulmonary nodules or masses identified. Right pleural effusion most likely post traumatic in origin. No hilar or mediastinal adenopathy identified. Cardiac size is normal without evidence of pericardial effusion. Mild. Acute fractures of the right sixth seventh and eighth ribs. Mild degenerative changes throughout the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Small left adrenal nodule most likely benign. | size_fin: [{'size': '2.9 cm x 2.9 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe spiculated mass': {'clinical finding': 'upper lobe spiculated mass', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe spiculated', 'observation': 'mass'}}clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'additional suspicious pulmonary nodules': {'clinical finding': 'additional suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'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: {'hilar or mediastinal adenopathy': {'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'}}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: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'acute fractures': {'clinical finding': 'acute fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['left']clinical findings_fin: {'small left adrenal nodule': {'clinical finding': 'small left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small left adrenal', 'observation': 'nodule', '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': '2.9 cm x 2.9 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'upper lobe spiculated mass': {'clinical finding': 'upper lobe spiculated mass', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe spiculated', 'observation': 'mass'}}clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}clinical findings_fin: {'additional suspicious pulmonary nodules': {'clinical finding': 'additional suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'origin': {}}location descriptor_fin: ['right']clinical findings_fin: {'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: {'hilar or mediastinal adenopathy': {'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'}}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: {'ribs': {}}location descriptor_fin: ['right']clinical findings_fin: {'acute fractures': {'clinical finding': 'acute fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}location descriptor_fin: ['left']clinical findings_fin: {'small left adrenal nodule': {'clinical finding': 'small left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small left adrenal', 'observation': 'nodule', 'strength_term': 'small'}} [/INST] . The upper lobe spiculated mass measuring 2.9 cm x 2.9 cm. The stranding is noted to the pleural surfaces. No additional suspicious pulmonary nodules or masses identified. Right pleural effusion most likely post traumatic in origin. No hilar or mediastinal adenopathy identified. Cardiac size is normal without evidence of pericardial effusion. Mild. Acute fractures of the right sixth seventh and eighth ribs. Mild degenerative changes throughout the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Small left adrenal nodule most likely benign. </s> |
There is deformity of the left hemimandible, presumably relating to postoperative changes from previous nucleation curettage of odontogenic keratocyst. Regarding the maxilla, the inferolateral wall and posterior wall of the right maxillary sinus are essentially absent, with a similar but larger osseous defect on the left, marginated largely by fat density. There is nonspecific soft tissue density within the more focal defect along the superior margin of the left maxillary alveolar process along the remaining left maxillary molar, presumably postoperative. The osseous defect measures approximately 1.3 cm transverse x 1.5 cm CC. There is slight discontinuity of the lingual cortex between ADA #13 and 14. Additional expansile focal lucency is seen between ADA 10 and 11 with severe thinning if not absence of the buccal and lingual cortex in areas. This area of lucency measures 10 x 10 mm in greatest axial dimensions, x 21 mm CC, with central density measuring up to 86 Hounsfield units. There is mild nonspecific prominence of the lateral ventricles. There is focal prominence of extra-axial space along the posterior aspect of the cerebellum, right slightly greater than left side with mild localized mass effect on the cerebellum. This may represent a mega cisterna magna versus retrocerebellar cyst, with the area of CSF density measuring approximately 5.3 x 2.0 cm in greatest axial dimensions. Minimally prominent dural calcifications are seen along the retroclival region which may relate to patients underlying Gorlin syndrome. Intracranial structures are otherwise grossly unremarkable. Postsurgical changes are seen along the anterior cervical spine relating to previous surgical fusion of C3 on C4. The right sphenoid sinus is partially opacified. There is a groundglass appearance of the clivus and central skull base structures. | location descriptor_fin: ['left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'odontogenic keratocyst': {'clinical finding': 'odontogenic keratocyst', 'cf_snomed': {'odontogenic keratocyst': 713277006}, 'existence': 'pos_dx', 'descriptive_term': 'odontogenic', 'observation': 'keratocyst'}}anatomical entity_fin: {'maxilla': {}, 'wall': {'location descriptor': 'posterior'}, 'maxillary sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['inferolateral', 'posterior', 'right', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'similar but larger osseous defect': {'clinical finding': 'similar but larger osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'similar but larger osseous', 'observation': 'defect'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}imaging observation_fin: ['soft tissue density', 'margin']location descriptor_fin: ['superior', 'left']clinical findings_fin: {'nonspecific soft tissue density': {'clinical finding': 'nonspecific soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft tissue', 'observation': 'density'}, 'more focal defect': {'clinical finding': 'more focal defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'more focal', 'observation': 'defect', 'quantity_term': 'more'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'transverse'}, {'size': '1.5 cm', 'size_descriptor': 'cc'}]clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'slight discontinuity': {'clinical finding': 'slight discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'severe thinning': {'clinical finding': 'severe thinning', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thinning', 'strength_term': 'severe'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '21 mm'}]location descriptor_fin: ['central']clinical findings_fin: {'central density': {'clinical finding': 'central density', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'density'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'is mild nonspecific prominence of the lateral ventricles': {'clinical finding': 'is mild nonspecific prominence of the lateral ventricles'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: {'mild localized mass effect': {'clinical finding': 'mild localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild localized mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '5.3 x 2.0 cm'}]anatomical entity_fin: {'cisterna magna': {}}clinical findings_fin: {'mega cisterna magna': {'clinical finding': 'mega cisterna magna', 'cf_snomed': {'mega cisterna magna': 447739003}, 'existence': 'unc_dx', 'descriptive_term': 'mega cisterna', 'observation': 'magna'}, 'retrocerebellar cyst': {'clinical finding': 'retrocerebellar cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'retrocerebellar', 'observation': 'cyst'}, 'csf density': {'clinical finding': 'csf density', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'density'}}clinical findings_fin: {'minimally prominent dural calcifications': {'clinical finding': 'minimally prominent dural calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimally prominent dural', 'observation': 'calcification', 'strength_term': 'prominent'}, 'gorlin syndrome': {'clinical finding': 'gorlin syndrome', 'cf_snomed': {'gorlin syndrome': 69408002}, 'existence': 'unc_dx', 'descriptive_term': 'gorlin', 'observation': 'syndrome'}}clinical findings_fin: {'intracranial structures are otherwise grossly unremarkable': {'clinical finding': 'intracranial structures are otherwise grossly unremarkable'}}anatomical entity_fin: {'cervical spine': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'previous surgical fusion': {'clinical finding': 'previous surgical fusion', 'existence': 'pos_dx', 'descriptive_term': 'previous surgical', 'observation': 'fusion', 'temporal_term': 'previous'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right sphenoid sinus is partially opacified': {'clinical finding': 'right sphenoid sinus is partially opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}anatomical entity_fin: {'clivus': {}, 'skull': {'location descriptor': 'central'}, 'base': {}}location descriptor_fin: ['central']clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}} | 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: ['left']clinical findings_fin: {'deformity': {'clinical finding': 'deformity', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'observation': 'deformity'}, 'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'odontogenic keratocyst': {'clinical finding': 'odontogenic keratocyst', 'cf_snomed': {'odontogenic keratocyst': 713277006}, 'existence': 'pos_dx', 'descriptive_term': 'odontogenic', 'observation': 'keratocyst'}}anatomical entity_fin: {'maxilla': {}, 'wall': {'location descriptor': 'posterior'}, 'maxillary sinus': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['inferolateral', 'posterior', 'right', 'left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}, 'similar but larger osseous defect': {'clinical finding': 'similar but larger osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'similar but larger osseous', 'observation': 'defect'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}imaging observation_fin: ['soft tissue density', 'margin']location descriptor_fin: ['superior', 'left']clinical findings_fin: {'nonspecific soft tissue density': {'clinical finding': 'nonspecific soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft tissue', 'observation': 'density'}, 'more focal defect': {'clinical finding': 'more focal defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'more focal', 'observation': 'defect', 'quantity_term': 'more'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'transverse'}, {'size': '1.5 cm', 'size_descriptor': 'cc'}]clinical findings_fin: {'osseous defect': {'clinical finding': 'osseous defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'defect'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'slight discontinuity': {'clinical finding': 'slight discontinuity', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'discontinuity'}}anatomical entity_fin: {'cortex': {}}clinical findings_fin: {'severe thinning': {'clinical finding': 'severe thinning', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'thinning', 'strength_term': 'severe'}}size_fin: [{'size': '10 x 10 mm'}, {'size': '21 mm'}]location descriptor_fin: ['central']clinical findings_fin: {'central density': {'clinical finding': 'central density', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'density'}}anatomical entity_fin: {'lateral ventricles': {}}clinical findings_fin: {'is mild nonspecific prominence of the lateral ventricles': {'clinical finding': 'is mild nonspecific prominence of the lateral ventricles'}}anatomical entity_fin: {'cerebellum': {}}location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: {'mild localized mass effect': {'clinical finding': 'mild localized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild localized mass', 'observation': 'effect', 'strength_term': 'mild'}}size_fin: [{'size': '5.3 x 2.0 cm'}]anatomical entity_fin: {'cisterna magna': {}}clinical findings_fin: {'mega cisterna magna': {'clinical finding': 'mega cisterna magna', 'cf_snomed': {'mega cisterna magna': 447739003}, 'existence': 'unc_dx', 'descriptive_term': 'mega cisterna', 'observation': 'magna'}, 'retrocerebellar cyst': {'clinical finding': 'retrocerebellar cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'retrocerebellar', 'observation': 'cyst'}, 'csf density': {'clinical finding': 'csf density', 'existence': 'pos_dx', 'descriptive_term': 'csf', 'observation': 'density'}}clinical findings_fin: {'minimally prominent dural calcifications': {'clinical finding': 'minimally prominent dural calcifications', 'existence': 'pos_dx', 'descriptive_term': 'minimally prominent dural', 'observation': 'calcification', 'strength_term': 'prominent'}, 'gorlin syndrome': {'clinical finding': 'gorlin syndrome', 'cf_snomed': {'gorlin syndrome': 69408002}, 'existence': 'unc_dx', 'descriptive_term': 'gorlin', 'observation': 'syndrome'}}clinical findings_fin: {'intracranial structures are otherwise grossly unremarkable': {'clinical finding': 'intracranial structures are otherwise grossly unremarkable'}}anatomical entity_fin: {'cervical spine': {'location descriptor': 'anterior'}}location descriptor_fin: ['anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'previous surgical fusion': {'clinical finding': 'previous surgical fusion', 'existence': 'pos_dx', 'descriptive_term': 'previous surgical', 'observation': 'fusion', 'temporal_term': 'previous'}}anatomical entity_fin: {'sphenoid sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right sphenoid sinus is partially opacified': {'clinical finding': 'right sphenoid sinus is partially opacified', 'cf_snomed': {'sinus': 419351001}, 'change_term': 'opacified'}}anatomical entity_fin: {'clivus': {}, 'skull': {'location descriptor': 'central'}, 'base': {}}location descriptor_fin: ['central']clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}} [/INST] There is deformity of the left hemimandible, presumably relating to postoperative changes from previous nucleation curettage of odontogenic keratocyst. Regarding the maxilla, the inferolateral wall and posterior wall of the right maxillary sinus are essentially absent, with a similar but larger osseous defect on the left, marginated largely by fat density. There is nonspecific soft tissue density within the more focal defect along the superior margin of the left maxillary alveolar process along the remaining left maxillary molar, presumably postoperative. The osseous defect measures approximately 1.3 cm transverse x 1.5 cm CC. There is slight discontinuity of the lingual cortex between ADA #13 and 14. Additional expansile focal lucency is seen between ADA 10 and 11 with severe thinning if not absence of the buccal and lingual cortex in areas. This area of lucency measures 10 x 10 mm in greatest axial dimensions, x 21 mm CC, with central density measuring up to 86 Hounsfield units. There is mild nonspecific prominence of the lateral ventricles. There is focal prominence of extra-axial space along the posterior aspect of the cerebellum, right slightly greater than left side with mild localized mass effect on the cerebellum. This may represent a mega cisterna magna versus retrocerebellar cyst, with the area of CSF density measuring approximately 5.3 x 2.0 cm in greatest axial dimensions. Minimally prominent dural calcifications are seen along the retroclival region which may relate to patients underlying Gorlin syndrome. Intracranial structures are otherwise grossly unremarkable. Postsurgical changes are seen along the anterior cervical spine relating to previous surgical fusion of C3 on C4. The right sphenoid sinus is partially opacified. There is a groundglass appearance of the clivus and central skull base structures. </s> |
Todays CT portion grossly demonstrates approximately 3-cm soft tissue density mass in the mid to distal esophagus. Sliding hiatal hernia is noted. Bibasilar atelectasis or scarring is present. Right chest Port-A-Cath with tip at the SVC or RA junction. Trace pericardial effusion or thickening is noted. Extensive atherosclerotic including very mild coronary arterial calcifications are seen. Cholecystectomy clips are identified. Todays PET examination demonstrates a medium-sized markedly hypermetabolic mass in the mid to distal esophagus , compatible with the patients diagnosis of esophageal carcinoma. No additional suspicious FDG avid lesion to indicate metastatic disease. No suspicious FDG avid lesion in the neck. Several tubular hypermetabolic bowel foci consistent with benign physiologic or inflammatory uptake. | size_fin: [{'size': '3-cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal']clinical findings_fin: {'approximately 3-cm soft tissue density mass': {'clinical finding': 'approximately 3-cm soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3-cm soft tissue density', 'observation': 'mass'}}clinical findings_fin: {'sliding hiatal hernia': {'clinical finding': 'sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'sliding hiatal', 'observation': 'hernia'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'extensive atherosclerotic': {'clinical finding': 'extensive atherosclerotic', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'atherosclerotic', 'strength_term': 'extensive'}, 'very mild coronary arterial calcifications': {'clinical finding': 'very mild coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'very mild coronary arterial', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'medium-sized markedly hypermetabolic mass': {'clinical finding': 'medium-sized markedly hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'medium-sized markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'medium'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}clinical findings_fin: {'additional suspicious fdg avid lesion': {'clinical finding': 'additional suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious fdg avid', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several tubular hypermetabolic bowel foci': {'clinical finding': 'several tubular hypermetabolic bowel foci', 'existence': 'pos_dx', 'descriptive_term': 'several tubular hypermetabolic bowel', 'observation': 'foci', 'quantity_term': 'several'}} | 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': '3-cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['distal']clinical findings_fin: {'approximately 3-cm soft tissue density mass': {'clinical finding': 'approximately 3-cm soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'approximately 3-cm soft tissue density', 'observation': 'mass'}}clinical findings_fin: {'sliding hiatal hernia': {'clinical finding': 'sliding hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'sliding hiatal', 'observation': 'hernia'}}clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'trace pericardial effusion': {'clinical finding': 'trace pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'}}clinical findings_fin: {'extensive atherosclerotic': {'clinical finding': 'extensive atherosclerotic', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'atherosclerotic', 'strength_term': 'extensive'}, 'very mild coronary arterial calcifications': {'clinical finding': 'very mild coronary arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'very mild coronary arterial', 'observation': 'calcification', 'strength_term': 'mild'}}object_fin: ['cholecystectomy clips']clinical findings_fin: {'cholecystectomy clips': {'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'medium-sized markedly hypermetabolic mass': {'clinical finding': 'medium-sized markedly hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'medium-sized markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'medium'}, 'esophageal carcinoma': {'clinical finding': 'esophageal carcinoma', 'cf_snomed': {'carcinoma': 1187425009}, 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'carcinoma'}}clinical findings_fin: {'additional suspicious fdg avid lesion': {'clinical finding': 'additional suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'additional suspicious fdg avid', 'observation': 'lesion'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'suspicious fdg avid lesion': {'clinical finding': 'suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['foci']clinical findings_fin: {'several tubular hypermetabolic bowel foci': {'clinical finding': 'several tubular hypermetabolic bowel foci', 'existence': 'pos_dx', 'descriptive_term': 'several tubular hypermetabolic bowel', 'observation': 'foci', 'quantity_term': 'several'}} [/INST] Todays CT portion grossly demonstrates approximately 3-cm soft tissue density mass in the mid to distal esophagus. Sliding hiatal hernia is noted. Bibasilar atelectasis or scarring is present. Right chest Port-A-Cath with tip at the SVC or RA junction. Trace pericardial effusion or thickening is noted. Extensive atherosclerotic including very mild coronary arterial calcifications are seen. Cholecystectomy clips are identified. Todays PET examination demonstrates a medium-sized markedly hypermetabolic mass in the mid to distal esophagus , compatible with the patients diagnosis of esophageal carcinoma. No additional suspicious FDG avid lesion to indicate metastatic disease. No suspicious FDG avid lesion in the neck. Several tubular hypermetabolic bowel foci consistent with benign physiologic or inflammatory uptake. </s> |
There is no evidence of intracranial mass or abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. | clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}} | 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 mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}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'}} [/INST] There is no evidence of intracranial mass or abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. </s> |
There are stable posttreatment changes in the neck, including diffuse laryngeal mucosal edema as well as a small defect in the anterior left vocal cord. The left arytenoid cartilage appears somewhat rotated, similar to prior. Otherwise, the imaged nasopharynx, oropharynx, and hypopharynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The major salivary glands and thyroid gland are unremarkable. Scattered small cervical lymph nodes are unchanged, without evidence of lymphadenopathy. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine shows mild degenerative changes without focal osseous lesion or significant interval change. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. | anatomical entity_fin: {'neck': {}}imaging observation_fin: ['cord']location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'stable posttreatment changes': {'clinical finding': 'stable posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'stable posttreatment', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'diffuse laryngeal mucosal edema': {'clinical finding': 'diffuse laryngeal mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse laryngeal mucosal', 'observation': 'edema'}, 'small defect': {'clinical finding': 'small defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'defect', 'strength_term': 'small'}}anatomical entity_fin: {'arytenoid cartilage': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'rotated': {'clinical finding': 'rotated', 'existence': 'pos_dx', 'observation': 'rotate'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'imaged nasopharynx , oropharynx , and hypopharynx': {'clinical finding': 'imaged nasopharynx , oropharynx , and hypopharynx'}}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'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}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'}}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: {'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': {}, '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'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}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': '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: anatomical entity_fin: {'neck': {}}imaging observation_fin: ['cord']location descriptor_fin: ['anterior', 'left']clinical findings_fin: {'stable posttreatment changes': {'clinical finding': 'stable posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'stable posttreatment', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'diffuse laryngeal mucosal edema': {'clinical finding': 'diffuse laryngeal mucosal edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse laryngeal mucosal', 'observation': 'edema'}, 'small defect': {'clinical finding': 'small defect', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'defect', 'strength_term': 'small'}}anatomical entity_fin: {'arytenoid cartilage': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'rotated': {'clinical finding': 'rotated', 'existence': 'pos_dx', 'observation': 'rotate'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}}clinical findings_fin: {'imaged nasopharynx , oropharynx , and hypopharynx': {'clinical finding': 'imaged nasopharynx , oropharynx , and hypopharynx'}}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'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'discrete fluid collection': {'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection'}}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'}}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: {'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': {}, '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'}, 'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}, 'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}}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': 'pos_dx', 'observation': 'patent'}} [/INST] There are stable posttreatment changes in the neck, including diffuse laryngeal mucosal edema as well as a small defect in the anterior left vocal cord. The left arytenoid cartilage appears somewhat rotated, similar to prior. Otherwise, the imaged nasopharynx, oropharynx, and hypopharynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or discrete fluid collection. The major salivary glands and thyroid gland are unremarkable. Scattered small cervical lymph nodes are unchanged, without evidence of lymphadenopathy. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. The orbits and paranasal sinuses are unremarkable. The cervical spine shows mild degenerative changes without focal osseous lesion or significant interval change. The visualized lung apices are unremarkable. The carotid arteries and jugular veins are patent. </s> |
The small left temporal hemorrhage has not significantly changed. It is still not associated with significant surrounding edema or mass effect. There is no new intracranial hemorrhage. The remainder of the brain is notable for scattered foci of frontoparietal white matter hypoattenuation that probably reflect microvascular ischemia. The mild, asymmetric expansion of the CSF space overlying the right frontal and parietal lobes near the vertex has not changed. As discussed previously, this is most probably expanded subarachnoid space related to volume loss rather than chronic subdural collection. Otherwise, there is generalized mild dilatation of the ventricles and other CSF-containing spaces, reflecting mild volume loss. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. The orbits are normal. | location descriptor_fin: ['left']clinical findings_fin: {'small left temporal hemorrhage': {'clinical finding': 'small left temporal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'small left temporal', 'observation': 'hemorrhage', 'strength_term': 'small'}}clinical findings_fin: {'significant surrounding edema': {'clinical finding': 'significant surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'significant surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'frontoparietal white matter hypoattenuation': {'clinical finding': 'frontoparietal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'frontoparietal white matter', 'observation': 'hypoattenuation'}, 'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'parietal lobes': {}, 'vertex': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed': {'clinical finding': 'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed', 'change_term': 'changed'}}anatomical entity_fin: {'subarachnoid space': {}}clinical findings_fin: {'expanded subarachnoid space': {'clinical finding': 'expanded subarachnoid space', 'existence': 'unc_dx', 'descriptive_term': 'expanded subarachnoid', 'observation': 'space', 'change_term': 'expanded'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic subdural': {'clinical finding': 'chronic subdural', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'subdural', 'temporal_term': 'chronic'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}} | 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: ['left']clinical findings_fin: {'small left temporal hemorrhage': {'clinical finding': 'small left temporal hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'neg_dx', 'descriptive_term': 'small left temporal', 'observation': 'hemorrhage', 'strength_term': 'small'}}clinical findings_fin: {'significant surrounding edema': {'clinical finding': 'significant surrounding edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'descriptive_term': 'significant surrounding', 'observation': 'edema'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'brain': {}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered foci': {'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci'}, 'frontoparietal white matter hypoattenuation': {'clinical finding': 'frontoparietal white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'frontoparietal white matter', 'observation': 'hypoattenuation'}, 'microvascular ischemia': {'clinical finding': 'microvascular ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'microvascular', 'observation': 'ischemia'}}anatomical entity_fin: {'parietal lobes': {}, 'vertex': {}}location descriptor_fin: ['right']clinical findings_fin: {'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed': {'clinical finding': 'mild , asymmetric expansion of the csf space overlying the right frontal and parietal lobes near the vertex has not changed', 'change_term': 'changed'}}anatomical entity_fin: {'subarachnoid space': {}}clinical findings_fin: {'expanded subarachnoid space': {'clinical finding': 'expanded subarachnoid space', 'existence': 'unc_dx', 'descriptive_term': 'expanded subarachnoid', 'observation': 'space', 'change_term': 'expanded'}, 'volume loss': {'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'}, 'chronic subdural': {'clinical finding': 'chronic subdural', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'subdural', 'temporal_term': 'chronic'}}clinical findings_fin: {'mild volume loss': {'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'}}anatomical entity_fin: {'skull': {}}clinical findings_fin: {'skull fracture': {'clinical finding': 'skull fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'}}anatomical entity_fin: {'mastoid air cells': {}, 'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are normal': {'clinical finding': 'orbits are normal'}} [/INST] The small left temporal hemorrhage has not significantly changed. It is still not associated with significant surrounding edema or mass effect. There is no new intracranial hemorrhage. The remainder of the brain is notable for scattered foci of frontoparietal white matter hypoattenuation that probably reflect microvascular ischemia. The mild, asymmetric expansion of the CSF space overlying the right frontal and parietal lobes near the vertex has not changed. As discussed previously, this is most probably expanded subarachnoid space related to volume loss rather than chronic subdural collection. Otherwise, there is generalized mild dilatation of the ventricles and other CSF-containing spaces, reflecting mild volume loss. There is no skull fracture. Mastoid air cells and paranasal sinuses are clear. The orbits are normal. </s> |
. Focal left upper lobe cavitary lesion on image 30 of series 5 is slightly smaller now measuring 2.2 cm compared to 2.5 cm on previous study. Small nodular opacities in the right upper lobe have resolved. Centrilobular and tree-in-bud nodularity within the left upper lobe and lingula has improved since previous study. Patent central airways. Small right peritracheal air cyst at the thoracic inlet. Small bronchial diverticulum at the carina. Mild biapical pleural-parenchymal scarring. Multiple thyroid nodules again noted bilaterally, right greater than left, some calcified, measuring up to 1.3 cm in the right lobe posteriorly. No significant abnormality noted. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | size_fin: [{'size': '2.2 cm'}, {'size': '2.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'focal left upper lobe cavitary lesion': {'clinical finding': 'focal left upper lobe cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal left upper lobe cavitary', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small nodular opacities': {'clinical finding': 'small nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'opacity', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lingula': {}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['centrilobular', 'left', 'upper']clinical findings_fin: {'centrilobular': {'clinical finding': 'centrilobular', 'existence': 'pos_dx', 'observation': 'centrilobular'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}anatomical entity_fin: {'thoracic inlet': {}}location descriptor_fin: ['right']clinical findings_fin: {'small right peritracheal air cyst': {'clinical finding': 'small right peritracheal air cyst', 'cf_snomed': {'air cyst': 53099003}, 'existence': 'pos_dx', 'descriptive_term': 'small right peritracheal air', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'carina': {}}clinical findings_fin: {'small bronchial diverticulum': {'clinical finding': 'small bronchial diverticulum', 'cf_snomed': {'bronchial diverticulum': 38264004}, 'existence': 'pos_dx', 'descriptive_term': 'small bronchial', 'observation': 'diverticulum', 'strength_term': 'small'}}clinical findings_fin: {'mild biapical pleural-parenchymal scarring': {'clinical finding': 'mild biapical pleural-parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical pleural-parenchymal', 'observation': 'scarr', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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: size_fin: [{'size': '2.2 cm'}, {'size': '2.5 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'focal left upper lobe cavitary lesion': {'clinical finding': 'focal left upper lobe cavitary lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal left upper lobe cavitary', 'observation': 'lesion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small nodular opacities': {'clinical finding': 'small nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'opacity', 'strength_term': 'small'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}, 'lingula': {}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['centrilobular', 'left', 'upper']clinical findings_fin: {'centrilobular': {'clinical finding': 'centrilobular', 'existence': 'pos_dx', 'observation': 'centrilobular'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent central airways': {'clinical finding': 'patent central airways', 'change_term': 'patent'}}anatomical entity_fin: {'thoracic inlet': {}}location descriptor_fin: ['right']clinical findings_fin: {'small right peritracheal air cyst': {'clinical finding': 'small right peritracheal air cyst', 'cf_snomed': {'air cyst': 53099003}, 'existence': 'pos_dx', 'descriptive_term': 'small right peritracheal air', 'observation': 'cyst', 'strength_term': 'small'}}anatomical entity_fin: {'carina': {}}clinical findings_fin: {'small bronchial diverticulum': {'clinical finding': 'small bronchial diverticulum', 'cf_snomed': {'bronchial diverticulum': 38264004}, 'existence': 'pos_dx', 'descriptive_term': 'small bronchial', 'observation': 'diverticulum', 'strength_term': 'small'}}clinical findings_fin: {'mild biapical pleural-parenchymal scarring': {'clinical finding': 'mild biapical pleural-parenchymal scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild biapical pleural-parenchymal', 'observation': 'scarr', 'strength_term': 'mild'}}size_fin: [{'size': '1.3 cm', 'size_descriptor': 'nodules'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'multiple thyroid nodules': {'clinical finding': 'multiple thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'multiple thyroid', 'observation': 'nodule', 'quantity_term': 'multiple'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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] . Focal left upper lobe cavitary lesion on image 30 of series 5 is slightly smaller now measuring 2.2 cm compared to 2.5 cm on previous study. Small nodular opacities in the right upper lobe have resolved. Centrilobular and tree-in-bud nodularity within the left upper lobe and lingula has improved since previous study. Patent central airways. Small right peritracheal air cyst at the thoracic inlet. Small bronchial diverticulum at the carina. Mild biapical pleural-parenchymal scarring. Multiple thyroid nodules again noted bilaterally, right greater than left, some calcified, measuring up to 1.3 cm in the right lobe posteriorly. No significant abnormality noted. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
. Technically excellent quality infusion of the pulmonary vasculature. No evidence of acute pulmonary embolism. Pulmonary artery is enlarged measuring up to 33 mm suggestive of pulmonary hypertension. Moderate centrilobular emphysema. Trace bilateral pleural effusions with overlying compressive atelectasis. No focal air space opacity. No suspicious masses or nodules. Cardiomegaly without pericardial effusion. Right atrium and right ventricle are dilated with straight intraventricular septum. Mild dilatation of the descending portion of the aortic arch and the proximal descending portion of the intrathoracic aorta at the isthmus measuring up to 4.3 cm in the transverse dimension. No mediastinal hematoma. Atherosclerotic calcifications of the aorta and its branches with mild coronary artery calcifications. Multiple calcified hilar and mediastinal nodes consistent with prior infection. The esophagus is dilated and filled with air. NG tube with side hole in the distal esophagus and tip in the stomach. Endotracheal tube in place above the carina. Right central venous catheter with tip in the SVC. Mild degenerative thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Indeterminate left adrenal nodule which measures up to 2.4 cm and is mildly enlarged when compared to previous CT examination. The adrenal lesion does not meet CT criteria for adenoma and could be an atypical adenoma however malignancy cannot be excluded without dedicated imaging. Trace abdominal ascites. Dilatation and unsharp margins of the gallbladder neck compared to previous exam. No intrahepatic biliary dilatation. Numerous hepatic and renal hypodensities, incompletely characterized, but appear similar to prior study, and likely represent simple cysts. Nonobstructing left renal calculi. Hypoattenuating lesions in the pancreas too small to accurately characterize but may reflect a side branch IPMNs given the patients age. | anatomical entity_fin: {'vasculature': {}}procedure_fin: ['infusion']clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}}clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '33 mm'}]anatomical entity_fin: {'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': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'right atrium': {}, 'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'aortic arch': {}, 'aorta': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild dilatation of the descending portion of the aortic arch': {'clinical finding': 'mild dilatation of the descending portion of the aortic arch', 'cf_snomed': {'dilatation': 25322007}}}imaging observation_fin: ['hematoma']clinical findings_fin: {'mediastinal hematoma': {'clinical finding': 'mediastinal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'hematoma'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'multiple calcified hilar and mediastinal nodes': {'clinical finding': 'multiple calcified hilar and mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified hilar and mediastinal', 'observation': 'node', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'prior infection': {'clinical finding': 'prior infection', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infection'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'side hole': {'clinical finding': 'side hole', 'existence': 'pos_dx', 'descriptive_term': 'side', 'observation': 'hole'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative thoracic spine': {'clinical finding': 'mild degenerative thoracic spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'indeterminate left adrenal nodule': {'clinical finding': 'indeterminate left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate left adrenal', 'observation': 'nodule'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'adrenal lesion': {'clinical finding': 'adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'lesion'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'neg_dx', 'observation': 'adenoma'}, 'atypical adenoma': {'clinical finding': 'atypical adenoma', 'cf_snomed': {'atypical adenoma': 24482001}, 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'adenoma'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}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: {'gallbladder': {}, 'neck': {}}imaging observation_fin: ['margins']clinical findings_fin: {'numerous hepatic and renal hypodensities': {'clinical finding': 'numerous hepatic and renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic and renal', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal calculi': {'clinical finding': 'left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'calculi'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'ipmns': {'clinical finding': 'ipmns', 'existence': 'unc_dx', 'observation': 'ipmn'}} | 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: {'vasculature': {}}procedure_fin: ['infusion']clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}}clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '33 mm'}]anatomical entity_fin: {'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': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}clinical findings_fin: {'moderate centrilobular emphysema': {'clinical finding': 'moderate centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral pleural effusions': {'clinical finding': 'bilateral pleural effusions', 'cf_snomed': {'bilateral pleural effusion': 425802001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'}, 'overlying compressive atelectasis': {'clinical finding': 'overlying compressive atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'}}clinical findings_fin: {'focal air space opacity': {'clinical finding': 'focal air space opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity'}}clinical findings_fin: {'suspicious masses': {'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'}, 'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'right atrium': {}, 'right ventricle': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}size_fin: [{'size': '4.3 cm', 'size_descriptor': 'dilatation'}]anatomical entity_fin: {'aortic arch': {}, 'aorta': {}}location descriptor_fin: ['proximal']clinical findings_fin: {'mild dilatation of the descending portion of the aortic arch': {'clinical finding': 'mild dilatation of the descending portion of the aortic arch', 'cf_snomed': {'dilatation': 25322007}}}imaging observation_fin: ['hematoma']clinical findings_fin: {'mediastinal hematoma': {'clinical finding': 'mediastinal hematoma', 'cf_snomed': {'hematoma': 385494008}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'hematoma'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcifications': {'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}, 'mild coronary artery calcifications': {'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'}}clinical findings_fin: {'multiple calcified hilar and mediastinal nodes': {'clinical finding': 'multiple calcified hilar and mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified hilar and mediastinal', 'observation': 'node', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'prior infection': {'clinical finding': 'prior infection', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'infection'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}, 'stomach': {}}location descriptor_fin: ['distal']object_fin: ['tube']clinical findings_fin: {'side hole': {'clinical finding': 'side hole', 'existence': 'pos_dx', 'descriptive_term': 'side', 'observation': 'hole'}}anatomical entity_fin: {'carina': {}}object_fin: ['endotracheal tube']clinical findings_fin: {'endotracheal tube': {'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'}}location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: {'right central venous catheter': {'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative thoracic spine': {'clinical finding': 'mild degenerative thoracic spine'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}size_fin: [{'size': '2.4 cm', 'size_descriptor': 'nodule'}]location descriptor_fin: ['left']clinical findings_fin: {'indeterminate left adrenal nodule': {'clinical finding': 'indeterminate left adrenal nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'indeterminate left adrenal', 'observation': 'nodule'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'adrenal lesion': {'clinical finding': 'adrenal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'lesion'}, 'adenoma': {'clinical finding': 'adenoma', 'cf_snomed': {'adenoma': 1187379001}, 'existence': 'neg_dx', 'observation': 'adenoma'}, 'atypical adenoma': {'clinical finding': 'atypical adenoma', 'cf_snomed': {'atypical adenoma': 24482001}, 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'adenoma'}, 'malignancy': {'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'}}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: {'gallbladder': {}, 'neck': {}}imaging observation_fin: ['margins']clinical findings_fin: {'numerous hepatic and renal hypodensities': {'clinical finding': 'numerous hepatic and renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous hepatic and renal', 'observation': 'hypodensity', 'quantity_term': 'numerous'}, 'simple cysts': {'clinical finding': 'simple cysts', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}location descriptor_fin: ['left']clinical findings_fin: {'left renal calculi': {'clinical finding': 'left renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'calculi'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'hypoattenuating lesions': {'clinical finding': 'hypoattenuating lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'ipmns': {'clinical finding': 'ipmns', 'existence': 'unc_dx', 'observation': 'ipmn'}} [/INST] . Technically excellent quality infusion of the pulmonary vasculature. No evidence of acute pulmonary embolism. Pulmonary artery is enlarged measuring up to 33 mm suggestive of pulmonary hypertension. Moderate centrilobular emphysema. Trace bilateral pleural effusions with overlying compressive atelectasis. No focal air space opacity. No suspicious masses or nodules. Cardiomegaly without pericardial effusion. Right atrium and right ventricle are dilated with straight intraventricular septum. Mild dilatation of the descending portion of the aortic arch and the proximal descending portion of the intrathoracic aorta at the isthmus measuring up to 4.3 cm in the transverse dimension. No mediastinal hematoma. Atherosclerotic calcifications of the aorta and its branches with mild coronary artery calcifications. Multiple calcified hilar and mediastinal nodes consistent with prior infection. The esophagus is dilated and filled with air. NG tube with side hole in the distal esophagus and tip in the stomach. Endotracheal tube in place above the carina. Right central venous catheter with tip in the SVC. Mild degenerative thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Indeterminate left adrenal nodule which measures up to 2.4 cm and is mildly enlarged when compared to previous CT examination. The adrenal lesion does not meet CT criteria for adenoma and could be an atypical adenoma however malignancy cannot be excluded without dedicated imaging. Trace abdominal ascites. Dilatation and unsharp margins of the gallbladder neck compared to previous exam. No intrahepatic biliary dilatation. Numerous hepatic and renal hypodensities, incompletely characterized, but appear similar to prior study, and likely represent simple cysts. Nonobstructing left renal calculi. Hypoattenuating lesions in the pancreas too small to accurately characterize but may reflect a side branch IPMNs given the patients age. </s> |
. No significant abnormality noted. No significant abnormality noted. There is a small, round, soft tissue nodule medial to the spleen, and likely represents an accessory splenule. No significant abnormality noted. No significant abnormality noted. Punctate hyper-attenuating lesion in the right inferior minor calyx, representing nonobstructive punctate nephrolithiasis. No hydronephrosis. No significant abnormality noted. None. Exam is limited by lack of oral contrast. There are multiple dilated loops of small bowel with air-fluid levels starting at the the proximal jejunum, measuring up to 4.5 cm on image #31, series #8032. The distal bowel loops are decompressed, indicating small bowel obstruction with transition mid ileum. There is no pneumatosis or findings to indicate bowel ischemia. The left lower quadrant percutaneous pelvic drain is again visualized, with interval decrease in size of the previously seen presacral fluid collection, measuring 2.2 x 4.0 cm. Status post proctocolectomy, with suture line visible along the rectal stump. Unchanged peritoneal scattered foci of gas, postsurgical. Postsurgical changes around ostomy site. Oral contrast injected at the ostomy site is seen within adjacent small bowel loops. Midline postsurgical material noted within the anterior abdominal wall. 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'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['medial']clinical findings_fin: {'small, round, soft tissue nodule': {'clinical finding': 'small, round, soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small round soft tissue', 'observation': 'nodule', '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'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'punctate hyper-attenuating lesion': {'clinical finding': 'punctate hyper-attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hyper-attenuating', 'observation': 'lesion'}, 'nonobstructive punctate nephrolithiasis': {'clinical finding': 'nonobstructive punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate', 'observation': 'nephrolithiasis'}}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'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}, 'fluid': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'multiple dilated': {'clinical finding': 'multiple dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dilated', 'quantity_term': 'multiple'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}location descriptor_fin: ['distal']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'bowel ischemia': {'clinical finding': 'bowel ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'ischemia'}}size_fin: [{'size': '2.2 x 4.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant percutaneous': {'clinical finding': 'left lower quadrant percutaneous', 'existence': 'pos_dx', 'descriptive_term': 'left lower quadrant', 'observation': 'percutaneous'}, 'previously seen presacral fluid collection': {'clinical finding': 'previously seen presacral fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen presacral fluid', 'observation': 'collection'}}object_fin: ['suture']imaging observation_fin: ['foci']clinical findings_fin: {'unchanged peritoneal scattered foci': {'clinical finding': 'unchanged peritoneal scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged peritoneal scattered', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ostomy site': {'clinical finding': 'ostomy site', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'site'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['adjacent']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast injected at the ostomy site is seen within adjacent small bowel loops': {'clinical finding': 'oral contrast injected at the ostomy site is seen within adjacent small bowel loops'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline postsurgical material': {'clinical finding': 'midline postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'midline postsurgical', 'observation': 'material'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}anatomical entity_fin: {'spleen': {}}location descriptor_fin: ['medial']clinical findings_fin: {'small, round, soft tissue nodule': {'clinical finding': 'small, round, soft tissue nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small round soft tissue', 'observation': 'nodule', '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'}}location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'punctate hyper-attenuating lesion': {'clinical finding': 'punctate hyper-attenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate hyper-attenuating', 'observation': 'lesion'}, 'nonobstructive punctate nephrolithiasis': {'clinical finding': 'nonobstructive punctate nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive punctate', 'observation': 'nephrolithiasis'}}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'}}size_fin: [{'size': '4.5 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}, 'fluid': {}, 'jejunum': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'multiple dilated': {'clinical finding': 'multiple dilated', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'dilated', 'quantity_term': 'multiple'}, 'air-fluid levels': {'clinical finding': 'air-fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'}}anatomical entity_fin: {'bowel': {}, 'ileum': {}}location descriptor_fin: ['distal']clinical findings_fin: {'decompressed': {'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'}, 'small bowel obstruction': {'clinical finding': 'small bowel obstruction', 'cf_snomed': {'small bowel obstruction': 281255004}, 'existence': 'unc_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'pneumatosis': {'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis'}, 'bowel ischemia': {'clinical finding': 'bowel ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'ischemia'}}size_fin: [{'size': '2.2 x 4.0 cm'}]anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower quadrant percutaneous': {'clinical finding': 'left lower quadrant percutaneous', 'existence': 'pos_dx', 'descriptive_term': 'left lower quadrant', 'observation': 'percutaneous'}, 'previously seen presacral fluid collection': {'clinical finding': 'previously seen presacral fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'previously seen presacral fluid', 'observation': 'collection'}}object_fin: ['suture']imaging observation_fin: ['foci']clinical findings_fin: {'unchanged peritoneal scattered foci': {'clinical finding': 'unchanged peritoneal scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'unchanged peritoneal scattered', 'observation': 'foci', 'strength_term': 'unchanged', 'change_term': 'unchanged'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'ostomy site': {'clinical finding': 'ostomy site', 'existence': 'pos_dx', 'descriptive_term': 'ostomy', 'observation': 'site'}}anatomical entity_fin: {'bowel': {}}location descriptor_fin: ['adjacent']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: {'oral contrast injected at the ostomy site is seen within adjacent small bowel loops': {'clinical finding': 'oral contrast injected at the ostomy site is seen within adjacent small bowel loops'}}anatomical entity_fin: {'anterior abdominal wall': {}}location descriptor_fin: ['midline']clinical findings_fin: {'midline postsurgical material': {'clinical finding': 'midline postsurgical material', 'existence': 'pos_dx', 'descriptive_term': 'midline postsurgical', 'observation': 'material'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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. There is a small, round, soft tissue nodule medial to the spleen, and likely represents an accessory splenule. No significant abnormality noted. No significant abnormality noted. Punctate hyper-attenuating lesion in the right inferior minor calyx, representing nonobstructive punctate nephrolithiasis. No hydronephrosis. No significant abnormality noted. None. Exam is limited by lack of oral contrast. There are multiple dilated loops of small bowel with air-fluid levels starting at the the proximal jejunum, measuring up to 4.5 cm on image #31, series #8032. The distal bowel loops are decompressed, indicating small bowel obstruction with transition mid ileum. There is no pneumatosis or findings to indicate bowel ischemia. The left lower quadrant percutaneous pelvic drain is again visualized, with interval decrease in size of the previously seen presacral fluid collection, measuring 2.2 x 4.0 cm. Status post proctocolectomy, with suture line visible along the rectal stump. Unchanged peritoneal scattered foci of gas, postsurgical. Postsurgical changes around ostomy site. Oral contrast injected at the ostomy site is seen within adjacent small bowel loops. Midline postsurgical material noted within the anterior abdominal wall. 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> |
. Moderate to severe upper lobe predominant emphysema. Calcified upper lobe predominant nodules likely from old granulomatous disease. The pleural spaces are clear. No significant abnormality noted. Sclerotic metastatic disease to the T8 spine has improved. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right renal collecting system. No hydronephrosis. Few scattered retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The prostate is enlarged. There is enhancing soft tissue that protrudes into the bladder. No significant abnormality noted. Small retroperitoneal and pelvic nodes. No significant abnormality noted. Sclerotic lesion in the right sacrum. No significant abnormality noted | anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate to severe upper lobe predominant emphysema': {'clinical finding': 'moderate to severe upper lobe predominant emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe upper lobe predominant', 'observation': 'emphysema', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'calcified upper lobe predominant nodules': {'clinical finding': 'calcified upper lobe predominant nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'calcified upper lobe predominant', 'observation': 'nodule', 'change_term': 'calcified'}, 'old granulomatous disease': {'clinical finding': 'old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'sclerotic metastatic disease': {'clinical finding': 'sclerotic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'sclerotic metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'few scattered retroperitoneal lymph nodes': {'clinical finding': 'few scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few scattered retroperitoneal lymph', 'observation': 'node', 'quantity_term': 'few'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing soft tissue': {'clinical finding': 'enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing soft', 'observation': 'tissue'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small retroperitoneal and pelvic nodes': {'clinical finding': 'small retroperitoneal and pelvic nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal and pelvic', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'sacrum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', '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: anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'moderate to severe upper lobe predominant emphysema': {'clinical finding': 'moderate to severe upper lobe predominant emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe upper lobe predominant', 'observation': 'emphysema', 'strength_term': 'moderate - severe'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'calcified upper lobe predominant nodules': {'clinical finding': 'calcified upper lobe predominant nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'calcified upper lobe predominant', 'observation': 'nodule', 'change_term': 'calcified'}, 'old granulomatous disease': {'clinical finding': 'old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}anatomical entity_fin: {'pleural spaces': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'sclerotic metastatic disease': {'clinical finding': 'sclerotic metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'sclerotic metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'renal collecting system': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'few scattered retroperitoneal lymph nodes': {'clinical finding': 'few scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few scattered retroperitoneal lymph', 'observation': 'node', 'quantity_term': 'few'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing soft tissue': {'clinical finding': 'enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing soft', 'observation': 'tissue'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small retroperitoneal and pelvic nodes': {'clinical finding': 'small retroperitoneal and pelvic nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal and pelvic', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'sacrum': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'sclerotic lesion': {'clinical finding': 'sclerotic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Moderate to severe upper lobe predominant emphysema. Calcified upper lobe predominant nodules likely from old granulomatous disease. The pleural spaces are clear. No significant abnormality noted. Sclerotic metastatic disease to the T8 spine has improved. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right renal collecting system. No hydronephrosis. Few scattered retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The prostate is enlarged. There is enhancing soft tissue that protrudes into the bladder. No significant abnormality noted. Small retroperitoneal and pelvic nodes. No significant abnormality noted. Sclerotic lesion in the right sacrum. No significant abnormality noted </s> |
There is apparent linear hypoattenuation in the right posterior frontal lobe white matter. There is no acute intracranial hemorrhage. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. The imaged portions of the paranasal sinuses and mastoid air cells are grossly clear. | anatomical entity_fin: {'frontal lobe': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'apparent linear hypoattenuation': {'clinical finding': 'apparent linear hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'apparent linear', 'observation': 'hypoattenuation'}, 'right posterior frontal lobe white matter': {'clinical finding': 'right posterior frontal lobe white matter', 'existence': 'pos_dx', 'descriptive_term': 'right posterior frontal lobe white', 'observation': 'matter'}}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'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}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: {'frontal lobe': {'location descriptor': 'right posterior'}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'apparent linear hypoattenuation': {'clinical finding': 'apparent linear hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'apparent linear', 'observation': 'hypoattenuation'}, 'right posterior frontal lobe white matter': {'clinical finding': 'right posterior frontal lobe white matter', 'existence': 'pos_dx', 'descriptive_term': 'right posterior frontal lobe white', 'observation': 'matter'}}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'}}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: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] There is apparent linear hypoattenuation in the right posterior frontal lobe white matter. There is no acute intracranial hemorrhage. The ventricles and sulci are within normal limits. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. The imaged portions of the paranasal sinuses and mastoid air cells are grossly clear. </s> |
No evidence of acute ischemic or hemorrhagic lesion. There Is cavum septum pellucidum, otherwise the ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. | 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'}}anatomical entity_fin: {'septum pellucidum': {}}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'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}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: 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'}}anatomical entity_fin: {'septum pellucidum': {}}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'}}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: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] No evidence of acute ischemic or hemorrhagic lesion. There Is cavum septum pellucidum, otherwise the ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. </s> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. A nasogastric tube is partially visualized. 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: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}} | 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: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}object_fin: ['nasogastric tube']clinical findings_fin: {'nasogastric tube': {'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage, within the limitations of only postcontrast imaging. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. A nasogastric tube is partially visualized. NECK </s> |
There measurable residual left palatine tonsil mass. There is no evidence of residual significant lymphadenopathy in the neck. For example, the reference left level IIb lymph node now measures 4 mm in short axis, previously 8 mm. There are unchanged subcentimeter thyroid nodules. There is reflux of air into the left parotid ducts due to puffed cheek technique. There is multilevel degenerative spondylosis and likely congenital fusion of C6 and C7. There is a left cardiac pacer device. There is a right internal jugular venous catheter. There are mild calcifications of the bilateral carotid and dictation, without significant stenosis. The imaged portions of the intracranial structures are unremarkable. There is a persistent left maxillary sinus retention cyst and partially imaged opacification of the ethmoid sinuses. The imaged portions of the lungs are unremarkable. | anatomical entity_fin: {'palatine tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'there measurable residual left palatine tonsil mass': {'clinical finding': 'there measurable residual left palatine tonsil mass', 'existence': 'pos_dx', 'descriptive_term': 'there measurable residual left palatine tonsil', 'observation': 'mass', 'temporal_term': 'residual'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'residual significant lymphadenopathy': {'clinical finding': 'residual significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'residual significant', 'observation': 'lymphadenopathy', 'temporal_term': 'residual'}}size_fin: [{'size': '4 mm'}, {'size': '8 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'reference left level iib lymph node': {'clinical finding': 'reference left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level iib lymph', 'observation': 'node'}}clinical findings_fin: {'unchanged subcentimeter thyroid nodules': {'clinical finding': 'unchanged subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ducts': {}, 'cheek': {}}location descriptor_fin: ['left']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}, 'likely congenital fusion': {'clinical finding': 'likely congenital fusion', 'existence': 'pos_dx', 'descriptive_term': 'likely congenital', 'observation': 'fusion'}}location descriptor_fin: ['left']clinical findings_fin: {'left cardiac pacer device': {'clinical finding': 'left cardiac pacer device', 'existence': 'pos_dx', 'descriptive_term': 'left cardiac pacer', 'observation': 'device'}}location descriptor_fin: ['right']object_fin: ['catheter']location descriptor_fin: ['bilateral']clinical findings_fin: {'mild calcifications': {'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'imaged portions of the intracranial structures': {'clinical finding': 'imaged portions of the intracranial structures', 'cf_snomed': {'intracranial structure': 128319008}}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'persistent left maxillary sinus retention cyst': {'clinical finding': 'persistent left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent left maxillary sinus retention', 'observation': 'cyst', 'temporal_term': 'persistent'}, 'partially imaged opacification': {'clinical finding': 'partially imaged opacification', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'opacification', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'imaged portions of the lungs': {'clinical finding': 'imaged portions of the lungs'}} | 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: {'palatine tonsil': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'there measurable residual left palatine tonsil mass': {'clinical finding': 'there measurable residual left palatine tonsil mass', 'existence': 'pos_dx', 'descriptive_term': 'there measurable residual left palatine tonsil', 'observation': 'mass', 'temporal_term': 'residual'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'residual significant lymphadenopathy': {'clinical finding': 'residual significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'residual significant', 'observation': 'lymphadenopathy', 'temporal_term': 'residual'}}size_fin: [{'size': '4 mm'}, {'size': '8 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['left']clinical findings_fin: {'reference left level iib lymph node': {'clinical finding': 'reference left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level iib lymph', 'observation': 'node'}}clinical findings_fin: {'unchanged subcentimeter thyroid nodules': {'clinical finding': 'unchanged subcentimeter thyroid nodules', 'cf_snomed': {'thyroid nodule': 237495005}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter thyroid', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'ducts': {}, 'cheek': {}}location descriptor_fin: ['left']clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}, 'likely congenital fusion': {'clinical finding': 'likely congenital fusion', 'existence': 'pos_dx', 'descriptive_term': 'likely congenital', 'observation': 'fusion'}}location descriptor_fin: ['left']clinical findings_fin: {'left cardiac pacer device': {'clinical finding': 'left cardiac pacer device', 'existence': 'pos_dx', 'descriptive_term': 'left cardiac pacer', 'observation': 'device'}}location descriptor_fin: ['right']object_fin: ['catheter']location descriptor_fin: ['bilateral']clinical findings_fin: {'mild calcifications': {'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}clinical findings_fin: {'imaged portions of the intracranial structures': {'clinical finding': 'imaged portions of the intracranial structures', 'cf_snomed': {'intracranial structure': 128319008}}}anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'persistent left maxillary sinus retention cyst': {'clinical finding': 'persistent left maxillary sinus retention cyst', 'cf_snomed': {'sinus': 419351001, 'retention': 36850000, 'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'persistent left maxillary sinus retention', 'observation': 'cyst', 'temporal_term': 'persistent'}, 'partially imaged opacification': {'clinical finding': 'partially imaged opacification', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'opacification', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'imaged portions of the lungs': {'clinical finding': 'imaged portions of the lungs'}} [/INST] There measurable residual left palatine tonsil mass. There is no evidence of residual significant lymphadenopathy in the neck. For example, the reference left level IIb lymph node now measures 4 mm in short axis, previously 8 mm. There are unchanged subcentimeter thyroid nodules. There is reflux of air into the left parotid ducts due to puffed cheek technique. There is multilevel degenerative spondylosis and likely congenital fusion of C6 and C7. There is a left cardiac pacer device. There is a right internal jugular venous catheter. There are mild calcifications of the bilateral carotid and dictation, without significant stenosis. The imaged portions of the intracranial structures are unremarkable. There is a persistent left maxillary sinus retention cyst and partially imaged opacification of the ethmoid sinuses. The imaged portions of the lungs are unremarkable. </s> |
. Status post total right shoulder arthroplasty. There are 2 screws affixing the glenoid prosthesis. The superior screw passes through the posterior superior aspect of the glenoid and exits posterior to the scapular spine in the region of the subscapularis. The inferior screw passes through the anteroinferior portion of the glenoid and exits anterior to the body of the scapula. The bone anterior to the glenoid prosthesis is thinned. There is some atrophy of the subscapularis muscle. There is some heterotopic calcification within rotator interval. The humerus is externally rotated suggesting subscapularis dysfunction. The bones are demineralized. Some atrophy of the remainder the rotator cuff muscles. There is narrowing of the subacromial space. ADDITIONAL | anatomical entity_fin: {'shoulder': {'location descriptor': 'right'}}location descriptor_fin: ['right']procedure_fin: ['arthroplasty']object_fin: ['prosthesis']anatomical entity_fin: {'spine': {}}location descriptor_fin: ['superior', 'posterior']anatomical entity_fin: {'body': {}, 'scapula': {}}location descriptor_fin: ['inferior', 'anterior']location descriptor_fin: ['anterior']object_fin: ['prosthesis']clinical findings_fin: {'bone anterior to the glenoid prosthesis is thinned': {'clinical finding': 'bone anterior to the glenoid prosthesis is thinned', 'change_term': 'thinned'}}anatomical entity_fin: {'subscapularis muscle': {}}clinical findings_fin: {'some atrophy': {'clinical finding': 'some atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'atrophy', 'quantity_term': 'some'}}anatomical entity_fin: {'rotator interval': {}}clinical findings_fin: {'some heterotopic calcification': {'clinical finding': 'some heterotopic calcification', 'existence': 'pos_dx', 'descriptive_term': 'some heterotopic', 'observation': 'calcification', 'quantity_term': 'some'}, 'rotator interval': {'clinical finding': 'rotator interval', 'existence': 'pos_dx', 'descriptive_term': 'rotator', 'observation': 'interval'}}anatomical entity_fin: {'humerus': {}}clinical findings_fin: {'subscapularis dysfunction': {'clinical finding': 'subscapularis dysfunction', 'existence': 'pos_dx', 'descriptive_term': 'subscapularis', 'observation': 'dysfunction'}}clinical findings_fin: {'demineralized': {'clinical finding': 'demineralized', 'existence': 'pos_dx', 'observation': 'demineralized'}}anatomical entity_fin: {'rotator cuff muscles': {}}clinical findings_fin: {'some atrophy': {'clinical finding': 'some atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'atrophy', 'quantity_term': 'some'}, 'rotator cuff': {'clinical finding': 'rotator cuff', 'existence': 'pos_dx', 'descriptive_term': 'rotator', 'observation': 'cuff'}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}} | 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': 'right'}}location descriptor_fin: ['right']procedure_fin: ['arthroplasty']object_fin: ['prosthesis']anatomical entity_fin: {'spine': {}}location descriptor_fin: ['superior', 'posterior']anatomical entity_fin: {'body': {}, 'scapula': {}}location descriptor_fin: ['inferior', 'anterior']location descriptor_fin: ['anterior']object_fin: ['prosthesis']clinical findings_fin: {'bone anterior to the glenoid prosthesis is thinned': {'clinical finding': 'bone anterior to the glenoid prosthesis is thinned', 'change_term': 'thinned'}}anatomical entity_fin: {'subscapularis muscle': {}}clinical findings_fin: {'some atrophy': {'clinical finding': 'some atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'atrophy', 'quantity_term': 'some'}}anatomical entity_fin: {'rotator interval': {}}clinical findings_fin: {'some heterotopic calcification': {'clinical finding': 'some heterotopic calcification', 'existence': 'pos_dx', 'descriptive_term': 'some heterotopic', 'observation': 'calcification', 'quantity_term': 'some'}, 'rotator interval': {'clinical finding': 'rotator interval', 'existence': 'pos_dx', 'descriptive_term': 'rotator', 'observation': 'interval'}}anatomical entity_fin: {'humerus': {}}clinical findings_fin: {'subscapularis dysfunction': {'clinical finding': 'subscapularis dysfunction', 'existence': 'pos_dx', 'descriptive_term': 'subscapularis', 'observation': 'dysfunction'}}clinical findings_fin: {'demineralized': {'clinical finding': 'demineralized', 'existence': 'pos_dx', 'observation': 'demineralized'}}anatomical entity_fin: {'rotator cuff muscles': {}}clinical findings_fin: {'some atrophy': {'clinical finding': 'some atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'atrophy', 'quantity_term': 'some'}, 'rotator cuff': {'clinical finding': 'rotator cuff', 'existence': 'pos_dx', 'descriptive_term': 'rotator', 'observation': 'cuff'}}clinical findings_fin: {'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}} [/INST] . Status post total right shoulder arthroplasty. There are 2 screws affixing the glenoid prosthesis. The superior screw passes through the posterior superior aspect of the glenoid and exits posterior to the scapular spine in the region of the subscapularis. The inferior screw passes through the anteroinferior portion of the glenoid and exits anterior to the body of the scapula. The bone anterior to the glenoid prosthesis is thinned. There is some atrophy of the subscapularis muscle. There is some heterotopic calcification within rotator interval. The humerus is externally rotated suggesting subscapularis dysfunction. The bones are demineralized. Some atrophy of the remainder the rotator cuff muscles. There is narrowing of the subacromial space. ADDITIONAL </s> |
There is some loss of distinction of the gray and white matter within the basal ganglia. The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. There is soft tissue swelling adjacent to the left frontal bone within the subcutaneous tissues. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Punctate hypodensities are present in the basal ganglia bilaterallyThe visualized portions of the paranasal sinuses demonstrate opacification of the right maxillary sinus. The right maxillary sinuses relatively small. There is also opacification of the nasopharynx. The patient is status post intubation. 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 vertebral arteries. Atherosclerotic calcifications are present along the distal internal carotid arteries. | anatomical entity_fin: {'basal ganglia': {}}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: {'frontal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}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: {'basal ganglia': {}, 'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'punctate hypodensities': {'clinical finding': 'punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'unc_dx', 'observation': 'opacification'}}location descriptor_fin: ['right']clinical findings_fin: {'right maxillary sinuses relatively small': {'clinical finding': 'right maxillary sinuses relatively small'}}anatomical entity_fin: {'nasopharynx': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}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: {'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: {'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: {'basal ganglia': {}}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: {'frontal bone': {'location descriptor': 'left'}}location descriptor_fin: ['adjacent', 'left']clinical findings_fin: {'soft tissue swelling': {'clinical finding': 'soft tissue swelling', 'cf_snomed': {'soft tissue swelling': 298349001}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'}}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: {'basal ganglia': {}, 'paranasal sinuses': {}, 'maxillary sinus': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'punctate hypodensities': {'clinical finding': 'punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'unc_dx', 'observation': 'opacification'}}location descriptor_fin: ['right']clinical findings_fin: {'right maxillary sinuses relatively small': {'clinical finding': 'right maxillary sinuses relatively small'}}anatomical entity_fin: {'nasopharynx': {}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}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: {'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: {'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 is some loss of distinction of the gray and white matter within the basal ganglia. The CSF spaces are appropriate for the patients stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present. There is soft tissue swelling adjacent to the left frontal bone within the subcutaneous tissues. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Punctate hypodensities are present in the basal ganglia bilaterallyThe visualized portions of the paranasal sinuses demonstrate opacification of the right maxillary sinus. The right maxillary sinuses relatively small. There is also opacification of the nasopharynx. The patient is status post intubation. 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 vertebral arteries. Atherosclerotic calcifications are present along the distal internal carotid arteries. </s> |
. No significant abnormality noted. No significant abnormality noted. Unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes, probably reactive. The largest right internal iliac lymph node measures 1.8 x 1.1 cm, unchanged. The largest left inguinal lymph node measures 1.6 x 1.3 cm, unchanged. Few colonic diverticuli, with no evidence of diverticulosis. No evidence of bowel obstruction. Interval resolution of previous identified perirectal abscess. No suspicious osseous lesion. 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'}}anatomical entity_fin: {'external iliac lymph nodes': {}}clinical findings_fin: {'unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes': {'clinical finding': 'unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'unchanged mildly prominent inguinal internal iliac and external iliac lymph', 'observation': 'node', 'strength_term': 'unchanged - mildly - prominent', 'change_term': 'unchanged'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'internal iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'largest right internal iliac lymph node': {'clinical finding': 'largest right internal iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest right internal iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.3 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest left inguinal lymph node': {'clinical finding': 'largest left inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest left inguinal lymph', 'observation': 'node'}}clinical findings_fin: {'few colonic diverticuli': {'clinical finding': 'few colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'few colonic', 'observation': 'diverticuli', 'quantity_term': 'few'}, 'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'neg_dx', 'observation': 'diverticulosis'}}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: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previous identified perirectal abscess': {'clinical finding': 'previous identified perirectal abscess', 'cf_snomed': {'perirectal abscess': 91669008}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified perirectal', 'observation': 'abscess', 'temporal_term': 'previous'}}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'}} | 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'}}anatomical entity_fin: {'external iliac lymph nodes': {}}clinical findings_fin: {'unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes': {'clinical finding': 'unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'unchanged mildly prominent inguinal internal iliac and external iliac lymph', 'observation': 'node', 'strength_term': 'unchanged - mildly - prominent', 'change_term': 'unchanged'}}size_fin: [{'size': '1.8 x 1.1 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'internal iliac lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'largest right internal iliac lymph node': {'clinical finding': 'largest right internal iliac lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest right internal iliac lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.3 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest left inguinal lymph node': {'clinical finding': 'largest left inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest left inguinal lymph', 'observation': 'node'}}clinical findings_fin: {'few colonic diverticuli': {'clinical finding': 'few colonic diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'few colonic', 'observation': 'diverticuli', 'quantity_term': 'few'}, 'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'neg_dx', 'observation': 'diverticulosis'}}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: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previous identified perirectal abscess': {'clinical finding': 'previous identified perirectal abscess', 'cf_snomed': {'perirectal abscess': 91669008}, 'existence': 'pos_dx', 'descriptive_term': 'previous identified perirectal', 'observation': 'abscess', 'temporal_term': 'previous'}}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'}} [/INST] . No significant abnormality noted. No significant abnormality noted. Unchanged mildly prominent inguinal, internal iliac and external iliac lymph nodes, probably reactive. The largest right internal iliac lymph node measures 1.8 x 1.1 cm, unchanged. The largest left inguinal lymph node measures 1.6 x 1.3 cm, unchanged. Few colonic diverticuli, with no evidence of diverticulosis. No evidence of bowel obstruction. Interval resolution of previous identified perirectal abscess. No suspicious osseous lesion. No significant abnormality noted </s> |
. No evidence of acute pulmonary embolism. Scattered areas of atelectasis and scarring without significant pleural effusion or focal consolidation. No suspicious pulmonary nodules or masses. Upper normal heart size without pericardial effusion. No significant mediastinal or hilar adenopathy. Soft tissue density material adjacent to the distal descending thoracic aorta is not significantly changed since the prior study. Moderate. Opacification of multiple collateral vessels in the mediastinum and chest wall, likely secondary to known prior left brachiocephalic and subclavian vein thrombus. Left central venous catheter tip in right atrium. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Unchanged hiatal hernia. Reflux of contrast noted into the IVC and hepatic veins. | clinical findings_fin: {'acute pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}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': {}}location descriptor_fin: ['upper']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 mediastinal or hilar adenopathy': {'clinical finding': 'significant mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'adenopathy'}}anatomical entity_fin: {'descending thoracic aorta': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['adjacent', 'distal']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'mediastinum': {}, 'chest wall': {}, 'subclavian vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'multiple collateral vessels': {'clinical finding': 'multiple collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'known prior left brachiocephalic and subclavian vein thrombus': {'clinical finding': 'known prior left brachiocephalic and subclavian vein thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'known prior left brachiocephalic and subclavian vein', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hiatal hernia': {'clinical finding': 'unchanged hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged hiatal', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}} | 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 pulmonary embolism': {'clinical finding': 'acute pulmonary embolism', 'cf_snomed': {'acute pulmonary embolism': 706870000}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}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': {}}location descriptor_fin: ['upper']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 mediastinal or hilar adenopathy': {'clinical finding': 'significant mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'adenopathy'}}anatomical entity_fin: {'descending thoracic aorta': {'location descriptor': 'distal'}}imaging observation_fin: ['soft tissue density']location descriptor_fin: ['adjacent', 'distal']clinical findings_fin: {'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}, 'changed': {'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'}}anatomical entity_fin: {'mediastinum': {}, 'chest wall': {}, 'subclavian vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'multiple collateral vessels': {'clinical finding': 'multiple collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple collateral', 'observation': 'vessel', 'quantity_term': 'multiple'}, 'known prior left brachiocephalic and subclavian vein thrombus': {'clinical finding': 'known prior left brachiocephalic and subclavian vein thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'known prior left brachiocephalic and subclavian vein', 'observation': 'thrombus'}}anatomical entity_fin: {'right atrium': {}}location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: {'left central venous catheter': {'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'unchanged hiatal hernia': {'clinical finding': 'unchanged hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged hiatal', 'observation': 'hernia', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'hepatic veins': {}}clinical findings_fin: {'reflux': {'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'}} [/INST] . No evidence of acute pulmonary embolism. Scattered areas of atelectasis and scarring without significant pleural effusion or focal consolidation. No suspicious pulmonary nodules or masses. Upper normal heart size without pericardial effusion. No significant mediastinal or hilar adenopathy. Soft tissue density material adjacent to the distal descending thoracic aorta is not significantly changed since the prior study. Moderate. Opacification of multiple collateral vessels in the mediastinum and chest wall, likely secondary to known prior left brachiocephalic and subclavian vein thrombus. Left central venous catheter tip in right atrium. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Unchanged hiatal hernia. Reflux of contrast noted into the IVC and hepatic veins. </s> |
. Multiple right lung nodules are increased in size and has become more confluent compared to the prior study, making measurement somewhat more difficult. Within these limitations, the reference right lower lobe nodule measures approximately 1.7 x 1.5 cm , previously 1.2 x 1.2 cm. The adjacent right lower lobe perifissural reference nodule measures approximately 3.8 x 2.3 cm , previously 3.3 x 2.3 cm. 4 mm left apical nodule is unchanged. This mass lesion encases the pulmonary arterial and bronchial structures of the right lower lobe, with associated right lower lobe atelectasis. New patchy consolidation and scattered groundglass or tree-in-bud nodularity throughout the right lower lobe, suggestive of superimposed infectious or inflammatory process. No pleural effusion. A right middle lobe pulmonary cyst is unchanged. The heart is normal in size without pericardial effusion. Reference right hilar lymph node measures 1.4 x 1.2 cm , unchanged. No new mediastinal or hilar lymphadenopathy. Nodular thyroid appears similar to prior. Mild. No significant abnormality noted. No focal hepatic lesions are identified. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal. No significant abnormality noted. The pancreas is mildly atrophic. No significant abnormality noted. No significant abnormality noted. The previously described soft tissue mass located anteroinferior to the pancreas is increased in size, now measuring 5.9 x 5.6 cm , previously 4.3 x 3.8 cm. Encasing the SMA, SMV, and portal splenic confluence. There is persistent occlusion of the superior mesenteric vein as it courses through the mass. The superior aspect of the mass abuts the wall of the stomach, with loss of fat plane at the lesser curvature. No new intra-abdominal mass lesion is identified. Mild atherosclerotic ossification of the abdominal aorta and its branches. No abnormal bowel wall thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid. 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: {'right lung': {}}clinical findings_fin: {'multiple right lung nodules': {'clinical finding': 'multiple right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right lung', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 2.3 cm'}, {'size': '3.3 x 2.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'adjacent right lower lobe perifissural reference nodule': {'clinical finding': 'adjacent right lower lobe perifissural reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent right lower lobe perifissural reference', 'observation': 'nodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical nodule': {'clinical finding': 'left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'this mass lesion': {'clinical finding': 'this mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this mass', 'observation': 'lesion'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'associated right lower lobe atelectasis': {'clinical finding': 'associated right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated right lower lobe', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new patchy consolidation': {'clinical finding': 'new patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'new patchy', 'observation': 'consolidation', 'temporal_term': 'new'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary cyst': {'clinical finding': 'right middle lobe pulmonary cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'cyst'}}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'}}size_fin: [{'size': '1.4 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new mediastinal or hilar lymphadenopathy': {'clinical finding': 'new mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'new mediastinal or hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'nodular thyroid appears': {'clinical finding': 'nodular thyroid appears'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is normal': {'clinical finding': 'gallbladder is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': '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'}}size_fin: [{'size': '5.9 x 5.6 cm'}, {'size': '4.3 x 3.8 cm'}]anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'previously described soft tissue mass': {'clinical finding': 'previously described soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously described soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'persistent occlusion': {'clinical finding': 'persistent occlusion', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'occlusion', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'wall': {}, 'stomach': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'new intra-abdominal mass lesion': {'clinical finding': 'new intra-abdominal mass lesion', 'cf_snomed': {'abdominal mass': 271860004, 'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new intra-abdominal mass', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic ossification': {'clinical finding': 'mild atherosclerotic ossification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'ossification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abnormal free fluid': {'clinical finding': 'abnormal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'abnormal 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'right lung': {}}clinical findings_fin: {'multiple right lung nodules': {'clinical finding': 'multiple right lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple right lung', 'observation': 'nodule', 'quantity_term': 'multiple'}}size_fin: [{'size': '1.7 x 1.5 cm'}, {'size': '1.2 x 1.2 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe nodule': {'clinical finding': 'reference right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'}}size_fin: [{'size': '3.8 x 2.3 cm'}, {'size': '3.3 x 2.3 cm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'adjacent right lower lobe perifissural reference nodule': {'clinical finding': 'adjacent right lower lobe perifissural reference nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent right lower lobe perifissural reference', 'observation': 'nodule'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'nodule'}]imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'left apical nodule': {'clinical finding': 'left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'this mass lesion': {'clinical finding': 'this mass lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this mass', 'observation': 'lesion'}, 'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'associated right lower lobe atelectasis': {'clinical finding': 'associated right lower lobe atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'associated right lower lobe', 'observation': 'atelectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new patchy consolidation': {'clinical finding': 'new patchy consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'new patchy', 'observation': 'consolidation', 'temporal_term': 'new'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe pulmonary cyst': {'clinical finding': 'right middle lobe pulmonary cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe pulmonary', 'observation': 'cyst'}}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'}}size_fin: [{'size': '1.4 x 1.2 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new mediastinal or hilar lymphadenopathy': {'clinical finding': 'new mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'new mediastinal or hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'nodular thyroid appears': {'clinical finding': 'nodular thyroid appears'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is normal': {'clinical finding': 'gallbladder is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': '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'}}size_fin: [{'size': '5.9 x 5.6 cm'}, {'size': '4.3 x 3.8 cm'}]anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'previously described soft tissue mass': {'clinical finding': 'previously described soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'previously described soft tissue', 'observation': 'mass'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'persistent occlusion': {'clinical finding': 'persistent occlusion', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'occlusion', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'wall': {}, 'stomach': {}}imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'fat plane': {'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'new intra-abdominal mass lesion': {'clinical finding': 'new intra-abdominal mass lesion', 'cf_snomed': {'abdominal mass': 271860004, 'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new intra-abdominal mass', 'observation': 'lesion', 'temporal_term': 'new'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'mild atherosclerotic ossification': {'clinical finding': 'mild atherosclerotic ossification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'ossification', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abnormal free fluid': {'clinical finding': 'abnormal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'abnormal 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Multiple right lung nodules are increased in size and has become more confluent compared to the prior study, making measurement somewhat more difficult. Within these limitations, the reference right lower lobe nodule measures approximately 1.7 x 1.5 cm , previously 1.2 x 1.2 cm. The adjacent right lower lobe perifissural reference nodule measures approximately 3.8 x 2.3 cm , previously 3.3 x 2.3 cm. 4 mm left apical nodule is unchanged. This mass lesion encases the pulmonary arterial and bronchial structures of the right lower lobe, with associated right lower lobe atelectasis. New patchy consolidation and scattered groundglass or tree-in-bud nodularity throughout the right lower lobe, suggestive of superimposed infectious or inflammatory process. No pleural effusion. A right middle lobe pulmonary cyst is unchanged. The heart is normal in size without pericardial effusion. Reference right hilar lymph node measures 1.4 x 1.2 cm , unchanged. No new mediastinal or hilar lymphadenopathy. Nodular thyroid appears similar to prior. Mild. No significant abnormality noted. No focal hepatic lesions are identified. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal. No significant abnormality noted. The pancreas is mildly atrophic. No significant abnormality noted. No significant abnormality noted. The previously described soft tissue mass located anteroinferior to the pancreas is increased in size, now measuring 5.9 x 5.6 cm , previously 4.3 x 3.8 cm. Encasing the SMA, SMV, and portal splenic confluence. There is persistent occlusion of the superior mesenteric vein as it courses through the mass. The superior aspect of the mass abuts the wall of the stomach, with loss of fat plane at the lesser curvature. No new intra-abdominal mass lesion is identified. Mild atherosclerotic ossification of the abdominal aorta and its branches. No abnormal bowel wall thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid. 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> |
. Diffuse bilateral lower lobe predominant fibrotic changes, including traction bronchiectasis and architectural distortion,. Dominant finding is groundglass opacity, particularly increased in the left lower lobe. These findings are compatible with worsening interstitial lung disease with an NSIP pattern. Less likely considerations include superimposed drug reaction or infection. Heart size is normal with no pericardial effusion. Prominence of the pulmonary artery size may reflect pulmonary arterial hypertension. Mediastinal and left hilar lymphadenopathy. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. | anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe predominant fibrotic changes': {'clinical finding': 'bilateral lower lobe predominant fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe predominant fibrotic', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'worsening interstitial lung disease': {'clinical finding': 'worsening interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'pos_dx', 'descriptive_term': 'worsening interstitial lung', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'nsip': {'clinical finding': 'nsip', 'existence': 'pos_dx', 'observation': 'nsip'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}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'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left']clinical findings_fin: {'mediastinal and left hilar lymphadenopathy': {'clinical finding': 'mediastinal and left hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and left hilar', 'observation': 'lymphadenopathy'}}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'}}procedure_fin: ['cholecystectomy'] | 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': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe predominant fibrotic changes': {'clinical finding': 'bilateral lower lobe predominant fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe predominant fibrotic', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'worsening interstitial lung disease': {'clinical finding': 'worsening interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'pos_dx', 'descriptive_term': 'worsening interstitial lung', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'nsip': {'clinical finding': 'nsip', 'existence': 'pos_dx', 'observation': 'nsip'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}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'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left']clinical findings_fin: {'mediastinal and left hilar lymphadenopathy': {'clinical finding': 'mediastinal and left hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and left hilar', 'observation': 'lymphadenopathy'}}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'}}procedure_fin: ['cholecystectomy'] [/INST] . Diffuse bilateral lower lobe predominant fibrotic changes, including traction bronchiectasis and architectural distortion,. Dominant finding is groundglass opacity, particularly increased in the left lower lobe. These findings are compatible with worsening interstitial lung disease with an NSIP pattern. Less likely considerations include superimposed drug reaction or infection. Heart size is normal with no pericardial effusion. Prominence of the pulmonary artery size may reflect pulmonary arterial hypertension. Mediastinal and left hilar lymphadenopathy. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. </s> |
. Persistent bilateral central bronchial narrowing. No significant interval change in perihilar atelectasis. Interval increase in size of the subsegmental pulmonary arteries in the left lower lobe as well as septal thickening, atelectasis, and mosaic attenuation, suggestive of chronic thromboembolic disease, slightly worsened when compared to prior. However, the assessment of air trapping is again limited as patient is not in full expiration during the expiratory image acquisition. Bilateral lower lobe groundglass opacities, left greater than right and mild bronchiectasis, which persists on prone imaging. Slightly improved moderate right pleural effusion trace left pleural effusion persists. Heart size is upper limits of normal without significant pericardial effusion. The main pulmonary arteries are enlarged measuring 40 mm in diameter, suggestive of pulmonary arterial hypertension, which has worsened since the previous study. There is persistent hilar lymphadenopathy contributing to central airway narrowing. No significant mediastinal lymphadenopathy. Lipomatous hypertrophy of the interatrial septum is again seen. None. Chronic bilateral rib fractures are again seen. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Focal hypoattenuating lesion in the right hepatic lobe is incompletely characterize and the absence of contrast, and in addition to normal differential including hemangioma, hepatic sarcoid may be considered. | location descriptor_fin: ['bilateral', 'central']clinical findings_fin: {'persistent bilateral central bronchial narrowing': {'clinical finding': 'persistent bilateral central bronchial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'persistent bilateral central bronchial', 'observation': 'narrowing', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'perihilar atelectasis': {'clinical finding': 'perihilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'perihilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'subsegmental pulmonary arteries': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}imaging observation_fin: ['assessment']clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower', 'left', 'right']clinical findings_fin: {'bilateral lower lobe groundglass opacities': {'clinical finding': 'bilateral lower lobe groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe groundglass', 'observation': 'opacity'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'slightly improved moderate right pleural effusion': {'clinical finding': 'slightly improved moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'slightly improved moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '40 mm'}]anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'airway': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'persistent hilar lymphadenopathy': {'clinical finding': 'persistent hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'persistent'}, 'central airway narrowing': {'clinical finding': 'central airway narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'central airway', 'observation': 'narrowing'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'rib': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic bilateral rib fractures': {'clinical finding': 'chronic bilateral rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic bilateral rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypoattenuating lesion': {'clinical finding': 'focal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal hypoattenuating', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}, 'hepatic sarcoid': {'clinical finding': 'hepatic sarcoid', 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'sarcoid'}} | 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', 'central']clinical findings_fin: {'persistent bilateral central bronchial narrowing': {'clinical finding': 'persistent bilateral central bronchial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'persistent bilateral central bronchial', 'observation': 'narrowing', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'perihilar atelectasis': {'clinical finding': 'perihilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'perihilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'subsegmental pulmonary arteries': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}imaging observation_fin: ['assessment']clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower', 'left', 'right']clinical findings_fin: {'bilateral lower lobe groundglass opacities': {'clinical finding': 'bilateral lower lobe groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe groundglass', 'observation': 'opacity'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'slightly improved moderate right pleural effusion': {'clinical finding': 'slightly improved moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'slightly improved moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '40 mm'}]anatomical entity_fin: {'main pulmonary arteries': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'airway': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'persistent hilar lymphadenopathy': {'clinical finding': 'persistent hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'persistent'}, 'central airway narrowing': {'clinical finding': 'central airway narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'central airway', 'observation': 'narrowing'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'rib': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic bilateral rib fractures': {'clinical finding': 'chronic bilateral rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic bilateral rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}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': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypoattenuating lesion': {'clinical finding': 'focal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal hypoattenuating', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}, 'hepatic sarcoid': {'clinical finding': 'hepatic sarcoid', 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'sarcoid'}} [/INST] . Persistent bilateral central bronchial narrowing. No significant interval change in perihilar atelectasis. Interval increase in size of the subsegmental pulmonary arteries in the left lower lobe as well as septal thickening, atelectasis, and mosaic attenuation, suggestive of chronic thromboembolic disease, slightly worsened when compared to prior. However, the assessment of air trapping is again limited as patient is not in full expiration during the expiratory image acquisition. Bilateral lower lobe groundglass opacities, left greater than right and mild bronchiectasis, which persists on prone imaging. Slightly improved moderate right pleural effusion trace left pleural effusion persists. Heart size is upper limits of normal without significant pericardial effusion. The main pulmonary arteries are enlarged measuring 40 mm in diameter, suggestive of pulmonary arterial hypertension, which has worsened since the previous study. There is persistent hilar lymphadenopathy contributing to central airway narrowing. No significant mediastinal lymphadenopathy. Lipomatous hypertrophy of the interatrial septum is again seen. None. Chronic bilateral rib fractures are again seen. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Focal hypoattenuating lesion in the right hepatic lobe is incompletely characterize and the absence of contrast, and in addition to normal differential including hemangioma, hepatic sarcoid may be considered. </s> |
. A focal right basilar nodule is observed difficult to distinguish from the right dome of the diaphragm. This 2.0 x 1.4 cm lesion is mildly spiculated and not associated with additional intrapulmonary abnormalities. Specifically no additional nodules or masses. No effusions. No lymphadenopathyThe cardiac and pericardium are within limits. None. Small questionable 1.5 cm left breast nodule is observed in addition to the moderately dense bilateral breast tissue and inferior to the left nipple. Consider dedicated imaging and correlation with physical exam. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. | anatomical entity_fin: {'diaphragm': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal right basilar nodule': {'clinical finding': 'focal right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'focal right basilar', 'observation': 'nodule'}}size_fin: [{'size': '2.0 x 1.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'this 2.0 x 1.4 cm lesion': {'clinical finding': 'this 2.0 x 1.4 cm lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this 2 0 x 1 4 cm', 'observation': 'lesion'}, 'spiculated': {'clinical finding': 'spiculated', 'existence': 'pos_dx', 'observation': 'spiculated'}, 'additional intrapulmonary abnormalities': {'clinical finding': 'additional intrapulmonary abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional intrapulmonary', 'observation': 'abnormality'}}clinical findings_fin: {'specifically no additional nodules': {'clinical finding': 'specifically no additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'specifically no additional', 'observation': 'nodule', 'quantity_term': 'no'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'lymphadenopathythe': {'clinical finding': 'lymphadenopathythe', 'existence': 'neg_dx', 'observation': 'lymphadenopathythe'}, 'within limits': {'clinical finding': 'within limits', 'existence': 'neg_dx', 'descriptive_term': 'within', 'observation': 'limit'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}, 'breast tissue': {'location descriptor': 'bilateral'}, 'left nipple': {}}location descriptor_fin: ['left', 'bilateral', 'inferior']clinical findings_fin: {'small questionable 1.5 cm left breast nodule': {'clinical finding': 'small questionable 1.5 cm left breast nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small questionable 1 5 cm left breast', 'observation': 'nodule', 'strength_term': 'small'}}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: {'diaphragm': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal right basilar nodule': {'clinical finding': 'focal right basilar nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'unc_dx', 'descriptive_term': 'focal right basilar', 'observation': 'nodule'}}size_fin: [{'size': '2.0 x 1.4 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'this 2.0 x 1.4 cm lesion': {'clinical finding': 'this 2.0 x 1.4 cm lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this 2 0 x 1 4 cm', 'observation': 'lesion'}, 'spiculated': {'clinical finding': 'spiculated', 'existence': 'pos_dx', 'observation': 'spiculated'}, 'additional intrapulmonary abnormalities': {'clinical finding': 'additional intrapulmonary abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional intrapulmonary', 'observation': 'abnormality'}}clinical findings_fin: {'specifically no additional nodules': {'clinical finding': 'specifically no additional nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'specifically no additional', 'observation': 'nodule', 'quantity_term': 'no'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'lymphadenopathythe': {'clinical finding': 'lymphadenopathythe', 'existence': 'neg_dx', 'observation': 'lymphadenopathythe'}, 'within limits': {'clinical finding': 'within limits', 'existence': 'neg_dx', 'descriptive_term': 'within', 'observation': 'limit'}}size_fin: [{'size': '1.5 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'breast': {'location descriptor': 'left'}, 'breast tissue': {'location descriptor': 'bilateral'}, 'left nipple': {}}location descriptor_fin: ['left', 'bilateral', 'inferior']clinical findings_fin: {'small questionable 1.5 cm left breast nodule': {'clinical finding': 'small questionable 1.5 cm left breast nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'small questionable 1 5 cm left breast', 'observation': 'nodule', 'strength_term': 'small'}}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] . A focal right basilar nodule is observed difficult to distinguish from the right dome of the diaphragm. This 2.0 x 1.4 cm lesion is mildly spiculated and not associated with additional intrapulmonary abnormalities. Specifically no additional nodules or masses. No effusions. No lymphadenopathyThe cardiac and pericardium are within limits. None. Small questionable 1.5 cm left breast nodule is observed in addition to the moderately dense bilateral breast tissue and inferior to the left nipple. Consider dedicated imaging and correlation with physical exam. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. </s> |
. Loculated right pleural effusion and right pleural thickening with significant volume loss in the right lung and right paramediastinal and basilar fibrosis unchanged. Interval resolution of the previously noted small left pleural effusion. Stable left apical fibrosis. Severe centrilobular emphysema identified in the left lung. No new suspicious pulmonary nodules or masses. Chronic thrombus in the right pulmonary artery unchanged. Stable appearance of multinodular goiter. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. Status post right thoracotomy. Degenerative changes in the thoracic spine with partial collapse of the T5 and T9 vertebrae unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypoattenuating lesion involving the dome of the liver. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Marked degenerative changes in the lumbar spine. No significant abnormality noted. | anatomical entity_fin: {'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'loculated right pleural effusion': {'clinical finding': 'loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'effusion'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}, 'significant volume loss': {'clinical finding': 'significant volume loss', 'existence': 'pos_dx', 'descriptive_term': 'significant volume', 'observation': 'loss'}, 'right paramediastinal and basilar fibrosis': {'clinical finding': 'right paramediastinal and basilar fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal and basilar', 'observation': 'fibrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously noted small left pleural effusion': {'clinical finding': 'previously noted small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'stable left apical fibrosis': {'clinical finding': 'stable left apical fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'fibrosis', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'severe centrilobular emphysema': {'clinical finding': 'severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {}}clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}clinical findings_fin: {'multinodular goiter': {'clinical finding': 'multinodular goiter', 'cf_snomed': {'multinodular goiter': 237570007}, 'existence': 'pos_dx', 'descriptive_term': 'multinodular', 'observation': 'goiter'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'post right thoracotomy': {'clinical finding': 'post right thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thoracotomy'}}anatomical entity_fin: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', '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: {'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: {'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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'marked degenerative changes': {'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked 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: {'right lung': {}}location descriptor_fin: ['right']clinical findings_fin: {'loculated right pleural effusion': {'clinical finding': 'loculated right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'effusion'}, 'right pleural thickening': {'clinical finding': 'right pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'thickening'}, 'significant volume loss': {'clinical finding': 'significant volume loss', 'existence': 'pos_dx', 'descriptive_term': 'significant volume', 'observation': 'loss'}, 'right paramediastinal and basilar fibrosis': {'clinical finding': 'right paramediastinal and basilar fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal and basilar', 'observation': 'fibrosis'}}location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'previously noted small left pleural effusion': {'clinical finding': 'previously noted small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'previously noted small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'stable left apical fibrosis': {'clinical finding': 'stable left apical fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'stable left apical', 'observation': 'fibrosis', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'severe centrilobular emphysema': {'clinical finding': 'severe centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'}}clinical findings_fin: {'new suspicious pulmonary nodules': {'clinical finding': 'new suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'right pulmonary artery': {}}clinical findings_fin: {'chronic thrombus': {'clinical finding': 'chronic thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'thrombus', 'temporal_term': 'chronic'}}clinical findings_fin: {'multinodular goiter': {'clinical finding': 'multinodular goiter', 'cf_snomed': {'multinodular goiter': 237570007}, 'existence': 'pos_dx', 'descriptive_term': 'multinodular', 'observation': 'goiter'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['right']clinical findings_fin: {'post right thoracotomy': {'clinical finding': 'post right thoracotomy', 'existence': 'pos_dx', 'descriptive_term': 'post right', 'observation': 'thoracotomy'}}anatomical entity_fin: {'thoracic spine': {}, 'vertebrae': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}, 'partial collapse': {'clinical finding': 'partial collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'stable hypoattenuating lesion': {'clinical finding': 'stable hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', '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: {'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: {'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'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'marked degenerative changes': {'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked degenerative', 'observation': 'change'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Loculated right pleural effusion and right pleural thickening with significant volume loss in the right lung and right paramediastinal and basilar fibrosis unchanged. Interval resolution of the previously noted small left pleural effusion. Stable left apical fibrosis. Severe centrilobular emphysema identified in the left lung. No new suspicious pulmonary nodules or masses. Chronic thrombus in the right pulmonary artery unchanged. Stable appearance of multinodular goiter. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. Status post right thoracotomy. Degenerative changes in the thoracic spine with partial collapse of the T5 and T9 vertebrae unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. Stable hypoattenuating lesion involving the dome of the liver. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Marked degenerative changes in the lumbar spine. No significant abnormality noted. </s> |
This study is limited due to lack of intravenous contrast. Paraseptal emphysema. Scattered subcentimeter nodules and predominantly left lobe bronchiectasis, unchanged. Radiation fibrosis noted on the left along with numerous mediastinal clips. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously described left upper pole renal lesion is now increased in size and measures 1.7 cm in diameter image #88, series #3. However this time the lesion is fat density. Lack of intravenous contrast limits optimal evaluation of this lesion. No significant abnormality noted. Severe. 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. Nonspecific sclerotic lesions in the thoracic and lumbar vertebral bodies are stable. No significant abnormality noted. | clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'predominantly left lobe bronchiectasis': {'clinical finding': 'predominantly left lobe bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly left lobe', 'observation': 'bronchiectasis'}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper pole renal lesion': {'clinical finding': 'previously described left upper pole renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper pole renal', 'observation': 'lesion'}}imaging observation_fin: ['fat']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'lumbar vertebral bodies': {}}clinical findings_fin: {'nonspecific sclerotic lesions': {'clinical finding': 'nonspecific sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', '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: clinical findings_fin: {'paraseptal emphysema': {'clinical finding': 'paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'scattered subcentimeter nodules': {'clinical finding': 'scattered subcentimeter nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'nodule'}, 'predominantly left lobe bronchiectasis': {'clinical finding': 'predominantly left lobe bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'predominantly left lobe', 'observation': 'bronchiectasis'}}location descriptor_fin: ['left']object_fin: ['clips']clinical findings_fin: {'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'small mediastinal lymph nodes': {'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 cm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'previously described left upper pole renal lesion': {'clinical finding': 'previously described left upper pole renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper pole renal', 'observation': 'lesion'}}imaging observation_fin: ['fat']clinical findings_fin: {'lesion': {'clinical finding': 'lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'observation': 'lesion'}, 'fat density': {'clinical finding': 'fat density', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'density'}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}, 'this lesion': {'clinical finding': 'this lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'this', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'lumbar vertebral bodies': {}}clinical findings_fin: {'nonspecific sclerotic lesions': {'clinical finding': 'nonspecific sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] This study is limited due to lack of intravenous contrast. Paraseptal emphysema. Scattered subcentimeter nodules and predominantly left lobe bronchiectasis, unchanged. Radiation fibrosis noted on the left along with numerous mediastinal clips. Small mediastinal lymph nodes, unchanged. No significant abnormality noted. Cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously described left upper pole renal lesion is now increased in size and measures 1.7 cm in diameter image #88, series #3. However this time the lesion is fat density. Lack of intravenous contrast limits optimal evaluation of this lesion. No significant abnormality noted. Severe. 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. Nonspecific sclerotic lesions in the thoracic and lumbar vertebral bodies are stable. No significant abnormality noted. </s> |
There is straightening of the normal cervical lordosis, likely positional, and the cervical vertebral bodies otherwise demonstrate normal alignment. The vertebral body and disk space heights are well-maintained. No fractures or subluxations are identified in the cervical spine. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. The visualized paraspinal contents are unremarkable. The visualized intracranial structures and lung apices appear normal. | anatomical entity_fin: {'cervical vertebral bodies': {}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}, 'normal alignment': {'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'subluxations': {'clinical finding': 'subluxations', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'any significant disk bulge': {'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge'}, 'disk herniation': {'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation'}, 'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'visualized paraspinal contents are unremarkable': {'clinical finding': 'visualized paraspinal contents are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized intracranial structures and lung apices appear': {'clinical finding': 'visualized intracranial structures and lung apices appear'}} | 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: {'cervical vertebral bodies': {}}clinical findings_fin: {'normal cervical lordosis': {'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'}, 'normal alignment': {'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'vertebral body and disk space heights': {'clinical finding': 'vertebral body and disk space heights', 'existence': 'pos_dx', 'descriptive_term': 'vertebral body and disk space', 'observation': 'height'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'fractures': {'clinical finding': 'fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}, 'subluxations': {'clinical finding': 'subluxations', 'cf_snomed': {'subluxation': 26396009}, 'existence': 'neg_dx', 'observation': 'subluxation'}}anatomical entity_fin: {'spinal canal': {}}clinical findings_fin: {'any significant disk bulge': {'clinical finding': 'any significant disk bulge', 'existence': 'neg_dx', 'descriptive_term': 'any significant disk', 'observation': 'bulge'}, 'disk herniation': {'clinical finding': 'disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'disk', 'observation': 'herniation'}, 'significant bony spinal canal': {'clinical finding': 'significant bony spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'significant bony spinal', 'observation': 'canal'}, 'foraminal stenosis': {'clinical finding': 'foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'unc_dx', 'descriptive_term': 'foraminal', 'observation': 'stenosis'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'visualized paraspinal contents are unremarkable': {'clinical finding': 'visualized paraspinal contents are unremarkable'}}anatomical entity_fin: {'lung': {}, 'apices': {}}clinical findings_fin: {'visualized intracranial structures and lung apices appear': {'clinical finding': 'visualized intracranial structures and lung apices appear'}} [/INST] There is straightening of the normal cervical lordosis, likely positional, and the cervical vertebral bodies otherwise demonstrate normal alignment. The vertebral body and disk space heights are well-maintained. No fractures or subluxations are identified in the cervical spine. The axial images do not demonstrate any significant disk bulge, disk herniation, significant bony spinal canal or foraminal stenosis. The visualized paraspinal contents are unremarkable. The visualized intracranial structures and lung apices appear normal. </s> |
Limited evaluation of the menisci, articular cartilage and bone, and ligaments in this nondedicated study. A dedicated MRI of the knee can be obtained if clinically warranted. There is no abnormal deviation of the popliteal artery. There is no abnormal insertion or aberrant lateral slips of the gastrocnemius. No fibrous band is evident. The right popliteal artery appears slightly more diminutive relative to the left popliteal artery. In addition, the right popliteal vein appears slightly more diminutive relative to the left popliteal vein , however, these findings are of unclear clinical significance. There is mild generalized atrophy of the muscles of the right calf when compared to the left. There is no significant change in the patency or caliber of the arteries of the imaged right lower extremity when in neutral, plantar flexion, or dorsiflexion position. | anatomical entity_fin: {'articular cartilage': {}}clinical findings_fin: {'limited evaluation of the menisci , articular cartilage and bone , and ligaments': {'clinical finding': 'limited evaluation of the menisci , articular cartilage and bone , and ligaments'}}anatomical entity_fin: {'knee': {}}clinical findings_fin: {'dedicated mri of the knee can be obtained if clinically warranted': {'clinical finding': 'dedicated mri of the knee can be obtained if clinically warranted'}}anatomical entity_fin: {'popliteal artery': {}}clinical findings_fin: {'is no abnormal deviation of the popliteal artery': {'clinical finding': 'is no abnormal deviation of the popliteal artery'}}anatomical entity_fin: {'insertion': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'aberrant lateral slips': {'clinical finding': 'aberrant lateral slips', 'existence': 'neg_dx', 'descriptive_term': 'aberrant lateral', 'observation': 'slip', 'strength_term': 'aberrant'}, 'gastrocnemius': {'clinical finding': 'gastrocnemius', 'existence': 'neg_dx', 'observation': 'gastrocnemius'}}clinical findings_fin: {'fibrous band': {'clinical finding': 'fibrous band', 'existence': 'neg_dx', 'descriptive_term': 'fibrous', 'observation': 'band'}}anatomical entity_fin: {'popliteal artery': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'popliteal vein': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'calf': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild generalized atrophy': {'clinical finding': 'mild generalized atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild generalized', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'arteries': {}, 'lower extremity': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', '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: {'articular cartilage': {}}clinical findings_fin: {'limited evaluation of the menisci , articular cartilage and bone , and ligaments': {'clinical finding': 'limited evaluation of the menisci , articular cartilage and bone , and ligaments'}}anatomical entity_fin: {'knee': {}}clinical findings_fin: {'dedicated mri of the knee can be obtained if clinically warranted': {'clinical finding': 'dedicated mri of the knee can be obtained if clinically warranted'}}anatomical entity_fin: {'popliteal artery': {}}clinical findings_fin: {'is no abnormal deviation of the popliteal artery': {'clinical finding': 'is no abnormal deviation of the popliteal artery'}}anatomical entity_fin: {'insertion': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'aberrant lateral slips': {'clinical finding': 'aberrant lateral slips', 'existence': 'neg_dx', 'descriptive_term': 'aberrant lateral', 'observation': 'slip', 'strength_term': 'aberrant'}, 'gastrocnemius': {'clinical finding': 'gastrocnemius', 'existence': 'neg_dx', 'observation': 'gastrocnemius'}}clinical findings_fin: {'fibrous band': {'clinical finding': 'fibrous band', 'existence': 'neg_dx', 'descriptive_term': 'fibrous', 'observation': 'band'}}anatomical entity_fin: {'popliteal artery': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'popliteal vein': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']anatomical entity_fin: {'calf': {'location descriptor': 'right'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'mild generalized atrophy': {'clinical finding': 'mild generalized atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild generalized', 'observation': 'atrophy', 'strength_term': 'mild'}}anatomical entity_fin: {'arteries': {}, 'lower extremity': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}} [/INST] Limited evaluation of the menisci, articular cartilage and bone, and ligaments in this nondedicated study. A dedicated MRI of the knee can be obtained if clinically warranted. There is no abnormal deviation of the popliteal artery. There is no abnormal insertion or aberrant lateral slips of the gastrocnemius. No fibrous band is evident. The right popliteal artery appears slightly more diminutive relative to the left popliteal artery. In addition, the right popliteal vein appears slightly more diminutive relative to the left popliteal vein , however, these findings are of unclear clinical significance. There is mild generalized atrophy of the muscles of the right calf when compared to the left. There is no significant change in the patency or caliber of the arteries of the imaged right lower extremity when in neutral, plantar flexion, or dorsiflexion position. </s> |
. Bibasilar atelectasis or scarring. No pleural effusions. There are scattered pulmonary nodules bilaterally. A left upper lobe nodule measures 1.0 x 0.7 cm. A right lower lobe nodule measures 0.9 x 0.8 cm. The gallbladder is surgically absent. The spleen is surgically absent. The pancreas is surgically absent. There is a small amount of loculated fluid and local inflammatory changes in the bed of the pancreas, which reflect the patients postoperative status. A collection of loculated fluid is seen in the anterior pararenal space. No significant abnormality noted. No significant abnormality noted. There are scattered subcentimeter lymph nodes about the root of the mesentery and porta hepatis. Cannot be evaluated. No significant abnormality noted. Inferior to the aforementioned changes in the pancreatic surgical bed and anterior to the renal vein we see a nonocclusive thrombus in the superior mesenteric artery. There is also a focal narrowing of the superior mesenteric vein, likely secondary to inflammatory changes at this site. A short segment loop of bowel with marked wall thickening is seen. Mild compression deformity of the L5 vertebral body. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered subcentimeter lymph nodes within the pelvis. Minimal scattered ascites. No significant abnormality noted. No significant abnormality noted | clinical findings_fin: {'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'scattered pulmonary nodules': {'clinical finding': 'scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.0 x 0.7 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe nodule': {'clinical finding': 'left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodule': {'clinical finding': 'right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}}anatomical entity_fin: {'fluid': {}, 'pancreas': {}}clinical findings_fin: {'local inflammatory changes': {'clinical finding': 'local inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'local inflammatory', 'observation': 'change'}, 'patients postoperative status': {'clinical finding': 'patients postoperative status', 'existence': 'pos_dx', 'descriptive_term': 'patients postoperative', 'observation': 'status'}}anatomical entity_fin: {'fluid': {}, 'anterior pararenal space': {}}clinical findings_fin: {'collection of loculated fluid is seen': {'clinical finding': 'collection of loculated fluid is seen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'mesentery': {}, 'porta hepatis': {}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'renal vein': {}, 'superior mesenteric artery': {}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'aforementioned changes': {'clinical finding': 'aforementioned changes', 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'change'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'marked wall thickening': {'clinical finding': 'marked wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked wall', 'observation': 'thickening'}}anatomical entity_fin: {'l5 vertebral body': {}}clinical findings_fin: {'mild compression deformity': {'clinical finding': 'mild compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild compression', 'observation': 'deformity', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'minimal scattered ascites': {'clinical finding': 'minimal scattered ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered', 'observation': 'ascite', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}}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: {'scattered pulmonary nodules': {'clinical finding': 'scattered pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'nodule'}}size_fin: [{'size': '1.0 x 0.7 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'left upper lobe nodule': {'clinical finding': 'left upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule'}}size_fin: [{'size': '0.9 x 0.8 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'right lower lobe nodule': {'clinical finding': 'right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}, 'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'surgically': {'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically'}}anatomical entity_fin: {'fluid': {}, 'pancreas': {}}clinical findings_fin: {'local inflammatory changes': {'clinical finding': 'local inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'local inflammatory', 'observation': 'change'}, 'patients postoperative status': {'clinical finding': 'patients postoperative status', 'existence': 'pos_dx', 'descriptive_term': 'patients postoperative', 'observation': 'status'}}anatomical entity_fin: {'fluid': {}, 'anterior pararenal space': {}}clinical findings_fin: {'collection of loculated fluid is seen': {'clinical finding': 'collection of loculated fluid is seen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'mesentery': {}, 'porta hepatis': {}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'renal vein': {}, 'superior mesenteric artery': {}}location descriptor_fin: ['inferior', 'anterior']clinical findings_fin: {'aforementioned changes': {'clinical finding': 'aforementioned changes', 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'change'}, 'nonocclusive thrombus': {'clinical finding': 'nonocclusive thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'pos_dx', 'descriptive_term': 'nonocclusive', 'observation': 'thrombus'}}anatomical entity_fin: {'superior mesenteric vein': {}}clinical findings_fin: {'focal narrowing': {'clinical finding': 'focal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'marked wall thickening': {'clinical finding': 'marked wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'marked wall', 'observation': 'thickening'}}anatomical entity_fin: {'l5 vertebral body': {}}clinical findings_fin: {'mild compression deformity': {'clinical finding': 'mild compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'mild compression', 'observation': 'deformity', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'scattered subcentimeter lymph nodes': {'clinical finding': 'scattered subcentimeter lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter lymph', 'observation': 'node'}}clinical findings_fin: {'minimal scattered ascites': {'clinical finding': 'minimal scattered ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered', 'observation': 'ascite', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 atelectasis or scarring. No pleural effusions. There are scattered pulmonary nodules bilaterally. A left upper lobe nodule measures 1.0 x 0.7 cm. A right lower lobe nodule measures 0.9 x 0.8 cm. The gallbladder is surgically absent. The spleen is surgically absent. The pancreas is surgically absent. There is a small amount of loculated fluid and local inflammatory changes in the bed of the pancreas, which reflect the patients postoperative status. A collection of loculated fluid is seen in the anterior pararenal space. No significant abnormality noted. No significant abnormality noted. There are scattered subcentimeter lymph nodes about the root of the mesentery and porta hepatis. Cannot be evaluated. No significant abnormality noted. Inferior to the aforementioned changes in the pancreatic surgical bed and anterior to the renal vein we see a nonocclusive thrombus in the superior mesenteric artery. There is also a focal narrowing of the superior mesenteric vein, likely secondary to inflammatory changes at this site. A short segment loop of bowel with marked wall thickening is seen. Mild compression deformity of the L5 vertebral body. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are scattered subcentimeter lymph nodes within the pelvis. Minimal scattered ascites. No significant abnormality noted. No significant abnormality noted </s> |
There are punctate ill-defined hypodensities in the left pons as well as left cerebellar deep white matter, compatible with evolving acute ischemic infarcts better demonstrated on previous MRI. There is no acute intracranial hemorrhage. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There are no areas of pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is moderate luminal narrowing of the cavernous segment of the left internal carotid artery. There is more diffuse irregularity and mild to moderate narrowing of the cavernous segment of the right internal carotid artery. The middle cerebral arteries are unremarkable. There is hypoplastic left A1 segment. The right anterior cerebral artery is unremarkable. There are small bilateral posterior communicating arteries. There is hypoplastic right P1 segment of posterior cerebral artery. P1 segment of the left PCA is not well-visualized. The basilar artery is diffusely irregular and severely thin in caliber. The V4 segment of the right vertebral artery is not visualized. There appears to be a right AICA visualized. There is marked irregularity and luminal narrowing involving the post-PICA portion of the left V4 segment, with the distal tip not visualized. There is no definite right PICA visualized. The left AICA is diminutive. CTA NECK | anatomical entity_fin: {'pons': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate ill-defined hypodensities': {'clinical finding': 'punctate ill-defined hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'punctate ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}, 'evolving acute ischemic infarcts': {'clinical finding': 'evolving acute ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'evolving acute ischemic', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}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: {'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: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate luminal narrowing': {'clinical finding': 'moderate luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate luminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'more diffuse irregularity': {'clinical finding': 'more diffuse irregularity', 'existence': 'pos_dx', 'descriptive_term': 'more diffuse', 'observation': 'irregularity', 'quantity_term': 'more'}, 'mild to moderate narrowing': {'clinical finding': 'mild to moderate narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'middle cerebral arteries': {}}clinical findings_fin: {'middle cerebral arteries are unremarkable': {'clinical finding': 'middle cerebral arteries are unremarkable'}}location descriptor_fin: ['left']clinical findings_fin: {'is hypoplastic left a1 segment': {'clinical finding': 'is hypoplastic left a1 segment'}}anatomical entity_fin: {'right anterior cerebral artery': {}}clinical findings_fin: {'right anterior cerebral artery is unremarkable': {'clinical finding': 'right anterior cerebral artery is unremarkable'}}anatomical entity_fin: {'posterior communicating arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'are small bilateral posterior communicating arteries': {'clinical finding': 'are small bilateral posterior communicating arteries'}}anatomical entity_fin: {'p1 segment of posterior cerebral artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hypoplastic': {'clinical finding': 'hypoplastic', 'existence': 'pos_dx', 'observation': 'hypoplastic'}}location descriptor_fin: ['left']clinical findings_fin: {'p1 segment of the left pca is not well - visualized': {'clinical finding': 'p1 segment of the left pca is not well - visualized'}}anatomical entity_fin: {'basilar artery': {}}clinical findings_fin: {'irregular': {'clinical finding': 'irregular', 'existence': 'pos_dx', 'observation': 'irregular'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'v4 segment of the right vertebral artery is not visualized': {'clinical finding': 'v4 segment of the right vertebral artery is not visualized'}}location descriptor_fin: ['right']clinical findings_fin: {'right aica visualized': {'clinical finding': 'right aica visualized'}}location descriptor_fin: ['left', 'distal']clinical findings_fin: {'marked irregularity': {'clinical finding': 'marked irregularity', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'irregularity'}, 'luminal narrowing': {'clinical finding': 'luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'narrowing'}}location descriptor_fin: ['right']clinical findings_fin: {'definite right pica visualized': {'clinical finding': 'definite right pica visualized'}}location descriptor_fin: ['left']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: anatomical entity_fin: {'pons': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'punctate ill-defined hypodensities': {'clinical finding': 'punctate ill-defined hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'punctate ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined'}, 'evolving acute ischemic infarcts': {'clinical finding': 'evolving acute ischemic infarcts', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'evolving acute ischemic', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'}}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'}}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: {'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: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'moderate luminal narrowing': {'clinical finding': 'moderate luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate luminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'more diffuse irregularity': {'clinical finding': 'more diffuse irregularity', 'existence': 'pos_dx', 'descriptive_term': 'more diffuse', 'observation': 'irregularity', 'quantity_term': 'more'}, 'mild to moderate narrowing': {'clinical finding': 'mild to moderate narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate', 'observation': 'narrowing', 'strength_term': 'mild - moderate'}}anatomical entity_fin: {'middle cerebral arteries': {}}clinical findings_fin: {'middle cerebral arteries are unremarkable': {'clinical finding': 'middle cerebral arteries are unremarkable'}}location descriptor_fin: ['left']clinical findings_fin: {'is hypoplastic left a1 segment': {'clinical finding': 'is hypoplastic left a1 segment'}}anatomical entity_fin: {'right anterior cerebral artery': {}}clinical findings_fin: {'right anterior cerebral artery is unremarkable': {'clinical finding': 'right anterior cerebral artery is unremarkable'}}anatomical entity_fin: {'posterior communicating arteries': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'are small bilateral posterior communicating arteries': {'clinical finding': 'are small bilateral posterior communicating arteries'}}anatomical entity_fin: {'p1 segment of posterior cerebral artery': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'hypoplastic': {'clinical finding': 'hypoplastic', 'existence': 'pos_dx', 'observation': 'hypoplastic'}}location descriptor_fin: ['left']clinical findings_fin: {'p1 segment of the left pca is not well - visualized': {'clinical finding': 'p1 segment of the left pca is not well - visualized'}}anatomical entity_fin: {'basilar artery': {}}clinical findings_fin: {'irregular': {'clinical finding': 'irregular', 'existence': 'pos_dx', 'observation': 'irregular'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'v4 segment of the right vertebral artery is not visualized': {'clinical finding': 'v4 segment of the right vertebral artery is not visualized'}}location descriptor_fin: ['right']clinical findings_fin: {'right aica visualized': {'clinical finding': 'right aica visualized'}}location descriptor_fin: ['left', 'distal']clinical findings_fin: {'marked irregularity': {'clinical finding': 'marked irregularity', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'irregularity'}, 'luminal narrowing': {'clinical finding': 'luminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'luminal', 'observation': 'narrowing'}}location descriptor_fin: ['right']clinical findings_fin: {'definite right pica visualized': {'clinical finding': 'definite right pica visualized'}}location descriptor_fin: ['left']anatomical entity_fin: {'neck': {}}clinical findings_fin: {'cta neck': {'clinical finding': 'cta neck'}} [/INST] There are punctate ill-defined hypodensities in the left pons as well as left cerebellar deep white matter, compatible with evolving acute ischemic infarcts better demonstrated on previous MRI. There is no acute intracranial hemorrhage. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There are no areas of pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is moderate luminal narrowing of the cavernous segment of the left internal carotid artery. There is more diffuse irregularity and mild to moderate narrowing of the cavernous segment of the right internal carotid artery. The middle cerebral arteries are unremarkable. There is hypoplastic left A1 segment. The right anterior cerebral artery is unremarkable. There are small bilateral posterior communicating arteries. There is hypoplastic right P1 segment of posterior cerebral artery. P1 segment of the left PCA is not well-visualized. The basilar artery is diffusely irregular and severely thin in caliber. The V4 segment of the right vertebral artery is not visualized. There appears to be a right AICA visualized. There is marked irregularity and luminal narrowing involving the post-PICA portion of the left V4 segment, with the distal tip not visualized. There is no definite right PICA visualized. The left AICA is diminutive. CTA NECK </s> |
. Minimal dependent atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant retroperitoneal lymphadenopathy. The abdominal aorta is normal caliber. The descending and transverse colon is mildly dilated. There is collapse of the proximal descending colon and splenic flexure with mild to moderate colonic wall thickening, mild adjacent inflammatory changes and mildly prominent pericolonic lymph nodes. No evidence of bowel perforation. The appendix is well-visualized and is within normal limits. No significant abnormality noted. No significant abnormality noted. An intrauterine device is noted. No significant abnormality noted. No pelvic lymphadenopathy. There is intramural fat in the rectum and sigmoid colon, compatible with chronic changes from inflammation. No significant abnormality noted. 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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'abdominal aorta is normal caliber': {'clinical finding': 'abdominal aorta is normal caliber'}}anatomical entity_fin: {'transverse colon': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'descending colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal', 'adjacent']clinical findings_fin: {'collapse': {'clinical finding': 'collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'mild to moderate colonic wall thickening': {'clinical finding': 'mild to moderate colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate colonic wall', 'observation': 'thickening', 'strength_term': 'mild - moderate'}, 'mild adjacent inflammatory changes': {'clinical finding': 'mild adjacent inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild adjacent inflammatory', 'observation': 'change', 'strength_term': 'mild'}, 'mildly prominent pericolonic lymph nodes': {'clinical finding': 'mildly prominent pericolonic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pericolonic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel perforation': {'clinical finding': 'bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'perforation'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and is within normal limits': {'clinical finding': 'well - visualized and is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['intrauterine device']clinical findings_fin: {'intrauterine device': {'clinical finding': 'intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'intrauterine', 'observation': 'device'}}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'}}anatomical entity_fin: {'rectum': {}, 'sigmoid colon': {}}imaging observation_fin: ['fat']clinical findings_fin: {'intramural fat': {'clinical finding': 'intramural fat', 'existence': 'pos_dx', 'descriptive_term': 'intramural', 'observation': 'fat'}, 'chronic changes': {'clinical finding': 'chronic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'change', 'temporal_term': 'chronic'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 retroperitoneal lymphadenopathy': {'clinical finding': 'significant retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal aorta': {}}clinical findings_fin: {'abdominal aorta is normal caliber': {'clinical finding': 'abdominal aorta is normal caliber'}}anatomical entity_fin: {'transverse colon': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}anatomical entity_fin: {'descending colon': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal', 'adjacent']clinical findings_fin: {'collapse': {'clinical finding': 'collapse', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}, 'mild to moderate colonic wall thickening': {'clinical finding': 'mild to moderate colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate colonic wall', 'observation': 'thickening', 'strength_term': 'mild - moderate'}, 'mild adjacent inflammatory changes': {'clinical finding': 'mild adjacent inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild adjacent inflammatory', 'observation': 'change', 'strength_term': 'mild'}, 'mildly prominent pericolonic lymph nodes': {'clinical finding': 'mildly prominent pericolonic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent pericolonic lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel perforation': {'clinical finding': 'bowel perforation', 'cf_snomed': {'perforation': 36191001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'perforation'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and is within normal limits': {'clinical finding': 'well - visualized and is within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['intrauterine device']clinical findings_fin: {'intrauterine device': {'clinical finding': 'intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'intrauterine', 'observation': 'device'}}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'}}anatomical entity_fin: {'rectum': {}, 'sigmoid colon': {}}imaging observation_fin: ['fat']clinical findings_fin: {'intramural fat': {'clinical finding': 'intramural fat', 'existence': 'pos_dx', 'descriptive_term': 'intramural', 'observation': 'fat'}, 'chronic changes': {'clinical finding': 'chronic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'change', 'temporal_term': 'chronic'}, 'inflammation': {'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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] . Minimal dependent atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant retroperitoneal lymphadenopathy. The abdominal aorta is normal caliber. The descending and transverse colon is mildly dilated. There is collapse of the proximal descending colon and splenic flexure with mild to moderate colonic wall thickening, mild adjacent inflammatory changes and mildly prominent pericolonic lymph nodes. No evidence of bowel perforation. The appendix is well-visualized and is within normal limits. No significant abnormality noted. No significant abnormality noted. An intrauterine device is noted. No significant abnormality noted. No pelvic lymphadenopathy. There is intramural fat in the rectum and sigmoid colon, compatible with chronic changes from inflammation. No significant abnormality noted. No significant abnormality noted. </s> |
. Lower lobe granulomata. Liver is normal in morphology. There is mild intrahepatic biliary ductal dilatation and pneumobilia. No focal hepatic lesions. Hepatic and portal veins are patent. Scattered splenic granulomata. Hypodense focus in the spleen is unchanged. Pancreatic mass causes mild dilatation of the pancreatic duct. A metallic CBD stent has been placed. The reference measurements provided below. The portal vein is patent. No significant abnormality noted. No significant abnormality noted. Calcific arteriosclerotic disease affects the aorta. Large hiatal hernia. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Metallic fragments noted in the left thigh. Superior endplate compression deformity of L2 vertebral body likely representing a Schmorls node. No significant abnormality noted. 2.6 x 1.5 cm 2.7 x 1.9 cm on prior. | anatomical entity_fin: {'lobe': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'lower lobe granulomata': {'clinical finding': 'lower lobe granulomata', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'granulomata'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'scattered splenic granulomata': {'clinical finding': 'scattered splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered splenic', 'observation': 'granulomata'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'hypodense focus': {'clinical finding': 'hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'focus'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'metallic cbd stent': {'clinical finding': 'metallic cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic cbd', 'observation': 'stent'}}anatomical entity_fin: {'portal vein': {}}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'}}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: {'large hiatal hernia': {'clinical finding': 'large hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'thigh': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'metallic fragments noted in the left thigh': {'clinical finding': 'metallic fragments noted in the left thigh'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 'l2 vertebral body': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate compression deformity': {'clinical finding': 'superior endplate compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'superior endplate compression', 'observation': 'deformity', 'strength_term': 'superior'}, 'schmorls node': {'clinical finding': 'schmorls node', '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'}}size_fin: [{'size': '2.6 x 1.5 cm'}, {'size': '2.7 x 1.9 cm'}] | 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': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'lower lobe granulomata': {'clinical finding': 'lower lobe granulomata', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'granulomata'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'liver is normal in morphology': {'clinical finding': 'liver is normal in morphology'}}clinical findings_fin: {'mild intrahepatic biliary ductal dilatation': {'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild'}, 'pneumobilia': {'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'portal veins': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'scattered splenic granulomata': {'clinical finding': 'scattered splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered splenic', 'observation': 'granulomata'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'hypodense focus': {'clinical finding': 'hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'focus'}}anatomical entity_fin: {'pancreatic duct': {}}clinical findings_fin: {'pancreatic mass': {'clinical finding': 'pancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass'}}clinical findings_fin: {'metallic cbd stent': {'clinical finding': 'metallic cbd stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic cbd', 'observation': 'stent'}}anatomical entity_fin: {'portal vein': {}}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'}}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: {'large hiatal hernia': {'clinical finding': 'large hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'thigh': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'metallic fragments noted in the left thigh': {'clinical finding': 'metallic fragments noted in the left thigh'}}anatomical entity_fin: {'endplate': {'location descriptor': 'superior'}, 'l2 vertebral body': {}}location descriptor_fin: ['superior']clinical findings_fin: {'superior endplate compression deformity': {'clinical finding': 'superior endplate compression deformity', 'cf_snomed': {'compression': 71173004, 'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'superior endplate compression', 'observation': 'deformity', 'strength_term': 'superior'}, 'schmorls node': {'clinical finding': 'schmorls node', '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'}}size_fin: [{'size': '2.6 x 1.5 cm'}, {'size': '2.7 x 1.9 cm'}] [/INST] . Lower lobe granulomata. Liver is normal in morphology. There is mild intrahepatic biliary ductal dilatation and pneumobilia. No focal hepatic lesions. Hepatic and portal veins are patent. Scattered splenic granulomata. Hypodense focus in the spleen is unchanged. Pancreatic mass causes mild dilatation of the pancreatic duct. A metallic CBD stent has been placed. The reference measurements provided below. The portal vein is patent. No significant abnormality noted. No significant abnormality noted. Calcific arteriosclerotic disease affects the aorta. Large hiatal hernia. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Metallic fragments noted in the left thigh. Superior endplate compression deformity of L2 vertebral body likely representing a Schmorls node. No significant abnormality noted. 2.6 x 1.5 cm 2.7 x 1.9 cm on prior. </s> |
There are rudimentary ribs at L1. There is degenerative spondylosis at L3-4, including vacuum disc phenomenon with a small disc bulge and left facet hypertrophy that results in mild neural foraminal stenosis. There is also degenerative spondylosis at L4-5 with disc space narrowing and disc bulge, as well as uncovertebral and facet hypertrophy with mild bilateral neural foraminal narrowing. In addition, at L5-S1, including vacuum disc and left facet joint phenomenon with disc space narrowing and a disc bulge and facet hypertrophy with mild bilateral neural foraminal narrowing. The lumbar spine alignment is near-anatomic. The vertebral body heights are intact. A punctate sclerotic focus in the L4 vertebral body may represent an enostosis. Otherwise, there appears to be diffuse osteopenia. There is a partially-imaged intrauterine device. There appears to have been cholecystectomy. | anatomical entity_fin: {'ribs': {}}anatomical entity_fin: {'disc': {}, 'facet': {'location descriptor': 'left'}, 'foraminal': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'vacuum disc phenomenon': {'clinical finding': 'vacuum disc phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'small disc bulge': {'clinical finding': 'small disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'small disc', 'observation': 'bulge', 'strength_term': 'small'}, 'left facet hypertrophy': {'clinical finding': 'left facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left facet', 'observation': 'hypertrophy'}, 'mild neural foraminal stenosis': {'clinical finding': 'mild neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}, 'uncovertebral': {}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}, 'facet joint': {'location descriptor': 'left'}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'vacuum disc': {'clinical finding': 'vacuum disc', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'disc'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'bulge': {'clinical finding': 'bulge', 'existence': 'pos_dx', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'punctate sclerotic focus': {'clinical finding': 'punctate sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'punctate sclerotic', 'observation': 'focus'}, 'enostosis': {'clinical finding': 'enostosis', 'cf_snomed': {'enostosis': 782164008}, 'existence': 'unc_dx', 'observation': 'enostosis'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}object_fin: ['intrauterine device']clinical findings_fin: {'partially-imaged intrauterine device': {'clinical finding': 'partially-imaged intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged intrauterine', 'observation': 'device', 'strength_term': 'partially'}}procedure_fin: ['cholecystectomy'] | 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: {'ribs': {}}anatomical entity_fin: {'disc': {}, 'facet': {'location descriptor': 'left'}, 'foraminal': {}}location descriptor_fin: ['left']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'vacuum disc phenomenon': {'clinical finding': 'vacuum disc phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon'}, 'small disc bulge': {'clinical finding': 'small disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'small disc', 'observation': 'bulge', 'strength_term': 'small'}, 'left facet hypertrophy': {'clinical finding': 'left facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'left facet', 'observation': 'hypertrophy'}, 'mild neural foraminal stenosis': {'clinical finding': 'mild neural foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}anatomical entity_fin: {'disc': {}, 'uncovertebral': {}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'disc bulge': {'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'disc': {}, 'facet joint': {'location descriptor': 'left'}, 'facet': {}, 'foraminal': {}}location descriptor_fin: ['left', 'bilateral']clinical findings_fin: {'vacuum disc': {'clinical finding': 'vacuum disc', 'existence': 'pos_dx', 'descriptive_term': 'vacuum', 'observation': 'disc'}, 'disc space narrowing': {'clinical finding': 'disc space narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'disc space', 'observation': 'narrowing'}, 'bulge': {'clinical finding': 'bulge', 'existence': 'pos_dx', 'observation': 'bulge'}, 'hypertrophy': {'clinical finding': 'hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'observation': 'hypertrophy'}, 'narrowing': {'clinical finding': 'narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'observation': 'narrowing'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'near-anatomic': {'clinical finding': 'near-anatomic', 'existence': 'pos_dx', 'observation': 'near'}}anatomical entity_fin: {'vertebral body': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'l4 vertebral body': {}}clinical findings_fin: {'punctate sclerotic focus': {'clinical finding': 'punctate sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'punctate sclerotic', 'observation': 'focus'}, 'enostosis': {'clinical finding': 'enostosis', 'cf_snomed': {'enostosis': 782164008}, 'existence': 'unc_dx', 'observation': 'enostosis'}}clinical findings_fin: {'diffuse osteopenia': {'clinical finding': 'diffuse osteopenia', 'cf_snomed': {'osteopenia': 312894000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'}}object_fin: ['intrauterine device']clinical findings_fin: {'partially-imaged intrauterine device': {'clinical finding': 'partially-imaged intrauterine device', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged intrauterine', 'observation': 'device', 'strength_term': 'partially'}}procedure_fin: ['cholecystectomy'] [/INST] There are rudimentary ribs at L1. There is degenerative spondylosis at L3-4, including vacuum disc phenomenon with a small disc bulge and left facet hypertrophy that results in mild neural foraminal stenosis. There is also degenerative spondylosis at L4-5 with disc space narrowing and disc bulge, as well as uncovertebral and facet hypertrophy with mild bilateral neural foraminal narrowing. In addition, at L5-S1, including vacuum disc and left facet joint phenomenon with disc space narrowing and a disc bulge and facet hypertrophy with mild bilateral neural foraminal narrowing. The lumbar spine alignment is near-anatomic. The vertebral body heights are intact. A punctate sclerotic focus in the L4 vertebral body may represent an enostosis. Otherwise, there appears to be diffuse osteopenia. There is a partially-imaged intrauterine device. There appears to have been cholecystectomy. </s> |
. Right paramediastinal radiation fibrosis is again noted. Unchanged reference right upper lobe nodule measuring 3 mm. Right middle lobe reference lesion measures 4 mm, unchanged additional scattered subcentimeter calcified and noncalcified micronodules are unchanged. No significant mediastinal or hilar lymphadenopathy. Residual soft tissue surrounding the right main and upper lobe bronchus is unchanged in appearance. Calcified subcarinal lymph nodes. The heart size is normal without pericardial effusion. Severe. Evidence of prior left neck dissection. No significant chest wall lymphadenopathy. No significant retrocrural lymphadenopathy. Severe degenerative changes to the endplates of the upper thoracic spine and lower lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the right lobe of liver, unchanged and too small to further characterize. Calcified granuloma in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lymph nodes adjacent to the tail of the pancreas are unchanged. No significant lymphadenopathy. Severe atherosclerotic calcification of the aorta and its branch vessels without aneurysmal dilatation. 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: {'paramediastinal radiation fibrosis': {'clinical finding': 'paramediastinal radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal radiation', 'observation': 'fibrosis'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'reference'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'unchanged reference right upper lobe nodule': {'clinical finding': 'unchanged reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference right upper lobe', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe reference lesion': {'clinical finding': 'right middle lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe reference', 'observation': 'lesion'}, 'additional scattered subcentimeter calcified and noncalcified micronodules': {'clinical finding': 'additional scattered subcentimeter calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered subcentimeter calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}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'}}anatomical entity_fin: {'upper lobe bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}anatomical entity_fin: {'subcarinal lymph nodes': {}}clinical findings_fin: {'calcified subcarinal lymph nodes': {'clinical finding': 'calcified subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'}}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: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prior left neck dissection': {'clinical finding': 'prior left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'significant chest wall lymphadenopathy': {'clinical finding': 'significant chest wall lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant chest wall', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant retrocrural lymphadenopathy': {'clinical finding': 'significant retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['upper', 'lower']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'right lobe of liver': {}}clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}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: location descriptor_fin: ['right']clinical findings_fin: {'paramediastinal radiation fibrosis': {'clinical finding': 'paramediastinal radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'paramediastinal radiation', 'observation': 'fibrosis'}}size_fin: [{'size': '3 mm', 'size_descriptor': 'reference'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'unchanged reference right upper lobe nodule': {'clinical finding': 'unchanged reference right upper lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged reference right upper lobe', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '4 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'right middle lobe reference lesion': {'clinical finding': 'right middle lobe reference lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe reference', 'observation': 'lesion'}, 'additional scattered subcentimeter calcified and noncalcified micronodules': {'clinical finding': 'additional scattered subcentimeter calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered subcentimeter calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'}}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'}}anatomical entity_fin: {'upper lobe bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}anatomical entity_fin: {'subcarinal lymph nodes': {}}clinical findings_fin: {'calcified subcarinal lymph nodes': {'clinical finding': 'calcified subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'}}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: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'prior left neck dissection': {'clinical finding': 'prior left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection'}}anatomical entity_fin: {'chest wall': {}}clinical findings_fin: {'significant chest wall lymphadenopathy': {'clinical finding': 'significant chest wall lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant chest wall', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant retrocrural lymphadenopathy': {'clinical finding': 'significant retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant retrocrural', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['upper', 'lower']clinical findings_fin: {'severe degenerative changes': {'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'right lobe of liver': {}}clinical findings_fin: {'subcentimeter hypoattenuating focus': {'clinical finding': 'subcentimeter hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating', 'observation': 'focus'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'calcified granuloma': {'clinical finding': 'calcified granuloma', 'cf_snomed': {'calcified granuloma': 48391002}, 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pancreas': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}, 'tail': {'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'severe atherosclerotic calcification': {'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe'}, 'aneurysmal': {'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'}}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] . Right paramediastinal radiation fibrosis is again noted. Unchanged reference right upper lobe nodule measuring 3 mm. Right middle lobe reference lesion measures 4 mm, unchanged additional scattered subcentimeter calcified and noncalcified micronodules are unchanged. No significant mediastinal or hilar lymphadenopathy. Residual soft tissue surrounding the right main and upper lobe bronchus is unchanged in appearance. Calcified subcarinal lymph nodes. The heart size is normal without pericardial effusion. Severe. Evidence of prior left neck dissection. No significant chest wall lymphadenopathy. No significant retrocrural lymphadenopathy. Severe degenerative changes to the endplates of the upper thoracic spine and lower lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hypoattenuating focus in the right lobe of liver, unchanged and too small to further characterize. Calcified granuloma in the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lymph nodes adjacent to the tail of the pancreas are unchanged. No significant lymphadenopathy. Severe atherosclerotic calcification of the aorta and its branch vessels without aneurysmal dilatation. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
. Increased right paramediastinal fibrotic changes consistent with radiation fibrosis. Right basilar ground glass opacity with subpleural sparing likely reflects radiation pneumonitis. No suspicious pulmonary nodules or masses are identified. Postsurgical changes related to sternotomy and resection of the right anterior mediastinal mass. No residual soft tissue is evident to suggest recurrence. No hilar or mediastinal lymphadenopathy is present. The main pulmonary artery measures 3.5 cm in maximal diameter, which is nonspecific finding, but can be seen in the setting of pulmonary hypertension. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. No significant lymphadenopathy noted. Postsurgical changes related to sternotomy, with intact sternotomy fixation hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for GI pathology. Densely calcified mesenteric masses likely reflect calcified lymph nodes. No significant abnormality noted. No significant abnormality noted. | location descriptor_fin: ['right']clinical findings_fin: {'increased right paramediastinal fibrotic changes': {'clinical finding': 'increased right paramediastinal fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'increased right paramediastinal fibrotic', 'observation': 'change', 'strength_term': 'increased', 'change_term': 'increased'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar ground glass opacity': {'clinical finding': 'basilar ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'basilar ground glass', 'observation': 'opacity'}, 'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}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'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'right anterior mediastinal mass': {'clinical finding': 'right anterior mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior mediastinal', 'observation': 'mass'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'}}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'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'intact sternotomy fixation hardware': {'clinical finding': 'intact sternotomy fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'intact sternotomy fixation', 'observation': 'hardware', 'change_term': 'intact'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_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 lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'densely calcified mesenteric masses': {'clinical finding': 'densely calcified mesenteric masses', 'existence': 'unc_dx', 'descriptive_term': 'densely calcified mesenteric', 'observation': 'mass', 'change_term': 'calcified'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'unc_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', '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'}} | 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: {'increased right paramediastinal fibrotic changes': {'clinical finding': 'increased right paramediastinal fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'increased right paramediastinal fibrotic', 'observation': 'change', 'strength_term': 'increased', 'change_term': 'increased'}, 'radiation fibrosis': {'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'}}location descriptor_fin: ['right']clinical findings_fin: {'basilar ground glass opacity': {'clinical finding': 'basilar ground glass opacity', 'cf_snomed': {'ground glass opacity': 1217294009}, 'existence': 'pos_dx', 'descriptive_term': 'basilar ground glass', 'observation': 'opacity'}, 'radiation pneumonitis': {'clinical finding': 'radiation pneumonitis', 'cf_snomed': {'radiation pneumonitis': 84004001}, 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'}}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'}}location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'right anterior mediastinal mass': {'clinical finding': 'right anterior mediastinal mass', 'cf_snomed': {'mediastinal mass': 94147001}, 'existence': 'pos_dx', 'descriptive_term': 'right anterior mediastinal', 'observation': 'mass'}}clinical findings_fin: {'residual': {'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'}, 'recurrence': {'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'}}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'}}size_fin: [{'size': '3.5 cm', 'size_descriptor': 'artery'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'pulmonary hypertension': {'clinical finding': 'pulmonary hypertension', 'cf_snomed': {'pulmonary hypertension': 70995007}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'}}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'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'sternotomy': {'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'}, 'intact sternotomy fixation hardware': {'clinical finding': 'intact sternotomy fixation hardware', 'existence': 'pos_dx', 'descriptive_term': 'intact sternotomy fixation', 'observation': 'hardware', 'change_term': 'intact'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_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 lymphadenopathy': {'clinical finding': 'significant lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'densely calcified mesenteric masses': {'clinical finding': 'densely calcified mesenteric masses', 'existence': 'unc_dx', 'descriptive_term': 'densely calcified mesenteric', 'observation': 'mass', 'change_term': 'calcified'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'unc_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', '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'}} [/INST] . Increased right paramediastinal fibrotic changes consistent with radiation fibrosis. Right basilar ground glass opacity with subpleural sparing likely reflects radiation pneumonitis. No suspicious pulmonary nodules or masses are identified. Postsurgical changes related to sternotomy and resection of the right anterior mediastinal mass. No residual soft tissue is evident to suggest recurrence. No hilar or mediastinal lymphadenopathy is present. The main pulmonary artery measures 3.5 cm in maximal diameter, which is nonspecific finding, but can be seen in the setting of pulmonary hypertension. The heart size is normal and there is no pericardial effusion. None. No significant lymphadenopathy noted. No significant lymphadenopathy noted. Postsurgical changes related to sternotomy, with intact sternotomy fixation hardware. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy noted. Absence of enteric contrast material limits sensitivity for GI pathology. Densely calcified mesenteric masses likely reflect calcified lymph nodes. No significant abnormality noted. No significant abnormality noted. </s> |
There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a right lens implant. There is nonspecific opacification of the bilateral mastoid air cells and left middle ear cavity. | 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'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['implant']anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavity': {'location descriptor': 'left'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'nonspecific opacification': {'clinical finding': 'nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'opacification'}} | 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'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are unchanged in size and configuration': {'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'lens': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['implant']anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'bilateral'}, 'middle ear cavity': {'location descriptor': 'left'}}location descriptor_fin: ['bilateral', 'left']clinical findings_fin: {'nonspecific opacification': {'clinical finding': 'nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'opacification'}} [/INST] There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a right lens implant. There is nonspecific opacification of the bilateral mastoid air cells and left middle ear cavity. </s> |
Imaging was acquired with a stereotactic frame in place intraoperatively for surgical guidance. Again seen is evidence of right frontal burr hole access. An enhancing pineal region mass is again seen with mass effect on the third ventricular space. As on the immediate prior CT examination, the caliber of the lateral and third ventricles appears to be mildly increased relative to older examinations. No new intracranial findings are seen. | location descriptor_fin: ['right']clinical findings_fin: {'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing pineal region mass': {'clinical finding': 'enhancing pineal region mass', 'existence': 'pos_dx', 'descriptive_term': 'enhancing pineal region', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}clinical findings_fin: {'new intracranial findings are seen': {'clinical finding': 'new intracranial findings are seen'}} | 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: {'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enhancing pineal region mass': {'clinical finding': 'enhancing pineal region mass', 'existence': 'pos_dx', 'descriptive_term': 'enhancing pineal region', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}anatomical entity_fin: {'third ventricles': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'increased': {'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'}}clinical findings_fin: {'new intracranial findings are seen': {'clinical finding': 'new intracranial findings are seen'}} [/INST] Imaging was acquired with a stereotactic frame in place intraoperatively for surgical guidance. Again seen is evidence of right frontal burr hole access. An enhancing pineal region mass is again seen with mass effect on the third ventricular space. As on the immediate prior CT examination, the caliber of the lateral and third ventricles appears to be mildly increased relative to older examinations. No new intracranial findings are seen. </s> |
. Evaluation of solid organs is limited by lack of IV contrast. Micronodule in the right lung base is unchanged. No biliary ductal dilatation. No cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis or hydronephrosis. No perinephric fat stranding or collection. Note is made of a partially duplicated left collecting system. No retroperitoneal lymphadenopathy. Moderate. No bowel obstruction or CT evidence of diverticulitis. The appendix is well-visualized and normal in appearance. No mesenteric lymphadenopathy. Degenerative changes affect the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Osteoarthritis of the hips, worse on the right. No significant abnormality noted | anatomical entity_fin: {'right lung': {}, 'base': {}}clinical findings_fin: {'micronodule': {'clinical finding': 'micronodule', 'existence': 'pos_dx', 'observation': 'micronodule'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}imaging observation_fin: ['fat']clinical findings_fin: {'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}location descriptor_fin: ['left']clinical findings_fin: {'note is made of a partially duplicated left collecting system': {'clinical finding': 'note is made of a partially duplicated left collecting system'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}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'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and normal': {'clinical finding': 'well - visualized and normal'}}clinical findings_fin: {'mesenteric lymphadenopathy': {'clinical finding': 'mesenteric lymphadenopathy', 'cf_snomed': {'mesenteric lymphadenopathy': 127144009}, 'existence': 'neg_dx', 'descriptive_term': 'mesenteric', 'observation': 'lymphadenopathy'}}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: {'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'}}anatomical entity_fin: {'hips': {}}location descriptor_fin: ['right']clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}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: {'right lung': {}, 'base': {}}clinical findings_fin: {'micronodule': {'clinical finding': 'micronodule', 'existence': 'pos_dx', 'observation': 'micronodule'}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}imaging observation_fin: ['fat']clinical findings_fin: {'perinephric fat stranding': {'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand'}}location descriptor_fin: ['left']clinical findings_fin: {'note is made of a partially duplicated left collecting system': {'clinical finding': 'note is made of a partially duplicated left collecting system'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}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'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and normal': {'clinical finding': 'well - visualized and normal'}}clinical findings_fin: {'mesenteric lymphadenopathy': {'clinical finding': 'mesenteric lymphadenopathy', 'cf_snomed': {'mesenteric lymphadenopathy': 127144009}, 'existence': 'neg_dx', 'descriptive_term': 'mesenteric', 'observation': 'lymphadenopathy'}}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: {'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'}}anatomical entity_fin: {'hips': {}}location descriptor_fin: ['right']clinical findings_fin: {'osteoarthritis': {'clinical finding': 'osteoarthritis', 'cf_snomed': {'osteoarthritis': 396275006}, 'existence': 'pos_dx', 'observation': 'osteoarthritis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Evaluation of solid organs is limited by lack of IV contrast. Micronodule in the right lung base is unchanged. No biliary ductal dilatation. No cholelithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No nephrolithiasis or hydronephrosis. No perinephric fat stranding or collection. Note is made of a partially duplicated left collecting system. No retroperitoneal lymphadenopathy. Moderate. No bowel obstruction or CT evidence of diverticulitis. The appendix is well-visualized and normal in appearance. No mesenteric lymphadenopathy. Degenerative changes affect the spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Osteoarthritis of the hips, worse on the right. No significant abnormality noted </s> |
. Trace left pleural effusion and dependent atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Interval development of small amount of ascites. Again noted wall thickening and diverticula involving the sigmoid colon associated with small amount of free air consistent with patients known history of, acute diverticulitis. No significant abnormality noted. No significant abnormality noted. Evaluation of the uterus is severely limited due to artifacts from bilateral hip prosthesis. Central hypodensity within the uterus may represent a fibroid, however, pelvic ultrasound is recommended to exclude endometrial carcinoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted | location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'dependent atelectasis': {'clinical finding': 'dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'diverticula': {'clinical finding': 'diverticula', 'existence': 'pos_dx', 'observation': 'diverticula'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']object_fin: ['prosthesis']clinical findings_fin: {'artifacts': {'clinical finding': 'artifacts', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'uterus': {}}imaging modality_fin: ['ultrasound']imaging observation_fin: ['central hypodensity']clinical findings_fin: {'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'fibroid': {'clinical finding': 'fibroid', 'existence': 'unc_dx', 'observation': 'fibroid'}, 'endometrial carcinoma': {'clinical finding': 'endometrial carcinoma', 'cf_snomed': {'endometrial carcinoma': 254878006}, 'existence': 'unc_dx', 'descriptive_term': 'endometrial', 'observation': 'carcinoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: location descriptor_fin: ['left']clinical findings_fin: {'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}, 'dependent atelectasis': {'clinical finding': 'dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}}anatomical entity_fin: {'sigmoid colon': {}}clinical findings_fin: {'wall thickening': {'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'}, 'diverticula': {'clinical finding': 'diverticula', 'existence': 'pos_dx', 'observation': 'diverticula'}, 'free air': {'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'pos_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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}, 'hip': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']object_fin: ['prosthesis']clinical findings_fin: {'artifacts': {'clinical finding': 'artifacts', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'uterus': {}}imaging modality_fin: ['ultrasound']imaging observation_fin: ['central hypodensity']clinical findings_fin: {'central hypodensity': {'clinical finding': 'central hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypodensity'}, 'fibroid': {'clinical finding': 'fibroid', 'existence': 'unc_dx', 'observation': 'fibroid'}, 'endometrial carcinoma': {'clinical finding': 'endometrial carcinoma', 'cf_snomed': {'endometrial carcinoma': 254878006}, 'existence': 'unc_dx', 'descriptive_term': 'endometrial', 'observation': 'carcinoma'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Trace left pleural effusion and dependent atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Interval development of small amount of ascites. Again noted wall thickening and diverticula involving the sigmoid colon associated with small amount of free air consistent with patients known history of, acute diverticulitis. No significant abnormality noted. No significant abnormality noted. Evaluation of the uterus is severely limited due to artifacts from bilateral hip prosthesis. Central hypodensity within the uterus may represent a fibroid, however, pelvic ultrasound is recommended to exclude endometrial carcinoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
There is minimal hyperdensity along the anterior aspect of the falx which remains unchanged since 10/17/2015 and new since 7/1/2014 and favored to represent minimal subdural blood products. In comparison with 10/17/2015, there appears to have been minimal hyperdensity along the posterior aspect of the left cingulate sulcus which is not well appreciated on the current study. There is no new intracranial hemorrhage. No intracranial mass effect. There is redemonstration of periventricular and subcortical white matter hypoattenuation, compatible with age indeterminate small vessel ischemic disease. The ventricles and sulci are within normal limits. The osseous structures are intact. There is unchanged opacification of the right frontal, maxillary, and ethmoid air cells. There is also mild opacification of the right mastoid air cells. The visualized portions of the paranasal sinuses and left mastoid air cells are otherwise grossly clear. Calvarium is intact. | imaging observation_fin: ['falx', 'blood products']location descriptor_fin: ['anterior']clinical findings_fin: {'minimal hyperdensity': {'clinical finding': 'minimal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hyperdensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal subdural blood products': {'clinical finding': 'minimal subdural blood products', 'existence': 'pos_dx', 'descriptive_term': 'minimal subdural blood', 'observation': 'product', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'cingulate sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'minimal hyperdensity': {'clinical finding': 'minimal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hyperdensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}clinical findings_fin: {'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age indeterminate small vessel ischemic disease': {'clinical finding': 'age indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged opacification': {'clinical finding': 'unchanged opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}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'}}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: imaging observation_fin: ['falx', 'blood products']location descriptor_fin: ['anterior']clinical findings_fin: {'minimal hyperdensity': {'clinical finding': 'minimal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hyperdensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'minimal subdural blood products': {'clinical finding': 'minimal subdural blood products', 'existence': 'pos_dx', 'descriptive_term': 'minimal subdural blood', 'observation': 'product', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'cingulate sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['posterior', 'left']clinical findings_fin: {'minimal hyperdensity': {'clinical finding': 'minimal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hyperdensity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}}clinical findings_fin: {'periventricular and subcortical white matter hypoattenuation': {'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation'}, 'age indeterminate small vessel ischemic disease': {'clinical finding': 'age indeterminate small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'ventricles and sulci are within normal limits': {'clinical finding': 'ventricles and sulci are within normal limits'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right']clinical findings_fin: {'unchanged opacification': {'clinical finding': 'unchanged opacification', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'opacification', 'strength_term': 'unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mild opacification': {'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'}}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'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] There is minimal hyperdensity along the anterior aspect of the falx which remains unchanged since 10/17/2015 and new since 7/1/2014 and favored to represent minimal subdural blood products. In comparison with 10/17/2015, there appears to have been minimal hyperdensity along the posterior aspect of the left cingulate sulcus which is not well appreciated on the current study. There is no new intracranial hemorrhage. No intracranial mass effect. There is redemonstration of periventricular and subcortical white matter hypoattenuation, compatible with age indeterminate small vessel ischemic disease. The ventricles and sulci are within normal limits. The osseous structures are intact. There is unchanged opacification of the right frontal, maxillary, and ethmoid air cells. There is also mild opacification of the right mastoid air cells. The visualized portions of the paranasal sinuses and left mastoid air cells are otherwise grossly clear. Calvarium is intact. </s> |
. Interval resolution of bibasilar atelectasis with less prominent left basilar groundglass nodules. No new nodules identified. Cholecystectomy post-surgical changes noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable mesenteric adenopathy. None. Colectomy with right mid-abdominal ileostomy surgical changes noted. Lack of contrast limits evaluation, however, previously described left upper quadrant inflammatory changes appear resolved within this limitation. No free intraperitoneal air or drainable fluid collections identified. No evidence of obstruction. Mesenteric adenopathy similar in appearance to prior exam. Right mid-abdominal terminal ileostomy as well as postsurgical soft tissue changes noted along the abdominal midline. Infrarenal IVC filter 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 | location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'less prominent left basilar groundglass nodules': {'clinical finding': 'less prominent left basilar groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'less prominent left basilar groundglass', 'observation': 'nodule', 'strength_term': 'prominent', 'quantity_term': 'less'}}clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'cholecystectomy post-surgical changes': {'clinical finding': 'cholecystectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy post-surgical', '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: {'stable mesenteric adenopathy': {'clinical finding': 'stable mesenteric adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'stable mesenteric', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right']procedure_fin: ['ileostomy']clinical findings_fin: {'right mid-abdominal ileostomy surgical changes': {'clinical finding': 'right mid-abdominal ileostomy surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'right mid-abdominal ileostomy surgical', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'previously described left upper quadrant inflammatory changes': {'clinical finding': 'previously described left upper quadrant inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant inflammatory', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free intraperitoneal air or drainable fluid collections identified': {'clinical finding': 'free intraperitoneal air or drainable fluid collections identified'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'mesenteric adenopathy': {'clinical finding': 'mesenteric adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right', 'midline']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical soft tissue changes': {'clinical finding': 'postsurgical soft tissue changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical soft tissue', 'observation': 'change'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter noted': {'clinical finding': 'infrarenal ivc filter 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: location descriptor_fin: ['left']clinical findings_fin: {'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'bibasilar atelectasis': {'clinical finding': 'bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'}, 'less prominent left basilar groundglass nodules': {'clinical finding': 'less prominent left basilar groundglass nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'less prominent left basilar groundglass', 'observation': 'nodule', 'strength_term': 'prominent', 'quantity_term': 'less'}}clinical findings_fin: {'new nodules': {'clinical finding': 'new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'cholecystectomy post-surgical changes': {'clinical finding': 'cholecystectomy post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy post-surgical', '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: {'stable mesenteric adenopathy': {'clinical finding': 'stable mesenteric adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'stable mesenteric', 'observation': 'adenopathy', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right']procedure_fin: ['ileostomy']clinical findings_fin: {'right mid-abdominal ileostomy surgical changes': {'clinical finding': 'right mid-abdominal ileostomy surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'right mid-abdominal ileostomy surgical', 'observation': 'change'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'previously described left upper quadrant inflammatory changes': {'clinical finding': 'previously described left upper quadrant inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'previously described left upper quadrant inflammatory', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free intraperitoneal air or drainable fluid collections identified': {'clinical finding': 'free intraperitoneal air or drainable fluid collections identified'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'mesenteric adenopathy': {'clinical finding': 'mesenteric adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'adenopathy'}}anatomical entity_fin: {'abdominal': {}}location descriptor_fin: ['right', 'midline']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical soft tissue changes': {'clinical finding': 'postsurgical soft tissue changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical soft tissue', 'observation': 'change'}}object_fin: ['filter']clinical findings_fin: {'infrarenal ivc filter noted': {'clinical finding': 'infrarenal ivc filter 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Interval resolution of bibasilar atelectasis with less prominent left basilar groundglass nodules. No new nodules identified. Cholecystectomy post-surgical changes noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable mesenteric adenopathy. None. Colectomy with right mid-abdominal ileostomy surgical changes noted. Lack of contrast limits evaluation, however, previously described left upper quadrant inflammatory changes appear resolved within this limitation. No free intraperitoneal air or drainable fluid collections identified. No evidence of obstruction. Mesenteric adenopathy similar in appearance to prior exam. Right mid-abdominal terminal ileostomy as well as postsurgical soft tissue changes noted along the abdominal midline. Infrarenal IVC filter 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> |
. Multiple bilateral pulmonary nodules are again seen, with the reference right lower lobe pulmonary nodule measuring 14 x 12 mm, previously 10 x 7 mm. Several small new pulmonary nodules are appreciated. Heart size within normal limits, no pericardial effusion. Right chest Port-A-Cath with tip in SVC. Marked coronary artery calcifications. No significant mediastinal lymphadenopathy. Necrotic left axillary reference lymph node measures approximately 31 x 23 mm, previously 28 x 19 mm. Additional necrotic lymph nodes are similar to slightly increased in size. Mildly enlarged right axillary lymph nodes are also seen. New approximately 14 x 11 mm hypoattenuating left hepatic dome lesion, in this clinical setting is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small bilateral renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left ilium small focus of sclerosis, unchanged. Liquid benign bone island. The skeleton is heterogeneously sclerotic, consider nuclear medicine study for additional specificity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. | size_fin: [{'size': '14 x 12 mm'}, {'size': '10 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, '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'}}clinical findings_fin: {'several small new pulmonary nodules': {'clinical finding': 'several small new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'several small new pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'temporal_term': 'new'}}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'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'marked coronary artery calcifications': {'clinical finding': 'marked coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'marked coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '31 x 23 mm'}, {'size': '28 x 19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'necrotic left axillary reference lymph node': {'clinical finding': 'necrotic left axillary reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'necrotic left axillary reference lymph', 'observation': 'node'}}clinical findings_fin: {'additional necrotic lymph nodes': {'clinical finding': 'additional necrotic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional necrotic lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right axillary lymph nodes': {'clinical finding': 'mildly enlarged right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 11 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['left']clinical findings_fin: {'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion': {'clinical finding': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'liquid benign bone island': {'clinical finding': 'liquid benign bone island', 'cf_snomed': {'liquid': 264312008}}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: size_fin: [{'size': '14 x 12 mm'}, {'size': '10 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: {'multiple bilateral pulmonary nodules': {'clinical finding': 'multiple bilateral pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'}, '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'}}clinical findings_fin: {'several small new pulmonary nodules': {'clinical finding': 'several small new pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'several small new pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'several', 'temporal_term': 'new'}}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'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'right chest port-a-cath': {'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'}}clinical findings_fin: {'marked coronary artery calcifications': {'clinical finding': 'marked coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'marked coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '31 x 23 mm'}, {'size': '28 x 19 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'necrotic left axillary reference lymph node': {'clinical finding': 'necrotic left axillary reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'necrotic left axillary reference lymph', 'observation': 'node'}}clinical findings_fin: {'additional necrotic lymph nodes': {'clinical finding': 'additional necrotic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional necrotic lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph nodes': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'mildly enlarged right axillary lymph nodes': {'clinical finding': 'mildly enlarged right axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right axillary lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}}size_fin: [{'size': '14 x 11 mm', 'size_descriptor': 'lesion'}]location descriptor_fin: ['left']clinical findings_fin: {'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion': {'clinical finding': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'new approximately 14 x 11 mm hypoattenuating left hepatic dome', 'observation': 'lesion', 'temporal_term': 'new'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'small bilateral renal cysts': {'clinical finding': 'small bilateral renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ilium': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'sclerosis': {'clinical finding': 'sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'observation': 'sclerosis'}}clinical findings_fin: {'liquid benign bone island': {'clinical finding': 'liquid benign bone island', 'cf_snomed': {'liquid': 264312008}}}anatomical entity_fin: {'skeleton': {}}clinical findings_fin: {'sclerotic': {'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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] . Multiple bilateral pulmonary nodules are again seen, with the reference right lower lobe pulmonary nodule measuring 14 x 12 mm, previously 10 x 7 mm. Several small new pulmonary nodules are appreciated. Heart size within normal limits, no pericardial effusion. Right chest Port-A-Cath with tip in SVC. Marked coronary artery calcifications. No significant mediastinal lymphadenopathy. Necrotic left axillary reference lymph node measures approximately 31 x 23 mm, previously 28 x 19 mm. Additional necrotic lymph nodes are similar to slightly increased in size. Mildly enlarged right axillary lymph nodes are also seen. New approximately 14 x 11 mm hypoattenuating left hepatic dome lesion, in this clinical setting is suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small bilateral renal cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left ilium small focus of sclerosis, unchanged. Liquid benign bone island. The skeleton is heterogeneously sclerotic, consider nuclear medicine study for additional specificity. 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> |
. No significant abnormality noted. Moderate coronary artery calcifications, the heart and pericardium otherwise normal. No mediastinal or hilar lymphadenopathy. Mild degenerative changes affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild splenic artery calcifications, otherwise unremarkable. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}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: {'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: {'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'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'mild splenic artery calcifications': {'clinical finding': 'mild splenic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild splenic artery', 'observation': 'calcification', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}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: {'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: {'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'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'mild splenic artery calcifications': {'clinical finding': 'mild splenic artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild splenic artery', 'observation': 'calcification', 'strength_term': 'mild'}} [/INST] . No significant abnormality noted. Moderate coronary artery calcifications, the heart and pericardium otherwise normal. No mediastinal or hilar lymphadenopathy. Mild degenerative changes affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Mild splenic artery calcifications, otherwise unremarkable. </s> |
Nonenhanced head. There is no detectable acute intracranial hemorrhage, edema, mass, mass effect or hydrocephalus. CT however 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 images through the orbits, calvarium, 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 hemorrhage': {'clinical finding': 'detectable acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}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: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , calvarium , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , calvarium , 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 hemorrhage': {'clinical finding': 'detectable acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'neg_dx', 'observation': 'edema'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}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: {'orbits': {}, 'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'unremarkable images through the orbits , calvarium , paranasal sinuses and mastoid air cells': {'clinical finding': 'unremarkable images through the orbits , calvarium , paranasal sinuses and mastoid air cells'}} [/INST] Nonenhanced head. There is no detectable acute intracranial hemorrhage, edema, mass, mass effect or hydrocephalus. CT however 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 images through the orbits, calvarium, paranasal sinuses and mastoid air cells. </s> |
There are extensive right facial inflammatory changes, with diffuse infiltration of the fat which also involves to a lesser degree the left lower face. There is thickening of the platysma, right greater than left side. Fat planes surrounding the right submandibular gland are essentially effaced, with additional stranding involving the right parapharyngeal space. The right submandibular gland may be slightly enlarged due to inflammatory changes. Best seen on coronal images, there is asymmetric increased density and expansion of the fat along the right inferolateral mandibular body most yearly as seen on 80296/29 and 10227/39. This measures 27 Hounsfield units, greater than simple fluid. No definite peripheral enhancement is appreciated to suggest a focal abscess, although this may be an early developing focal fluid collection. Laterally, there is an incidental vessel which marginates this area of abnormality. There is a trace right retropharyngeal effusion measuring approximately 4 mm in greatest thickness, probably spanning the C2 level. There is an enlarged right level 1B lymph node measuring 1.4 cm. Although it has a fatty hilum, it appears to be hyperenhancing. The right pterygoid muscles are slightly enlarged, likely relating to inflammatory change. There is associated mass effect upon the right lateral aspect of the airway with subtle leftward deviation, although it remains widely patent. The base of tongue and right floor of mouth fat planes also appear slightly effaced, suggesting extension of inflammatory changes. On bone windows, there is a large dental carie in the ADA #31, with associated periapical lucency. Incidental note is made of additional partial absence of ADA #1 and 16. There is also minimal periapical lucency associated with ADA #16. There is diffuse sclerosis of the right posterior mandibular body, consistent with condensing osteitis. No definite periosteal reaction is appreciated at this time. PHARYNX/. There is slight asymmetric effacement of the right piriform sinus. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the remaining salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are otherwise unremarkable. There are no other pathologically enlarged cervical lymph nodes. There are diffuse emphysematous changes throughout the lungs. The cervical vessels appear patent, without evidence of gross thrombus. | anatomical entity_fin: {'face': {'location descriptor': 'left lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'extensive right facial inflammatory changes': {'clinical finding': 'extensive right facial inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive right facial inflammatory', 'observation': 'change', 'strength_term': 'extensive'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'right submandibular gland': {}, 'parapharyngeal space': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'additional stranding': {'clinical finding': 'additional stranding', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'strand'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'unc_dx', 'observation': 'enlarged'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'body': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferolateral']clinical findings_fin: {'asymmetric increased density': {'clinical finding': 'asymmetric increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hounsfield units , greater than simple fluid': {'clinical finding': 'hounsfield units , greater than simple fluid', 'change_term': 'greater'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'definite peripheral enhancement': {'clinical finding': 'definite peripheral enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite peripheral', 'observation': 'enhancement'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}, 'early developing focal fluid collection': {'clinical finding': 'early developing focal fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'early developing focal fluid', 'observation': 'collection', 'strength_term': 'developing', 'change_term': 'developing'}}clinical findings_fin: {'incidental': {'clinical finding': 'incidental', 'existence': 'pos_dx', 'observation': 'incidental'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'effusion'}]anatomical entity_fin: {'retropharyngeal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right retropharyngeal effusion': {'clinical finding': 'trace right retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace right retropharyngeal', 'observation': 'effusion'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged right level 1b lymph node': {'clinical finding': 'enlarged right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'hyperenhancing': {'clinical finding': 'hyperenhancing', 'existence': 'pos_dx', 'observation': 'hyperenhancing'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'airway': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'base': {}, 'tongue': {}, 'floor': {'location descriptor': 'right'}, 'mouth': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'large dental carie': {'clinical finding': 'large dental carie', 'existence': 'pos_dx', 'descriptive_term': 'large dental', 'observation': 'carie', 'strength_term': 'large'}}clinical findings_fin: {'incidental note is made of additional partial absence of ada # 1 and 16': {'clinical finding': 'incidental note is made of additional partial absence of ada # 1 and 16', 'cf_snomed': {'absence': 418560003}}}clinical findings_fin: {'minimal periapical lucency associated with ada #': {'clinical finding': 'minimal periapical lucency associated with ada #'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'condensing osteitis': {'clinical finding': 'condensing osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'pos_dx', 'descriptive_term': 'condensing', 'observation': 'osteitis'}}clinical findings_fin: {'definite periosteal reaction': {'clinical finding': 'definite periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'definite periosteal', 'observation': 'reaction'}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric effacement': {'clinical finding': 'slight asymmetric effacement', 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'effacement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the remaining salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the remaining salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are otherwise unremarkable': {'clinical finding': 'oral tongue and floor of mouth are otherwise unremarkable'}}clinical findings_fin: {'other pathologically enlarged cervical lymph nodes': {'clinical finding': 'other pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'diffuse emphysematous changes': {'clinical finding': 'diffuse emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse emphysematous', 'observation': 'change'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'gross thrombus': {'clinical finding': 'gross thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'thrombus'}} | 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: {'face': {'location descriptor': 'left lower'}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: {'extensive right facial inflammatory changes': {'clinical finding': 'extensive right facial inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive right facial inflammatory', 'observation': 'change', 'strength_term': 'extensive'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'right submandibular gland': {}, 'parapharyngeal space': {'location descriptor': 'right'}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'additional stranding': {'clinical finding': 'additional stranding', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'strand'}}anatomical entity_fin: {'right submandibular gland': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'unc_dx', 'observation': 'enlarged'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'body': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferolateral']clinical findings_fin: {'asymmetric increased density': {'clinical finding': 'asymmetric increased density', 'cf_snomed': {'increased density': 125149003}, 'existence': 'pos_dx', 'descriptive_term': 'asymmetric increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'hounsfield units , greater than simple fluid': {'clinical finding': 'hounsfield units , greater than simple fluid', 'change_term': 'greater'}}location descriptor_fin: ['peripheral']clinical findings_fin: {'definite peripheral enhancement': {'clinical finding': 'definite peripheral enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite peripheral', 'observation': 'enhancement'}, 'focal abscess': {'clinical finding': 'focal abscess', 'cf_snomed': {'abscess': 128477000}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abscess'}, 'early developing focal fluid collection': {'clinical finding': 'early developing focal fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'early developing focal fluid', 'observation': 'collection', 'strength_term': 'developing', 'change_term': 'developing'}}clinical findings_fin: {'incidental': {'clinical finding': 'incidental', 'existence': 'pos_dx', 'observation': 'incidental'}, 'abnormality': {'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'effusion'}]anatomical entity_fin: {'retropharyngeal': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'trace right retropharyngeal effusion': {'clinical finding': 'trace right retropharyngeal effusion', 'cf_snomed': {'effusion': 41699000}, 'existence': 'pos_dx', 'descriptive_term': 'trace right retropharyngeal', 'observation': 'effusion'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'enlarged right level 1b lymph node': {'clinical finding': 'enlarged right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right level 1b lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'hilum': {}}clinical findings_fin: {'fatty': {'clinical finding': 'fatty', 'existence': 'pos_dx', 'observation': 'fatty'}, 'hyperenhancing': {'clinical finding': 'hyperenhancing', 'existence': 'pos_dx', 'observation': 'hyperenhancing'}}location descriptor_fin: ['right']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'inflammatory change': {'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}anatomical entity_fin: {'airway': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}, 'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'base': {}, 'tongue': {}, 'floor': {'location descriptor': 'right'}, 'mouth': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}, 'inflammatory changes': {'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'}}clinical findings_fin: {'large dental carie': {'clinical finding': 'large dental carie', 'existence': 'pos_dx', 'descriptive_term': 'large dental', 'observation': 'carie', 'strength_term': 'large'}}clinical findings_fin: {'incidental note is made of additional partial absence of ada # 1 and 16': {'clinical finding': 'incidental note is made of additional partial absence of ada # 1 and 16', 'cf_snomed': {'absence': 418560003}}}clinical findings_fin: {'minimal periapical lucency associated with ada #': {'clinical finding': 'minimal periapical lucency associated with ada #'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'diffuse sclerosis': {'clinical finding': 'diffuse sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'}, 'condensing osteitis': {'clinical finding': 'condensing osteitis', 'cf_snomed': {'osteitis': 274144001}, 'existence': 'pos_dx', 'descriptive_term': 'condensing', 'observation': 'osteitis'}}clinical findings_fin: {'definite periosteal reaction': {'clinical finding': 'definite periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'definite periosteal', 'observation': 'reaction'}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric effacement': {'clinical finding': 'slight asymmetric effacement', 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'effacement'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise 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'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the remaining salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the remaining salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are otherwise unremarkable': {'clinical finding': 'oral tongue and floor of mouth are otherwise unremarkable'}}clinical findings_fin: {'other pathologically enlarged cervical lymph nodes': {'clinical finding': 'other pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'diffuse emphysematous changes': {'clinical finding': 'diffuse emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse emphysematous', 'observation': 'change'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}, 'gross thrombus': {'clinical finding': 'gross thrombus', 'cf_snomed': {'thrombus': 396339007}, 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'thrombus'}} [/INST] There are extensive right facial inflammatory changes, with diffuse infiltration of the fat which also involves to a lesser degree the left lower face. There is thickening of the platysma, right greater than left side. Fat planes surrounding the right submandibular gland are essentially effaced, with additional stranding involving the right parapharyngeal space. The right submandibular gland may be slightly enlarged due to inflammatory changes. Best seen on coronal images, there is asymmetric increased density and expansion of the fat along the right inferolateral mandibular body most yearly as seen on 80296/29 and 10227/39. This measures 27 Hounsfield units, greater than simple fluid. No definite peripheral enhancement is appreciated to suggest a focal abscess, although this may be an early developing focal fluid collection. Laterally, there is an incidental vessel which marginates this area of abnormality. There is a trace right retropharyngeal effusion measuring approximately 4 mm in greatest thickness, probably spanning the C2 level. There is an enlarged right level 1B lymph node measuring 1.4 cm. Although it has a fatty hilum, it appears to be hyperenhancing. The right pterygoid muscles are slightly enlarged, likely relating to inflammatory change. There is associated mass effect upon the right lateral aspect of the airway with subtle leftward deviation, although it remains widely patent. The base of tongue and right floor of mouth fat planes also appear slightly effaced, suggesting extension of inflammatory changes. On bone windows, there is a large dental carie in the ADA #31, with associated periapical lucency. Incidental note is made of additional partial absence of ADA #1 and 16. There is also minimal periapical lucency associated with ADA #16. There is diffuse sclerosis of the right posterior mandibular body, consistent with condensing osteitis. No definite periosteal reaction is appreciated at this time. PHARYNX/. There is slight asymmetric effacement of the right piriform sinus. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the remaining salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are otherwise unremarkable. There are no other pathologically enlarged cervical lymph nodes. There are diffuse emphysematous changes throughout the lungs. The cervical vessels appear patent, without evidence of gross thrombus. </s> |
. Few scattered pulmonary micronodules are unchanged. There is pleural thickening adjacent to the right lower ribs which is slightly decreased from prior. Heart size is normal. No pericardial effusion. Coronary artery calcifications are present triple-vessel distribution. No mediastinal lymphadenopathy. Right chest wall port terminates at the cavoatrial junction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right lobe pole renal scar. Nonobstructive left renal calculus The index calculus in the left lower pole collecting system measures 9 mm with an average. Moderate calcification sclerotic disease affects the aorta. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prostate is enlarged and heterogeneous. No significant abnormality noted. No pelvic lymphadenopathy. Heterotopic ossification of the soft tissues adjacent to the left femur. Reference left inguinal lymph node measures 1.2 x 0.8 cm previously, 1.8 x 1.1 cm. No significant abnormality noted. No significant abnormality noted. 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'}}anatomical entity_fin: {'ribs': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}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'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}, 'present triple-vessel': {'clinical finding': 'present triple-vessel', 'existence': 'pos_dx', 'descriptive_term': 'present', 'observation': 'triple', 'quantity_term': 'present'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'lobe': {'location descriptor': 'right'}, 'pole': {}}location descriptor_fin: ['right']clinical findings_fin: {'right lobe pole renal scar': {'clinical finding': 'right lobe pole renal scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'right lobe pole renal', 'observation': 'scar'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'nonobstructive left renal calculus': {'clinical finding': 'nonobstructive left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left renal', 'observation': 'calculus'}, 'index calculus': {'clinical finding': 'index calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'calculus'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate calcification sclerotic disease': {'clinical finding': 'moderate calcification sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcification sclerotic', 'observation': 'disease', 'strength_term': 'moderate'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left femur': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}size_fin: [{'size': '1.2 x 0.8 cm'}, {'size': '1.8 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left inguinal lymph node': {'clinical finding': 'reference left inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left inguinal lymph', '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'}} | 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'}}anatomical entity_fin: {'ribs': {'location descriptor': 'right lower'}}location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: {'pleural thickening': {'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'}}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'}}clinical findings_fin: {'coronary artery calcifications': {'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}, 'present triple-vessel': {'clinical finding': 'present triple-vessel', 'existence': 'pos_dx', 'descriptive_term': 'present', 'observation': 'triple', 'quantity_term': 'present'}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'lobe': {'location descriptor': 'right'}, 'pole': {}}location descriptor_fin: ['right']clinical findings_fin: {'right lobe pole renal scar': {'clinical finding': 'right lobe pole renal scar', 'cf_snomed': {'scar': 275322007}, 'existence': 'pos_dx', 'descriptive_term': 'right lobe pole renal', 'observation': 'scar'}}size_fin: [{'size': '9 mm'}]anatomical entity_fin: {'pole': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'nonobstructive left renal calculus': {'clinical finding': 'nonobstructive left renal calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left renal', 'observation': 'calculus'}, 'index calculus': {'clinical finding': 'index calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'calculus'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'moderate calcification sclerotic disease': {'clinical finding': 'moderate calcification sclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate calcification sclerotic', 'observation': 'disease', 'strength_term': 'moderate'}}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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'left femur': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'heterotopic ossification': {'clinical finding': 'heterotopic ossification', 'cf_snomed': {'heterotopic ossification': 128491006}, 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'}}size_fin: [{'size': '1.2 x 0.8 cm'}, {'size': '1.8 x 1.1 cm'}]anatomical entity_fin: {'inguinal lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'reference left inguinal lymph node': {'clinical finding': 'reference left inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left inguinal lymph', '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'}} [/INST] . Few scattered pulmonary micronodules are unchanged. There is pleural thickening adjacent to the right lower ribs which is slightly decreased from prior. Heart size is normal. No pericardial effusion. Coronary artery calcifications are present triple-vessel distribution. No mediastinal lymphadenopathy. Right chest wall port terminates at the cavoatrial junction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right lobe pole renal scar. Nonobstructive left renal calculus The index calculus in the left lower pole collecting system measures 9 mm with an average. Moderate calcification sclerotic disease affects the aorta. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prostate is enlarged and heterogeneous. No significant abnormality noted. No pelvic lymphadenopathy. Heterotopic ossification of the soft tissues adjacent to the left femur. Reference left inguinal lymph node measures 1.2 x 0.8 cm previously, 1.8 x 1.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted </s> |
. No significant abnormality noted. No lymphadenopathy. Heart and pericardium unremarkable. None. Mild degenerative abnormalities affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged benign-appearing hepatic cyst like hypodensity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative abnormalities affect the lower lumbar spine. No significant abnormality noted. | clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium unremarkable': {'clinical finding': 'heart and pericardium unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', '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: {'unchanged benign-appearing hepatic cyst': {'clinical finding': 'unchanged benign-appearing hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged benign-appearing hepatic', 'observation': 'cyst', 'strength_term': 'unchanged - benign', 'change_term': 'unchanged'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'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: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', '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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}, 'pericardium': {}}clinical findings_fin: {'heart and pericardium unremarkable': {'clinical finding': 'heart and pericardium unremarkable'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', '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: {'unchanged benign-appearing hepatic cyst': {'clinical finding': 'unchanged benign-appearing hepatic cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged benign-appearing hepatic', 'observation': 'cyst', 'strength_term': 'unchanged - benign', 'change_term': 'unchanged'}, 'hypodensity': {'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'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: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . No significant abnormality noted. No lymphadenopathy. Heart and pericardium unremarkable. None. Mild degenerative abnormalities affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged benign-appearing hepatic cyst like hypodensity. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative abnormalities affect the lower lumbar spine. No significant abnormality noted. </s> |
. Interval improvement with near complete resolution of the right apical focal consolidation. Residual scattered changes are likely scarring superimposed upon multiple scattered calcified micronodules of which many are calcified consistent with old healed granulomatous disease exposure. No suspicious new nodules or masses. No effusions. Previously described right thyroid abnormality is currently not well appreciated, consider dedicated imaging following suspected interval treatment. Please correlate with pending neck CTNo lymphadenopathy. Specifically the reference high right paratracheal lymph node is currently not measurable. Scattered calcified mediastinal lymph nodes again remains suggestive of prior old granulomatous disease exposure. The cardiac and pericardium of the mild coronary disease remain unremarkableSmall hiatal hernia. Mild. Scattered degenerative changes without suspicious lytic or blastic lesions. 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 cysts, without associated acute abnormality small left punctate calculus remains unchanged without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. As above. No significant abnormality noted. | imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'right apical focal consolidation': {'clinical finding': 'right apical focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right apical focal', 'observation': 'consolidation'}}clinical findings_fin: {'residual scattered changes': {'clinical finding': 'residual scattered changes', 'existence': 'unc_dx', 'descriptive_term': 'residual scattered', 'observation': 'change', 'temporal_term': 'residual'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'multiple scattered calcified micronodules': {'clinical finding': 'multiple scattered calcified micronodules', 'existence': 'unc_dx', 'descriptive_term': 'multiple scattered calcified', 'observation': 'micronodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'old healed granulomatous disease': {'clinical finding': 'old healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}clinical findings_fin: {'suspicious new nodules': {'clinical finding': 'suspicious new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'previously described right thyroid abnormality': {'clinical finding': 'previously described right thyroid abnormality', 'existence': 'unc_dx', 'descriptive_term': 'previously described right thyroid', 'observation': 'abnormality'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pending neck ctno lymphadenopathy': {'clinical finding': 'pending neck ctno lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'pending neck ctno', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'reference high right paratracheal lymph node': {'clinical finding': 'reference high right paratracheal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'reference high right paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered calcified mediastinal lymph nodes': {'clinical finding': 'scattered calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior old granulomatous disease': {'clinical finding': 'prior old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'mild coronary disease': {'clinical finding': 'mild coronary disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild coronary', 'observation': 'disease', 'strength_term': 'mild'}, 'unremarkablesmall hiatal hernia': {'clinical finding': 'unremarkablesmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unremarkablesmall hiatal', 'observation': 'hernia'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious lytic or blastic lesions': {'clinical finding': 'suspicious lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}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 cysts': {'clinical finding': 'small left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left renal', 'observation': 'cyst', 'strength_term': 'small'}, 'associated acute abnormality': {'clinical finding': 'associated acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'associated acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'small left punctate calculus': {'clinical finding': 'small left punctate calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'neg_dx', 'descriptive_term': 'small left punctate', 'observation': 'calculus', 'strength_term': 'small'}, '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'}}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'}} | 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: ['apical']location descriptor_fin: ['right']clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'right apical focal consolidation': {'clinical finding': 'right apical focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right apical focal', 'observation': 'consolidation'}}clinical findings_fin: {'residual scattered changes': {'clinical finding': 'residual scattered changes', 'existence': 'unc_dx', 'descriptive_term': 'residual scattered', 'observation': 'change', 'temporal_term': 'residual'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'}, 'multiple scattered calcified micronodules': {'clinical finding': 'multiple scattered calcified micronodules', 'existence': 'unc_dx', 'descriptive_term': 'multiple scattered calcified', 'observation': 'micronodule', 'quantity_term': 'multiple', 'change_term': 'calcified'}, 'old healed granulomatous disease': {'clinical finding': 'old healed granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'old healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'}}clinical findings_fin: {'suspicious new nodules': {'clinical finding': 'suspicious new nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious new', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'previously described right thyroid abnormality': {'clinical finding': 'previously described right thyroid abnormality', 'existence': 'unc_dx', 'descriptive_term': 'previously described right thyroid', 'observation': 'abnormality'}}anatomical entity_fin: {'neck': {}}clinical findings_fin: {'pending neck ctno lymphadenopathy': {'clinical finding': 'pending neck ctno lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'pending neck ctno', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['right']clinical findings_fin: {'reference high right paratracheal lymph node': {'clinical finding': 'reference high right paratracheal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'reference high right paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered calcified mediastinal lymph nodes': {'clinical finding': 'scattered calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior old granulomatous disease': {'clinical finding': 'prior old granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior old granulomatous', 'observation': 'disease', 'temporal_term': 'old'}}anatomical entity_fin: {'pericardium': {}}clinical findings_fin: {'mild coronary disease': {'clinical finding': 'mild coronary disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild coronary', 'observation': 'disease', 'strength_term': 'mild'}, 'unremarkablesmall hiatal hernia': {'clinical finding': 'unremarkablesmall hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'unremarkablesmall hiatal', 'observation': 'hernia'}}clinical findings_fin: {'scattered degenerative changes': {'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'}, 'suspicious lytic or blastic lesions': {'clinical finding': 'suspicious lytic or blastic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'}}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 cysts': {'clinical finding': 'small left renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'small left renal', 'observation': 'cyst', 'strength_term': 'small'}, 'associated acute abnormality': {'clinical finding': 'associated acute abnormality', 'existence': 'neg_dx', 'descriptive_term': 'associated acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'small left punctate calculus': {'clinical finding': 'small left punctate calculus', 'cf_snomed': {'calculus': 56381008}, 'existence': 'neg_dx', 'descriptive_term': 'small left punctate', 'observation': 'calculus', 'strength_term': 'small'}, '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'}}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'}} [/INST] . Interval improvement with near complete resolution of the right apical focal consolidation. Residual scattered changes are likely scarring superimposed upon multiple scattered calcified micronodules of which many are calcified consistent with old healed granulomatous disease exposure. No suspicious new nodules or masses. No effusions. Previously described right thyroid abnormality is currently not well appreciated, consider dedicated imaging following suspected interval treatment. Please correlate with pending neck CTNo lymphadenopathy. Specifically the reference high right paratracheal lymph node is currently not measurable. Scattered calcified mediastinal lymph nodes again remains suggestive of prior old granulomatous disease exposure. The cardiac and pericardium of the mild coronary disease remain unremarkableSmall hiatal hernia. Mild. Scattered degenerative changes without suspicious lytic or blastic lesions. 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 cysts, without associated acute abnormality small left punctate calculus remains unchanged without evidence of obstruction. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. As above. No significant abnormality noted. </s> |
The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is diffuse parenchymal volume loss. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent moderate age indeterminate small vessel ischemic changes. There is no extraaxial fluid collection. There is slight leftward deviation of the nasal septum. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Degenerative changes of the articulation of the dens on the anterior arch of C1. | 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: {'diffuse parenchymal volume loss': {'clinical finding': 'diffuse parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'moderate age indeterminate small vessel ischemic changes': {'clinical finding': 'moderate age indeterminate small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'moderate age indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'moderate - small'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'dens': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', '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: {'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: {'diffuse parenchymal volume loss': {'clinical finding': 'diffuse parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'moderate age indeterminate small vessel ischemic changes': {'clinical finding': 'moderate age indeterminate small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'moderate age indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'moderate - small'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}clinical findings_fin: {'nasal septum': {'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'dens': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}} [/INST] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is diffuse parenchymal volume loss. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent moderate age indeterminate small vessel ischemic changes. There is no extraaxial fluid collection. There is slight leftward deviation of the nasal septum. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. Degenerative changes of the articulation of the dens on the anterior arch of C1. </s> |
. Confluent nodular pleural thickening throughout the right hemithorax compatible with mesothelioma. Nonspecific micronodules in the left lung, unchanged. At the origin of the left innominate vein 17 mm at the 9 oclock position, unchanged. At the 12 oclock position and measures 5 mm, not significantly changed. At the level of the cavoatrial junction at the 2 oclock position, 7 mm, decreased from 11 mm previously. At the 8 oclock position chamber measures 14 mm, not significantly changed from 15 mm previously. Conglomerate mass in the right cardiophrenic angle measures approximately 10.1 x 4.3 cm, not significantly changed. Multiple enlarged mediastinal, cardiophrenic and retrocrural nodes. A reference right lower paratracheal node measures 18 mm in short axis increased from 14 mm previously. A retrocrural node measures 20 mm in short axis, not significantly changed from previous. The long axis is not accurately measurable. Severe. Right axillary lymph node increased to 20 mm compared to 16 mm previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. No significant abnormality noted. Pericaval node measures 12 mm, slightly increased from previous. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Mild residual thickening and nodularity of the right hemidiaphragm. | anatomical entity_fin: {'right hemithorax': {}}clinical findings_fin: {'confluent nodular pleural thickening': {'clinical finding': 'confluent nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'confluent nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'nonspecific micronodules': {'clinical finding': 'nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule'}}size_fin: [{'size': '17 mm'}]anatomical entity_fin: {'origin': {}, 'vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'origin of the left innominate vein 17 mm at the 9 oclock position , unchanged': {'clinical finding': 'origin of the left innominate vein 17 mm at the 9 oclock position , unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'oclock position and measures 5 mm , not significantly changed': {'clinical finding': 'oclock position and measures 5 mm , not significantly changed', 'change_term': 'changed'}}size_fin: [{'size': '7 mm'}, {'size': '11 mm'}]clinical findings_fin: {'mm , decreased from 11 mm previously': {'clinical finding': 'mm , decreased from 11 mm previously', 'change_term': 'decreased'}}size_fin: [{'size': '14 mm'}, {'size': '15 mm'}]clinical findings_fin: {'oclock position chamber measures 14 mm , not significantly changed from 15 mm previously': {'clinical finding': 'oclock position chamber measures 14 mm , not significantly changed from 15 mm previously', 'change_term': 'changed'}}size_fin: [{'size': '10.1 x 4.3 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'conglomerate mass': {'clinical finding': 'conglomerate mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate', 'observation': 'mass'}}clinical findings_fin: {'multiple enlarged mediastinal, cardiophrenic and retrocrural nodes': {'clinical finding': 'multiple enlarged mediastinal, cardiophrenic and retrocrural nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal cardiophrenic and retrocrural', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '18 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower paratracheal node': {'clinical finding': 'lower paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'lower paratracheal', 'observation': 'node'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retrocrural node': {'clinical finding': 'retrocrural node', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'node'}}anatomical entity_fin: {'axis': {}}size_fin: [{'size': '20 mm'}, {'size': '16 mm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}}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: ['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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'pericaval node': {'clinical finding': 'pericaval node', 'existence': 'pos_dx', 'descriptive_term': 'pericaval', 'observation': 'node'}}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'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'mild residual thickening': {'clinical finding': 'mild residual thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild residual', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}, 'right hemidiaphragm': {'clinical finding': 'right hemidiaphragm', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemidiaphragm'}} | 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 hemithorax': {}}clinical findings_fin: {'confluent nodular pleural thickening': {'clinical finding': 'confluent nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'confluent nodular pleural', 'observation': 'thickening'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'left lung': {}}clinical findings_fin: {'nonspecific micronodules': {'clinical finding': 'nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule'}}size_fin: [{'size': '17 mm'}]anatomical entity_fin: {'origin': {}, 'vein': {}}location descriptor_fin: ['left']clinical findings_fin: {'origin of the left innominate vein 17 mm at the 9 oclock position , unchanged': {'clinical finding': 'origin of the left innominate vein 17 mm at the 9 oclock position , unchanged', 'change_term': 'unchanged'}}size_fin: [{'size': '5 mm', 'size_descriptor': 'position'}]clinical findings_fin: {'oclock position and measures 5 mm , not significantly changed': {'clinical finding': 'oclock position and measures 5 mm , not significantly changed', 'change_term': 'changed'}}size_fin: [{'size': '7 mm'}, {'size': '11 mm'}]clinical findings_fin: {'mm , decreased from 11 mm previously': {'clinical finding': 'mm , decreased from 11 mm previously', 'change_term': 'decreased'}}size_fin: [{'size': '14 mm'}, {'size': '15 mm'}]clinical findings_fin: {'oclock position chamber measures 14 mm , not significantly changed from 15 mm previously': {'clinical finding': 'oclock position chamber measures 14 mm , not significantly changed from 15 mm previously', 'change_term': 'changed'}}size_fin: [{'size': '10.1 x 4.3 cm', 'size_descriptor': 'mass'}]imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: {'conglomerate mass': {'clinical finding': 'conglomerate mass', 'existence': 'pos_dx', 'descriptive_term': 'conglomerate', 'observation': 'mass'}}clinical findings_fin: {'multiple enlarged mediastinal, cardiophrenic and retrocrural nodes': {'clinical finding': 'multiple enlarged mediastinal, cardiophrenic and retrocrural nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal cardiophrenic and retrocrural', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'}}size_fin: [{'size': '18 mm'}, {'size': '14 mm'}]anatomical entity_fin: {'axis': {}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'lower paratracheal node': {'clinical finding': 'lower paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'lower paratracheal', 'observation': 'node'}}size_fin: [{'size': '20 mm', 'size_descriptor': 'node'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'retrocrural node': {'clinical finding': 'retrocrural node', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural', 'observation': 'node'}}anatomical entity_fin: {'axis': {}}size_fin: [{'size': '20 mm'}, {'size': '16 mm'}]anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right axillary lymph node': {'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'}}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: ['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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '12 mm', 'size_descriptor': 'node'}]clinical findings_fin: {'pericaval node': {'clinical finding': 'pericaval node', 'existence': 'pos_dx', 'descriptive_term': 'pericaval', 'observation': 'node'}}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'}}anatomical entity_fin: {'right hemidiaphragm': {}}clinical findings_fin: {'mild residual thickening': {'clinical finding': 'mild residual thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild residual', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'residual'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'}, 'right hemidiaphragm': {'clinical finding': 'right hemidiaphragm', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hemidiaphragm'}} [/INST] . Confluent nodular pleural thickening throughout the right hemithorax compatible with mesothelioma. Nonspecific micronodules in the left lung, unchanged. At the origin of the left innominate vein 17 mm at the 9 oclock position, unchanged. At the 12 oclock position and measures 5 mm, not significantly changed. At the level of the cavoatrial junction at the 2 oclock position, 7 mm, decreased from 11 mm previously. At the 8 oclock position chamber measures 14 mm, not significantly changed from 15 mm previously. Conglomerate mass in the right cardiophrenic angle measures approximately 10.1 x 4.3 cm, not significantly changed. Multiple enlarged mediastinal, cardiophrenic and retrocrural nodes. A reference right lower paratracheal node measures 18 mm in short axis increased from 14 mm previously. A retrocrural node measures 20 mm in short axis, not significantly changed from previous. The long axis is not accurately measurable. Severe. Right axillary lymph node increased to 20 mm compared to 16 mm previously. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. No significant abnormality noted. Pericaval node measures 12 mm, slightly increased from previous. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Mild residual thickening and nodularity of the right hemidiaphragm. </s> |
. Thymus has regrown. No pleural effusion or focal lung opacity. Changes of left hepatic lobectomy and cholecystectomy are again noted. No biliary ductal dilatation or focal hepatic mass is seen in the remaining liver. Surgical clips are again noted. Spleen measures 8.2 cm in length, previously 10 cm. Normal appearance of the pancreas. No significant abnormality noted. No hydronephrosis or focal mass. No retroperitoneal adenopathy. No significant abnormality noted. No lytic or sclerotic lesions. No significant abnormality noted | anatomical entity_fin: {'lung': {}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}}location descriptor_fin: ['left']procedure_fin: ['hepatic lobectomy', 'cholecystectomy']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'left hepatic lobectomy': {'clinical finding': 'left hepatic lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left hepatic', 'observation': 'lobectomy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'focal hepatic mass': {'clinical finding': 'focal hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}size_fin: [{'size': '8.2 cm'}, {'size': '10 cm'}]anatomical entity_fin: {'spleen': {}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'normal appearance of the pancreas': {'clinical finding': 'normal appearance of the pancreas', 'cf_snomed': {'normal appearance': 386549008}}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lytic or sclerotic lesions': {'clinical finding': 'lytic or sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', '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: anatomical entity_fin: {'lung': {}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'focal lung opacity': {'clinical finding': 'focal lung opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'}}location descriptor_fin: ['left']procedure_fin: ['hepatic lobectomy', 'cholecystectomy']clinical findings_fin: {'changes': {'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'}, 'left hepatic lobectomy': {'clinical finding': 'left hepatic lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left hepatic', 'observation': 'lobectomy'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'biliary ductal dilatation': {'clinical finding': 'biliary ductal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'}, 'focal hepatic mass': {'clinical finding': 'focal hepatic mass', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'mass'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}}size_fin: [{'size': '8.2 cm'}, {'size': '10 cm'}]anatomical entity_fin: {'spleen': {}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'normal appearance of the pancreas': {'clinical finding': 'normal appearance of the pancreas', 'cf_snomed': {'normal appearance': 386549008}}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'lytic or sclerotic lesions': {'clinical finding': 'lytic or sclerotic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'lytic or sclerotic', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Thymus has regrown. No pleural effusion or focal lung opacity. Changes of left hepatic lobectomy and cholecystectomy are again noted. No biliary ductal dilatation or focal hepatic mass is seen in the remaining liver. Surgical clips are again noted. Spleen measures 8.2 cm in length, previously 10 cm. Normal appearance of the pancreas. No significant abnormality noted. No hydronephrosis or focal mass. No retroperitoneal adenopathy. No significant abnormality noted. No lytic or sclerotic lesions. No significant abnormality noted </s> |
Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. No significant abnormality noted. Cholelithiasis within a nondistended gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nonobstructive punctate renal collecting system calculi. Right extrarenal sinus. No significant abnormality noted. Mild. No significant abnormality noted. There is abdominal wall laxity asymmetric towards the right. Postsurgical changes from a mesh hernia repair. There is broad-based right lateral bulging adjacent to the hernia mesh. Additionally, there is a more focal narrow-based hernia along the inferior margin of the hernia mesh containing loops of small bowel. The hernia sac measures 4.3 x 3.3 x 2.8 cm. No specific evidence of complication. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is abdominal wall laxity asymmetric towards the right. Postsurgical changes from a mesh hernia repair. There is broad-based right lateral bulging adjacent to the hernia mesh. Additionally, there is a more focal narrow-based hernia along the inferior margin of the hernia mesh containing loops of small bowel. The hernia sac measures 4.3 x 3.3 x 2.8 cm. No specific evidence of complication. The small large bowel is otherwise normal in appearance. 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'}, 'solid organ, bowel and vascular': {'clinical finding': 'solid organ, bowel and vascular', 'existence': 'unc_dx', 'descriptive_term': 'solid organ bowel and', 'observation': 'vascular'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'nondistended': {'clinical finding': 'nondistended', 'existence': 'pos_dx', 'observation': 'nondistend'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'renal collecting system': {}}clinical findings_fin: {'nonobstructive punctate renal collecting system calculi': {'clinical finding': 'nonobstructive punctate renal collecting system calculi'}}location descriptor_fin: ['right']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'abdominal wall laxity': {'clinical finding': 'abdominal wall laxity', 'cf_snomed': {'laxity': 12554006}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'laxity'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'mesh hernia': {'clinical finding': 'mesh hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'mesh', 'observation': 'hernia'}}location descriptor_fin: ['right', 'lateral', 'adjacent']clinical findings_fin: {'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['margin']location descriptor_fin: ['inferior']clinical findings_fin: {'more focal narrow-based hernia': {'clinical finding': 'more focal narrow-based hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'more focal narrow-based', 'observation': 'hernia', 'quantity_term': 'more'}, 'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}size_fin: [{'size': '4.3 x 3.3 x 2.8 cm', 'size_descriptor': 'sac'}]clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'observation': 'hernia'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'abdominal wall laxity': {'clinical finding': 'abdominal wall laxity', 'cf_snomed': {'laxity': 12554006}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'laxity'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'mesh hernia': {'clinical finding': 'mesh hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'mesh', 'observation': 'hernia'}}location descriptor_fin: ['right', 'lateral', 'adjacent']clinical findings_fin: {'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['margin']location descriptor_fin: ['inferior']clinical findings_fin: {'more focal narrow-based hernia': {'clinical finding': 'more focal narrow-based hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'more focal narrow-based', 'observation': 'hernia', 'quantity_term': 'more'}, 'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}size_fin: [{'size': '4.3 x 3.3 x 2.8 cm', 'size_descriptor': 'sac'}]clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'observation': 'hernia'}}clinical findings_fin: {'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small large bowel is otherwise normal': {'clinical finding': 'small large bowel is otherwise 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'}} | 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'}, 'solid organ, bowel and vascular': {'clinical finding': 'solid organ, bowel and vascular', 'existence': 'unc_dx', 'descriptive_term': 'solid organ bowel and', 'observation': 'vascular'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'nondistended': {'clinical finding': 'nondistended', 'existence': 'pos_dx', 'observation': 'nondistend'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'renal collecting system': {}}clinical findings_fin: {'nonobstructive punctate renal collecting system calculi': {'clinical finding': 'nonobstructive punctate renal collecting system calculi'}}location descriptor_fin: ['right']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'abdominal wall laxity': {'clinical finding': 'abdominal wall laxity', 'cf_snomed': {'laxity': 12554006}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'laxity'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'mesh hernia': {'clinical finding': 'mesh hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'mesh', 'observation': 'hernia'}}location descriptor_fin: ['right', 'lateral', 'adjacent']clinical findings_fin: {'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['margin']location descriptor_fin: ['inferior']clinical findings_fin: {'more focal narrow-based hernia': {'clinical finding': 'more focal narrow-based hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'more focal narrow-based', 'observation': 'hernia', 'quantity_term': 'more'}, 'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}size_fin: [{'size': '4.3 x 3.3 x 2.8 cm', 'size_descriptor': 'sac'}]clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'observation': 'hernia'}}clinical findings_fin: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': {}, 'wall': {}}location descriptor_fin: ['right']clinical findings_fin: {'abdominal wall laxity': {'clinical finding': 'abdominal wall laxity', 'cf_snomed': {'laxity': 12554006}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'laxity'}}procedure_fin: ['repair']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'mesh hernia': {'clinical finding': 'mesh hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'unc_dx', 'descriptive_term': 'mesh', 'observation': 'hernia'}}location descriptor_fin: ['right', 'lateral', 'adjacent']clinical findings_fin: {'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['margin']location descriptor_fin: ['inferior']clinical findings_fin: {'more focal narrow-based hernia': {'clinical finding': 'more focal narrow-based hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'more focal narrow-based', 'observation': 'hernia', 'quantity_term': 'more'}, 'hernia mesh': {'clinical finding': 'hernia mesh', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'hernia', 'observation': 'mesh'}}size_fin: [{'size': '4.3 x 3.3 x 2.8 cm', 'size_descriptor': 'sac'}]clinical findings_fin: {'hernia': {'clinical finding': 'hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'observation': 'hernia'}}clinical findings_fin: {'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small large bowel is otherwise normal': {'clinical finding': 'small large bowel is otherwise 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'}} [/INST] Lack of intravenous contrast limits evaluation for solid organ, bowel and vascular pathology. No significant abnormality noted. Cholelithiasis within a nondistended gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nonobstructive punctate renal collecting system calculi. Right extrarenal sinus. No significant abnormality noted. Mild. No significant abnormality noted. There is abdominal wall laxity asymmetric towards the right. Postsurgical changes from a mesh hernia repair. There is broad-based right lateral bulging adjacent to the hernia mesh. Additionally, there is a more focal narrow-based hernia along the inferior margin of the hernia mesh containing loops of small bowel. The hernia sac measures 4.3 x 3.3 x 2.8 cm. No specific evidence of complication. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is abdominal wall laxity asymmetric towards the right. Postsurgical changes from a mesh hernia repair. There is broad-based right lateral bulging adjacent to the hernia mesh. Additionally, there is a more focal narrow-based hernia along the inferior margin of the hernia mesh containing loops of small bowel. The hernia sac measures 4.3 x 3.3 x 2.8 cm. No specific evidence of complication. The small large bowel is otherwise normal in appearance. No significant abnormality noted. No significant abnormality noted </s> |
. Previously described large left hydropneumothorax appears similar to prior. Cholelithiasis without evidence of cholecystitis as noted previously. No significant abnormality noted. No significant abnormality noted. Left adrenal thickening or nodularity unchanged. No significant abnormality noted. No significant abnormality noted. None. NG tube terminates in the stomach. Previously described edema of small bowel loops has resolved. Some small bowel loops are more dilated on todays exam compared to prior and measure up to 4.7 cm in diameter. There does appear to be differential distention suggesting an evolving obstruction although I cannot identify discrete transition point on todays exam. No significant abnormality noted. Small amount of abdominal and pelvic ascites has increased since the prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple sclerotic foci in the lower thoracic, lumbar and sacral spine unchanged. Small amount of abdominal and pelvic ascites. | location descriptor_fin: ['left']clinical findings_fin: {'previously described large left hydropneumothorax': {'clinical finding': 'previously described large left hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large left', 'observation': 'hydropneumothorax', 'strength_term': 'large'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_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'}}location descriptor_fin: ['left']clinical findings_fin: {'adrenal thickening': {'clinical finding': 'adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'adrenal', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'stomach': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'previously described edema': {'clinical finding': 'previously described edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'edema'}}size_fin: [{'size': '4.7 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'differential distention': {'clinical finding': 'differential distention', 'existence': 'pos_dx', 'descriptive_term': 'differential', 'observation': 'distention'}, 'evolving obstruction': {'clinical finding': 'evolving obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', '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'}}anatomical entity_fin: {'spine': {}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'multiple sclerotic foci': {'clinical finding': 'multiple sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'foci', 'quantity_term': 'multiple'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}} | 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: ['left']clinical findings_fin: {'previously described large left hydropneumothorax': {'clinical finding': 'previously described large left hydropneumothorax', 'cf_snomed': {'hydropneumothorax': 65933003}, 'existence': 'pos_dx', 'descriptive_term': 'previously described large left', 'observation': 'hydropneumothorax', 'strength_term': 'large'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_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'}}location descriptor_fin: ['left']clinical findings_fin: {'adrenal thickening': {'clinical finding': 'adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'adrenal', 'observation': 'thickening'}, 'nodularity': {'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'stomach': {}}object_fin: ['tube']anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'previously described edema': {'clinical finding': 'previously described edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'edema'}}size_fin: [{'size': '4.7 cm', 'size_descriptor': 'loops'}]anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'dilated': {'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'}}clinical findings_fin: {'differential distention': {'clinical finding': 'differential distention', 'existence': 'pos_dx', 'descriptive_term': 'differential', 'observation': 'distention'}, 'evolving obstruction': {'clinical finding': 'evolving obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'descriptive_term': 'evolving', 'observation': 'obstruction'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', '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'}}anatomical entity_fin: {'spine': {}}imaging observation_fin: ['foci']location descriptor_fin: ['lower']clinical findings_fin: {'multiple sclerotic foci': {'clinical finding': 'multiple sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'foci', 'quantity_term': 'multiple'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'abdominal and pelvic ascites': {'clinical finding': 'abdominal and pelvic ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal and pelvic', 'observation': 'ascite'}} [/INST] . Previously described large left hydropneumothorax appears similar to prior. Cholelithiasis without evidence of cholecystitis as noted previously. No significant abnormality noted. No significant abnormality noted. Left adrenal thickening or nodularity unchanged. No significant abnormality noted. No significant abnormality noted. None. NG tube terminates in the stomach. Previously described edema of small bowel loops has resolved. Some small bowel loops are more dilated on todays exam compared to prior and measure up to 4.7 cm in diameter. There does appear to be differential distention suggesting an evolving obstruction although I cannot identify discrete transition point on todays exam. No significant abnormality noted. Small amount of abdominal and pelvic ascites has increased since the prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple sclerotic foci in the lower thoracic, lumbar and sacral spine unchanged. Small amount of abdominal and pelvic ascites. </s> |
The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Small to moderate right pleural effusion. Numerous lung nodules in the visualized lung bases consistent with metastatic disease. There are also granulomata in the hila and lungs. Bibasilar atelectasis or consolidation. For baseline purposes a nodule in the right lower lobe series 4 image 8 measures 1.1 x 1.1 cm. Although limited by lack of IV contrast there is a large hypodense lesion in the dome of the right lobe probable satellite lesions. Given limitation of no IV contrast the baseline measurement is nevertheless provided on series 3 image 46, 9.6 x 8.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. Poorly demarcated due to ascites and anasarca but I suspect it may be adenopathy in the region of the porta hepatis or peripancreatic region. Mild atherosclerotic disease. No evidence of aneurysm. Massive generalized ascites. No definite measurable solid carcinomatosis. No evidence of bowel wall thickening or dilatation. Severe anasarca. Osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Massive generalized ascites. Severe anasarca. Bilateral inguinal hernias left greater than right containing ascites | anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'small to moderate right pleural effusion': {'clinical finding': 'small to moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate right pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'numerous lung nodules': {'clinical finding': 'numerous lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lung', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'granulomata': {'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'}}clinical findings_fin: {'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'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'large hypodense lesion': {'clinical finding': 'large hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large hypodense', 'observation': 'lesion', 'strength_term': 'large'}, 'probable satellite lesions': {'clinical finding': 'probable satellite lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'probable satellite', 'observation': 'lesion'}}size_fin: [{'size': '9.6 x 8.1 cm'}]clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', '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'}}clinical findings_fin: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'definite measurable solid carcinomatosis': {'clinical finding': 'definite measurable solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'descriptive_term': 'definite measurable solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}clinical findings_fin: {'osteoporosis': {'clinical finding': 'osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'observation': 'osteoporosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}} | 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 organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['right']clinical findings_fin: {'small to moderate right pleural effusion': {'clinical finding': 'small to moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small to moderate right pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'numerous lung nodules': {'clinical finding': 'numerous lung nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous lung', 'observation': 'nodule', 'quantity_term': 'numerous'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'granulomata': {'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'}}clinical findings_fin: {'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'}}size_fin: [{'size': '1.1 x 1.1 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'}, 'large hypodense lesion': {'clinical finding': 'large hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large hypodense', 'observation': 'lesion', 'strength_term': 'large'}, 'probable satellite lesions': {'clinical finding': 'probable satellite lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'probable satellite', 'observation': 'lesion'}}size_fin: [{'size': '9.6 x 8.1 cm'}]clinical findings_fin: {'iv contrast': {'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', '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'}}clinical findings_fin: {'chronic medical renal disease': {'clinical finding': 'chronic medical renal disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic medical renal', 'observation': 'disease', 'temporal_term': 'chronic'}}anatomical entity_fin: {'porta hepatis': {}}clinical findings_fin: {'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}, 'anasarca': {'clinical finding': 'anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'observation': 'anasarca'}, 'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'}}clinical findings_fin: {'mild atherosclerotic disease': {'clinical finding': 'mild atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'definite measurable solid carcinomatosis': {'clinical finding': 'definite measurable solid carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'neg_dx', 'descriptive_term': 'definite measurable solid', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel wall thickening': {'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening'}, 'dilatation': {'clinical finding': 'dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'observation': 'dilatation'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}clinical findings_fin: {'osteoporosis': {'clinical finding': 'osteoporosis', 'cf_snomed': {'osteoporosis': 64859006}, 'existence': 'pos_dx', 'observation': 'osteoporosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'massive generalized ascites': {'clinical finding': 'massive generalized ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'descriptive_term': 'massive generalized', 'observation': 'ascite', 'strength_term': 'massive'}}clinical findings_fin: {'severe anasarca': {'clinical finding': 'severe anasarca', 'cf_snomed': {'anasarca': 442433009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'anasarca', 'strength_term': 'severe'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'bilateral inguinal hernias': {'clinical finding': 'bilateral inguinal hernias', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal', 'observation': 'hernias'}, 'ascites': {'clinical finding': 'ascites', 'cf_snomed': {'ascites': 389026000}, 'existence': 'pos_dx', 'observation': 'ascite'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Small to moderate right pleural effusion. Numerous lung nodules in the visualized lung bases consistent with metastatic disease. There are also granulomata in the hila and lungs. Bibasilar atelectasis or consolidation. For baseline purposes a nodule in the right lower lobe series 4 image 8 measures 1.1 x 1.1 cm. Although limited by lack of IV contrast there is a large hypodense lesion in the dome of the right lobe probable satellite lesions. Given limitation of no IV contrast the baseline measurement is nevertheless provided on series 3 image 46, 9.6 x 8.1 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small consistent with chronic medical renal disease. Poorly demarcated due to ascites and anasarca but I suspect it may be adenopathy in the region of the porta hepatis or peripancreatic region. Mild atherosclerotic disease. No evidence of aneurysm. Massive generalized ascites. No definite measurable solid carcinomatosis. No evidence of bowel wall thickening or dilatation. Severe anasarca. Osteoporosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Massive generalized ascites. Severe anasarca. Bilateral inguinal hernias left greater than right containing ascites </s> |
Compared to approximately 7 hours prior there is no significant change in subdural fluid collection along the right frontoparietal convexity which measures up to 11 mm in thickness with minimal local mass effect. No midline shift or herniation. The subdural fluid collection demonstrates intermediate density, higher than CSF. Trace more hyperdense subdural layering along the right posterior falx and tentorium is also again seen. No intraparenchymal or subarachnoid hemorrhage. There is global parenchymal volume loss, commensurate with patients age. There are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic disease. More focal areas of low density are seen in the basal ganglia and right thalamus, similar to prior. Paranasal sinuses are grossly clear. There is trace fluid in the right mastoid air cells. Left-sided intraocular lens replacement. Again seen is evidence of prior hardware fixation involving the anterior maxillary sinus and lateral orbital walls. Evidence of left-sided burr hole also again seen. No evidence of acute calvarial fracture. | size_fin: [{'size': '11 mm', 'size_descriptor': 'change'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'minimal local mass effect': {'clinical finding': 'minimal local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'minimal local mass', 'observation': 'effect', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'intermediate density': {'clinical finding': 'intermediate density', 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'density'}}imaging observation_fin: ['falx']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'more hyperdense subdural': {'clinical finding': 'more hyperdense subdural', 'existence': 'pos_dx', 'descriptive_term': 'more hyperdense', 'observation': 'subdural', 'quantity_term': 'more'}}clinical findings_fin: {'intraparenchymal or subarachnoid hemorrhage': {'clinical finding': 'intraparenchymal or subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'neg_dx', 'descriptive_term': 'intraparenchymal or subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {}, 'right thalamus': {}}clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'lens': {}}location descriptor_fin: ['left']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'anterior'}, 'walls': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'prior hardware fixation': {'clinical finding': 'prior hardware fixation', 'existence': 'pos_dx', 'descriptive_term': 'prior hardware', 'observation': 'fixation'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided burr hole': {'clinical finding': 'left-sided burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left-sided burr', 'observation': 'hole'}}clinical findings_fin: {'acute calvarial fracture': {'clinical finding': 'acute calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute calvarial', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}} | 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': '11 mm', 'size_descriptor': 'change'}]anatomical entity_fin: {'convexity': {}}location descriptor_fin: ['right']clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'minimal local mass effect': {'clinical finding': 'minimal local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'minimal local mass', 'observation': 'effect', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'subdural fluid collection': {'clinical finding': 'subdural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subdural fluid', 'observation': 'collection'}, 'intermediate density': {'clinical finding': 'intermediate density', 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'density'}}imaging observation_fin: ['falx']location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'more hyperdense subdural': {'clinical finding': 'more hyperdense subdural', 'existence': 'pos_dx', 'descriptive_term': 'more hyperdense', 'observation': 'subdural', 'quantity_term': 'more'}}clinical findings_fin: {'intraparenchymal or subarachnoid hemorrhage': {'clinical finding': 'intraparenchymal or subarachnoid hemorrhage', 'cf_snomed': {'subarachnoid hemorrhage': 21454007}, 'existence': 'neg_dx', 'descriptive_term': 'intraparenchymal or subarachnoid', 'observation': 'hemorrhage'}}clinical findings_fin: {'global parenchymal volume loss': {'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'basal ganglia': {}, 'right thalamus': {}}clinical findings_fin: {'low density': {'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']anatomical entity_fin: {'lens': {}}location descriptor_fin: ['left']anatomical entity_fin: {'maxillary sinus': {'location descriptor': 'anterior'}, 'walls': {}}location descriptor_fin: ['anterior', 'lateral']clinical findings_fin: {'prior hardware fixation': {'clinical finding': 'prior hardware fixation', 'existence': 'pos_dx', 'descriptive_term': 'prior hardware', 'observation': 'fixation'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided burr hole': {'clinical finding': 'left-sided burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left-sided burr', 'observation': 'hole'}}clinical findings_fin: {'acute calvarial fracture': {'clinical finding': 'acute calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'acute calvarial', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}} [/INST] Compared to approximately 7 hours prior there is no significant change in subdural fluid collection along the right frontoparietal convexity which measures up to 11 mm in thickness with minimal local mass effect. No midline shift or herniation. The subdural fluid collection demonstrates intermediate density, higher than CSF. Trace more hyperdense subdural layering along the right posterior falx and tentorium is also again seen. No intraparenchymal or subarachnoid hemorrhage. There is global parenchymal volume loss, commensurate with patients age. There are areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but compatible with chronic small vessel ischemic disease. More focal areas of low density are seen in the basal ganglia and right thalamus, similar to prior. Paranasal sinuses are grossly clear. There is trace fluid in the right mastoid air cells. Left-sided intraocular lens replacement. Again seen is evidence of prior hardware fixation involving the anterior maxillary sinus and lateral orbital walls. Evidence of left-sided burr hole also again seen. No evidence of acute calvarial fracture. </s> |
. Right upper lobe subpleural coarse reticular opacity has a location and appearance suggestive of radiation reaction given the patients history of treated right breast cancer this appears more apparent than on the 6/13/2015 chest radiograph, however. Nonspecific groundglass opacities and micronodules are present. There are small pleural effusions right larger than left. No lymphadenopathy. Mild heterogeneous thyroid enlargement. Heart size normal with a small pericardial fluid collection. Aortic root calcifications noted. Mild. Right chest wall breast implant. Mild degenerative abnormalities affect the thoracic spine. No significant axillary lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Vascular calcifications and severely atrophic kidneys noted. | anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'chest': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural coarse reticular opacity': {'clinical finding': 'right upper lobe subpleural coarse reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural coarse reticular', 'observation': 'opacity'}, 'treated right breast cancer': {'clinical finding': 'treated right breast cancer', 'existence': 'unc_dx', 'descriptive_term': 'treated right breast', 'observation': 'cancer'}}clinical findings_fin: {'nonspecific groundglass opacities': {'clinical finding': 'nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}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: {'mild heterogeneous thyroid enlargement': {'clinical finding': 'mild heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial fluid collection': {'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'}}clinical findings_fin: {'aortic root calcifications': {'clinical finding': 'aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic root', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['breast implant']clinical findings_fin: {'right chest wall breast implant': {'clinical finding': 'right chest wall breast implant', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall breast', 'observation': 'implant'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}, 'severely atrophic': {'clinical finding': 'severely atrophic', 'existence': 'pos_dx', 'descriptive_term': 'severely', '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: anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}, 'chest': {}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper lobe subpleural coarse reticular opacity': {'clinical finding': 'right upper lobe subpleural coarse reticular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe subpleural coarse reticular', 'observation': 'opacity'}, 'treated right breast cancer': {'clinical finding': 'treated right breast cancer', 'existence': 'unc_dx', 'descriptive_term': 'treated right breast', 'observation': 'cancer'}}clinical findings_fin: {'nonspecific groundglass opacities': {'clinical finding': 'nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'}, 'micronodules': {'clinical finding': 'micronodules', 'existence': 'pos_dx', 'observation': 'micronodule'}}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: {'mild heterogeneous thyroid enlargement': {'clinical finding': 'mild heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'small pericardial fluid collection': {'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'}}clinical findings_fin: {'aortic root calcifications': {'clinical finding': 'aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic root', 'observation': 'calcification'}}anatomical entity_fin: {'chest wall': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['breast implant']clinical findings_fin: {'right chest wall breast implant': {'clinical finding': 'right chest wall breast implant', 'existence': 'pos_dx', 'descriptive_term': 'right chest wall breast', 'observation': 'implant'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative abnormalities': {'clinical finding': 'mild degenerative abnormalities', 'cf_snomed': {'degenerative abnormality': 107669003}, 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'}}clinical findings_fin: {'significant axillary lymphadenopathy': {'clinical finding': 'significant axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'vascular calcifications': {'clinical finding': 'vascular calcifications', 'cf_snomed': {'vascular calcification': 237897009}, 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'}, 'severely atrophic': {'clinical finding': 'severely atrophic', 'existence': 'pos_dx', 'descriptive_term': 'severely', 'observation': 'atrophic'}} [/INST] . Right upper lobe subpleural coarse reticular opacity has a location and appearance suggestive of radiation reaction given the patients history of treated right breast cancer this appears more apparent than on the 6/13/2015 chest radiograph, however. Nonspecific groundglass opacities and micronodules are present. There are small pleural effusions right larger than left. No lymphadenopathy. Mild heterogeneous thyroid enlargement. Heart size normal with a small pericardial fluid collection. Aortic root calcifications noted. Mild. Right chest wall breast implant. Mild degenerative abnormalities affect the thoracic spine. No significant axillary lymphadenopathy. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Vascular calcifications and severely atrophic kidneys noted. </s> |
. No significant abnormality noted. No pleural effusions. No significant abnormality noted. No significant abnormality noted. Status post distal pancreatectomy. Slightly increased calcifications in the pancreatic head, likely reflecting history of chronic pancreatitis. No peripancreatic stranding or fluid is identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. An unchanged small right-sided supraumbilical hernia is again seen, containing a varix. A second unchanged small supraumbilical hernia is also again seen, containing mesenteric fat and large bowel. Minimal surrounding soft tissue stranding is noted about these hernias, similar to prior. No specific evidence of incarceration. No bowel obstruction. Diastasis of rectus abdominis muscles, unchanged. No significant abnormality noted. Status post hysterectomy. Bilateral dystrophic ovarian calcifications are again seen, unchanged. The right paraovarian cyst measures 1.8 x 1.7 cm , previously 1.4 x 1.3 cm. This is incompletely evaluated by CT. 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: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': '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'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']anatomical entity_fin: {'head': {}}clinical findings_fin: {'slightly increased calcifications': {'clinical finding': 'slightly increased calcifications', 'existence': 'pos_dx', 'descriptive_term': 'slightly increased', 'observation': 'calcification', 'strength_term': 'increased', 'change_term': 'increased'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'peripancreatic stranding': {'clinical finding': 'peripancreatic stranding', 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic', 'observation': 'strand'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'unchanged small right-sided supraumbilical hernia': {'clinical finding': 'unchanged small right-sided supraumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged small right-sided supraumbilical', 'observation': 'hernia', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}, 'varix': {'clinical finding': 'varix', 'cf_snomed': {'varix': 12856003}, 'existence': 'pos_dx', 'observation': 'varix'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['fat']clinical findings_fin: {'second unchanged small supraumbilical hernia': {'clinical finding': 'second unchanged small supraumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'second unchanged small supraumbilical', 'observation': 'hernia', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'minimal surrounding soft tissue stranding': {'clinical finding': 'minimal surrounding soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal surrounding soft tissue', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'these hernias': {'clinical finding': 'these hernias', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'hernias'}}clinical findings_fin: {'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}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'}}anatomical entity_fin: {'rectus abdominis': {}}clinical findings_fin: {'diastasis': {'clinical finding': 'diastasis', 'existence': 'pos_dx', 'observation': 'diastasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral dystrophic ovarian calcifications': {'clinical finding': 'bilateral dystrophic ovarian calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral dystrophic ovarian', 'observation': 'calcification'}}size_fin: [{'size': '1.8 x 1.7 cm'}, {'size': '1.4 x 1.3 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right paraovarian cyst': {'clinical finding': 'right paraovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right paraovarian', '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'}} | 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: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': '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'}}location descriptor_fin: ['distal']procedure_fin: ['pancreatectomy']anatomical entity_fin: {'head': {}}clinical findings_fin: {'slightly increased calcifications': {'clinical finding': 'slightly increased calcifications', 'existence': 'pos_dx', 'descriptive_term': 'slightly increased', 'observation': 'calcification', 'strength_term': 'increased', 'change_term': 'increased'}, 'chronic pancreatitis': {'clinical finding': 'chronic pancreatitis', 'cf_snomed': {'chronic pancreatitis': 235494005}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'peripancreatic stranding': {'clinical finding': 'peripancreatic stranding', 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic', 'observation': 'strand'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'unchanged small right-sided supraumbilical hernia': {'clinical finding': 'unchanged small right-sided supraumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'unchanged small right-sided supraumbilical', 'observation': 'hernia', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}, 'varix': {'clinical finding': 'varix', 'cf_snomed': {'varix': 12856003}, 'existence': 'pos_dx', 'observation': 'varix'}}anatomical entity_fin: {'bowel': {}}imaging observation_fin: ['fat']clinical findings_fin: {'second unchanged small supraumbilical hernia': {'clinical finding': 'second unchanged small supraumbilical hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'second unchanged small supraumbilical', 'observation': 'hernia', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'}}clinical findings_fin: {'minimal surrounding soft tissue stranding': {'clinical finding': 'minimal surrounding soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal surrounding soft tissue', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'these hernias': {'clinical finding': 'these hernias', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'hernias'}}clinical findings_fin: {'incarceration': {'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'}}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'}}anatomical entity_fin: {'rectus abdominis': {}}clinical findings_fin: {'diastasis': {'clinical finding': 'diastasis', 'existence': 'pos_dx', 'observation': 'diastasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}procedure_fin: ['hysterectomy']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral dystrophic ovarian calcifications': {'clinical finding': 'bilateral dystrophic ovarian calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral dystrophic ovarian', 'observation': 'calcification'}}size_fin: [{'size': '1.8 x 1.7 cm'}, {'size': '1.4 x 1.3 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right paraovarian cyst': {'clinical finding': 'right paraovarian cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'right paraovarian', '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'}} [/INST] . No significant abnormality noted. No pleural effusions. No significant abnormality noted. No significant abnormality noted. Status post distal pancreatectomy. Slightly increased calcifications in the pancreatic head, likely reflecting history of chronic pancreatitis. No peripancreatic stranding or fluid is identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. An unchanged small right-sided supraumbilical hernia is again seen, containing a varix. A second unchanged small supraumbilical hernia is also again seen, containing mesenteric fat and large bowel. Minimal surrounding soft tissue stranding is noted about these hernias, similar to prior. No specific evidence of incarceration. No bowel obstruction. Diastasis of rectus abdominis muscles, unchanged. No significant abnormality noted. Status post hysterectomy. Bilateral dystrophic ovarian calcifications are again seen, unchanged. The right paraovarian cyst measures 1.8 x 1.7 cm , previously 1.4 x 1.3 cm. This is incompletely evaluated by CT. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. </s> |
. There are postoperative findings related to thyroidectomy and neck dissection. There thyroidectomy bed appears unchanged. However, there has been continued interval increase in size of lower neck and partially-imaged mediastinum. For example, a left lower neck mass now measures 20 x 16 mm, previously 16 x 20 mm. The partially-imaged upper mediastinal lymph nodes also appear to have increased in size. In addition, there are multiple nodules in the partially-imaged lungs. The airways are patent. The salivary glands are unremarkable. There is mass effect upon the proximal left common carotid artery from the adjacent mass lesions. Much of the right internal jugular vein is inapparent, which is unchanged. The osseous structures are unchanged. There is streaky hyperattenuation in the bilateral facial subcutaneous tissues, which likely represents cosmetic filler. There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles 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 scalp soft tissues are unremarkable. | anatomical entity_fin: {'neck': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}clinical findings_fin: {'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {'location descriptor': 'lower'}, 'mediastinum': {}}location descriptor_fin: ['lower']clinical findings_fin: {'lower neck and partially - imaged mediastinum': {'clinical finding': 'lower neck and partially - imaged mediastinum'}}size_fin: [{'size': '20 x 16 mm'}, {'size': '16 x 20 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower neck mass': {'clinical finding': 'left lower neck mass', 'existence': 'pos_dx', 'descriptive_term': 'left lower neck', 'observation': 'mass'}}anatomical entity_fin: {'mediastinal lymph nodes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'partially-imaged upper mediastinal lymph nodes': {'clinical finding': 'partially-imaged upper mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged upper mediastinal lymph', 'observation': 'node', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'proximal left'}}location descriptor_fin: ['proximal', 'left', 'adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'adjacent mass lesions': {'clinical finding': 'adjacent mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'inapparent': {'clinical finding': 'inapparent', 'existence': 'pos_dx', 'observation': 'inapparent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'streaky hyperattenuation': {'clinical finding': 'streaky hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'hyperattenuation'}, 'cosmetic filler': {'clinical finding': 'cosmetic filler', 'existence': 'unc_dx', 'descriptive_term': 'cosmetic', 'observation': 'filler'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles are normal in size and configuration': {'clinical finding': 'ventricles 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': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues 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: {'neck': {}}clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}, 'neck dissection': {'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'}}clinical findings_fin: {'thyroidectomy': {'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'}}anatomical entity_fin: {'neck': {'location descriptor': 'lower'}, 'mediastinum': {}}location descriptor_fin: ['lower']clinical findings_fin: {'lower neck and partially - imaged mediastinum': {'clinical finding': 'lower neck and partially - imaged mediastinum'}}size_fin: [{'size': '20 x 16 mm'}, {'size': '16 x 20 mm'}]anatomical entity_fin: {'neck': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'left lower neck mass': {'clinical finding': 'left lower neck mass', 'existence': 'pos_dx', 'descriptive_term': 'left lower neck', 'observation': 'mass'}}anatomical entity_fin: {'mediastinal lymph nodes': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'partially-imaged upper mediastinal lymph nodes': {'clinical finding': 'partially-imaged upper mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged upper mediastinal lymph', 'observation': 'node', 'strength_term': 'partially'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'multiple nodules': {'clinical finding': 'multiple nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'nodule', 'quantity_term': 'multiple'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'salivary glands are unremarkable': {'clinical finding': 'salivary glands are unremarkable'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'proximal left'}}location descriptor_fin: ['proximal', 'left', 'adjacent']clinical findings_fin: {'mass effect': {'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'adjacent mass lesions': {'clinical finding': 'adjacent mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'adjacent mass', 'observation': 'lesion'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'inapparent': {'clinical finding': 'inapparent', 'existence': 'pos_dx', 'observation': 'inapparent'}}clinical findings_fin: {'osseous structures are unchanged': {'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'streaky hyperattenuation': {'clinical finding': 'streaky hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'streaky', 'observation': 'hyperattenuation'}, 'cosmetic filler': {'clinical finding': 'cosmetic filler', 'existence': 'unc_dx', 'descriptive_term': 'cosmetic', 'observation': 'filler'}}clinical findings_fin: {'intracranial mass': {'clinical finding': 'intracranial mass', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles are normal in size and configuration': {'clinical finding': 'ventricles 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': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull and scalp soft tissues are unremarkable': {'clinical finding': 'skull and scalp soft tissues are unremarkable'}} [/INST] . There are postoperative findings related to thyroidectomy and neck dissection. There thyroidectomy bed appears unchanged. However, there has been continued interval increase in size of lower neck and partially-imaged mediastinum. For example, a left lower neck mass now measures 20 x 16 mm, previously 16 x 20 mm. The partially-imaged upper mediastinal lymph nodes also appear to have increased in size. In addition, there are multiple nodules in the partially-imaged lungs. The airways are patent. The salivary glands are unremarkable. There is mass effect upon the proximal left common carotid artery from the adjacent mass lesions. Much of the right internal jugular vein is inapparent, which is unchanged. The osseous structures are unchanged. There is streaky hyperattenuation in the bilateral facial subcutaneous tissues, which likely represents cosmetic filler. There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles 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 scalp soft tissues are unremarkable. </s> |
Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates a large destructive hypermetabolic manubrial lesion , consistent with an osseous metastasis. A small left upper paratracheal hypermetabolic lymph node , consistent with additional metastatic disease. Abnormal FDG accumulation involving right pleural effusion , very suspicious for pleural tumor seeding. Large left hepatic hypermetabolic mass , indicates liver metastatic disease. Multiple hypermetabolic abdominal lymph nodes seen in the celiac axis and retroperitoneum , indicate additional metastatic disease. Multiple hypermetabolic soft tissue foci involving bowel and mesentery , indicates carcinomatosis. A small hypermetabolic lesion at the level of the rectum , very suspicious for additional tumor activity. | anatomical entity_fin: {'neck': {}}clinical findings_fin: {'todays ct portion of the neck demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'large destructive hypermetabolic manubrial lesion': {'clinical finding': 'large destructive hypermetabolic manubrial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large destructive hypermetabolic manubrial', 'observation': 'lesion', 'strength_term': 'large'}, 'osseous metastasis': {'clinical finding': 'osseous metastasis', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'small left upper paratracheal hypermetabolic lymph node': {'clinical finding': 'small left upper paratracheal hypermetabolic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left upper paratracheal hypermetabolic lymph', 'observation': 'node', 'strength_term': 'small'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'abnormal fdg accumulation': {'clinical finding': 'abnormal fdg accumulation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'accumulation'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'pleural tumor': {'clinical finding': 'pleural tumor', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'tumor'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left hepatic hypermetabolic mass': {'clinical finding': 'large left hepatic hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'large left hepatic hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'liver metastatic disease': {'clinical finding': 'liver metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'liver metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}, 'axis': {}, 'retroperitoneum': {}}clinical findings_fin: {'multiple hypermetabolic abdominal lymph nodes': {'clinical finding': 'multiple hypermetabolic abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic abdominal lymph', 'observation': 'node', 'quantity_term': 'multiple'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypermetabolic soft tissue foci': {'clinical finding': 'multiple hypermetabolic soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic soft tissue', 'observation': 'foci', 'quantity_term': 'multiple'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'small hypermetabolic lesion': {'clinical finding': 'small hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}} | 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': {}}clinical findings_fin: {'todays ct portion of the neck demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'abdomen': {}, 'pelvis': {}}clinical findings_fin: {'large destructive hypermetabolic manubrial lesion': {'clinical finding': 'large destructive hypermetabolic manubrial lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'large destructive hypermetabolic manubrial', 'observation': 'lesion', 'strength_term': 'large'}, 'osseous metastasis': {'clinical finding': 'osseous metastasis', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'small left upper paratracheal hypermetabolic lymph node': {'clinical finding': 'small left upper paratracheal hypermetabolic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small left upper paratracheal hypermetabolic lymph', 'observation': 'node', 'strength_term': 'small'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}location descriptor_fin: ['right']clinical findings_fin: {'abnormal fdg accumulation': {'clinical finding': 'abnormal fdg accumulation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'accumulation'}, 'right pleural effusion': {'clinical finding': 'right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'}, 'pleural tumor': {'clinical finding': 'pleural tumor', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'tumor'}}anatomical entity_fin: {'liver': {}}location descriptor_fin: ['left']clinical findings_fin: {'large left hepatic hypermetabolic mass': {'clinical finding': 'large left hepatic hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'large left hepatic hypermetabolic', 'observation': 'mass', 'strength_term': 'large'}, 'liver metastatic disease': {'clinical finding': 'liver metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'liver metastatic', 'observation': 'disease'}}anatomical entity_fin: {'abdominal': {}, 'axis': {}, 'retroperitoneum': {}}clinical findings_fin: {'multiple hypermetabolic abdominal lymph nodes': {'clinical finding': 'multiple hypermetabolic abdominal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic abdominal lymph', 'observation': 'node', 'quantity_term': 'multiple'}, 'additional metastatic disease': {'clinical finding': 'additional metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'additional metastatic', 'observation': 'disease'}}anatomical entity_fin: {'bowel': {}, 'mesentery': {}}imaging observation_fin: ['foci']clinical findings_fin: {'multiple hypermetabolic soft tissue foci': {'clinical finding': 'multiple hypermetabolic soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic soft tissue', 'observation': 'foci', 'quantity_term': 'multiple'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}anatomical entity_fin: {'rectum': {}}clinical findings_fin: {'small hypermetabolic lesion': {'clinical finding': 'small hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small hypermetabolic', 'observation': 'lesion', 'strength_term': 'small'}, 'additional tumor': {'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'}} [/INST] Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates a large destructive hypermetabolic manubrial lesion , consistent with an osseous metastasis. A small left upper paratracheal hypermetabolic lymph node , consistent with additional metastatic disease. Abnormal FDG accumulation involving right pleural effusion , very suspicious for pleural tumor seeding. Large left hepatic hypermetabolic mass , indicates liver metastatic disease. Multiple hypermetabolic abdominal lymph nodes seen in the celiac axis and retroperitoneum , indicate additional metastatic disease. Multiple hypermetabolic soft tissue foci involving bowel and mesentery , indicates carcinomatosis. A small hypermetabolic lesion at the level of the rectum , very suspicious for additional tumor activity. </s> |
. Nonindex left apical nodule continues to increase in size and density. Reference right middle lobe nodule abutting the fissure increased in density, 19 x 12 mm, previously 15 x 10 mm. Reference left lower lobe nodule 15 x 9 mm, previously 13 x 9 mm. Moderate mediastinal lymphadenopathy. Subaortic lymph node 16 mm, previously 12 mm. Right-sided lymphadenopathy in the subcarinal space increased. Low right paraesophageal lymphadenopathy inseparable from the lateral wall of the esophagus not significantly changed. The previously described paraesophageal lymph node on prior exams now appears to be located predominantly in the lung 3.5 x 2.6 cm, previously 3.3 x 2.1 cm. Distal esophageal thickening consistent with known mass about the same. Chest port tip at the SVC level. Moderate. Right chest port. Absence of enteric contrast material limits sensitivity for abdominal pathology. Debris in the gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small lymph nodes in the retroperitoneum. Reference left periaortic lesion measures 11 mm, previously 10 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. | imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'nonindex left apical nodule': {'clinical finding': 'nonindex left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'nonindex left apical', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}size_fin: [{'size': '19 x 12 mm'}, {'size': '15 x 10 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}size_fin: [{'size': '15 x 9 mm'}, {'size': '13 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe nodule': {'clinical finding': 'reference left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'moderate mediastinal lymphadenopathy': {'clinical finding': 'moderate mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'moderate'}}size_fin: [{'size': '16 mm'}, {'size': '12 mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided lymphadenopathy': {'clinical finding': 'right-sided lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'wall': {'location descriptor': 'lateral'}, 'esophagus': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'low right paraesophageal lymphadenopathy': {'clinical finding': 'low right paraesophageal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'low right paraesophageal', 'observation': 'lymphadenopathy'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '3.5 x 2.6 cm'}, {'size': '3.3 x 2.1 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'previously described paraesophageal lymph node': {'clinical finding': 'previously described paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described paraesophageal lymph', 'observation': 'node'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'known mass': {'clinical finding': 'known mass', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'mass'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'retroperitoneum': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lesion': {'clinical finding': 'reference left periaortic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', '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: imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: {'nonindex left apical nodule': {'clinical finding': 'nonindex left apical nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'nonindex left apical', 'observation': 'nodule'}, 'density': {'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'}}size_fin: [{'size': '19 x 12 mm'}, {'size': '15 x 10 mm'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'reference right middle lobe nodule': {'clinical finding': 'reference right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'}, 'fissure': {'clinical finding': 'fissure', 'cf_snomed': {'fissure': 47393002}, 'existence': 'pos_dx', 'observation': 'fissure'}}size_fin: [{'size': '15 x 9 mm'}, {'size': '13 x 9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe nodule': {'clinical finding': 'reference left lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'}}clinical findings_fin: {'moderate mediastinal lymphadenopathy': {'clinical finding': 'moderate mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'moderate'}}size_fin: [{'size': '16 mm'}, {'size': '12 mm'}]clinical findings_fin: {'subaortic lymph node': {'clinical finding': 'subaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subaortic lymph', 'observation': 'node'}}location descriptor_fin: ['right']clinical findings_fin: {'right-sided lymphadenopathy': {'clinical finding': 'right-sided lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'wall': {'location descriptor': 'lateral'}, 'esophagus': {}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'low right paraesophageal lymphadenopathy': {'clinical finding': 'low right paraesophageal lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'descriptive_term': 'low right paraesophageal', 'observation': 'lymphadenopathy'}, 'changed': {'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'}}size_fin: [{'size': '3.5 x 2.6 cm'}, {'size': '3.3 x 2.1 cm'}]anatomical entity_fin: {'lung': {}}clinical findings_fin: {'previously described paraesophageal lymph node': {'clinical finding': 'previously described paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously described paraesophageal lymph', 'observation': 'node'}}location descriptor_fin: ['distal']clinical findings_fin: {'distal esophageal thickening': {'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'}, 'known mass': {'clinical finding': 'known mass', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'mass'}}anatomical entity_fin: {'chest': {}}object_fin: ['port']anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'debris': {'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'retroperitoneum': {}}clinical findings_fin: {'small lymph nodes': {'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left periaortic lesion': {'clinical finding': 'reference left periaortic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'reference left periaortic', '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] . Nonindex left apical nodule continues to increase in size and density. Reference right middle lobe nodule abutting the fissure increased in density, 19 x 12 mm, previously 15 x 10 mm. Reference left lower lobe nodule 15 x 9 mm, previously 13 x 9 mm. Moderate mediastinal lymphadenopathy. Subaortic lymph node 16 mm, previously 12 mm. Right-sided lymphadenopathy in the subcarinal space increased. Low right paraesophageal lymphadenopathy inseparable from the lateral wall of the esophagus not significantly changed. The previously described paraesophageal lymph node on prior exams now appears to be located predominantly in the lung 3.5 x 2.6 cm, previously 3.3 x 2.1 cm. Distal esophageal thickening consistent with known mass about the same. Chest port tip at the SVC level. Moderate. Right chest port. Absence of enteric contrast material limits sensitivity for abdominal pathology. Debris in the gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small lymph nodes in the retroperitoneum. Reference left periaortic lesion measures 11 mm, previously 10 mm. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes involving the left kidney. No significant abnormality noted. Moderate. 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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Postsurgical changes involving the left kidney. No significant abnormality noted. Moderate. 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> |
. Areas of atelectasis lingula and left lower lobe. No nodules or effusions. 9 mm hypoattenuating nodule right lobe of thyroid, unchanged. Small amount of fluid tracking along the aortic arch probably recess of the pericardium. No pericardial fluid elsewhere. Small nonpathologic size nodes are unchanged. No coronary artery calcification. No significant abnormality noted. Small nonspecific hypoattenuating foci in the liver unchanged. No suspicious lesions. Liver is prominent in size measuring up to 21 cm in length, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right upper pole hypoattenuating lesion too small to characterize likely cyst. Previously described left periaortic node is unchanged series 3 image 113 measuring 1.2 x 1 cm. Other small shotty nonpathologic-sized retroperitoneal nodes. Moderate atherosclerotic calcifications distal abdominal aorta. No evidence of aneurysm. Nonobstructive broad-based large ventral hernia, unchanged. There is a small amount of fluid underneath the left leaf of the diaphragm and tracking around the spleen which is a new finding. There is subtle nodularity in the fat anterior to the spleen consistent with carcinomatosis. This is seen on series 3 images 72-79. This is also a new finding. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. Small nonpathologic size nodes distal iliac and obturator chains. No evidence of ascites or carcinomatosis in the pelvis. Broad-based abdominal wall hernia unchanged, nonobstructive. No significant abnormality noted. | anatomical entity_fin: {'lingula': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}, 'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'9 mm hypoattenuating nodule': {'clinical finding': '9 mm hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 mm hypoattenuating', 'observation': 'nodule'}}anatomical entity_fin: {'fluid': {}, 'aortic arch': {}, 'pericardium': {}}clinical findings_fin: {'small amount of fluid tracking': {'clinical finding': 'small amount of fluid tracking'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small nonpathologic size nodes': {'clinical finding': 'small nonpathologic size nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic size', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'coronary artery calcification': {'clinical finding': 'coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small nonspecific hypoattenuating foci': {'clinical finding': 'small nonspecific hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}}clinical findings_fin: {'suspicious lesions': {'clinical finding': 'suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'}}size_fin: [{'size': '21 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': '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'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper pole hypoattenuating lesion': {'clinical finding': 'right upper pole hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper pole hypoattenuating', 'observation': 'lesion'}, 'likely cyst': {'clinical finding': 'likely cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}size_fin: [{'size': '1.2 x 1 cm', 'size_descriptor': 'series'}]location descriptor_fin: ['left']clinical findings_fin: {'previously described left periaortic node': {'clinical finding': 'previously described left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'previously described left periaortic', 'observation': 'node'}}clinical findings_fin: {'other small shotty nonpathologic-sized retroperitoneal nodes': {'clinical finding': 'other small shotty nonpathologic-sized retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'other small shotty nonpathologic-sized retroperitoneal', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}, 'distal abdominal aorta': {'clinical finding': 'distal abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'distal abdominal', 'observation': 'aorta'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'nonobstructive broad-based large ventral hernia': {'clinical finding': 'nonobstructive broad-based large ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive broad-based large ventral', 'observation': 'hernia', 'strength_term': 'large'}}anatomical entity_fin: {'fluid': {}, 'diaphragm': {}, 'spleen': {}}location descriptor_fin: ['left']clinical findings_fin: {'is a small amount of fluid underneath the left leaf of the diaphragm and tracking': {'clinical finding': 'is a small amount of fluid underneath the left leaf of the diaphragm and tracking'}}anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'this is also a new finding': {'clinical finding': 'this is also a new finding'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: ['obturator']location descriptor_fin: ['distal']clinical findings_fin: {'small nonpathologic size nodes': {'clinical finding': 'small nonpathologic size nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic size', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'pelvis': {}}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: {'broad-based abdominal wall hernia': {'clinical finding': 'broad-based abdominal wall hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'broad-based abdominal wall', 'observation': 'hernia'}, 'nonobstructive': {'clinical finding': 'nonobstructive', 'existence': 'pos_dx', 'observation': 'nonobstructive'}}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: {'lingula': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'nodules': {'clinical finding': 'nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'observation': 'nodule'}, 'effusions': {'clinical finding': 'effusions', 'cf_snomed': {'effusion': 41699000}, 'existence': 'neg_dx', 'observation': 'effusion'}}size_fin: [{'size': '9 mm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'9 mm hypoattenuating nodule': {'clinical finding': '9 mm hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': '9 mm hypoattenuating', 'observation': 'nodule'}}anatomical entity_fin: {'fluid': {}, 'aortic arch': {}, 'pericardium': {}}clinical findings_fin: {'small amount of fluid tracking': {'clinical finding': 'small amount of fluid tracking'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small nonpathologic size nodes': {'clinical finding': 'small nonpathologic size nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic size', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'coronary artery calcification': {'clinical finding': 'coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small nonspecific hypoattenuating foci': {'clinical finding': 'small nonspecific hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific hypoattenuating', 'observation': 'foci', 'strength_term': 'small'}}clinical findings_fin: {'suspicious lesions': {'clinical finding': 'suspicious lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'}}size_fin: [{'size': '21 cm', 'size_descriptor': 'liver'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': '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'}}anatomical entity_fin: {'pole': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'right upper pole hypoattenuating lesion': {'clinical finding': 'right upper pole hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'right upper pole hypoattenuating', 'observation': 'lesion'}, 'likely cyst': {'clinical finding': 'likely cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'}}size_fin: [{'size': '1.2 x 1 cm', 'size_descriptor': 'series'}]location descriptor_fin: ['left']clinical findings_fin: {'previously described left periaortic node': {'clinical finding': 'previously described left periaortic node', 'existence': 'pos_dx', 'descriptive_term': 'previously described left periaortic', 'observation': 'node'}}clinical findings_fin: {'other small shotty nonpathologic-sized retroperitoneal nodes': {'clinical finding': 'other small shotty nonpathologic-sized retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'other small shotty nonpathologic-sized retroperitoneal', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'abdominal aorta': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'moderate atherosclerotic calcifications': {'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'}, 'distal abdominal aorta': {'clinical finding': 'distal abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'distal abdominal', 'observation': 'aorta'}}clinical findings_fin: {'aneurysm': {'clinical finding': 'aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'neg_dx', 'observation': 'aneurysm'}}clinical findings_fin: {'nonobstructive broad-based large ventral hernia': {'clinical finding': 'nonobstructive broad-based large ventral hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive broad-based large ventral', 'observation': 'hernia', 'strength_term': 'large'}}anatomical entity_fin: {'fluid': {}, 'diaphragm': {}, 'spleen': {}}location descriptor_fin: ['left']clinical findings_fin: {'is a small amount of fluid underneath the left leaf of the diaphragm and tracking': {'clinical finding': 'is a small amount of fluid underneath the left leaf of the diaphragm and tracking'}}anatomical entity_fin: {'spleen': {}}imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: {'subtle nodularity': {'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'this is also a new finding': {'clinical finding': 'this is also a new finding'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: ['obturator']location descriptor_fin: ['distal']clinical findings_fin: {'small nonpathologic size nodes': {'clinical finding': 'small nonpathologic size nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonpathologic size', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'pelvis': {}}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: {'broad-based abdominal wall hernia': {'clinical finding': 'broad-based abdominal wall hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'broad-based abdominal wall', 'observation': 'hernia'}, 'nonobstructive': {'clinical finding': 'nonobstructive', 'existence': 'pos_dx', 'observation': 'nonobstructive'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Areas of atelectasis lingula and left lower lobe. No nodules or effusions. 9 mm hypoattenuating nodule right lobe of thyroid, unchanged. Small amount of fluid tracking along the aortic arch probably recess of the pericardium. No pericardial fluid elsewhere. Small nonpathologic size nodes are unchanged. No coronary artery calcification. No significant abnormality noted. Small nonspecific hypoattenuating foci in the liver unchanged. No suspicious lesions. Liver is prominent in size measuring up to 21 cm in length, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right upper pole hypoattenuating lesion too small to characterize likely cyst. Previously described left periaortic node is unchanged series 3 image 113 measuring 1.2 x 1 cm. Other small shotty nonpathologic-sized retroperitoneal nodes. Moderate atherosclerotic calcifications distal abdominal aorta. No evidence of aneurysm. Nonobstructive broad-based large ventral hernia, unchanged. There is a small amount of fluid underneath the left leaf of the diaphragm and tracking around the spleen which is a new finding. There is subtle nodularity in the fat anterior to the spleen consistent with carcinomatosis. This is seen on series 3 images 72-79. This is also a new finding. No significant abnormality noted. No significant abnormality noted. Surgically absent. No significant abnormality noted. Small nonpathologic size nodes distal iliac and obturator chains. No evidence of ascites or carcinomatosis in the pelvis. Broad-based abdominal wall hernia unchanged, nonobstructive. No significant abnormality noted. </s> |
. Several scattered pulmonary micronodules are nonspecific. Scattered fissural nodules with benign-appearing morphology characteristic of benign intrapulmonary lymph nodes. 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. Normal cardiac size without pericardial effusion. None. Marked bilateral gynecomastia. Bilobar liver hypodensities are well-defined and demonstrates a thin peripheral region of enhancement and do not measure simple fluid attenuation, compatible with metastatic disease. For future reference a segment 6 lesion measures 1.2 x 1.2 cm. Normally distended gallbladder. The vessels are patent. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal hypodensities are too small to characterize, likely benign cysts. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. None. Postsurgical changes of the small bowel with a right lower quadrant ileostomy. The colon is contracted with mild superimposed nonspecific diffuse colonic wall thickening. The small bowel is normal in caliber. Several small mesenteric and omental lymph nodes measuring less than 1 cm in short axis. In the deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant. There is mild omental nodularity consistent with carcinomatosis. No significant abnormality noted. Thoracic intervertebral disc calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered punctate pelvic foci, compatible with benign bone islands. No significant abnormality noted | clinical findings_fin: {'several scattered pulmonary micronodules': {'clinical finding': 'several scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'several'}}clinical findings_fin: {'scattered fissural nodules': {'clinical finding': 'scattered fissural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered fissural', 'observation': 'nodule'}, 'benign intrapulmonary lymph nodes': {'clinical finding': 'benign intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'benign intrapulmonary lymph', 'observation': 'node', 'strength_term': 'benign'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'marked bilateral gynecomastia': {'clinical finding': 'marked bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral', 'observation': 'gynecomastia'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'bilobar liver hypodensities': {'clinical finding': 'bilobar liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilobar liver', 'observation': 'hypodensity'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 1.2 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}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: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}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'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}imaging observation_fin: ['colon']clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'mild superimposed nonspecific diffuse colonic wall thickening': {'clinical finding': 'mild superimposed nonspecific diffuse colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild superimposed nonspecific diffuse colonic wall', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'several small mesenteric and omental lymph nodes': {'clinical finding': 'several small mesenteric and omental lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small mesenteric and omental lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '3.8 x 2.9 cm', 'size_descriptor': 'implant'}]location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant': {'clinical finding': 'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant'}}clinical findings_fin: {'mild omental nodularity': {'clinical finding': 'mild omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild omental', 'observation': 'nodularity', 'strength_term': 'mild'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'thoracic intervertebral disc calcifications': {'clinical finding': 'thoracic intervertebral disc calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thoracic intervertebral disc', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered punctate pelvic foci': {'clinical finding': 'scattered punctate pelvic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate pelvic', 'observation': 'foci'}}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: {'several scattered pulmonary micronodules': {'clinical finding': 'several scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'several'}}clinical findings_fin: {'scattered fissural nodules': {'clinical finding': 'scattered fissural nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered fissural', 'observation': 'nodule'}, 'benign intrapulmonary lymph nodes': {'clinical finding': 'benign intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'benign intrapulmonary lymph', 'observation': 'node', 'strength_term': 'benign'}}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'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'marked bilateral gynecomastia': {'clinical finding': 'marked bilateral gynecomastia', 'cf_snomed': {'gynecomastia': 4754008}, 'existence': 'pos_dx', 'descriptive_term': 'marked bilateral', 'observation': 'gynecomastia'}}anatomical entity_fin: {'liver': {}, 'fluid': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'bilobar liver hypodensities': {'clinical finding': 'bilobar liver hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilobar liver', 'observation': 'hypodensity'}, 'enhancement': {'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '1.2 x 1.2 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'segment 6 lesion': {'clinical finding': 'segment 6 lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'segment 6', 'observation': 'lesion'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'normally distended': {'clinical finding': 'normally distended', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'distended'}}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: {'renal hypodensities': {'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}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'}}anatomical entity_fin: {'bowel': {}, 'quadrant': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}imaging observation_fin: ['colon']clinical findings_fin: {'contracted': {'clinical finding': 'contracted', 'existence': 'pos_dx', 'observation': 'contract'}, 'mild superimposed nonspecific diffuse colonic wall thickening': {'clinical finding': 'mild superimposed nonspecific diffuse colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild superimposed nonspecific diffuse colonic wall', 'observation': 'thickening', 'strength_term': 'mild'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'small bowel is normal': {'clinical finding': 'small bowel is normal'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'nodes'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'several small mesenteric and omental lymph nodes': {'clinical finding': 'several small mesenteric and omental lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small mesenteric and omental lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'}}size_fin: [{'size': '3.8 x 2.9 cm', 'size_descriptor': 'implant'}]location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: {'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant': {'clinical finding': 'deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant'}}clinical findings_fin: {'mild omental nodularity': {'clinical finding': 'mild omental nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mild omental', 'observation': 'nodularity', 'strength_term': 'mild'}, 'carcinomatosis': {'clinical finding': 'carcinomatosis', 'cf_snomed': {'carcinomatosis': 307593001}, 'existence': 'pos_dx', 'observation': 'carcinomatosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'thoracic intervertebral disc calcifications': {'clinical finding': 'thoracic intervertebral disc calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thoracic intervertebral disc', 'observation': 'calcification'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}imaging observation_fin: ['foci']clinical findings_fin: {'scattered punctate pelvic foci': {'clinical finding': 'scattered punctate pelvic foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate pelvic', 'observation': 'foci'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Several scattered pulmonary micronodules are nonspecific. Scattered fissural nodules with benign-appearing morphology characteristic of benign intrapulmonary lymph nodes. 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. Normal cardiac size without pericardial effusion. None. Marked bilateral gynecomastia. Bilobar liver hypodensities are well-defined and demonstrates a thin peripheral region of enhancement and do not measure simple fluid attenuation, compatible with metastatic disease. For future reference a segment 6 lesion measures 1.2 x 1.2 cm. Normally distended gallbladder. The vessels are patent. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Renal hypodensities are too small to characterize, likely benign cysts. No retroperitoneal lymphadenopathy measuring greater than 1 cm in short axis. None. Postsurgical changes of the small bowel with a right lower quadrant ileostomy. The colon is contracted with mild superimposed nonspecific diffuse colonic wall thickening. The small bowel is normal in caliber. Several small mesenteric and omental lymph nodes measuring less than 1 cm in short axis. In the deep left hemipelvis there is a 3.8 x 2.9 cm heterogeneous soft tissue implant. There is mild omental nodularity consistent with carcinomatosis. No significant abnormality noted. Thoracic intervertebral disc calcifications. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered punctate pelvic foci, compatible with benign bone islands. No significant abnormality noted </s> |
.Suture material in the right lower lobe, with associated linear, scarlike opacity. A new small left level five lymph node has mildly increased metabolic activity. Bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes appear similar to the prior study. No other focal FDG avid lesion is identified. | anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['suture']clinical findings_fin: {'associated linear, scarlike opacity': {'clinical finding': 'associated linear, scarlike opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'associated linear scarlike', 'observation': 'opacity'}}location descriptor_fin: ['left']clinical findings_fin: {'new small left level five lymph node': {'clinical finding': 'new small left level five lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new small left level five lymph', 'observation': 'node', 'strength_term': 'small', 'temporal_term': 'new'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes': {'clinical finding': 'bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar and right paratracheal mildly hypermetabolic lymph', 'observation': 'node', 'strength_term': 'mildly'}}clinical findings_fin: {'other focal fdg avid lesion': {'clinical finding': 'other focal fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other focal 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: anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']object_fin: ['suture']clinical findings_fin: {'associated linear, scarlike opacity': {'clinical finding': 'associated linear, scarlike opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'associated linear scarlike', 'observation': 'opacity'}}location descriptor_fin: ['left']clinical findings_fin: {'new small left level five lymph node': {'clinical finding': 'new small left level five lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new small left level five lymph', 'observation': 'node', 'strength_term': 'small', 'temporal_term': 'new'}, 'metabolic activity': {'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity'}}location descriptor_fin: ['bilateral', 'right']clinical findings_fin: {'bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes': {'clinical finding': 'bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hilar and right paratracheal mildly hypermetabolic lymph', 'observation': 'node', 'strength_term': 'mildly'}}clinical findings_fin: {'other focal fdg avid lesion': {'clinical finding': 'other focal fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'other focal fdg avid', 'observation': 'lesion'}} [/INST] .Suture material in the right lower lobe, with associated linear, scarlike opacity. A new small left level five lymph node has mildly increased metabolic activity. Bilateral hilar and right paratracheal mildly hypermetabolic lymph nodes appear similar to the prior study. No other focal FDG avid lesion is identified. </s> |
. Central solid component of the right upper lobe mixed density nodule measures 7 x 9 mm , previously measuring 7 x 7 mm. The overall size of the groundglass component is difficult to quantify as it is a subtle, approximately 2.7 cm compared to 2.7 cm previously. Numerous additional groundglass density and mixed density nodules are identified. A groundglass nodule containing internal cystic component measures 18 mm in the right lower lobe , previously measuring around 17 mm, however there is significant motion artifact on the last study. Previously referenced groundglass nodule in the right upper lobe is no longer visualized. Solid subpleural nodule in the left lower lobe measures similarly at 9 x 7 mm , previously 9 x 7 mm, however this appears to have a broader base with the pleural surface on the current study. Additional left lower lobe subpleural solid nodule is unchanged measuring 11 mm, previously 9 mm , minimally larger. Postsurgical changes consistent with a left upper lobe lobectomy and left lower lobe wedge resection are noted. Redemonstration of a chronic loculated pneumothorax on the left. Cardiac size is mildly enlarged. No significant hilar or mediastinal lymphadenopathy. The aorta and great vessels are normal in caliber. Atherosclerotic calcification of the aorta and major branching vessels. Redemonstration of pericardial calcification. Moderate. No axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy. Mild degenerative changes and dextroscoliosis of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. Calcifications in the right hepatic lobe. Too small to characterize low-attenuation focus within the right hepatic lobe. | size_fin: [{'size': '7 x 9 mm'}, {'size': '7 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'right upper lobe mixed density nodule': {'clinical finding': 'right upper lobe mixed density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe mixed density', 'observation': 'nodule'}}size_fin: [{'size': '2.7 cm'}, {'size': '2.7 cm'}]clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}}clinical findings_fin: {'numerous additional groundglass density and mixed density nodules': {'clinical finding': 'numerous additional groundglass density and mixed density nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional groundglass density and mixed density', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'nodule'}, {'size': '17 mm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}artifact_fin: ['motion artifact']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}, 'significant motion artifact': {'clinical finding': 'significant motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant motion', 'observation': 'artifact'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously referenced groundglass nodule': {'clinical finding': 'previously referenced groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'previously referenced groundglass', 'observation': 'nodule'}}size_fin: [{'size': '9 x 7 mm'}, {'size': '9 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'base': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural nodule': {'clinical finding': 'solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe subpleural solid nodule': {'clinical finding': 'additional left lower lobe subpleural solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe subpleural solid', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'left upper lobe lobectomy': {'clinical finding': 'left upper lobe lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'lobectomy'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic loculated pneumothorax': {'clinical finding': 'chronic loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'chronic loculated', 'observation': 'pneumothorax', 'temporal_term': 'chronic'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'pericardial calcification': {'clinical finding': 'pericardial calcification', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'calcification'}}clinical findings_fin: {'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy': {'clinical finding': 'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'axillary internal mammary retrocrural or cardiophrenic', 'observation': 'lymphadenopathy'}}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'}, 'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}} | 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 x 9 mm'}, {'size': '7 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['central', 'right', 'upper']clinical findings_fin: {'right upper lobe mixed density nodule': {'clinical finding': 'right upper lobe mixed density nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe mixed density', 'observation': 'nodule'}}size_fin: [{'size': '2.7 cm'}, {'size': '2.7 cm'}]clinical findings_fin: {'groundglass': {'clinical finding': 'groundglass', 'existence': 'pos_dx', 'observation': 'groundglass'}}clinical findings_fin: {'numerous additional groundglass density and mixed density nodules': {'clinical finding': 'numerous additional groundglass density and mixed density nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'numerous additional groundglass density and mixed density', 'observation': 'nodule', 'quantity_term': 'numerous'}}size_fin: [{'size': '18 mm', 'size_descriptor': 'nodule'}, {'size': '17 mm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}artifact_fin: ['motion artifact']location descriptor_fin: ['right', 'lower']clinical findings_fin: {'groundglass nodule': {'clinical finding': 'groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'}, 'significant motion artifact': {'clinical finding': 'significant motion artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'significant motion', 'observation': 'artifact'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'previously referenced groundglass nodule': {'clinical finding': 'previously referenced groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'previously referenced groundglass', 'observation': 'nodule'}}size_fin: [{'size': '9 x 7 mm'}, {'size': '9 x 7 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}, 'base': {}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'solid subpleural nodule': {'clinical finding': 'solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'solid subpleural', 'observation': 'nodule'}}size_fin: [{'size': '11 mm'}, {'size': '9 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'additional left lower lobe subpleural solid nodule': {'clinical finding': 'additional left lower lobe subpleural solid nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'additional left lower lobe subpleural solid', 'observation': 'nodule'}}anatomical entity_fin: {'lobe': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'left upper lobe lobectomy': {'clinical finding': 'left upper lobe lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'lobectomy'}}location descriptor_fin: ['left']clinical findings_fin: {'chronic loculated pneumothorax': {'clinical finding': 'chronic loculated pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'pos_dx', 'descriptive_term': 'chronic loculated', 'observation': 'pneumothorax', 'temporal_term': 'chronic'}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}clinical findings_fin: {'significant hilar or mediastinal lymphadenopathy': {'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta and great vessels are normal in caliber': {'clinical finding': 'aorta and great vessels are normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}clinical findings_fin: {'pericardial calcification': {'clinical finding': 'pericardial calcification', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'calcification'}}clinical findings_fin: {'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy': {'clinical finding': 'axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'axillary internal mammary retrocrural or cardiophrenic', 'observation': 'lymphadenopathy'}}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'}, 'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'cholelithiasis': {'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'neg_dx', 'observation': 'cholecystitis'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'calcifications': {'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'low-attenuation focus': {'clinical finding': 'low-attenuation focus', 'existence': 'unc_dx', 'descriptive_term': 'low-attenuation', 'observation': 'focus'}} [/INST] . Central solid component of the right upper lobe mixed density nodule measures 7 x 9 mm , previously measuring 7 x 7 mm. The overall size of the groundglass component is difficult to quantify as it is a subtle, approximately 2.7 cm compared to 2.7 cm previously. Numerous additional groundglass density and mixed density nodules are identified. A groundglass nodule containing internal cystic component measures 18 mm in the right lower lobe , previously measuring around 17 mm, however there is significant motion artifact on the last study. Previously referenced groundglass nodule in the right upper lobe is no longer visualized. Solid subpleural nodule in the left lower lobe measures similarly at 9 x 7 mm , previously 9 x 7 mm, however this appears to have a broader base with the pleural surface on the current study. Additional left lower lobe subpleural solid nodule is unchanged measuring 11 mm, previously 9 mm , minimally larger. Postsurgical changes consistent with a left upper lobe lobectomy and left lower lobe wedge resection are noted. Redemonstration of a chronic loculated pneumothorax on the left. Cardiac size is mildly enlarged. No significant hilar or mediastinal lymphadenopathy. The aorta and great vessels are normal in caliber. Atherosclerotic calcification of the aorta and major branching vessels. Redemonstration of pericardial calcification. Moderate. No axillary, internal mammary, retrocrural, or cardiophrenic lymphadenopathy. Mild degenerative changes and dextroscoliosis of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. Calcifications in the right hepatic lobe. Too small to characterize low-attenuation focus within the right hepatic lobe. </s> |
The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Large left and trace right pleural effusions. There is mosaic attenuation of the imaged lung parenchyma with groundglass opacities superimposed on chronic fibrotic changes. Partially imaged ICD leads. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys. No significant abnormality noted. Mild. No significant abnormality noted. Osseous changes compatible with renal osteodystrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Osseous changes compatible with renal osteodystrophy. Infarcted renal allograft in the right iliac fossa unchanged. | anatomical entity_fin: {'solid organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'large left and trace right pleural effusions': {'clinical finding': 'large left and trace right pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left and trace right pleural', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'chronic fibrotic changes': {'clinical finding': 'chronic fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic fibrotic', 'observation': 'change', 'temporal_term': 'chronic'}}non-anatomical substance_fin: ['leads']clinical findings_fin: {'partially imaged icd leads': {'clinical finding': 'partially imaged icd leads'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': '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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'infarcted renal allograft': {'clinical finding': 'infarcted renal allograft', 'existence': 'pos_dx', 'descriptive_term': 'infarcted renal', 'observation': 'allograft'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}} | 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 organs': {}, 'vasculature': {}}clinical findings_fin: {'intravenous contrast': {'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'large left and trace right pleural effusions': {'clinical finding': 'large left and trace right pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'large left and trace right pleural', 'observation': 'effusion', 'strength_term': 'large'}}anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}, 'chronic fibrotic changes': {'clinical finding': 'chronic fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic fibrotic', 'observation': 'change', 'temporal_term': 'chronic'}}non-anatomical substance_fin: ['leads']clinical findings_fin: {'partially imaged icd leads': {'clinical finding': 'partially imaged icd leads'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral atrophic': {'clinical finding': 'bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': '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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'osseous changes': {'clinical finding': 'osseous changes', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}, 'renal osteodystrophy': {'clinical finding': 'renal osteodystrophy', 'cf_snomed': {'renal osteodystrophy': 16726004}, 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'osteodystrophy'}}anatomical entity_fin: {'iliac fossa': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'infarcted renal allograft': {'clinical finding': 'infarcted renal allograft', 'existence': 'pos_dx', 'descriptive_term': 'infarcted renal', 'observation': 'allograft'}, 'unchanged': {'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'}} [/INST] The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Large left and trace right pleural effusions. There is mosaic attenuation of the imaged lung parenchyma with groundglass opacities superimposed on chronic fibrotic changes. Partially imaged ICD leads. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral atrophic kidneys. No significant abnormality noted. Mild. No significant abnormality noted. Osseous changes compatible with renal osteodystrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Osseous changes compatible with renal osteodystrophy. Infarcted renal allograft in the right iliac fossa unchanged. </s> |
. Some of the lymph nodes in the neck are smaller, while others have increased in size. For example, a left level 3 lymph node measures 8 x 13 mm, previously 12 x 15 mm, but a left level 5 lymph node measures11 x 14 mm, previously 7 x 9 mm. Likewise, a left parotid lymph node measures 5 x 6 mm, previously 8 x 11 mm, but a right level 3 lymph node measures 10 x 16 mm, previously 5 x 7 mm. There is also increased soft tissue that surrounds the left common carotid artery. There is persistent stranding in the left upper chest and lower neck subcutaneous tissues and left axilla, with thickening of the overlying skin. There has been interval left vocal cord augmentation. The thyroid and major salivary glands are unchanged. There is persistent paucity of opacification of the inferior left internal jugular vein, medial left subclavian vein, and left brachiocephalic vein. The other major cervical vessels otherwise appear to be patent. There is degenerative spondylosis of the cervical spine. There is incomplete fusion of the posterior arch of C1. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are partially-imaged calcified lymph nodes in the mediastinum. Some of the remaining mandibular teeth are carious. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is a partially-empty sella. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are thin calcifications along the bilateral optic nerve sheaths, left more than right. | anatomical entity_fin: {'neck': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '12 x 15 mm'}, {'size': '11 x 14 mm'}, {'size': '7 x 9 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 3 lymph node': {'clinical finding': 'left level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 3 lymph', 'observation': 'node'}, 'left level 5 lymph node': {'clinical finding': 'left level 5 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 5 lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 6 mm'}, {'size': '8 x 11 mm'}, {'size': '10 x 16 mm'}, {'size': '5 x 7 mm'}]anatomical entity_fin: {'parotid lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left parotid lymph node': {'clinical finding': 'left parotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left parotid lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased soft tissue': {'clinical finding': 'increased soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'increased soft', 'observation': 'tissue', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {'location descriptor': 'left upper'}, 'neck': {'location descriptor': 'lower'}, 'axilla': {'location descriptor': 'left'}, 'skin': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'interval left vocal cord augmentation': {'clinical finding': 'interval left vocal cord augmentation', 'existence': 'pos_dx', 'descriptive_term': 'interval left vocal cord', 'observation': 'augmentation'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'inferior left'}, 'left subclavian vein': {}, 'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left', 'medial']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}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': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'partially-imaged calcified lymph nodes': {'clinical finding': 'partially-imaged calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged calcified lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}imaging observation_fin: ['teeth']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}}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'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}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: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'optic nerve': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'thin calcifications': {'clinical finding': 'thin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thin', '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: {'neck': {}}clinical findings_fin: {'lymph nodes': {'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'}}size_fin: [{'size': '8 x 13 mm'}, {'size': '12 x 15 mm'}, {'size': '11 x 14 mm'}, {'size': '7 x 9 mm'}]location descriptor_fin: ['left']clinical findings_fin: {'left level 3 lymph node': {'clinical finding': 'left level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 3 lymph', 'observation': 'node'}, 'left level 5 lymph node': {'clinical finding': 'left level 5 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 5 lymph', 'observation': 'node'}}size_fin: [{'size': '5 x 6 mm'}, {'size': '8 x 11 mm'}, {'size': '10 x 16 mm'}, {'size': '5 x 7 mm'}]anatomical entity_fin: {'parotid lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'left parotid lymph node': {'clinical finding': 'left parotid lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left parotid lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'common carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'increased soft tissue': {'clinical finding': 'increased soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'increased soft', 'observation': 'tissue', 'strength_term': 'increased', 'change_term': 'increased'}}anatomical entity_fin: {'chest': {'location descriptor': 'left upper'}, 'neck': {'location descriptor': 'lower'}, 'axilla': {'location descriptor': 'left'}, 'skin': {}}location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: {'persistent stranding': {'clinical finding': 'persistent stranding', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'strand', 'temporal_term': 'persistent'}, 'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'interval left vocal cord augmentation': {'clinical finding': 'interval left vocal cord augmentation', 'existence': 'pos_dx', 'descriptive_term': 'interval left vocal cord', 'observation': 'augmentation'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'internal jugular vein': {'location descriptor': 'inferior left'}, 'left subclavian vein': {}, 'brachiocephalic vein': {'location descriptor': 'left'}}location descriptor_fin: ['inferior', 'left', 'medial']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'left brachiocephalic': {'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative spondylosis': {'clinical finding': 'degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'posterior arch': {}}clinical findings_fin: {'incomplete fusion': {'clinical finding': 'incomplete fusion', 'existence': 'pos_dx', 'descriptive_term': 'incomplete', 'observation': 'fusion'}}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': 'pos_dx', 'observation': 'clear'}}anatomical entity_fin: {'mediastinum': {}}clinical findings_fin: {'partially-imaged calcified lymph nodes': {'clinical finding': 'partially-imaged calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged calcified lymph', 'observation': 'node', 'strength_term': 'partially', 'change_term': 'calcified'}}imaging observation_fin: ['teeth']clinical findings_fin: {'carious': {'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'}}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'}}clinical findings_fin: {'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}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: {'skull': {}, 'paranasal sinuses': {}, 'scalp': {}}clinical findings_fin: {'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'}}anatomical entity_fin: {'optic nerve': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: {'thin calcifications': {'clinical finding': 'thin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'thin', 'observation': 'calcification'}} [/INST] . Some of the lymph nodes in the neck are smaller, while others have increased in size. For example, a left level 3 lymph node measures 8 x 13 mm, previously 12 x 15 mm, but a left level 5 lymph node measures11 x 14 mm, previously 7 x 9 mm. Likewise, a left parotid lymph node measures 5 x 6 mm, previously 8 x 11 mm, but a right level 3 lymph node measures 10 x 16 mm, previously 5 x 7 mm. There is also increased soft tissue that surrounds the left common carotid artery. There is persistent stranding in the left upper chest and lower neck subcutaneous tissues and left axilla, with thickening of the overlying skin. There has been interval left vocal cord augmentation. The thyroid and major salivary glands are unchanged. There is persistent paucity of opacification of the inferior left internal jugular vein, medial left subclavian vein, and left brachiocephalic vein. The other major cervical vessels otherwise appear to be patent. There is degenerative spondylosis of the cervical spine. There is incomplete fusion of the posterior arch of C1. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are partially-imaged calcified lymph nodes in the mediastinum. Some of the remaining mandibular teeth are carious. There is no evidence of intracranial hemorrhage or mass. There is no abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is a partially-empty sella. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are thin calcifications along the bilateral optic nerve sheaths, left more than right. </s> |
. Basilar groundglass opacities. No focal hepatic lesions. The hepatic vasculature is patent. No biliary ductal dilation. Status post cholecystectomy. The splenic vein is nonvisualized and likely chronically occluded. Calcification in the pancreatic head. Mild atrophy of the pancreas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Small umbilical hernia containing a small bowel loop and fat without evidence of complication. Post surgical changes along the lesser curvature of the stomach. Circumferential sclerosis of the left 12 th rib at the costovertebral junction is nonspecific but possibly post-traumatic in etiology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the lumbar spine. | clinical findings_fin: {'basilar groundglass opacities': {'clinical finding': 'basilar groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'basilar groundglass', 'observation': 'opacity'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'biliary ductal dilation': {'clinical finding': 'biliary ductal dilation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilation'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}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'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'circumferential sclerosis': {'clinical finding': 'circumferential sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'circumferential', 'observation': 'sclerosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', '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: {'basilar groundglass opacities': {'clinical finding': 'basilar groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'basilar groundglass', 'observation': 'opacity'}}clinical findings_fin: {'focal hepatic lesions': {'clinical finding': 'focal hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'}}anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}clinical findings_fin: {'biliary ductal dilation': {'clinical finding': 'biliary ductal dilation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilation'}}procedure_fin: ['cholecystectomy']anatomical entity_fin: {'splenic vein': {}}clinical findings_fin: {'occluded': {'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'}}anatomical entity_fin: {'head': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}anatomical entity_fin: {'pancreas': {}}clinical findings_fin: {'mild atrophy': {'clinical finding': 'mild atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', '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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}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'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}, 'lesser curvature': {'clinical finding': 'lesser curvature', 'existence': 'pos_dx', 'descriptive_term': 'lesser', 'observation': 'curvature'}}anatomical entity_fin: {'rib': {}}location descriptor_fin: ['left']clinical findings_fin: {'circumferential sclerosis': {'clinical finding': 'circumferential sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'circumferential', 'observation': 'sclerosis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}} [/INST] . Basilar groundglass opacities. No focal hepatic lesions. The hepatic vasculature is patent. No biliary ductal dilation. Status post cholecystectomy. The splenic vein is nonvisualized and likely chronically occluded. Calcification in the pancreatic head. Mild atrophy of the pancreas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Small umbilical hernia containing a small bowel loop and fat without evidence of complication. Post surgical changes along the lesser curvature of the stomach. Circumferential sclerosis of the left 12 th rib at the costovertebral junction is nonspecific but possibly post-traumatic in etiology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes of the lumbar spine. </s> |
. Bibasilar scarring or atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral subcentimeter hypodense lesions in the kidneys too small to characterize but likely represent benign cysts. No significant abnormality noted. Mild. Mesenteric nodularity and soft tissue aggregation in the mid abdomen not significantly changed from prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Healing bilateral pubic rami fractures. No significant abnormality noted | clinical findings_fin: {'bibasilar scarring': {'clinical finding': 'bibasilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral subcentimeter hypodense lesions': {'clinical finding': 'bilateral subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral subcentimeter hypodense', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'mesenteric nodularity': {'clinical finding': 'mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'nodularity'}, 'soft tissue aggregation': {'clinical finding': 'soft tissue aggregation', 'cf_snomed': {'aggregation': 47286004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'aggregation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'healing': {'clinical finding': 'healing', 'existence': 'pos_dx', 'observation': 'heal'}, 'bilateral pubic rami fractures': {'clinical finding': 'bilateral pubic rami fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pubic rami', 'observation': 'fracture'}}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 scarring': {'clinical finding': 'bibasilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'scarr'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'unc_dx', 'observation': 'atelectasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: {'kidneys': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral subcentimeter hypodense lesions': {'clinical finding': 'bilateral subcentimeter hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral subcentimeter hypodense', 'observation': 'lesion'}, 'benign cysts': {'clinical finding': 'benign cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdomen': {}}clinical findings_fin: {'mesenteric nodularity': {'clinical finding': 'mesenteric nodularity', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'nodularity'}, 'soft tissue aggregation': {'clinical finding': 'soft tissue aggregation', 'cf_snomed': {'aggregation': 47286004}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'aggregation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'healing': {'clinical finding': 'healing', 'existence': 'pos_dx', 'observation': 'heal'}, 'bilateral pubic rami fractures': {'clinical finding': 'bilateral pubic rami fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral pubic rami', 'observation': 'fracture'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] . Bibasilar scarring or atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral subcentimeter hypodense lesions in the kidneys too small to characterize but likely represent benign cysts. No significant abnormality noted. Mild. Mesenteric nodularity and soft tissue aggregation in the mid abdomen not significantly changed from prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Healing bilateral pubic rami fractures. No significant abnormality noted </s> |
There are postoperative findings related to right rim mandibulectomy with masseter flap. There are defects in the edentulous portion of the right mandibular body with areas of fragmentation and mild lucencies surrounding the screws. There is stranding of the overlying subcutaneous tissues, but no evidence of fluid collections. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and remaining salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are emphysematous. | anatomical entity_fin: {'rim': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right rim mandibulectomy': {'clinical finding': 'right rim mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'right rim', 'observation': 'mandibulectomy'}, 'masseter flap': {'clinical finding': 'masseter flap', 'existence': 'pos_dx', 'descriptive_term': 'masseter', 'observation': 'flap'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right']clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'edentulous': {'clinical finding': 'edentulous', 'cf_snomed': {'edentulous': 278650002}, 'existence': 'pos_dx', 'observation': 'edentulous'}, 'fragmentation': {'clinical finding': 'fragmentation', 'cf_snomed': {'fragmentation': 112624007}, 'existence': 'pos_dx', 'observation': 'fragmentation'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}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 cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'thyroid and remaining salivary glands are unremarkable': {'clinical finding': 'thyroid and remaining salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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: {'lungs': {}}clinical findings_fin: {'emphysematous': {'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'}} | 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: {'rim': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'postoperative': {'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'}, 'right rim mandibulectomy': {'clinical finding': 'right rim mandibulectomy', 'existence': 'pos_dx', 'descriptive_term': 'right rim', 'observation': 'mandibulectomy'}, 'masseter flap': {'clinical finding': 'masseter flap', 'existence': 'pos_dx', 'descriptive_term': 'masseter', 'observation': 'flap'}}anatomical entity_fin: {'body': {}}location descriptor_fin: ['right']clinical findings_fin: {'defects': {'clinical finding': 'defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'observation': 'defect'}, 'edentulous': {'clinical finding': 'edentulous', 'cf_snomed': {'edentulous': 278650002}, 'existence': 'pos_dx', 'observation': 'edentulous'}, 'fragmentation': {'clinical finding': 'fragmentation', 'cf_snomed': {'fragmentation': 112624007}, 'existence': 'pos_dx', 'observation': 'fragmentation'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'stranding': {'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'}}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 cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'thyroid and remaining salivary glands are unremarkable': {'clinical finding': 'thyroid and remaining salivary glands are unremarkable'}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}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: {'lungs': {}}clinical findings_fin: {'emphysematous': {'clinical finding': 'emphysematous', 'existence': 'pos_dx', 'observation': 'emphysematous'}} [/INST] There are postoperative findings related to right rim mandibulectomy with masseter flap. There are defects in the edentulous portion of the right mandibular body with areas of fragmentation and mild lucencies surrounding the screws. There is stranding of the overlying subcutaneous tissues, but no evidence of fluid collections. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and remaining salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are emphysematous. </s> |
. The external auditory canal is clear. The tympanic membrane is slightly thickened diffusely, with a traversing tympanostomy tube with mild surrounding opacification. The scutum remains sharp. There is trace fluid in the right mastoid air cells with overall persistent under pneumatization. There is moderate nonspecific opacification of the right middle ear including along the oval window. The round window is also opacified, with opacification extending into the sinus tympani and facial nerve recess. Overall, degree of opacification is increased previous exam although no definite osseous erosions are appreciated. Tympanic cavity is otherwise clear. The stapes is not optimally visualized due to the surrounding opacification. The visualized ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. There is slight asymmetric widening of the right vestibular aqueduct both at the operculum and midpoint measuring 2 mm and 2.1 mm respectively, although similar to prior exam. Comparison with adjacent posterior semicircular canal caliber also suggests mild enlargement of the aqueduct. Right osseous internal auditory canal is low normal in caliber, measuring 2 mm. The external auditory canal is clear except for minimal debris at the cartilaginous and osseous junction. The tympanic membrane is faintly visualized. A traversing tympanostomy tube is identified. There is adjacent opacification along the pars tensa, abutting the osseous external auditory canal without osseous change. The scutum remains sharp. The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. The vestibular aqueduct is within normal limits in size. No abnormalities of the remainder osseous internal auditory canal are demonstrated, measuring 3 mm. There is scattered trace mucosal thickening in the visualized paranasal sinuses. | anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tympanic membrane': {}}object_fin: ['tympanostomy tube']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}, 'mild surrounding opacification': {'clinical finding': 'mild surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'overall persistent under pneumatization': {'clinical finding': 'overall persistent under pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'overall persistent under', 'observation': 'pneumatization', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'oval window': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate nonspecific opacification': {'clinical finding': 'moderate nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate nonspecific', 'observation': 'opacification', 'strength_term': 'moderate'}, 'oval window': {'clinical finding': 'oval window', 'existence': 'pos_dx', 'descriptive_term': 'oval', 'observation': 'window'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}, 'facial nerve recess': {}}clinical findings_fin: {'round window': {'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'}, 'opacified': {'clinical finding': 'opacified', 'existence': 'pos_dx', 'observation': 'opacify'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'definite osseous erosions': {'clinical finding': 'definite osseous erosions', 'existence': 'neg_dx', 'descriptive_term': 'definite osseous', 'observation': 'erosion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'stapes': {}}clinical findings_fin: {'surrounding opacification': {'clinical finding': 'surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'opacification'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '2 mm'}, {'size': '2.1 mm'}]anatomical entity_fin: {'vestibular aqueduct': {'location descriptor': 'right'}, 'operculum': {}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric widening': {'clinical finding': 'slight asymmetric widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'widening'}}anatomical entity_fin: {'posterior semicircular canal': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aqueduct': {'clinical finding': 'aqueduct', 'existence': 'pos_dx', 'observation': 'aqueduct'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'canal'}]anatomical entity_fin: {'internal auditory canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'low normal in caliber': {'clinical finding': 'low normal in caliber'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal debris': {'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'tympanic membrane is faintly visualized': {'clinical finding': 'tympanic membrane is faintly visualized'}}object_fin: ['tympanostomy tube']clinical findings_fin: {'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'neg_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}}anatomical entity_fin: {'external auditory canal': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent opacification': {'clinical finding': 'adjacent opacification', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'opacification'}, 'osseous change': {'clinical finding': 'osseous change', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}}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'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vestibular aqueduct': {}}clinical findings_fin: {'normal limits in size': {'clinical finding': 'normal limits in size'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered trace mucosal thickening': {'clinical finding': 'scattered trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered trace mucosal', 'observation': 'thickening'}} | 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: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tympanic membrane': {}}object_fin: ['tympanostomy tube']clinical findings_fin: {'thickened': {'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'}, 'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}, 'mild surrounding opacification': {'clinical finding': 'mild surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'opacification', 'strength_term': 'mild'}}anatomical entity_fin: {'fluid': {}, 'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'overall persistent under pneumatization': {'clinical finding': 'overall persistent under pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'overall persistent under', 'observation': 'pneumatization', 'temporal_term': 'persistent'}}anatomical entity_fin: {'middle ear': {'location descriptor': 'right'}, 'oval window': {}}location descriptor_fin: ['right']clinical findings_fin: {'moderate nonspecific opacification': {'clinical finding': 'moderate nonspecific opacification', 'existence': 'pos_dx', 'descriptive_term': 'moderate nonspecific', 'observation': 'opacification', 'strength_term': 'moderate'}, 'oval window': {'clinical finding': 'oval window', 'existence': 'pos_dx', 'descriptive_term': 'oval', 'observation': 'window'}}anatomical entity_fin: {'round window': {}, 'sinus tympani': {}, 'facial nerve recess': {}}clinical findings_fin: {'round window': {'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'}, 'opacified': {'clinical finding': 'opacified', 'existence': 'pos_dx', 'observation': 'opacify'}, 'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}, 'definite osseous erosions': {'clinical finding': 'definite osseous erosions', 'existence': 'neg_dx', 'descriptive_term': 'definite osseous', 'observation': 'erosion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'stapes': {}}clinical findings_fin: {'surrounding opacification': {'clinical finding': 'surrounding opacification', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'opacification'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}size_fin: [{'size': '2 mm'}, {'size': '2.1 mm'}]anatomical entity_fin: {'vestibular aqueduct': {'location descriptor': 'right'}, 'operculum': {}}location descriptor_fin: ['right']clinical findings_fin: {'slight asymmetric widening': {'clinical finding': 'slight asymmetric widening', 'cf_snomed': {'widening': 90522003}, 'existence': 'pos_dx', 'descriptive_term': 'slight asymmetric', 'observation': 'widening'}}anatomical entity_fin: {'posterior semicircular canal': {'location descriptor': 'adjacent'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'aqueduct': {'clinical finding': 'aqueduct', 'existence': 'pos_dx', 'observation': 'aqueduct'}}size_fin: [{'size': '2 mm', 'size_descriptor': 'canal'}]anatomical entity_fin: {'internal auditory canal': {}}location descriptor_fin: ['right']clinical findings_fin: {'low normal in caliber': {'clinical finding': 'low normal in caliber'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}, 'minimal debris': {'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'tympanic membrane is faintly visualized': {'clinical finding': 'tympanic membrane is faintly visualized'}}object_fin: ['tympanostomy tube']clinical findings_fin: {'traversing tympanostomy tube': {'clinical finding': 'traversing tympanostomy tube', 'existence': 'neg_dx', 'descriptive_term': 'traversing tympanostomy', 'observation': 'tube'}}anatomical entity_fin: {'external auditory canal': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent opacification': {'clinical finding': 'adjacent opacification', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'opacification'}, 'osseous change': {'clinical finding': 'osseous change', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'change'}}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'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vestibular aqueduct': {}}clinical findings_fin: {'normal limits in size': {'clinical finding': 'normal limits in size'}}size_fin: [{'size': '3 mm'}]anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'scattered trace mucosal thickening': {'clinical finding': 'scattered trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered trace mucosal', 'observation': 'thickening'}} [/INST] . The external auditory canal is clear. The tympanic membrane is slightly thickened diffusely, with a traversing tympanostomy tube with mild surrounding opacification. The scutum remains sharp. There is trace fluid in the right mastoid air cells with overall persistent under pneumatization. There is moderate nonspecific opacification of the right middle ear including along the oval window. The round window is also opacified, with opacification extending into the sinus tympani and facial nerve recess. Overall, degree of opacification is increased previous exam although no definite osseous erosions are appreciated. Tympanic cavity is otherwise clear. The stapes is not optimally visualized due to the surrounding opacification. The visualized ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. There is slight asymmetric widening of the right vestibular aqueduct both at the operculum and midpoint measuring 2 mm and 2.1 mm respectively, although similar to prior exam. Comparison with adjacent posterior semicircular canal caliber also suggests mild enlargement of the aqueduct. Right osseous internal auditory canal is low normal in caliber, measuring 2 mm. The external auditory canal is clear except for minimal debris at the cartilaginous and osseous junction. The tympanic membrane is faintly visualized. A traversing tympanostomy tube is identified. There is adjacent opacification along the pars tensa, abutting the osseous external auditory canal without osseous change. The scutum remains sharp. The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. The vestibular aqueduct is within normal limits in size. No abnormalities of the remainder osseous internal auditory canal are demonstrated, measuring 3 mm. There is scattered trace mucosal thickening in the visualized paranasal sinuses. </s> |
. Minimal bibasilar atelectasis. Scattered subcentimeter micronodules, some of which are calcified, too small to characterize. Calcified hilar lymph nodes suggestive of prior granulomatous disease. No other abnormalities identified. Multiple subcentimeter hypodensities too small to characterize and appear similar to prior study. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral adrenal nodularity appearing similar to prior exam. Non-obstructing calculi within the lower pole of the left kidney appears similar to prior exam. Reference left aortic lymph node measures 1.4 x 1.5 cm, not significantly changed from prior 1.5 x 1.5 cm. Mild. Diverticulosis without evidence of diverticulitis. Small amount of fluid in the right paracolic gutter and trace nodularity in the left paracolic gutter. No evidence of bowel obstruction. Ventral fat containing abdominal wall hernia similar in appearance to prior exam. Degenerative changes of the thoracolumbar spine. Catheter tip in the right cavoatrial junction. Post-surgical hysterectomy changes noted. Small amount of fluid noted within the pouch Douglas. Small foci of gas within the bladder. Reference left external iliac lymph node measures 0.8 x 1.1 cm, slightly increased from prior 0.6 x 1.0 cm. Diverticulosis without evidence of diverticulitis. Small amount of fluid in the right paracolic gutter and trace nodularity in the left paracolic gutter. No evidence of bowel obstruction. Degenerative changes of the thoracolumbar spine. No significant abnormality 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'}}clinical findings_fin: {'scattered subcentimeter micronodules': {'clinical finding': 'scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'calcified hilar lymph nodes': {'clinical finding': 'calcified hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'multiple subcentimeter hypodensities': {'clinical finding': 'multiple subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter', 'observation': 'hypodensity', 'quantity_term': 'multiple'}}clinical findings_fin: {'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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral adrenal nodularity': {'clinical finding': 'bilateral adrenal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral adrenal', 'observation': 'nodularity'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'non-obstructing calculi': {'clinical finding': 'non-obstructing calculi', 'existence': 'pos_dx', 'descriptive_term': 'non-obstructing', 'observation': 'calculi'}}size_fin: [{'size': '1.4 x 1.5 cm'}, {'size': '1.5 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left aortic lymph node': {'clinical finding': 'reference left aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left aortic lymph', 'observation': 'node'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right paracolic gutter': {'clinical finding': 'right paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'right paracolic', 'observation': 'gutter'}, 'trace nodularity': {'clinical finding': 'trace nodularity', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'nodularity'}, 'left paracolic gutter': {'clinical finding': 'left paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'left paracolic', 'observation': 'gutter'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'ventral fat': {'clinical finding': 'ventral fat', 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'fat'}, 'abdominal wall hernia': {'clinical finding': 'abdominal wall hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'hernia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['hysterectomy']clinical findings_fin: {'post-surgical hysterectomy changes': {'clinical finding': 'post-surgical hysterectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical hysterectomy', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of fluid noted within the pouch douglas': {'clinical finding': 'small amount of fluid noted within the pouch douglas'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '0.8 x 1.1 cm'}, {'size': '0.6 x 1.0 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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right paracolic gutter': {'clinical finding': 'right paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'right paracolic', 'observation': 'gutter'}, 'trace nodularity': {'clinical finding': 'trace nodularity', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'nodularity'}, 'left paracolic gutter': {'clinical finding': 'left paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'left paracolic', 'observation': 'gutter'}}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'}}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: 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'}}clinical findings_fin: {'scattered subcentimeter micronodules': {'clinical finding': 'scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'calcified hilar lymph nodes': {'clinical finding': 'calcified hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified hilar lymph', 'observation': 'node', 'change_term': 'calcified'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}clinical findings_fin: {'other abnormalities': {'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'}}clinical findings_fin: {'multiple subcentimeter hypodensities': {'clinical finding': 'multiple subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter', 'observation': 'hypodensity', 'quantity_term': 'multiple'}}clinical findings_fin: {'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'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral adrenal nodularity': {'clinical finding': 'bilateral adrenal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'bilateral adrenal', 'observation': 'nodularity'}}anatomical entity_fin: {'pole': {'location descriptor': 'lower'}, 'left kidney': {}}location descriptor_fin: ['lower']clinical findings_fin: {'non-obstructing calculi': {'clinical finding': 'non-obstructing calculi', 'existence': 'pos_dx', 'descriptive_term': 'non-obstructing', 'observation': 'calculi'}}size_fin: [{'size': '1.4 x 1.5 cm'}, {'size': '1.5 x 1.5 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'reference left aortic lymph node': {'clinical finding': 'reference left aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left aortic lymph', 'observation': 'node'}}clinical findings_fin: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right paracolic gutter': {'clinical finding': 'right paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'right paracolic', 'observation': 'gutter'}, 'trace nodularity': {'clinical finding': 'trace nodularity', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'nodularity'}, 'left paracolic gutter': {'clinical finding': 'left paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'left paracolic', 'observation': 'gutter'}}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'}}imaging observation_fin: ['fat']clinical findings_fin: {'ventral fat': {'clinical finding': 'ventral fat', 'existence': 'pos_dx', 'descriptive_term': 'ventral', 'observation': 'fat'}, 'abdominal wall hernia': {'clinical finding': 'abdominal wall hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'abdominal wall', 'observation': 'hernia'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['hysterectomy']clinical findings_fin: {'post-surgical hysterectomy changes': {'clinical finding': 'post-surgical hysterectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical hysterectomy', 'observation': 'change'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'small amount of fluid noted within the pouch douglas': {'clinical finding': 'small amount of fluid noted within the pouch douglas'}}anatomical entity_fin: {'bladder': {}}imaging observation_fin: ['foci']clinical findings_fin: {'small foci': {'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}}size_fin: [{'size': '0.8 x 1.1 cm'}, {'size': '0.6 x 1.0 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: {'diverticulosis': {'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'}, 'diverticulitis': {'clinical finding': 'diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'observation': 'diverticulitis'}}anatomical entity_fin: {'fluid': {}, 'paracolic gutter': {'location descriptor': 'left'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'right paracolic gutter': {'clinical finding': 'right paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'right paracolic', 'observation': 'gutter'}, 'trace nodularity': {'clinical finding': 'trace nodularity', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'nodularity'}, 'left paracolic gutter': {'clinical finding': 'left paracolic gutter', 'existence': 'pos_dx', 'descriptive_term': 'left paracolic', 'observation': 'gutter'}}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'}}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] . Minimal bibasilar atelectasis. Scattered subcentimeter micronodules, some of which are calcified, too small to characterize. Calcified hilar lymph nodes suggestive of prior granulomatous disease. No other abnormalities identified. Multiple subcentimeter hypodensities too small to characterize and appear similar to prior study. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral adrenal nodularity appearing similar to prior exam. Non-obstructing calculi within the lower pole of the left kidney appears similar to prior exam. Reference left aortic lymph node measures 1.4 x 1.5 cm, not significantly changed from prior 1.5 x 1.5 cm. Mild. Diverticulosis without evidence of diverticulitis. Small amount of fluid in the right paracolic gutter and trace nodularity in the left paracolic gutter. No evidence of bowel obstruction. Ventral fat containing abdominal wall hernia similar in appearance to prior exam. Degenerative changes of the thoracolumbar spine. Catheter tip in the right cavoatrial junction. Post-surgical hysterectomy changes noted. Small amount of fluid noted within the pouch Douglas. Small foci of gas within the bladder. Reference left external iliac lymph node measures 0.8 x 1.1 cm, slightly increased from prior 0.6 x 1.0 cm. Diverticulosis without evidence of diverticulitis. Small amount of fluid in the right paracolic gutter and trace nodularity in the left paracolic gutter. No evidence of bowel obstruction. Degenerative changes of the thoracolumbar spine. No significant abnormality noted </s> |
. Stable scattered nonspecific micronodules. No suspicious pulmonary nodules or masses. Mild bronchial or bronchiolar wall thickening and scattered tree-in-bud opacities compatible with aspiration similar to the prior exam. No pleural effusions. Minimal apical paraseptal emphysema. Stable mildly prominent right hilar lymph node. Cardiac size is normal without evidence of a pericardial effusion. Left chest port with catheter tip in the SVC. 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. Stable renal cysts. Punctate calcifications unchanged. Atherosclerotic changes of aorta and its branches. 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: {'stable scattered nonspecific micronodules': {'clinical finding': 'stable scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered nonspecific', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'mild bronchial or bronchiolar wall thickening': {'clinical finding': 'mild bronchial or bronchiolar wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial or bronchiolar wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimal apical paraseptal emphysema': {'clinical finding': 'minimal apical paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal apical paraseptal', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['right']clinical findings_fin: {'stable mildly prominent right hilar lymph node': {'clinical finding': 'stable mildly prominent right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable mildly prominent right hilar lymph', 'observation': 'node', 'strength_term': 'stable - mildly - prominent', 'change_term': 'stable'}}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: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port', 'catheter']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'}}clinical findings_fin: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}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: {'stable scattered nonspecific micronodules': {'clinical finding': 'stable scattered nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered nonspecific', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'}}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'}}imaging observation_fin: ['tree-in-bud']clinical findings_fin: {'mild bronchial or bronchiolar wall thickening': {'clinical finding': 'mild bronchial or bronchiolar wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial or bronchiolar wall', 'observation': 'thickening', 'strength_term': 'mild'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}, 'aspiration': {'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}imaging observation_fin: ['apical']clinical findings_fin: {'minimal apical paraseptal emphysema': {'clinical finding': 'minimal apical paraseptal emphysema', 'cf_snomed': {'paraseptal emphysema': 31898008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal apical paraseptal', 'observation': 'emphysema', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['right']clinical findings_fin: {'stable mildly prominent right hilar lymph node': {'clinical finding': 'stable mildly prominent right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable mildly prominent right hilar lymph', 'observation': 'node', 'strength_term': 'stable - mildly - prominent', 'change_term': 'stable'}}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: {'chest': {'location descriptor': 'left'}}location descriptor_fin: ['left']object_fin: ['port', 'catheter']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'}}clinical findings_fin: {'stable renal cysts': {'clinical finding': 'stable renal cysts', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'}}clinical findings_fin: {'punctate calcifications': {'clinical finding': 'punctate calcifications', 'cf_snomed': {'punctate calcification': 129755006}, 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic changes': {'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'}}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] . Stable scattered nonspecific micronodules. No suspicious pulmonary nodules or masses. Mild bronchial or bronchiolar wall thickening and scattered tree-in-bud opacities compatible with aspiration similar to the prior exam. No pleural effusions. Minimal apical paraseptal emphysema. Stable mildly prominent right hilar lymph node. Cardiac size is normal without evidence of a pericardial effusion. Left chest port with catheter tip in the SVC. 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. Stable renal cysts. Punctate calcifications unchanged. Atherosclerotic changes of aorta and its branches. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. </s> |
The aerodigestive mucosa is free of any masslike lesion or pathologic enhancement. Evidence of bilateral neck dissection is again seen. No pathologic adenopathy is identified by size criteria. A reference right level Ib lymph node continues to measure 11 x 8 mm , unchanged. Fatty atrophy of the left parotid gland is unchanged. The submandibular glands have been resected. A hypoattenuating nodule within the right thyroid lobe is unchanged. The cervical vessels enhance normally. No concerning or destructive osseous lesions are identified. | anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'any masslike lesion': {'clinical finding': 'any masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any masslike', 'observation': 'lesion'}, 'pathologic enhancement': {'clinical finding': 'pathologic enhancement', 'existence': 'unc_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'}}anatomical entity_fin: {'neck': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral neck dissection': {'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level ib lymph node': {'clinical finding': 'reference right level ib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level ib lymph', 'observation': 'node'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'submandibular glands have been resected': {'clinical finding': 'submandibular glands have been resected', 'change_term': 'resected'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or 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: anatomical entity_fin: {'mucosa': {}}clinical findings_fin: {'any masslike lesion': {'clinical finding': 'any masslike lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'any masslike', 'observation': 'lesion'}, 'pathologic enhancement': {'clinical finding': 'pathologic enhancement', 'existence': 'unc_dx', 'descriptive_term': 'pathologic', 'observation': 'enhancement'}}anatomical entity_fin: {'neck': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral neck dissection': {'clinical finding': 'bilateral neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck', 'observation': 'dissection'}}clinical findings_fin: {'pathologic adenopathy': {'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'}}size_fin: [{'size': '11 x 8 mm', 'size_descriptor': 'node'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right level ib lymph node': {'clinical finding': 'reference right level ib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right level ib lymph', 'observation': 'node'}}anatomical entity_fin: {'left parotid gland': {}}clinical findings_fin: {'fatty atrophy': {'clinical finding': 'fatty atrophy', 'cf_snomed': {'fatty atrophy': 42335002}, 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'}}anatomical entity_fin: {'submandibular glands': {}}clinical findings_fin: {'submandibular glands have been resected': {'clinical finding': 'submandibular glands have been resected', 'change_term': 'resected'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}clinical findings_fin: {'concerning or destructive osseous lesions': {'clinical finding': 'concerning or destructive osseous lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'concerning or destructive osseous', 'observation': 'lesion'}} [/INST] The aerodigestive mucosa is free of any masslike lesion or pathologic enhancement. Evidence of bilateral neck dissection is again seen. No pathologic adenopathy is identified by size criteria. A reference right level Ib lymph node continues to measure 11 x 8 mm , unchanged. Fatty atrophy of the left parotid gland is unchanged. The submandibular glands have been resected. A hypoattenuating nodule within the right thyroid lobe is unchanged. The cervical vessels enhance normally. No concerning or destructive osseous lesions are identified. </s> |