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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': location descriptor_fin: ['left']clinical findings_fin: 'left uncinectomy': 'clinical finding': 'left uncinectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'uncinectomy', 'middle turbinectomy': 'clinical finding': 'middle turbinectomy', 'existence': 'pos_dx', 'descriptive_term': 'middle', 'observation': 'turbinectomy', 'ethmoidectomy': 'clinical finding': 'ethmoidectomy', 'existence': 'pos_dx', 'observation': 'ethmoidectomy'anatomical entity_fin: 'frontal sinus': clinical findings_fin: 'frontal sinus is fully opacified': 'clinical finding': 'frontal sinus is fully opacified', 'change_term': 'opacified'clinical findings_fin: 'still visualized and unchanged': 'clinical finding': 'still visualized and unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'infundibulum': location descriptor_fin: ['right']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']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: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'new mild mucosal thickening': 'clinical finding': 'new mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new mild mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'temporal_term': 'new'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left sphenoid sinus is completely opacified': 'clinical finding': 'left sphenoid sinus is completely opacified', 'change_term': 'opacified' [/INST] [RESP] There are postsurgical findings related to functional endoscopic sinus surgery, with left uncinectomy, middle turbinectomy, and ethmoidectomy. The frontal sinus is fully opacified. Neo-osteogenesis of the ethmoid and the frontal sinuses is still visualized and unchanged. The right and neo-infundibulum is still patent. There is mild mucosal thickening of the left maxillary sinus, unchanged. There is new mild mucosal thickening of the right maxillary sinus. The left sphenoid sinus is completely opacified. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': , 'brain': , 'parenchyma': clinical findings_fin: 'limited view of the brain parenchyma': 'clinical finding': 'limited view of the brain parenchyma'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['left']clinical findings_fin: 'nasal septal spur': 'clinical finding': 'nasal septal spur', 'existence': 'pos_dx', 'descriptive_term': 'nasal septal', 'observation': 'spur' [/INST] [RESP] The orbits and limited view of the brain parenchyma are unremarkable. The maxillary sinuses, frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, and sphenoid sinuses are clear. The bilateral osteomeatal complexes are patent. There is minimal nasal septal deviation to the left, with a nasal septal spur. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered punctate nodules': 'clinical finding': 'scattered punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'nodule'size_fin: ['size': '6-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'reference 6-mm nodule': 'clinical finding': 'reference 6-mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference 6-mm', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'pneumatoceles': 'clinical finding': 'pneumatoceles', 'existence': 'pos_dx', 'observation': 'pneumatocele'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'neck': clinical findings_fin: 'postop change': 'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'punctate hypodensities': 'clinical finding': 'punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'hypodensity'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'iliac crest': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'incompletely evaluated but was seen on 12/2007 study': 'clinical finding': 'incompletely evaluated but was seen on 12/2007 study'anatomical entity_fin: 'epidural space': , 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'unc_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease' [/INST] [RESP] . Scattered punctate nodules are stable. Reference 6-mm nodule at the right lung base stable. Pneumatoceles in the left upper lobe are stable. No new pulmonary nodules identified. Postop change and neck please see dedicated neck CT report for further details. Degenerative change. Punctate hypodensities too small to characterize but stable. Negative. Negative. Negative. Negative. Atherosclerotic calcification of the aorta and its branches. Lucency right iliac crest is incompletely evaluated but was seen on 12/2007 study. Focus of air in epidural space lower lumbar spine presumed related to degenerative disk disease. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left temporal lobe': location descriptor_fin: ['left']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'seizure focus': 'clinical finding': 'seizure focus', 'existence': 'pos_dx', 'descriptive_term': 'seizure', 'observation': 'focus', 'associated left temporal encephalomalacia': 'clinical finding': 'associated left temporal encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'associated left temporal', 'observation': 'encephalomalacia'anatomical entity_fin: 'epidural space': , 'convexity': location descriptor_fin: ['left']clinical findings_fin: 'slight widening': 'clinical finding': 'slight widening', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'widening'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'location descriptor_fin: ['bilateral']clinical findings_fin: 'mucoperiosteal thickening': 'clinical finding': 'mucoperiosteal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucoperiosteal', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right mastoid air cells are opacified': 'clinical finding': 'right mastoid air cells are opacified', 'change_term': 'opacified' [/INST] [RESP] Postoperative changes status post surgical resection of seizure focus within the left temporal lobe with associated left temporal encephalomalacia. There is slight widening of the epidural space under the craniotomy flap in the left high parietal convexity. No acute intracranial hemorrhage is evident. There is no evidence of midline shift and the ventricles remain within normal size. Mucoperiosteal thickening within bilateral ethmoid and sphenoid sinuses. The right mastoid air cells are opacified. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'cerebral edema': 'clinical finding': 'cerebral edema', 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'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: 'fluid': , 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'air-fluid': 'clinical finding': 'air-fluid', 'existence': 'pos_dx', 'observation': 'air', 'acute sinusitis': 'clinical finding': 'acute sinusitis', 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'sinusitis', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There are air-fluid levels in the bilateral maxillary sinuses and in the right sphenoid sinus suggesting acute sinusitis. The skull and extracranial soft tissues are unremarkable. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasal bones': 'location descriptor': 'distal'location descriptor_fin: ['distal', 'deviated', 'right']clinical findings_fin: 'fragmented': 'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'clinical findings_fin: 'rightward deviation was present on the prior scan dated': 'clinical finding': 'rightward deviation was present on the prior scan dated'anatomical entity_fin: 'nasal bones': clinical findings_fin: 'fragmented': 'clinical finding': 'fragmented', 'existence': 'pos_dx', 'observation': 'fragmented'clinical findings_fin: 'angulated nasal septum': 'clinical finding': 'angulated nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'angulated nasal', 'observation': 'septum'clinical findings_fin: 'associated soft tissue swelling': 'clinical finding': 'associated soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'associated soft tissue', 'observation': 'swell'imaging observation_fin: ['hematoma']clinical findings_fin: 'nasal septal hematoma': 'clinical finding': 'nasal septal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'nasal septal', 'observation': 'hematoma'anatomical entity_fin: 'middle': location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'left-sided spur': 'clinical finding': 'left-sided spur', 'existence': 'pos_dx', 'descriptive_term': 'left-sided', 'observation': 'spur', 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'head': location descriptor_fin: ['anterior', 'deviated']clinical findings_fin: 'anterior nasal septum': 'clinical finding': 'anterior nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'anterior nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'location descriptor_fin: ['right']clinical findings_fin: 'right concha bullosa': 'clinical finding': 'right concha bullosa', 'existence': 'pos_dx', 'descriptive_term': 'right concha', 'observation': 'bullosa'anatomical entity_fin: 'cells': clinical findings_fin: 'orbital fracture': 'clinical finding': 'orbital fracture', 'existence': 'neg_dx', 'descriptive_term': 'orbital', 'observation': 'fracture', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are normal in appearance': 'clinical finding': 'orbital contents are normal in appearance'anatomical entity_fin: 'cell': location descriptor_fin: ['right']clinical findings_fin: 'subcentimeter low-attenuation': 'clinical finding': 'subcentimeter low-attenuation', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'low', 'small retention cyst': 'clinical finding': 'small retention cyst', 'existence': 'unc_dx', 'descriptive_term': 'small retention', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'minor mucosal thickening': 'clinical finding': 'minor mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minor mucosal', 'observation': 'thickening'anatomical entity_fin: 'floor': anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'external auditory canal': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'opacity': 'clinical finding': 'opacity', 'existence': 'pos_dx', 'observation': 'opacity'size_fin: ['size': '9 mm', 'size_descriptor': 'erosion']clinical findings_fin: 'associated erosion': 'clinical finding': 'associated erosion', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'erosion', 'cerumen': 'clinical finding': 'cerumen', 'existence': 'pos_dx', 'observation': 'cerumen'anatomical entity_fin: 'knee': , 'external auditory canal': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'minor opacity': 'clinical finding': 'minor opacity', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'anatomical entity_fin: 'internal carotid artery': clinical findings_fin: 'internal carotid artery vascular calcifications': 'clinical finding': 'internal carotid artery vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal carotid artery vascular', 'observation': 'calcification'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'visualized portion of the calvaria and skull base': 'clinical finding': 'visualized portion of the calvaria and skull base' [/INST] [RESP] The nasal bones are fragmented bilaterally and the distal nasal bones are mildly deviated to the right. Rightward deviation was present on the prior scan dated 11/12/2005. However, the nasal bones appear more fragmented than on the prior scan, the deviation appears similar to the prior exam. Angulation relative to the angulated nasal septum remains at 40 degrees on axial imaging. There is associated soft tissue swelling. There is no evidence for a nasal septal hematoma. There is a left-sided spur on the posterior aspect of the nasal septum at the level of the middle nasal concha. The anterior nasal septum is deviated -- a similar appearance was present on a CT scan of this patients head dated 11/12/2005. A right concha bullosa is noted. There are no findings to suggest orbital fracture or fracture involving the ethmoid air cells. The orbital contents are normal in appearance. A subcentimeter low-attenuation structure is present in a right ethmoid air cell and may represent a small retention cyst. There is minor mucosal thickening present in the maxillary sinuses. Some roots of the patients molars extend into the floor of the maxillary sinuses. The paranasal sinuses and mastoid air cells are otherwise normally pneumatized. There is an opacity present within the left external auditory canal. This measures approximately 9 mm in diameter and there is no associated erosion most likely this represents cerumen. A minor opacity is present in knee right external auditory canal. There are internal carotid artery vascular calcifications. The visualized portion of the calvaria and skull base are radiographically normal. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'moderate periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'moderate periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'moderate periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'moderate', 'age-indeterminate small vessel ischemic disease': 'clinical finding': 'age-indeterminate small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'location descriptor_fin: ['midline']clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'vasculature': clinical findings_fin: 'high density': 'clinical finding': 'high density', 'existence': 'neg_dx', 'descriptive_term': 'high', 'observation': 'density'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'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'acute nonhemorrhagic ischemic infarcts': 'clinical finding': 'acute nonhemorrhagic ischemic infarcts', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] There is moderate periventricular and subcortical white matter hypoattenuation which is nonspecific but may represent age-indeterminate small vessel ischemic disease. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. The CSF spaces are appropriate for the patients stated age with no midline shift or hydrocephalus. There is no convincing evidence of high density material within the large intracranial vasculature. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Note that CT is insensitive for detection of acute nonhemorrhagic ischemic infarcts. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'location descriptor_fin: ['posterior']clinical findings_fin: 'mild posterior atelectasis': 'clinical finding': 'mild posterior atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'mild posterior', 'observation': 'atelectasis', 'strength_term': 'mild', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'focal pulmonary air space opacities': 'clinical finding': 'focal pulmonary air space opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal pulmonary air space', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size normal': 'clinical finding': 'heart size normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', '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] [RESP] . Technically adequate examination. No pulmonary emboli identified. Mild posterior atelectasis or scarring. No focal pulmonary air space opacities. No pleural effusions. Heart size normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'multiple peripherally located several millimeter sized nodules': 'clinical finding': 'multiple peripherally located several millimeter sized nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple peripherally located several millimeter sized', 'observation': 'nodule', 'quantity_term': 'multiple - several', 'groundglass attenuation': 'clinical finding': 'groundglass attenuation', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'attenuation'anatomical entity_fin: 'lung': , 'bases': , 'airways': clinical findings_fin: 'mild mosaic attenuation': 'clinical finding': 'mild mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild mosaic', 'observation': 'attenuation', 'strength_term': 'mild', 'small airways disease': 'clinical finding': 'small airways disease', 'existence': 'unc_dx', 'descriptive_term': 'small airways', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'mild bronchial wall thickening': 'clinical finding': 'mild bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'several larger non-solid nodules': 'clinical finding': 'several larger non-solid nodules', 'existence': 'pos_dx', 'descriptive_term': 'several larger non-solid', 'observation': 'nodule', 'quantity_term': 'several'size_fin: ['size': '8 mm', 'size_descriptor': 'lobe']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'trachea': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'clinical findings_fin: 'scattered linear opacities': 'clinical finding': 'scattered linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'scattered linear', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'aortic and coronary atherosclerotic calcifications': 'clinical finding': 'aortic and coronary atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic and coronary atherosclerotic', 'observation': 'calcification'size_fin: ['size': '11 mm', 'size_descriptor': 'nodes']anatomical entity_fin: 'axis': clinical findings_fin: 'several cardiophrenic lymph nodes': 'clinical finding': 'several cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several cardiophrenic lymph', 'observation': 'node', 'quantity_term': 'several'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly', 'dilated portosystemic collateral vessels': 'clinical finding': 'dilated portosystemic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'dilated portosystemic collateral', 'observation': 'vessel', 'change_term': 'dilated'clinical findings_fin: 'known liver masses': 'clinical finding': 'known liver masses', 'existence': 'neg_dx', 'descriptive_term': 'known liver', 'observation': 'mass'clinical findings_fin: 'small periportal lymph nodes': 'clinical finding': 'small periportal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small periportal lymph', 'observation': 'node', 'strength_term': 'small' [/INST] [RESP] . Scattered in the lungs, there are multiple peripherally located several millimeter sized nodules, some solid in appearance others of groundglass attenuation. There is mild mosaic attenuation in the lung bases, a finding that can be seen with small airways disease. Mild bronchial wall thickening. There are also several larger non-solid nodules which are nonspecific. The largest of these is in the left lower lobe and measures 8 mm on image 152, series A small amount of debris is seen in the trachea. Scattered linear opacities compatible with atelectasis are present. No pleural effusion. Normal heart size. No pericardial effusion. Aortic and coronary atherosclerotic calcifications are present. Several cardiophrenic lymph nodes are present, the largest measuring 11 mm in short axis. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Please see recent abdominal MRI for complete details. Splenomegaly and dilated portosystemic collateral vessels are seen. The known liver masses not well evaluated. Small periportal lymph nodes are present. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral']clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'basilar and peripheral predominant subpleural reticulation': 'clinical finding': 'basilar and peripheral predominant subpleural reticulation', 'existence': 'neg_dx', 'descriptive_term': 'basilar and peripheral predominant subpleural', 'observation': 'reticulation', 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'neg_dx', 'observation': 'fibrosis'anatomical entity_fin: 'right lung': , 'base': , 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['anterior', 'upper']clinical findings_fin: 'minimal honeycombing': 'clinical finding': 'minimal honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'honeycombing', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant groundglass': 'clinical finding': 'significant groundglass', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'groundglass'clinical findings_fin: 'only mild traction bronchiectasis': 'clinical finding': 'only mild traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'only mild traction', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'mild underlying centrilobular emphysema': 'clinical finding': 'mild underlying centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild underlying centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': location descriptor_fin: ['upper']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'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] [RESP] . No significant change in basilar and peripheral predominant subpleural reticulation or fibrosis. Minimal honeycombing is seen especially in the right lung base, but also in the anterior aspects of the upper lobes. There is no significant groundglass. Only mild traction bronchiectasis is present. Mild underlying centrilobular emphysema is present. There is no air trapping on expiration series. No significant mediastinal or hilar lymphadenopathy. The heart size is upper normal in the pericardium slightly thickened. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'mild to moderate upper lung preponderant centrilobular emphysema': 'clinical finding': 'mild to moderate upper lung preponderant centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate upper lung preponderant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild - moderate', 'probable mild superimposed cheerios': 'clinical finding': 'probable mild superimposed cheerios', 'existence': 'pos_dx', 'descriptive_term': 'probable mild superimposed', 'observation': 'cheerios', 'strength_term': 'mild', 'lesions': 'clinical finding': 'lesions', 'existence': 'unc_dx', 'observation': 'lesion', 'small nodular opacities': 'clinical finding': 'small nodular opacities', 'existence': 'unc_dx', 'descriptive_term': 'small nodular', 'observation': 'opacity', 'strength_term': 'small', 'langerhans cell histiocytosis': 'clinical finding': 'langerhans cell histiocytosis', 'existence': 'unc_dx', 'descriptive_term': 'langerhans cell', 'observation': 'histiocytosis', 'respiratory bronchiolitis': 'clinical finding': 'respiratory bronchiolitis', 'existence': 'unc_dx', 'descriptive_term': 'respiratory', 'observation': 'bronchiolitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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'anatomical entity_fin: 'abdomen': , 'pelvis': [/INST] [RESP] . Mild to moderate upper lung preponderant centrilobular emphysema with probable mild superimposed Cheerios like lesions and small nodular opacities, suggestive of Langerhans cell histiocytosis and respiratory bronchiolitis, respectively. No significant abnormality noted. Mild. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Please see same day CT abdomen and pelvis interpretation. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'mild scarring': 'clinical finding': 'mild scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scarr', 'strength_term': 'mild', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'mild branching opacity': 'clinical finding': 'mild branching opacity', 'existence': 'pos_dx', 'descriptive_term': 'mild branching', 'observation': 'opacity', 'strength_term': 'mild'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'multiple hypodensities': 'clinical finding': 'multiple hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'hypodensity', 'quantity_term': 'multiple'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '17 mm', 'size_descriptor': 'nodes']anatomical entity_fin: 'mediastinal lymph nodes': , 'axis': clinical findings_fin: 'mediastinal lymph nodes': 'clinical finding': 'mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal lymph', 'observation': 'node'anatomical entity_fin: 'aortic valve': location descriptor_fin: ['left']clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'left ventricular hypertrophy': 'clinical finding': 'left ventricular hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular', 'observation': 'hypertrophy', 'calcifications of the aortic valve': 'clinical finding': 'calcifications of the aortic valve', 'existence': 'pos_dx', 'descriptive_term': 'calcifications of the aortic', 'observation': 'valve'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'mild calcifications': 'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'spine': location descriptor_fin: ['anterior']clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'exaggerated thoracic kyphosis': 'clinical finding': 'exaggerated thoracic kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'exaggerated thoracic', 'observation': 'kyphosis', 'flowing anterior osteophytes': 'clinical finding': 'flowing anterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'flowing anterior', 'observation': 'osteophyte'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', 'calcified and cholesterol gallstones': 'clinical finding': 'calcified and cholesterol gallstones', 'existence': 'pos_dx', 'descriptive_term': 'calcified and cholesterol', 'observation': 'gallstone', 'change_term': 'calcified'anatomical entity_fin: 'spleen': imaging observation_fin: ['border']location descriptor_fin: ['inferior']clinical findings_fin: 'circumscribed round heterogeneous lesion': 'clinical finding': 'circumscribed round heterogeneous lesion', 'existence': 'pos_dx', 'descriptive_term': 'circumscribed round heterogeneous', 'observation': 'lesion', 'single coarse calcification': 'clinical finding': 'single coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'single coarse', 'observation': 'calcification', 'quantity_term': 'single' [/INST] [RESP] . Mild scarring and bronchiectasis in the right upper lobe. Mild branching opacity in the left upper lobe consistent with a small focus of mucous plugging. Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses identified. No pleural effusions. Multiple hypodensities noted within the thyroid gland. Scattered mildly enlarged. Mediastinal lymph nodes measuring up to 17 mm in long axis. Cardiomegaly with left ventricular hypertrophy and calcifications of the aortic valve. Mild calcifications of the aortic arch and great vessels. No pericardial effusion. Enlarged main pulmonary artery compatible with pulmonary hypertension. Degenerative disease of the thoracic spine with exaggerated thoracic kyphosis and flowing anterior osteophytes. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis, with calcified and cholesterol gallstones. A circumscribed round heterogeneous lesion is noted in the spleen with a single coarse calcification along its inferior border, incompletely evaluated. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.8 cm', 'size_descriptor': 'fracture']anatomical entity_fin: 'neck': , 'head': , 'mandible': , 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left', 'proximal', 'lateral', 'distal']clinical findings_fin: 'mildly comminuted fracture': 'clinical finding': 'mildly comminuted fracture', 'existence': 'pos_dx', 'descriptive_term': 'mildly comminuted', 'observation': 'fracture', 'strength_term': 'mildly', 'lateral displacement': 'clinical finding': 'lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'displacement', 'distal fracture fragment': 'clinical finding': 'distal fracture fragment', 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent soft tissue stranding': 'clinical finding': 'adjacent soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent soft tissue', 'observation': 'strand', 'focal fluid collection': 'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection', 'significant hemorrhage': 'clinical finding': 'significant hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'septum pellucidum': clinical findings_fin: 'incidentally noted , otherwise the ventricles are normal': 'clinical finding': 'incidentally noted , otherwise the ventricles are normal'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'scalp': clinical findings_fin: 'orbits , skull and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small mucous retention cyst': 'clinical finding': 'small mucous retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small', 'polyp': 'clinical finding': 'polyp', 'existence': 'unc_dx', 'observation': 'polyp'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'spine': clinical findings_fin: 'is straightening of the cervical spine , otherwise alignment is anatomic': 'clinical finding': 'is straightening of the cervical spine , otherwise alignment is anatomic'anatomical entity_fin: 'dens': clinical findings_fin: 'is a normal relationship of the dens with the arch of c1': 'clinical finding': 'is a normal relationship of the dens with the arch of c1'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'pre-vertebral soft tissue swelling': 'clinical finding': 'pre-vertebral soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'pre-vertebral soft tissue', 'observation': 'swell'location descriptor_fin: ['central']clinical findings_fin: 'significant central or neuroforaminal stenosis': 'clinical finding': 'significant central or neuroforaminal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant central or neuroforaminal', 'observation': 'stenosis'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'visualized lung apices appear': 'clinical finding': 'visualized lung apices appear' [/INST] [RESP] There is a mildly comminuted fracture of the left mandibular neck extending into the mylohyoid groove with approximately 1.8 cm of proximal and one bone width of lateral displacement of the distal fracture fragment relative to the head of the mandible, which is well-positioned at the left temporomandibular joint. A small amount of adjacent soft tissue stranding is noted without focal fluid collection or significant hemorrhage. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. Cavum septum pellucidum and vergae are incidentally noted, otherwise the ventricles are normal in configuration and size. There is no midline shift or herniation. The orbits, skull and scalp soft tissues are grossly unremarkable. Small mucous retention cyst or polyp in the right maxillary sinus. Minimal mucosal thickening in the left maxillary sinus. The mastoid air cells are clear. There is straightening of the cervical spine, otherwise alignment is anatomic. There is a normal relationship of the dens with the arch of C1. There is no acute fracture or pre-vertebral soft tissue swelling. No significant central or neuroforaminal stenosis. The visualized lung apices appear normal. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'basilar aneurysm coiling': 'clinical finding': 'basilar aneurysm coiling', 'existence': 'pos_dx', 'descriptive_term': 'basilar aneurysm', 'observation': 'coiling'imaging observation_fin: ['blood']clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'subarachnoid blood': 'clinical finding': 'subarachnoid blood', 'existence': 'neg_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood'size_fin: ['size': '30 mm', 'size': '35 mm']anatomical entity_fin: 'lateral ventricles': size_fin: ['size': '20 mm', 'size': '25 mm']anatomical entity_fin: 'foramina': size_fin: ['size': '7 mm', 'size': '11 mm']anatomical entity_fin: 'third ventricle': imaging observation_fin: ['blood']clinical findings_fin: 'intraventricular blood': 'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'vasculature': clinical findings_fin: 'some contrast opacification': 'clinical finding': 'some contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'some contrast', 'observation': 'opacification', 'quantity_term': 'some'anatomical entity_fin: 'brainstem': clinical findings_fin: 'obscured': 'clinical finding': 'obscured', 'existence': 'unc_dx', 'observation': 'obscure', 'metal artifact': 'clinical finding': 'metal artifact', 'existence': 'pos_dx', 'descriptive_term': 'metal', 'observation': 'artifact'anatomical entity_fin: 'anterior cranial fossa': object_fin: ['tube']procedure_fin: ['ventriculostomy']clinical findings_fin: 'some postsurgical changes': 'clinical finding': 'some postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'some postsurgical', 'observation': 'change', 'quantity_term': 'some'anatomical entity_fin: 'paranasal sinuses': location descriptor_fin: ['left']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial' [/INST] [RESP] Since the prior examination patients undergone basilar aneurysm coiling. There is redemonstration and no change in the extent of subarachnoid blood. The lateral ventricles measure 30 mm at the top of the lateral ventricles and previously was 35 mm. At the level of the foramina on the biventricular diameter is 20 mm and previously was 25 mm. The third ventricle currently measures 7 mm and previously measured 11 mm. There is redemonstration of intraventricular blood and no change. There is some Contrast opacification of the venous vasculature. The brainstem is partially obscured by metal artifact. There is a redemonstration of some postsurgical changes along the anterior cranial fossa appear a the ventriculostomy tube is in stable position since prior exam. There is a redemonstration of partial opacification of left-sided paranasal sinuses. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'periventricular hypoattenuation': 'clinical finding': 'periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypoattenuation', 'indeterminate small vessel ischemic disease': 'clinical finding': 'indeterminate small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'imaging observation_fin: ['enhancing']clinical findings_fin: 'suspicious enhancing lesions': 'clinical finding': 'suspicious enhancing lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious enhancing', 'observation': 'lesion'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'left sphenoid': 'clinical finding': 'left sphenoid', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'sphenoid'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Periventricular hypoattenuation is nonspecific and unchanged, likely representing age indeterminate small vessel ischemic disease. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage, mass or mass effect, edema or midline shift is noted. No suspicious enhancing lesions are identified. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. Opacification of the left sphenoid sinus has progressed. The bones of the calvarium are intact. NECK CT [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'left']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion', 'considerable residual loculated right effusion': 'clinical finding': 'considerable residual loculated right effusion', 'existence': 'pos_dx', 'descriptive_term': 'considerable residual loculated right', 'observation': 'effusion', 'temporal_term': 'residual', 'smaller left pleural effusion': 'clinical finding': 'smaller left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'smaller left pleural', 'observation': 'effusion'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'thyroid gland': location descriptor_fin: ['right', 'left']object_fin: ['surgical clips']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'size_fin: ['size': '35 mm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'large fluid collection': 'clinical finding': 'large fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large fluid', 'observation': 'collection', 'strength_term': 'large'anatomical entity_fin: 'liver': , 'pancreas': , 'axis': imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip' [/INST] [RESP] . Marked interval decrease in a right pleural effusion with considerable residual loculated right effusion, and a smaller left pleural effusion which is new since the previous scan. Underlying compressive atelectasis in the lower lobes. Enlarged right lobe of the thyroid gland and surgical clips in the area of the left lobe, unchanged. Enlarged main pulmonary artery measuring 35 mm, suggestive of pulmonary hypertension. Large fluid collection in the right chest wall posterolaterally that in retrospect was present previously, though incompletely visualized. Small amount of ascites anterior to the liver and fat stranding in the area of the pancreas and celiac axis. Cholecystectomy clips. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'soft tissue mass': 'clinical finding': 'soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass', 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'tumor': 'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor', 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'obviously due to the presence off the long metallic device examination is compromised': 'clinical finding': 'obviously due to the presence off the long metallic device examination is compromised' [/INST] [RESP] Examination shows no clear evidence of soft tissue mass or recurrence of the tumor or axillary lymphadenopathy. Obviously due to the presence off the long metallic device examination is compromised. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left parietal lobe': location descriptor_fin: ['right', 'peripheral']clinical findings_fin: 'low-attenuation lesions': 'clinical finding': 'low-attenuation lesions', 'existence': 'pos_dx', 'descriptive_term': 'low-attenuation', 'observation': 'lesion', 'attenuation': 'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'anatomical entity_fin: 'left temporal lobe': location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'dystrophic calcifications': 'clinical finding': 'dystrophic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification', 'right frontal lesion': 'clinical finding': 'right frontal lesion', 'existence': 'pos_dx', 'descriptive_term': 'right frontal', 'observation': 'lesion', 'additional punctate calcified lesions': 'clinical finding': 'additional punctate calcified lesions', 'existence': 'pos_dx', 'descriptive_term': 'additional punctate calcified', 'observation': 'lesion', 'change_term': 'calcified'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: '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', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'frontal bone': clinical findings_fin: 'several focal osteolytic lesions': 'clinical finding': 'several focal osteolytic lesions', 'existence': 'pos_dx', 'descriptive_term': 'several focal osteolytic', 'observation': 'lesion', 'quantity_term': 'several'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Low-attenuation lesions in the right frontal and left parietal lobe with peripheral increased attenuation are redemonstrated. Dystrophic calcifications are observed adjacent to the right frontal lesion as well as additional punctate calcified lesions in the right parietal periventricular white matter and left temporal lobe. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. Several focal osteolytic lesions are again seen in the frontal bone. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pons': location descriptor_fin: ['left']clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'acute infarction': 'clinical finding': 'acute infarction', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'cerebral white matter': , 'left internal capsule': clinical findings_fin: 'subtle hypoattenuation': 'clinical finding': 'subtle hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hypoattenuation', 'strength_term': 'subtle', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'brain': clinical findings_fin: 'definite new brain lesion': 'clinical finding': 'definite new brain lesion', 'existence': 'neg_dx', 'descriptive_term': 'definite new brain', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'brain': clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'ventriculomegaly': 'clinical finding': 'ventriculomegaly', 'existence': 'pos_dx', 'observation': 'ventriculomegaly'clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'anatomical entity_fin: 'superior ophthalmic veins': location descriptor_fin: ['bilateral']clinical findings_fin: 'slight bilateral proptosis': 'clinical finding': 'slight bilateral proptosis', 'existence': 'pos_dx', 'descriptive_term': 'slight bilateral', 'observation': 'proptosis', 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'clinical findings_fin: 'elevated pressure': 'clinical finding': 'elevated pressure', 'existence': 'unc_dx', 'descriptive_term': 'elevated', 'observation': 'pressure'anatomical entity_fin: 'head': clinical findings_fin: 'visualized osseous structures of the head appear': 'clinical finding': 'visualized osseous structures of the head appear' [/INST] [RESP] Again seen is hypodensity on the left side of the pons, correlating with acute infarction seen on the prior MRI study. Accounting for technical differences, there is no evidence of interval change. No acute intracranial hemorrhage is seen. Scattered subtle hypoattenuation in cerebral white matter bilaterally, and hypoattenuation at the left internal capsule also appear unchanged. No definite new brain lesion is identified. Volume loss of the brain and ventriculomegaly is again seen. There is no significant change of ventricle size. There is slight bilateral proptosis and dilatation of the superior ophthalmic veins compared to the prior CT study. The etiology is uncertain, but this can be seen with elevated pressure in the cavernous sinuses. The visualized osseous structures of the head appear unremarkable. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lobe': 'location descriptor': 'upper', 'lungs': location descriptor_fin: ['upper', 'centrilobular', 'subsegmental']clinical findings_fin: 'mild upper lobe predominant centrilobular and paraseptal emphysema': 'clinical finding': 'mild upper lobe predominant centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'other abnormal pulmonary opacities': 'clinical finding': 'other abnormal pulmonary opacities', 'existence': 'neg_dx', 'descriptive_term': 'other abnormal pulmonary', 'observation': 'opacity'anatomical entity_fin: 'fluid': location descriptor_fin: ['anterior']object_fin: ['surgical clips']clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas', 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'recent sternotomy': 'clinical finding': 'recent sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'sternotomy'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['median']clinical findings_fin: 'recent median sternotomy': 'clinical finding': 'recent median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'recent median', 'observation': 'sternotomy', 'sternal wires': 'clinical finding': 'sternal wires', 'existence': 'pos_dx', 'descriptive_term': 'sternal', 'observation': 'wire', 'fixation devices': 'clinical finding': 'fixation devices', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'device', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Technically adequate study without pulmonary embolus. Mild upper lobe predominant centrilobular and paraseptal emphysema with scattered areas of scarring and subsegmental atelectasis in the dependent portions of both lungs. No suspicious nodules or other abnormal pulmonary opacities identified. Small amount of anterior mediastinal fluid and gas with surgical clips, compatible with recent sternotomy and CABG. Heart size is normal. No mediastinal or hilar lymphadenopathy. There has been recent median sternotomy with sternal wires and fixation devices intact. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'examination demonstrates normal aeration of the frontal , ethmoid , maxillary and sphenoid sinuses': 'clinical finding': 'examination demonstrates normal aeration of the frontal , ethmoid , maxillary and sphenoid sinuses'anatomical entity_fin: 'ostiomeatal units': location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'minimal leftward septal deviation': 'clinical finding': 'minimal leftward septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'minimal leftward septal', 'observation': 'deviation', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] Examination demonstrates normal aeration of the frontal, ethmoid, maxillary and sphenoid sinuses. Minimal mucosal thickening is seen within the inferior -aspect of the right maxillary sinusThe ostiomeatal units are patent bilaterally. There is minimal leftward septal deviation. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']procedure_fin: ['embolization']clinical findings_fin: 'recent dural av fistula': 'clinical finding': 'recent dural av fistula', 'existence': 'pos_dx', 'descriptive_term': 'recent dural av', 'observation': 'fistula'object_fin: ['embolic material']clinical findings_fin: 'embolic material': 'clinical finding': 'embolic material', 'existence': 'neg_dx', 'descriptive_term': 'embolic', 'observation': 'material'anatomical entity_fin: 'brain': , 'parenchyma': object_fin: ['embolic material']clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'anatomical entity_fin: 'brain': , 'parenchyma': imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'right parietal hematoma': 'clinical finding': 'right parietal hematoma', 'existence': 'pos_dx', 'descriptive_term': 'right parietal', 'observation': 'hematoma', 'isodense': 'clinical finding': 'isodense', 'existence': 'unc_dx', 'observation': 'isodense'clinical findings_fin: 'surrounding parenchymal edema': 'clinical finding': 'surrounding parenchymal edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding parenchymal', 'observation': 'edema', 'venous congestive changes': 'clinical finding': 'venous congestive changes', 'existence': 'unc_dx', 'descriptive_term': 'venous congestive', 'observation': 'change'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'mild sulcal effacement': 'clinical finding': 'mild sulcal effacement', 'existence': 'neg_dx', 'descriptive_term': 'mild sulcal', 'observation': 'effacement', 'strength_term': 'mild', 'generalized mass effect': 'clinical finding': 'generalized mass effect', 'existence': 'neg_dx', 'descriptive_term': 'generalized mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'patentno': 'clinical finding': 'patentno', 'existence': 'pos_dx', 'observation': 'patentno', 'new intracranial hemorrhage or fluid collection': 'clinical finding': 'new intracranial hemorrhage or fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'new intracranial hemorrhage or fluid', 'observation': 'collection', 'temporal_term': 'new'clinical findings_fin: 'ventricles remain normal in size': 'clinical finding': 'ventricles remain normal in size'location descriptor_fin: ['left']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: 'mastoid air cells': clinical findings_fin: 'clear mastoid air cells': 'clinical finding': 'clear mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'clear mastoid air', 'observation': 'cell'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable visualized portions of the orbits': 'clinical finding': 'unremarkable visualized portions of the orbits' [/INST] [RESP] There is new radiopaque curvilinear material in the right parafalcine region consistent with recent dural AV fistula embolization. There is no evidence of migration of the embolic material into the dural veinous system. The embolic material causes streak artifact , but diagnostic information is still obtained aside from slight obscuration of the brain parenchyma. The right parietal hematoma has evolved as expected since the outside hospital prior and is now nearly isodense to brain parenchyma. However, the surrounding parenchymal edema has slightly increased since that time, possibly from venous congestive changes. No new parenchymal finding otherwise, specifically no CT evidence of acute territorial ischemia. There is mild sulcal effacement but no generalized mass effect or midline shift. Basal cisterns are patentNo evidence of new intracranial hemorrhage or fluid collection. Ventricles remain normal in size. There is mild mucosal thickening of the left maxillary and frontal sinuses, similar to prior study. Clear mastoid air cells. Unremarkable visualized portions of the orbits. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'under opacification': 'clinical finding': 'under opacification', 'existence': 'pos_dx', 'descriptive_term': 'under', 'observation': 'opacification'anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'anatomical entity_fin: 'fluid': location descriptor_fin: ['right']clinical findings_fin: 'small right pleural effusion': 'clinical finding': 'small right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small', 'partial loculation': 'clinical finding': 'partial loculation', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'loculation', 'strength_term': 'partial', 'major fissure': 'clinical finding': 'major fissure', 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral basilar consolidation': 'clinical finding': 'bilateral basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar', 'observation': 'consolidation'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'stable mild cardiomegaly': 'clinical finding': 'stable mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable mild', 'observation': 'cardiomegaly', 'strength_term': 'stable - mild', 'change_term': 'stable'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: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis' [/INST] [RESP] . Suboptimal exam due to under opacification of pulmonary artery branches. Given limitation, no evidence of pulmonary embolus down to the lobar pulmonary artery level. Small right pleural effusion with partial loculation of fluid laterally and in major fissure. Bilateral basilar consolidation, right more than left. Mildly enlarged mediastinal lymph nodes are not significantly changed. Stable mild cardiomegaly. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis without evidence of cholecystitis. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mottled': 'clinical finding': 'mottled', 'existence': 'pos_dx', 'observation': 'mottled', 'corresponding avid radiotracer uptake': 'clinical finding': 'corresponding avid radiotracer uptake', 'existence': 'pos_dx', 'descriptive_term': 'corresponding avid radiotracer', 'observation': 'uptake', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'anatomical entity_fin: 'palate': location descriptor_fin: ['posterior']clinical findings_fin: 'erosive lesion': 'clinical finding': 'erosive lesion', 'existence': 'pos_dx', 'descriptive_term': 'erosive', 'observation': 'lesion', 'bone destruction': 'clinical finding': 'bone destruction', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'destruction'clinical findings_fin: 'eroded': 'clinical finding': 'eroded', 'existence': 'pos_dx', 'observation': 'erode'location descriptor_fin: ['adjacent']clinical findings_fin: 'mild soft tissue swelling': 'clinical finding': 'mild soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild soft tissue', 'observation': 'swell', 'strength_term': 'mild', 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'clinical findings_fin: 'metastasis': 'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis', 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'pos_dx', 'observation': 'osteomyelitis'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'turbinates': 'clinical finding': 'turbinates', 'existence': 'pos_dx', 'observation': 'turbinate', 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'location descriptor_fin: ['bilateral']clinical findings_fin: 'polypoid mucosal thickening': 'clinical finding': 'polypoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'polypoid mucosal', 'observation': 'thickening', 'bilateral maxillary': 'clinical finding': 'bilateral maxillary', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'maxillary', 'patent infundibula': 'clinical finding': 'patent infundibula', 'existence': 'pos_dx', 'descriptive_term': 'patent', 'observation': 'infundibula', 'change_term': 'patent'clinical findings_fin: 'this is unchanged since 1/22/2013 but has increased': 'clinical finding': 'this is unchanged since 1/22/2013 but has increased', 'change_term': 'unchanged - increased'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': clinical findings_fin: 'scattered mucosal opacification': 'clinical finding': 'scattered mucosal opacification', 'existence': 'pos_dx', 'descriptive_term': 'scattered mucosal', 'observation': 'opacification'anatomical entity_fin: 'contents': location descriptor_fin: ['left']clinical findings_fin: 'large left cerebellar encephalomalacia': 'clinical finding': 'large left cerebellar encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'large left cerebellar', 'observation': 'encephalomalacia', 'strength_term': 'large'anatomical entity_fin: 'head': [/INST] [RESP] Examination demonstrates mottled appearance of the maxillofacial osseous structures with a corresponding avid radiotracer uptake on the bone scan, suggestive of metastases. Within this abnormal background, there is an erosive lesion in the posterior hard palate with surrounding permeative pattern of bone destruction. Previously seen maxillary torus has been eroded by this process. There is a mild soft tissue swelling adjacent to this lesion. Differential considerations include metastasis versus osteomyelitis. The nasal cavity, turbinates and nasal septum are unremarkable. There is polypoid mucosal thickening in bilateral maxillary sinuses with patent infundibula. This is unchanged since 1/22/2013 but has increased since 10/24/2012. The frontal and sphenoid sinuses are clear. Scattered mucosal opacification is seen in the ethmoid air cells. Partial visualization of the intracranial contents again demonstrates a large left cerebellar encephalomalacia. Please refer to the dedicated CT of the head from 2/20/2012. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'scattered subcentimeter neck lymph nodes': 'clinical finding': 'scattered subcentimeter neck lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter neck lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant cervical or supraclavicular lymphadenopathy': 'clinical finding': 'significant cervical or supraclavicular lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical or supraclavicular', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'disc': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'small central disc protrusion': 'clinical finding': 'small central disc protrusion', 'existence': 'pos_dx', 'descriptive_term': 'small central disc', 'observation': 'protrusion', 'strength_term': 'small'clinical findings_fin: 'suspicious osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'orbits': clinical findings_fin: 'imaged orbits and intracranial structures': 'clinical finding': 'imaged orbits and intracranial structures'anatomical entity_fin: 'ethmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild left ethmoid sinus opacification': 'clinical finding': 'mild left ethmoid sinus opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild left ethmoid sinus', 'observation': 'opacification', 'strength_term': 'mild'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There are scattered subcentimeter neck lymph nodes which are not pathologically enlarged. There is no significant cervical or supraclavicular lymphadenopathy based on size criteria. The major salivary glands are unremarkable. The right thyroid lobe is prominent, while the left lobe is atrophic. The major cervical vessels are patent. There is a small central disc protrusion at the C4-C5 level also present previously. No suspicious osseous lesions. The airways are patent. The imaged orbits and intracranial structures are unremarkable. There is mild left ethmoid sinus opacification. The imaged portions of the lungs are clear. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'solid organ': 'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ'anatomical entity_fin: 'right lung': , 'apex': clinical findings_fin: 'nodular and linear opacities': 'clinical finding': 'nodular and linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'nodular and linear', 'observation': 'opacity'imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: 'apical scar': 'clinical finding': 'apical scar', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scar', 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity'size_fin: ['size': '5-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', '5-mm nodule': 'clinical finding': '5-mm nodule', 'existence': 'neg_dx', 'descriptive_term': '5-mm', 'observation': 'nodule', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'clinical findings_fin: 'few nonspecific micronodules': 'clinical finding': 'few nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few nonspecific', 'observation': 'micronodule', 'quantity_term': 'few'location descriptor_fin: ['left']clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'anatomical entity_fin: 'thyroid gland': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous right thyroid gland unchanged': 'clinical finding': 'heterogeneous right thyroid gland unchanged', 'change_term': 'unchanged'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis', ', kyphosis': 'clinical finding': ', kyphosis', 'existence': 'pos_dx', 'descriptive_term': ' ', 'observation': 'kyphosis'anatomical entity_fin: 'left hemidiaphragm': , 'phrenic nerve': clinical findings_fin: 'phrenic nerve injury': 'clinical finding': 'phrenic nerve injury', 'existence': 'pos_dx', 'descriptive_term': 'phrenic nerve', 'observation': 'injury' [/INST] [RESP] Lack of IV contrast limits detection of lymphadenopathy and solid organ pathology. Nodular and linear opacities in the right lung apex are unchanged compared to prior. Left apical scar like opacities. No significant interval change in 5-mm nodule within the right middle lobe adjacent to the minor fissure which most likely represents an intrapulmonary lymph node and is likely benign. A few nonspecific micronodules. Left basilar scarring. Heterogeneous right thyroid gland unchanged. No mediastinal or hilar lymphadenopathy. Coronary artery calcifications. Degenerative changes, scoliosis, kyphosis unchanged. Unchanged elevated left hemidiaphragm suggests phrenic nerve injury. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'size_fin: ['size': '3.6 cm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'minimal ectasia': 'clinical finding': 'minimal ectasia', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'ectasia', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'ascending thoracic aorta': 'clinical finding': 'ascending thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending thoracic', 'observation': 'aorta', 'systemic hypertension': 'clinical finding': 'systemic hypertension', 'existence': 'pos_dx', 'descriptive_term': 'systemic', 'observation': 'hypertension'clinical findings_fin: 'mild thoracic scoliosis': 'clinical finding': 'mild thoracic scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild thoracic', 'observation': 'scoliosis', 'strength_term': 'mild' [/INST] [RESP] Lack of IV contrast limits sensitivity for solid organ pathology. Negative. No evidence of metastases. Coronary calcification. Minimal ectasia of the ascending thoracic aorta to 3.6 cm, correlate for systemic hypertension. Mild thoracic scoliosis. Negative. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute pulmonary embolus': 'clinical finding': 'acute pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'lungs': location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'groundglass and reticular opacities': 'clinical finding': 'groundglass and reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass and reticular', 'observation': 'opacity'anatomical entity_fin: 'lung': , 'bases': location descriptor_fin: ['subsegmental']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'subpleural micronodule': 'clinical finding': 'subpleural micronodule', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'micronodule'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'central airways are normal': 'clinical finding': 'central airways are normal'clinical findings_fin: 'new, mildly prominent prevascular lymph nodes': 'clinical finding': 'new, mildly prominent prevascular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'new mildly prominent prevascular lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'temporal_term': 'new'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'right atrium': object_fin: ['central venous catheter']clinical findings_fin: 'central venous catheter': 'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'anatomical entity_fin: 'aorta': clinical findings_fin: 'aorta is normal in caliber and appears': 'clinical finding': 'aorta is normal in caliber and appears'clinical findings_fin: 'prominent cervical lymph nodes': 'clinical finding': 'prominent cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent cervical lymph', 'observation': 'node', 'strength_term': 'prominent'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': , 'spleen': clinical findings_fin: 'partially visualized liver and spleen': 'clinical finding': 'partially visualized liver and spleen' [/INST] [RESP] . No acute pulmonary embolus. There are small bilateral pleural effusions in addition to groundglass and reticular opacities in the lungs bilaterally. Extensive subsegmental areas of consolidation are seen in the lung bases. Subpleural micronodule noted in the right lower lobe, likely postinflammatory or postinfectious. The central airways are normal. There are new, mildly prominent prevascular lymph nodes. The heart is enlarged, similar to the prior examination. There is a small pericardial effusion. Central venous catheter is seen with tip in the right atrium. The aorta is normal in caliber and appears normal. None. Prominent cervical lymph nodes are noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Partially visualized liver and spleen are normal. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'non-solid nodule': 'clinical finding': 'non-solid nodule', 'existence': 'pos_dx', 'descriptive_term': 'non-solid', 'observation': 'nodule'follow-up_fin: follow-up recommendedlocation descriptor_fin: ['right', 'left']clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'overlying compressive atelectasis': 'clinical finding': 'overlying compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis'clinical findings_fin: 'background centrilobular emphysema': 'clinical finding': 'background centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'background centrilobular', 'observation': 'emphysema'location descriptor_fin: ['left']clinical findings_fin: 'several millimeter micronodule': 'clinical finding': 'several millimeter micronodule', 'existence': 'pos_dx', 'descriptive_term': 'several millimeter', 'observation': 'micronodule', 'quantity_term': 'several', 'left fissure': 'clinical finding': 'left fissure', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'fissure', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'moderate pericardial effusion': 'clinical finding': 'moderate pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'clinical findings_fin: 'effusion': 'clinical finding': 'effusion', 'existence': 'pos_dx', 'observation': 'effusion', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']clinical findings_fin: 'left chest wall aicd device': 'clinical finding': 'left chest wall aicd device', 'existence': 'pos_dx', 'descriptive_term': 'left chest wall aicd', 'observation': 'device'location descriptor_fin: ['right']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change', 'right thyroid nodule': 'clinical finding': 'right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid', 'observation': 'nodule'anatomical entity_fin: 'breast tissue': location descriptor_fin: ['left', 'right']clinical findings_fin: 'asymmetry': 'clinical finding': 'asymmetry', 'existence': 'pos_dx', 'observation': 'asymmetry', 'breast tissue': 'clinical finding': 'breast tissue', 'existence': 'pos_dx', 'descriptive_term': 'breast', 'observation': 'tissue', 'more density': 'clinical finding': 'more density', 'existence': 'pos_dx', 'descriptive_term': 'more', 'observation': 'density', 'quantity_term': 'more'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'aortic atherosclerotic calcifications': 'clinical finding': 'aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . Non-solid nodule in the right upper lobe seen on image 25/91 appears similar to the recent comparison study. Note, however that the course of follow-up at this point is only slightly greater than one month. Pleural effusions, greater on the right than the left. Overlying compressive atelectasis. Background centrilobular emphysema again noted. Several millimeter micronodule along the left fissure is likely an intrapulmonary lymph node. Cardiomegaly and moderate pericardial effusion. Compared to the prior study, the effusion is enlarged. Left chest wall AICD device with leads in expected positions. No interval change in right thyroid nodule. Asymmetry of breast tissue with more density on the left than the right. Correlate with mammographic history. Ascites noted in the visualized portions of the upper abdomen. Aortic atherosclerotic calcifications noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'right lateral ventricle': , 'occipital lobes': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'surrounding encephalomalacia': 'clinical finding': 'surrounding encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'encephalomalacia'anatomical entity_fin: 'basal ganglia': clinical findings_fin: 'benign basal ganglia calcifications': 'clinical finding': 'benign basal ganglia calcifications', 'existence': 'pos_dx', 'descriptive_term': 'benign basal ganglia', 'observation': 'calcification', 'strength_term': 'benign'clinical findings_fin: 'age-related parenchymal volume loss': 'clinical finding': 'age-related parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'age-related parenchymal volume', 'observation': 'loss'location descriptor_fin: ['midline']clinical findings_fin: 'regional mass-effect': 'clinical finding': 'regional mass-effect', 'existence': 'neg_dx', 'descriptive_term': 'regional', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'imaged orbits are within normal limits': 'clinical finding': 'imaged orbits are within normal limits'anatomical entity_fin: 'scalp': clinical findings_fin: 'calvarium and scalp soft tissues are unremarkable': 'clinical finding': 'calvarium and scalp soft tissues are unremarkable' [/INST] [RESP] No acute intracranial hemorrhage or evidence of extra-axial fluid collections. Ex vacuo dilatation of the posterior right lateral ventricle and surrounding encephalomalacia predominantly in the right parietal and occipital lobes is unchanged. Benign basal ganglia calcifications are noted. Prominence of the ventricles and sulci are compatible with age-related parenchymal volume loss. No regional mass-effect or midline shift. The imaged paranasal sinuses and mastoid air cells are clear. The imaged orbits are within normal limits. The calvarium and scalp soft tissues are unremarkable. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'suboptimal opacification': 'clinical finding': 'suboptimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal', 'observation': 'opacification', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary', 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lungs': clinical findings_fin: 'patchy ground glass opacity': 'clinical finding': 'patchy ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity', 'pulmonary infection': 'clinical finding': 'pulmonary infection', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'infection'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'few prominent ap window lymph nodes': 'clinical finding': 'few prominent ap window lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few prominent ap window lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few', 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', '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] [RESP] . There is suboptimal opacification of the pulmonary arteries, but study is adequate to evaluate for pulmonary embolus down to the level of the segmental branches. No pulmonary embolus is identified. Patchy ground glass opacity in both lungs , most suggestive in appearance of pulmonary infection. No suspicious pulmonary nodules or masses identified. No pleural effusion. Few prominent AP window lymph nodes are identified, but there is no mediastinal or hilar lymphadenopathy on the basis of size criteria. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: 'right frontal approach ventriculostomy catheter has been removed': 'clinical finding': 'right frontal approach ventriculostomy catheter has been removed'size_fin: ['size': '13 mm', 'size_descriptor': 'products']imaging observation_fin: ['blood products']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: 'hyperdense blood products': 'clinical finding': 'hyperdense blood products', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense blood', 'observation': 'product', 'mild localized mass': 'clinical finding': 'mild localized mass', 'existence': 'pos_dx', 'descriptive_term': 'mild localized', 'observation': 'mass', 'strength_term': 'mild'anatomical entity_fin: 'insertion': , 'foramen': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'unc_dx', 'observation': 'decrease'imaging observation_fin: ['blood products']clinical findings_fin: 'stable scattered subarachnoid blood products': 'clinical finding': 'stable scattered subarachnoid blood products', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered subarachnoid blood', 'observation': 'product', 'strength_term': 'stable', 'change_term': 'stable'imaging observation_fin: ['blood products']clinical findings_fin: 'stable intraventricular blood': 'clinical finding': 'stable intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'stable intraventricular', 'observation': 'blood', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'size_fin: ['size': '4 mm', 'size_descriptor': 'shift']anatomical entity_fin: 'foramen': location descriptor_fin: ['midline', 'left']clinical findings_fin: 'midline shift to the left appears similar': 'clinical finding': 'midline shift to the left appears similar'anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'subdural hematoma': 'clinical finding': 'subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'size_fin: ['size': '4 mm', 'size_descriptor': 'collection']anatomical entity_fin: 'frontal lobes': location descriptor_fin: ['anterior']clinical findings_fin: 'stable minimal mixed attenuation subdural': 'clinical finding': 'stable minimal mixed attenuation subdural', 'existence': 'pos_dx', 'descriptive_term': 'stable minimal mixed attenuation', 'observation': 'subdural', 'strength_term': 'stable - minimal', 'quantity_term': 'minimal', 'change_term': 'stable', 'only trace residual pneumocephalus': 'clinical finding': 'only trace residual pneumocephalus', 'existence': 'pos_dx', 'descriptive_term': 'only trace residual', 'observation': 'pneumocephalus', 'temporal_term': 'residual'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right', 'middle ear': location descriptor_fin: ['right']clinical findings_fin: 'right mastoid air cells and middle ear are near completely opacified': 'clinical finding': 'right mastoid air cells and middle ear are near completely opacified', 'change_term': 'opacified'anatomical entity_fin: 'fluid': location descriptor_fin: ['left']clinical findings_fin: 'is also small amount of fluid layering in the left mastoids': 'clinical finding': 'is also small amount of fluid layering in the left mastoids'anatomical entity_fin: 'internal carotid artery': 'location descriptor': 'distal left'location descriptor_fin: ['distal', 'left']clinical findings_fin: 'radiopaque stent': 'clinical finding': 'radiopaque stent', 'existence': 'pos_dx', 'descriptive_term': 'radiopaque', 'observation': 'stent' [/INST] [RESP] The right frontal approach ventriculostomy catheter has been removed. Hyperdense blood products fill the ventriculostomy catheter tract which measures up to 13 mm in greatest thickness, with mild localized mass effect. There has been interval insertion of a left frontal approach ventriculostomy catheter, with its tip near the left foramen of Monro. Ventricular caliber has stabilized, and may be very minimally decreased in size. There are stable scattered subarachnoid blood products including within the basal cisterns. There is stable intraventricular blood products layering in the occipital horns dependently. Cerebral sulci diffusely remain similarly effaced. Midline shift to the left appears similar, measuring 4 mm at the level of the foramen of Monro. There is redemonstration of postoperative changes from previous right parietal craniotomy for subdural hematoma evacuation, with prominent mixed attenuation collection within the scalp, containing air. There is a stable minimal mixed attenuation subdural collection underlying the craniotomy flap now measuring up to 4 mm, with only trace residual pneumocephalus along the anterior aspect of the frontal lobes. Scattered areas of encephalomalacia are again seen, with ex vacuo dilatation of the left lateral ventricle. Right mastoid air cells and middle ear are near completely opacified. There is also small amount of fluid layering in the left mastoids. There is a radiopaque stent present along the distal left internal carotid artery. [/RESP]</s>
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<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'imaging observation_fin: ['extrapleural', 'epicardial fat pads']clinical findings_fin: 'mild extrapleural fat deposition': 'clinical finding': 'mild extrapleural fat deposition', 'existence': 'pos_dx', 'descriptive_term': 'mild extrapleural fat', 'observation': 'deposition', 'strength_term': 'mild', 'fairly large epicardial fat pads': 'clinical finding': 'fairly large epicardial fat pads', 'existence': 'pos_dx', 'descriptive_term': 'fairly large epicardial fat', 'observation': 'pad', 'strength_term': 'large'clinical findings_fin: 'mediastinal lipomatosis': 'clinical finding': 'mediastinal lipomatosis', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lipomatosis'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right thyroid lobe enlargement': 'clinical finding': 'right thyroid lobe enlargement', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid lobe', 'observation': 'enlargement', 'probably a cyst': 'clinical finding': 'probably a cyst', 'existence': 'pos_dx', 'descriptive_term': 'probably a', 'observation': 'cyst'anatomical entity_fin: 'spine': location descriptor_fin: ['anterior', 'lower']clinical findings_fin: 'anterior osteophyte': 'clinical finding': 'anterior osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophyte' [/INST] [RESP] . No significant abnormality noted. Incidental note made of mild extrapleural fat deposition as well as fairly large epicardial fat pads. Mediastinal lipomatosis. Right thyroid lobe enlargement with a lucent area, probably a cyst. Anterior osteophyte formation lower thoracic spine. Limited noncontrast study. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'obstructive lesions': 'clinical finding': 'obstructive lesions', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'lesion'location descriptor_fin: ['deviated', 'right']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'location descriptor_fin: ['left']clinical findings_fin: 'concha bullosa': 'clinical finding': 'concha bullosa', 'existence': 'pos_dx', 'descriptive_term': 'concha', 'observation': 'bullosa', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'maxillary': 'clinical finding': 'maxillary', 'existence': 'pos_dx', 'observation': 'maxillary', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'sphenoid sinuses': 'clinical finding': 'sphenoid sinuses', 'existence': 'neg_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['inferior']clinical findings_fin: 'similar to the molars extend into the inferior aspects of the maxillary sinuses': 'clinical finding': 'similar to the molars extend into the inferior aspects of the maxillary sinuses'anatomical entity_fin: 'mastoid air cells': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. Nasal septum is deviated towards the right. Incidental note is made of concha bullosa on the left sideThe frontal sinuses are clear. Maxillary sinuses are clear. Ethmoid air cells are clear. Sphenoid sinuses are clear. Similar to the molars extend into the inferior aspects of the maxillary sinuses. Visualized portions of the mastoid air cells and middle ears are clear. Visualized orbits are intact and the visualized intracranial structures are within normal limits. [/RESP]</s>
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<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: 'acute intracranial': 'clinical finding': 'acute intracranial', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'intracranial', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['bilateral', 'right', 'superior']clinical findings_fin: 'extensive congenital malformation': 'clinical finding': 'extensive congenital malformation', 'existence': 'pos_dx', 'descriptive_term': 'extensive congenital', 'observation': 'malformation', 'strength_term': 'extensive', 'bilateral schizencephaly': 'clinical finding': 'bilateral schizencephaly', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'schizencephaly', 'large right paramedian superior cerebellar or vermian cyst': 'clinical finding': 'large right paramedian superior cerebellar or vermian cyst', 'existence': 'pos_dx', 'descriptive_term': 'large right paramedian superior cerebellar or vermian', 'observation': 'cyst', 'strength_term': 'large - superior'size_fin: ['size': '32.2-mm', 'size_descriptor': 'diameter']clinical findings_fin: 'this cyst': 'clinical finding': 'this cyst', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'cyst'location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'anatomical entity_fin: 'cerebral hemispheres': 'location descriptor': 'bilateral'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple patchy small foci': 'clinical finding': 'multiple patchy small foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple patchy small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'multiple', 'microcalcification': 'clinical finding': 'microcalcification', 'existence': 'pos_dx', 'observation': 'microcalcification', 'subependymoma': 'clinical finding': 'subependymoma', 'existence': 'pos_dx', 'observation': 'subependymoma'location descriptor_fin: ['right']clinical findings_fin: 'remodeling': 'clinical finding': 'remodeling', 'existence': 'pos_dx', 'observation': 'remodeling', 'large schizencephaly and csf collection': 'clinical finding': 'large schizencephaly and csf collection', 'existence': 'pos_dx', 'descriptive_term': 'large schizencephaly and csf', 'observation': 'collection', 'strength_term': 'large'clinical findings_fin: 'appearance is similar to prior study': 'clinical finding': 'appearance is similar to prior study'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'limited images to the mastoid air cells and middle ear cavities': 'clinical finding': 'limited images to the mastoid air cells and middle ear cavities'anatomical entity_fin: 'cell': location descriptor_fin: ['bilateral']clinical findings_fin: 'partial bilateral ethmoid air cell opacification': 'clinical finding': 'partial bilateral ethmoid air cell opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial bilateral ethmoid air cell', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'sphenoid sinus': clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'sphenoid': 'clinical finding': 'sphenoid', 'existence': 'pos_dx', 'observation': 'sphenoid' [/INST] [RESP] Nonenhanced head. There is no evidence of an acute intracranial findings. Extensive congenital malformation of bilateral schizencephaly and a large right paramedian superior cerebellar or vermian cyst which extends to the tentorium superiorly. The largest transverse diameter of this cyst measures 32.2-mm compared to prior measurements of 32.7. There is evidence of a right-sided ventriculoperitoneal shunt catheter without interval change in its position. Multiple patchy small foci of microcalcification in the subependymoma regions of bilateral cerebral hemispheres or identical to prior exam. Calvarium demonstrates remodeling in the right temporal -- parietal incision effect from large schizencephaly and CSF collection. This appearance is similar to prior study. Limited images through the orbits are unremarkable. Limited images to the mastoid air cells and middle ear cavities are unremarkable. There is evidence of partial bilateral ethmoid air cell opacification which is a new finding since prior study. Minimal mucosal thickening of the sphenoid sinus is also present and new since prior exam. [/RESP]</s>
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<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', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: 'unchanged right frontal paramedian scalp ara since prior scan': 'clinical finding': 'unchanged right frontal paramedian scalp ara since prior scan', 'change_term': 'unchanged'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', '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', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['bilateral']clinical findings_fin: 'mucosal thickenings': 'clinical finding': 'mucosal thickenings', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickenings' [/INST] [RESP] No evidence of acute ischemic or hemorrhagic lesion on this scan. Unchanged right frontal paramedian scalp ara since prior scan. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. There are mucosal thickenings on bilateral maxillary sinuses. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple small solid bilateral pulmonary nodules': 'clinical finding': 'multiple small solid bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small solid bilateral pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'multiple', 'mai': 'clinical finding': 'mai', 'existence': 'pos_dx', 'observation': 'mai'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'size_fin: ['size': '18 x 13 mm', 'size': '24 x 18 mm']clinical findings_fin: 'mm , decreased from 24 x 18 mm previously': 'clinical finding': 'mm , decreased from 24 x 18 mm previously', 'change_term': 'decreased'location descriptor_fin: ['upper']clinical findings_fin: 'upper zone predominant centrilobular emphysema': 'clinical finding': 'upper zone predominant centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'upper zone predominant centrilobular', 'observation': 'emphysema'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'right subclavian artery': , 'esophagus': , 'normal variant': location descriptor_fin: ['posterior']clinical findings_fin: 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'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] [RESP] . Multiple small solid bilateral pulmonary nodules, consistent with the clinical history of MAI are unchanged. A subpleural nodular area of consolidation in the left lower lobe has decreased in size, most obviously on the coronal reconstructions. The coronal images on soft tissue setting measures 18 x 13 mm, decreased from 24 x 18 mm previously. Upper zone predominant centrilobular emphysema, unchanged. No lymphadenopathy. No pericardial effusion. Aberrant right subclavian artery passing posterior to the esophagus, a normal variant. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'minimal motion artifact': 'clinical finding': 'minimal motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'minimal motion', 'observation': 'artifact', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect', 'acute pulmonary embolism': 'clinical finding': 'acute pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['subsegmental', 'lower']clinical findings_fin: 'nonspecific subsegmental atelectasis': 'clinical finding': 'nonspecific subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'lung': clinical findings_fin: 'low lung volumes': 'clinical finding': 'low lung volumes', 'existence': 'pos_dx', 'descriptive_term': 'low lung', 'observation': 'volume'size_fin: ['size': '4.2-cm', 'size_descriptor': 'tip']anatomical entity_fin: 'carina': object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'location descriptor_fin: ['right']clinical findings_fin: 'nonspecific, mildly prominent lymphatic tissue': 'clinical finding': 'nonspecific, mildly prominent lymphatic tissue', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mildly prominent lymphatic', 'observation': 'tissue', 'strength_term': 'mildly - prominent'size_fin: ['size': '10 mm', 'size_descriptor': 'axis']anatomical entity_fin: 'axis': location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right paratracheal lymph nodes': 'clinical finding': 'mildly enlarged right paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right paratracheal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thorax': , 'musculature': location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'heterotopic ossification': 'clinical finding': 'heterotopic ossification', 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification', 'pseudarthrosis': 'clinical finding': 'pseudarthrosis', 'existence': 'pos_dx', 'observation': 'pseudarthrosis'anatomical entity_fin: 'musculature': 'location descriptor': 'anterior', 'chest': location descriptor_fin: ['anterior']object_fin: ['tube']clinical findings_fin: 'some tubular calcific density': 'clinical finding': 'some tubular calcific density', 'existence': 'pos_dx', 'descriptive_term': 'some tubular calcific', 'observation': 'density', 'quantity_term': 'some', 'vascular calcifications': 'clinical finding': 'vascular calcifications', 'existence': 'unc_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'anatomical entity_fin: 'stomach': object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'retention device': 'clinical finding': 'retention device', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'device'anatomical entity_fin: 'lower extremity': [/INST] [RESP] . Infusion was adequate. Minimal motion artifact slightly degrades image quality, but within this limitation, no filling defects identified to suggest presence of acute pulmonary embolism. Nonspecific subsegmental atelectasis in the dependent portions of the lower lobes bilaterally. Low lung volumes. Tracheostomy tube tip 4.2-cm above the level of the carina. Nonspecific, mildly prominent lymphatic tissue in the right hilar and right subhilar regions. Mildly enlarged right paratracheal lymph nodes measuring up to 10 mm short axis , nonspecific. Heterotopic ossification is seen anterior to the bony thorax and deep to the left pectoralis musculature , with what appears be a pseudarthrosis seen on image 64. There is also some tubular calcific density which extends through the anterior musculature of the chest at the same level which may be tube tract or less likely vascular calcifications. Limited images. A gastrostomy tube the retention device is partially seen in the stomach, incompletely included in the field-of-view. CT ENHANCED LOWER EXTREMITY [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: 'mild apical predominant centrilobular emphysematous changes': 'clinical finding': 'mild apical predominant centrilobular emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild apical predominant centrilobular emphysematous', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'mild scattered bronchial wall thickening': 'clinical finding': 'mild scattered bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'few scattered nonspecific pulmonary micronodules': 'clinical finding': 'few scattered nonspecific pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered nonspecific pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'airway': clinical findings_fin: 'mild scattered air trapping': 'clinical finding': 'mild scattered air trapping', 'existence': 'unc_dx', 'descriptive_term': 'mild scattered air', 'observation': 'trapping', 'strength_term': 'mild', 'mosaic attenuation': 'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation', 'small airway disease': 'clinical finding': 'small airway disease', 'existence': 'unc_dx', 'descriptive_term': 'small airway', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'heart': clinical findings_fin: 'minimal pericardial effusion': 'clinical finding': 'minimal pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal pericardial', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant adenopathy': 'clinical finding': 'significant adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'adenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'rightward scoliosis': 'clinical finding': 'rightward scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'rightward', 'observation': 'scoliosis'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'few subcentimeter low-attenuation hepatic lesions': 'clinical finding': 'few subcentimeter low-attenuation hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'few subcentimeter low-attenuation hepatic', 'observation': 'lesion', 'quantity_term': 'few', 'underlying malignancy': 'clinical finding': 'underlying malignancy', 'existence': 'neg_dx', 'descriptive_term': 'underlying', 'observation': 'malignancy', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'size_fin: ['size': '1.0 cm', 'size_descriptor': 'thickening']anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'nodular thickening': 'clinical finding': 'nodular thickening', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'thickening', 'benign adenoma': 'clinical finding': 'benign adenoma', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'size_fin: ['size': '8 mm', 'size_descriptor': 'duct']anatomical entity_fin: 'common bile duct': , 'head': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent' [/INST] [RESP] . Mild apical predominant centrilobular emphysematous changes. Mild scattered bronchial wall thickening is present. No focal consolidation or pleural effusions. A few scattered nonspecific pulmonary micronodules are present. No suspicious pulmonary nodules or masses. Expiratory views demonstrate mild scattered air trapping and mosaic attenuation suggestive of small airway disease. Normal heart size with minimal pericardial effusion. Atherosclerotic calcifications affect the thoracic aorta and its branches. No significant adenopathy within the limitations of a noncontrast examination. Severe. Rightward scoliosis of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. A few subcentimeter low-attenuation hepatic lesions are too small to characterize but in the absence of underlying malignancy likely represent benign cysts. Nodular thickening of the left adrenal gland measuring up to 1.0 cm with an internal attenuation of approximately 2 Hounsfield units most likely represents a benign adenoma. The partially visualized common bile duct at the level of the pancreatic head is mildly prominent measuring up to 8 mm. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'thorax': 'location descriptor': 'superior'location descriptor_fin: ['superior']clinical findings_fin: 'slight narrowing': 'clinical finding': 'slight narrowing', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'narrowing'size_fin: ['size': '8.2 cm', 'size_descriptor': 'dimension']anatomical entity_fin: 'main pulmonary artery': , 'vertebral body': 'location descriptor': 'anterior', 'cortex': 'location descriptor': 'posterior', 'sternum': location descriptor_fin: ['anterior', 'posterior']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']object_fin: ['coil']clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['subsegmental', 'right']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'pulmonary micronodules': 'clinical finding': 'pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule'clinical findings_fin: 'interval pleural effusion': 'clinical finding': 'interval pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'interval pleural', 'observation': 'effusion'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'imaging observation_fin: ['central lucency']location descriptor_fin: ['left', 'lower']clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution', 'previous left lower lobe subpleural density': 'clinical finding': 'previous left lower lobe subpleural density', 'existence': 'pos_dx', 'descriptive_term': 'previous left lower lobe subpleural', 'observation': 'density', 'temporal_term': 'previous'anatomical entity_fin: 'heart': clinical findings_fin: 'stable': 'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'imaging observation_fin: ['blood']clinical findings_fin: 'anemia': 'clinical finding': 'anemia', 'existence': 'pos_dx', 'observation': 'anemia'clinical findings_fin: 'interval pericardial effusion': 'clinical finding': 'interval pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'interval pericardial', 'observation': 'effusion'location descriptor_fin: ['left']clinical findings_fin: 'left paratracheal lymph nodes': 'clinical finding': 'left paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal lymph', 'observation': 'node'location descriptor_fin: ['lateral']clinical findings_fin: 'opacity': 'clinical finding': 'opacity', 'existence': 'pos_dx', 'observation': 'opacity'anatomical entity_fin: 'pulmonary vein': 'location descriptor': 'left inferior'location descriptor_fin: ['left', 'inferior', 'shifted', 'posterior']clinical findings_fin: 'subcarinal lymphadenopathy': 'clinical finding': 'subcarinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'subcarinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'right trapezius': , 'scapula': location descriptor_fin: ['medial']object_fin: ['shrapnel']anatomical entity_fin: 'right atrium': location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'scattered small subpectoral and bilateral axillary lymph nodes': 'clinical finding': 'scattered small subpectoral and bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subpectoral and bilateral axillary lymph', 'observation': 'node', '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] [RESP] . There is slight narrowing of the AP diameter in the superior thorax. For example, at the level of the main pulmonary artery, the AP dimension is 8.2 cm , from the anterior vertebral body to the posterior cortex of the sternum. Scarring with bronchiectasis and metallic coil in the peripheral right upper lobe is unchanged compared to prior. Subsegmental atelectasis is noted in the right middle lobe. Pulmonary micronodules left upper lobe are unchanged in size. No interval pleural effusion. Resolution of the previous left lower lobe subpleural density with central lucency. Heart size remains stable. There is low density of the blood pool indicative of anemia. No interval pericardial effusion. Left paratracheal lymph nodes are stable in size. Particular attention is paid to the subcarinal location, where opacity was noted on the lateral radiograph. While there is no evidence of subcarinal lymphadenopathy, the left inferior pulmonary vein is shifted slightly posterior, likely the representing the finding on previous radiograph. None. Metallic shrapnel occupies the right trapezius muscle, immediately medial to the scapula. Right-sided port catheter terminates in the right atrium. Scattered small subpectoral and bilateral axillary lymph nodes similar to prior. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'contents': clinical findings_fin: 'limited images of the intracranial contents': 'clinical finding': 'limited images of the intracranial contents'anatomical entity_fin: 'skull': , 'base': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'images through the skull base , paranasal sinuses and mastoid air cells are unremarkable': 'clinical finding': 'images through the skull base , paranasal sinuses and mastoid air cells are unremarkable'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'neck': 'location descriptor': 'bilateral'imaging observation_fin: ['nonenhancing']location descriptor_fin: ['bilateral']clinical findings_fin: 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'bilateral neck lymph nodes': 'clinical finding': 'bilateral neck lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neck lymph', 'observation': 'node'clinical findings_fin: 'pathologically enlarged node': 'clinical finding': 'pathologically enlarged node', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'anatomical entity_fin: 'vasculature': , 'neck': clinical findings_fin: 'gross abnormality': 'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'apices': , 'lungs': , 'mediastinum': clinical findings_fin: 'limited images of the apices of the lungs and mediastinum': 'clinical finding': 'limited images of the apices of the lungs and mediastinum' [/INST] [RESP] .Limited images of the intracranial contents are unremarkable. Images through the skull base, paranasal sinuses and mastoid air cells are unremarkable. Images through the neck demonstrate no evidence of a mass. Multiple small nonenhancing, non-necrotic and nonpathologic by CT size criteria lymph nodes bilateral neck lymph nodes are noted. There is no evidence of a pathologically enlarged node. The bony and cartilaginous structures are within normal. No gross abnormality of the vasculature of the neck is detected. There limited images of the apices of the lungs and mediastinum are unremarkable. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'unenhanced head': 'clinical finding': 'unenhanced head'anatomical entity_fin: 'orbit': 'location descriptor': 'left', 'floor': , 'anterior cranial fossa': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive', 'left anterior frontal craniectomy': 'clinical finding': 'left anterior frontal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'left anterior frontal', 'observation': 'craniectomy'clinical findings_fin: 'large soft tissue flap': 'clinical finding': 'large soft tissue flap', 'existence': 'pos_dx', 'descriptive_term': 'large soft tissue', 'observation': 'flap', 'strength_term': 'large', 'prosthetic device': 'clinical finding': 'prosthetic device', 'existence': 'pos_dx', 'descriptive_term': 'prosthetic', 'observation': 'device', 'craniectomy': 'clinical finding': 'craniectomy', 'existence': 'pos_dx', 'observation': 'craniectomy'anatomical entity_fin: 'left frontal lobe': clinical findings_fin: 'expected residual air': 'clinical finding': 'expected residual air', 'existence': 'pos_dx', 'descriptive_term': 'expected residual', 'observation': 'air', 'temporal_term': 'residual'anatomical entity_fin: 'epidural space': , 'left frontal lobe': clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'anatomical entity_fin: 'left frontal lobe': clinical findings_fin: 'subtle flattening': 'clinical finding': 'subtle flattening', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'flattening', 'strength_term': 'subtle', 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'detectable intracranial hemorrhage': 'clinical finding': 'detectable intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'detectable intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'extensive periventricular and subcortical low attenuation white matter': 'clinical finding': 'extensive periventricular and subcortical low attenuation white matter', 'existence': 'pos_dx', 'descriptive_term': 'extensive periventricular and subcortical low attenuation white', 'observation': 'matter', 'strength_term': 'extensive', 'age indeterminate small vessel ischemic strokes': 'clinical finding': 'age indeterminate small vessel ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'anatomical entity_fin: 'paranasal sinuses': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'expected postoperative changes': 'clinical finding': 'expected postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'change', 'extensive opacification': 'clinical finding': 'extensive opacification', 'existence': 'unc_dx', 'descriptive_term': 'extensive', 'observation': 'opacification', 'strength_term': 'extensive' [/INST] [RESP] Unenhanced head. Examination demonstrates extensive postoperative changes of left anterior frontal craniectomy as well as left orbit and in including enucleation and surgery at the level of the floor of the left anterior cranial fossa. There is a large soft tissue flap placement as well as prosthetic device at the site of craniectomy. Expected residual air overlapping the left frontal lobe is noted. Residual air is also noted in the epidural space overlapping the left frontal lobe as well. There is a subtle flattening of the left frontal lobe as result of postop changes. No detectable intracranial hemorrhage. There is extensive periventricular and subcortical low attenuation white matter consistent with age indeterminate small vessel ischemic strokes. There is expected postoperative changes of extensive opacification of bilateral paranasal sinuses. [/RESP]</s>
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<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', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', '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'location descriptor_fin: ['right', 'adjacent']object_fin: ['nasogastric tube']clinical findings_fin: 'nasogastric tube': 'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube' [/INST] [RESP] The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. A nasogastric tube is present via the right nares with adjacent secretions. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': , 'main pulmonary arteries': clinical findings_fin: 'suboptimal opacification': 'clinical finding': 'suboptimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal', 'observation': 'opacification'location descriptor_fin: ['central']clinical findings_fin: 'central pe': 'clinical finding': 'central pe', 'existence': 'neg_dx', 'descriptive_term': 'central', 'observation': 'pe'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'imaging observation_fin: ['reticulation']location descriptor_fin: ['lower']clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'mild reticulation': 'clinical finding': 'mild reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'reticulation', 'strength_term': 'mild', 'small pleural thickening': 'clinical finding': 'small pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'thickening', 'strength_term': 'small'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_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-'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'benign appearing left breast calcification': 'clinical finding': 'benign appearing left breast calcification', 'existence': 'pos_dx', 'descriptive_term': 'benign appearing left breast', 'observation': 'calcification', 'strength_term': 'benign'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'anatomical entity_fin: 'stomach': object_fin: ['tube'] [/INST] [RESP] . Given suboptimal opacification of the pulmonary arteries, this study is only diagnostic to the level of the main pulmonary arteries. No central PE identified. Scarring and mild reticulation of the lower lobes with small pleural thickening. No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. Right chest Port-A-Cath with tip near SVC or RA junction. Benign appearing left breast calcification please correlate with prior mammograms available. Cholecystectomy clips. Enteric tube tip is in the stomach. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasal cavity': 'location descriptor': 'inferior anterior'location descriptor_fin: ['inferior', 'anterior', 'left', 'right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'clinical findings_fin: 'minimal opacification': 'clinical finding': 'minimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'opacification', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['right']anatomical entity_fin: 'roofs': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'optic canals': clinical findings_fin: 'carotid grooves and optic canals are covered by bone': 'clinical finding': 'carotid grooves and optic canals are covered by bone'anatomical entity_fin: 'nasopharynx': , 'orbits': clinical findings_fin: 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': 'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear' [/INST] [RESP] There is opacification of the inferior anterior nasal cavity, left greater than right. There is minimal opacification of the maxillary sinuses and infundibula bilaterally. The paranasal sinuses are otherwise essentially clear. There is slight nasal septal deviation to the right. 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. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe micronodule': 'clinical finding': 'left upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'micronodule'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'size_fin: ['size': '1cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'stable 1cm right hilar lymph node': 'clinical finding': 'stable 1cm right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable 1cm right hilar lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'other obvious cardiomediastinal lymphadenopathy': 'clinical finding': 'other obvious cardiomediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'other obvious cardiomediastinal', 'observation': 'lymphadenopathy', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'anatomical entity_fin: 'chest': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['port']clinical findings_fin: 'lytic or blastic osseous lesions': 'clinical finding': 'lytic or blastic osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic osseous', 'observation': 'lesion'anatomical entity_fin: 'ribs': , 'flank': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'surgical changes': 'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'visualized portions of the upper abdomen': 'clinical finding': 'visualized portions of the upper abdomen' [/INST] [RESP] . Interval decrease in size of a left upper lobe micronodule, suggesting a inflammatory or infectious etiology. No new pulmonary nodules. No pleural effusion, consolidation, or pneumothorax. Heart size is normal. Stable 1cm right hilar lymph node. No other obvious cardiomediastinal lymphadenopathy, although exam is limited by lack of intravenous contrast. Left chest port with tip in the cavoatrial junction. No lytic or blastic osseous lesions. Surgical changes of partial resection of the right 10 th, 11 th, and 12 th ribs with mesh along the right flank. Visualized portions of the upper abdomen are normal. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'parietal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'nondisplaced right parietal bone fracture': 'clinical finding': 'nondisplaced right parietal bone fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced right parietal bone', 'observation': 'fracture'anatomical entity_fin: 'temporalis muscle': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild asymmetric swelling': 'clinical finding': 'mild asymmetric swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric', 'observation': 'swell', 'strength_term': 'mild'imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'small right parietal extra-axial hematoma': 'clinical finding': 'small right parietal extra-axial hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small right parietal extra-axial', 'observation': 'hematoma', 'strength_term': 'small'anatomical entity_fin: 'cortex': 'location descriptor': 'adjacent'location descriptor_fin: ['adjacent', 'midline']clinical findings_fin: 'mild compression': 'clinical finding': 'mild compression', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild', 'significant mass-effect': 'clinical finding': 'significant mass-effect', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'fluid': clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'ventricles are stable in size and morphology': 'clinical finding': 'ventricles are stable in size and morphology', 'change_term': 'stable' [/INST] [RESP] A nondisplaced right parietal bone fracture is reidentified, unchanged. Also noted is mild asymmetric swelling of the right temporalis muscle. A small right parietal extra-axial hematoma is stable in size. This causes mild compression of the adjacent cortex, but no significant mass-effect or midline shift. The basal cisterns remain patent. No new sites of intracranial hemorrhage or abnormal extra-axial fluid are seen. The ventricles are stable in size and morphology. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'pathological enhancement': 'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', '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'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'internal carotid arteries': clinical findings_fin: 'intracranial internal carotid arteries are normal in course and caliber': 'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'anatomical entity_fin: 'middle': , 'anterior cerebral arteries': clinical findings_fin: 'middle and anterior cerebral arteries are unremarkable': 'clinical finding': 'middle and anterior cerebral arteries are unremarkable'anatomical entity_fin: 'vertebral arteries': , 'basilar artery': , 'posterior cerebral arteries': clinical findings_fin: 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': 'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'anatomical entity_fin: 'origin': location descriptor_fin: ['left']clinical findings_fin: 'flow-limiting stenosis': 'clinical finding': 'flow-limiting stenosis', 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm' [/INST] [RESP] .There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There are no areas of abnormal attenuation or pathological enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is extracranial origin of the left PICA. There is no evidence of flow-limiting stenosis or aneurysm. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'few mildly prominent cervical lymph nodes': 'clinical finding': 'few mildly prominent cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few mildly prominent cervical lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'few'clinical findings_fin: 'normal fatty hila': 'clinical finding': 'normal fatty hila', 'existence': 'neg_dx', 'descriptive_term': 'normal fatty', 'observation': 'hila', 'strength_term': 'normal', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'location descriptor_fin: ['right']clinical findings_fin: 'focal soft tissue mass': 'clinical finding': 'focal soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'focal soft tissue', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'thyroid cartilage': imaging observation_fin: ['fat', 'cord']location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'air density': 'clinical finding': 'air density', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'density'anatomical entity_fin: 'parotid glands': imaging observation_fin: ['enhancing']clinical findings_fin: 'subcentimeter enhancing nodules': 'clinical finding': 'subcentimeter enhancing nodules', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter enhancing', 'observation': 'nodule'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'salivary glands are otherwise unremarkable': 'clinical finding': 'salivary glands are otherwise unremarkable'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'well-defined hypoattenuating lesion': 'clinical finding': 'well-defined hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'well-defined hypoattenuating', 'observation': 'lesion'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'skull': , 'base': , 'spine': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] A few mildly prominent cervical lymph nodes are evident bilaterally. These show normal fatty hila and are not pathologically enlarged by CT criteria. Asymmetric focal dilatation of the right laryngeal ventricle is of uncertain significance. No focal soft tissue mass or abnormal enhancement is identified. Likewise, a small focus of air density within the fat adjacent to the thyroid cartilage at the level of the right false cord is of uncertain etiology and may reflect prior instrumentation. Both parotid glands demonstrate subcentimeter enhancing nodules which are statistically most likely benign. The salivary glands are otherwise unremarkable. There is a well-defined hypoattenuating lesion within the right lobe of the thyroid. The cervical vessels are patent. The lung apices show no significant abnormality. The bones of the skull base and cervical spine are intact. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'external auditory canal': location descriptor_fin: ['right']clinical findings_fin: 'mild debris': 'clinical finding': 'mild debris', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'debris', 'strength_term': 'mild', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'tympanic membrane': clinical findings_fin: 'not well seen , but this may be secondary': 'clinical finding': 'not well seen , but this may be secondary'anatomical entity_fin: 'middle ear cavity': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'ossicles': 'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'inner ear': , 'semicircular canals': , 'vestibule': , 'cochlea': clinical findings_fin: 'inner ear structures , including the semicircular canals , vestibule , and cochlea are unremarkable': 'clinical finding': 'inner ear structures , including the semicircular canals , vestibule , and cochlea are unremarkable'anatomical entity_fin: 'vestibular aqueduct': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'internal auditory canal , the course of the facial nerve canal , course of the ica and position of the jugular bulb are normal': 'clinical finding': 'internal auditory canal , the course of the facial nerve canal , course of the ica and position of the jugular bulb are normal'anatomical entity_fin: 'external auditory canal': location descriptor_fin: ['right']clinical findings_fin: 'mild debris': 'clinical finding': 'mild debris', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'debris', 'strength_term': 'mild', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'tympanic membrane': clinical findings_fin: 'tympanic membrane is unremarkable': 'clinical finding': 'tympanic membrane is unremarkable'anatomical entity_fin: 'middle ear cavity': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'ossicles': 'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'inner ear': , 'semicircular canals': , 'vestibule': , 'cochlea': clinical findings_fin: 'inner ear structures , including the semicircular canals , vestibule , and cochlea are unremarkable': 'clinical finding': 'inner ear structures , including the semicircular canals , vestibule , and cochlea are unremarkable'anatomical entity_fin: 'vestibular aqueduct': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'internal auditory canal , the course of the facial nerve canal , course of the ica and position of the jugular bulb are normal': 'clinical finding': 'internal auditory canal , the course of the facial nerve canal , course of the ica and position of the jugular bulb are normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'neg_dx', 'observation': 'pneumatized', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'definite abnormality': 'clinical finding': 'definite abnormality', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'abnormality'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] On the right side, the external auditory canal shows mild debris otherwise patent. The tympanic membrane is not well seen, but this may be secondary to technical limitation. The middle ear cavity is clear. The ossicles are intact. The inner ear structures, including the semicircular canals, vestibule, and cochlea are unremarkable. The vestibular aqueduct is not enlarged. The internal auditory canal, the course of the facial nerve canal, course of the ICA and position of the jugular bulb are normal. On the right side, the external auditory canal shows mild debris otherwise patent. The tympanic membrane is unremarkable. The middle ear cavity is clear. The ossicles are intact. The inner ear structures, including the semicircular canals, vestibule, and cochlea are unremarkable. The vestibular aqueduct is not enlarged. The internal auditory canal, the course of the facial nerve canal, course of the ICA and position of the jugular bulb are normal. The mastoid air cells are well-pneumatized and clear. No definite abnormality is seen in the visualized portion of the brain parenchyma. The visualized paranasal sinuses are clear. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'normal thoracic kyphosis': 'clinical finding': 'normal thoracic kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'normal thoracic', 'observation': 'kyphosis', 'strength_term': 'normal', 'lumbar lordosis': 'clinical finding': 'lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'lumbar', 'observation': 'lordosis'anatomical entity_fin: 'spine': clinical findings_fin: 'spine alignment is anatomic': 'clinical finding': 'spine alignment is anatomic'anatomical entity_fin: 'vertebral bodies': , 'facets': imaging observation_fin: ['pedicles']location descriptor_fin: ['posterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'spine': clinical findings_fin: 'disc bulge': 'clinical finding': 'disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'bulge'anatomical entity_fin: 'facets': , 'ligamenta flava': clinical findings_fin: 'hypertrophy': 'clinical finding': 'hypertrophy', 'existence': 'pos_dx', 'observation': 'hypertrophy', 'mild neuroforaminal narrowing': 'clinical finding': 'mild neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild neuroforaminal', 'observation': 'narrowing', 'strength_term': 'mild'anatomical entity_fin: 'vertebrae': clinical findings_fin: 'large ventral osteophytes': 'clinical finding': 'large ventral osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'large ventral', 'observation': 'osteophyte', 'strength_term': 'large'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel vertebral osteophytes': 'clinical finding': 'multilevel vertebral osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel vertebral', 'observation': 'osteophyte'anatomical entity_fin: 'l3 vertebral body': imaging observation_fin: ['foci']location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'well defined foci': 'clinical finding': 'well defined foci', 'existence': 'pos_dx', 'descriptive_term': 'well defined', 'observation': 'foci', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'spinal cord': , 'spinal canal': clinical findings_fin: 'spinal canal stenosis': 'clinical finding': 'spinal canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'anatomical entity_fin: 'foramen': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk spaces are preserved': 'clinical finding': 'intervertebral disk spaces are preserved', 'change_term': 'preserved'clinical findings_fin: 'paraspinal soft tissues are unremarkable': 'clinical finding': 'paraspinal soft tissues are unremarkable'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'cord compression': 'clinical finding': 'cord compression', 'existence': 'neg_dx', 'descriptive_term': 'cord', 'observation': 'compression', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'aortic calcific atherosclerosis': 'clinical finding': 'aortic calcific atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'aortic calcific', 'observation': 'atherosclerosis'clinical findings_fin: 'multiple renal cysts': 'clinical finding': 'multiple renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple renal', 'observation': 'cyst', 'quantity_term': 'multiple'anatomical entity_fin: 'ascending colon': , 'abdominal': , 'wall': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'minimal basilar atelectasis': 'clinical finding': 'minimal basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] There is normal thoracic kyphosis and lumbar lordosis. The spine alignment is anatomic. The vertebral bodies, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. There is disc bulge of the lumbar spine. There is hypertrophy of the facets and ligamenta flava at L4/L5 and L5/S1 with mild neuroforaminal narrowing. There are large ventral osteophytes along the L3 and L4 vertebrae. There are multilevel vertebral osteophytes of the thoracic spine. There are well defined foci of hypoattenuation in the right anterior aspect of the L3 vertebral body and right aspect of S2/S3, which is nonspecific and likely degenerative in etiology. Within the limits of CT scanning, the thecal sac and spinal cord are preserved with no evidence of spinal canal stenosis. The neural foramen are patent. The intervertebral disk spaces are preserved. The paraspinal soft tissues are unremarkable. There is no evidence of abnormal enhancement, cord compression or mass. Aortic calcific atherosclerosis is noted. Multiple renal cysts are present. A loop of ascending colon interdigitates between between the abdominal wall in the right hepatic lobe. Minimal basilar atelectasis. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '8.9 x 8.5', 'size_descriptor': 'examination']imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: '8.9 x 8.5-mm enhancing lesion': 'clinical finding': '8.9 x 8.5-mm enhancing lesion', 'existence': 'unc_dx', 'descriptive_term': '8 9 x 8 5-mm enhancing', 'observation': 'lesion', 'minimal vasogenic edema': 'clinical finding': 'minimal vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'minimal vasogenic', 'observation': 'edema', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'associated vasogenic edema': 'clinical finding': 'associated vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic', 'observation': 'edema'location descriptor_fin: ['left']clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'surgical cavity': 'clinical finding': 'surgical cavity', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'clinical findings_fin: 'definite mass': 'clinical finding': 'definite mass', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'cortex': location descriptor_fin: ['left']clinical findings_fin: 'punctate enhancement': 'clinical finding': 'punctate enhancement', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'enhancement'clinical findings_fin: 'surrounding edema': 'clinical finding': 'surrounding edema', 'existence': 'neg_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited view of the orbits': 'clinical finding': 'limited view of the orbits'clinical findings_fin: 'bony destruction': 'clinical finding': 'bony destruction', 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'destruction' [/INST] [RESP] Examination demonstrates an 8.9 x 8.5-mm enhancing lesion with minimal vasogenic edema involving the right frontal cortical and subcortical junction. In comparison with prior exam , the lesion appears smaller. The associated vasogenic edema has significantly subsided. There is a redemonstration of postoperative change status post left parietal craniotomy, including, surgical cavity, encephalomalacia and extraaxial fluid collection, which appear similar to that on the prior exam. No definite mass or abnormal enhancement is seen. New since prior exam is a punctate enhancement in the left frontal cortex. No surrounding edema is seen. There is no mass effect or midline shift. The ventricles are normal in size and are symmetric. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. Limited view of the orbits is unremarkable. No bony destruction is seen. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'anterior communicating artery': location descriptor_fin: ['right']object_fin: ['clips']clinical findings_fin: 'right pterional craniotomy changes': 'clinical finding': 'right pterional craniotomy changes', 'existence': 'pos_dx', 'descriptive_term': 'right pterional craniotomy', 'observation': 'change', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'pos_dx', 'observation': 'aneurysm'clinical findings_fin: 'acute intracranial bleed': 'clinical finding': 'acute intracranial bleed', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'bleed', 'strength_term': 'acute', 'temporal_term': 'acute', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'small vessel ischemic changes': 'clinical finding': 'small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'change', 'strength_term': 'small'anatomical entity_fin: 'brain': , 'parenchyma': , 'right temporal lobe': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']object_fin: ['clips']clinical findings_fin: 'extensive artifact': 'clinical finding': 'extensive artifact', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'artifact', 'strength_term': 'extensive', 'aneurysmal': 'clinical finding': 'aneurysmal', 'existence': 'pos_dx', 'observation': 'aneurysmal'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'anatomical entity_fin: 'vasculature': object_fin: ['clips']clinical findings_fin: 'evaluation of the intracranial vasculature is limited in the vicinity of the aneurysmal clips': 'clinical finding': 'evaluation of the intracranial vasculature is limited in the vicinity of the aneurysmal clips'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral cervical icas': 'clinical finding': 'bilateral cervical icas', 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'icas', 'tortuous': 'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'anatomical entity_fin: 'internal carotid arteries': location descriptor_fin: ['right', 'left']clinical findings_fin: 'mild atherosclerotic disease': 'clinical finding': 'mild atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'disease', 'strength_term': 'mild', 'minimal atherosclerotic changes': 'clinical finding': 'minimal atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'size_fin: ['size': '4-mm', 'size_descriptor': 'aneurysm']location descriptor_fin: ['left']clinical findings_fin: 'small 4-mm aneurysm': 'clinical finding': 'small 4-mm aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'small 4-mm', 'observation': 'aneurysm', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'left m2 aneurysm': 'clinical finding': 'left m2 aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'left m2', 'observation': 'aneurysm'anatomical entity_fin: 'right vertebral artery': , 'origin': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'hypoplastic': 'clinical finding': 'hypoplastic', 'existence': 'pos_dx', 'observation': 'hypoplastic' [/INST] [RESP] Right pterional craniotomy changes are again seen with aneurysm clips in the region of the right M1 and anterior communicating artery, unchanged in appearance compared to the prior examination. There is no evidence of acute intracranial bleed, mass, or mass effect. There is no midline shift. Patchy hypodense areas are again seen in the centrum semiovale, probably related to small vessel ischemic changes. Extensive artifact from the aneurysmal clips limits evaluation of brain parenchyma in the anterior right temporal lobe and in the suprasellar region. No abnormal enhancement is demonstrated after injection of contrast. Evaluation of the intracranial vasculature is limited in the vicinity of the aneurysmal clips. Bilateral cervical ICAs appear tortuous, but otherwise unremarkable. The intracranial internal carotid arteries are unremarkable except for mild atherosclerotic disease of the right cavernous portion and minimal atherosclerotic changes of the left cavernous portion. Small 4-mm aneurysm originating from the left M2 is redemonstrated, unchanged in appearance compared to prior examination. A small vessel appears to originate from the left M2 aneurysm. The posterior circulation is unremarkable except for hypoplastic right vertebral artery and common origin of the right AICA or PICA. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'medial', 'right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']imaging observation_fin: ['hematoma']clinical findings_fin: 'expected postprocedural changes': 'clinical finding': 'expected postprocedural changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postprocedural', 'observation': 'change', 'subcutaneous emphysema': 'clinical finding': 'subcutaneous emphysema', 'existence': 'unc_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema', 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'unc_dx', 'observation': 'pneumocephalus', 'hematoma': 'clinical finding': 'hematoma', 'existence': 'neg_dx', 'observation': 'hematoma'size_fin: ['size': '0.5 x 1.0 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'foramen': location descriptor_fin: ['left']clinical findings_fin: '0.5 x 1.0 cm lesion': 'clinical finding': '0.5 x 1.0 cm lesion', 'existence': 'pos_dx', 'descriptive_term': '0 5 x 1 0 cm', 'observation': 'lesion', 'colloid cyst': 'clinical finding': 'colloid cyst', 'existence': 'unc_dx', 'descriptive_term': 'colloid', 'observation': 'cyst'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There has been interval placement of a left frontal approach ventriculostomy catheter with its tip terminating along the medial right frontal horn. Expected postprocedural changes include subcutaneous emphysema and a small amount of pneumocephalus without hematoma. As demonstrated previously, along the left aspect of the foramen Monro is a 0.5 x 1.0 cm lesion suspicious for a colloid cyst, better demonstrated on previous MRI. There is no evidence of hydrocephalus and the ventricles are unchanged in size or shape. The grey-white matter differentiation remains intact. There is no midline shift or herniation. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
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<s>[INST] Write the finding section for a radiology report based on the following information: 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', 'acute territorial infarct': 'clinical finding': 'acute territorial infarct', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'corona radiata': , 'left thalamus': imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic infarcts': 'clinical finding': 'chronic infarcts', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarct', 'temporal_term': 'chronic'clinical findings_fin: 'extensive periventricular white matter hypoattenuation': 'clinical finding': 'extensive periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive', 'age-indeterminate small vessel ischemic disease': 'clinical finding': 'age-indeterminate small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', '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', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'contents': clinical findings_fin: 'osseous structures and orbital contents are unremarkable': 'clinical finding': 'osseous structures and orbital contents are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'mild intracranial vascular calcifications': 'clinical finding': 'mild intracranial vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild intracranial vascular', 'observation': 'calcification', 'strength_term': 'mild' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved and there is no CT evidence of acute territorial infarct. Foci of hypoattenuation in the left frontal corona radiata and left thalamus likely represent chronic infarcts. Extensive periventricular white matter hypoattenuation likely represents age-indeterminate small vessel ischemic disease. There is no mass effect, midline shift, intra- or extra-axial fluid collection, or acute hemorrhage. The osseous structures and orbital contents are unremarkable. The paranasal sinuses and mastoid air cells are clear. Mild intracranial vascular calcifications are noted. [/RESP]</s>
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