text
stringlengths 127
10.6k
|
|---|
<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: 'stable micronodules': 'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '7.4 x 4.', 'size_descriptor': 'mass']location descriptor_fin: ['anterior']clinical findings_fin: 'large lobulated anterior mediastinal mass': 'clinical finding': 'large lobulated anterior mediastinal mass', 'existence': 'pos_dx', 'descriptive_term': 'large lobulated anterior mediastinal', 'observation': 'mass', 'strength_term': 'large', 'change_term': 'lobulated'size_fin: ['size': '2 cm']clinical findings_fin: 'cm , reduced in in size in comparison with prior study': 'clinical finding': 'cm , reduced in in size in comparison with prior study', 'change_term': 'reduced'size_fin: ['size': '2.8 x 2.8 cm']location descriptor_fin: ['left']clinical findings_fin: 'left supraclavicular mass': 'clinical finding': 'left supraclavicular mass', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular', 'observation': 'mass', 'conglomerate lymph nodes': 'clinical finding': 'conglomerate lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'conglomerate lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.4 x 0.9 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'right lobe of liver': imaging observation_fin: ['enhancing']clinical findings_fin: 'heterogeneously enhancing lesion': 'clinical finding': 'heterogeneously enhancing lesion', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneously enhancing', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'two low attenuating lesions': 'clinical finding': 'two low attenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'two low attenuating', 'observation': 'lesion'clinical findings_fin: 'new lesions': 'clinical finding': 'new lesions', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder appears unremarkable': 'clinical finding': 'gallbladder appears unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'vertebral bodies': , 'pelvis': , 'hip': clinical findings_fin: 'extensive blastic metastases': 'clinical finding': 'extensive blastic metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive blastic', 'observation': 'metastase', 'strength_term': 'extensive'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'anatomical entity_fin: 'prostate': clinical findings_fin: 'not visualized probably surgically removed': 'clinical finding': 'not visualized probably surgically removed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Stable micronodules in left upper lobe. No pleural effusion. Large lobulated anterior mediastinal mass measures 7.4 x 4. 2 cm , reduced in in size in comparison with prior study. Left supraclavicular mass, most likely representing conglomerate lymph nodes measures 2.8 x 2.8 cm reduced in size in comparison with prior study. No significant abnormality noted. Heterogeneously enhancing lesion in the dome of right lobe of liver measures 1.4 x 0.9 cm , stable in comparison with prior study. Two low attenuating lesions in segment 8 and segment 5 of right lobe of the liver appear stable. No new lesions identified. Hepatic vessels appear patent. Gallbladder appears unremarkable. No significant abnormality noted. Splenule noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Extensive blastic metastases involving all vertebral bodies, pelvis, and hip, difficult to compare to prior studies. No ascites. Prostate is not visualized probably surgically removed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As described in abdomen Findings. No significant abnormality noted [/RESP]</s>
|
<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>
|
<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>
|
<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>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'subsegmental pulmonary arteries': imaging observation_fin: ['assessment']clinical findings_fin: 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'main pulmonary arteries': clinical findings_fin: 'main pulmonary arteries normal in caliber': 'clinical finding': 'main pulmonary arteries normal in caliber'anatomical entity_fin: 'pulmonary arteries': 'location descriptor': 'distal bilateral'location descriptor_fin: ['distal', 'bilateral']clinical findings_fin: 'artifact': 'clinical finding': 'artifact', 'existence': 'pos_dx', 'observation': 'artifact'location descriptor_fin: ['central']clinical findings_fin: 'central acute or chronic pulmonary embolism': 'clinical finding': 'central acute or chronic pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'central acute or chronic pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute - chronic'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower', 'subsegmental']clinical findings_fin: 'bilateral lower lobe dependent bandlike and groundglass opacities': 'clinical finding': 'bilateral lower lobe dependent bandlike and groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe dependent bandlike and groundglass', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'trace bilateral lower lobe smooth interlobular septal thickening': 'clinical finding': 'trace bilateral lower lobe smooth interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'trace bilateral lower lobe smooth interlobular septal', 'observation': 'thickening'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'anatomical entity_fin: 'right atrial appendage': , 'apex': , 'right ventricle': non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'anterior chest wall': 'location descriptor': 'left', 'thoracic inlet': imaging observation_fin: ['assessment']location descriptor_fin: ['left']clinical findings_fin: 'streak artifacts': 'clinical finding': 'streak artifacts', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact', 'left anterior chest wall pacer device': 'clinical finding': 'left anterior chest wall pacer device', 'existence': 'pos_dx', 'descriptive_term': 'left anterior chest wall pacer', 'observation': 'device'location descriptor_fin: ['left']clinical findings_fin: 'left hilar lymphadenopathy': 'clinical finding': 'left hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['bilateral']clinical findings_fin: 'borderline subcarinal and bilateral hilar lymph nodes': 'clinical finding': 'borderline subcarinal and bilateral hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline subcarinal and bilateral hilar lymph', 'observation': 'node', 'strength_term': 'borderline'anatomical entity_fin: 'esophagus': clinical findings_fin: 'obscured': 'clinical finding': 'obscured', 'existence': 'pos_dx', 'observation': 'obscure'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral symmetric gynecomastia': 'clinical finding': 'bilateral symmetric gynecomastia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral symmetric', 'observation': 'gynecomastia'anatomical entity_fin: 'vertebral bodies': , 'manubrium': , 'body': location descriptor_fin: ['proximal']clinical findings_fin: 'severe diffuse osteopenia': 'clinical finding': 'severe diffuse osteopenia', 'existence': 'pos_dx', 'descriptive_term': 'severe diffuse', 'observation': 'osteopenia', 'strength_term': 'severe', 'sclerotic and lytic lesions': 'clinical finding': 'sclerotic and lytic lesions', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic and lytic', 'observation': 'lesion'anatomical entity_fin: 'scapula': 'location descriptor': 'bilateral', 'ribs': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'sclerotic metastatic disease': 'clinical finding': 'sclerotic metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic metastatic', 'observation': 'disease'clinical findings_fin: 'pathologic fractures': 'clinical finding': 'pathologic fractures', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'fracture'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'adrenal myelolipoma': 'clinical finding': 'adrenal myelolipoma', 'existence': 'pos_dx', 'descriptive_term': 'adrenal', 'observation': 'myelolipoma'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'right kidney': , 'abdominal': location descriptor_fin: ['upper']clinical findings_fin: 'known complex mass': 'clinical finding': 'known complex mass', 'existence': 'pos_dx', 'descriptive_term': 'known complex', 'observation': 'mass'anatomical entity_fin: 'origin': , 'trunk': clinical findings_fin: 'severe atherosclerotic calcification': 'clinical finding': 'severe atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'calcification', 'strength_term': 'severe' [/INST] [RESP] . Poor opacification of the segmental and subsegmental pulmonary arteries limits assessment for pulmonary embolism. The main pulmonary arteries normal in caliber. Mixing artifact within the distal bilateral pulmonary arteries are noted. No central acute or chronic pulmonary embolism. No pleural effusion or pneumothorax. Motion artifact. Bilateral lower lobe dependent bandlike and groundglass opacities suggestive of focal areas of scarring and subsegmental atelectasis. There is trace bilateral lower lobe smooth interlobular septal thickening. No suspicious pulmonary nodules. There is moderate biatrial enlargement. The leads of the ICD or pacemaker terminating in the right atrial appendage and apex of the right ventricle. No pericardial effusion. Streak artifacts from left anterior chest wall pacer device limits the assessment of the thoracic inlet. Calcified periaortic and left hilar lymphadenopathy. Borderline subcarinal and bilateral hilar lymph nodes are noted. The esophagus is obscured. Severe. No axillary lymphadenopathy. Bilateral symmetric gynecomastia. There is severe diffuse osteopenia associated with sclerotic and lytic lesions involving multiple thoracolumbar vertebral bodies, sternal manubrium and proximal sternal body. Bilateral scapula and scattered bilateral ribs are also interval by a sclerotic metastatic disease. No pathologic fractures are identified. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Right adrenal myelolipoma is again visualized. The known complex mass in the upper pole of the right kidney is partially included in the field-of-view, although previously characterized on dedicated abdominal cross-sectional imaging. Severe atherosclerotic calcification at the origin of the celiac trunk and SMA. [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '4 x 4 cm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'thoracic aorta': , 'main pulmonary artery': clinical findings_fin: 'thoracic aorta aneurysm': 'clinical finding': 'thoracic aorta aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'thoracic aorta', 'observation': 'aneurysm'clinical findings_fin: 'aortic dissection': 'clinical finding': 'aortic dissection', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Ascending thoracic aorta aneurysm measuring 4 x 4 cm at the level of the main pulmonary artery, unchanged. No aortic dissection is identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral lung nodules': 'clinical finding': 'bilateral lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lung', 'observation': 'nodule'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'incompletely imaged with this ct of abdomen and pelvis': 'clinical finding': 'incompletely imaged with this ct of abdomen and pelvis'location descriptor_fin: ['bilateral']clinical findings_fin: 'new small bilateral pleural effusions': 'clinical finding': 'new small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 't8 vertebral body': clinical findings_fin: 'lytic lesion': 'clinical finding': 'lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'cathodic fracture': 'clinical finding': 'cathodic fracture', 'existence': 'pos_dx', 'descriptive_term': 'cathodic', 'observation': 'fracture', 'this metastatic lesion': 'clinical finding': 'this metastatic lesion', 'existence': 'pos_dx', 'descriptive_term': 'this metastatic', 'observation': 'lesion'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'metastatic lesion': 'clinical finding': 'metastatic lesion', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'anatomical entity_fin: 'lumbar vertebral bodies': clinical findings_fin: 'small lytic lesions': 'clinical finding': 'small lytic lesions', 'existence': 'pos_dx', 'descriptive_term': 'small lytic', 'observation': 'lesion', 'strength_term': 'small', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right', 'left']clinical findings_fin: 'right iliac bone lytic lesion': 'clinical finding': 'right iliac bone lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'right iliac bone lytic', 'observation': 'lesion', 'new left iliac bone lesion': 'clinical finding': 'new left iliac bone lesion', 'existence': 'pos_dx', 'descriptive_term': 'new left iliac bone', 'observation': 'lesion', 'temporal_term': 'new', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Significant interval increase in the size and number of bilateral lung nodules. These are incompletely imaged with this CT of abdomen and pelvis. New small bilateral pleural effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval increase in the size of the lytic lesion involving T8 vertebral body. There is cathodic fracture of the T 8 vertebral body secondary to this metastatic lesion. MRI may be helpful for further evaluation of the metastatic lesion and spinal canal. Small lytic lesions are also present in the lumbar vertebral bodies, suspicious for metastatic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval increase in the size of the right iliac bone lytic lesion, best seen on image number 113, series number New left iliac bone lesion, best seen on image number 104, series number No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'patient motion artifact': 'clinical finding': 'patient motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'patient motion', 'observation': 'artifact'clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'anatomical entity_fin: 'liver': clinical findings_fin: 'diffuse infiltration of the liver is unchanged': 'clinical finding': 'diffuse infiltration of the liver is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'moderate intra and extrahepatic biliary dilatation is unchanged': 'clinical finding': 'moderate intra and extrahepatic biliary dilatation is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '8 mm', 'size_descriptor': 'image']anatomical entity_fin: 'pancreas': clinical findings_fin: 'multiple subcentimeter cystic lesions': 'clinical finding': 'multiple subcentimeter cystic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter cystic', 'observation': 'lesion', 'quantity_term': 'multiple'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'pancreatic duct is unremarkable': 'clinical finding': 'pancreatic duct is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.5 x 1.4 cm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'right renal artery': clinical findings_fin: '1.5 x 1.4 cm calcified right renal artery aneurysm': 'clinical finding': '1.5 x 1.4 cm calcified right renal artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': '1 5 x 1 4 cm calcified right renal artery', 'observation': 'aneurysm', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': object_fin: ['catheter']clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Patient motion artifact limits evaluation. Bibasilar atelectasis. Diffuse infiltration of the liver is unchanged. Moderate intra and extrahepatic biliary dilatation is unchanged. No significant abnormality noted. Multiple subcentimeter cystic lesions in the pancreas largest being in that of the pancreas measuring 8 mm image #51, series #301 are unchanged. Pancreatic duct is unremarkable. No significant abnormality noted. 1.5 x 1.4 cm calcified right renal artery aneurysm is unchanged. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Catheter within the bladder, bladder is collapsed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'cortex': imaging observation_fin: ['water density']clinical findings_fin: 'low attenuation lesions': 'clinical finding': 'low attenuation lesions', 'existence': 'pos_dx', 'descriptive_term': 'low attenuation', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'atherosclerotic change': 'clinical finding': 'atherosclerotic change', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'anatomical entity_fin: 'aorta': clinical findings_fin: 'peripheral calcifications': 'clinical finding': 'peripheral calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification', 'other abnormality': 'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'adenopathy': 'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'anatomical entity_fin: 'stomach': , 'bowel': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'orally administered contrast': 'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'intrinsic abnormality': 'clinical finding': 'intrinsic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intrinsic', 'observation': 'abnormality'anatomical entity_fin: 'feces': imaging observation_fin: ['colon']clinical findings_fin: 'other abnormality': 'clinical finding': 'other abnormality', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'appendicitis': 'clinical finding': 'appendicitis', 'existence': 'neg_dx', 'observation': 'appendicitis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'fluid': clinical findings_fin: 'free mesenteric fluid seen': 'clinical finding': 'free mesenteric fluid seen'clinical findings_fin: 'diffuse degenerative changes': 'clinical finding': 'diffuse degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse degenerative', 'observation': 'change', 'focal abnormality': 'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality', 'neoplastic disease': 'clinical finding': 'neoplastic disease', 'existence': 'unc_dx', 'descriptive_term': 'neoplastic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'stomach': , 'bowel': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'orally administered contrast': 'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'intrinsic abnormality': 'clinical finding': 'intrinsic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intrinsic', 'observation': 'abnormality'anatomical entity_fin: 'feces': imaging observation_fin: ['colon']clinical findings_fin: 'other abnormality': 'clinical finding': 'other abnormality', 'existence': 'pos_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'appendicitis': 'clinical finding': 'appendicitis', 'existence': 'neg_dx', 'observation': 'appendicitis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'fluid': clinical findings_fin: 'free mesenteric fluid seen': 'clinical finding': 'free mesenteric fluid seen'anatomical entity_fin: 'skeleton': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Low attenuation lesions in the cortex is seen bilaterally -- the larger of these can be categorized as cysts with near water density -- the smaller of these are too small to characterize. Atherosclerotic change is seen. The aorta, with peripheral calcifications -- no other abnormality seen. No adenopathy. Orally administered contrast rapidly progresses through normal-appearing stomach, small bowel to the right lower quadrant without evidence of obstruction or intrinsic abnormality. Colon is feces filled without other abnormality. No evidence of appendicitis or diverticulitis. No free mesenteric fluid seen. Diffuse degenerative changes seen without focal abnormality to suggest neoplastic disease. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Orally administered contrast rapidly progresses through normal-appearing stomach, small bowel to the right lower quadrant without evidence of obstruction or intrinsic abnormality. Colon is feces filled without other abnormality. No evidence of appendicitis or diverticulitis. No free mesenteric fluid seen. Diffuse degenerative changes in the bony skeleton. No significant abnormality noted [/RESP]</s>
|
<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>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral scattered ground glass opacities': 'clinical finding': 'bilateral scattered ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral scattered ground glass', 'observation': 'opacity', 'atypical infection': 'clinical finding': 'atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'infection'imaging observation_fin: ['air bronchograms']clinical findings_fin: 'some consolidation': 'clinical finding': 'some consolidation', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'consolidation', 'quantity_term': 'some'clinical findings_fin: 'associated pleural effusions': 'clinical finding': 'associated pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'associated pleural', 'observation': 'effusion'anatomical entity_fin: 'fluid': clinical findings_fin: 'no adenopathy': 'clinical finding': 'no adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'no', 'observation': 'adenopathy', 'quantity_term': 'no', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'superior vena cava': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral catheters': 'clinical finding': 'bilateral catheters', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'catheter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'duct': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'unc_dx', 'observation': 'obstruction'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'other abnormality': 'clinical finding': 'other abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: 'anterior ventral wall hernia': 'clinical finding': 'anterior ventral wall hernia', 'existence': 'pos_dx', 'descriptive_term': 'anterior ventral wall', 'observation': 'hernia'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'free peritoneal fluid': 'clinical finding': 'free peritoneal fluid', 'existence': 'neg_dx', 'descriptive_term': 'free peritoneal', 'observation': 'fluid'anatomical entity_fin: 'bowel': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'intrinsic abnormality': 'clinical finding': 'intrinsic abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intrinsic', 'observation': 'abnormality'clinical findings_fin: 'diffuse subcutaneous edema': 'clinical finding': 'diffuse subcutaneous edema', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema', 'focal abnormality': 'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': object_fin: ['catheter']clinical findings_fin: 'sunday catheter with expected appearance in the bladder': 'clinical finding': 'sunday catheter with expected appearance in the bladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'small or large bowel abnormality': 'clinical finding': 'small or large bowel abnormality', 'existence': 'neg_dx', 'descriptive_term': 'small or large bowel', 'observation': 'abnormality', 'strength_term': 'small - large'anatomical entity_fin: 'peritoneal fluid': clinical findings_fin: 'free ascites': 'clinical finding': 'free ascites', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'ascite', 'peritoneal fluid': 'clinical finding': 'peritoneal fluid', 'existence': 'neg_dx', 'descriptive_term': 'peritoneal', 'observation': 'fluid'clinical findings_fin: 'diffuse subcutaneous edema': 'clinical finding': 'diffuse subcutaneous edema', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcutaneous', 'observation': 'edema'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Slight increase in the bilateral scattered ground glass opacities described previously and suspicious for atypical infection. Some consolidation in these areas are now seen with air bronchograms. No associated pleural effusions are seen. No no adenopathy, masses or abnormal fluid collections. Bilateral catheters are seen in the superior vena cava. No significant abnormality noted. No significant abnormality noted in the liver. No intrahepatic or extrahepatic biliary duct dilatation is seen to suggest obstruction. Contracted gallbladder without other abnormality is seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Anterior ventral wall hernia containing only mesenteric fat. No evidence of free peritoneal fluid or air. Bowel shows no evidence of obstruction or intrinsic abnormality. Diffuse subcutaneous edema noted without focal abnormality. No significant abnormality noted. No significant abnormality noted. Sunday catheter with expected appearance in the bladder. No significant abnormality noted. No significant abnormality noted. No evidence of small or large bowel abnormality. No free ascites or peritoneal fluid seen. Diffuse subcutaneous edema. No significant abnormality noted. [/RESP]</s>
|
<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>
|
<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>
|
<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>
|
<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>
|
<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>
|
<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>
|
<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>
|
<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>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'loculated right pleural fluid collection': 'clinical finding': 'loculated right pleural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural fluid', 'observation': 'collection'location descriptor_fin: ['right']clinical findings_fin: 'pleural based metastases': 'clinical finding': 'pleural based metastases', 'existence': 'pos_dx', 'descriptive_term': 'pleural based', 'observation': 'metastase', 'associated rib destruction': 'clinical finding': 'associated rib destruction', 'existence': 'pos_dx', 'descriptive_term': 'associated rib', 'observation': 'destruction'clinical findings_fin: 'moderate centrilobular emphysema': 'clinical finding': 'moderate centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral apical scarring': 'clinical finding': 'bilateral apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'scarr'anatomical entity_fin: 'trachea': clinical findings_fin: 'minimal debris': 'clinical finding': 'minimal debris', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'debris', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta': 'clinical finding': 'ectatic ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ectatic ascending', 'observation': 'aorta'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': clinical findings_fin: 'hyperdensity within the spleen is unchanged': 'clinical finding': 'hyperdensity within the spleen is unchanged', 'change_term': 'unchanged'size_fin: ['size': '19 x 14 mm', 'size': '19 by 16 mm']imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: 'densely enhancing right adrenal mass': 'clinical finding': 'densely enhancing right adrenal mass', 'existence': 'pos_dx', 'descriptive_term': 'densely enhancing right adrenal', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'common iliac artery': 'location descriptor': 'proximal right'location descriptor_fin: ['proximal', 'right']clinical findings_fin: 'previously described dissection flap': 'clinical finding': 'previously described dissection flap', 'existence': 'neg_dx', 'descriptive_term': 'previously described dissection', 'observation': 'flap'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ilium': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'discrete cortical break': 'clinical finding': 'discrete cortical break', 'existence': 'pos_dx', 'descriptive_term': 'discrete cortical', 'observation': 'break', 'metastatic lesion': 'clinical finding': 'metastatic lesion', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'anatomical entity_fin: 'pelvis': , 'spine': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'mottled': 'clinical finding': 'mottled', 'existence': 'pos_dx', 'observation': 'mottled', 'metastatic lytic lesions': 'clinical finding': 'metastatic lytic lesions', 'existence': 'unc_dx', 'descriptive_term': 'metastatic lytic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Slight interval decrease in the loculated right pleural fluid collection. Right pleural based metastases with associated rib destruction appears stable. Moderate centrilobular emphysema. Bilateral apical scarring is unchanged. Minimal debris is noted in the trachea. Ectatic ascending aorta. Small mediastinal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality noted. Hyperdensity within the spleen is unchanged. Densely enhancing right adrenal mass measures 19 x 14 mm on image 104, series 3 compared to 19 by 16 mm on the previous exam. No significant abnormality noted. No significant abnormality noted. The previously described dissection flap in the proximal right common iliac artery is not seen on this exam. No significant abnormality noted. Lucency with a discrete cortical break in the left ilium on image 149 from series 3 is unchanged and is compatible with a metastatic lesion. Again seen is a mottled appearance of the bony pelvis and lower spine suspicious for metastatic lytic lesions. No significant abnormality noted. [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'small right-sided pleural effusion': 'clinical finding': 'small right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right-sided pleural', 'observation': 'effusion', 'strength_term': 'small', 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left-sided pleural effusion': 'clinical finding': 'left-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left-sided pleural', 'observation': 'effusion'size_fin: ['size': '11 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ureter': location descriptor_fin: ['left']clinical findings_fin: 'left-sided mild calyectasis': 'clinical finding': 'left-sided mild calyectasis', 'existence': 'pos_dx', 'descriptive_term': 'left-sided mild', 'observation': 'calyectasis', 'strength_term': 'mild', 'mild dilated': 'clinical finding': 'mild dilated', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'dilated', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'flank': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: 'bowel': imaging observation_fin: ['fat']location descriptor_fin: ['midline']clinical findings_fin: 'midline tissue defect': 'clinical finding': 'midline tissue defect', 'existence': 'pos_dx', 'descriptive_term': 'midline tissue', 'observation': 'defect', 'herniating fat': 'clinical finding': 'herniating fat', 'existence': 'pos_dx', 'descriptive_term': 'herniating', 'observation': 'fat'anatomical entity_fin: 'fluid': , 'pelvis': clinical findings_fin: 'again noted': 'clinical finding': 'again noted'size_fin: ['size': '9.7 x 2.7 cm', 'size': '14.6 x 7.6 cm']location descriptor_fin: ['right', 'left']clinical findings_fin: 'right-sided fluid collection': 'clinical finding': 'right-sided fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'right-sided fluid', 'observation': 'collection', 'left sided pelvic fluid collection': 'clinical finding': 'left sided pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'left sided pelvic fluid', 'observation': 'collection'anatomical entity_fin: 'fluid': , 'abdomen': , 'bowel': clinical findings_fin: 'multiple small pockets of fluid collections in the level abdomen within the bowel loops': 'clinical finding': 'multiple small pockets of fluid collections in the level abdomen within the bowel loops'size_fin: ['size': '2.4 x 2.9 cm']anatomical entity_fin: 'fluid': , 'lower abdomen': , 'pelvis': clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual' [/INST] [RESP] . Small right-sided pleural effusion and dependent atelectasis. Trace amount of left-sided pleural effusion. 11 mm, well-defined, hypodense lesion in the posterior aspect of the right lobe on image number 36, series number 4 is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left-sided mild calyectasis and mild dilated ureter are unchanged. No significant abnormality noted. No significant abnormality noted. Free fluid in the subcutaneous tissues of the left flank, stable from previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right lower quadrant ileostomy. Midline tissue defect with herniating fat and bowel loops. Again noted fluid collections in the pelvis. The right-sided fluid collection has a percutaneous drain within it and is smaller compared to previous CT. Now it measures 9.7 x 2.7 cm, image number 127, series number Left sided pelvic fluid collection has increased in size and now measures 14.6 x 7.6 cm. Multiple small pockets of fluid collections in the level abdomen within the bowel loops are overall smaller. A residual pocket measures 2.4 x 2.9 cm on image number 83, series number Additional multiple smaller pockets of fluid collections are present on both sides of the lower abdomen and pelvis. [/RESP]</s>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'nonobstructing renal calculus': 'clinical finding': 'nonobstructing renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructing renal', 'observation': 'calculus'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'nonspecific prominent mesenteric and retroperitoneal lymph nodes': 'clinical finding': 'nonspecific prominent mesenteric and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific prominent mesenteric and retroperitoneal lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'quadrant': 'location descriptor': 'left upper', 'contents': location descriptor_fin: ['left', 'upper']clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'contrast': 'clinical finding': 'contrast', 'existence': 'unc_dx', 'observation': 'contrast'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel obstruction': 'clinical finding': 'small bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Given the lack of intravenous contrast, examination is not sensitive for the detection of solid organ pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left upper pole nonobstructing renal calculus, unchanged. No hydronephrosis. Nonspecific prominent mesenteric and retroperitoneal lymph nodes. Prominent caliber of jejunal loops in the left upper quadrant and questionable wall thickening versus admixing of contrast with nonopacified enteric contents. No transition point identified to indicate a small bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral', 'proximal']clinical findings_fin: 'bilateral hydronephrosis': 'clinical finding': 'bilateral hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'hydronephrosis', 'proximal and mid hydroureter': 'clinical finding': 'proximal and mid hydroureter', 'existence': 'pos_dx', 'descriptive_term': 'proximal and mid', 'observation': 'hydroureter'anatomical entity_fin: 'pelvic inlet': , 'pelvis': location descriptor_fin: ['distal']clinical findings_fin: 'distal obstruction': 'clinical finding': 'distal obstruction', 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'obstruction', 'large predominantly cystic mass': 'clinical finding': 'large predominantly cystic mass', 'existence': 'pos_dx', 'descriptive_term': 'large predominantly cystic', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'pelvis': , 'lower abdomen': , 'aorta': , 'ureters': clinical findings_fin: 'large, heterogeneous, predominantly cystic soft tissue mass': 'clinical finding': 'large, heterogeneous, predominantly cystic soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous predominantly cystic soft tissue', 'observation': 'mass', 'strength_term': 'large', 'significant mass effect': 'clinical finding': 'significant mass effect', 'existence': 'pos_dx', 'descriptive_term': 'significant mass', 'observation': 'effect'anatomical entity_fin: 'uterus': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'location descriptor_fin: ['right']clinical findings_fin: 'small cyst': 'clinical finding': 'small cyst', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'left adnexa is not well visualized': 'clinical finding': 'left adnexa is not well visualized'anatomical entity_fin: 'fluid': , 'endometrial cavity': clinical findings_fin: 'fluid noted within the endometrial cavity': 'clinical finding': 'fluid noted within the endometrial cavity'size_fin: ['size': '21.4 x 18.4 cm', 'size_descriptor': 'mass']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'bowel': clinical findings_fin: 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'pos_dx', 'observation': 'mass', 'large pelvic mass': 'clinical finding': 'large pelvic mass', 'existence': 'pos_dx', 'descriptive_term': 'large pelvic', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': , 'lower abdomen': , 'aorta': , 'ureters': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'large, heterogeneous, partially cystic partially solid soft tissue mass': 'clinical finding': 'large, heterogeneous, partially cystic partially solid soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous partially cystic partially solid soft tissue', 'observation': 'mass', 'strength_term': 'large - partially - partially', 'significant mass': 'clinical finding': 'significant mass', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'mass'anatomical entity_fin: 'uterus': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'location descriptor_fin: ['right']clinical findings_fin: 'small cyst': 'clinical finding': 'small cyst', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'cyst', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'left adnexa is not well visualized': 'clinical finding': 'left adnexa is not well visualized'anatomical entity_fin: 'fluid': , 'endometrial cavity': clinical findings_fin: 'fluid noted within the endometrial cavity': 'clinical finding': 'fluid noted within the endometrial cavity'size_fin: ['size': '21.4 x 18.4 cm', 'size_descriptor': 'mass']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'ovarian epithelial neoplasm': 'clinical finding': 'ovarian epithelial neoplasm', 'existence': 'pos_dx', 'descriptive_term': 'ovarian epithelial', 'observation': 'neoplasm'anatomical entity_fin: 'pelvis': clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'carcinomatosis': 'clinical finding': 'carcinomatosis', 'existence': 'neg_dx', 'observation': 'carcinomatosis', 'implantsfluid': 'clinical finding': 'implantsfluid', 'existence': 'neg_dx', 'observation': 'implantsfluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral hydronephrosis with proximal and mid hydroureter. This is caused by distal obstruction at the pelvic inlet by a large predominantly cystic mass arising from the pelvis. This is a large, heterogeneous, predominantly cystic soft tissue mass occupying the entire pelvis and lower abdomen and causing significant mass effect over the aorta, IVC, and ureters. The mass appears to be arising from the right broad ligament, abuts the fundus of the uterus. A small cyst is identified in the right adnexa interiorly. The left adnexa is not well visualized. Fluid noted within the endometrial cavity. The mass measures 21.4 x 18.4 cm. Mass-effect over the small bowel, and large bowel loops of the large pelvic mass. No evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. This is a large, heterogeneous, partially cystic partially solid soft tissue mass occupying the entire pelvis and lower abdomen and causing significant mass effect over the aorta, IVC, and bilateral ureters. The mass appears to be arising from the right adnexa , abuts the fundus of the uterus. A small cyst is identified in the right adnexa interiorly. The left adnexa is not well visualized. Fluid noted within the endometrial cavity. The mass measures 21.4 x 18.4 cm. Ovarian epithelial neoplasm should be in the differential. No definite evidence of lymphadenopathy or carcinomatosis or implantsFluid noted in the pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis', 'scar': 'clinical finding': 'scar', 'existence': 'unc_dx', 'observation': 'scar'imaging observation_fin: ['infiltrates']clinical findings_fin: 'acute infiltrates': 'clinical finding': 'acute infiltrates', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infiltrate', 'strength_term': 'acute', 'temporal_term': 'acute', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'cortical thinning': 'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning', 'numerous subcentimeter hypodensities': 'clinical finding': 'numerous subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous subcentimeter', 'observation': 'hypodensity', 'quantity_term': 'numerous'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ileum': 'location descriptor': 'distal', 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['distal', 'right', 'lower']clinical findings_fin: 'peristomal prolapse': 'clinical finding': 'peristomal prolapse', 'existence': 'pos_dx', 'descriptive_term': 'peristomal', 'observation': 'prolapse', 'complication': 'clinical finding': 'complication', 'existence': 'pos_dx', 'observation': 'complication'size_fin: ['size': '2 centimeter', 'size_descriptor': 'defect']anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: '2 centimeter paramedian defect': 'clinical finding': '2 centimeter paramedian defect', 'existence': 'pos_dx', 'descriptive_term': '2 centimeter paramedian', 'observation': 'defect'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'myomatous': 'clinical finding': 'myomatous', 'existence': 'pos_dx', 'observation': 'myomatous'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bibasilar atelectasis or scar. No acute infiltrates or effusions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic kidneys with cortical thinning and numerous subcentimeter hypodensities. No hydronephrosis or hydroureter. No significant abnormality noted. Peristomal prolapse of the distal ileum at the right lower quadrant ostomy is stable without complication. 2 centimeter paramedian defect in the anterior abdominal wall at axial image 71/105 of series 3 is not significantly changed since 9/14/2006. No significant abnormality noted. No significant abnormality noted. Myomatous uterus is unchanged since 206. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'suprasellar cistern': , 'interhemispheric fissure': location descriptor_fin: ['left']clinical findings_fin: 'bubbles': 'clinical finding': 'bubbles', 'existence': 'pos_dx', 'observation': 'bubbles', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'interhemispheric fissure': 'clinical finding': 'interhemispheric fissure', 'existence': 'pos_dx', 'descriptive_term': 'interhemispheric', 'observation': 'fissure'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'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'suboccipital': anatomical entity_fin: 'spinal canal': , 'spinal cord': location descriptor_fin: ['right', 'posterior', 'lateral']anatomical entity_fin: 'spinal cord': location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'tubing': 'clinical finding': 'tubing', 'existence': 'pos_dx', 'observation': 'tubing'clinical findings_fin: 'air bubbles': 'clinical finding': 'air bubbles', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bubbles', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'site'location descriptor_fin: ['left']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell', 'left perivertebral soft': 'clinical finding': 'left perivertebral soft', 'existence': 'pos_dx', 'descriptive_term': 'left perivertebral', 'observation': 'soft'anatomical entity_fin: 'brain': , 'spinal cord': clinical findings_fin: 'brain parenchymal or spinal cord hemorrhage': 'clinical finding': 'brain parenchymal or spinal cord hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'brain parenchymal or spinal cord', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': clinical findings_fin: 'chiari': 'clinical finding': 'chiari', 'existence': 'pos_dx', 'observation': 'chiari'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'overall alignment': 'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'imaging observation_fin: ['reversal']clinical findings_fin: 'normal cervical curvature': 'clinical finding': 'normal cervical curvature', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'curvature', 'strength_term': 'normal'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c2- 3 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c4 - 5 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c5 - 6 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'endplate': location descriptor_fin: ['right']clinical findings_fin: 'endplate osteophytes': 'clinical finding': 'endplate osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte'location descriptor_fin: ['adjacent']clinical findings_fin: 'these are located': 'clinical finding': 'these are located'anatomical entity_fin: 'spinal canal': , 'foramina': clinical findings_fin: 'significant compromise to the spinal canal or neural foramina': 'clinical finding': 'significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c7 - t1 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous': 'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous', 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'clinical findings_fin: 'this is a nonspecific finding': 'clinical finding': 'this is a nonspecific finding' [/INST] [RESP] .The CSF spaces are appropriate for the patients stated age with no midline shift. There are bubbles are present within the CSF spaces extending towards the left sylvian fissure and a suprasellar cistern and interhemispheric fissure. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The patient is status post a suboccipital craniotomy as well as a laminectomy at C1. Tubing courses through the c1-2 laminectomy site into the right posterior lateral aspect of the spinal canal posterior lateral to the spinal cord. The tubing tip is at the right hemicanal lateral to the spinal cord at the C3-4 level. Air bubbles are identified at the surgical site as well as within the CSF space. Soft tissue swelling is present along the left perivertebral soft tissues. There is no evidence for brain parenchymal or spinal cord hemorrhage. The patient has Chiari one malformation better documented on a recent MRI of the brain. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. There is mild reversal of the normal cervical curvature. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. At C4-5 there is no significant compromise to the spinal canal or neural foramina. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there are endplate osteophytes are present in the right paramedian region. These are located adjacent to a disk protrusion in that location identified on the previous MRI. No significant compromise to the spinal canal or neural foramina. At C7-T1 there is no significant compromise to the spinal canal or neural foramina. The right lobe of the thyroid gland appears to be heterogeneous in density. This is a nonspecific finding. [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'stable right basilar scarring': 'clinical finding': 'stable right basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable right basilar', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe micronodule': 'clinical finding': 'right upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'micronodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hepatic steatosis': 'clinical finding': 'hepatic steatosis', 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'steatosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: 'stable postsurgical changes': 'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enlarged abdominal or retroperitoneal lymph nodes': 'clinical finding': 'enlarged abdominal or retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged abdominal or retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'stable nonenlarged retroperitoneal lymph nodes': 'clinical finding': 'stable nonenlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable nonenlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Stable right basilar scarring. Right upper lobe micronodule, stable for greater than two years favoring benign etiology. No significant abnormality noted. No significant abnormality noted. Findings suggestive of hepatic steatosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable postsurgical changes of left nephrectomy. No enlarged abdominal or retroperitoneal lymph nodes. Stable nonenlarged retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'uterus': clinical findings_fin: 'myomatous uterus': 'clinical finding': 'myomatous uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'skin': , 'ischiorectal fossa': location descriptor_fin: ['left']clinical findings_fin: 'multiloculated abscess': 'clinical finding': 'multiloculated abscess', 'existence': 'pos_dx', 'descriptive_term': 'multiloculated', 'observation': 'abscess', 'left buttock': 'clinical finding': 'left buttock', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'buttock'anatomical entity_fin: 'levator ani': location descriptor_fin: ['superior']clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'pos_dx', 'observation': 'abscess'size_fin: ['size': '4.7 x 7.5 cm', 'size_descriptor': 'abscess']clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'pos_dx', 'observation': 'abscess'anatomical entity_fin: 'skin': imaging observation_fin: ['foci']clinical findings_fin: 'multiple foci': 'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple', 'cutaneous fistula': 'clinical finding': 'cutaneous fistula', 'existence': 'pos_dx', 'descriptive_term': 'cutaneous', 'observation': 'fistula'imaging observation_fin: ['foci']location descriptor_fin: ['inferior']clinical findings_fin: 'high density foci': 'clinical finding': 'high density foci', 'existence': 'pos_dx', 'descriptive_term': 'high density', 'observation': 'foci', 'chronic post-inflammatory calcifications': 'clinical finding': 'chronic post-inflammatory calcifications', 'existence': 'unc_dx', 'descriptive_term': 'chronic post-inflammatory', 'observation': 'calcification', 'temporal_term': 'chronic'location descriptor_fin: ['adjacent', 'left']clinical findings_fin: 'adjacent skin thickening': 'clinical finding': 'adjacent skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent skin', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Myomatous uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiloculated abscess in the left buttock, extending from the skin surface to the level of the ischiorectal fossa. The abscess does not extend superior to the levator ani muscle. The abscess measures approximately 4.7 x 7.5 cm. Multiple foci of air are noted from the skin surface to the collection, compatible with a cutaneous fistula. High density foci within the inferior portion of the collection likely represent chronic post-inflammatory calcifications. Adjacent skin thickening is noted along the left buttock. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'few scattered nonspecific small bilateral ill-defined nodular opacities': 'clinical finding': 'few scattered nonspecific small bilateral ill-defined nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'few scattered nonspecific small bilateral ill-defined nodular', 'observation': 'opacity', 'strength_term': 'small - ill-defined', 'quantity_term': 'few', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'possibly atypical infection': 'clinical finding': 'possibly atypical infection', 'existence': 'unc_dx', 'descriptive_term': 'possibly atypical', 'observation': 'infection'anatomical entity_fin: 'oblique fissures': clinical findings_fin: 'flat nodular densities': 'clinical finding': 'flat nodular densities', 'existence': 'pos_dx', 'descriptive_term': 'flat nodular', 'observation': 'density', 'intrapulmonary lymph nodes': 'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'size_fin: ['size': '2-mm', 'size_descriptor': 'lobe']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'nonspecific 2-mm micronodular': 'clinical finding': 'nonspecific 2-mm micronodular', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific 2-mm', 'observation': 'micronodular'clinical findings_fin: 'pathologically enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'common bile duct': clinical findings_fin: 'common bile duct stent': 'clinical finding': 'common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'common bile duct', 'observation': 'stent', 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'anatomical entity_fin: 'liver': clinical findings_fin: 'numerous scattered ill-defined hypodensities': 'clinical finding': 'numerous scattered ill-defined hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous scattered ill-defined', 'observation': 'hypodensity', 'strength_term': 'ill-defined', 'quantity_term': 'numerous', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3.7 x 2.5 cm', 'size_descriptor': 'fullness']clinical findings_fin: 'probably soft tissue mass': 'clinical finding': 'probably soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'probably soft tissue', 'observation': 'mass', 'calcifications': 'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification', 'pancreatic tail': 'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'anatomical entity_fin: 'head': , 'pancreas': , 'wall': 'location descriptor': 'medial', 'duodenum': , 'common bile duct': 'location descriptor': 'distal'location descriptor_fin: ['medial', 'anterior', 'distal']clinical findings_fin: 'distal common bile duct stent': 'clinical finding': 'distal common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'distal common bile duct', 'observation': 'stent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Evaluation of solid organs is limited without intravenous contrast. A few scattered nonspecific small bilateral ill-defined nodular opacities, which may represent scarring, foci of aspiration, or possibly atypical infection. Flat nodular densities along the oblique fissures bilaterally, are likely intrapulmonary lymph nodes. Nonspecific 2-mm micronodular left lower lobe. No pathologically enlarged mediastinal or hilar lymph nodes. No significant abnormality noted. Common bile duct stent with pneumobilia. Numerous scattered ill-defined hypodensities in the liver, which are incompletely characterized without intravenous contrast. No significant abnormality noted. There is a fullness and probably soft tissue mass with calcifications in the region of pancreatic tail, which measures approximately 3.7 x 2.5 cm. There is fullness of the head of the pancreas extending to and deforming the medial wall of the duodenum anterior to the distal common bile duct stent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
|
<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>
|
<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>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild bibasilar atelectasis': 'clinical finding': 'mild bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'liver': clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'granuloma': 'clinical finding': 'granuloma', 'existence': 'unc_dx', 'observation': 'granuloma'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'status post whipple': 'clinical finding': 'status post whipple', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'whipple', 'dilation': 'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation', 'suspected stricturing': 'clinical finding': 'suspected stricturing', 'existence': 'pos_dx', 'descriptive_term': 'suspected', 'observation': 'stricture'anatomical entity_fin: 'fluid': , 'anterior pararenal space': anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is unremarkable': 'clinical finding': 'spleen is unremarkable'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'adrenal glands are unremarkable': 'clinical finding': 'adrenal glands are unremarkable'anatomical entity_fin: 'kidneys': imaging observation_fin: ['foci']clinical findings_fin: 'hypoattenuating foci': 'clinical finding': 'hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'foci'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'moderate, scattered atherosclerotic calcification': 'clinical finding': 'moderate, scattered atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate scattered atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'whipple': 'clinical finding': 'whipple', 'existence': 'pos_dx', 'observation': 'whipple'anatomical entity_fin: 'bowel': clinical findings_fin: 'widemouthed ventral hernia': 'clinical finding': 'widemouthed ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'widemouthed ventral', 'observation': 'hernia', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'incarceration': 'clinical finding': 'incarceration', 'existence': 'neg_dx', 'observation': 'incarceration'clinical findings_fin: 'colonic diverticulosis': 'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is visualized and normal': 'clinical finding': 'appendix is visualized and normal'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative change': 'clinical finding': 'moderate degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'anatomical entity_fin: 'rib': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower rib fracture': 'clinical finding': 'left lower rib fracture', 'existence': 'pos_dx', 'descriptive_term': 'left lower rib', 'observation': 'fracture', 'callus formation': 'clinical finding': 'callus formation', 'existence': 'pos_dx', 'descriptive_term': 'callus', 'observation': 'formation'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'bladder is unremarkable': 'clinical finding': 'bladder is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is mild bibasilar atelectasis. Punctate calcifications in the liver likely represent granuloma and were seen in 2008. The patient is status post cholecystectomy. The patient is status post Whipple and there is dilation of the pancreatic duct with suspected stricturing as seen on MR from 2011. There has been slight increase in the fluid in the anterior pararenal space. Spleen is unremarkable. The adrenal glands are unremarkable. Hypoattenuating foci in the kidneys bilaterally are too small to accurately characterize. There is moderate, scattered atherosclerotic calcification of the abdominal aorta and its branches. Postoperative findings of Whipple procedure are noted. There are loops of bowel within a moderate size, widemouthed ventral hernia, but no evidence of obstruction or incarceration. There is colonic diverticulosis without evidence of diverticulitis. The appendix is visualized and normal. There is moderate degenerative change of the lumbar spine, worst at L4/L5. A left lower rib fracture with callus formation is noted. Findings of median sternotomy are noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. The bladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild bibasilar atelectasis': 'clinical finding': 'mild bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'liver': , 'gallbladder': clinical findings_fin: 'liver and gallbladder are normal': 'clinical finding': 'liver and gallbladder are normal'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal': 'clinical finding': 'pancreas is normal'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal': 'clinical finding': 'spleen is normal'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'adrenal glands are normal': 'clinical finding': 'adrenal glands are normal'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys are unremarkable': 'clinical finding': 'kidneys are unremarkable'clinical findings_fin: 'significant hydronephrosis': 'clinical finding': 'significant hydronephrosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'hydronephrosis'clinical findings_fin: 'significant retroperitoneal lymphadenopathy': 'clinical finding': 'significant retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': , 'rectum': imaging observation_fin: ['colon']clinical findings_fin: 'dilation': 'clinical finding': 'dilation', 'existence': 'pos_dx', 'observation': 'dilation', 'decompressed': 'clinical finding': 'decompressed', 'existence': 'neg_dx', 'observation': 'decompressed'anatomical entity_fin: 'fluid': clinical findings_fin: 'free intraperitoneal fluid': 'clinical finding': 'free intraperitoneal fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']clinical findings_fin: 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'anatomical entity_fin: 'bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': procedure_fin: ['hysterectomy']clinical findings_fin: 'free air': 'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air' [/INST] [RESP] . There is mild bibasilar atelectasis. The liver and gallbladder are normal. The pancreas is normal. The spleen is normal. Adrenal glands are normal. The kidneys are unremarkable. No significant hydronephrosis. No significant retroperitoneal lymphadenopathy. None. Diffuse dilation of the small bowel and colon to the level of the rectum without decompressed loops or transition point. No free intraperitoneal fluid. No significant abnormality noted. No significant abnormality noted. Patient is status post hysterectomy. There is fat stranding and a small amount of pelvic fluid, expected in the postoperative setting. The bladder is distended and normal. No significant lymphadenopathy noted. No significant abnormality noted. No significant abnormality noted. Small amount of free air in the pelvis likely related to recent hysterectomy. [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'neg_dx', 'observation': 'nodularity', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion', 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'imaging observation_fin: ['foci']clinical findings_fin: 'multiple scattered hepatic hypodensities': 'clinical finding': 'multiple scattered hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple', 'stable metastatic foci': 'clinical finding': 'stable metastatic foci', 'existence': 'pos_dx', 'descriptive_term': 'stable metastatic', 'observation': 'foci', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'liver': clinical findings_fin: 'scattered gas density': 'clinical finding': 'scattered gas density', 'existence': 'pos_dx', 'descriptive_term': 'scattered gas', 'observation': 'density'location descriptor_fin: ['peripheral']clinical findings_fin: 'this gas density': 'clinical finding': 'this gas density', 'existence': 'pos_dx', 'descriptive_term': 'this gas', 'observation': 'density'clinical findings_fin: 'both a biliary and pancreatic stent': 'clinical finding': 'both a biliary and pancreatic stent', 'existence': 'pos_dx', 'descriptive_term': 'both a biliary and pancreatic', 'observation': 'stent', 'quantity_term': 'both'clinical findings_fin: 'biliary stent': 'clinical finding': 'biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'biliary', 'observation': 'stent', 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'anatomical entity_fin: 'gallbladder': , 'common hepatic duct': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'additional soft tissue density debris': 'clinical finding': 'additional soft tissue density debris', 'existence': 'pos_dx', 'descriptive_term': 'additional soft tissue density', 'observation': 'debris'anatomical entity_fin: 'gallbladder': , 'biliary system': clinical findings_fin: 'is a small amount of air within the gallbladder as': 'clinical finding': 'is a small amount of air within the gallbladder as'clinical findings_fin: 'periportal cuffing': 'clinical finding': 'periportal cuffing', 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'cuffing'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pancreatic mass': 'clinical finding': 'pancreatic mass', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'mass', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pancreatic duct': location descriptor_fin: ['proximal']clinical findings_fin: 'pancreatic stent': 'clinical finding': 'pancreatic stent', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'stent'anatomical entity_fin: 'fluid': imaging observation_fin: ['fat']clinical findings_fin: 'more inflammatory fluid and fat stranding': 'clinical finding': 'more inflammatory fluid and fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'more inflammatory fluid and fat', 'observation': 'strand', 'quantity_term': 'more', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'simple appearing renal cysts': 'clinical finding': 'simple appearing renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple appearing renal', 'observation': 'cyst'clinical findings_fin: 'extensive retroperitoneal lymphadenopathy': 'clinical finding': 'extensive retroperitoneal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive retroperitoneal', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'anatomical entity_fin: 'right renal artery': , 'renal veins': clinical findings_fin: 'compressive effects': 'clinical finding': 'compressive effects', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'effect', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'new perihepatic, perisplenic and pelvic ascites': 'clinical finding': 'new perihepatic, perisplenic and pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new perihepatic perisplenic and pelvic', 'observation': 'ascite', 'temporal_term': 'new'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'pneumatosis': 'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis', 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small amount of atelectasis at the lung bases. No nodularity, mass lesion or pleural fluid. Multiple scattered hepatic hypodensities are similar in size and number to the prior study and likely represent stable metastatic foci. New since the previous CT is scattered gas density which is more prominent in the periphery of the liver. Despite the peripheral predominance, this gas density is felt most likely to represent biliary gas. The patient has both a biliary and pancreatic stent. The biliary stent is partially filled with debris. There is additional soft tissue density debris within the gallbladder and common hepatic duct. There is a small amount of air within the gallbladder as well, further supporting the idea of air within the biliary system. Periportal cuffing is also present. No significant abnormality noted. Though an exact measurement is difficult, the pancreatic mass appears enlarged from the prior study. There is dilatation of the pancreatic duct near the level of the proximal portion of the pancreatic stent. Compared to the prior study, there is more inflammatory fluid and fat stranding in the area of the mass. No significant abnormality noted. Simple appearing renal cysts bilaterally. Extensive retroperitoneal lymphadenopathy is increased from the prior study. It now has compressive effects on the right renal artery and mass effect on the renal veins as well. New perihepatic, perisplenic and pelvic ascites. No bowel wall thickening, pneumatosis or free air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see above. Please see above. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.8 cm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'solitary pleural-based mass': 'clinical finding': 'solitary pleural-based mass', 'existence': 'pos_dx', 'descriptive_term': 'solitary pleural-based', 'observation': 'mass'imaging observation_fin: ['infiltrates']clinical findings_fin: 'acute infiltrates': 'clinical finding': 'acute infiltrates', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infiltrate', 'strength_term': 'acute', 'temporal_term': 'acute', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'calcified granulomata': 'clinical finding': 'calcified granulomata', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granulomata', 'change_term': 'calcified', 'old granulomatous disease': 'clinical finding': 'old granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is within normal limits': 'clinical finding': 'heart size is within normal limits'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'location descriptor_fin: ['right']clinical findings_fin: 'right-sided venous access device': 'clinical finding': 'right-sided venous access device', 'existence': 'unc_dx', 'descriptive_term': 'right-sided venous access', 'observation': 'device'size_fin: ['size': '20.8 cm']anatomical entity_fin: 'liver': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '7.3 x 7.9 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'pole': 'location descriptor': 'inferior', 'spleen': location descriptor_fin: ['inferior']clinical findings_fin: 'amorphous mass': 'clinical finding': 'amorphous mass', 'existence': 'pos_dx', 'descriptive_term': 'amorphous', 'observation': 'mass', 'pancreatic tail': 'clinical finding': 'pancreatic tail', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'tail'clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'sarcoma': 'clinical finding': 'sarcoma', 'existence': 'pos_dx', 'observation': 'sarcoma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'lumbosacral spine': , 'pelvis': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . A solitary pleural-based mass is seen at the right middle lobe and on axial image 61/108 of series 4 measuring 1.8 cm in diameter. There are no acute infiltrates or effusions. Calcified granulomata are present compatible with old granulomatous disease. The heart size is within normal limits. There are coronary artery calcifications. A right-sided venous access device is in expected position. The liver is diffusely enlarged with a craniocaudal dimension of 20.8 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is an amorphous mass which measures 7.3 x 7.9 cm at axial image 105/228 at the pancreatic tail which is contiguous with the inferior pole of the spleen. This mass is compatible with history of sarcoma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are degenerative changes in the lumbosacral spine and pelvis. No significant abnormality noted [/RESP]</s>
|
End of preview. Expand
in Data Studio
- Downloads last month
- 4