text
stringlengths 708
16.2k
|
|---|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'kidneys': {}}clinical findings_fin: {'abnormal calcifications': {'clinical finding': 'abnormal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'calcification'}, 'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'parenchymal mass lesions': {'clinical finding': 'parenchymal mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'parenchymal mass', 'observation': 'lesion'}}clinical findings_fin: {'cortical and medullary enhancement': {'clinical finding': 'cortical and medullary enhancement', 'existence': 'pos_dx', 'descriptive_term': 'cortical and medullary', 'observation': 'enhancement'}}anatomical entity_fin: {'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'}}imaging observation_fin: ['fat']procedure_fin: ['cesarean section']clinical findings_fin: {'cesarean section changes': {'clinical finding': 'cesarean section changes', 'existence': 'pos_dx', 'descriptive_term': 'cesarean section', 'observation': 'change'}, 'minimal inflammatory changes': {'clinical finding': 'minimal inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal inflammatory', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'recent pregnancy': {'clinical finding': 'recent pregnancy', 'cf_snomed': {'pregnancy': 77386006}, 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'pregnancy'}}anatomical entity_fin: {'fluid': {}, 'endometrial cavity': {}}location descriptor_fin: ['peripheral']clinical findings_fin: {'peripheral enhancement': {'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement'}}imaging observation_fin: ['blood']clinical findings_fin: {'retained blood': {'clinical finding': 'retained blood', 'existence': 'unc_dx', 'descriptive_term': 'retained', 'observation': 'blood'}, 'retained placental products': {'clinical finding': 'retained placental products', 'existence': 'unc_dx', 'descriptive_term': 'retained placental', 'observation': 'product'}, 'endometritis': {'clinical finding': 'endometritis', 'cf_snomed': {'endometritis': 78623009}, 'existence': 'unc_dx', 'observation': 'endometritis'}, 'infection': {'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'adnexal fluid collections are seen': {'clinical finding': 'adnexal fluid collections are seen'}}anatomical entity_fin: {'bladder': {}, 'wall': {}}clinical findings_fin: {'mild thickening': {'clinical finding': 'mild thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thickening', 'strength_term': 'mild'}, 'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}, 'distention': {'clinical finding': 'distention', 'existence': 'neg_dx', 'observation': 'distention'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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. Normal morphology kidneys are seen bilaterally without abnormal calcifications or hydronephrosis. No parenchymal mass lesions are seen. Cortical and medullary enhancement appears normal. No perinephric fluid collections. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post cesarean section changes with minimal inflammatory changes streaking in the periuterine fat. Uterus remains enlarged to a degree expected from recent pregnancy. Low density fluid remains in the endometrial cavity with peripheral enhancement. This is nonspecific postdelivery and may represent retained blood, retained placental products, or represent endometritis with infection. No adnexal fluid collections are seen. Mild thickening of the bladder wall is seen but the bladder is minimally distended and most likely accentuated thickness from lack of distention. 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 mass lesions': {'clinical finding': 'intracranial mass lesions', 'cf_snomed': {'intracranial mass': 85974009}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'lesion'}, 'abnormal intracranial enhancement': {'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'skull': {}, 'scalp': {}}clinical findings_fin: {'skull , and scalp soft tissues are grossly unremarkable': {'clinical finding': 'skull , and scalp soft tissues are grossly unremarkable'}}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'}}size_fin: [{'size': '6 mm'}, {'size': '25 mm'}, {'size': '12 mm'}, {'size': '36 mm'}]anatomical entity_fin: {'inferior eyelid': {'location descriptor': 'right medial'}}location descriptor_fin: ['right', 'medial']clinical findings_fin: {'right medial inferior eyelid region mass': {'clinical finding': 'right medial inferior eyelid region mass', 'existence': 'pos_dx', 'descriptive_term': 'right medial inferior eyelid region', 'observation': 'mass'}, 'residual soft tissue': {'clinical finding': 'residual soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual soft', 'observation': 'tissue', 'temporal_term': 'residual'}}location descriptor_fin: ['right']clinical findings_fin: {'minimal right postseptal stranding': {'clinical finding': 'minimal right postseptal stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal right postseptal', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['right']clinical findings_fin: {'right cervical lymphadenopathy': {'clinical finding': 'right cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'right cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '5 x 8 mm'}, {'size': '12 x 19'}, {'size': '4 x 7 mm'}, {'size': '17 x 30 mm'}, {'size': '2 x 6 mm'}, {'size': '8 x 11 mm'}]anatomical entity_fin: {'axial plane': {}}location descriptor_fin: ['right']clinical findings_fin: {'right level 1b lymph node': {'clinical finding': 'right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 1b lymph', 'observation': 'node'}, 'right level 2b lymph node': {'clinical finding': 'right level 2b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2b lymph', 'observation': 'node'}, 'right level 3 lymph node': {'clinical finding': 'right level 3 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 3 lymph', 'observation': 'node'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'major salivary glands are unremarkable': {'clinical finding': 'major salivary glands are unremarkable'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating nodule': {'clinical finding': 'hypoattenuating nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'multilevel degenerative spondylosis': {'clinical finding': 'multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] [RESP] . There is no evidence of intracranial mass lesions or abnormal intracranial enhancement. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull, and scalp soft tissues are grossly unremarkable. There is mild mucosal thickening in the left maxillary sinus. There is marked interval decrease in size of the right medial inferior eyelid region mass with residual soft tissue that measures up to 6 mm in thickness and 25 mm in width overall, previously 12 mm in thickness and 36 mm in width. There is minimal right postseptal stranding. There has also been considerable interval decrease in size of the right cervical lymphadenopathy. For example, a right level 1B lymph node measures 5 x 8 mm in the axial plane, previously 12 x 19, a right level 2B lymph node measures 4 x 7 mm, previously 17 x 30 mm, and a right level 3 lymph node measures 2 x 6 mm, previously 8 x 11 mm. The major salivary glands are unremarkable. The hypoattenuating nodule in the right thyroid lobe is unchanged. There is multilevel degenerative spondylosis of the cervical spine. The imaged portions of the lungs are clear. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'head': {}}clinical findings_fin: {'nonenhanced head': {'clinical finding': 'nonenhanced head'}}imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: {'low attenuation': {'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'}, 'additional subtle smaller foci': {'clinical finding': 'additional subtle smaller foci', 'existence': 'pos_dx', 'descriptive_term': 'additional subtle smaller', 'observation': 'foci', 'strength_term': 'subtle'}, 'similar density changes': {'clinical finding': 'similar density changes', 'existence': 'pos_dx', 'descriptive_term': 'similar density', 'observation': 'change'}, 'ischemic strokes': {'clinical finding': 'ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'ischemic', 'observation': 'stroke'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'acute nonhemorrhagic ischemic strokes': {'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'cf_snomed': {'ischemic stroke': 422504002}, 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'cerebral cortex': {}}clinical findings_fin: {'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces': {'clinical finding': 'unremarkable cerebral cortex and cortical sulci , ventricular system and csf spaces'}}anatomical entity_fin: {'orbits': {}}location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: {'orbital enucleation and placement of prosthesis similar to prior exam': {'clinical finding': 'orbital enucleation and placement of prosthesis similar to prior exam'}} [/INST] [RESP] Nonenhanced head. Examination demonstrates a focus of low attenuation in the right frontal subcortical white matter similar to prior exam from July 2015 and additional subtle smaller foci of similar density changes of white matter suggestive of age indeterminate small vessel ischemic strokes. No acute intracranial hemorrhage or mass effect. CT however is insensitive for early detection of an acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex and cortical sulci, ventricular system and CSF spaces. Images through the orbits demonstrate left orbital enucleation and placement of prosthesis similar to prior exam. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']object_fin: ['tube']anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: {'right upper lobe consolidation': {'clinical finding': 'right upper lobe consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'consolidation'}, 'adjacent groundglass abnormality': {'clinical finding': 'adjacent groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'adjacent groundglass', 'observation': 'abnormality'}}anatomical entity_fin: {'lobes': {'location descriptor': 'right lower'}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'mild groundglass abnormality': {'clinical finding': 'mild groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'mild groundglass', 'observation': 'abnormality', 'strength_term': 'mild'}}location descriptor_fin: ['right']clinical findings_fin: {'right basilar atelectasis': {'clinical finding': 'right basilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'right basilar', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: {'probable proximal positioning of the ng tube with its tip in the fundus': {'clinical finding': 'probable proximal positioning of the ng tube with its tip in the fundus'}}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: {'gallbladder': {}, 'neck': {}}clinical findings_fin: {'distended': {'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'}} [/INST] [RESP] . ET tube tip in the right mainstem bronchus. Right upper lobe consolidation with air bronchograms and adjacent groundglass abnormality. Mild groundglass abnormality is noted in the left and right lower lobes. Right basilar atelectasis or consolidation. No pleural effusions. Heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Probable proximal positioning of the NG tube with its tip in the fundus. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Although the gallbladder isnt completely visualized, it appears mildly distended with induration surrounding the gallbladder neck. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new intracranial hemorrhage': {'clinical finding': 'new intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'new intracranial', 'observation': 'hemorrhage', 'temporal_term': 'new'}}anatomical entity_fin: {'subarachnoid space': {}, 'interhemispheric fissure': {}, 'left cingulate gyrus': {}, 'superior temporal sulcus': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'multifocal subarachnoid space hemorrhage': {'clinical finding': 'multifocal subarachnoid space hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal subarachnoid space', 'observation': 'hemorrhage'}, 'interval change': {'clinical finding': 'interval change', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'change'}}clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}, 'chronic small vessel ischemic changes': {'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'}}anatomical entity_fin: {'brain': {}}clinical findings_fin: {'diffuse brain atrophy': {'clinical finding': 'diffuse brain atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse brain', 'observation': 'atrophy'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}clinical findings_fin: {'osseous structures are unremarkable': {'clinical finding': 'osseous structures are unremarkable'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}} [/INST] [RESP] There is no new intracranial hemorrhage. Continued evolution of multifocal subarachnoid space hemorrhage including the interhemispheric fissure or left cingulate gyrus area and the left superior temporal sulcus, without interval change. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. Underlying brain shows diffuse brain atrophy. No hydrocephalus. The osseous structures are unremarkable. 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: non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: {'vasculature': {}}clinical findings_fin: {'relatively poor opacification': {'clinical finding': 'relatively poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'relatively poor', 'observation': 'opacification'}}clinical findings_fin: {'minimal bibasilar atelectasis': {'clinical finding': 'minimal bibasilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '6.4 cm', 'size_descriptor': 'cyst'}]location descriptor_fin: ['right']clinical findings_fin: {'large right renal cyst': {'clinical finding': 'large right renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'large right renal', 'observation': 'cyst', 'strength_term': 'large'}}anatomical entity_fin: {'renal collecting system': {'location descriptor': 'left'}}imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'subtle left renal collecting system dilation': {'clinical finding': 'subtle left renal collecting system dilation', 'existence': 'pos_dx', 'descriptive_term': 'subtle left renal collecting system', 'observation': 'dilation', 'strength_term': 'subtle'}, 'retroperitoneal hematoma': {'clinical finding': 'retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'}}size_fin: [{'size': '8.3 x 5.2 cm'}, {'size': '7.9 x 4.1 cm'}]imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: {'left paraspinal retroperitoneal hematoma': {'clinical finding': 'left paraspinal retroperitoneal hematoma', 'cf_snomed': {'retroperitoneal hematoma': 236002003}, 'existence': 'pos_dx', 'descriptive_term': 'left paraspinal retroperitoneal', 'observation': 'hematoma'}}anatomical entity_fin: {'veins': {}}location descriptor_fin: ['superior']object_fin: ['filter']clinical findings_fin: {'relative distention': {'clinical finding': 'relative distention', 'existence': 'pos_dx', 'descriptive_term': 'relative', 'observation': 'distention'}}object_fin: ['filter']clinical findings_fin: {'adequate contrast opacification': {'clinical finding': 'adequate contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'adequate contrast', 'observation': 'opacification'}}clinical findings_fin: {'near complete resolution': {'clinical finding': 'near complete resolution', 'existence': 'unc_dx', 'descriptive_term': 'near complete', 'observation': 'resolution'}, 'previously seen ileus': {'clinical finding': 'previously seen ileus', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'ileus'}}anatomical entity_fin: {'lumbar spine': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'screw device': {'clinical finding': 'screw device', 'existence': 'pos_dx', 'descriptive_term': 'screw', 'observation': 'device'}}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', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lower extremity': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral lower extremity edema': {'clinical finding': 'bilateral lower extremity edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower extremity', 'observation': 'edema'}} [/INST] [RESP] Please note lack of oral contrast limits evaluation of the GI tract. Also, there is relatively poor opacification of the venous vasculature. Minimal bibasilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large right renal cyst, measuring approximately 6.4 cm, is unchanged. Subtle left renal collecting system dilation, may be related to the patients left retroperitoneal hematoma. Left paraspinal retroperitoneal hematoma is again seen measuring approximately 8.3 x 5.2 cm, previously 7.9 x 4.1 cm. IVC filter is noted, with relative distention of the infra-filter cava or iliac veins and subtle flattening of the cava superior to the filter. There is the suggestion of lobulated clot in the IVC filter, although evaluation is limited due to lack of adequate contrast opacification. Interval improvement or near complete resolution of previously seen ileus. L1 through L5 posterior rod and screw device affix the lumbar spine. No significant abnormality noted. The bladder is collapsed, with Foley catheter in place. No significant abnormality noted. Bilateral lower extremity edema. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'palatine tonsils': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'tonsils': {}}location descriptor_fin: ['midline']anatomical entity_fin: {'nasopharynx': {'location descriptor': 'posterior'}, 'vomer': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'soft tissue': {'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'}}anatomical entity_fin: {'soft palate': {}}clinical findings_fin: {'enlargement of the soft tissues of the soft palate is also noted': {'clinical finding': 'enlargement of the soft tissues of the soft palate is also noted', 'cf_snomed': {'enlargement': 442021009}}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}clinical findings_fin: {'abnormal soft tissue mass': {'clinical finding': 'abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'oral tongue and floor of mouth are unremarkable': {'clinical finding': 'oral tongue and floor of mouth are unremarkable'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral cervical lymphadenopathy': {'clinical finding': 'bilateral cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral cervical', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '1.6 cm'}]location descriptor_fin: ['right']clinical findings_fin: {'right node': {'clinical finding': 'right node', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'node'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'largest node': {'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'}, 'left level iib lymph node': {'clinical finding': 'left level iib lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level iib lymph', 'observation': 'node'}}size_fin: [{'size': '2.2 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'supraclavicular lymph node': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'left supraclavicular lymph node': {'clinical finding': 'left supraclavicular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left supraclavicular lymph', 'observation': 'node'}} [/INST] [RESP] PHARYNX/. The palatine tonsils are enlarged bilaterally, although appear homogeneously enhancing. The tonsils abut each other in the midline. There is also significant prominence of soft tissue along the posterior nasopharynx, which abuts the posterior aspect of the vomer. Enlargement of the soft tissues of the soft palate is also noted. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There is bilateral cervical lymphadenopathy. A right node of Rouviere is enlarged measuring 1.6 cm in length. The largest node in the left neck is a left level IIb lymph node measuring 2.2 cm on 4/28. A left supraclavicular lymph node measures up to 2.2 cm. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'wall': {}, 'extraocular muscle': {}}imaging observation_fin: ['fat']location descriptor_fin: ['right', 'inferior']clinical findings_fin: {'old right infraorbital wall fracture': {'clinical finding': 'old right infraorbital wall fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'old right infraorbital wall', 'observation': 'fracture', 'temporal_term': 'old'}, 'inferior prolapse': {'clinical finding': 'inferior prolapse', 'cf_snomed': {'prolapse': 29696001}, 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'prolapse'}, 'extraconal fat': {'clinical finding': 'extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'extraconal', 'observation': 'fat'}, 'extraocular muscle entrapment': {'clinical finding': 'extraocular muscle entrapment', 'cf_snomed': {'entrapment': 363563002}, 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle', 'observation': 'entrapment'}}clinical findings_fin: {'minimal parafalcine subdural hematoma': {'clinical finding': 'minimal parafalcine subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal parafalcine subdural', 'observation': 'hematoma', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mass effect': {'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'}}clinical findings_fin: {'mild scattered periventricular hypodensities': {'clinical finding': 'mild scattered periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered periventricular', 'observation': 'hypodensity', 'strength_term': 'mild'}, 'small vessel ischemic disease': {'clinical finding': 'small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}clinical findings_fin: {'calvarial fracture': {'clinical finding': 'calvarial fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'}}anatomical entity_fin: {'paranasal sinuses': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}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: {'transverse process': {}, 'tubercle': {'location descriptor': 'posterior'}, 'transverse foramen': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'acute nondisplaced fracture': {'clinical finding': 'acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'other fractures': {'clinical finding': 'other fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'}}location descriptor_fin: ['anterior']clinical findings_fin: {'anterior osteophytosis': {'clinical finding': 'anterior osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'osteophytosis'}}anatomical entity_fin: {'rib': {'location descriptor': 'left'}, 'neck': {}}location descriptor_fin: ['displaced', 'left']clinical findings_fin: {'acute minimally displaced rib fracture': {'clinical finding': 'acute minimally displaced rib fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'acute minimally displaced rib', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'}}anatomical entity_fin: {'head': {}, 'rib': {}}location descriptor_fin: ['right']clinical findings_fin: {'second acute nondisplaced fracture': {'clinical finding': 'second acute nondisplaced fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'second acute nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'maintained': {'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'}}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: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'moderate left foraminal stenosis': {'clinical finding': 'moderate left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'mild right foraminal stenosis': {'clinical finding': 'mild right foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'mild right foraminal', 'observation': 'stenosis', 'strength_term': 'mild'}}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: {'facet': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral facet hypertrophy': {'clinical finding': 'bilateral facet hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral facet', 'observation': 'hypertrophy'}, 'mild foraminal narrowing': {'clinical finding': 'mild foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild foraminal', 'observation': 'narrowing', 'strength_term': 'mild'}}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: {'spinal canal': {}, 'neural foramina': {}}clinical findings_fin: {'c6 - 7 there is no significant compromise to the spinal canal or neural foramina': {'clinical finding': 'c6 - 7 there is no 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'}} [/INST] [RESP] .There is evidence of an old right infraorbital wall fracture with inferior prolapse of extraconal fat, without evidence of extraocular muscle entrapment. Minimal parafalcine subdural hematoma without mass effect is again visualized, not significantly changed compared to prior study. Mild scattered periventricular hypodensities is again seen, likely representing small vessel ischemic disease of indeterminate age. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. No calvarial fracture. The paranasal sinuses are clear. The cervical vertebral bodies are appropriate in overall alignment and height. There is an acute nondisplaced fracture of the right C7 transverse process through the posterior tubercle without extension into the transverse foramen. No other fractures are identified in the cervical spine. There is anterior osteophytosis at multiple cervical levels. There is an acute minimally displaced rib fracture of the neck of the first left rib, extending obliquely into the shaft of the left rib. There is a second acute nondisplaced fracture of the head of the right first rib. The overall spinal alignment is maintained. 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. There is bilateral facet hypertrophy. There is moderate left foraminal stenosis and mild right foraminal stenosis at this level. At C4-5 there is no significant compromise to the spinal canal or neural foramina. There is bilateral facet hypertrophy and mild foraminal narrowing at this level bilaterally. At C5-6 there is no significant compromise to the spinal canal or neural foramina. At C6-7 there is 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. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'bilateral']object_fin: ['drainage catheter']procedure_fin: ['drainage']clinical findings_fin: {'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement': {'clinical finding': 'interval removal of the previously seen left frontal approach ventricular drainage catheter and placement'}}anatomical entity_fin: {'foramen': {}}location descriptor_fin: ['right', 'left', 'midline']object_fin: ['catheter']clinical findings_fin: {'monro': {'clinical finding': 'monro', 'existence': 'pos_dx', 'observation': 'monro'}}anatomical entity_fin: {'body': {}, 'left lateral ventricle': {}, 'foramen': {}}location descriptor_fin: ['left']object_fin: ['catheter']imaging observation_fin: ['foci']object_fin: ['catheter']clinical findings_fin: {'postprocedural gas': {'clinical finding': 'postprocedural gas', 'existence': 'pos_dx', 'descriptive_term': 'postprocedural', 'observation': 'gas'}, 'gas': {'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'}, 'hemorrhage': {'clinical finding': 'hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'pos_dx', 'observation': 'hemorrhage'}}anatomical entity_fin: {'right lateral ventricle': {}}imaging observation_fin: ['blood products']clinical findings_fin: {'expected nondependent gas': {'clinical finding': 'expected nondependent gas', 'existence': 'pos_dx', 'descriptive_term': 'expected nondependent', 'observation': 'gas'}, 'layering blood products': {'clinical finding': 'layering blood products', 'existence': 'pos_dx', 'descriptive_term': 'layering blood', 'observation': 'product'}}size_fin: [{'size': '2.1 cm'}, {'size': '2.3 cm'}]anatomical entity_fin: {'third ventricles': {}, 'third ventricle': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent dilation': {'clinical finding': 'persistent dilation', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'dilation', 'temporal_term': 'persistent'}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior fossa mass': {'clinical finding': 'posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'posterior fossa', 'observation': 'mass'}, 'decreased': {'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'}}anatomical entity_fin: {'fluid': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'heterogeneous posterior fossa mass': {'clinical finding': 'heterogeneous posterior fossa mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous posterior fossa', 'observation': 'mass'}, 'small residual': {'clinical finding': 'small residual', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'residual', 'strength_term': 'small'}, 'minimal local pneumocephalus': {'clinical finding': 'minimal local pneumocephalus', 'cf_snomed': {'pneumocephalus': 14415006}, 'existence': 'pos_dx', 'descriptive_term': 'minimal local', 'observation': 'pneumocephalus', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['lateral']clinical findings_fin: {'persistent hyperdensity': {'clinical finding': 'persistent hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'hyperdensity', 'temporal_term': 'persistent'}, 'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'mastoid air cells': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right mastoid air cells are again partially opacified': {'clinical finding': 'right mastoid air cells are again partially opacified', 'change_term': 'opacified'}}clinical findings_fin: {'effaced': {'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'}} [/INST] [RESP] There has been interval removal of the previously seen left frontal approach ventricular drainage catheter and placement of new bilateral frontal approach ventricular drainage catheters. The catheter on the right has its tip near the foramen of Monro to the left of midline. The catheter on the left has its tip within the body of the left lateral ventricle near the foramen of Monro. There is postprocedural gas along the new catheter tracts, and there is high density material and small foci of gas along the prior catheter tract, compatible with hemorrhage. There is also a small amount of expected nondependent gas and mildly increased conspicuity of layering blood products within the right lateral ventricle. There is persistent dilation of the lateral and third ventricles which appears slightly decreased compared to the prior study, with the third ventricle now measuring 2.1 cm in transverse dimension , previously 2.3 cm. The CSF space surrounding the posterior fossa mass is mildly decreased compared prior study. There is redemonstration of postoperative changes of occipital craniotomy with partial resection of a heterogeneous posterior fossa mass, with small residual extra-axial fluid and minimal local pneumocephalus. There is persistent hyperdensity along the lateral aspect of the mass. The right mastoid air cells are again partially opacified. The sulci are again partially effaced, similar to prior. [/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'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'fatty liver': {'clinical finding': 'fatty liver'}}clinical findings_fin: {'unchanged splenic appearance': {'clinical finding': 'unchanged splenic appearance', 'change_term': 'unchanged'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}clinical findings_fin: {'renal masses': {'clinical finding': 'renal masses', 'cf_snomed': {'renal mass': 309088003}, 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'mass'}}clinical findings_fin: {'retroperitoneal lymphadenopathy': {'clinical finding': 'retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'surgical neobladder': {'clinical finding': 'surgical neobladder', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'neobladder'}, 'irregularity': {'clinical finding': 'irregularity', 'existence': 'neg_dx', 'observation': 'irregularity'}, 'abnormal enhancement': {'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'post surgical changes': {'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'}, 'neobladder': {'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . No significant abnormality noted. Fatty liver. Cholelithiasis. Unchanged splenic appearance. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. No renal masses. Prompt contrast enhancement and excretion. No retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgical neobladder, without irregularity or abnormal enhancement. No pelvic lymphadenopathy. No obstruction. Post surgical changes related to neobladder formation. 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: {'measurable mass lesions': {'clinical finding': 'measurable mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion'}, 'significant cervical lymphadenopathy': {'clinical finding': 'significant cervical lymphadenopathy', 'cf_snomed': {'cervical lymphadenopathy': 127086001}, 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'major salivary glands': {}}clinical findings_fin: {'thyroid and major salivary glands are unchanged': {'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'}}clinical findings_fin: {'mild multilevel degenerative spondylosis': {'clinical finding': 'mild multilevel degenerative spondylosis', 'cf_snomed': {'spondylosis': 8847002}, 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'}}anatomical entity_fin: {'airways': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'imaged intracranial structures are unremarkable': {'clinical finding': 'imaged intracranial structures are unremarkable'}}anatomical entity_fin: {'lungs': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}}clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'orbits are grossly unremarkable': {'clinical finding': 'orbits are grossly unremarkable'}}anatomical entity_fin: {'paranasal sinus': {}}clinical findings_fin: {'minimal scattered paranasal sinus mucosal thickening': {'clinical finding': 'minimal scattered paranasal sinus mucosal thickening', 'cf_snomed': {'sinus': 419351001}, 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}size_fin: [{'size': '10 mm', 'size_descriptor': 'lipoma'}]location descriptor_fin: ['left']clinical findings_fin: {'left occipital subgaleal lipoma': {'clinical finding': 'left occipital subgaleal lipoma', 'cf_snomed': {'lipoma': 134328007}, 'existence': 'pos_dx', 'descriptive_term': 'left occipital subgaleal', 'observation': 'lipoma'}} [/INST] [RESP] . There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unchanged. There is mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits are grossly unremarkable. There is minimal scattered paranasal sinus mucosal thickening. There is a left occipital subgaleal lipoma that measures up to 10 mm in width. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.0 x 1.0 cm', 'size_descriptor': 'nodule'}]anatomical entity_fin: {'middle': {'location descriptor': 'right'}, 'lobe': {}, 'right major fissure': {}}imaging observation_fin: ['margin']location descriptor_fin: ['right', 'anterior']clinical findings_fin: {'right middle lobe nodule': {'clinical finding': 'right middle lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'}}clinical findings_fin: {'increased uptake': {'clinical finding': 'increased uptake', 'existence': 'neg_dx', 'descriptive_term': 'increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'}, 'other nodules': {'clinical finding': 'other nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'nodule'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}clinical findings_fin: {'adenopathy': {'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'}}anatomical entity_fin: {'esophagus': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'diffuse thickening': {'clinical finding': 'diffuse thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'thickening'}, 'patients known malignancy': {'clinical finding': 'patients known malignancy', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'malignancy'}}clinical findings_fin: {'extension into the periesophageal soft tissues is seen': {'clinical finding': 'extension into the periesophageal soft tissues is seen'}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent enlarged lymph nodes': {'clinical finding': 'adjacent enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'adjacent enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'anterior chest wall': {'location descriptor': 'right'}, 'superior vena cava': {'location descriptor': 'distal'}}location descriptor_fin: ['right', 'distal']object_fin: ['port', 'catheter']clinical findings_fin: {'right anterior chest wall port-a-cath': {'clinical finding': 'right anterior chest wall port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right anterior chest wall', 'observation': 'port-a-'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'walls': {}}location descriptor_fin: ['distal']clinical findings_fin: {'patients known tumor': {'clinical finding': 'patients known tumor', 'existence': 'pos_dx', 'descriptive_term': 'patients known', 'observation': 'tumor'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'thickening': {'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'}}anatomical entity_fin: {'stomach': {}}clinical findings_fin: {'more distally the stomach appears normal': {'clinical finding': 'more distally the stomach appears normal'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: {'orally administered contrast': {'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'}}imaging observation_fin: ['colon']clinical findings_fin: {'scattered rare diverticular changes': {'clinical finding': 'scattered rare diverticular changes', 'existence': 'neg_dx', 'descriptive_term': 'scattered rare diverticular', 'observation': 'change'}, 'complication': {'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'}}anatomical entity_fin: {'fluid': {}, 'pelvis': {}}clinical findings_fin: {'small amount of free mesenteric fluid is seen': {'clinical finding': 'small amount of free mesenteric fluid is seen'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . Right middle lobe nodule measuring 1.0 x 1.0 cm abutting the anterior margin of the right major fissure. This is unchanged in appearance since 7/8/2015 at which time it did not demonstrate increased uptake on the PET or CT. No other nodules are seen. No pleural disease. No adenopathy seen. There is diffuse thickening of the distal esophagus as it approaches the EG junction and presumably represents patients known malignancy. No extension into the periesophageal soft tissues is seen. No adjacent enlarged lymph nodes are seen. None. Right anterior chest wall Port-A-Cath system with tip of catheter in the distal superior vena cava. No other abnormality seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Thickening of the distal esophageal walls approaches the EG junction is seen, representing site of patients known tumor. The thickening extends into the cardia of the stomach. More distally the stomach appears normal. Orally administered contrast delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Orally administered contrast material delineates normal appearing small bowel. Colon is filled with fecal material and shows scattered rare diverticular changes without complication. Small amount of free mesenteric fluid is seen dependent in the pelvis. 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: {'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'fracture lines': {'clinical finding': 'fracture lines', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'line'}}clinical findings_fin: {'minimal displacement': {'clinical finding': 'minimal displacement', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'displacement', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'fracture fragments': {'clinical finding': 'fracture fragments', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment'}, 'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}anatomical entity_fin: {'fibula': {'location descriptor': 'distal'}}location descriptor_fin: ['distal', 'lateral']clinical findings_fin: {'comminuted fracture': {'clinical finding': 'comminuted fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'}, 'slight lateral displacement': {'clinical finding': 'slight lateral displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight lateral', 'observation': 'displacement'}, 'distal fracture fragment': {'clinical finding': 'distal fracture fragment', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment'}}anatomical entity_fin: {'calcaneus': {}, 'metatarsal': {}}location descriptor_fin: ['external']object_fin: ['fixation device']clinical findings_fin: {'external fixation device': {'clinical finding': 'external fixation device', 'existence': 'pos_dx', 'descriptive_term': 'external fixation', 'observation': 'device'}}anatomical entity_fin: {'metatarsal': {}, 'calcaneus': {}, 'tibia': {'location descriptor': 'distal'}}location descriptor_fin: ['distal']clinical findings_fin: {'serpentine sclerosis': {'clinical finding': 'serpentine sclerosis', 'cf_snomed': {'sclerosis': 43846000}, 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'sclerosis'}, 'bone infarct': {'clinical finding': 'bone infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'infarct'}}anatomical entity_fin: {'ankle': {}}clinical findings_fin: {'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}} [/INST] [RESP] Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally, there is a comminuted fracture of the distal fibula with slight lateral displacement of the distal fracture fragment. There is been interval placement of an external fixation device with screws anchored in the calcaneus and first metatarsal. Areas of serpentine sclerosis are seen in the first metatarsal, calcaneus, and distal tibia, compatible with bone infarct. There is edema in the subcutaneous soft tissues surrounding the ankle. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'new hemorrhagic or ischemic lesion': {'clinical finding': 'new hemorrhagic or ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'new hemorrhagic or ischemic', 'observation': 'lesion', 'temporal_term': 'new'}}location descriptor_fin: ['right']clinical findings_fin: {'right frontal burr hole area intra cranial air densities': {'clinical finding': 'right frontal burr hole area intra cranial air densities', 'existence': 'pos_dx', 'descriptive_term': 'right frontal burr hole area intra cranial air', 'observation': 'density'}}location descriptor_fin: ['right']clinical findings_fin: {'otherwise no interval change': {'clinical finding': 'otherwise no interval change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no interval', 'observation': 'change', 'quantity_term': 'no'}, 'right hemispheric intra axial mass': {'clinical finding': 'right hemispheric intra axial mass', 'existence': 'neg_dx', 'descriptive_term': 'right hemispheric intra axial', 'observation': 'mass'}, 'mass effects': {'clinical finding': 'mass effects', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'}, 'high attenuations': {'clinical finding': 'high attenuations', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'attenuation'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}}clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['midline']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}}location descriptor_fin: ['right']clinical findings_fin: {'change': {'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'}, 'right frontal burr hole': {'clinical finding': 'right frontal burr hole', 'existence': 'neg_dx', 'descriptive_term': 'right frontal burr', 'observation': 'hole'}} [/INST] [RESP] There is no evidence of new hemorrhagic or ischemic lesion on this scan. Interval decrease of right frontal burr hole area intra cranial air densities since prior scan. Otherwise no interval change of right hemispheric intra axial mass with mass effects and intra lesional high attenuations and the degree of surrounding edema since prior scan. No change of ventricle size since prior scan. No change of the degree of midline shift since prior scan. No change of right temporo parietal craniotomy and right frontal burr hole. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'base': {}, 'tongue': {}, 'epiglottis': {}}clinical findings_fin: {'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae': {'clinical finding': 'slightly limited by patient motion , especially at the level of the base of tongue , epiglottis and valleculae'}}anatomical entity_fin: {'base': {'location descriptor': 'right'}, 'tongue': {}}location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: {'prominent low-density': {'clinical finding': 'prominent low-density', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'low', 'strength_term': 'prominent'}}size_fin: [{'size': '1.2 x 2.0 cm', 'size_descriptor': 'margins'}]imaging observation_fin: ['margins']clinical findings_fin: {'margins are difficult': {'clinical finding': 'margins are difficult'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'effacement': {'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement'}}location descriptor_fin: ['left', 'right']clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}anatomical entity_fin: {'base': {}, 'tongue': {}}imaging observation_fin: ['enhancing']clinical findings_fin: {'significant asymmetric enhancing tissue': {'clinical finding': 'significant asymmetric enhancing tissue', 'existence': 'neg_dx', 'descriptive_term': 'significant asymmetric enhancing', 'observation': 'tissue'}}imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: {'slight focal medialization': {'clinical finding': 'slight focal medialization', 'existence': 'unc_dx', 'descriptive_term': 'slight focal', 'observation': 'medialization'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}}anatomical entity_fin: {'palatine tonsils': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'prominent bilateral coarse': {'clinical finding': 'prominent bilateral coarse', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral', 'observation': 'coarse', 'strength_term': 'prominent'}, 'tonsilliths': {'clinical finding': 'tonsilliths', 'existence': 'pos_dx', 'observation': 'tonsillith'}}anatomical entity_fin: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'upper'}, 'esophagus': {}}location descriptor_fin: ['upper']clinical findings_fin: {'upper trachea and esophagus are unremarkable': {'clinical finding': 'upper trachea and esophagus are unremarkable'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'postcontrast appearance of the salivary glands is unremarkable': {'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'spinal': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'mild-moderate multilevel spondylotic changes': {'clinical finding': 'mild-moderate multilevel spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate multilevel spondylotic', 'observation': 'change', 'strength_term': 'mild - moderate'}, 'dominant posterior osteophyte disk complex': {'clinical finding': 'dominant posterior osteophyte disk complex', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'dominant posterior osteophyte disk', 'observation': 'complex'}, 'up to moderate central spinal stenosis': {'clinical finding': 'up to moderate central spinal stenosis', 'cf_snomed': {'spinal stenosis': 76107001}, 'existence': 'pos_dx', 'descriptive_term': 'up to moderate central spinal', 'observation': 'stenosis', 'strength_term': 'moderate'}}anatomical entity_fin: {'foraminal': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'moderate bilateral foraminal narrowing': {'clinical finding': 'moderate bilateral foraminal narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'minimal nonspecific nodular opacity': {'clinical finding': 'minimal nonspecific nodular opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific nodular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided aicd is partially visualized': {'clinical finding': 'left-sided aicd is partially visualized'}} [/INST] [RESP] Images are slightly limited by patient motion, especially at the level of the base of tongue, epiglottis and valleculae. Within these limitations, there is a prominent low-density structure along the left greater than right base of tongue, obscuring the lower part of the petiole. This measures 24 Hounsfield units. The margins are difficult to delineate, although it measures approximately 1.2 x 2.0 cm in greatest axial dimensions on 6/48. There is essentially effacement of the left vallecula, with diminutive size of the right vallecula. The left piriform sinus is slightly smaller than the right. No significant asymmetric enhancing tissue is identified at the base of tongue. This area is better visualized on the angled delayed postcontrast images. There is suggestion of slight focal medialization of the left true vocal cord, although evaluation is limited by artifact at this level. PHARYNX/. Prominent bilateral coarse consultations are seen in the palatine tonsils, consistent with tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mild-moderate multilevel spondylotic changes most conspicuous at C3-C4 where there is a dominant posterior osteophyte disk complex resulting in up to moderate central spinal stenosis. There is moderate bilateral foraminal narrowing at C4-C5 and C5-C6. There is minimal nonspecific nodular opacity peripherally in the right upper lobe. A left-sided AICD is partially visualized. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'neck': {}, 'pelvis': {}}clinical findings_fin: {'todays ct portion of the neck and pelvis demonstrates no significant pathology': {'clinical finding': 'todays ct portion of the neck and pelvis demonstrates no significant pathology'}}anatomical entity_fin: {'chest': {}, 'upper abdomen': {}}location descriptor_fin: ['right']clinical findings_fin: {'diffuse markedly hypermetabolic irregular activity': {'clinical finding': 'diffuse markedly hypermetabolic irregular activity', 'existence': 'unc_dx', 'descriptive_term': 'diffuse markedly hypermetabolic irregular', 'observation': 'activity'}, 'mesothelioma': {'clinical finding': 'mesothelioma', 'existence': 'unc_dx', 'observation': 'mesothelioma'}}anatomical entity_fin: {'mediastinum': {'location descriptor': 'right'}, 'mediastinal lymph node': {}}location descriptor_fin: ['right']clinical findings_fin: {'tumor': {'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'}, 'discrete hypermetabolic mediastinal lymph node': {'clinical finding': 'discrete hypermetabolic mediastinal lymph node', 'existence': 'neg_dx', 'descriptive_term': 'discrete hypermetabolic mediastinal lymph', 'observation': 'node'}}anatomical entity_fin: {'axillary lymph node': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'small mildly hypermetabolic right axillary lymph node': {'clinical finding': 'small mildly hypermetabolic right axillary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small mildly hypermetabolic right axillary lymph', 'observation': 'node', 'strength_term': 'small - mildly'}, 'tumor': {'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'}}anatomical entity_fin: {'abdomen': {}, 'pelvis': {}}location descriptor_fin: ['contralateral', 'left']clinical findings_fin: {'suspicious contralateral thoracic hypermetabolic lesion': {'clinical finding': 'suspicious contralateral thoracic hypermetabolic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious contralateral thoracic hypermetabolic', 'observation': 'lesion'}, 'left thoraxno suspicious fdg avid lesion': {'clinical finding': 'left thoraxno suspicious fdg avid lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'left thoraxno suspicious fdg avid', 'observation': 'lesion'}} [/INST] [RESP] Todays CT portion of the neck and pelvis demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest and upper abdomen. Todays PET examination demonstrates diffuse markedly hypermetabolic irregular activity involving the majority of the right pleural surfaces and compatible with the patients diagnosis of mesothelioma. Tumor activity abuts the right mediastinum at numerous locations although no discrete hypermetabolic mediastinal lymph node is detected. A small mildly hypermetabolic right axillary lymph node may be inflammatory although tumor involvement is conceivable. No suspicious contralateral thoracic hypermetabolic lesion is seen in the left thoraxNo suspicious FDG avid lesion within the abdomen or pelvis [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'nasal cavity': {}}clinical findings_fin: {'obstructive lesions': {'clinical finding': 'obstructive lesions', 'cf_snomed': {'obstructive lesion': 708531006}, 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'lesion'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'cells': {}}clinical findings_fin: {'minor opacities': {'clinical finding': 'minor opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'opacity'}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'mastoid air cells': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'orbits': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}} [/INST] [RESP] The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The frontal sinuses are clear. Maxillary sinuses are clear. Ethmoid air cells demonstrate minor opacities. Sphenoid sinuses are clear. Visualized portions of the mastoid air cells and middle ears are clear. Visualized orbits are intact and the visualized intracranial structures are within normal limits. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'stereotactic frame': {'clinical finding': 'stereotactic frame', 'existence': 'pos_dx', 'descriptive_term': 'stereotactic', 'observation': 'frame'}, 'apparent complications': {'clinical finding': 'apparent complications', 'existence': 'pos_dx', 'descriptive_term': 'apparent', 'observation': 'complication'}}clinical findings_fin: {'multiple supratentorial and infrasternal lesions': {'clinical finding': 'multiple supratentorial and infrasternal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple supratentorial and infrasternal', 'observation': 'lesion', 'quantity_term': 'multiple'}} [/INST] [RESP] There is a stereotactic frame in position, without apparent complications. The multiple supratentorial and infrasternal lesions are more conspicuous on the prior MRI. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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': '8.6 cm'}]location descriptor_fin: ['left']clinical findings_fin: {'dominant 8.6 cm left renal cyst': {'clinical finding': 'dominant 8.6 cm left renal cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'dominant 8 6 cm left renal', 'observation': 'cyst'}}size_fin: [{'size': '1.4 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'left kidney': {}}clinical findings_fin: {'hypoattenuating lesion': {'clinical finding': 'hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion'}, 'renal hypoattenuating lesion': {'clinical finding': 'renal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'renal hypoattenuating', 'observation': 'lesion'}}clinical findings_fin: {'mild aortobiiliac calcified atherosclerotic disease': {'clinical finding': 'mild aortobiiliac calcified atherosclerotic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac calcified atherosclerotic', 'observation': 'disease', 'strength_term': 'mild', 'change_term': 'calcified'}}imaging observation_fin: ['colon']clinical findings_fin: {'rectosigmoid colon': {'clinical finding': 'rectosigmoid colon', 'existence': 'unc_dx', 'descriptive_term': 'rectosigmoid', 'observation': 'colon'}, 'mild focal rectosigmoid narrowing': {'clinical finding': 'mild focal rectosigmoid narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'unc_dx', 'descriptive_term': 'mild focal rectosigmoid', 'observation': 'narrowing', 'strength_term': 'mild'}}clinical findings_fin: {'small colonic diverticula': {'clinical finding': 'small colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'small colonic', 'observation': 'diverticula', 'strength_term': 'small'}, 'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}size_fin: [{'size': '3.3 x 1.8 cm', 'size_descriptor': 'artifact'}]anatomical entity_fin: {'lumen': {}, 'sigmoid colon': {}}clinical findings_fin: {'metallic artifact': {'clinical finding': 'metallic artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'artifact'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . No suspicious pulmonary nodule, no pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Splenule, image 86 series No significant abnormality noted. No significant abnormality noted. Dominant 8.6 cm left renal cyst. Indeterminant additional 1.4 cm hypoattenuating lesion in left kidney, image 118 series Additional too small to characterize renal hypoattenuating lesion seen. Mild aortobiiliac calcified atherosclerotic disease. Patients suspected rectosigmoid colon not well delineated on current study, mild focal rectosigmoid narrowing seen on coronal image 37 nonspecific. Small colonic diverticula without evidence of acute diverticulitis. Metallic artifact seen in the lumen at junction of descending and sigmoid colon, image 163 series Heterogeneous soft tissue fullness seen in vaginal area on image 191 series 3, measuring approximately 3.3 x 1.8 cm, uncertain whether within normal limits and correlation with patients clinical history and physical exam recommended. 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: {'pulmonary nodules': {'clinical finding': 'pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'}, 'opacities': {'clinical finding': 'opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'left vertebral artery': {}, 'aortic arch': {}, 'normal variant': {}}clinical findings_fin: {'normal variant': {'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'}}anatomical entity_fin: {'azygos arch': {}}clinical findings_fin: {'calcification': {'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size is normal': {'clinical finding': 'heart size is normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'liver': {}}clinical findings_fin: {'normal morphology and size of the liver': {'clinical finding': 'normal morphology and size of the liver'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder is visualized and is of normal size and position': {'clinical finding': 'gallbladder is visualized and is of normal size and position', 'cf_snomed': {'normal size': 53461003}}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'normal morphology and size of the spleen': {'clinical finding': 'normal morphology and size of the spleen'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'focal spleen lesion': {'clinical finding': 'focal spleen lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal spleen', 'observation': 'lesion'}}anatomical entity_fin: {'pancreas': {}, 'parenchyma': {}}imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: {'homogeneous enhancement': {'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'}}clinical findings_fin: {'peripancreatic inflammatory changes': {'clinical finding': 'peripancreatic inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'peripancreatic inflammatory', 'observation': 'change'}}anatomical entity_fin: {'adrenal glands': {}}clinical findings_fin: {'adrenal glands are normal in appearance': {'clinical finding': 'adrenal glands are normal in appearance'}}imaging observation_fin: ['symmetric enhancement']clinical findings_fin: {'symmetric enhancement': {'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}}anatomical entity_fin: {'right kidney': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'fairly homogenous mass': {'clinical finding': 'fairly homogenous mass', 'existence': 'pos_dx', 'descriptive_term': 'fairly homogenous', 'observation': 'mass'}, 'attenuation': {'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'}}imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: {'minimal adjacent fat stranding': {'clinical finding': 'minimal adjacent fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal adjacent fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'}}anatomical entity_fin: {'kidney': {}}location descriptor_fin: ['superior']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'normal alignment of the thoracic or lumbar spine': {'clinical finding': 'normal alignment of the thoracic or lumbar spine'}}clinical findings_fin: {'fracture': {'clinical finding': 'fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'neg_dx', 'observation': 'fracture'}}clinical findings_fin: {'bony lesion': {'clinical finding': 'bony lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'ovaries': {}}clinical findings_fin: {'ovaries are normal': {'clinical finding': 'ovaries are normal'}}anatomical entity_fin: {'bladder': {}}clinical findings_fin: {'nondistended normal - appearing bladder': {'clinical finding': 'nondistended normal - appearing bladder'}}clinical findings_fin: {'pelvic lymphadenopathy': {'clinical finding': 'pelvic lymphadenopathy', 'cf_snomed': {'pelvic lymphadenopathy': 127158006}, 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'mural thickening': {'clinical finding': 'mural thickening', 'existence': 'neg_dx', 'descriptive_term': 'mural', 'observation': 'thickening'}, 'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}anatomical entity_fin: {'spine': {}, 'heads': {}}clinical findings_fin: {'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula': {'clinical finding': 'normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula'}}size_fin: [{'size': '9.8 x 8.4 cm', 'size_descriptor': 'mass'}]location descriptor_fin: ['right', 'proximal']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'}, 'right proximal femoral ewings sarcoma': {'clinical finding': 'right proximal femoral ewings sarcoma', 'cf_snomed': {'sarcoma': 424413001}, 'existence': 'pos_dx', 'descriptive_term': 'right proximal femoral ewings', 'observation': 'sarcoma'}}anatomical entity_fin: {'femur': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'wispy tumor bone formation': {'clinical finding': 'wispy tumor bone formation', 'existence': 'pos_dx', 'descriptive_term': 'wispy tumor bone', 'observation': 'formation'}, 'soft tissue mass': {'clinical finding': 'soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'}}clinical findings_fin: {'bmi is abnormally increased': {'clinical finding': 'bmi is abnormally increased', 'change_term': 'increased'}} [/INST] [RESP] . No pulmonary nodules or opacities are visualized. No pleural effusion, pneumothorax. The left vertebral artery originates from the aortic arch, normal variant anatomy. There is a calcification in the azygos arch, of no clinical significance. No lymphadenopathy. The heart size is normal. No significant abnormality noted. Normal morphology and size of the liver. The gallbladder is visualized and is of normal size and position. Normal morphology and size of the spleen. No focal spleen lesion is evident. Normal morphology of the pancreas with homogeneous enhancement of the pancreatic parenchyma. No peripancreatic inflammatory changes are evident. The adrenal glands are normal in appearance. Symmetric enhancement. No hydronephrosis is evident. Posterior to the right kidney is fairly homogenous mass with attenuation similar to skeletal muscle. It is round with minimal adjacent fat stranding. The mass is contiguous with the kidney and flattens the superior posterolateral aspect of the kidney. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracic or lumbar spine. No fracture is evident. No bony lesion is visualized. No significant abnormality noted. The ovaries are normal. Nondistended normal-appearing bladder. No pelvic lymphadenopathy is present. No mural thickening, bowel obstruction or pneumoperitoneum is evident. Normal alignment of the thoracolumbar spine both femoral heads are well directed in their respective acetabula. The mass associated with the right proximal femoral Ewings sarcoma measures 9.8 x 8.4 cm. There is wispy tumor bone formation within the soft tissue mass immediately adjacent to the femur. BMI is abnormally increased. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'centrilobular emphysema': {'clinical finding': 'centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'stable subcentimeter hypodense lesion': {'clinical finding': 'stable subcentimeter hypodense lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'stable subcentimeter hypodense', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right', 'peripheral']clinical findings_fin: {'two right hepatic lobe hypodense lesions': {'clinical finding': 'two right hepatic lobe hypodense lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'two right hepatic lobe hypodense', 'observation': 'lesion'}, 'peripheral nodular discontinuous enhancement': {'clinical finding': 'peripheral nodular discontinuous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral nodular discontinuous', 'observation': 'enhancement'}, 'hemangiomas': {'clinical finding': 'hemangiomas', 'existence': 'pos_dx', 'observation': 'hemangiomas'}}clinical findings_fin: {'layering gallstones': {'clinical finding': 'layering gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'layering', 'observation': 'gallstone'}, 'gallbladder wall thickening': {'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'}, 'pericholecystic fluid': {'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'}, 'cholecystitis': {'clinical finding': 'cholecystitis', 'cf_snomed': {'cholecystitis': 76581006}, 'existence': 'unc_dx', 'observation': 'cholecystitis'}}clinical findings_fin: {'subcentimeter hypodense hepatic dome lesion': {'clinical finding': 'subcentimeter hypodense hepatic dome lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense hepatic dome', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal aorta': {}, 'infrarenal aorta': {}}clinical findings_fin: {'atherosclerotic disease of the abdominal aorta': {'clinical finding': 'atherosclerotic disease of the abdominal aorta', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic disease of the abdominal', 'observation': 'aorta'}, 'mural thrombus': {'clinical finding': 'mural thrombus', 'cf_snomed': {'mural thrombus': 51670003}, 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus'}}clinical findings_fin: {'aneurysmal dilatation': {'clinical finding': 'aneurysmal dilatation', 'cf_snomed': {'dilatation': 25322007}, 'existence': 'neg_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilatation'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'calcified leiomyomatous uterus': {'clinical finding': 'calcified leiomyomatous uterus', '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'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'bowel obstruction': {'clinical finding': 'bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'}, 'ileus': {'clinical finding': 'ileus', 'existence': 'neg_dx', 'observation': 'ileus'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'free pelvic fluid': {'clinical finding': 'free pelvic fluid'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'suspicious osseous lesion': {'clinical finding': 'suspicious osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . Centrilobular emphysema. No suspicious pulmonary nodule. No significant abnormality noted. Moderate to severe. No significant abnormality noted. Stable subcentimeter hypodense lesion within the right thyroid lobe. Two right hepatic lobe hypodense lesions with peripheral nodular discontinuous enhancement, compatible with hemangiomas, unchanged. Layering gallstones, with no gallbladder wall thickening or pericholecystic fluid to suggest cholecystitis. Subcentimeter hypodense hepatic dome lesion, too small to characterize, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Severe atherosclerotic disease of the abdominal aorta and its branches, with mural thrombus most significant at the infrarenal aorta, unchanged. No aneurysmal dilatation. No significant abnormality noted. Degenerative changes of the thoracic and lumbar spine. No suspicious osseous lesion identified. No significant abnormality noted. Calcified leiomyomatous uterus. No significant abnormality noted. No significant abnormality noted. No evidence of bowel obstruction or ileus. No free pelvic fluid. Degenerative changes of the thoracic and lumbar spine. No suspicious osseous lesion. No significant abnormality noted. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'extensive postoperative changes': {'clinical finding': 'extensive postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive'}, 'all the ossicles': {'clinical finding': 'all the ossicles', 'existence': 'pos_dx', 'descriptive_term': 'all the', 'observation': 'ossicle', 'quantity_term': 'all'}}anatomical entity_fin: {'fluid': {}}clinical findings_fin: {'large surgical cavity': {'clinical finding': 'large surgical cavity', 'cf_snomed': {'cavity': 2483006}, 'existence': 'pos_dx', 'descriptive_term': 'large surgical', 'observation': 'cavity', 'strength_term': 'large'}}object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'fixation screw': {'clinical finding': 'fixation screw', 'existence': 'pos_dx', 'descriptive_term': 'fixation', 'observation': 'screw'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'few remaining mastoid air cells': {'clinical finding': 'few remaining mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'few remaining mastoid air', 'observation': 'cell', 'quantity_term': 'few'}}anatomical entity_fin: {'sphenoid sinus': {}}location descriptor_fin: ['adjacent', 'right']clinical findings_fin: {'significant bony thinning': {'clinical finding': 'significant bony thinning', 'existence': 'pos_dx', 'descriptive_term': 'significant bony', 'observation': 'thinning'}, 'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'middle ear cavity': {}}imaging observation_fin: ['soft tissue density']clinical findings_fin: {'postoperative changes': {'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'}, 'soft tissue density': {'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'}}clinical findings_fin: {'bony irregularity': {'clinical finding': 'bony irregularity', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'irregularity'}, 'lytic changes': {'clinical finding': 'lytic changes', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'change'}, 'thinning': {'clinical finding': 'thinning', 'existence': 'pos_dx', 'observation': 'thinning'}}clinical findings_fin: {'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}, 'changes': {'clinical finding': 'changes', 'existence': 'unc_dx', 'observation': 'change'}, 'prior infections': {'clinical finding': 'prior infections', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'infection'}}clinical findings_fin: {'osteomyelitis': {'clinical finding': 'osteomyelitis', 'cf_snomed': {'osteomyelitis': 60168000}, 'existence': 'unc_dx', 'observation': 'osteomyelitis'}}anatomical entity_fin: {'wall': {}, 'carotid canal': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}, 'lytic changes': {'clinical finding': 'lytic changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic', 'observation': 'change'}, 'direct extension': {'clinical finding': 'direct extension', 'existence': 'unc_dx', 'descriptive_term': 'direct', 'observation': 'extension'}}anatomical entity_fin: {'carotid canal': {}}location descriptor_fin: ['lateral']clinical findings_fin: {'air density': {'clinical finding': 'air density', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'density'}}anatomical entity_fin: {'jugular fossa': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'temporomandibular joint': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'right temporal lobe': {'location descriptor': 'inferior'}}location descriptor_fin: ['inferior']clinical findings_fin: {'hypoattenuation': {'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'}}anatomical entity_fin: {'external auditory canal': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tympanic membrane': {}}clinical findings_fin: {'tympanic membrane is faintly visualized': {'clinical finding': 'tympanic membrane is faintly visualized'}}anatomical entity_fin: {'mastoid air cells': {}}clinical findings_fin: {'mastoid air cells': {'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'}, 'clear': {'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'}}anatomical entity_fin: {'tegmen tympani': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'inner ear': {}}clinical findings_fin: {'inner ear structures have a normal morphology': {'clinical finding': 'inner ear structures have a normal morphology'}}anatomical entity_fin: {'cochlea': {}, 'vestibule': {}, 'semicircular canals': {}, 'facial nerve': {}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}anatomical entity_fin: {'vestibular aqueduct': {}}clinical findings_fin: {'normal limits in size': {'clinical finding': 'normal limits in size'}}anatomical entity_fin: {'internal auditory canal': {}}clinical findings_fin: {'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}} [/INST] [RESP] . There are extensive postoperative changes from prior mastoidectomy including removal of all the ossicles. There is fluid and air within a large surgical cavity. Surgical clips and fixation screw are noted at the tegmentum tympani. The few remaining mastoid air cells are opacified. There is significant bony thinning adjacent to the right sphenoid sinus, although the sphenoid sinus has normal signal characteristics and appears patent on prior MRI study. Within the middle ear cavity, there are postoperative changes with small pockets of air and soft tissue density. There are multiple areas of bony irregularity and lytic changes with thinning of the bone. This may represent postsurgical changes, or changes associated with episodes of prior infections. Osteomyelitis cannot entirely be excluded. The bony wall of the carotid canal is intact without lytic changes to suggest direct extension. There is air density immediately lateral to the carotid canal. The jugular fossa is intact. The temporomandibular joint is intact. The bony coverings of the cochlea, vestibule, and semicircular canals are intact. Again seen is an area of hypoattenuation within the inferior right temporal lobe which is better characterized on recent MRI study. The external auditory canal is clear. The tympanic membrane is faintly visualized. The scutum remains sharp. The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact. The inner ear structures have a normal morphology. The bony coverings of the cochlea, vestibule, semicircular canals, and facial nerve canal are intact. The vestibular aqueduct is within normal limits in size. No abnormalities of the osseous internal auditory canal are demonstrated. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute pulmonary embolus': {'clinical finding': 'acute pulmonary embolus', 'cf_snomed': {'embolus': 55584005}, 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary artery caliber is within normal limits': {'clinical finding': 'main pulmonary artery caliber is within normal limits'}}anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'}}clinical findings_fin: {'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: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'scattered calcified and noncalcified pulmonary nodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'nodule', 'change_term': 'calcified'}}clinical findings_fin: {'suspicious nodule': {'clinical finding': 'suspicious nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'lung': {}, 'bases': {}}clinical findings_fin: {'minimal interlobular septal thickening': {'clinical finding': 'minimal interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal interlobular septal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'}, 'mild pulmonary edema': {'clinical finding': 'mild pulmonary edema', 'cf_snomed': {'pulmonary edema': 19242006}, 'existence': 'unc_dx', 'descriptive_term': 'mild pulmonary', 'observation': 'edema', 'strength_term': 'mild'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right heart strain': {'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'}}clinical findings_fin: {'residual thymic tissue': {'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'}}location descriptor_fin: ['left']clinical findings_fin: {'calcified subcarinal and left hilar lymph nodes': {'clinical finding': 'calcified subcarinal and left hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal and left hilar lymph', 'observation': 'node', 'change_term': 'calcified'}}clinical findings_fin: {'significant mediastinal or hilar lymphadenopathy': {'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy': {'clinical finding': 'significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'significant axillary subpectoral internal mammary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'osseous structures are within normal limits': {'clinical finding': 'osseous structures are within normal limits'}}anatomical entity_fin: {'axilla': {'location descriptor': 'right'}, 'breast': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: {'surgical clips': {'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'}, 'postsurgical changes': {'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy'] [/INST] [RESP] . Technically limited examination due to beam attenuation secondary to patient body habitus. Within this limitation limitation, no evidence of acute pulmonary embolus is present. Main pulmonary artery caliber is within normal limits. The central airways are patent. Mild bronchial wall thickening. No pneumothorax or pleural effusion. Scattered calcified and noncalcified pulmonary nodules. No suspicious nodule or mass. Minimal interlobular septal thickening in the lung bases suggestive of mild pulmonary edema. The heart size is normal without pericardial effusion. No evidence of right heart strain. Residual thymic tissue is present. Calcified subcarinal and left hilar lymph nodes. No significant mediastinal or hilar lymphadenopathy. Negative. No significant axillary, subpectoral, internal mammary, cardiophrenic, or retrocrural lymphadenopathy. Osseous structures are within normal limits. Surgical clips in the right axilla with postsurgical changes in the right breast. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: 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: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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: ['cholecystectomy']clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '1.6 x 1.5 cm', 'size_descriptor': 'mass'}]anatomical entity_fin: {'right kidney': {}}imaging observation_fin: ['enhancing']location descriptor_fin: ['superior']clinical findings_fin: {'1.6 x 1.5 cm abnormally enhancing mass': {'clinical finding': '1.6 x 1.5 cm abnormally enhancing mass', 'existence': 'pos_dx', 'descriptive_term': '1 6 x 1 5 cm abnormally enhancing', 'observation': 'mass'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': '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 micronodules. No significant abnormality noted. Mild. No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1.6 x 1.5 cm abnormally enhancing mass arising from the superior aspect of the right kidney best seen on image 84 of series 8 again noted. No significant abnormality noted. Minimal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Uterus absent or atrophic. 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: {'lung': {}, 'bases': {}}clinical findings_fin: {'nonspecific groundglass opacities': {'clinical finding': 'nonspecific groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'focal consolidation': {'clinical finding': 'focal consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'}}imaging observation_fin: ['falciform ligament']clinical findings_fin: {'focal hypoattenuation': {'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation'}, 'focal fat deposition': {'clinical finding': 'focal fat deposition', 'cf_snomed': {'deposition': 46595003}, 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'deposition'}}procedure_fin: ['cholecystectomy']clinical findings_fin: {'status post cholecystectomy without significant intra or extrahepatic biliary dilatation': {'clinical finding': 'status post cholecystectomy without significant intra or extrahepatic biliary dilatation', 'cf_snomed': {'dilatation': 25322007}}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}location descriptor_fin: ['left']clinical findings_fin: {'subcentimeter left renal hypoattenuation': {'clinical finding': 'subcentimeter left renal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left renal', 'observation': 'hypoattenuation'}}clinical findings_fin: {'hydronephrosis': {'clinical finding': 'hydronephrosis', 'cf_snomed': {'hydronephrosis': 43064006}, 'existence': 'neg_dx', 'observation': 'hydronephrosis'}, 'nephrolithiasis': {'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}anatomical entity_fin: {'appendix': {}}clinical findings_fin: {'well - visualized and within normal limits': {'clinical finding': 'well - visualized and within normal limits'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'uterus': {}}clinical findings_fin: {'significantly heterogeneous and enlarged': {'clinical finding': 'significantly heterogeneous and enlarged', 'existence': 'pos_dx', 'descriptive_term': 'significantly heterogeneous and', 'observation': 'enlarged'}}clinical findings_fin: {'large adnexal lesions': {'clinical finding': 'large adnexal lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'large adnexal', 'observation': 'lesion', 'strength_term': 'large'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'pelvis': {}}clinical findings_fin: {'free fluid': {'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid'}} [/INST] [RESP] . Trace nonspecific groundglass opacities at the lung bases. No pleural effusions or focal consolidation. Focal hypoattenuation along the falciform ligament likely represents focal fat deposition. Patient is status post cholecystectomy without significant intra or extrahepatic biliary dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter left renal hypoattenuation is too small to characterize. No hydronephrosis or nephrolithiasis. No significant abnormality noted. None. The bowel is of normal caliber, without evidence of obstruction. The appendix is well-visualized and within normal limits. No significant abnormality noted. No significant abnormality noted. Significantly heterogeneous and enlarged uterus with multiple fibroids. No large adnexal lesions are identified. No significant abnormality noted. No significant abnormality noted. As above. No significant abnormality noted. Trace free fluid in the pelvis which is likely physiologic. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: {'right paramediastinal fibrosis': {'clinical finding': 'right paramediastinal fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'right paramediastinal', 'observation': 'fibrosis'}, 'scarring': {'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'previously referenced right lower lobe nodule': {'clinical finding': 'previously referenced right lower lobe nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'previously referenced right lower lobe', 'observation': 'nodule'}, 'interval resolution': {'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution'}, 'nodule': {'clinical finding': 'nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'observation': 'nodule'}}clinical findings_fin: {'scattered subcentimeter micronodules': {'clinical finding': 'scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'micronodule'}}clinical findings_fin: {'new suspicious nodules': {'clinical finding': 'new suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'mild dependent atelectasis': {'clinical finding': 'mild dependent atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'}}clinical findings_fin: {'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}size_fin: [{'size': '11 mm'}, {'size': '10 mm'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['posterior']clinical findings_fin: {'posterior tracheal wall soft tissue thickening': {'clinical finding': 'posterior tracheal wall soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior tracheal wall soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '11 mm'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right', 'posterior']clinical findings_fin: {'right mainstem bronchus posterior soft tissue thickening': {'clinical finding': 'right mainstem bronchus posterior soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'right mainstem bronchus posterior soft tissue', 'observation': 'thickening'}}size_fin: [{'size': '2 cm'}, {'size': '17 mm'}]anatomical entity_fin: {'finger': {}, 'wall': {'location descriptor': 'inferior medial'}, 'trachea': {'location descriptor': 'central'}}location descriptor_fin: ['inferior', 'medial', 'central']clinical findings_fin: {'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam': {'clinical finding': 'finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views , similar in appearance to prior exam'}}size_fin: [{'size': '12 mm'}, {'size': '13 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right hilar lymph node': {'clinical finding': 'reference right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right hilar lymph', 'observation': 'node'}}clinical findings_fin: {'new lymphadenopathy': {'clinical finding': 'new lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lymphadenopathy', 'temporal_term': 'new'}}clinical findings_fin: {'cardiomegaly': {'clinical finding': 'cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'neg_dx', 'observation': 'cardiomegaly'}, 'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}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'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'small hiatal hernia': {'clinical finding': 'small hiatal hernia', 'cf_snomed': {'hiatal hernia': 84089009}, 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['inferior']clinical findings_fin: {'stable degenerative changes': {'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'}, 'inferior endplate deformities': {'clinical finding': 'inferior endplate deformities', 'cf_snomed': {'deformity': 417893002}, 'existence': 'pos_dx', 'descriptive_term': 'inferior endplate', 'observation': 'deformity'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . Right paramediastinal fibrosis, scarring, and traction bronchiectasis consistent with prior radiation treatment, not significantly changed from prior exam. Previously referenced right lower lobe nodule appears to be vascular with interval resolution of nodule. Scattered subcentimeter micronodules. No new suspicious nodules or masses. Mild dependent atelectasis. No pleural effusion. Posterior tracheal wall soft tissue thickening measures 11 mm, slightly increased from prior 10 mm. Right mainstem bronchus posterior soft tissue thickening measures 11 mm, not significantly changed from prior. Finger-like extension within the inferior medial wall of the central trachea measures 2 cm in length on axial and 17 mm in length on cranial views, similar in appearance to prior exam. Reference right hilar lymph node measures 12 mm, slightly decreased from prior 13 mm. No new lymphadenopathy. No cardiomegaly or pericardial effusion. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Small hiatal hernia noted. Stable degenerative changes of the thoracic and lumbar spine with inferior endplate deformities noted within the mid-thoracic spine. 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': {}}location descriptor_fin: ['bilateral']clinical findings_fin: {'multiple new bilateral space-occupying mass lesions': {'clinical finding': 'multiple new bilateral space-occupying mass lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple new bilateral space-occupying mass', 'observation': 'lesion', 'quantity_term': 'multiple', 'temporal_term': 'new'}}size_fin: [{'size': '2.5 x 2.2 cm', 'size_descriptor': 'lesion'}, {'size': '1.2 x 1.0 cm', 'size_descriptor': 'representative'}]anatomical entity_fin: {'right lung': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'representative reference right lung lesion': {'clinical finding': 'representative reference right lung lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative reference right lung', 'observation': 'lesion'}, 'representative left lower lobe lesion': {'clinical finding': 'representative left lower lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'representative left lower lobe', 'observation': 'lesion'}}clinical findings_fin: {'pleural disease': {'clinical finding': 'pleural disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'disease'}}size_fin: [{'size': '2.3 x 1.5 cm', 'size_descriptor': 'node'}]anatomical entity_fin: {'bronchus': {}}location descriptor_fin: ['right']clinical findings_fin: {'new enlarged right precarinal or right mainstem bronchus lymph node': {'clinical finding': 'new enlarged right precarinal or right mainstem bronchus lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new enlarged right precarinal or right mainstem bronchus lymph', 'observation': 'node', 'strength_term': 'enlarged', 'temporal_term': 'new', 'change_term': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'other enlarged mediastinal lymph nodes': {'clinical finding': 'other enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other enlarged mediastinal 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'}}size_fin: [{'size': '2.2 x 2.5 cm'}, {'size': '26.2 x 6.5 cm'}]anatomical entity_fin: {'liver': {}}clinical findings_fin: {'metastatic lesions': {'clinical finding': 'metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'}}clinical findings_fin: {'vascular structures appear': {'clinical finding': 'vascular structures appear'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'gallbladder and biliary tract are normal': {'clinical finding': 'gallbladder and biliary tract are normal'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '3.0 x 2.7 cm'}]anatomical entity_fin: {'axis': {}}clinical findings_fin: {'enlarged celiac axis lymph nodes': {'clinical finding': 'enlarged celiac axis lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged celiac axis lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}, 'reference measurement lymph node': {'clinical finding': 'reference measurement lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference measurement lymph', 'observation': 'node'}}size_fin: [{'size': '1.6 x 1.1 cm'}]clinical findings_fin: {'small para-aortic lymph nodes': {'clinical finding': 'small para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small para-aortic lymph', 'observation': 'node', 'strength_term': 'small'}}anatomical entity_fin: {'quadrant': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']anatomical entity_fin: {'abdominal': {}, 'mesentery': {}}clinical findings_fin: {'other changes': {'clinical finding': 'other changes', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'change'}, 'abnormalities': {'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}size_fin: [{'size': '9.4 x 6.8 cm'}, {'size': '4.8 x 3.3 cm'}]clinical findings_fin: {'rectal mass': {'clinical finding': 'rectal mass', 'cf_snomed': {'rectal mass': 248523006}, 'existence': 'pos_dx', 'descriptive_term': 'rectal', 'observation': 'mass'}}size_fin: [{'size': '1.4 x 1.6 cm'}]anatomical entity_fin: {'mesenteric lymph nodes': {}}location descriptor_fin: ['adjacent']clinical findings_fin: {'adjacent new mesenteric lymph nodes': {'clinical finding': 'adjacent new mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent new mesenteric lymph', 'observation': 'node', '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'}} [/INST] [RESP] . Multiple new bilateral space-occupying mass lesions are seen throughout both lungs. Representative reference right lung lesion measures 2.5 x 2.2 cm, and representative left lower lobe lesion measures 1.2 x 1.0 cm. No pleural disease is seen. New enlarged right precarinal or right mainstem bronchus lymph node measures 2.3 x 1.5 cm. No other enlarged mediastinal lymph nodes are seen. None. No significant abnormality noted. There is been a marked increase in the number of metastatic lesions seen in the liver, now exceeding 15, whereas only one was seen on prior outside CT examination which has increased in size from 2.2 x 2.5 cm previously 26.2 x 6.5 cm on current examination. Vascular structures appear normal. Gallbladder and biliary tract are normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged celiac axis lymph nodes are seen, with reference measurement lymph node measuring 3.0 x 2.7 cm. Small para-aortic lymph nodes are seen with the largest measuring 1.6 x 1.1 cm. Mild. There has been interval loop left lower quadrant colostomy. No other changes or abnormalities are seen in the abdominal mesentery-see pelvic discussion below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Rectal mass has markedly increased in size and now measures 9.4 x 6.8 cm, previously 4.8 x 3.3 cm. Adjacent new mesenteric lymph nodes are seen with the largest measuring 1.4 x 1.6 cm. 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: {'nasopharynx': {}, 'oropharynx': {}, 'hypopharynx': {}, 'larynx': {}}clinical findings_fin: {'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable': {'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are unremarkable'}}anatomical entity_fin: {'trachea': {'location descriptor': 'anterior'}, 'thyroid gland': {}}location descriptor_fin: ['anterior']clinical findings_fin: {'contour': {'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'}}anatomical entity_fin: {'airway': {}}clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'esophagus is unremarkable': {'clinical finding': 'esophagus is unremarkable'}}clinical findings_fin: {'other abnormal soft tissue mass': {'clinical finding': 'other abnormal soft tissue mass', 'cf_snomed': {'soft tissue mass': 278002000}, 'existence': 'neg_dx', 'descriptive_term': 'other abnormal soft tissue', 'observation': 'mass'}, 'pathological enhancement': {'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'}}anatomical entity_fin: {'neck': {'location descriptor': 'left'}}location descriptor_fin: ['left']clinical findings_fin: {'posttreatment': {'clinical finding': 'posttreatment', 'existence': 'pos_dx', 'observation': 'posttreatment'}, 'left neck dissection': {'clinical finding': 'left neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'left neck', 'observation': 'dissection'}}anatomical entity_fin: {'salivary glands': {}}clinical findings_fin: {'remaining salivary glands appear unchanged': {'clinical finding': 'remaining salivary glands appear unchanged', 'change_term': 'unchanged'}}anatomical entity_fin: {'thyroid gland': {}}clinical findings_fin: {'thyroid gland is unremarkable': {'clinical finding': 'thyroid gland is unremarkable'}}anatomical entity_fin: {'tongue': {}, 'floor': {}, 'mouth': {}}clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}, 'dental amalgam': {'clinical finding': 'dental amalgam', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'}}clinical findings_fin: {'pathologically enlarged cervical lymph nodes': {'clinical finding': 'pathologically enlarged cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged cervical lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'}}anatomical entity_fin: {'chest': {}}clinical findings_fin: {'mediastinal lymphadenopathy': {'clinical finding': 'mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'contents': {}}clinical findings_fin: {'imaged intracranial contents are unremarkable': {'clinical finding': 'imaged intracranial contents are unremarkable'}}anatomical entity_fin: {'condyle': {}}location descriptor_fin: ['left']clinical findings_fin: {'absent': {'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'}}anatomical entity_fin: {'temporomandibular joint': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'right temporomandibular joint is unremarkable': {'clinical finding': 'right temporomandibular joint is unremarkable'}}clinical findings_fin: {'degenerative spondylotic changes': {'clinical finding': 'degenerative spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative spondylotic', 'observation': 'change'}, 'multilevel disc osteophyte': {'clinical finding': 'multilevel disc osteophyte', 'cf_snomed': {'osteophyte': 88998003}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel disc', 'observation': 'osteophyte'}, 'diffuse skeletal hyperostosis': {'clinical finding': 'diffuse skeletal hyperostosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse skeletal', 'observation': 'hyperostosis'}}anatomical entity_fin: {'eyelid': {}}location descriptor_fin: ['left']clinical findings_fin: {'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'pos_dx', 'observation': 'artifact'}} [/INST] [RESP] PHARYNX/. The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. Again seen is irregular indentation of the contour involving the anterior trachea at the level of thyroid gland which is unchanged since multiple previous exams. The airway is otherwise patent. The esophagus is unremarkable. There is no other abnormal soft tissue mass or pathological enhancement. There are posttreatment findings related to left neck dissection and left total parotidectomy. Remaining salivary glands appear unchanged. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable, within the limitations of this exam as there is artifact from dental amalgam. There are no pathologically enlarged cervical lymph nodes. There is mediastinal lymphadenopathy please refer to concurrent CT chest performed for more details. There is redemonstration of atherosclerotic calcification at the carotid bifurcations bilaterally. The imaged intracranial contents are unremarkable. The left mandibular condyle is absent. The right temporomandibular joint is unremarkable. There are degenerative spondylotic changes with multilevel disc osteophyte complex and diffuse skeletal hyperostosis, unchanged from previous exam. There is artifact related to a left orbital eyelid weight. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'airways': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'patent': {'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'}}anatomical entity_fin: {'lobe': {'location descriptor': 'upper'}}location descriptor_fin: ['upper']clinical findings_fin: {'mild upper lobe predominant centrilobular emphysema': {'clinical finding': 'mild upper lobe predominant centrilobular emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'mild upper lobe predominant centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'}}clinical findings_fin: {'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}, 'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'lobes': {'location descriptor': 'lower'}}location descriptor_fin: ['lower']clinical findings_fin: {'groundglass opacities': {'clinical finding': 'groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'new solid nodular opacities': {'clinical finding': 'new solid nodular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'new solid nodular', 'observation': 'opacity', 'temporal_term': 'new'}}size_fin: [{'size': '30 x 17 mm'}, {'size': '21 x 13 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right lower'}}location descriptor_fin: ['right', 'lower']clinical findings_fin: {'reference right lower lobe solid subpleural nodule': {'clinical finding': 'reference right lower lobe solid subpleural nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe solid subpleural', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}size_fin: [{'size': '27 x 22 mm'}, {'size': '25 x19 mm'}]anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'reference left lower lobe mixed solid and groundglass nodule': {'clinical finding': 'reference left lower lobe mixed solid and groundglass nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe mixed solid and groundglass', 'observation': 'nodule'}, 'primary pulmonary neoplasm': {'clinical finding': 'primary pulmonary neoplasm', 'cf_snomed': {'neoplasm': 108369006}, 'existence': 'pos_dx', 'descriptive_term': 'primary pulmonary', 'observation': 'neoplasm'}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'aorta is normal in caliber': {'clinical finding': 'aorta is normal in caliber'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}size_fin: [{'size': '36 mm'}]anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'scattered small mediastinal lymph nodes': {'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'}}clinical findings_fin: {'hilar lymphadenopathy': {'clinical finding': 'hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'lymphadenopathy'}}location descriptor_fin: ['left']clinical findings_fin: {'left-sided bochdalek hernia': {'clinical finding': 'left-sided bochdalek hernia', 'cf_snomed': {'hernia': 414403008}, 'existence': 'pos_dx', 'descriptive_term': 'left-sided bochdalek', 'observation': 'hernia'}}clinical findings_fin: {'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'dextroscoliosis': {'clinical finding': 'dextroscoliosis', 'cf_snomed': {'dextroscoliosis': 431001000124101}, 'existence': 'pos_dx', 'observation': 'dextroscoliosis'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'mild degenerative changes': {'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'}}imaging observation_fin: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: {'bilateral breast implants': {'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'}}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] . Central airways are patent. Mild upper lobe predominant centrilobular emphysema. No pneumothorax or pleural effusions. Multifocal areas of groundglass opacities seen predominantly in the lower lobes have not significantly changed in size or appearance. New solid nodular opacities in the right lower lobe. Reference right lower lobe solid subpleural nodule now measures 30 x 17 mm, previously 21 x 13 mm, compatible with primary pulmonary neoplasm. Reference left lower lobe mixed solid and groundglass nodule measures 27 x 22 mm, previously 25 x19 mm, compatible with primary pulmonary neoplasm. Cardiac size is upper limits of normal without significant pericardial effusion. Aorta is normal in caliber. Atherosclerotic calcification of the aorta and its major branches. Main pulmonary artery is enlarged measuring 36 mm. Scattered small mediastinal lymph nodes are noted. No hilar lymphadenopathy. Left-sided Bochdalek hernia. Mild. No lymphadenopathy. Dextroscoliosis of the thoracic spine noted. Mild degenerative changes of the thoracic spine. Bilateral breast implants. 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: clinical findings_fin: {'intracranial hemorrhage': {'clinical finding': 'intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'intact': {'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'}}clinical findings_fin: {'ventricles and basal cisterns are normal in size and configuration': {'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'}}location descriptor_fin: ['midline']clinical findings_fin: {'herniation': {'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'}}anatomical entity_fin: {'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'}, 'nasal cavity': {'location descriptor': 'right'}}location descriptor_fin: ['right']clinical findings_fin: {'complete opacification': {'clinical finding': 'complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'opacification'}}anatomical entity_fin: {'wall': {}, 'middle': {'location descriptor': 'right'}, 'meatus': {}, 'ostiomeatal unit': {'location descriptor': 'right'}}location descriptor_fin: ['medial', 'right']clinical findings_fin: {'bony remodeling': {'clinical finding': 'bony remodeling', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'remodeling'}, 'occlusion': {'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion'}}anatomical entity_fin: {'cells': {}}location descriptor_fin: ['right']procedure_fin: ['drainage']clinical findings_fin: {'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'unc_dx', 'observation': 'obstruction'}} [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is complete opacification and expansion of the right maxillary sinus especially medially into the right nasal cavity. There is bony remodeling of the medial maxillary wall, flattening of the right middle meatus, and occlusion of the right ostiomeatal unit. This likely causes obstruction of drainage of the right ethmoid air cells which are also opacified. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'right subclavian artery': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'approximately 50% stenosis': {'clinical finding': 'approximately 50% stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'approximately 50 ', 'observation': 'stenosis'}, 'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'right vertebral artery': {}}clinical findings_fin: {'dissection': {'clinical finding': 'dissection', 'existence': 'unc_dx', 'observation': 'dissection'}}anatomical entity_fin: {'right vertebral artery': {}}imaging observation_fin: ['foci']clinical findings_fin: {'high grade stenosis': {'clinical finding': 'high grade stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'high grade', 'observation': 'stenosis'}}anatomical entity_fin: {'left vertebral artery': {}}clinical findings_fin: {'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'tortuous': {'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'}}clinical findings_fin: {'nascet': {'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet'}, 'significant stenosis': {'clinical finding': 'significant stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'}}size_fin: [{'size': '8 mm'}, {'size': '5 mm'}]anatomical entity_fin: {'internal carotid artery': {'location descriptor': 'left'}}location descriptor_fin: ['left', 'distal']clinical findings_fin: {'weblike defects': {'clinical finding': 'weblike defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'weblike', 'observation': 'defect'}, 'focal dilation': {'clinical finding': 'focal dilation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'dilation'}}anatomical entity_fin: {'thyroid gland': {}, 'lobes': {}}location descriptor_fin: ['distal', 'right', 'posterior']clinical findings_fin: {'some weblike defects': {'clinical finding': 'some weblike defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'some weblike', 'observation': 'defect', 'quantity_term': 'some'}}anatomical entity_fin: {'cervical spine': {}, 'spinal canal': {}, 'neuroforamina': {}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'mild narrowing': {'clinical finding': 'mild narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild'}}size_fin: [{'size': '3 x 2 mm', 'size_descriptor': 'aneurysm'}]anatomical entity_fin: {'right pericallosal artery': {}, 'origin': {}, 'anterior internal frontal artery': {}}clinical findings_fin: {'stable 3 x 2 mm aneurysm': {'clinical finding': 'stable 3 x 2 mm aneurysm', 'cf_snomed': {'aneurysm': 432119003}, 'existence': 'pos_dx', 'descriptive_term': 'stable 3 x 2 mm', 'observation': 'aneurysm', 'strength_term': 'stable', 'change_term': 'stable'}}anatomical entity_fin: {'internal carotid arteries': {'location descriptor': 'distal'}, 'vertebral arteries': {'location descriptor': 'distal'}, 'middle': {'location descriptor': 'proximal anterior'}, 'posterior cerebral arteries': {}}location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: {'opacification': {'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'}}clinical findings_fin: {'intracranial stenosis': {'clinical finding': 'intracranial stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'stenosis'}}anatomical entity_fin: {'anterior communicating artery': {}, 'posterior communicating arteries': {}}clinical findings_fin: {'anterior communicating artery is a small and the posterior communicating arteries are tiny': {'clinical finding': 'anterior communicating artery is a small and the posterior communicating arteries are tiny'}}anatomical entity_fin: {'right vertebral artery': {}, 'left vertebral artery': {}}clinical findings_fin: {'smaller': {'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small'}}clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'left precentral gyrus': {}, 'right inferior parietal lobule': {}, 'right occipital lobe': {}}imaging observation_fin: ['foci']location descriptor_fin: ['left', 'central', 'right']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}anatomical entity_fin: {'left middle frontal gyrus': {}, 'left inferior frontal gyrus': {}}clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}}clinical findings_fin: {'ventricle sizes are stable': {'clinical finding': 'ventricle sizes are stable', 'change_term': 'stable'}}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'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'paranasal sinuses': {}, 'mastoid air cells': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] [RESP] Neck. There is approximately 50% stenosis and atherosclerotic calcification at the proximal right subclavian artery which is similar to the prior exam. Asymmetrically attenuated caliber of the right vertebral artery likely represents dissection, which is new since 2003 and unchanged since February 2012. Redemonstration of multiple consecutive smoothly narrowed foci of high grade stenosis within the midportion of the right vertebral artery at the level of C4-C6. There is no significant stenosis along the course of the left vertebral artery. The proximal internal carotid arteries are highly tortuous. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is redemonstration of weblike defects within the midportion of the left internal carotid artery associated with focal dilation to approximately 8 mm, which is unchanged The caliber of the left internal carotid artery distal to this is 5 mm. To a lesser degree there are some weblike defects along the distal right internal carotid arteryThe thyroid gland lobes are heterogeneous in appearance especially along the posterior aspects but unchanged from the 2/1/2012 study. Multilevel degenerative changes of the cervical spine are again seen and centered at C4-C5 with mild narrowing of the spinal canal and neuroforamina. Brain. There is a stable 3 x 2 mm aneurysm in the right pericallosal artery at the origin of the anterior internal frontal artery, unchanged from 2003. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No intracranial stenosis is appreciated. The anterior communicating artery is a small and the posterior communicating arteries are tiny. The right vertebral artery is smaller than the left vertebral artery. No evidence of acute intracranial hemorrhage. Foci of encephalomalacia are again seen along the left precentral gyrus, left post central gyrus, right post central gyrus, right inferior parietal lobule and right occipital lobe. Encephalomalacia is also visualized the left middle frontal gyrus extending to the left inferior frontal gyrus. The ventricle sizes are stable. No intra or extra-axial fluid collection, midline shift or mass effect. 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: clinical findings_fin: {'suspicious pulmonary nodules': {'clinical finding': 'suspicious pulmonary nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'pleural fluid': {'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}anatomical entity_fin: {'heads': {}}object_fin: ['tracheostomy tube']clinical findings_fin: {'tracheostomy tube': {'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'}}clinical findings_fin: {'moderate cardiomegaly': {'clinical finding': 'moderate cardiomegaly', 'cf_snomed': {'cardiomegaly': 8186001}, 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'}}clinical findings_fin: {'visible lymphadenopathy': {'clinical finding': 'visible lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '7 mm'}, {'size': '9 mm'}]location descriptor_fin: ['right']clinical findings_fin: {'reference right paratracheal lymph node': {'clinical finding': 'reference right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right paratracheal lymph', 'observation': 'node'}}anatomical entity_fin: {'rib': {'location descriptor': 'right lateral'}}location descriptor_fin: ['right', 'lateral']clinical findings_fin: {'chronic healed right lateral rib fracture deformities': {'clinical finding': 'chronic healed right lateral rib fracture deformities', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic healed right lateral rib fracture', 'observation': 'deformity', 'strength_term': 'healed', 'temporal_term': 'chronic', 'change_term': 'healed'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'liver parenchyma': {}}clinical findings_fin: {'infiltrated': {'clinical finding': 'infiltrated', 'existence': 'pos_dx', 'observation': 'infiltrated'}}anatomical entity_fin: {'left adrenal gland': {}}clinical findings_fin: {'gland thickening': {'clinical finding': 'gland thickening', 'existence': 'pos_dx', 'descriptive_term': 'gland', 'observation': 'thickening'}}anatomical entity_fin: {'gallbladder': {}}clinical findings_fin: {'collapsed': {'clinical finding': 'collapsed', 'cf_snomed': {'collapse': 271787007}, 'existence': 'pos_dx', 'observation': 'collapse'}} [/INST] [RESP] . No suspicious pulmonary nodules or masses. No pleural fluid or pneumothorax. Tracheostomy tube tip at the level of the clavicular heads. Moderate cardiomegaly. No visible lymphadenopathy. Reference right paratracheal lymph node measures 7 mm, previously 9 mm. None visible. Chronic healed right lateral rib fracture deformities. Absence of enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Liver parenchyma appears to be fatty infiltrated diffusely. Left adrenal gland thickening, unchanged. Gallbladder is collapsed. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}anatomical entity_fin: {'parietal lobes': {}}location descriptor_fin: ['left']clinical findings_fin: {'encephalomalacia': {'clinical finding': 'encephalomalacia', 'cf_snomed': {'encephalomalacia': 58762006}, 'existence': 'pos_dx', 'observation': 'encephalomalacia'}, 'prior mca territory infarct': {'clinical finding': 'prior mca territory infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'pos_dx', 'descriptive_term': 'prior mca territory', 'observation': 'infarct'}}anatomical entity_fin: {'pons': {}}clinical findings_fin: {'chronic ischemia': {'clinical finding': 'chronic ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'ischemia', 'temporal_term': 'chronic'}}clinical findings_fin: {'prominent': {'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'}, 'mild to moderate age-related volume loss': {'clinical finding': 'mild to moderate age-related volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'unc_dx', 'descriptive_term': 'mild to moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'}}clinical findings_fin: {'hydrocephalus': {'clinical finding': 'hydrocephalus', 'cf_snomed': {'hydrocephalus': 230745008}, 'existence': 'neg_dx', 'observation': 'hydrocephalus'}}anatomical entity_fin: {'left lateral ventricle': {}}clinical findings_fin: {'mild ex vacuo dilatation of left lateral ventricle': {'clinical finding': 'mild ex vacuo dilatation of left lateral ventricle', 'cf_snomed': {'dilatation': 25322007}}}clinical findings_fin: {'periventricular and subcortical hypoattenuation': {'clinical finding': 'periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical', 'observation': 'hypoattenuation'}, 'age indeterminate mild small vessel ischemic disease': {'clinical finding': 'age indeterminate mild small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'age indeterminate mild small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small'}}location descriptor_fin: ['midline']clinical findings_fin: {'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'extraaxial fluid collection': {'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'}}anatomical entity_fin: {'paranasal sinuses': {}, 'middle ears': {}}clinical findings_fin: {'clear': {'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'}} [/INST] [RESP] Study slightly limited due to patient motion. No evidence of acute intracranial hemorrhage. There is encephalomalacia in the left temporal and parietal lobes from prior MCA territory infarct, unchanged. Hypoattenuation within the pons is unchanged and likely related to chronic ischemia. Ventricles and sulci are prominent, suggestive of mild to moderate age-related volume loss. No hydrocephalus. Mild ex vacuo dilatation of left lateral ventricle is unchanged. Periventricular and subcortical hypoattenuation is nonspecific but may be related to age indeterminate mild small vessel ischemic disease. There is no midline shift or mass effect. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'facet': {'location descriptor': 'medial'}, 'patella': {}}location descriptor_fin: ['lateral', 'medial']clinical findings_fin: {'cartilage_1': {'clinical finding': 'cartilage', 'existence': 'pos_dx', 'observation': 'cartilage'}, 'thinning': {'clinical finding': 'thinning', 'existence': 'pos_dx', 'observation': 'thinning'}, 'cartilage_2': {'clinical finding': 'cartilage', 'existence': 'pos_dx', 'observation': 'cartilage'}}anatomical entity_fin: {'bone marrow': {}}clinical findings_fin: {'bone marrow appears normal': {'clinical finding': 'bone marrow appears normal'}}clinical findings_fin: {'menisci': {'clinical finding': 'menisci', 'existence': 'pos_dx', 'observation': 'menisci'}, 'large defects': {'clinical finding': 'large defects', 'cf_snomed': {'defect': 6920004}, 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'defect', 'strength_term': 'large'}}anatomical entity_fin: {'tendons': {}}clinical findings_fin: {'quadriceps and patellar tendons are grossly normal': {'clinical finding': 'quadriceps and patellar tendons are grossly normal'}} [/INST] [RESP] There is complete loss of cartilage in the lateral facet and thinning of cartilage in the medial facet of the patella. Bone marrow appears normal. The menisci are grossly normal without large defects. Quadriceps and patellar tendons are grossly normal. [/RESP] </s>
|
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: [{'size': '1.0 x 0.4 cm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'left lung': {}, 'base': {}}clinical findings_fin: {'mild focal nodular pleural thickening': {'clinical finding': 'mild focal nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild focal nodular pleural', 'observation': 'thickening', 'strength_term': 'mild'}}size_fin: [{'size': '4 mm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {'location descriptor': 'right upper'}}location descriptor_fin: ['right', 'upper']clinical findings_fin: {'small cystic right upper lobe lesion': {'clinical finding': 'small cystic right upper lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'small cystic right upper lobe', 'observation': 'lesion', 'strength_term': 'small'}}clinical findings_fin: {'other suspicious nodules': {'clinical finding': 'other suspicious nodules', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'other suspicious', 'observation': 'nodule'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}anatomical entity_fin: {'airspace': {}}clinical findings_fin: {'focal airspace consolidation': {'clinical finding': 'focal airspace consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'consolidation'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'small mediastinal and hilar lymph nodes': {'clinical finding': 'small mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'small'}, 'lymphadenopathy': {'clinical finding': 'lymphadenopathy', 'cf_snomed': {'lymphadenopathy': 30746006}, 'existence': 'pos_dx', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'chest': {'location descriptor': 'right'}}location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: {'multiple ill-defined hypoattenuating hepatic lesions': {'clinical finding': 'multiple ill-defined hypoattenuating hepatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'multiple ill-defined hypoattenuating hepatic', 'observation': 'lesion', 'strength_term': 'ill-defined', 'quantity_term': 'multiple'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}size_fin: [{'size': '0.4 x 7.2 x 5.0 cm', 'size_descriptor': 'lesion'}]clinical findings_fin: {'largest lesion': {'clinical finding': 'largest lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'}}size_fin: [{'size': '4.3 x 3.3 cm', 'size_descriptor': 'lesion'}]anatomical entity_fin: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'ill-defined right hepatic lobe lesion': {'clinical finding': 'ill-defined right hepatic lobe lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'ill-defined right hepatic lobe', 'observation': 'lesion', 'strength_term': 'ill-defined'}}clinical findings_fin: {'additional smaller metastatic lesions': {'clinical finding': 'additional smaller metastatic lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'additional smaller metastatic', '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'}}size_fin: [{'size': '1 cm', 'size_descriptor': 'lesion'}]imaging observation_fin: ['water density']location descriptor_fin: ['right']clinical findings_fin: {'1 cm hypodense right renal lesion': {'clinical finding': '1 cm hypodense right renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': '1 cm hypodense right renal', 'observation': 'lesion'}, 'simple cyst': {'clinical finding': 'simple cyst', 'cf_snomed': {'simple cyst': 367644007}, 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'}}clinical findings_fin: {'significant mesenteric or retroperitoneal lymphadenopathy': {'clinical finding': 'significant mesenteric or retroperitoneal lymphadenopathy', 'cf_snomed': {'retroperitoneal lymphadenopathy': 127154008}, 'existence': 'neg_dx', 'descriptive_term': 'significant mesenteric or retroperitoneal', 'observation': 'lymphadenopathy'}}size_fin: [{'size': '11 mm', 'size_descriptor': 'thickening'}]anatomical entity_fin: {'wall': {}}location descriptor_fin: ['distal']clinical findings_fin: {'esophageal cancer': {'clinical finding': 'esophageal cancer', 'existence': 'pos_dx', 'descriptive_term': 'esophageal', 'observation': 'cancer'}}anatomical entity_fin: {'fluid': {}, 'esophagus': {'location descriptor': 'proximal'}}location descriptor_fin: ['proximal']clinical findings_fin: {'fluid-filled proximal esophagus': {'clinical finding': 'fluid-filled proximal esophagus', 'change_term': 'filled'}}anatomical entity_fin: {'bowel': {}}clinical findings_fin: {'abnormal bowel wall thickening': {'clinical finding': 'abnormal bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel wall', 'observation': 'thickening'}, 'obstruction': {'clinical finding': 'obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'neg_dx', 'observation': 'obstruction'}}clinical findings_fin: {'acute diverticulitis': {'clinical finding': 'acute diverticulitis', 'cf_snomed': {'diverticulitis': 307496006}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'spine': {}}location descriptor_fin: ['lower']clinical findings_fin: {'degenerative changes': {'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'}}clinical findings_fin: {'focal osseous lesion': {'clinical finding': 'focal osseous lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}} [/INST] [RESP] . Mild focal nodular pleural thickening at the left lung base measures 1.0 x 0.4 cm, unchanged from prior. A small cystic right upper lobe lesion measures 4 mm. No other suspicious nodules or masses are identified. No focal airspace consolidation. No pleural effusions. The heart is normal in size, without pericardial effusion. Scattered small mediastinal and hilar lymph nodes, without lymphadenopathy. None. Right chest port, tip at the cavoatrial junction. Multiple ill-defined hypoattenuating hepatic lesions, compatible with metastatic disease. The largest lesion measures 0.4 x 7.2 x 5.0 cm , similar to prior MR imaging dated 06/22/2015 accounting for differences in technique. An ill-defined right hepatic lobe lesion measures 4.3 x 3.3 cm , slightly larger compared to the prior study. Additional smaller metastatic lesions are seen, some of which appear slightly more prominent compared to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1 cm hypodense right renal lesion measures near water density, likely reflecting a simple cyst. No significant mesenteric or retroperitoneal lymphadenopathy is noted. Thickening of the distal esophageal wall, measuring up to 11 mm in thickness compatible with a known history of esophageal cancer. Fluid-filled proximal esophagus. No abnormal bowel wall thickening or evidence of obstruction. Scattered colonic diverticula without evidence of acute diverticulitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. See above. Degenerative changes affect the lower lumbar spine. No focal osseous lesion is identified. No significant abnormality noted [/RESP] </s>
|
End of preview. Expand
in Data Studio
- Downloads last month
- 1