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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'small lesion': 'clinical finding': 'small lesion', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lesion', 'strength_term': 'small', 'heterogeneous arterial enhancement': 'clinical finding': 'heterogeneous arterial enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous arterial', 'observation': 'enhancement', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'pos_dx', 'observation': 'hemangioma'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left lobe lesion': 'clinical finding': 'left lobe lesion', 'existence': 'neg_dx', 'descriptive_term': 'left lobe', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.7 x 2.2 cm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodular lesion': 'clinical finding': 'left adrenal nodular lesion', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal nodular', 'observation': 'lesion'anatomical entity_fin: 'solid organs': , 'abdomen': clinical findings_fin: 'minute delay , washout of 20 hu is noted , which is indeterminate': 'clinical finding': 'minute delay , washout of 20 hu is noted , which is indeterminate'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'adrenal adenoma': 'clinical finding': 'adrenal adenoma', 'existence': 'unc_dx', 'descriptive_term': 'adrenal', 'observation': 'adenoma'location descriptor_fin: ['right']clinical findings_fin: 'very small right renal hypodensity': 'clinical finding': 'very small right renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'very small right renal', 'observation': 'hypodensity', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': 'location descriptor': 'distal', 'arteries': location descriptor_fin: ['distal']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. A small lesion is noted in the right lobe of the liver with heterogeneous arterial enhancement and late washout, characteristic of a hemangioma. The left lobe lesion is not noted on any phase of the exam. No significant abnormality noted. No significant abnormality noted. The left adrenal nodular lesion is again noted, measuring 2.7 x 2.2 cm it has increased in attenuation but not in size from the prior examination, now measuring approximately 40 HU on noncontrast. However, it is of note that all solid organs of the abdomen demonstrate an increase of 10-20 HU in comparison to the noncontrast exam on 7/23/2008. With a 2 minute delay, washout of 20 HU is noted, which is indeterminate. The unchanging small size and homogeneity still make this lesion likely an adrenal adenoma, but this determination cannot be made on this examination. Very small right renal hypodensity, too small to characterize. No significant abnormality noted. Calcifications of the distal abdominal aorta and iliac arteries. 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: 'pulmonary arteries': clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: 'moderate-sized bilateral pleural effusions': 'clinical finding': 'moderate-sized bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate-sized bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate-sized', 'adjacent compressive atelectasis': 'clinical finding': 'adjacent compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'imaging observation_fin: ['ground-glass opacities']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'ground-glass opacities': 'clinical finding': 'ground-glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground-glass', 'observation': 'opacity', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'stable micronodules': 'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'lumen': object_fin: ['catheter']size_fin: ['size': '36 mm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'mildly enlarged': 'clinical finding': 'mildly enlarged', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'enlarged', 'strength_term': 'mildly'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'any pericardial effusion': 'clinical finding': 'any pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'any pericardial', 'observation': 'effusion'clinical findings_fin: 'moderately severe coronary calcifications': 'clinical finding': 'moderately severe coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe coronary', 'observation': 'calcification', 'strength_term': 'moderately - severe'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'ribs': location descriptor_fin: ['adjacent', 'left']clinical findings_fin: 'multiple adjacent chronic fractures': 'clinical finding': 'multiple adjacent chronic fractures', 'existence': 'pos_dx', 'descriptive_term': 'multiple adjacent chronic', 'observation': 'fracture', 'quantity_term': 'multiple', 'temporal_term': 'chronic'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': , 'vasculature': , 'kidney': clinical findings_fin: 'multiple partially visualized renal cysts': 'clinical finding': 'multiple partially visualized renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple partially visualized renal', 'observation': 'cyst', 'strength_term': 'partially', 'quantity_term': 'multiple', 'significant calcification': 'clinical finding': 'significant calcification', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'calcification', 'chronic kidney disease': 'clinical finding': 'chronic kidney disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic kidney', 'observation': 'disease', 'temporal_term': 'chronic' [/INST] [RESP] . Technically adequate study for examination of the pulmonary arteries. No pulmonary embolus identified. Moderate-sized bilateral pleural effusions with adjacent compressive atelectasis, slightly increased compared to previous. Pleural and septal thickening with ground-glass opacities consistent with edema, though this is decreased compared to previous. Stable micronodules, likely benign. Dual-lumen catheter with tips in the SVC. Mildly enlarged main pulmonary artery, though unchanged compared to previous at 36 mm. Cardiomegaly without any pericardial effusion. Moderately severe coronary calcifications. No mediastinal or hilar lymphadenopathy. Multiple adjacent chronic fractures of the left 5th, 6th, 7th ribs, likely traumatic in etiology. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple partially visualized renal cysts and significant calcification throughout the abdominal arterial vasculature, consistent with chronic kidney disease. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'atrophy': 'clinical finding': 'atrophy', 'existence': 'neg_dx', 'observation': 'atrophy', 'surgical removal': 'clinical finding': 'surgical removal', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'removal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'thigh': 'location descriptor': 'proximal left', 'subcutaneous fat': location descriptor_fin: ['proximal', 'left']clinical findings_fin: 'marked infiltration of the perineal and proximal left thigh subcutaneous fat': 'clinical finding': 'marked infiltration of the perineal and proximal left thigh subcutaneous fat'clinical findings_fin: 'discrete fluid collection': 'clinical finding': 'discrete fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'discrete fluid', 'observation': 'collection', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'neg_dx', 'observation': 'gas'anatomical entity_fin: 'lower extremities': clinical findings_fin: 'edematous': 'clinical finding': 'edematous', 'existence': 'pos_dx', 'observation': 'edematous'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Not well visualized, secondary to atrophy or surgical removal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Marked infiltration of the perineal and proximal left thigh subcutaneous fat. No discrete fluid collection is seen to suggest abscess formation. No gas is visible in the soft tissues. The visualized lower extremities are edematous bilaterally. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['splint']anatomical entity_fin: 'radius': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'comminuted and impacted transverse fracture': 'clinical finding': 'comminuted and impacted transverse fracture', 'existence': 'pos_dx', 'descriptive_term': 'comminuted and impacted transverse', 'observation': 'fracture'clinical findings_fin: 'intra-articular extension': 'clinical finding': 'intra-articular extension', 'existence': 'pos_dx', 'descriptive_term': 'intra-articular', 'observation': 'extension', 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas', 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture', 'open fracture': 'clinical finding': 'open fracture', 'existence': 'pos_dx', 'descriptive_term': 'open', 'observation': 'fracture'clinical findings_fin: 'radiocarpal articulation': 'clinical finding': 'radiocarpal articulation', 'existence': 'pos_dx', 'descriptive_term': 'radiocarpal', 'observation': 'articulation'anatomical entity_fin: 'ulnar styloid': clinical findings_fin: 'ulnar styloid fracture': 'clinical finding': 'ulnar styloid fracture', 'existence': 'pos_dx', 'descriptive_term': 'ulnar styloid', 'observation': 'fracture' [/INST] [RESP] There is interval splint placement. Again seen is a comminuted and impacted transverse fracture through the distal radius with associated dorsal angulation. There is intra-articular extension of the fracture. Gas is seen in the dorsal soft tissues as well as in the fracture, consistent with an open fracture. Radiocarpal articulation is preserved. There is an ulnar styloid fracture. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'clinical findings_fin: 'mild basilar atelectasis': 'clinical finding': 'mild basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'cardiac size is normal': 'clinical finding': 'cardiac size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'esophagus': clinical findings_fin: 'patulous esophagus': 'clinical finding': 'patulous esophagus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Technically adequate study with no evidence of pulmonary emboli. Mild basilar atelectasis. No pleural effusions. Cardiac size is normal. No pericardial effusion. No hilar or mediastinal lymphadenopathy. Patulous esophagus. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobes': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'bilateral lower lobes dense consolidation': 'clinical finding': 'bilateral lower lobes dense consolidation', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobes dense', 'observation': 'consolidation', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'object_fin: ['endotracheal tube']clinical findings_fin: 'endotracheal tube': 'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'periportal edema': 'clinical finding': 'periportal edema', 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']procedure_fin: ['nephrectomy']anatomical entity_fin: 'walls': , 'fluid': clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'anatomical entity_fin: 'fluid': clinical findings_fin: 'diffuse mesenteric stranding': 'clinical finding': 'diffuse mesenteric stranding', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mesenteric', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '4.7-cm', 'size_descriptor': 'cyst']location descriptor_fin: ['right']clinical findings_fin: 'large 4.7-cm right adnexal cyst': 'clinical finding': 'large 4.7-cm right adnexal cyst', 'existence': 'neg_dx', 'descriptive_term': 'large 4 7-cm right adnexal', 'observation': 'cyst', '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'location descriptor_fin: ['left']clinical findings_fin: 'soft tissues stranding': 'clinical finding': 'soft tissues stranding', 'existence': 'pos_dx', 'descriptive_term': 'soft tissues', 'observation': 'strand'anatomical entity_fin: 'spinal': procedure_fin: ['spinal fusion']clinical findings_fin: 'stabilization rods': 'clinical finding': 'stabilization rods', 'existence': 'pos_dx', 'descriptive_term': 'stabilization', 'observation': 'rod', 't11 corpectomy': 'clinical finding': 't11 corpectomy', 'existence': 'pos_dx', 'descriptive_term': 't11', 'observation': 'corpectomy', 'spinal fusion': 'clinical finding': 'spinal fusion', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'fusion'anatomical entity_fin: 'back': clinical findings_fin: 'soft tissue stranding': 'clinical finding': 'soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'strand', 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas', 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change' [/INST] [RESP] . Bilateral lower lobes dense consolidation suggestive of aspiration. Endotracheal tube is noted. No significant abnormality noted. Periportal edema may reflect aggressive fluid resuscitation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post right nephrectomy. Thickening of the gastric and duodenal walls likely represent edema secondary to aggressive fluid resuscitation. Diffuse mesenteric stranding may reflect aggressive fluid resuscitation. No significant abnormality noted. Large 4.7-cm right adnexal cyst is not significantly changed from prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissues stranding and fullness in the left groin likely secondary to line placement. Transpedicular screws and stabilization rods are seen at the level of T9 through L1 status post T11 corpectomy and T9 through L1 spinal fusion. Soft tissue stranding and gas in the back represent postoperative changes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'moderate right pleural effusion': 'clinical finding': 'moderate right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'underlying compressive atelectasis': 'clinical finding': 'underlying compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'underlying compressive', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nonspecific groundglass opacity': 'clinical finding': 'nonspecific groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'nodular scarlike opacities': 'clinical finding': 'nodular scarlike opacities', 'existence': 'pos_dx', 'descriptive_term': 'nodular scarlike', 'observation': 'opacity'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild', 'mild pericardial thickening': 'clinical finding': 'mild pericardial thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pericardial', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'size_fin: ['size': '3.2 cm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'mildly distended': 'clinical finding': 'mildly distended', 'existence': 'pos_dx', 'descriptive_term': 'mildly', 'observation': 'distended', 'strength_term': 'mildly', 'air-fluid level': 'clinical finding': 'air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'location descriptor_fin: ['right']anatomical entity_fin: 'chest wall': 'location descriptor': 'left', 'apex': location descriptor_fin: ['left', 'right']non-anatomical substance_fin: ['lead']object_fin: ['pacemaker']clinical findings_fin: 'presumed left': 'clinical finding': 'presumed left'anatomical entity_fin: 'right scapula': object_fin: ['bullet']anatomical entity_fin: 'rib': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'healed bilateral rib fractures': 'clinical finding': 'healed bilateral rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'healed bilateral rib', 'observation': 'fracture', 'strength_term': 'healed', 'change_term': 'healed'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral gynecomastia': 'clinical finding': 'bilateral gynecomastia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['left']clinical findings_fin: 'adrenal hypodense nodule': 'clinical finding': 'adrenal hypodense nodule', 'existence': 'pos_dx', 'descriptive_term': 'adrenal hypodense', 'observation': 'nodule' [/INST] [RESP] . Moderate right pleural effusion with underlying compressive atelectasis or consolidation. Nonspecific groundglass opacity in the right upper lobe. Nodular scarlike opacities in the left lung base. No pneumothorax. Mild cardiomegaly with mild pericardial thickening similar to prior. No mediastinal or hilar lymphadenopathy. Enlarged main pulmonary artery measuring 3.2 cm in caliber similar to prior. Mildly distended esophagus with an air-fluid level. None. Right approximately PICC tip in the cavoatrial junction. Presumed left chest wall pacemaker lead in the right ventricular apex. Retained bullet fragments in the right scapula. Healed bilateral rib fractures. Bilateral gynecomastia. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left adrenal hypodense nodule unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'gross structural abnormalities': 'clinical finding': 'gross structural abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross structural', 'observation': 'abnormality'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration for patients stated age': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration for patients stated age'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'middle ear cavity': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left middle ear cavity is opacified': 'clinical finding': 'left middle ear cavity is opacified', 'change_term': 'opacified' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass or edema. No abnormal extra-axial fluid collection. No gross structural abnormalities. The ventricles and basal cisterns are normal in size and configuration for patients stated age. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses are normally pneumatized. The left middle ear cavity is opacified. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prominent ventricular system , however , grossly unchanged': 'clinical finding': 'prominent ventricular system , however , grossly unchanged', 'change_term': 'unchanged'clinical findings_fin: 'acute ischemic or hemorrhagic lesion': 'clinical finding': 'acute ischemic or hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'right precentral gyrus': , 'left middle cerebellar peduncle': location descriptor_fin: ['posterior', 'medial']clinical findings_fin: 'parenchymal high attenuation': 'clinical finding': 'parenchymal high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal high', 'observation': 'attenuation', 'calcifications': 'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'location descriptor_fin: ['midline', 'left']clinical findings_fin: 'midline and slightly left suboccipital craniotomy is redemonstrated': 'clinical finding': 'midline and slightly left suboccipital craniotomy is redemonstrated'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Prominent ventricular system, however, grossly unchanged since prior scan. There is no evidence of acute ischemic or hemorrhagic lesion. Parenchymal high attenuation indicating calcifications are seen on the right precentral gyrus and the posterior medial aspect of the left middle cerebellar peduncle are again seen, unchanged since prior scan. Midline and slightly left suboccipital craniotomy is redemonstrated, unchanged since prior scan. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. 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: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'global parenchymal volume loss': 'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'head': clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left inferior'location descriptor_fin: ['left', 'inferior']clinical findings_fin: 'more focal hypoattenuation': 'clinical finding': 'more focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'more focal', 'observation': 'hypoattenuation', 'quantity_term': 'more', 'chronic lacunar infarct': 'clinical finding': 'chronic lacunar infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'normal variant': clinical findings_fin: 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'clinical findings_fin: 'moderate cavernous internal carotid arterial calcifications': 'clinical finding': 'moderate cavernous internal carotid arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate cavernous internal carotid arterial', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'paranasal sinuses': , 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'small mucous retention cyst': 'clinical finding': 'small mucous retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'scalp': location descriptor_fin: ['midline']clinical findings_fin: 'ovoid cystic lesion': 'clinical finding': 'ovoid cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'ovoid cystic', 'observation': 'lesion' [/INST] [RESP] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There is moderate degree of global parenchymal volume loss commensurate with patients age. No extra-axial collections. There are confluent areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic disease and significantly progressed since remote head CT dated 10/31/2005. More focal hypoattenuation in the left inferior basal ganglia may represent a perivascular space or chronic lacunar infarct. There is a partially empty sella which is usually a normal variant in this age group. There are moderate cavernous internal carotid arterial calcifications. The visualized portions of the paranasal sinuses are clear aside from a small mucous retention cyst in the left sphenoid sinus. Mastoid air cells are clear. Calvarium is intact. There is an ovoid cystic lesion in the midline occipital scalp. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'intra-or extrahepatic biliary ductal dilatation': 'clinical finding': 'intra-or extrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extrahepatic biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'neg_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'clinical findings_fin: 'small accessory splenule': 'clinical finding': 'small accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'small accessory', 'observation': 'splenule', 'strength_term': 'small'clinical findings_fin: 'multiple perisplenic venous collaterals': 'clinical finding': 'multiple perisplenic venous collaterals', 'existence': 'pos_dx', 'descriptive_term': 'multiple perisplenic venous', 'observation': 'collateral', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower', 'mesenteric lymph nodes': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'few minimally prominent right lower quadrant mesenteric lymph nodes': 'clinical finding': 'few minimally prominent right lower quadrant mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few minimally prominent right lower quadrant mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'few'anatomical entity_fin: 'bowel': , 'wall': clinical findings_fin: 'normal caliber and wall thickness': 'clinical finding': 'normal caliber and wall thickness'anatomical entity_fin: 'appendix': clinical findings_fin: 'air-filled': 'clinical finding': 'air-filled', 'existence': 'pos_dx', 'observation': 'air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged heterogeneous': 'clinical finding': 'enlarged heterogeneous', 'existence': 'pos_dx', 'descriptive_term': 'enlarged', 'observation': 'heterogeneous', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'leiomyomas': 'clinical finding': 'leiomyomas', 'existence': 'unc_dx', 'observation': 'leiomyoma', 'adenomyosis': 'clinical finding': 'adenomyosis', 'existence': 'unc_dx', 'observation': 'adenomyosis'location descriptor_fin: ['left']clinical findings_fin: 'left adnexal cyst': 'clinical finding': 'left adnexal cyst', 'existence': 'unc_dx', 'descriptive_term': 'left adnexal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No intra-or extrahepatic biliary ductal dilatation. No cholelithiasis or specific evidence of cholecystitis. Small accessory splenule. Multiple perisplenic venous collaterals of uncertain etiology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are a few minimally prominent right lower quadrant mesenteric lymph nodes. The bowel has normal caliber and wall thickness throughout. The appendix is air-filled and within normal limits for size. No significant abnormality noted. No significant abnormality noted. Enlarged heterogeneous uterus. While this may reflect leiomyomas, adenomyosis cannot be excluded. Left adnexal cyst is likely physiologic. 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: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: 'innumerable upper lobe predominant small centrilobular nodules': 'clinical finding': 'innumerable upper lobe predominant small centrilobular nodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable upper lobe predominant small centrilobular', 'observation': 'nodule', 'strength_term': 'small'imaging observation_fin: ['apical']clinical findings_fin: 'mild apical scarring': 'clinical finding': 'mild apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild apical', 'observation': 'scarr', 'strength_term': 'mild'clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'subcarinal lymph nodes': location descriptor_fin: ['right']clinical findings_fin: 'subcarinal lymph nodes': 'clinical finding': 'subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'clinical findings_fin: 'healed granulomatous infection': 'clinical finding': 'healed granulomatous infection', 'existence': 'unc_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'infection', 'strength_term': 'healed', 'change_term': 'healed'clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'left lobe of liver': , 'liver': , 'chest': imaging modality_fin: ['ultrasound']clinical findings_fin: 'heterogeneous but predominantly hyperdense mass': 'clinical finding': 'heterogeneous but predominantly hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous but predominantly hyperdense', 'observation': 'mass', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma' [/INST] [RESP] . Innumerable upper lobe predominant small centrilobular nodules are seen bilaterally. Mild apical scarring. Mild dependent atelectasis. Partially calcified right paratrachea, l right hilar, and subcarinal lymph nodes are seen. These are likely due to healed granulomatous infection. There are also small areas of calcification in the paraesophageal region. Negative. Heterogeneous but predominantly hyperdense mass in left lobe of liver likely a hemangioma though ultrasound or MR may provide further characterization as the liver is not adequately evaluated on chest CT. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'cardiac pacer wires': 'clinical finding': 'cardiac pacer wires', 'existence': 'pos_dx', 'descriptive_term': 'cardiac pacer', 'observation': 'wire'clinical findings_fin: 'coronary vascular calcifications': 'clinical finding': 'coronary vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary vascular', 'observation': 'calcification'anatomical entity_fin: 'airspace': location descriptor_fin: ['subsegmental']clinical findings_fin: 'bibasilar patchy airspace disease': 'clinical finding': 'bibasilar patchy airspace disease', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar patchy airspace', 'observation': 'disease'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral effusions': 'clinical finding': 'bilateral effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is unremarkable for unenhanced technique': 'clinical finding': 'liver is unremarkable for unenhanced technique'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'neg_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'severe calcific arteriosclerotic disease': 'clinical finding': 'severe calcific arteriosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'severe calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'severe', 'abdominal aorta': 'clinical finding': 'abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'abdominal', 'observation': 'aorta'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel loops are normal': 'clinical finding': 'small bowel loops are normal'clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'anatomical entity_fin: 'body wall': , 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'body wall anasarca': 'clinical finding': 'body wall anasarca', 'existence': 'pos_dx', 'descriptive_term': 'body wall', 'observation': 'anasarca', 'enlargement': 'clinical finding': 'enlargement', 'existence': 'pos_dx', 'observation': 'enlargement'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'upper abdominal ascites': 'clinical finding': 'upper abdominal ascites', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal', 'observation': 'ascite'procedure_fin: ['hysterectomy']clinical findings_fin: 'status post hysterectomy or atrophic': 'clinical finding': 'status post hysterectomy or atrophic', 'change_term': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'body wall': clinical findings_fin: 'body wall anasarca': 'clinical finding': 'body wall anasarca', 'existence': 'pos_dx', 'descriptive_term': 'body wall', 'observation': 'anasarca'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'pelvic ascites': 'clinical finding': 'pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite' [/INST] [RESP] . Heart size is enlarged. Cardiac pacer wires. Coronary vascular calcifications. Bibasilar patchy airspace disease in a subsegmental distribution. Trace bilateral effusions. Liver is unremarkable for unenhanced technique. Gallbladder is not distended. No significant abnormality noted. The pancreas is poorly defined for unenhanced technique. No significant abnormality noted. Atrophic native kidneys. Severe calcific arteriosclerotic disease of the abdominal aorta and its branch vessels. Small bowel loops are normal in caliber. Colonic loops are not distended. Diffuse body wall anasarca with enlargement of the left breast. Upper abdominal ascites is new. Status post hysterectomy or atrophic. No significant abnormality noted. No pelvic lymphadenopathy. No significant abnormality noted. Body wall anasarca. Degenerative changes of the lumbar spine. Pelvic ascites. [/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'imaging observation_fin: ['falciform ligament']clinical findings_fin: 'focal fatty infiltration': 'clinical finding': 'focal fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'focal fatty', 'observation': 'infiltration'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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['ileocecectomy']anatomical entity_fin: 'bowel': clinical findings_fin: 'acute on chronic small bowel inflammation': 'clinical finding': 'acute on chronic small bowel inflammation', 'existence': 'pos_dx', 'descriptive_term': 'acute on chronic small bowel', 'observation': 'inflammation', 'strength_term': 'acute - small', 'temporal_term': 'acute - chronic'anatomical entity_fin: 'ileum': imaging observation_fin: ['hyperenhancement']clinical findings_fin: 'moderate wall thickening': 'clinical finding': 'moderate wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate wall', 'observation': 'thickening', 'strength_term': 'moderate', 'hyperenhancement': 'clinical finding': 'hyperenhancement', 'existence': 'pos_dx', 'observation': 'hyperenhancement'anatomical entity_fin: 'bowel': , 'abdomen': , 'pelvis': location descriptor_fin: ['left']clinical findings_fin: 'pseudosacculation': 'clinical finding': 'pseudosacculation', 'existence': 'pos_dx', 'observation': 'pseudosacculation'clinical findings_fin: 'extent and sites of involvement are similar to earlier ct exam': 'clinical finding': 'extent and sites of involvement are similar to earlier ct exam'anatomical entity_fin: 'fluid': , 'rectum': clinical findings_fin: 'intraluminal fluid seen to level of rectum': 'clinical finding': 'intraluminal fluid seen to level of rectum'anatomical entity_fin: 'bowel': clinical findings_fin: 'high-grade bowel obstruction': 'clinical finding': 'high-grade bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'high-grade bowel', 'observation': 'obstruction'anatomical entity_fin: 'fluid': , 'descending colon': imaging observation_fin: ['colon']clinical findings_fin: 'underdistended': 'clinical finding': 'underdistended', 'existence': 'pos_dx', 'observation': 'underdistende'clinical findings_fin: 'fibrofatty': 'clinical finding': 'fibrofatty', 'existence': 'pos_dx', 'observation': 'fibrofatty', 'mild mesenteric adenopathy': 'clinical finding': 'mild mesenteric adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild mesenteric', 'observation': 'adenopathy', 'strength_term': 'mild'anatomical entity_fin: 'corpus luteum': location descriptor_fin: ['right']clinical findings_fin: 'involuting corpus': 'clinical finding': 'involuting corpus', 'existence': 'pos_dx', 'descriptive_term': 'involuting', 'observation': 'corpus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 ascites': 'clinical finding': 'small ascites', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'ascite', 'strength_term': 'small' [/INST] [RESP] . No significant abnormality noted. Focal fatty infiltration alongside falciform ligament. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Status post ileocecectomy. Again visualized are sites of acute on chronic small bowel inflammation. Moderate wall thickening and hyperenhancement with upstream dilatation seen involving neoterminal ileum, coronal image 58, appears mildly increased when compared to prior study. Another long segment of small bowel involvement demonstrating similar imaging features seen extending from left abdomen into mid abdomen and pelvis, areas of pseudosacculation seen, see coronal images 52 through 48, also seen on prior study. Extent and sites of involvement are similar to earlier CT exam. Intraluminal fluid seen to level of rectum. No evidence of high-grade bowel obstruction. Fluid-containing colon underdistended and some areas particularly the descending colon but appears grossly unremarkable. Fibrofatty infiltration and mild mesenteric adenopathy visualized. Right adnexal involuting corpus luteum. No significant abnormality noted. No significant abnormality noted. Small ascites. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications of the abdominal aorta': 'clinical finding': 'atherosclerotic calcifications of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the abdominal', 'observation': 'aorta'anatomical entity_fin: 'bowel': clinical findings_fin: 'normal caliber of the small bowel': 'clinical finding': 'normal caliber of the small bowel'anatomical entity_fin: 'sigmoid colon': imaging observation_fin: ['colon']clinical findings_fin: 'extreme redundancy': 'clinical finding': 'extreme redundancy', 'existence': 'pos_dx', 'descriptive_term': 'extreme', 'observation': 'redundancy'clinical findings_fin: 'mild distention': 'clinical finding': 'mild distention', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'distention', 'strength_term': 'mild', 'mechanical obstruction': 'clinical finding': 'mechanical obstruction', 'existence': 'unc_dx', 'descriptive_term': 'mechanical', 'observation': 'obstruction'clinical findings_fin: 'volvulus': 'clinical finding': 'volvulus', 'existence': 'neg_dx', 'observation': 'volvulus'anatomical entity_fin: 'sigmoid colon': clinical findings_fin: 'mild narrowing': 'clinical finding': 'mild narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild', 'underdistention': 'clinical finding': 'underdistention', 'existence': 'unc_dx', 'observation': 'underdistention', 'possibly postsurgical change': 'clinical finding': 'possibly postsurgical change', 'existence': 'unc_dx', 'descriptive_term': 'possibly postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the abdominal aorta noted. Normal caliber of the small bowel. Again demonstrated is extreme redundancy of the entire colon including the sigmoid colon. Colonic segments demonstrate mild distention similar to prior examination, but there is no definite transition point to suggest mechanical obstruction. No definite areas of volvulus. There is mild narrowing of the caliber of the sigmoid colon seen on image 118 series 12, likely on the basis of underdistention or possibly postsurgical change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patchy low attenuation': 'clinical finding': 'patchy low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy low', 'observation': 'attenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'age-appropriate volume loss': 'clinical finding': 'age-appropriate volume loss', 'existence': 'pos_dx', 'descriptive_term': 'age-appropriate volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'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] Patchy low attenuation in the subcortical and periventricular white matter compatible with chronic small vessel ischemic disease. The ventricles, sulci, and cisterns are symmetric and mildly prominent compatible with age-appropriate volume loss. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6 mm', 'size_descriptor': 'fracture']anatomical entity_fin: 'mandible': location descriptor_fin: ['right', 'posterior', 'left']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture', 'posterior displacement': 'clinical finding': 'posterior displacement', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'displacement'location descriptor_fin: ['central']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'anatomical entity_fin: 'body': , 'mandibular canal': location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'second fracture': 'clinical finding': 'second fracture', 'existence': 'pos_dx', 'descriptive_term': 'second', 'observation': 'fracture', 'displacement': 'clinical finding': 'displacement', 'existence': 'neg_dx', 'observation': 'displacement'anatomical entity_fin: 'temporomandibular joints': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']anatomical entity_fin: 'nasal bones': 'location descriptor': 'bilateral', 'orbits': , 'paranasal sinuses': , 'zygomatic arches': location descriptor_fin: ['bilateral']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'cells': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'mild to moderate mucosal thickening': 'clinical finding': 'mild to moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate mucosal', 'observation': 'thickening', 'strength_term': 'mild - moderate', 'mild opacification': 'clinical finding': 'mild opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'opacification', 'strength_term': 'mild'location descriptor_fin: ['right']clinical findings_fin: 'right-sided septal spur': 'clinical finding': 'right-sided septal spur', 'existence': 'pos_dx', 'descriptive_term': 'right-sided septal', 'observation': 'spur'clinical findings_fin: 'limited evaluation of the visualized intracranial structures': 'clinical finding': 'limited evaluation of the visualized intracranial structures' [/INST] [RESP] There is fracture involving the mandible in the right symphyseal or parasymphyseal region with approximately 6 mm of posterior displacement of the left aspect of the mandible in relation to the right. Fracture line extends between the central incisors. There is a second fracture of the left posterior aspect of the mandibular body without displacement and involves the mandibular canal as well as the alveolar process of the posterior left mandibular molar. Bilateral temporomandibular joints are in place. Bilateral nasal bones, orbits, paranasal sinuses, and zygomatic arches remain intact. Pterygoid plates are intact. There is mild to moderate mucosal thickening involving the left maxillary sinus as well as mild opacification involving scattered anterior ethmoid air cells. Rightward nasal septal deviation with right-sided septal spur noted. Limited evaluation of the visualized intracranial structures is also unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'arteries': 'location descriptor': 'subsegmental'location descriptor_fin: ['subsegmental']clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'subpleural fibrosis': 'clinical finding': 'subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'fibrosis', 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'clinical findings_fin: 'pulmonary fibrosis': 'clinical finding': 'pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'clinical findings_fin: 'multiple calcified granulomas': 'clinical finding': 'multiple calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'granuloma', 'quantity_term': 'multiple', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'several prominent subcentimeter mediastinal and hilar lymph nodes': 'clinical finding': 'several prominent subcentimeter mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several prominent subcentimeter mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'several'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'clinical findings_fin: 'moderate vascular calcifications': 'clinical finding': 'moderate vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate vascular', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Technically adequate study without pulmonary embolus to the level of the subsegmental arteries. Traction bronchiectasis and subpleural fibrosis with ground glass opacities predominately affects the lung bases and is unchanged from the prior study given differences in technique. These findings are consistent with known history of pulmonary fibrosis. Multiple calcified granulomas are noted, consistent with prior granulomatous disease. Several prominent subcentimeter mediastinal and hilar lymph nodes are seen. The heart size is normal and there is no pericardial effusion. Severe coronary artery calcifications are seen. Moderate vascular calcifications are noted. Degenerative changes are seen in the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple renal cortical hypodensities': 'clinical finding': 'multiple renal cortical hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple renal cortical', 'observation': 'hypodensity', 'quantity_term': 'multiple'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'transverse colon': , 'rectum': imaging observation_fin: ['fat']clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand'clinical findings_fin: 'ibd flare': 'clinical finding': 'ibd flare', 'existence': 'pos_dx', 'descriptive_term': 'ibd', 'observation': 'flare', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'size_fin: ['size': '5.5 cm', 'size_descriptor': 'colon']imaging observation_fin: ['colon']location descriptor_fin: ['proximal']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'colonic and rectal wall thickening': 'clinical finding': 'colonic and rectal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic and rectal wall', 'observation': 'thickening', 'mucosal enhancement': 'clinical finding': 'mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'enhancement', 'active colitis': 'clinical finding': 'active colitis', 'existence': 'pos_dx', 'descriptive_term': 'active', 'observation': 'colitis', 'strength_term': 'active', 'proctitis': 'clinical finding': 'proctitis', 'existence': 'pos_dx', 'observation': 'proctitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Multiple renal cortical hypodensities are too small to characterize. No hydronephrosis. No significant abnormality noted. Colonic wall thickening extensive the transverse colon distally through the rectum with surrounding fat stranding. Findings are compatible with IBD flare although infection cannot be excluded. Colon proximal to the area of thickening appears less distended up to 5.5 cm in diameter. No significant abnormality noted. Moderate amount of ascites is present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse colonic and rectal wall thickening with mucosal enhancement compatible with active colitis and proctitis. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gynecomastia': 'clinical finding': 'gynecomastia', 'existence': 'pos_dx', 'observation': 'gynecomastia'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right venous access port is in the expected position': 'clinical finding': 'right venous access port is in the expected position'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly'size_fin: ['size': '14 cm', 'size_descriptor': 'spleen']anatomical entity_fin: 'spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Gynecomastia. Right venous access port is in the expected position. No significant abnormality noted. Splenomegaly. The spleen measures 14 cm in length. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['reticulation']clinical findings_fin: 'severe basilar predominant fibrosis': 'clinical finding': 'severe basilar predominant fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'severe basilar predominant', 'observation': 'fibrosis', 'strength_term': 'severe', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'bronchiolectasis': 'clinical finding': 'bronchiolectasis', 'existence': 'pos_dx', 'observation': 'bronchiolectasis', 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing', 'ild': 'clinical finding': 'ild', 'existence': 'pos_dx', 'observation': 'ild'clinical findings_fin: 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'neg_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectatic ascending aorta': 'clinical finding': 'ectatic ascending aorta'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'increased': 'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered prominent mediastinal lymph nodes': 'clinical finding': 'scattered prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'esophagus': clinical findings_fin: 'severely dilated and patulous': 'clinical finding': 'severely dilated and patulous', 'existence': 'pos_dx', 'descriptive_term': 'severely dilated and', 'observation': 'patulous', 'change_term': 'dilated', 'intraluminal debris': 'clinical finding': 'intraluminal debris', 'existence': 'pos_dx', 'descriptive_term': 'intraluminal', 'observation': 'debris'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Again seen is severe basilar predominant fibrosis, traction bronchiectasis and bronchiolectasis, reticulation, and honeycombing compatible with patients known ILD, mildly progressed when compared to prior. No ground glass opacities. No new pulmonary nodules or pleural effusions. No evidence of significant air trapping and expiratory series. Heart size mildly enlarged without pericardial effusion. There are atherosclerotic calcifications of the thoracic aorta and its branches. Ectatic ascending aorta. The main pulmonary artery diameter is increased compatible with pulmonary hypertension. Scattered prominent mediastinal lymph nodes unchanged from prior. Severely dilated and patulous esophagus with intraluminal debris. Small hiatal hernia. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'midbrain': anatomical entity_fin: 'fluid': , 'left cerebral peduncle': , 'pons': 'location descriptor': 'left'imaging observation_fin: ['blood products']location descriptor_fin: ['left']clinical findings_fin: 'air-fluid': 'clinical finding': 'air-fluid', 'existence': 'pos_dx', 'observation': 'air', 'associated hyperdensity': 'clinical finding': 'associated hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'hyperdensity', 'some blood products': 'clinical finding': 'some blood products', 'existence': 'pos_dx', 'descriptive_term': 'some blood', 'observation': 'product', 'quantity_term': 'some'anatomical entity_fin: 'paranasal sinuses': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'some minor opacities': 'clinical finding': 'some minor opacities', 'existence': 'pos_dx', 'descriptive_term': 'some minor', 'observation': 'opacity', 'quantity_term': 'some'anatomical entity_fin: 'frontal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'bur hole': 'clinical finding': 'bur hole', 'existence': 'pos_dx', 'descriptive_term': 'bur', 'observation': 'hole'anatomical entity_fin: 'right frontal lobe': procedure_fin: ['ventriculostomy']clinical findings_fin: 'punctate intraparenchymal air is present within the right frontal lobe probably related': 'clinical finding': 'punctate intraparenchymal air is present within the right frontal lobe probably related'anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['anterior']clinical findings_fin: 'additionally there is a small amount of intracranial air anterior': 'clinical finding': 'additionally there is a small amount of intracranial air anterior'anatomical entity_fin: 'right frontal lobe': , 'right lateral ventricle': object_fin: ['tube']procedure_fin: ['ventriculostomy']clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] The patient is status post a recent midbrain and pontine surgery. An air-fluid level is present within the previously noted cystic cavity which occupies the left cerebral peduncle and left pons there is a small amount of associated hyperdensity compatible with some blood products. The visualized portions of the paranasal sinuses demonstrates a some minor opacities in the left maxillary sinus. A bur hole is present at the right frontal bone. Some punctate intraparenchymal air is present within the right frontal lobe probably related to a ventriculostomy tract. Additionally there is a small amount of intracranial air anterior to the right frontal lobe. A ventriculostomy tube course to the right frontal lobe into the right lateral ventricle. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Atherosclerotic calcifications are present along the distal internal carotid arteries [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'pathological enhancement': 'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'medulla': clinical findings_fin: 'cranial displacement': 'clinical finding': 'cranial displacement', 'existence': 'pos_dx', 'descriptive_term': 'cranial', 'observation': 'displacement'anatomical entity_fin: 'clivus': location descriptor_fin: ['anterior']clinical findings_fin: 'anterior c1 ring': 'clinical finding': 'anterior c1 ring', 'existence': 'pos_dx', 'descriptive_term': 'anterior c1', 'observation': 'ring'anatomical entity_fin: 'foramen magnum': clinical findings_fin: 'near complete effacement': 'clinical finding': 'near complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'effacement', 'stenosis': 'clinical finding': 'stenosis', 'existence': 'pos_dx', 'observation': 'stenosis'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal bilateral maxillary sinus mucosal thickening': 'clinical finding': 'minimal bilateral maxillary sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal bilateral maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'size_fin: ['size': '2.5 x 2.6 x 1.9 cm']anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'internal carotid arteries': clinical findings_fin: 'intracranial internal carotid arteries are normal in course and caliber': 'clinical finding': 'intracranial internal carotid arteries are normal in course and caliber'anatomical entity_fin: 'middle': , 'anterior cerebral arteries': clinical findings_fin: 'middle and anterior cerebral arteries are unremarkable': 'clinical finding': 'middle and anterior cerebral arteries are unremarkable'anatomical entity_fin: 'vertebral arteries': , 'basilar artery': , 'posterior cerebral arteries': clinical findings_fin: 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber': 'clinical finding': 'vertebral arteries , basilar artery , and posterior cerebral arteries are normal in course and caliber'clinical findings_fin: 'flow-limiting stenosis': 'clinical finding': 'flow-limiting stenosis', 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'anatomical entity_fin: 'neck': clinical findings_fin: 'cta neck': 'clinical finding': 'cta neck' [/INST] [RESP] There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. The ventricles and sulci are within normal limits. 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. There is redemonstration of cranial displacement of the odontoid process to the level of the medulla. There is assimilation of the anterior C1 ring to the clivus. There is near complete effacement of the CSF space at foramen magnum and stenosis, unchanged in extent. There is minimal bilateral maxillary sinus mucosal thickening. There is a heterogeneous 2.5 x 2.6 x 1.9 cm in lesion in the right thyroid lobe, which is also demonstrated on previous MRI. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. CTA NECK [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper', 'central']clinical findings_fin: 'previous reference left upper lobe mass': 'clinical finding': 'previous reference left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previous reference left upper lobe', 'observation': 'mass', 'temporal_term': 'previous', 'central ground glass opacity': 'clinical finding': 'central ground glass opacity', 'existence': 'neg_dx', 'descriptive_term': 'central ground glass', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['peripheral', 'superior', 'left', 'lower']clinical findings_fin: 'peripheral ground glass opacity': 'clinical finding': 'peripheral ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'peripheral ground glass', 'observation': 'opacity'imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: 'left apical nodule': 'clinical finding': 'left apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe dense nodular consolidation': 'clinical finding': 'right upper lobe dense nodular consolidation', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe dense nodular', 'observation': 'consolidation', 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'surrounding ground glass': 'clinical finding': 'surrounding ground glass', 'existence': 'pos_dx', 'descriptive_term': 'surrounding ground', 'observation': 'glass'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe perifissural nodule': 'clinical finding': 'right middle lobe perifissural nodule', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe perifissural', 'observation': 'nodule'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'location descriptor_fin: ['right']object_fin: ['catheter']size_fin: ['size': '3.4-cm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered small enlarged mediastinal lymph nodes': 'clinical finding': 'scattered small enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'small - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'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] . Previous reference left upper lobe mass with central ground glass opacity is not significantly changed. Peripheral ground glass opacity in the superior segment of the left lower lobe has significantly decreased. Left apical nodule is unchanged. Right upper lobe dense nodular consolidation with bronchial wall thickening is unchanged, although surrounding ground glass is decreased. Right middle lobe perifissural nodule is unchanged. No new pulmonary nodules or masses are identified. No pleural effusions. Right internal jugular catheter tip is in the SVC. The main pulmonary artery is large measuring 3.4-cm, unchanged, suggesting pulmonary hypertension. Scattered small enlarged mediastinal lymph nodes are unchanged. Heart size is normal. Small pericardial effusion, unchanged. Degenerative changes of the thoracic spine, unchanged. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'irregular shaped heterogeneous density lower lobe and nodular opacities': 'clinical finding': 'irregular shaped heterogeneous density lower lobe and nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'irregular shaped heterogeneous density lower lobe and nodular', 'observation': 'opacity', 'aspiration pneumonitis': 'clinical finding': 'aspiration pneumonitis', 'existence': 'unc_dx', 'descriptive_term': 'aspiration', 'observation': 'pneumonitis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['posterior', 'right', 'lower']clinical findings_fin: 'new opacity': 'clinical finding': 'new opacity', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'opacity', 'temporal_term': 'new', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'size_fin: ['size': '5 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference subpleural nodule': 'clinical finding': 'reference subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference subpleural', 'observation': 'nodule'clinical findings_fin: 'other pulmonary micronodules': 'clinical finding': 'other pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'interval removal': 'clinical finding': 'interval removal', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'removal'location descriptor_fin: ['right']clinical findings_fin: 'mild right hilar lymphadenopathy': 'clinical finding': 'mild right hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild right hilar', 'observation': 'lymphadenopathy', 'strength_term': 'mild'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', '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'clinical findings_fin: 'scattered hepatic densities': 'clinical finding': 'scattered hepatic densities', 'existence': 'pos_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'density'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Interval resolution of the majority of the irregular shaped heterogeneous density lower lobe and nodular opacities, likely resolved aspiration pneumonitis. A new opacity is identified in the posterior right lower lobe , most likely representing a new focus of aspiration or infection. Reference subpleural nodule in the right lower lobe measures 5 mm , previously measuring the same. Other pulmonary micronodules are grossly unchanged. Interval removal of right chest port. Mild right hilar lymphadenopathy appears unchanged. No mediastinal lymphadenopathy. The heart size is normal without evidence of pericardial effusion. No significant abnormality noted. Scattered hepatic densities too small to actually characterize, however appear unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild degenerative changes of the spine. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'anatomical entity_fin: 'thoracic aorta': 'location descriptor': 'distal', 'common iliac artery': 'location descriptor': 'right'location descriptor_fin: ['distal', 'right']clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'pos_dx', 'observation': 'dissection'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic changes': 'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': , 'gland': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'hip joint': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'heterotopic ossification': 'clinical finding': 'heterotopic ossification', 'existence': 'pos_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'anatomical entity_fin: 'hip': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'further evaluation of present clinical concern for right hip pathology': 'clinical finding': 'further evaluation of present clinical concern for right hip pathology'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Biapical scarring. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts are unchanged. Dissection starting from distal thoracic aorta and extending inferiorly to the level of the aortic bifurcation and unlikely to the right common iliac artery is noted. Diffuse atherosclerotic changes in all abdominal aorta and its major branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prostate gland is significantly enlarged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of fluid around the right hip joint and heterotopic ossification, not significantly changed from previous study. MRI of the right hip may be helpful for further evaluation of present clinical concern for right hip 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'uterus': clinical findings_fin: 'small amount of fluid is seen within the uterus': 'clinical finding': 'small amount of fluid is seen within the uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of fluid is seen within the uterus and is likely physiologic. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. A small amount of free fluid within the pelvis is likely physiologic. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'brain': , 'orbits': clinical findings_fin: 'portions of the brain and orbits seen on normal': 'clinical finding': 'portions of the brain and orbits seen on normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] The frontal, ethmoid, maxillary and sphenoid sinuses are pneumatized and normal. Ostiomeatal units are patent. Portions of the brain and orbits seen on normal. Mastoid air cells are well pneumatized and normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'hip': 'location descriptor': 'right', 'joint': location descriptor_fin: ['right']clinical findings_fin: 'moderate to severe osteoarthritis': 'clinical finding': 'moderate to severe osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'osteoarthritis', 'strength_term': 'moderate - severe', 'joint space narrowing': 'clinical finding': 'joint space narrowing', 'existence': 'pos_dx', 'descriptive_term': 'joint space', 'observation': 'narrowing', 'osteophyte': 'clinical finding': 'osteophyte', 'existence': 'pos_dx', 'observation': 'osteophyte', 'subchondral cysts': 'clinical finding': 'subchondral cysts', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'similar osteoarthritis': 'clinical finding': 'similar osteoarthritis', 'existence': 'unc_dx', 'descriptive_term': 'similar', 'observation': 'osteoarthritis'anatomical entity_fin: 'symphysis': , 'sacroiliac joints': clinical findings_fin: 'chondrocalcinosis': 'clinical finding': 'chondrocalcinosis', 'existence': 'pos_dx', 'observation': 'chondrocalcinosis', 'mild osteoarthritis': 'clinical finding': 'mild osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'anatomical entity_fin: 'disc': , 'facet': , 'joint': , 'lumbar spine': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'severe degenerative disc disease': 'clinical finding': 'severe degenerative disc disease', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative disc', 'observation': 'disease', 'strength_term': 'severe', 'facet joint osteoarthritis': 'clinical finding': 'facet joint osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'facet joint', 'observation': 'osteoarthritis'size_fin: ['size': '14 mm', 'size_descriptor': 'focus']anatomical entity_fin: 'right femur': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density', 'residual red marrow': 'clinical finding': 'residual red marrow', 'existence': 'unc_dx', 'descriptive_term': 'residual red', 'observation': 'marrow', 'temporal_term': 'residual'anatomical entity_fin: 'pelvis': clinical findings_fin: 'scattered arterial calcifications': 'clinical finding': 'scattered arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered arterial', 'observation': 'calcification'anatomical entity_fin: 'right knee': clinical findings_fin: 'osteoarthritis': 'clinical finding': 'osteoarthritis', 'existence': 'pos_dx', 'observation': 'osteoarthritis'anatomical entity_fin: 'body': location descriptor_fin: ['right']clinical findings_fin: 'right-sided bakers cyst': 'clinical finding': 'right-sided bakers cyst', 'existence': 'pos_dx', 'descriptive_term': 'right-sided bakers', 'observation': 'cyst'anatomical entity_fin: 'left knee': , 'knee': procedure_fin: ['arthroplasty']clinical findings_fin: 'metallic artifact': 'clinical finding': 'metallic artifact', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'artifact' [/INST] [RESP] Moderate to severe osteoarthritis affects the right hip with joint space narrowing, osteophyte formation, and subchondral cysts. Large field-of-view images demonstrate similar osteoarthritis affecting the left hip. There is chondrocalcinosis of the pubic symphysis and mild osteoarthritis of the sacroiliac joints. Severe degenerative disc disease affects L5-S1 and there is facet joint osteoarthritis of the lower lumbar spine. There is a 14 mm focus of soft tissue density within the medullary space of the subtrochanteric right femur which likely reflects residual red marrow and was seen on a prior CT dated 9/3/2012. Scattered arterial calcifications are noted within the pelvis. Osteoarthritis affects the right knee. A small presumed loose body is present within a right-sided Bakers cyst. Evaluation of the left knee is limited by metallic artifact from the total knee arthroplasty. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'size_fin: ['size': '6 cm', 'size_descriptor': 'mass']location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous right thyroid mass': 'clinical finding': 'heterogeneous right thyroid mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous right thyroid', 'observation': 'mass'location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter left thyroid nodule': 'clinical finding': 'subcentimeter left thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left thyroid', 'observation': 'nodule'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable'location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis', 'slight anterolisthesis': 'clinical finding': 'slight anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'anterolisthesis'clinical findings_fin: 'diffuse osteopenia': 'clinical finding': 'diffuse osteopenia', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteopenia'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter left pulmonary nodule': 'clinical finding': 'subcentimeter left pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left pulmonary', 'observation': 'nodule' [/INST] [RESP] There is no evidence of significant cervical lymphadenopathy based on size criteria. There is a heterogeneous right thyroid mass that measures up to 6 cm. There is also a subcentimeter left thyroid nodule. The major salivary glands are unremarkable. There is a left internal jugular venous catheter. The major cervical vessels are patent. There is multilevel degenerative spondylosis and slight anterolisthesis of C4 on C5. There is diffuse osteopenia. The airways are patent. The imaged intracranial structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. There is a subcentimeter left pulmonary nodule. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'acute infarction': 'clinical finding': 'acute infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'arteries': clinical findings_fin: 'diffuse mild density': 'clinical finding': 'diffuse mild density', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mild', 'observation': 'density', 'strength_term': 'mild', 'hemoconcentration': 'clinical finding': 'hemoconcentration', 'existence': 'unc_dx', 'observation': 'hemoconcentration', 'dehydration': 'clinical finding': 'dehydration', 'existence': 'pos_dx', 'observation': 'dehydration'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'head': clinical findings_fin: 'visualized osseous structures of the head appear': 'clinical finding': 'visualized osseous structures of the head appear'anatomical entity_fin: 'scalp': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'multiple skin lesions': 'clinical finding': 'multiple skin lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple skin', 'observation': 'lesion', 'quantity_term': 'multiple' [/INST] [RESP] There is no evidence of intracranial mass, hemorrhage or acute infarction. There is diffuse mild density of the intracranial arteries, which may be secondary to hemoconcentration including dehydration. The gray-white matter differentiation is preserved. The basal cisterns and cerebral sulci appear symmetric and within normal limits. The visualized osseous structures of the head appear unremarkable. There are multiple skin lesions in the posterior scalp, of uncertain etiology. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['vacuum disk phenomenon']clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease', 'vacuum disk phenomenon': 'clinical finding': 'vacuum disk phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disk', 'observation': 'phenomenon'anatomical entity_fin: 't12 vertebral body': location descriptor_fin: ['posterior', 'superior']clinical findings_fin: 'degenerative cyst': 'clinical finding': 'degenerative cyst', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'cyst'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'dislocation': 'clinical finding': 'dislocation', 'existence': 'neg_dx', 'observation': 'dislocation'clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease'clinical findings_fin: 'otherwise , unremarkable': 'clinical finding': 'otherwise , unremarkable'size_fin: ['size': '8 mm', 'size_descriptor': 'bulge']anatomical entity_fin: 'ligamentum flavum': location descriptor_fin: ['bilateral']clinical findings_fin: 'disk': 'clinical finding': 'disk', 'existence': 'pos_dx', 'observation': 'disk', 'hypertrophy': 'clinical finding': 'hypertrophy', 'existence': 'pos_dx', 'observation': 'hypertrophy', 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing'size_fin: ['size': '8 mm', 'size_descriptor': 'bulge']anatomical entity_fin: 'ligamentum flavum': location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'diffuse disk bulge': 'clinical finding': 'diffuse disk bulge', 'existence': 'pos_dx', 'descriptive_term': 'diffuse disk', 'observation': 'bulge', 'hypertrophy': 'clinical finding': 'hypertrophy', 'existence': 'pos_dx', 'observation': 'hypertrophy', 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing'size_fin: ['size': '9 mm', 'size_descriptor': 'bulge']anatomical entity_fin: 'ligamentum flavum': clinical findings_fin: 'disk': 'clinical finding': 'disk', 'existence': 'pos_dx', 'observation': 'disk', 'hypertrophy': 'clinical finding': 'hypertrophy', 'existence': 'pos_dx', 'observation': 'hypertrophy', 'borderline central spinal stenosis': 'clinical finding': 'borderline central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'borderline central spinal', 'observation': 'stenosis', 'strength_term': 'borderline'anatomical entity_fin: 'lateral recesses': , 'foramina': clinical findings_fin: 'impingement': 'clinical finding': 'impingement', 'existence': 'pos_dx', 'observation': 'impingement'anatomical entity_fin: 'ligamentum flavum': location descriptor_fin: ['bilateral']clinical findings_fin: 'disk': 'clinical finding': 'disk', 'existence': 'pos_dx', 'observation': 'disk', 'bilateral neuroforaminal narrowing': 'clinical finding': 'bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neuroforaminal', 'observation': 'narrowing'clinical findings_fin: 'significant central spinal stenosis': 'clinical finding': 'significant central spinal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant central spinal', 'observation': 'stenosis' [/INST] [RESP] Degenerative disk disease with vacuum disk phenomenon evident at T11-12, T12-L1, L2-3, L3-4, L4-5, and L5-S1. Degenerative cyst noted at the posterior superior aspect of the T12 vertebral body. Vertebral body heights are intact. No fracture or dislocation. Degenerative disk disease. Otherwise, unremarkable. Unremarkable. Disk bulge and hypertrophy of the ligamentum flavum cause central spinal stenosis of 8 mm and bilateral neuroforaminal narrowing. Diffuse disk bulge and hypertrophy of the ligamentum flavum causing central spinal stenosis of 8 mm as well as bilateral neuroforaminal narrowing, right worse than left. Disk bulge and hypertrophy of the ligamentum flavum cause a borderline central spinal stenosis of 9 mm. Impingement of the lateral recesses and the neural foramina bilaterally. Disk bulge and hypertrophied ligamentum flavum cause bilateral neuroforaminal narrowing. No significant central spinal stenosis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'containing hernia': 'clinical finding': 'containing hernia', 'existence': 'pos_dx', 'descriptive_term': 'containing', 'observation': 'hernia', 'diaphragmatic hernia': 'clinical finding': 'diaphragmatic hernia', 'existence': 'unc_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '14 x 8mm']anatomical entity_fin: 'pancreas': clinical findings_fin: '14 x 8mm, oval-shaped well-defined lesion': 'clinical finding': '14 x 8mm, oval-shaped well-defined lesion', 'existence': 'pos_dx', 'descriptive_term': '14 x 8mm oval-shaped well-defined', 'observation': 'lesion'anatomical entity_fin: 'fluid': clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'pancreas': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'aorta': , 'portal vein': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged 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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'size_fin: ['size': '4.2 x 3.5 cm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'abdominal': clinical findings_fin: 'infrarenal abdominal aortic aneurysm': 'clinical finding': 'infrarenal abdominal aortic aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'infrarenal abdominal aortic', 'observation': 'aneurysm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small fat containing hernia or diaphragmatic hernia on the left side. No significant abnormality noted. No significant abnormality noted. 14 x 8mm, oval-shaped well-defined lesion in the uncinate process of the pancreas. The lesion measures fluid density. No evidence of pancreatic ductal dilatation. No evidence of biliary dilatation. No evidence of extension of the mass outside the pancreas. The SMA, SMV, aorta, portal vein are patent and unremarkable. No evidence of enlarged lymph nodes. No significant abnormality noted. Bilateral renal cysts. Infrarenal abdominal aortic aneurysm measuring 4.2 x 3.5 cm in AP dimension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'thorax': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'visualized portions of the lower thorax': 'clinical finding': 'visualized portions of the lower thorax'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in size , texture and morphology': 'clinical finding': 'liver is normal in size , texture and morphology'clinical findings_fin: 'intra-or extrahepatic ductal dilatation': 'clinical finding': 'intra-or extrahepatic ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extrahepatic ductal', 'observation': 'dilatation'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'imaging observation_fin: ['enhancement pattern']clinical findings_fin: 'normal morphology and enhancement pattern': 'clinical finding': 'normal morphology and enhancement pattern'clinical findings_fin: 'normal size and morphology': 'clinical finding': 'normal size and morphology'clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'multiple prominent ileocolic and mesenteric lymph nodes': 'clinical finding': 'multiple prominent ileocolic and mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple prominent ileocolic and mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'quantity_term': 'multiple'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel dilatation': 'clinical finding': 'bowel dilatation', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'dilatation', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'anatomical entity_fin: 'ileocolic lymph nodes': clinical findings_fin: 'prominent ileocolic lymph nodes': 'clinical finding': 'prominent ileocolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent ileocolic lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'appendix': clinical findings_fin: 'normal appendix': 'clinical finding': 'normal appendix'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Visualized portions of the lower thorax are normal. The liver is normal in size, texture and morphology. No intra-or extrahepatic ductal dilatation. Normal size and morphology without abnormal enhancement. Normal morphology and enhancement pattern. Normal size and morphology. Normal size and enhancement. No hydronephrosis. Multiple prominent ileocolic and mesenteric lymph nodes are present. No bowel dilatation or wall thickening. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The distended urinary bladder is normal. Prominent ileocolic lymph nodes. Normal appendix. 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: 'pulmonary artery': clinical findings_fin: 'enlargement pulmonary': 'clinical finding': 'enlargement pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'enlargement', 'observation': 'pulmonary', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new dense consolidation': 'clinical finding': 'new dense consolidation', 'existence': 'pos_dx', 'descriptive_term': 'new dense', 'observation': 'consolidation', 'temporal_term': 'new', 'cavitation': 'clinical finding': 'cavitation', 'existence': 'pos_dx', 'observation': 'cavitation'location descriptor_fin: ['right', 'left']clinical findings_fin: 'persistent basilar interstitial opacities': 'clinical finding': 'persistent basilar interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'persistent basilar interstitial', 'observation': 'opacity', 'temporal_term': 'persistent', 'associated traction bronchiectasis': 'clinical finding': 'associated traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated traction', 'observation': 'bronchiectasis'location descriptor_fin: ['bilateral']clinical findings_fin: 'new geographic, bilateral diffuse groundglass opacities': 'clinical finding': 'new geographic, bilateral diffuse groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'new geographic bilateral diffuse groundglass', 'observation': 'opacity', 'temporal_term': 'new'location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'severe cardiomegaly': 'clinical finding': 'severe cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'cardiomegaly', 'strength_term': 'severe', 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'axilla': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'persistent soft tissue calcifications': 'clinical finding': 'persistent soft tissue calcifications', 'existence': 'pos_dx', 'descriptive_term': 'persistent soft tissue', 'observation': 'calcification', 'temporal_term': 'persistent'clinical findings_fin: 'suspicious osseous lesion': 'clinical finding': 'suspicious osseous lesion', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'lumen': object_fin: ['nasogastric tube']clinical findings_fin: 'nasogastric tube': 'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube' [/INST] [RESP] . Stable enlargement pulmonary artery consistent with pulmonary arterial hypertension. No pulmonary embolus. New dense consolidation with cavitation in the right upper lobe. Persistent basilar interstitial opacities with associated traction bronchiectasis, right greater than left. New geographic, bilateral diffuse groundglass opacities. Small bilateral pleural effusions. Severe cardiomegaly with a small pericardial effusion. No significantly enlarged mediastinal or hilar lymph nodes. Persistent soft tissue calcifications most prominent in the inferior right axilla. No suspicious osseous lesion. Nasogastric tube within the gastric lumen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobes': , 'right lung': clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'surrounding ground glass opacity': 'clinical finding': 'surrounding ground glass opacity', 'existence': 'unc_dx', 'descriptive_term': 'surrounding ground glass', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'breast': location descriptor_fin: ['right']clinical findings_fin: 'asymmetric enlargement': 'clinical finding': 'asymmetric enlargement', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'enlargement', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening', 'increased density': 'clinical finding': 'increased density', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'irregular coarsening': 'clinical finding': 'irregular coarsening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'coarsening', 'breast cancer': 'clinical finding': 'breast cancer', 'existence': 'pos_dx', 'descriptive_term': 'breast', 'observation': 'cancer'location descriptor_fin: ['right']clinical findings_fin: 'right axillary lymphadenopathy': 'clinical finding': 'right axillary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right axillary', 'observation': 'lymphadenopathy'size_fin: ['size': '24 mm', 'size_descriptor': 'node']anatomical entity_fin: 'axillary lymph node': , 'axis': clinical findings_fin: 'axillary lymph node': 'clinical finding': 'axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'axillary lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Nodular areas of consolidation in all lobes of the right lung, peripherally located in a linear distribution some of which have surrounding ground glass opacity. No pleural effusions. No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. Asymmetric enlargement of the right breast with skin thickening, increased density, and irregular coarsening is compatible patients known history of breast cancer. Right axillary lymphadenopathy. For reference, an axillary lymph node measures 24 mm in short axis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right upper lobe': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'stable mild basilar bronchiectasis': 'clinical finding': 'stable mild basilar bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'stable mild basilar', 'observation': 'bronchiectasis', 'strength_term': 'stable - mild', 'change_term': 'stable'clinical findings_fin: 'unchanged linear opacities': 'clinical finding': 'unchanged linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged linear', 'observation': 'opacity', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'anatomical entity_fin: 'left upper lobe': location descriptor_fin: ['left', 'upper']clinical findings_fin: 'stable scattered micronodules': 'clinical finding': 'stable scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable', 'calcified left upper lobe granuloma': 'clinical finding': 'calcified left upper lobe granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified left upper lobe', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'heart': , 'pericardial': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinal': , 'hilar': clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['median', 'right']procedure_fin: ['mastectomy']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy'anatomical entity_fin: 'liver': clinical findings_fin: 'heterogeneous': 'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'anatomical entity_fin: 'hepatic': clinical findings_fin: 'definite hepatic lesions': 'clinical finding': 'definite hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'definite hepatic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'renal': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left renal calculus': 'clinical finding': 'left renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'calculus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'extensive atherosclerotic disease of the abdominal aorta': 'clinical finding': 'extensive atherosclerotic disease of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic disease of the abdominal', 'observation': 'aorta', 'strength_term': 'extensive'anatomical entity_fin: 'suprarenal aorta': clinical findings_fin: 'previously described linear filling defect': 'clinical finding': 'previously described linear filling defect', 'existence': 'pos_dx', 'descriptive_term': 'previously described linear filling', 'observation': 'defect'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The patient is status post a right upper lobe resection. Stable mild basilar bronchiectasis. Unchanged linear opacities represent scarring. Stable scattered micronodules and calcified left upper lobe granuloma. No new suspicious nodules. Atherosclerotic calcification in the thoracic aorta again seen. The heart size is normal no evidence of a pericardial effusion. The patient status post a CABG. No mediastinal or hilar lymphadenopathy. Status post a median sternotomy and right mastectomy. The liver is heterogeneous which may be due to the phase of contrast enhancement. No definite hepatic lesions are identified. No significant abnormality noted. No significant abnormality noted. Nonobstructing left renal calculus. No significant abnormality noted. Extensive atherosclerotic disease of the abdominal aorta with mural plaques again identified. The previously described linear filling defect in the suprarenal aorta seen on 9/7/07 is again identified. 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': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'abnormal intracranial enhancement': 'clinical finding': 'abnormal intracranial enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal intracranial', 'observation': 'enhancement'clinical findings_fin: '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: 'maxillary sinus': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral maxillary sinus mucosal thickening': 'clinical finding': 'bilateral maxillary sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus mucosal', 'observation': 'thickening'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'orbits , skull , paranasal sinuses , and scalp soft tissues are unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are unremarkable'location descriptor_fin: ['right']clinical findings_fin: 'post-therapy': 'clinical finding': 'post-therapy', 'existence': 'pos_dx', 'observation': 'post'size_fin: ['size': '11 x 13 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'fluid': , 'hyoid bone': location descriptor_fin: ['peripheral', 'lateral', 'right']clinical findings_fin: 'residual fluid attenuation lesion': 'clinical finding': 'residual fluid attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': 'residual fluid attenuation', 'observation': 'lesion', 'temporal_term': 'residual', 'peripheral enhancement': 'clinical finding': 'peripheral enhancement', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement', 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'parapharyngeal space': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'ill-defined lesion': 'clinical finding': 'ill-defined lesion', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'lesion', 'strength_term': 'ill-defined'location descriptor_fin: ['right']clinical findings_fin: 'hyperenhancing right level 3, 4, and 5 lymph nodes': 'clinical finding': 'hyperenhancing right level 3, 4, and 5 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hyperenhancing right level 3 4 and 5 lymph', 'observation': 'node'size_fin: ['size': '6 x 9 mm', 'size': '8 x 12 mm']location descriptor_fin: ['right']clinical findings_fin: 'right level 5 lymph node': 'clinical finding': 'right level 5 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 5 lymph', 'observation': 'node'anatomical entity_fin: 'vein': location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'unopacified': 'clinical finding': 'unopacified', 'existence': 'pos_dx', 'observation': 'unopacify', 'catheterized': 'clinical finding': 'catheterized', 'existence': 'pos_dx', 'observation': 'catheterized'size_fin: ['size': '12 mm', 'size_descriptor': 'nodule']location descriptor_fin: ['right']clinical findings_fin: 'right thyroid nodule': 'clinical finding': 'right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid', 'observation': 'nodule'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative spondylosis': 'clinical finding': 'mild degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'clinical findings_fin: 'multiple dental caries': 'clinical finding': 'multiple dental caries', 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'cary', 'quantity_term': 'multiple' [/INST] [RESP] . There is no evidence of intracranial mass 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. There is bilateral maxillary sinus mucosal thickening. The orbits, skull, paranasal sinuses, and scalp soft tissues are unremarkable. There are post-therapy findings within the right submandibular region. There is a residual fluid attenuation lesion with peripheral enhancement lateral to the right of the hyoid bone measuring up to 11 x 13 mm and surrounded by irregular hyperdense soft tissue, overall not significant changed from prior exam. The ill-defined lesion within the right parapharyngeal space is less conspicuous on prior exam and not distinctly measurable. There are hyperenhancing right level 3, 4, and 5 lymph nodes which have decreased in size. For example, a right level 5 lymph node measures 6 x 9 mm, previously 8 x 12 mm. The majority of the right jugular vein remains unopacified and the inferior portion of the vessel is catheterized. There is a right thyroid nodule that measures up to 12 mm. There is mild degenerative spondylosis of the cervical spine. There are multiple dental caries. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'clinical findings_fin: 'focal opacities': 'clinical finding': 'focal opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'small calcified nodules': 'clinical finding': 'small calcified nodules', 'existence': 'pos_dx', 'descriptive_term': 'small calcified', 'observation': 'nodule', 'strength_term': 'small', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'small calcified mediastinal and hilar lymph nodes': 'clinical finding': 'small calcified mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small calcified mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'small', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', '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' [/INST] [RESP] . Technically adequate exam, without evidence of pulmonary embolism. No focal opacities. No pleural effusions. Scattered small calcified nodules, compatible with prior granulomatous disease. No suspicious pulmonary nodules or masses. Heart size is normal, without pericardial effusion. Small calcified mediastinal and hilar lymph nodes from prior granulomatous disease. No lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'tiny subcentimeter hypodense lesions': 'clinical finding': 'tiny subcentimeter hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'tiny subcentimeter hypodense', 'observation': 'lesion', 'strength_term': 'tiny'clinical findings_fin: 'these are unchanged from the prior exam and their stability over time suggest': 'clinical finding': 'these are unchanged from the prior exam and their stability over time suggest', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No suspicious nodules, masses, or pleural effusion. No significant mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. No significant abnormality noted. Tiny subcentimeter hypodense lesions in the liver are again seen and too small to characterize. These are unchanged from the prior exam and their stability over time suggest that they are benign. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. No significant abnormality noted. No significant abnormality noted. No other significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'head': location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'artifactual': 'clinical finding': 'artifactual', 'existence': 'unc_dx', 'observation': 'artifactual', 'lacunar infarct': 'clinical finding': 'lacunar infarct', 'existence': 'unc_dx', 'descriptive_term': 'lacunar', 'observation': 'infarct'anatomical entity_fin: 'brain': clinical findings_fin: 'otherwise unremarkable in appearance': 'clinical finding': 'otherwise unremarkable in appearance'clinical findings_fin: 'parenchymal volume loss': 'clinical finding': 'parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'fluid': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] Patchy areas of hypoattenuation in the brainstem and periventricular or subcortical white matter are again seen and most consistent with chronic small vessel ischemic disease. A vague focus of hypoattenuation in the left caudate head may be artifactual or represent a lacunar infarct of indeterminate age. The cerebral and cerebellar hemispheres and the brain stem are otherwise unremarkable in appearance. Prominence of the extra-axial spaces and ventricular system is unchanged and compatible with parenchymal volume loss. No abnormal extra axial fluid collections, mass, or intracranial hemorrhage. The gray-white matter differentiation is preserved. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: 'right frontal approach ventriculoperitoneal': 'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'clinical findings_fin: 'ventricles are unchanged in size from the prior exam and are within normal limits': 'clinical finding': 'ventricles are unchanged in size from the prior exam and are within normal limits', 'change_term': 'unchanged'object_fin: ['shunt catheter']clinical findings_fin: 'visible kinking': 'clinical finding': 'visible kinking', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'kinking', 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity', 'visualized shunt catheter': 'clinical finding': 'visualized shunt catheter', 'existence': 'neg_dx', 'descriptive_term': 'visualized shunt', 'observation': 'catheter', 'reservoir system': 'clinical finding': 'reservoir system', 'existence': 'neg_dx', 'descriptive_term': 'reservoir', 'observation': 'system'anatomical entity_fin: 'fluid': clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'postoperative gas': 'clinical finding': 'postoperative gas', 'existence': 'neg_dx', 'descriptive_term': 'postoperative', 'observation': 'gas'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'brain parenchyma remains normal in attenuation': 'clinical finding': 'brain parenchyma remains normal in attenuation'location descriptor_fin: ['midline']clinical findings_fin: 'focal mass lesions': 'clinical finding': 'focal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal mass', 'observation': 'lesion', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'pos_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'anatomical entity_fin: 'tonsils': , 'foramen magnum': clinical findings_fin: 'foramen magnum , unchanged from prior': 'clinical finding': 'foramen magnum , unchanged from prior', 'change_term': 'unchanged'anatomical entity_fin: 'paranasal sinuses': , 'cells': clinical findings_fin: 'subtotal opacification': 'clinical finding': 'subtotal opacification', 'existence': 'pos_dx', 'descriptive_term': 'subtotal', 'observation': 'opacification', 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial', 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'head': , 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable' [/INST] [RESP] There is redemonstration of a right frontal approach ventriculoperitoneal shunt catheter terminating at the right foramen of Monro. The ventricles are unchanged in size from the prior exam and are within normal limits. There is no visible kinking or discontinuity of the visualized shunt catheter or reservoir system. There are no abnormal fluid collections or acute intracranial hemorrhage. Postoperative gas seen on the prior examination has resolved as expected. The brain parenchyma remains normal in attenuation. There are no focal mass lesions, midline shift, basal cistern effacement. Cerebellar tonsils terminate at the foramen magnum, unchanged from prior. Visualized paranasal sinuses are notable for subtotal opacification of the ethmoid air cells and partial opacification the sphenoid sinuses with mild mucosal thickening present in the maxillary sinuses. The appearance is similar to the prior head CT. Mastoid air cells and middle ear cavities remain clear. Orbital contents are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': , 'left thalamus': , 'basal ganglia': imaging observation_fin: ['foci']clinical findings_fin: 'ill-defined hypoattenuation foci': 'clinical finding': 'ill-defined hypoattenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypoattenuation', 'observation': 'foci', 'strength_term': 'ill-defined', 'remote vascular event': 'clinical finding': 'remote vascular event', 'existence': 'pos_dx', 'descriptive_term': 'remote vascular', 'observation': 'event'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'normal limits for patients stated age': 'clinical finding': 'normal limits for patients stated age'location descriptor_fin: ['midline']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'cortical sulci , ventricular system and all csf cisterns are within normal limits': 'clinical finding': 'cortical sulci , ventricular system and all csf cisterns are within normal limits'anatomical entity_fin: 'paranasal sinuses': , 'orbits': , 'mastoid air cells': clinical findings_fin: 'calvarium , visualized paranasal sinuses , orbits and mastoid air cells are unremarkable': 'clinical finding': 'calvarium , visualized paranasal sinuses , orbits and mastoid air cells are unremarkable' [/INST] [RESP] Images of the brain demonstrate ill-defined hypoattenuation foci in left thalamus and basal ganglia, consistent with remote vascular event. The attenuation and morphology of the remainder brain parenchyma is within normal limits for patients stated age. No evidence of hemorrhage, edema, mass-effect or midline shift is detected. Cortical sulci, ventricular system and all CSF cisterns are within normal limits. Calvarium, visualized paranasal sinuses, orbits and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'main pulmonary arteries': anatomical entity_fin: 'main pulmonary arteries': clinical findings_fin: 'filling defect': 'clinical finding': 'filling defect', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'clinical findings_fin: 'innumerable metastatic lesions': 'clinical finding': 'innumerable metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'innumerable metastatic', 'observation': 'lesion'size_fin: ['size': '6.9 x 5.0 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe mass': 'clinical finding': 'reference right lower lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'mass'size_fin: ['size': '2.6 x 2.6 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'reference left lower lobe nodule': 'clinical finding': 'reference left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left lower lobe', 'observation': 'nodule'size_fin: ['size': '2.0 x 1.5 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe nodule': 'clinical finding': 'reference right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'anatomical entity_fin: 'left hemidiaphragm': location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'associated basilar atelectasis': 'clinical finding': 'associated basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated basilar', 'observation': 'atelectasis', 'tension': 'clinical finding': 'tension', 'existence': 'unc_dx', 'observation': 'tension'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '2.0 cm', 'size_descriptor': 'lymphadenopathy']clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy', 'reference prevascular node': 'clinical finding': 'reference prevascular node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular', 'observation': 'node'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'enlarged gastrohepatic lymph nodes': 'clinical finding': 'enlarged gastrohepatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged gastrohepatic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'procedure_fin: ['cholecystectomy'] [/INST] [RESP] . Technically adequate study to the level of the main pulmonary arteries. No evidence of filling defect within the main pulmonary arteries. Innumerable metastatic lesions again noted. Reference right lower lobe mass measures 6.9 x 5.0 cm. Reference left lower lobe nodule measures 2.6 x 2.6 cm. Reference right lower lobe nodule measures 2.0 x 1.5 cm. Large size left pleural effusion with associated basilar atelectasis as well as flattening of the left hemidiaphragm concerning for tension. The heart size is normal without pericardial effusion. There is mediastinal lymphadenopathy with reference prevascular node measuring 2.0 cm. Severe. A tracheostomy tube is present. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Enlarged gastrohepatic lymph nodes. Status post cholecystectomy. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right frontal lobe': , 'cortex': clinical findings_fin: 'significant edema': 'clinical finding': 'significant edema', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'edema'anatomical entity_fin: 'frontal lobe': 'location descriptor': 'right inferior'location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'masslike': 'clinical finding': 'masslike', 'existence': 'unc_dx', 'observation': 'masslike'anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['midline', 'left']clinical findings_fin: 'significant generalized mass effect': 'clinical finding': 'significant generalized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'significant generalized mass', 'observation': 'effect', 'subfalcine herniation': 'clinical finding': 'subfalcine herniation', 'existence': 'pos_dx', 'descriptive_term': 'subfalcine', 'observation': 'herniation', 'near complete effacement': 'clinical finding': 'near complete effacement', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'effacement'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'entrapped': 'clinical finding': 'entrapped', 'existence': 'unc_dx', 'observation': 'entrapped'anatomical entity_fin: 'fluid': clinical findings_fin: 'definite fluid collections are seen': 'clinical finding': 'definite fluid collections are seen'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Significant edema is evident in the right frontal lobe with partial sparing of the cortex. There is the suggestion of a masslike process along the right inferior frontal lobe as well. Significant generalized mass effect is seen in the form of midline shift to the left, subfalcine herniation and near complete effacement of the right lateral ventricle. The left lateral ventricle is slightly prominent and may be entrapped. No definite fluid collections are seen. The osseous structures are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'previously described pleural effusions': 'clinical finding': 'previously described pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'previously described pleural', 'observation': 'effusion'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal mass': 'clinical finding': 'left adrenal mass', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'size_fin: ['size': '20 x 19 mm']location descriptor_fin: ['left']clinical findings_fin: 'benign left renal cyst': 'clinical finding': 'benign left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'benign left renal', 'observation': 'cyst', 'strength_term': 'benign'size_fin: ['size': '6 x 7.1 cm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'abdominal': clinical findings_fin: 'abdominal aortic aneurysm': 'clinical finding': 'abdominal aortic aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'aneurysm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Previously described pleural effusions are resolved. Cardiomegaly is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left adrenal mass is stable. It measures 20 x 19 mm in image number 20, series number Benign left renal cyst, stable. Abdominal aortic aneurysm measures 6 x 7.1 cm infrarenally, not significantly changed from previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left frontal lobe': , 'right frontal lobe': location descriptor_fin: ['adjacent']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'adjacent hypodensity': 'clinical finding': 'adjacent hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'adjacent', 'observation': 'hypodensity', 'gliosis': 'clinical finding': 'gliosis', 'existence': 'unc_dx', 'observation': 'gliosis'location descriptor_fin: ['left']clinical findings_fin: 'frontal craniectomy': 'clinical finding': 'frontal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'frontal', 'observation': 'craniectomy'anatomical entity_fin: 'left temporal lobe': imaging observation_fin: ['hyperintensity']location descriptor_fin: ['adjacent']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'associated adjacent hypodensity': 'clinical finding': 'associated adjacent hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'associated adjacent', 'observation': 'hypodensity', 'flair and t2 mr white matter signal hyperintensity': 'clinical finding': 'flair and t2 mr white matter signal hyperintensity', 'existence': 'pos_dx', 'descriptive_term': 'flair and t2 mr white matter signal', 'observation': 'hyperintensity'procedure_fin: ['biopsy']clinical findings_fin: 'associated air bubbles': 'clinical finding': 'associated air bubbles', 'existence': 'pos_dx', 'descriptive_term': 'associated air', 'observation': 'bubbles'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] There is redemonstration of encephalomalacia along the left frontal lobe and to a lesser degree right frontal lobe associated with adjacent hypodensity suspicious for gliosis. The patient is status post left-sided craniotomy and frontal craniectomy. There is redemonstration of mass effect in the left temporal lobe and associated adjacent hypodensity corresponding to the flair and T2 MR white matter signal hyperintensity on the recent MRI. There are associated air bubbles now present at the biopsy site. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '10 mm', 'size': '35 mm', 'size': '19 x 54 mm']anatomical entity_fin: 'floor': 'location descriptor': 'right', 'mouth': location descriptor_fin: ['right']clinical findings_fin: 'mouth mass': 'clinical finding': 'mouth mass', 'existence': 'pos_dx', 'descriptive_term': 'mouth', 'observation': 'mass', 'deceased': 'clinical finding': 'deceased', 'existence': 'pos_dx', 'observation': 'decease', 'obscured': 'clinical finding': 'obscured', 'existence': 'unc_dx', 'observation': 'obscure', 'dental artifact': 'clinical finding': 'dental artifact', 'existence': 'unc_dx', 'descriptive_term': 'dental', 'observation': 'artifact'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'size_fin: ['size': '5mm', 'size_descriptor': 'node']anatomical entity_fin: 'axis': location descriptor_fin: ['right']clinical findings_fin: 'right level 2a lymph node': 'clinical finding': 'right level 2a lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2a lymph', 'observation': 'node'anatomical entity_fin: 'major salivary glands': , 'parotid glands': clinical findings_fin: 'fatty atrophy': 'clinical finding': 'fatty atrophy', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy'location descriptor_fin: ['bilateral', 'right', 'left']location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis', 'congenital fusion': 'clinical finding': 'congenital fusion', 'existence': 'pos_dx', 'descriptive_term': 'congenital', 'observation': 'fusion'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' [/INST] [RESP] The right floor of mouth mass appears to have deceased in size, measuring approximately 10 mm in width and 35 mm in length, previously 19 x 54 mm, although the region is partially obscured by dental artifact and comparison to MRI is limited. There is no evidence of significant cervical lymphadenopathy based on size criteria. For example, a right level 2A lymph node measures 5mm in short axis. The thyroid and major salivary glands are unremarkable, including fatty atrophy of the parotid glands. There is plaque at the bilateral carotid bifurcations, right more than left. There is a right internal jugular venous catheter. There is multilevel degenerative spondylosis and congenital fusion of C3 and C4. The airways are patent. The imaged intracranial structures are unremarkable. 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'anatomical entity_fin: 'right middle cerebral artery': clinical findings_fin: 'high attenuation': 'clinical finding': 'high attenuation', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'attenuation', 'thrombus': 'clinical finding': 'thrombus', 'existence': 'unc_dx', 'observation': 'thrombus'anatomical entity_fin: 'cortex of right temporal lobe': , 'cortex': , 'operculum': , 'right frontal lobe': location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'subtle mass-effect': 'clinical finding': 'subtle mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'mass', 'strength_term': 'subtle'location descriptor_fin: ['right']clinical findings_fin: 'acute nonhemorrhagic cortical stroke': 'clinical finding': 'acute nonhemorrhagic cortical stroke', 'existence': 'unc_dx', 'descriptive_term': 'acute nonhemorrhagic cortical', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'examination is otherwise unremarkable': 'clinical finding': 'examination is otherwise unremarkable'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'cortical sulci , ventricular system , csf cisterns and gray -- white matter brain parenchyma is otherwise unremarkable': 'clinical finding': 'cortical sulci , ventricular system , csf cisterns and gray -- white matter brain parenchyma is otherwise unremarkable' [/INST] [RESP] Nonenhanced head. Examination demonstrate high attenuation of right middle cerebral artery and its M1 and multiple M2 branches highly suspected of thrombus. There is also low attenuation of the cortex of right temporal lobe, right insular cortex and operculum of right frontal lobe with subtle mass-effect and effacement of adjacent cortical sulci. Findings highly suspected of acute nonhemorrhagic cortical stroke in right MCA territory. This examination is otherwise unremarkable. The cortical sulci, ventricular system, CSF cisterns and gray -- white matter brain parenchyma is otherwise unremarkable. The findings were discussed at the time of review of the study with the emergency room physician. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1 cm', 'size_descriptor': 'diameter']location descriptor_fin: ['left', 'anterolateral']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'subtle 1 cm diameter left anterolateral hypodensity': 'clinical finding': 'subtle 1 cm diameter left anterolateral hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subtle 1 cm diameter left anterolateral', 'observation': 'hypodensity', 'strength_term': 'subtle', 'small abscess': 'clinical finding': 'small abscess', 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'abscess', 'strength_term': 'small'clinical findings_fin: 'pelvic mri would be helpful': 'clinical finding': 'pelvic mri would be helpful'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Perianal rectal soft tissue thickening with subtle 1 cm diameter left anterolateral hypodensity, suspicious for a small abscess. If indicated, pelvic MRI would be helpful for further evaluation. 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: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'skull': , 'base': , 'inferior orbital fissure': 'location descriptor': 'left', 'nasal cavity': , 'origin': location descriptor_fin: ['left', 'superior']clinical findings_fin: 'thin opacity': 'clinical finding': 'thin opacity', 'existence': 'unc_dx', 'descriptive_term': 'thin', 'observation': 'opacity' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Limited views of the skull base demonstrate thin opacity located in the left inferior orbital fissure extending to the superior aspect of the nasal cavity of unspecified origin. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: procedure_fin: ['laryngectomy']clinical findings_fin: 'extensive postsurgical changes': 'clinical finding': 'extensive postsurgical changes', 'existence': 'neg_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive', 'tracheostomy': 'clinical finding': 'tracheostomy', 'existence': 'unc_dx', 'observation': 'tracheostomy', 'perhaps myocutaneous flap': 'clinical finding': 'perhaps myocutaneous flap', 'existence': 'unc_dx', 'descriptive_term': 'perhaps myocutaneous', 'observation': 'flap'object_fin: ['prosthesis']procedure_fin: ['treatment']clinical findings_fin: 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'clinical findings_fin: 'recurrent tumor': 'clinical finding': 'recurrent tumor', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'clinical findings_fin: 'pathologic adenopathy': 'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'size_fin: ['size': '13 x 6 mm', 'size_descriptor': 'node']clinical findings_fin: 'reference level ia lymph node': 'clinical finding': 'reference level ia lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference level ia lymph', 'observation': 'node'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'lesion'anatomical entity_fin: 'ducts': clinical findings_fin: 'accessory parotid tissue is seen bilaterally with prominent parotid ducts , stable': 'clinical finding': 'accessory parotid tissue is seen bilaterally with prominent parotid ducts , stable', 'change_term': 'stable'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'right lobe of the thyroid has been resected , and the left lobe is unremarkable': 'clinical finding': 'right lobe of the thyroid has been resected , and the left lobe is unremarkable', 'change_term': 'resected'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'lung apices are unremarkable': 'clinical finding': 'lung apices are unremarkable'clinical findings_fin: 'concerning osseous lesions': 'clinical finding': 'concerning osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'concerning osseous', 'observation': 'lesion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease' [/INST] [RESP] Extensive postsurgical changes are demonstrated including total laryngectomy, tracheostomy and perhaps myocutaneous flap placement. A voice prosthesis is in place. Extensive additional treatment related findings include skin thickening and infiltration of the fascial planes. Within this abnormal background, no evidence of recurrent tumor is seen. No pathologic adenopathy is detected. A reference level Ia lymph node has not significantly changed in size, measuring 13 x 6 mm. The salivary glands are free of focal lesions. Accessory parotid tissue is seen bilaterally with prominent parotid ducts, stable. The right lobe of the thyroid has been resected, and the left lobe is unremarkable. The cervical vessels remain patent. Again seen is atherosclerotic calcification at the carotid bifurcations. Lung apices are unremarkable. No concerning osseous lesions are seen. Degenerative disk disease is again identified in the cervical spine. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'supraclavicular lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'enlarged bilateral supraclavicular lymph nodes': 'clinical finding': 'enlarged bilateral supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral supraclavicular lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'upper extremity': 'location descriptor': 'left', 'right atrium': 'location descriptor': 'proximal'location descriptor_fin: ['left', 'proximal']clinical findings_fin: 'left upper extremity picc terminates in the proximal right atrium': 'clinical finding': 'left upper extremity picc terminates in the proximal right atrium'size_fin: ['size': '20 cm']clinical findings_fin: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'anatomical entity_fin: 'gallbladder': object_fin: ['surgical clips']procedure_fin: ['cholecystectomy']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'size_fin: ['size': '26 cm', 'size_descriptor': 'spleen']anatomical entity_fin: 'spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lumen': , 'stomach': object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube visualized with its tip in the lumen of the stomach': 'clinical finding': 'gastrostomy tube visualized with its tip in the lumen of the stomach'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'distended urinary bladder': 'clinical finding': 'distended urinary bladder', 'existence': 'pos_dx', 'descriptive_term': 'distended urinary', 'observation': 'bladder', 'change_term': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'subcutaneous fat': , 'bone marrow': location descriptor_fin: ['left']procedure_fin: ['biopsy']clinical findings_fin: 'overlying subcutaneous fat stranding': 'clinical finding': 'overlying subcutaneous fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'overlying subcutaneous fat', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The previously noted bilateral patchy areas of consolidation have markedly improved with minimal patchy areas of atelectasis remaining. No pleural effusion. The heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Enlarged bilateral supraclavicular lymph nodes again noted. Left upper extremity PICC terminates in the proximal right atrium. Hepatomegaly, measuring up to 20 cm in craniocaudal dimension. Surgical clips in the gallbladder fossa related to cholecystectomy. The spleen measures up to 26 cm in craniocaudal dimension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No retroperitoneal lymphadenopathy. Gastrostomy tube visualized with its tip in the lumen of the stomach. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Distended urinary bladder. No significant abnormality noted. No significant abnormality noted. Lucent tract in the left iliac bone and overlying subcutaneous fat stranding are related to bone marrow biopsy. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right external capsule': clinical findings_fin: 'intraparenchymal hemorrhage': 'clinical finding': 'intraparenchymal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hemorrhage'clinical findings_fin: 'significant mass': 'clinical finding': 'significant mass', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'mass'clinical findings_fin: 'diffuse white matter changes': 'clinical finding': 'diffuse white matter changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse white matter', 'observation': 'change'anatomical entity_fin: 'right parietal lobe': clinical findings_fin: 'hyperdensity': 'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity'clinical findings_fin: 'dystrophic calcification': 'clinical finding': 'dystrophic calcification', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'anatomical entity_fin: 'contents': clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation' [/INST] [RESP] Since the previous examination, there is a new focus of intraparenchymal hemorrhage in the region of the right external capsule. There is no significant mass effects at this time. Note is again made of diffuse white matter changes. A punctate focus of hyperdensity is seen in he cortical gray matter over the right parietal lobe on image 18/32. This is seen on the prior study and unchanged and likely represents a focal area of dystrophic calcification. No significant shift of the intracranial contents or evidence of herniation as clinically questioned. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'slightly decreased groundglass opacity': 'clinical finding': 'slightly decreased groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'slightly decreased groundglass', 'observation': 'opacity', 'strength_term': 'decreased', 'change_term': 'decreased'anatomical entity_fin: 'lung': imaging observation_fin: ['reticulation']clinical findings_fin: 'interstitial abnormality': 'clinical finding': 'interstitial abnormality', 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'abnormality', 'diffuse lung disease': 'clinical finding': 'diffuse lung disease', 'existence': 'pos_dx', 'descriptive_term': 'diffuse lung', 'observation': 'disease', 'reticulation': 'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'bronchiolectasis': 'clinical finding': 'bronchiolectasis', 'existence': 'pos_dx', 'observation': 'bronchiolectasis', 'mild subpleural honeycombing': 'clinical finding': 'mild subpleural honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural', 'observation': 'honeycombing', 'strength_term': 'mild'clinical findings_fin: 'postbiopsy changes': 'clinical finding': 'postbiopsy changes', 'existence': 'pos_dx', 'descriptive_term': 'postbiopsy', 'observation': 'change'clinical findings_fin: 'mild diffuse esophageal wall thickening': 'clinical finding': 'mild diffuse esophageal wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'mild diffuse esophageal wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'subacute rib fractures': 'clinical finding': 'subacute rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'subacute rib', 'observation': 'fracture'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] . Slightly decreased groundglass opacity versus immediate prior, but appearing relatively similar to 9/4/2015 study. Interstitial abnormality on background of diffuse lung disease with reticulation, traction bronchiectasis and bronchiolectasis with mild subpleural honeycombing. Postbiopsy changes are noted bilaterally. Previously noted mild diffuse esophageal wall thickening is not significantly changed. Scattered small subcentimeter nodes are unchanged. Mild. Subacute rib fractures on the left. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'solid organ': 'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ'anatomical entity_fin: 'bronchus': , 'left lung': location descriptor_fin: ['left']clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction', 'near complete collapse': 'clinical finding': 'near complete collapse', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'collapse', 'left lung': 'clinical finding': 'left lung', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'lung'anatomical entity_fin: 'lung': clinical findings_fin: 'intrabronchial lung carcinoma': 'clinical finding': 'intrabronchial lung carcinoma', 'existence': 'unc_dx', 'descriptive_term': 'intrabronchial lung', 'observation': 'carcinoma'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'moderate to large bilateral pleural effusions': 'clinical finding': 'moderate to large bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate to large bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate - large'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'scarlike opacities': 'clinical finding': 'scarlike opacities', 'existence': 'pos_dx', 'descriptive_term': 'scarlike', 'observation': 'opacity'anatomical entity_fin: 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild interlobular septal thickening': 'clinical finding': 'mild interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild interlobular septal', 'observation': 'thickening', 'strength_term': 'mild', 'mild pulmonary edema': 'clinical finding': 'mild pulmonary edema', 'existence': 'unc_dx', 'descriptive_term': 'mild pulmonary', 'observation': 'edema', 'strength_term': 'mild'anatomical entity_fin: 'right lung': clinical findings_fin: 'few scattered micronodules': 'clinical finding': 'few scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered', 'observation': 'micronodule', 'quantity_term': 'few'anatomical entity_fin: 'fluid': , 'esophagus': clinical findings_fin: 'fluid-filled, patulous': 'clinical finding': 'fluid-filled, patulous', 'existence': 'pos_dx', 'descriptive_term': 'fluid-filled ', 'observation': 'patulous', 'change_term': 'filled'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'size_fin: ['size': '1.1 cm', 'size_descriptor': 'node']anatomical entity_fin: 'axis': clinical findings_fin: 'precarinal node': 'clinical finding': 'precarinal node', 'existence': 'pos_dx', 'descriptive_term': 'precarinal', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This examination which was without IV contrast, limiting sensitivity for lymphadenopathy or solid organ pathology. There is obstruction of the left mainstem bronchus with near complete collapse of the left lung. The appearance is very suggestive of intrabronchial lung carcinoma, compatible with the stated history. There are moderate to large bilateral pleural effusions, left greater than right. Scarlike opacities are seen in the right lung base. Mild interlobular septal thickening in the right base may represent mild pulmonary edema. A few scattered micronodules are seen in the right lung and are nonspecific. Fluid-filled, patulous esophagus. Cardiomegaly. Mildly enlarged mediastinal lymph nodes are seen. For example, a precarinal node measures 1.1 cm in short axis dimension. 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: location descriptor_fin: ['displaced']clinical findings_fin: 'displaced orbital fracture': 'clinical finding': 'displaced orbital fracture', 'existence': 'neg_dx', 'descriptive_term': 'displaced orbital', 'observation': 'fracture', 'change_term': 'displaced'anatomical entity_fin: 'maxillary sinus': imaging observation_fin: ['fat']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'imaging observation_fin: ['smooth margins']location descriptor_fin: ['left']clinical findings_fin: 'linear lucency with smooth margins within the left sphenoid wing that represents': 'clinical finding': 'linear lucency with smooth margins within the left sphenoid wing that represents'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mucosal sinus disease': 'clinical finding': 'mucosal sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'mucosal sinus', 'observation': 'disease'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'globes': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['midline']clinical findings_fin: 'visualized ventricles/.no midline shift': 'clinical finding': 'visualized ventricles/.no midline shift', 'existence': 'pos_dx', 'descriptive_term': 'visualized ventricles/ no midline', 'observation': 'shift', 'quantity_term': 'no'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'fluid': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage' [/INST] [RESP] .There is no evidence for displaced orbital fracture. There is no evidence of herniation of orbital fat into the maxillary sinus. There is a linear lucency with smooth margins within the left sphenoid wing that represents a vascular channel. There is mucosal sinus disease within the left maxillary sinus and ethmoid sinuses. The mastoid air cells are well pneumatized. Globes are intact. Lenses are intact and symmetric bilaterally. VISUALIZED VENTRICLES/.No midline shift. CSF spaces appropriate for patient age. No abnormal mass lesions, edema, or hemorrhage. No fluid collections. No evidence of hemorrhage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'moderate to severe centrilobular emphysema': 'clinical finding': 'moderate to severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate - severe'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'scarlike opacity': 'clinical finding': 'scarlike opacity', 'existence': 'pos_dx', 'descriptive_term': 'scarlike', 'observation': 'opacity', 'nonspecific bronchial wall thickening': 'clinical finding': 'nonspecific bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific bronchial wall', 'observation': 'thickening'anatomical entity_fin: 'neck': clinical findings_fin: 'laryngeal mass and cricoid invasion': 'clinical finding': 'laryngeal mass and cricoid invasion', 'existence': 'pos_dx', 'descriptive_term': 'laryngeal mass and cricoid', 'observation': 'invasion'anatomical entity_fin: 'thoracic inlet': object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'aortic root calcifications': 'clinical finding': 'aortic root calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic root', 'observation': 'calcification'location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative abnormalities': 'clinical finding': 'mild degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'large renal cysts': 'clinical finding': 'large renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'large renal', 'observation': 'cyst', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'extensive vascular calcifications': 'clinical finding': 'extensive vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive vascular', 'observation': 'calcification', 'strength_term': 'extensive'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube noted': 'clinical finding': 'gastrostomy tube noted'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'moderate degenerative abnormalities': 'clinical finding': 'moderate degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'abnormality', 'strength_term': 'moderate', 'mild scoliosis': 'clinical finding': 'mild scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scoliosis', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Moderate to severe centrilobular emphysema. Scarlike opacity left lung base with nonspecific bronchial wall thickening. Improvement in laryngeal mass and cricoid invasion, CT neck CT report. Tracheostomy tube tip near the thoracic inlet level. No lymphadenopathy. Aortic root calcifications noted, the heart and pericardium otherwise unremarkable. Right jugular catheter, tip at the aortocaval junction region. Moderate. Mild degenerative abnormalities affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Large renal cysts, unchanged. No significant abnormality noted. There are extensive vascular calcifications. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube noted. Moderate degenerative abnormalities especially in the lower lumbar spine, with a mild scoliosis. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'trace bibasilar atelectasis': 'clinical finding': 'trace bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'trace bibasilar', 'observation': 'atelectasis'anatomical entity_fin: 'neck': , 'gallbladder': clinical findings_fin: 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'anatomical entity_fin: 'gallbladder': , 'neck': clinical findings_fin: 'connection between the fundus of the gallbladder neck is difficult to identify , which is of uncertain clinical significance': 'clinical finding': 'connection between the fundus of the gallbladder neck is difficult to identify , which is of uncertain clinical significance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'appendix is identified in the right lower quadrant and is normal': 'clinical finding': 'appendix is identified in the right lower quadrant and is normal'anatomical entity_fin: 'ileocecal valve': clinical findings_fin: 'solitary stool filled diverticulum': 'clinical finding': 'solitary stool filled diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'solitary stool filled', 'observation': 'diverticulum', 'change_term': 'filled', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'appendix is identified in the right lower quadrant and is normal': 'clinical finding': 'appendix is identified in the right lower quadrant and is normal'anatomical entity_fin: 'ileocecal valve': clinical findings_fin: 'solitary stool filled diverticulum': 'clinical finding': 'solitary stool filled diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'solitary stool filled', 'observation': 'diverticulum', 'change_term': 'filled', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Trace bibasilar atelectasis. There is an apparent partially calcified stone in the neck of the gallbladder, without evidence of cholecystitis. The connection between the fundus of the gallbladder neck is difficult to identify, which is of uncertain clinical significance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is identified in the right lower quadrant and is normal in appearance. Solitary stool filled diverticulum near the ileocecal valve is identified, but without evidence of inflammation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is identified in the right lower quadrant and is normal in appearance. Solitary stool filled diverticulum near the ileocecal valve is identified, but without evidence of inflammation. 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: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'pos_dx', 'descriptive_term': 'midline', 'observation': 'shift'size_fin: ['size': '6 mm', 'size_descriptor': 'shift', 'size': '45 x 41 mm', 'size_descriptor': 'dimensions']anatomical entity_fin: 'third ventricle': , 'midbrain': , 'basal ganglia': 'location descriptor': 'right'imaging observation_fin: ['blood']location descriptor_fin: ['right']clinical findings_fin: '45 x 41 mm axial dimensions right thalamic hemorrhage': 'clinical finding': '45 x 41 mm axial dimensions right thalamic hemorrhage', 'existence': 'pos_dx', 'descriptive_term': '45 x 41 mm axial dimensions right thalamic', 'observation': 'hemorrhage', 'intraventricular blood': 'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood'location descriptor_fin: ['right']object_fin: ['tube']procedure_fin: ['ventriculostomy']clinical findings_fin: 'associated ventriculomegaly': 'clinical finding': 'associated ventriculomegaly', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'ventriculomegaly'size_fin: ['size': '40 mm', 'size': '30 mm']anatomical entity_fin: 'lateral ventricles': , 'foramen': procedure_fin: ['ventriculostomy']clinical findings_fin: 'larger': 'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large', 'entry point': 'clinical finding': 'entry point', 'existence': 'pos_dx', 'descriptive_term': 'entry', 'observation': 'point'anatomical entity_fin: 'paranasal sinuses': , 'fluid': clinical findings_fin: 'visualized portions of the paranasal sinuses are partially opacified with air fluid levels status post intubation': 'clinical finding': 'visualized portions of the paranasal sinuses are partially opacified with air fluid levels status post intubation', 'change_term': 'opacified'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'visualized portions of the mastoid air cells are minimally opacified': 'clinical finding': 'visualized portions of the mastoid air cells are minimally opacified', 'change_term': 'opacified'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'location descriptor_fin: ['right']procedure_fin: ['repair'] [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with midline shift. There is approximately 6 mm shift of the third ventricle towards the leftThere is redemonstration of a 45 x 41 mm axial dimensions right thalamic hemorrhage also identified on the prior exam and unchanged which extends into the midbrain and into the right basal ganglia and is associated with intraventricular blood. There is associated ventriculomegaly as well as a right-sided ventriculostomy tube. The lateral ventricles appear significantly larger with the biventricular diameter of 40 mm at the level of the foramen of entry point of the ventriculostomy on coronal imaging and previously 30 mm. The visualized portions of the paranasal sinuses are partially opacified with air fluid levels status post intubation. The visualized portions of the mastoid air cells are minimally opacified. The visualized portions of the orbits are intact. The patient is status post right-sided mandibular repair. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['reticulation']location descriptor_fin: ['centrilobular']clinical findings_fin: 'basilar predominant opacities': 'clinical finding': 'basilar predominant opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant', 'observation': 'opacity', 'mild reticulation': 'clinical finding': 'mild reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'reticulation', 'strength_term': 'mild', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'scattered centrilobular nodules': 'clinical finding': 'scattered centrilobular nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered centrilobular', 'observation': 'nodule'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', 'mild traction bronchiectasis': 'clinical finding': 'mild traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild traction', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'mild bronchiolitis': 'clinical finding': 'mild bronchiolitis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiolitis', 'strength_term': 'mild'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'brachiocephalic veins': imaging observation_fin: ['blood']location descriptor_fin: ['left']object_fin: ['pacemaker']clinical findings_fin: 'extensive collateral blood flow': 'clinical finding': 'extensive collateral blood flow', 'existence': 'unc_dx', 'descriptive_term': 'extensive collateral blood', 'observation': 'flow', 'strength_term': 'extensive', 'stenosis': 'clinical finding': 'stenosis', 'existence': 'unc_dx', 'observation': 'stenosis', 'left subclavian and brachiocephalic veins': 'clinical finding': 'left subclavian and brachiocephalic veins', 'existence': 'unc_dx', 'descriptive_term': 'left subclavian and brachiocephalic', 'observation': 'vein'non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']clinical findings_fin: 'moderate cardiomegaly': 'clinical finding': 'moderate cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'clinical findings_fin: 'severe gynecomastia': 'clinical finding': 'severe gynecomastia', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'gynecomastia', 'strength_term': 'severe'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'liver': clinical findings_fin: 'marked splenomegaly': 'clinical finding': 'marked splenomegaly', 'existence': 'unc_dx', 'descriptive_term': 'marked', 'observation': 'splenomegaly', 'moderate ascites': 'clinical finding': 'moderate ascites', 'existence': 'unc_dx', 'descriptive_term': 'moderate', 'observation': 'ascite', 'strength_term': 'moderate' [/INST] [RESP] . Basilar predominant opacities consisting of mild reticulation and groundglass, and areas of consolidation with scattered centrilobular nodules. Mild bronchial wall thickening is present as well as mild traction bronchiectasis. A mild bronchiolitis pattern may be superimposed. No evidence of air trapping on expiration series. No lymphadenopathy identified. Extensive collateral blood flow may be related to stenosis of the left subclavian and brachiocephalic veins traversed by a pacemaker. Moderate cardiomegaly is present, with pacemaker leads in appropriate positions. None. Severe gynecomastia. Absence of enteric contrast material limits sensitivity for abdominal pathology. Possible cirrhotic liver morphology with marked splenomegaly and moderate ascites. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'solid organ': 'clinical finding': 'solid organ', 'existence': 'pos_dx', 'descriptive_term': 'solid', 'observation': 'organ', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2-mm', 'size_descriptor': 'stone']anatomical entity_fin: 'right ureter': location descriptor_fin: ['right', 'distal', 'proximal']clinical findings_fin: 'mild right-sided hydronephrosis': 'clinical finding': 'mild right-sided hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild right-sided', 'observation': 'hydronephrosis', 'strength_term': 'mild', 'perinephric stranding': 'clinical finding': 'perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'perinephric', 'observation': 'strand', 'associated less than 2-mm punctate obstructing stone': 'clinical finding': 'associated less than 2-mm punctate obstructing stone', 'existence': 'pos_dx', 'descriptive_term': 'associated less than 2-mm punctate obstructing', 'observation': 'stone', 'quantity_term': 'less'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'small nonspecific retroperitoneal and mesenteric lymph nodes': 'clinical finding': 'small nonspecific retroperitoneal and mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific retroperitoneal and mesenteric lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is visualized and within normal limits': 'clinical finding': 'appendix is 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] The evaluation of solid organ pathology and lymphadenopathy is limited by the lack of IV contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild right-sided hydronephrosis and perinephric stranding with an associated less than 2-mm punctate obstructing stone in the distal right ureter just proximal to the UVJ. Small nonspecific retroperitoneal and mesenteric lymph nodes. No significant abnormality noted. The appendix is visualized and within normal limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'thyroid bed lesion': 'clinical finding': 'thyroid bed lesion', 'existence': 'pos_dx', 'descriptive_term': 'thyroid bed', 'observation': 'lesion'clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule', 'index lesion': 'clinical finding': 'index lesion', 'existence': 'neg_dx', 'descriptive_term': 'index', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'origin': location descriptor_fin: ['medial', 'right', 'lower']clinical findings_fin: 'new clustered nodular opacities': 'clinical finding': 'new clustered nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'new clustered nodular', 'observation': 'opacity', 'temporal_term': 'new'anatomical entity_fin: 'bronchus': , 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'incidental note made of replaced segmental tracheal bronchus of the right upper lobe': 'clinical finding': 'incidental note made of replaced segmental tracheal bronchus of the right upper lobe', 'change_term': 'replaced'location descriptor_fin: ['left']clinical findings_fin: 'substantial change': 'clinical finding': 'substantial change', 'existence': 'neg_dx', 'descriptive_term': 'substantial', 'observation': 'change', 'mediastinal and left supraclavicular lymphadenopathy': 'clinical finding': 'mediastinal and left supraclavicular lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal and left supraclavicular', 'observation': 'lymphadenopathy'anatomical entity_fin: 'left scapula': clinical findings_fin: 'severe destructive changes': 'clinical finding': 'severe destructive changes', 'existence': 'pos_dx', 'descriptive_term': 'severe destructive', 'observation': 'change', 'strength_term': 'severe'anatomical entity_fin: 'rib': location descriptor_fin: ['right']clinical findings_fin: 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'nonindex hypodense lesion': 'clinical finding': 'nonindex hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'nonindex hypodense', 'observation': 'lesion'clinical findings_fin: 'other hypodense lesions': 'clinical finding': 'other hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'other hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.2 cm', 'size': '1.4 cm']size_fin: ['size': '1.5 cm', 'size': '1.6 cm']size_fin: ['size': '0.7 x 0.7 cm', 'size': '0.7 x 0.7 cm'] [/INST] [RESP] .Please see same day CT neck for description of thyroid bed lesion. Scattered previous study demonstrated pulmonary nodules are not substantially changed with index lesion, as below. New clustered nodular opacities within the medial aspect the right lower lobe are likely infectious or inflammatory in origin given their poorly defined margination, relatively rapid development, clustered distribution, and upstream bronchial mucous plugging. Incidental note made of replaced segmental tracheal bronchus of the right upper lobe. No substantial change in mediastinal and left supraclavicular lymphadenopathy compared to previous study. Mild. Severe destructive changes of the left scapula, not substantially different. Lucent lesion within the right ninth rib has slightly increased in conspicuity since previous study. Absence of enteric contrast material limits sensitivity for abdominal pathology. Nonindex hypodense lesion in the right lobe on image 114 of series 4 has increased in size compared to previous study. Other hypodense lesions are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. 1.2 cm 1.4 cm on prior. 1.5 cm 1.6 cm on prior. 0.7 x 0.7 cm 0.7 x 0.7 cm on prior. [/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', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'apparent filling defect': 'clinical finding': 'apparent filling defect', 'existence': 'pos_dx', 'descriptive_term': 'apparent filling', 'observation': 'defect', 'right upper lobe segmental pulmonary': 'clinical finding': 'right upper lobe segmental pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe segmental', 'observation': 'pulmonary', 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'average', 'respiratory motion': 'clinical finding': 'respiratory motion', 'existence': 'pos_dx', 'descriptive_term': 'respiratory', 'observation': 'motion'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is of normal caliber': 'clinical finding': 'main pulmonary artery is of normal caliber'anatomical entity_fin: 'right lung': , 'base': location descriptor_fin: ['right', 'left']clinical findings_fin: 'small right and trace left pleural effusions': 'clinical finding': 'small right and trace left pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small right and trace left pleural', 'observation': 'effusion', 'strength_term': 'small', 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis', 'round atelectasis': 'clinical finding': 'round atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'atelectasis'location descriptor_fin: ['right']clinical findings_fin: 'mild right basilar consolidation': 'clinical finding': 'mild right basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'mild right basilar', 'observation': 'consolidation', 'strength_term': 'mild', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'location descriptor_fin: ['left']clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'clinical findings_fin: 'significant hilar or mediastinal lymphadenopathy': 'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'scattered degenerative changes': 'clinical finding': 'scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'expected postoperative pneumoperitoneum': 'clinical finding': 'expected postoperative pneumoperitoneum', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'pneumoperitoneum'anatomical entity_fin: 'bowel': , 'upper abdomen': clinical findings_fin: 'partially imaged dilated': 'clinical finding': 'partially imaged dilated', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'dilated', 'strength_term': 'partially', 'postoperative ileus': 'clinical finding': 'postoperative ileus', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'ileus'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'vicarious excretion': 'clinical finding': 'vicarious excretion', 'existence': 'unc_dx', 'descriptive_term': 'vicarious', 'observation': 'excretion', 'of contrast': 'clinical finding': 'of contrast', 'existence': 'pos_dx', 'descriptive_term': 'of', 'observation': 'contrast'anatomical entity_fin: 'spleen': clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'unc_dx', 'observation': 'splenomegaly' [/INST] [RESP] . Technically adequate study without evidence of acute pulmonary embolus. Apparent filling defect in a right upper lobe segmental pulmonary arterial branch , is due to volume averaging secondary to respiratory motion. The main pulmonary artery is of normal caliber. Small right and trace left pleural effusions, bibasilar atelectasis, as well as round atelectasis in the right lung base. Mild right basilar consolidation is possibly secondary to aspiration. Cardiomegaly, in part secondary to left atrial and ventricular enlargement no significant pericardial effusion. No significant hilar or mediastinal lymphadenopathy. Mild. Scattered degenerative changes in the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Expected postoperative pneumoperitoneum. Partially imaged dilated loops of bowel in the upper abdomen, likely representing postoperative ileus. High-density material layers within the gallbladder, likely representing vicarious excretion of contrast. Suggestion of splenomegaly, although the spleen is incompletely imaged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'posterior arch': , 'foramen magnum': , 'spinal canal': , 'cervicomedullary junction': location descriptor_fin: ['displaced']clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'odontoid': clinical findings_fin: 'distance between odontoid and c1 is within normal limits': 'clinical finding': 'distance between odontoid and c1 is within normal limits' [/INST] [RESP] Periventricular and subcortical white matter hypodensities of a moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. The posterior arch of C1 mildly displaced anteriorly and overrides the anterosuperior aspect of the C2 posterior arch and the posteroinferior aspect of the foramen magnum mildly narrowing the spinal canal at the level of the cervicomedullary junction. The distance between odontoid and C1 is within normal limits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'advanced small vessel disease': 'clinical finding': 'advanced small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'advanced small vessel', 'observation': 'disease', 'strength_term': 'advanced - small'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray - white matter differentiation is otherwise preserved': 'clinical finding': 'gray - white matter differentiation is otherwise preserved', 'change_term': 'preserved'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'bones are unremarkable': 'clinical finding': 'bones are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] Hypodense regions in the frontal periventricular white matter, consistent with advanced small vessel disease of indeterminate age. The ventricles, sulci, and cisterns are symmetric and mildly prominent. The gray-white matter differentiation is otherwise preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The bones are unremarkable. Limited view of the paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'scattered small subcentimeter mediastinal nodes': 'clinical finding': 'scattered small subcentimeter mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter mediastinal', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'mild coronary artery calcifications': 'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'hiatal hernia': 'clinical finding': 'hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'hiatal', 'observation': 'hernia'anatomical entity_fin: 'disk': 'location descriptor': 'posterior', 'cord': imaging observation_fin: ['cord']location descriptor_fin: ['posterior']clinical findings_fin: 't12-l1 posterior disk herniation': 'clinical finding': 't12-l1 posterior disk herniation', 'existence': 'pos_dx', 'descriptive_term': 't12-l1 posterior disk', 'observation': 'herniation', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': , 'abdomen': location descriptor_fin: ['right']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'exophytic left upper pole renal cyst': 'clinical finding': 'exophytic left upper pole renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'exophytic left upper pole renal', 'observation': 'cyst'anatomical entity_fin: 'stomach': , 'bowel': clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy' [/INST] [RESP] . No significant abnormality noted. No suspicious pulmonary nodules or masses. Normal heart size without pericardial effusion. Scattered small subcentimeter mediastinal nodes. Mild coronary artery calcifications. Hiatal hernia. T12-L1 posterior disk herniation with mass effect on cord. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypodense lesion in the right hepatic lobe is nonspecific, see recent abdomen CT report for details. Exophytic left upper pole renal cyst. Mild wall thickening of stomach and visualized bowel. No significant lymphadenopathy. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right parietal lobe': clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'old mca stroke': 'clinical finding': 'old mca stroke', 'existence': 'pos_dx', 'descriptive_term': 'old mca', 'observation': 'stroke', 'temporal_term': 'old'anatomical entity_fin: 'lip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'anatomical entity_fin: 'carotid space': clinical findings_fin: 'mildly enlarged submandibular and carotid space lymphadenopathy': 'clinical finding': 'mildly enlarged submandibular and carotid space lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged submandibular and carotid space', 'observation': 'lymphadenopathy', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'location descriptor_fin: ['left']clinical findings_fin: 'left maxillary mucosal thickening': 'clinical finding': 'left maxillary mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary mucosal', 'observation': 'thickening', 'chronic sinusitis': 'clinical finding': 'chronic sinusitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'sinusitis', 'temporal_term': 'chronic'clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyracea appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] Limited view of the intracranial structures demonstrates an area of low attenuation in the right parietal lobe consistent with an old MCA stroke. There is soft tissue swelling of the left lip. Mildly enlarged submandibular and carotid space lymphadenopathy is noted. The orbits are unremarkable. There is a left maxillary mucosal thickening consistent with chronic sinusitis. The ethmoid, frontal and sphenoid sinuses are well pneumatized. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyracea appear normal. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'several subcortical punctate millimeter sized hypodensities': 'clinical finding': 'several subcortical punctate millimeter sized hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several subcortical punctate millimeter sized', 'observation': 'hypodensity', 'quantity_term': 'several'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. There are several subcortical punctate millimeter sized hypodensities identified in both hemispheres. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'right renal cyst': 'clinical finding': 'right renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst', 'thin septation': 'clinical finding': 'thin septation', 'existence': 'pos_dx', 'descriptive_term': 'thin', 'observation': 'septation'clinical findings_fin: 'renal or ureteral mass': 'clinical finding': 'renal or ureteral mass', 'existence': 'neg_dx', 'descriptive_term': 'renal or ureteral', 'observation': 'mass'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'ureteral stone': 'clinical finding': 'ureteral stone', 'existence': 'neg_dx', 'descriptive_term': 'ureteral', 'observation': 'stone'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'multiple phleboliths': 'clinical finding': 'multiple phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'phlebolith', 'quantity_term': 'multiple' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted within the liver. Cholelithiasis without evidence of cholecystitis. No significant abnormality noted. No significant abnormality noted. Unchanged size and appearance of the right renal cyst with thin septation. No renal or ureteral mass is evident. No evidence of nephrolithiasis or ureteral stone. No significant abnormality noted. No significant abnormality noted. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple phleboliths are seen in the pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'anatomical entity_fin: 'mediastinum': 'location descriptor': 'posterior'imaging observation_fin: ['soft tissue density', 'fat']location descriptor_fin: ['posterior']clinical findings_fin: 'soft tissue density mass': 'clinical finding': 'soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue density', 'observation': 'mass'clinical findings_fin: 'specific etiology is unknown , but given stability , it is likely benign': 'clinical finding': 'specific etiology is unknown , but given stability , it is likely benign'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'large cystic lesion': 'clinical finding': 'large cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'large cystic', 'observation': 'lesion', 'strength_term': 'large', 'goiter': 'clinical finding': 'goiter', 'existence': 'pos_dx', 'observation': 'goiter'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'mild calcifications': 'clinical finding': 'mild calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'small aneurysmal dilatation': 'clinical finding': 'small aneurysmal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'small aneurysmal', 'observation': 'dilatation', 'strength_term': 'small'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 't12 vertebral body': , 'bone': clinical findings_fin: 'nonspecific sclerotic focus': 'clinical finding': 'nonspecific sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific sclerotic', 'observation': 'focus'clinical findings_fin: 'unchanged scoliosis': 'clinical finding': 'unchanged scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'scoliosis', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'kyphosis': 'clinical finding': 'kyphosis', 'existence': 'pos_dx', 'observation': 'kyphosis'anatomical entity_fin: 'liver': clinical findings_fin: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'anatomical entity_fin: 'abdominal': anatomical entity_fin: 'abdomen': anatomical entity_fin: 'common bile duct': procedure_fin: ['cholecystectomy']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated' [/INST] [RESP] . Technically adequate exam. No evidence of pulmonary embolus. Mild dependent atelectasis and scarring in the lung bases. Soft tissue density mass in the fat of the posterior mediastinum is unchanged from 2004 exam. Specific etiology is unknown, but given stability, it is likely benign. No significant mediastinal or hilar lymphadenopathy. Large cystic lesion within the right thyroid lobe compatible with goiter and unchanged. Mild calcifications of the coronary arteries. Small aneurysmal dilatation of the aortic arch. Small hiatal hernia. Nonspecific sclerotic focus in the T12 vertebral body likely represents a bone island. Unchanged scoliosis in kyphosis. Pneumobilia is present in the liver and was also present in 2005. Dedicated CT abdominal exam is available. Please refer to dictation for concerns in the abdomen. Status post cholecystectomy with dilated common bile duct. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'third ventricle': location descriptor_fin: ['right']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: 'right frontal approach ventriculoperitoneal': 'clinical finding': 'right frontal approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach', 'observation': 'ventriculoperitoneal'clinical findings_fin: 'tip position is unchanged': 'clinical finding': 'tip position is unchanged', 'change_term': 'unchanged'object_fin: ['catheter']clinical findings_fin: 'kinking': 'clinical finding': 'kinking', 'existence': 'neg_dx', 'observation': 'kinking', 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity'clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'extra axial fluid collection': 'clinical finding': 'extra axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra axial fluid', 'observation': 'collection'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'gray white matter differentiation': 'clinical finding': 'gray white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'generalized mass effect': 'clinical finding': 'generalized mass effect', 'existence': 'neg_dx', 'descriptive_term': 'generalized mass', 'observation': 'effect', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'location descriptor_fin: ['posterior']clinical findings_fin: 'chiari ii malformation': 'clinical finding': 'chiari ii malformation', 'existence': 'pos_dx', 'descriptive_term': 'chiari ii', 'observation': 'malformation', 'tectal beaking': 'clinical finding': 'tectal beaking', 'existence': 'pos_dx', 'descriptive_term': 'tectal', 'observation': 'beaking', 'herniation': 'clinical finding': 'herniation', 'existence': 'pos_dx', 'observation': 'herniation'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': , 'orbit': clinical findings_fin: 'orbits are unremarkable , however , this examination is not a tailored orbit exam': 'clinical finding': 'orbits are unremarkable , however , this examination is not a tailored orbit exam' [/INST] [RESP] There is a right frontal approach ventriculoperitoneal shunt catheter that terminates in the third ventricle. The tip position is unchanged. There is no kinking or discontinuity of the visualized portions of the catheter or reservoir system. The ventricles appear decompressed, similar in size to the prior study on 10/5/11. There is no acute intracranial hemorrhage or extra axial fluid collection. There is no CT evidence of acute territorial ischemia. Gray white matter differentiation is preserved. There is no generalized mass effect, midline shift or basal cistern effacement. Chronic findings compatible with Chiari II malformation are appreciated including tectal beaking, small posterior fossa, and herniation of hindbrain. The paranasal sinuses and mastoid air cells are clear. The orbits are unremarkable, however, this examination is not a tailored orbit exam. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'external auditory canal': 'location descriptor': 'right'imaging observation_fin: ['enhancing']location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'either two separate masses': 'clinical finding': 'either two separate masses', 'existence': 'pos_dx', 'descriptive_term': 'either two separate', 'observation': 'mass', 'one single heterogeneously enhancing mass': 'clinical finding': 'one single heterogeneously enhancing mass', 'existence': 'unc_dx', 'descriptive_term': 'one single heterogeneously enhancing', 'observation': 'mass', 'quantity_term': 'single'size_fin: ['size': '20 mm', 'size': '21 mm', 'size': '17 millimeter']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right', 'transverse process': , 'mandibular ramus': location descriptor_fin: ['right', 'anterior', 'posterior']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'anatomical entity_fin: 'stylomastoid foramen': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'current lesions': 'clinical finding': 'current lesions', 'existence': 'unc_dx', 'descriptive_term': 'current', 'observation': 'lesion', 'new recurrence': 'clinical finding': 'new recurrence', 'existence': 'unc_dx', 'descriptive_term': 'new', 'observation': 'recurrence', 'temporal_term': 'new'anatomical entity_fin: 'left parotid gland': clinical findings_fin: 'focal mass': 'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'submandibular glands are unremarkable': 'clinical finding': 'submandibular glands are unremarkable'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right thyroid lobe nodule': 'clinical finding': 'right thyroid lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'right thyroid lobe', 'observation': 'nodule'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral', 'globe': 'location descriptor': 'right'location descriptor_fin: ['bilateral', 'right']object_fin: ['prosthesis']clinical findings_fin: 'metallic object': 'clinical finding': 'metallic object', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'object', 'scleral banding': 'clinical finding': 'scleral banding', 'existence': 'unc_dx', 'descriptive_term': 'scleral', 'observation': 'banding'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'spine': location descriptor_fin: ['posterior']clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'multilevel disk posterior disk osteophyte complexes': 'clinical finding': 'multilevel disk posterior disk osteophyte complexes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel disk posterior disk osteophyte', 'observation': 'complex', 'neural foraminal stenosis': 'clinical finding': 'neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis' [/INST] [RESP] Inferior to the right external auditory canal is either two separate masses or one single heterogeneously enhancing mass. This mass measures in totality approximately 20 mm transverse x 21 mm AP x 17 millimeters craniocaudad. Medially this mass extends to the right internal jugular vein and right C1 transverse process with the anterior extent to the mandibular ramus and posterior extent just behind the transverse process. Superiorly the mass abuts the right mastoid tip near the region of the stylomastoid foramen. Review of the most recent prior study of 9/19/2012 suggest the current lesions are new recurrence. Left parotid gland shows no focal mass internally. Aerodigestive tract is patent. The submandibular glands are unremarkable. Right thyroid lobe nodule is not well seen on todays examination. Visualized intracranial contents are unremarkable. Bilateral lens prosthesis are noted with a metallic object along a right globe which may represent some sort of scleral banding. The visualized lung apices appear clear. The carotid and vertebral vasculature visualized on this exam appears intact. Degenerative disease of cervical spine is seen with multilevel disk posterior disk osteophyte complexes and neural foraminal stenosis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'scalp': , 'skull': location descriptor_fin: ['left']clinical findings_fin: 'mild left frontal scalp swelling': 'clinical finding': 'mild left frontal scalp swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild left frontal scalp', 'observation': 'swell', 'strength_term': 'mild', 'skull fracture': 'clinical finding': 'skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'minimal periventricular white matter hypodensities': 'clinical finding': 'minimal periventricular white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular white matter', 'observation': 'hypodensity', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute infarction': 'clinical finding': 'acute infarction', 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'clinical findings_fin: 'moderate intracranial arterial calcifications': 'clinical finding': 'moderate intracranial arterial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate intracranial arterial', 'observation': 'calcification', 'strength_term': 'moderate', 'dolichoectasia of the vertebrobasilar': 'clinical finding': 'dolichoectasia of the vertebrobasilar', 'existence': 'pos_dx', 'descriptive_term': 'dolichoectasia of the', 'observation': 'vertebrobasilar'anatomical entity_fin: 'floor': , 'third ventricle': clinical findings_fin: 'this dolichoectasia': 'clinical finding': 'this dolichoectasia', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'dolichoectasia', 'some elevation': 'clinical finding': 'some elevation', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'elevation', 'quantity_term': 'some'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'sphenoid sinus': 'location descriptor': 'right', 'cells': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear', 'mucous retention cysts': 'clinical finding': 'mucous retention cysts', 'existence': 'pos_dx', 'descriptive_term': 'mucous retention', 'observation': 'cyst', 'polyps': 'clinical finding': 'polyps', 'existence': 'unc_dx', 'observation': 'polyps'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable'imaging observation_fin: ['hematoma']clinical findings_fin: 'retrobulbar hematoma': 'clinical finding': 'retrobulbar hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retrobulbar', 'observation': 'hematoma' [/INST] [RESP] Mild left frontal scalp swelling noted, without any evidence of skull fracture underlying this location or elsewhere. There is no acute intracranial hemorrhage or extra-axial collection. The ventricles, sulci, and cisterns are symmetric and unremarkable. Minimal periventricular white matter hypodensities are noted, a nonspecific finding most commonly indicative of chronic small vessel ischemic disease at this age. Gray-white matter differentiation is otherwise preserved. There is no CT evidence of acute territorial ischemia. However, MRI would be more sensitive if acute infarction is clinically suspected. There is no mass effect, midline shift, basal cistern effacement. Moderate intracranial arterial calcifications noted, and there is dolichoectasia of the vertebrobasilar system. This dolichoectasia of contributes to some elevation of the floor of the third ventricle. The paranasal sinuses and mastoid air cells are clear, aside from mucous retention cysts or polyps in the right sphenoid sinus and right posterior ethmoid air cells. Orbital contents are unremarkable. No retrobulbar hematoma. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'upper']clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'mild nonspecific straightening of the intraventricular septum': 'clinical finding': 'mild nonspecific straightening of the intraventricular septum'location descriptor_fin: ['subsegmental']clinical findings_fin: 'minimal basilar subsegmental atelectasis': 'clinical finding': 'minimal basilar subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar subsegmental', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'calcified pulmonary granuloma': 'clinical finding': 'calcified pulmonary granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified pulmonary', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'nonspecific groundglass opacity': 'clinical finding': 'nonspecific groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific groundglass', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'nonspecific subpleural left upper lobe micronodules': 'clinical finding': 'nonspecific subpleural left upper lobe micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subpleural left upper lobe', 'observation': 'micronodule'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'mild bronchiectasis': 'clinical finding': 'mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'cardiac size is within normal limits': 'clinical finding': 'cardiac size is within normal limits'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '1.2 cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'nonspecific enlarged right hilar lymph node': 'clinical finding': 'nonspecific enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar lymph nodes': 'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous infection': 'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'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: 'calcified splenic granulomas': 'clinical finding': 'calcified splenic granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'pancreatic duct': , 'common bile duct': clinical findings_fin: 'nonspecific prominence of pancreatic duct in common bile duct': 'clinical finding': 'nonspecific prominence of pancreatic duct in common bile duct' [/INST] [RESP] . Technically adequate study. Pulmonary embolus the right upper segmental branch. Mild nonspecific straightening of the intraventricular septum. Minimal basilar subsegmental atelectasis. Calcified pulmonary granuloma. Nonspecific groundglass opacity at right lung base. Nonspecific subpleural left upper lobe micronodules. Mild bronchiectasis of the lower lobes. No pleural effusions or pneumothorax. Cardiac size is within normal limits. No pericardial effusion. Nonspecific enlarged right hilar lymph node measuring 1.2 cm. Calcified right hilar lymph nodes compatible with prior granulomatous infection. None. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Calcified splenic granulomas. Nonspecific prominence of pancreatic duct in common bile duct. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patchy mosaic attenuation': 'clinical finding': 'patchy mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy mosaic', 'observation': 'attenuation'clinical findings_fin: 'linear scarring': 'clinical finding': 'linear scarring', 'existence': 'unc_dx', 'descriptive_term': 'linear', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': , 'lingula': location descriptor_fin: ['right']clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'subcentimeter subpleural opacity': 'clinical finding': 'subcentimeter subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter subpleural', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'mild pulmonary edema': 'clinical finding': 'mild pulmonary edema', 'existence': 'pos_dx', 'descriptive_term': 'mild pulmonary', 'observation': 'edema', 'strength_term': 'mild'location descriptor_fin: ['right']clinical findings_fin: 'trace pleural fluid': 'clinical finding': 'trace pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'fluid'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'biatrial enlargement': 'clinical finding': 'biatrial enlargement', 'existence': 'pos_dx', 'descriptive_term': 'biatrial', 'observation': 'enlargement'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'anatomical entity_fin: 'fluid': anatomical entity_fin: 'pulmonary arteries': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'clinical findings_fin: 'calcified nodes': 'clinical finding': 'calcified nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'spleen': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic pancreas': 'clinical finding': 'atrophic pancreas', 'change_term': 'atrophic'anatomical entity_fin: 'abdominal': clinical findings_fin: 'scattered small abdominal nodes': 'clinical finding': 'scattered small abdominal nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small abdominal', 'observation': 'node', 'strength_term': 'small' [/INST] [RESP] . Patchy mosaic attenuation. Areas of linear scarring or atelectasis. Atelectasis noted in the right middle lobe and lingula with a few mild areas of bronchiectasis. Subcentimeter subpleural opacity in the left lower lobe likely an area of scarring. Mild pulmonary edema. Trace pleural fluid on the right. Cardiomegaly with biatrial enlargement. Coronary calcification. Trace pericardial fluid. Enlarged central pulmonary arteries consistent with pulmonary hypertension. Calcified nodes consistent with healed granulomatous disease. Multilevel degenerative changes involving the spine. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Calcified granulomas in the spleen. Atrophic pancreas. Scattered small abdominal nodes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'visualized brain parenchyma is unremarkable': 'clinical finding': 'visualized brain parenchyma is unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'external auditory canals': , 'middle ears': clinical findings_fin: 'specifically , the external auditory canals and middle ears are unremarkable': 'clinical finding': 'specifically , the external auditory canals and middle ears are unremarkable'anatomical entity_fin: 'base': 'location descriptor': 'right', 'tongue': , 'lymphoid tissue': location descriptor_fin: ['right']clinical findings_fin: 'tongue lingual lymphoid tissue': 'clinical finding': 'tongue lingual lymphoid tissue', 'existence': 'pos_dx', 'descriptive_term': 'tongue lingual lymphoid', 'observation': 'tissue', 'normal anatomic variation': 'clinical finding': 'normal anatomic variation', 'existence': 'unc_dx', 'descriptive_term': 'normal anatomic', 'observation': 'variation', 'strength_term': 'normal'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'unc_dx', 'observation': 'patent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'salivary glands': , 'thyroid glands': clinical findings_fin: 'salivary glands and thyroid glands are unremarkable': 'clinical finding': 'salivary glands and thyroid glands are unremarkable'clinical findings_fin: 'cervical lymphadenopathy': 'clinical finding': 'cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy', 'several scattered subcentimeter cervical lymph nodes': 'clinical finding': 'several scattered subcentimeter cervical lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'several scattered subcentimeter cervical lymph', 'observation': 'node', 'quantity_term': 'several'anatomical entity_fin: 'vasculature': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'arteries': location descriptor_fin: ['bilateral']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'spine': location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'straightening': 'clinical finding': 'straightening', 'existence': 'pos_dx', 'observation': 'straighten', 'multilevel degenerative disk disease': 'clinical finding': 'multilevel degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative disk', 'observation': 'disease', 'anterior and posterior osteophytes': 'clinical finding': 'anterior and posterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'anterior and posterior', 'observation': 'osteophyte'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'limited views of the lung apices': 'clinical finding': 'limited views of the lung apices' [/INST] [RESP] The visualized brain parenchyma is unremarkable. The paranasal sinuses and mastoid air cells are well pneumatized. The orbits are unremarkable. Specifically, the external auditory canals and middle ears are unremarkable. Slight prominence of right base of the tongue lingual lymphoid tissue , which may be a normal anatomic variation, however is of uncertain clinical significance, and should be further evaluated with direct visualization. Otherwise oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The salivary glands and thyroid glands are unremarkable. There is no cervical lymphadenopathy by CT size criteria with several scattered subcentimeter cervical lymph nodes noted. The cervical vasculature including the carotid and jugular veins are patent. Atherosclerotic calcifications of bilateral carotid arteries at the bifurcations are noted. Straightening of the cervical spine and multilevel degenerative disk disease and anterior and posterior osteophytes is noted. Limited views of the lung apices is unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '11 mm x 7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'stable subpleural nodule': 'clinical finding': 'stable subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subpleural', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'internal calcification': 'clinical finding': 'internal calcification', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'calcification', 'this nodule': 'clinical finding': 'this nodule', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'nodule'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'nodular opacities': 'clinical finding': 'nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'clinical findings_fin: 'suspicious pulmonary, pleural nodules': 'clinical finding': 'suspicious pulmonary, pleural nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary pleural', 'observation': 'nodule'procedure_fin: ['esophagectomy']clinical findings_fin: 'gastric pull-up': 'clinical finding': 'gastric pull-up', 'existence': 'pos_dx', 'descriptive_term': 'gastric', 'observation': 'pull'clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'stable renal cysts': 'clinical finding': 'stable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 subpleural nodule in the superior segment of the left lower lobe measuring 11 mm x 7 mm. There is internal calcification within this nodule. Interval clearing of the patchy groundglass and nodular opacities in the lung bases. No suspicious pulmonary, pleural nodules. Interval esophagectomy and gastric pull-up. No evidence of recurrence. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Degenerative changes within the thoracic spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable renal cysts. 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: artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'clinical findings_fin: 'bibasal atelectasis': 'clinical finding': 'bibasal atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasal', 'observation': 'atelectasis'location descriptor_fin: ['right']clinical findings_fin: 'trace right pleural effusion': 'clinical finding': 'trace right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace right 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'object_fin: ['filter']anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'parenchyma': , 'right kidney': location descriptor_fin: ['upper']object_fin: ['filter']clinical findings_fin: 'however unchanged compared to prior study of 12/31/13': 'clinical finding': 'however unchanged compared to prior study of 12/31/13', 'change_term': 'unchanged'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'right kidney': location descriptor_fin: ['upper']clinical findings_fin: 'previously described hypoattenuating lesion': 'clinical finding': 'previously described hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'previously described hypoattenuating', 'observation': 'lesion'anatomical entity_fin: 'body': object_fin: ['tube']procedure_fin: ['gastrostomy']anatomical entity_fin: 'transverse colon': , 'descending colon': clinical findings_fin: 'concentric thickening': 'clinical finding': 'concentric thickening', 'existence': 'pos_dx', 'descriptive_term': 'concentric', 'observation': 'thickening', 'mild surrounding inflammatory changes': 'clinical finding': 'mild surrounding inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding inflammatory', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'terminal ileum': clinical findings_fin: 'terminal ileum appears unremarkable': 'clinical finding': 'terminal ileum appears unremarkable'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'iud': 'clinical finding': 'iud', 'existence': 'pos_dx', 'observation': 'iud'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant ascites': 'clinical finding': 'significant ascites', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'ascite'anatomical entity_fin: 'femoral vessels': location descriptor_fin: ['left', 'external']clinical findings_fin: 'left common iliac, external iliac and femoral vessels': 'clinical finding': 'left common iliac, external iliac and femoral vessels', 'existence': 'pos_dx', 'descriptive_term': 'left common iliac external iliac and femoral', 'observation': 'vessel' [/INST] [RESP] The study is limited by motion artifact. Bibasal atelectasis. Trace right pleural effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Caval filter in situ. One of the tines from the filter extends into the upper pole parenchyma of the right kidney. Appearance is however unchanged compared to prior study of 12/31/13. A previously described hypoattenuating lesion at the upper pole of the right kidney has resolved. Gastrostomy tube within the gastric body. Concentric thickening of portions of the transverse colon as well as the descending colon with mild surrounding inflammatory changes, particularly along the length of the descending colon. The terminal ileum appears unremarkable. There is no bowel obstruction. No significant abnormality noted. No significant abnormality noted. IUD within the uterus. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. No significant ascites. Diminutive appearance to the left common iliac, external iliac and femoral vessels with multiple collateral vessels identified in the subcutaneous tissues. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'fluid': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'visualized bony structures are normal': 'clinical finding': 'visualized bony structures are normal'anatomical entity_fin: 'fluid': imaging observation_fin: ['foci']location descriptor_fin: ['right']object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube', 'expected surrounding foci': 'clinical finding': 'expected surrounding foci', 'existence': 'pos_dx', 'descriptive_term': 'expected surrounding', 'observation': 'foci', 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'anatomical entity_fin: 'orbits': clinical findings_fin: 'normal orbits': 'clinical finding': 'normal orbits' [/INST] [RESP] VENTRICLES/.No midline shift. CSF spaces appropriate for patient age. No abnormal mass lesions, edema, or hemorrhage. No fluid collections. No evidence of hemorrhage. No fractures. Visualized bony structures are normal. There is a tracheostomy tube in the right nostril with expected surrounding foci of fluid and gas. Normal orbits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'ill-defined nodular opacities': 'clinical finding': 'ill-defined nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined nodular', 'observation': 'opacity', 'strength_term': 'ill-defined', 'metastases': 'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase', 'aspiration or occult infection': 'clinical finding': 'aspiration or occult infection', 'existence': 'unc_dx', 'descriptive_term': 'aspiration or occult', 'observation': 'infection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'scattered hepatic cystlike hypodensities': 'clinical finding': 'scattered hepatic cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered hepatic cystlike', 'observation': 'hypodensity'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': , 'vein': location descriptor_fin: ['left']clinical findings_fin: 'dilatation of the left renal vein the left gonadal vein unchanged': 'clinical finding': 'dilatation of the left renal vein the left gonadal vein unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Ill-defined nodular opacities in the superior segment of the left lower lobe are not characteristic of metastases and probably relate to aspiration or occult infection. No significant abnormality noted. No significant abnormality noted. Scattered hepatic cystlike hypodensities are unchanged. Cholelithiasis is present. No significant abnormality noted. Dilatation of the left renal vein the left gonadal vein unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['right']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'subdural': 'clinical finding': 'subdural', 'existence': 'unc_dx', 'observation': 'subdural'anatomical entity_fin: 'subdural space': clinical findings_fin: 'interval decreased post procedural air': 'clinical finding': 'interval decreased post procedural air', 'existence': 'pos_dx', 'descriptive_term': 'interval decreased post procedural', 'observation': 'air', 'strength_term': 'decreased', 'change_term': 'decreased'anatomical entity_fin: 'subdural space': imaging observation_fin: ['blood products']clinical findings_fin: 'residual acute blood products': 'clinical finding': 'residual acute blood products', 'existence': 'pos_dx', 'descriptive_term': 'residual acute blood', 'observation': 'product', 'strength_term': 'acute', 'temporal_term': 'residual - acute'location descriptor_fin: ['midline']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'decreased leftward deviation': 'clinical finding': 'decreased leftward deviation', 'existence': 'pos_dx', 'descriptive_term': 'decreased leftward', 'observation': 'deviation', 'strength_term': 'decreased', 'change_term': 'decreased', 'trace residual': 'clinical finding': 'trace residual', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'residual'clinical findings_fin: 'stable normal size of ventricular system': 'clinical finding': 'stable normal size of ventricular system', 'change_term': 'stable' [/INST] [RESP] Nonenhanced head. Postoperative changes of a right temporal parietal craniotomy for evacuation of subdural is again noted. There is interval decreased post procedural air from the subdural space. There is also evidence of mild interval decreased size of residual acute blood products in the subdural space since prior exam. Changes results in decreased leftward deviation of midline with trace residual. Stable normal size of ventricular system. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: 'severe upper lobe predominant centrilobular paraseptal emphysema': 'clinical finding': 'severe upper lobe predominant centrilobular paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe upper lobe predominant centrilobular paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'size_fin: ['size': '15 mm', 'size_descriptor': 'mass']location descriptor_fin: ['left']clinical findings_fin: 'reference left hilar mass': 'clinical finding': 'reference left hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'reference left hilar', 'observation': 'mass'anatomical entity_fin: 'mucus': clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'aspirated debris': 'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris'size_fin: ['size': '19 mm', 'size_descriptor': 'mass']clinical findings_fin: 'ap window mass': 'clinical finding': 'ap window mass', 'existence': 'pos_dx', 'descriptive_term': 'ap window', 'observation': 'mass'clinical findings_fin: 'other smaller lymph nodes': 'clinical finding': 'other smaller lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other smaller lymph', 'observation': 'node'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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Severe upper lobe predominant centrilobular paraseptal emphysema. No new pulmonary nodules. Reference left hilar mass has decreased to 15 mm. Endobronchial extension of tumor and mucus plugging is less severe on current study. Aspirated debris is seen in the central airways. AP window mass has decreased to 19 mm on image 42/153. Other smaller lymph nodes are grossly stable. No significant abnormality noted. Absence of enteric contrast material markedly 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 markedly limits sensitivity for GI pathology. No gross abnormalities 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: 'spine': clinical findings_fin: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body heights are unchanged with mild decrease in height of c3 through c6': 'clinical finding': 'vertebral body heights are unchanged with mild decrease in height of c3 through c6', 'change_term': 'unchanged'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'laminoplasty': 'clinical finding': 'laminoplasty', 'existence': 'pos_dx', 'observation': 'laminoplasty'location descriptor_fin: ['left']clinical findings_fin: 'healing': 'clinical finding': 'healing', 'existence': 'pos_dx', 'observation': 'heal', 'defects': 'clinical finding': 'defects', 'existence': 'pos_dx', 'observation': 'defect'anatomical entity_fin: 'bone': location descriptor_fin: ['right']anatomical entity_fin: 'spinal canal': clinical findings_fin: 'associated expansion of the osseous spinal canal is noted': 'clinical finding': 'associated expansion of the osseous spinal canal is noted' [/INST] [RESP] Sagittal alignment of the cervical spine is maintained. Vertebral body heights are unchanged with mild decrease in height of C3 through C6. Postsurgical changes secondary to prior C3 through C7 laminoplasty are noted. Since the prior examination, there has been healing of the defects involving the left-sided lamina with incorporation of the morselized bone along the lamina. On the right side, there is incorporation of the bone findings nearly completely at C4 and completely at C6. Associated expansion of the osseous spinal canal is noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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: size_fin: ['size': '40 x 50', 'size_descriptor': 'dimension']anatomical entity_fin: 'frontal lobe': , 'cortex': , 'left inferior frontal gyrus': location descriptor_fin: ['left', 'adjacent']clinical findings_fin: '40 x 50-mm axial dimension heterogeneous mass': 'clinical finding': '40 x 50-mm axial dimension heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': '40 x 50-mm axial dimension heterogeneous', 'observation': 'mass', 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'pos_dx', 'observation': 'mass'size_fin: ['size': '6 mm']anatomical entity_fin: 'septum pellucidum': location descriptor_fin: ['shifted', 'right', 'midline']clinical findings_fin: 'septum pellucidum is shifted approximately 6 mm to the right of midline': 'clinical finding': 'septum pellucidum is shifted approximately 6 mm to the right of midline', 'change_term': 'shifted'clinical findings_fin: 'mild uncal herniation': 'clinical finding': 'mild uncal herniation', 'existence': 'pos_dx', 'descriptive_term': 'mild uncal', 'observation': 'herniation', 'strength_term': 'mild'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] There is a 40 x 50-mm axial dimension heterogeneous mass involving name left to frontal lobe and insular cortex including the left inferior frontal gyrus associated with a vasogenic edema adjacent to it and a mass-effect. The septum pellucidum is shifted approximately 6 mm to the right of midline. There is mild uncal herniation present. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'non-iv contrast': 'clinical finding': 'non-iv contrast', 'existence': 'pos_dx', 'descriptive_term': 'non-iv', 'observation': 'contrast'size_fin: ['size': '7 mm', 'size': '3 mm']anatomical entity_fin: 'right kidney': location descriptor_fin: ['lower']clinical findings_fin: 'two small calculi': 'clinical finding': 'two small calculi', 'existence': 'pos_dx', 'descriptive_term': 'two small', 'observation': 'calculi', 'strength_term': 'small'anatomical entity_fin: 'parenchyma': , 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'slight increased attenuation focus': 'clinical finding': 'slight increased attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'slight increased attenuation', 'observation': 'focus', 'strength_term': 'increased', 'change_term': 'increased', 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'perinephric infiltrative changes': 'clinical finding': 'perinephric infiltrative changes', 'existence': 'neg_dx', 'descriptive_term': 'perinephric infiltrative', 'observation': 'change'anatomical entity_fin: 'ureters': clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse', 'ureteral calculus': 'clinical finding': 'ureteral calculus', 'existence': 'neg_dx', 'descriptive_term': 'ureteral', 'observation': 'calculus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'calculus': 'clinical finding': 'calculus', 'existence': 'neg_dx', 'observation': 'calculus', 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'scattered vascular phleboliths': 'clinical finding': 'scattered vascular phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'scattered vascular', 'observation': 'phlebolith', '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' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Within limits of non-IV contrast enhanced examination, kidneys show normal morphology and size. Two small calculi are seen in the right kidney lower calyceal systems with the largest of these two measuring maximal dimension of 7 mm on coronal imaging and the smaller measuring 3 mm. Slight increased attenuation focus seen in the renal parenchyma of the left upper pole but does not represent calcification in a collecting system. No hydronephrosis is seen and no perinephric infiltrative changes are seen. Ureters are collapsed with no evidence of ureteral calculus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted -- no evidence of calculus in the collapsed bladder. No significant abnormality noted. No significant abnormality noted. Scattered vascular phleboliths but without other abnormality of significance. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lung': location descriptor_fin: ['left']clinical findings_fin: 'large left-sided pleural effusion': 'clinical finding': 'large left-sided pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'large left-sided pleural', 'observation': 'effusion', 'strength_term': 'large', 'marked compression': 'clinical finding': 'marked compression', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'compression'anatomical entity_fin: 'left lung': clinical findings_fin: 'compressed': 'clinical finding': 'compressed', 'existence': 'pos_dx', 'observation': 'compress'clinical findings_fin: 'underlying pulmonary mass': 'clinical finding': 'underlying pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'underlying pulmonary', 'observation': 'mass'anatomical entity_fin: 'right lung': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'adenopathy': 'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic changes': 'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'clinical findings_fin: 'vertebral venous collateral circulation': 'clinical finding': 'vertebral venous collateral circulation', 'existence': 'pos_dx', 'descriptive_term': 'vertebral venous collateral', 'observation': 'circulation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Demonstration of a large left-sided pleural effusion with marked compression noted of the left lung. Only a very minimal degree of aeration is noted within the left lung which again is markedly compressed. No underlying pulmonary mass can be identified. The right lung is clear. No evidence of adenopathy. There is a small pericardial effusion. Atherosclerotic changes are identified within the aorta. Vertebral venous collateral circulation is noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lung': , 'base': location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'liver': anatomical entity_fin: 'spleen': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal cortical enhancement': 'clinical finding': 'renal cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'enhancement'clinical findings_fin: 'pelvicaliceal dilatation': 'clinical finding': 'pelvicaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvicaliceal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'urinary bladder is normal in appearance': 'clinical finding': 'urinary bladder is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Subsegmental atelectasis is present in the left lung base. The liver enhances normally. The spleen is intact. The pancreas is normal in appearance. No significant abnormality noted. Renal cortical enhancement is normal. No pelvicaliceal dilatation is present. No significant abnormality noted. No dilated bowel loops are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The urinary bladder is normal in appearance. 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: 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'unchanged linear scarring': 'clinical finding': 'unchanged linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'unchanged linear', 'observation': 'scarr', 'strength_term': 'unchanged', 'change_term': 'unchanged'size_fin: ['size': '10 mm', 'size': '13 mm']anatomical entity_fin: 'anastomosis': clinical findings_fin: 'asymmetric thickening': 'clinical finding': 'asymmetric thickening', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'thickening'size_fin: ['size': '10 x 6 mm', 'size': '11 x 6 mm']clinical findings_fin: 'reference paraesophageal lymph node': 'clinical finding': 'reference paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference paraesophageal lymph', 'observation': 'node'location descriptor_fin: ['right']clinical findings_fin: 'right thyroid nodule': 'clinical finding': 'right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right thyroid', 'observation': 'nodule'clinical findings_fin: 'coronary and aortic calcifications': 'clinical finding': 'coronary and aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary and aortic', 'observation': 'calcification'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Unchanged linear scarring at the right base. Asymmetric thickening at the anastomosis of the gastric pull measures 10 mm, previously 13 mm. Reference paraesophageal lymph node measures 10 x 6 mm, previously 11 x 6 mm. Right thyroid nodule is unchanged. Coronary and aortic calcifications noted. Unremarkable. CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['air bronchograms']location descriptor_fin: ['right']clinical findings_fin: 'dense right perihilar and paramediastinal consolidation': 'clinical finding': 'dense right perihilar and paramediastinal consolidation', 'existence': 'pos_dx', 'descriptive_term': 'dense right perihilar and paramediastinal', 'observation': 'consolidation'size_fin: ['size': '32 x 27 mm', 'size': '34 x 27 mm']location descriptor_fin: ['right']clinical findings_fin: 'underlying partially calcified right hilar mass': 'clinical finding': 'underlying partially calcified right hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'underlying partially calcified right hilar', 'observation': 'mass', 'strength_term': 'partially', 'change_term': 'calcified'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pretracheal lymph node': clinical findings_fin: 'measured fatty pretracheal lymph node': 'clinical finding': 'measured fatty pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'measured fatty pretracheal lymph', 'observation': 'node'clinical findings_fin: 'severe coronary artery calcification': 'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Dense right perihilar and paramediastinal consolidation with air bronchograms, in a configuration consistent with radiation reaction. An underlying partially calcified right hilar mass measures 32 x 27 mm, not significantly changed from 34 x 27 mm previously. No suspicious nodules. No significant lymphadenopathy. They previously measured fatty pretracheal lymph node is unchanged. Severe coronary artery calcification. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'left major fissure': location descriptor_fin: ['superior']clinical findings_fin: 'small pleural effusion': 'clinical finding': 'small pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'mild bronchial wall thickening': 'clinical finding': 'mild bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'pleural based micronodule': 'clinical finding': 'pleural based micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pleural based', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'calcified micronodule': 'clinical finding': 'calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'old granulomatous disease': 'clinical finding': 'old granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'dvt': 'clinical finding': 'dvt', 'existence': 'neg_dx', 'observation': 'dvt' [/INST] [RESP] . No evidence of pulmonary embolus. Small pleural effusion at the superior portion of the left major fissure. Mild bronchial wall thickening. No evidence of consolidation. Pleural based micronodule in the left lower lobe is nonspecific. Calcified micronodule in the left lower lobe likely represents old granulomatous disease. No significant abnormality noted. No significant abnormality noted. Limited and incomplete evaluation but otherwise, No significant abnormality noted. No evidence of DVT. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lower lung zones': clinical findings_fin: 'endobronchial lesions': 'clinical finding': 'endobronchial lesions', 'existence': 'neg_dx', 'descriptive_term': 'endobronchial', 'observation': 'lesion'location descriptor_fin: ['left']clinical findings_fin: 'moderate left basilar predominant bronchiectasis': 'clinical finding': 'moderate left basilar predominant bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'moderate left basilar predominant', 'observation': 'bronchiectasis', 'strength_term': 'moderate'clinical findings_fin: 'nonspecific basilar scarring': 'clinical finding': 'nonspecific basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific basilar', 'observation': 'scarr', 'mild fibrosis': 'clinical finding': 'mild fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'fibrosis', 'strength_term': 'mild'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'heart and pericardium appear normal': 'clinical finding': 'heart and pericardium appear normal'imaging observation_fin: ['cervicothoracic']clinical findings_fin: 'cervicothoracic stabilization hardware': 'clinical finding': 'cervicothoracic stabilization hardware', 'existence': 'pos_dx', 'descriptive_term': 'cervicothoracic stabilization', 'observation': 'hardware'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No evidence of endobronchial lesions, although there is evidence of bronchial secretions in both lower lung zones. Moderate left basilar predominant bronchiectasis is present. Nonspecific basilar scarring or mild fibrosis is noted, etiology and chronicity unclear. No significant lymphadenopathy. The heart and pericardium appear normal. None. Cervicothoracic stabilization hardware is present. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': location descriptor_fin: ['left', 'right']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'walls': location descriptor_fin: ['anterior']clinical findings_fin: 'osseous remodeling': 'clinical finding': 'osseous remodeling', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'remodeling', 'chronic inflammation': 'clinical finding': 'chronic inflammation', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'inflammation', 'temporal_term': 'chronic'anatomical entity_fin: 'cells': location descriptor_fin: ['posterior']clinical findings_fin: 'few posterior ethmoid air cells are also opacified': 'clinical finding': 'few posterior ethmoid air cells are also opacified', 'change_term': 'opacified'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'location descriptor_fin: ['right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'location descriptor_fin: ['right']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'associated spur': 'clinical finding': 'associated spur', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'spur'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral', 'middle': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'nasopharynx': , 'orbits': clinical findings_fin: 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear': 'clinical finding': 'nasopharynx , facial soft tissues , orbits , and imaged intracranial structures appear' [/INST] [RESP] There is partial opacification of the maxillary sinuses, left greater than right, with mucosal thickening and fluid. There is osseous remodeling of the anterior maxillary walls, suggestive of chronic inflammation. A few posterior ethmoid air cells are also opacified. The sphenoid sinuses and frontal sinuses are clear. There is opacification of the right concha bullosa. There is mild deviation of the nasal septum to the right with an associated spur. The cribriform plate, fovea ethmoidalis and lamina papyracea appear intact. The bilateral mastoid air cells and middle air cavities are clear. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral scleral buckles': 'clinical finding': 'bilateral scleral buckles', 'existence': 'pos_dx', 'descriptive_term': 'bilateral scleral', 'observation': 'buckle' [/INST] [RESP] There is patchy hypoattenuation in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the orbits shows bilateral scleral buckles. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'innumerable pulmonary nodules': 'clinical finding': 'innumerable pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable pulmonary', 'observation': 'nodule'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion', 'surrounding groundglass opacity': 'clinical finding': 'surrounding groundglass opacity', 'existence': 'unc_dx', 'descriptive_term': 'surrounding groundglass', 'observation': 'opacity', 'localized hemorrhage': 'clinical finding': 'localized hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'localized', 'observation': 'hemorrhage'imaging observation_fin: ['angle']location descriptor_fin: ['left']clinical findings_fin: 'previously measured lesion': 'clinical finding': 'previously measured lesion', 'existence': 'neg_dx', 'descriptive_term': 'previously measured', 'observation': 'lesion', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'size_fin: ['size': '5 mm', 'size': '3-mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'discrete nodule': 'clinical finding': 'discrete nodule', 'existence': 'pos_dx', 'descriptive_term': 'discrete', 'observation': 'nodule'location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: 'fluid': , 'right lung': , 'base': , 'right major fissure': clinical findings_fin: 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'clinical findings_fin: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity', 'pleural metastases': 'clinical finding': 'pleural metastases', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'metastase'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['central', 'right']clinical findings_fin: 'hypoattenuating nodule': 'clinical finding': 'hypoattenuating nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'nodule', 'central calcification': 'clinical finding': 'central calcification', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'calcification'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': clinical findings_fin: 'sludge': 'clinical finding': 'sludge', 'existence': 'pos_dx', 'observation': 'sludge'anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'heterogeneous mass': 'clinical finding': 'heterogeneous mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'mass', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification', 'known neoplasm': 'clinical finding': 'known neoplasm', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'neoplasm'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy' [/INST] [RESP] . Innumerable pulmonary nodules increased in both size and number a, best appreciated on the MIP sequence. Some of the lesions have become confluent and demonstrates surrounding groundglass opacity which may reflect localized hemorrhage. Previously measured lesion in the left costophrenic angle is no longer clearly identified, probably reflecting an area of atelectasis in retrospect. For future reference, a discrete nodule in the left upper lobe measures 5 mm, previously 3-mm. Interval removal of right pleural catheter. Volume of pleural fluid at the right lung base is similar, the fluid or loculated in the right major fissure has decreased in volume. Again, nodularity of the pleural surface is suspicious for pleural metastases. Coronary artery calcifications. Normal heart size. No significant lymphadenopathy. Hypoattenuating nodule with central calcification in the right lobe of the thyroid unchanged, nonspecific by CT. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Sludge in the gallbladder. Heterogeneous mass in the left renal fossa partially visualized containing areas of hypoattenuation neck as well as calcification consistent with known neoplasm. Retroperitoneal lymphadenopathy incompletely visualized [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'knee joint': , 'knee': , 'subcutaneous fat': 'location descriptor': 'adjacent'imaging observation_fin: ['enhancing', 'reticulation']location descriptor_fin: ['adjacent']clinical findings_fin: 'associated adjacent subcutaneous fat reticulation': 'clinical finding': 'associated adjacent subcutaneous fat reticulation', 'existence': 'pos_dx', 'descriptive_term': 'associated adjacent subcutaneous fat', 'observation': 'reticulation'size_fin: ['size': '3 cm', 'size_descriptor': 'collection']location descriptor_fin: ['adjacent']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'erosion': 'clinical finding': 'erosion', 'existence': 'neg_dx', 'observation': 'erosion'anatomical entity_fin: 'hip': , 'ankle joints': clinical findings_fin: 'hip and ankle joints have normal ct appearance': 'clinical finding': 'hip and ankle joints have normal ct appearance' [/INST] [RESP] A multilobulated low-density, peripherally enhancing collection appears to arise from the knee joint, extending into the soft tissues at the level of the knee, with associated adjacent subcutaneous fat reticulation. The collection measures approximately 3 cm in diameter. The adjacent osseous structures are normal without fracture or erosion. The hip and ankle joints have normal CT appearance. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: 'small fat-containing right morgagnii hernia': 'clinical finding': 'small fat-containing right morgagnii hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing right morgagnii', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': , 'liver': clinical findings_fin: 'large mildly hyperdense mass lesion': 'clinical finding': 'large mildly hyperdense mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'large mildly hyperdense mass', 'observation': 'lesion', 'strength_term': 'large - mildly', 'internal hypodensity': 'clinical finding': 'internal hypodensity', 'existence': 'unc_dx', 'descriptive_term': 'internal', 'observation': 'hypodensity', 'possible necrosis': 'clinical finding': 'possible necrosis', 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'necrosis'size_fin: ['size': '4.8 x 6.7 cm', 'size_descriptor': 'lesion']clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': location descriptor_fin: ['right']anatomical entity_fin: 'ureter': clinical findings_fin: 'mild pelvic caliectasis': 'clinical finding': 'mild pelvic caliectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild pelvic', 'observation': 'caliectasis', 'strength_term': 'mild', 'patients pregnancy': 'clinical finding': 'patients pregnancy', 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'pregnancy', 'extrinsic compression': 'clinical finding': 'extrinsic compression', 'existence': 'unc_dx', 'descriptive_term': 'extrinsic', 'observation': 'compression'clinical findings_fin: 'very small renal hypodensities': 'clinical finding': 'very small renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'very small renal', 'observation': 'hypodensity', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fetus': , 'pelvis': location descriptor_fin: ['superior']clinical findings_fin: 'partially visualized in the superior aspect of the pelvis': 'clinical finding': 'partially visualized in the superior aspect of the pelvis'anatomical entity_fin: 'placenta': clinical findings_fin: 'placenta has a somewhat heterogeneous appearance': 'clinical finding': 'placenta has a somewhat heterogeneous appearance'clinical findings_fin: 'frank hemorrhage': 'clinical finding': 'frank hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'frank', 'observation': 'hemorrhage' [/INST] [RESP] Study was performed with shielding as the patient was pregnant. Patient was made aware of the risks of radiation during pregnancy. A signed consent was obtained from the patient. No significant abnormality noted. No significant abnormality noted. Incidental note made of small fat-containing right Morgagnii hernia. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. There is a large mildly hyperdense mass lesion which appears to emanate from the caudate lobe of the liver demonstrating internal hypodensity suggestive of possible necrosis. This lesion measures 4.8 x 6.7 cm. No significant abnormality noted. No significant abnormality noted. Right extrarenal pelvis. Mild pelvic caliectasis, likely at least partially related to patients pregnancy with extrinsic compression on the ureter. Very small renal hypodensities, too small to characterize. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Fetus is partially visualized in the superior aspect of the pelvis. Placenta has a somewhat heterogeneous appearance. No evidence of frank hemorrhage. [/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'clinical findings_fin: 'detectable acute posttraumatic intracranial': 'clinical finding': 'detectable acute posttraumatic intracranial', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute posttraumatic', 'observation': 'intracranial', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'clinical findings_fin: 'unremarkable calvarium': 'clinical finding': 'unremarkable calvarium'anatomical entity_fin: 'frontal sinus': imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'soft tissue thickening': 'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening', 'underlying calvarial or frontal sinus abnormalities': 'clinical finding': 'underlying calvarial or frontal sinus abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'underlying calvarial or frontal sinus', 'observation': 'abnormality'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable images through the orbits': 'clinical finding': 'unremarkable images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'unremarkable paranasal sinuses and mastoid air cells': 'clinical finding': 'unremarkable paranasal sinuses and mastoid air cells'clinical findings_fin: 'significant leftward nasal septum deviation': 'clinical finding': 'significant leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'significant leftward nasal septum', 'observation': 'deviation', 'large bony septal spur': 'clinical finding': 'large bony septal spur', 'existence': 'pos_dx', 'descriptive_term': 'large bony septal', 'observation': 'spur', 'strength_term': 'large' [/INST] [RESP] Nonenhanced head. There is no detectable acute posttraumatic intracranial or calvarial findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation. Unremarkable calvarium. Hematoma and soft tissue thickening in the right supraorbital frontal region without underlying calvarial or frontal sinus abnormalities. Unremarkable images through the orbits. Unremarkable paranasal sinuses and mastoid air cells. Significant leftward nasal septum deviation and a large bony septal spur is noted. [/RESP]</s> |
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