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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left', 'bilateral']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'only trace mucosal thickening': 'clinical finding': 'only trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'only trace mucosal', 'observation': 'thickening'anatomical entity_fin: 'sphenoid sinus': clinical findings_fin: 'trace frontal and sphenoid sinus mucosal thickening': 'clinical finding': 'trace frontal and sphenoid sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'trace frontal and sphenoid sinus mucosal', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'large bony septal spur': 'clinical finding': 'large bony septal spur', 'existence': 'pos_dx', 'descriptive_term': 'large bony septal', 'observation': 'spur', 'strength_term': 'large'imaging observation_fin: ['tooth']clinical findings_fin: 'is persistent loculated bony lucency surrounding the ada tooth 15 which is incompletely imaged on current exam but grossly unchanged': 'clinical finding': 'is persistent loculated bony lucency surrounding the ada tooth 15 which is incompletely imaged on current exam but grossly unchanged', 'change_term': 'unchanged' [/INST] [RESP] There has been significant interval reduction of mucosal thickening within the left maxillary sinus with only trace mucosal thickening now present in the bilateral maxillary sinuses. There is mild new scattered ethmoid with trace frontal and sphenoid sinus mucosal thickening. The mastoid air cells remain clear. There is deviation of the nasal septum to the left with a large bony septal spur and unchanged. There is persistent loculated bony lucency surrounding the ADA tooth 15 which is incompletely imaged on current exam but grossly unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'extensive cortical and white matter hypoattenuation': 'clinical finding': 'extensive cortical and white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive cortical and white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive', 'subacute stroke': 'clinical finding': 'subacute stroke', 'existence': 'pos_dx', 'descriptive_term': 'subacute', 'observation': 'stroke'anatomical entity_fin: 'temporal lobes': , 'basal ganglia': , 'internal capsule': location descriptor_fin: ['right']clinical findings_fin: 'noted previously , the involved regions include': 'clinical finding': 'noted previously , the involved regions include'clinical findings_fin: 'abnormality': 'clinical finding': 'abnormality', 'existence': 'pos_dx', 'observation': 'abnormality'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'size_fin: ['size': '3-mm', 'size_descriptor': 'shift']location descriptor_fin: ['midline', 'left']clinical findings_fin: 'local sulcal effacement': 'clinical finding': 'local sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'local sulcal', 'observation': 'effacement' [/INST] [RESP] Extensive cortical and white matter hypoattenuation within the distribution of the right MCA is again seen consistent with subacute stroke. As noted previously, the involved regions include the right frontal, parietal and temporal lobes as well as the basal ganglia and internal capsule. The extent of the abnormality is unchanged relative to the prior examination. There is no evidence of hemorrhagic transformation. Associated mass effect may be improving slightly with mild reexpansion of the right lateral ventricle. Local sulcal effacement persists as does a 3-mm midline shift to the left. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: 'extensive centrilobular and paraseptal emphysema': 'clinical finding': 'extensive centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'extensive centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'extensive', 'numerous pulmonary cysts': 'clinical finding': 'numerous pulmonary cysts', 'existence': 'pos_dx', 'descriptive_term': 'numerous pulmonary', 'observation': 'cyst', 'quantity_term': 'numerous'clinical findings_fin: 'tracheal debris': 'clinical finding': 'tracheal debris', 'existence': 'pos_dx', 'descriptive_term': 'tracheal', 'observation': 'debris'clinical findings_fin: 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral basilar cavitary spiculated nodules': 'clinical finding': 'bilateral basilar cavitary spiculated nodules', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar cavitary spiculated', 'observation': 'nodule'imaging observation_fin: ['air bronchograms']clinical findings_fin: 'bibasilar consolidation': 'clinical finding': 'bibasilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'consolidation', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'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: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered small mediastinal lymph nodes': 'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'brachiocephalic vein': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'left central venous catheter': 'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'location descriptor_fin: ['right']object_fin: ['central venous catheter']clinical findings_fin: 'right central venous catheter': 'clinical finding': 'right central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'right central venous', 'observation': 'catheter'clinical findings_fin: 'extensive lytic osseous metastases': 'clinical finding': 'extensive lytic osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive lytic osseous', 'observation': 'metastase', 'strength_term': 'extensive', 'multiple myeloma': 'clinical finding': 'multiple myeloma', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'myeloma', 'quantity_term': 'multiple'anatomical entity_fin: 'thoracic vertebrae': clinical findings_fin: 'similar to the prior examination , there is loss': 'clinical finding': 'similar to the prior examination , there is loss'anatomical entity_fin: 'rib': clinical findings_fin: 'sternal': 'clinical finding': 'sternal', 'existence': 'pos_dx', 'observation': 'sternal', 'multiple rib lesions': 'clinical finding': 'multiple rib lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple rib', 'observation': 'lesion', 'quantity_term': 'multiple'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] . Extensive centrilobular and paraseptal emphysema as well as numerous pulmonary cysts. Tracheal debris. Bronchial wall thickening. Bilateral basilar cavitary spiculated nodules. Bibasilar consolidation with air bronchograms and bronchiectasis. Normal cardiac size with small pericardial effusion. The main pulmonary artery is enlarged, a finding often associated with pulmonary hypertension. Scattered small mediastinal lymph nodes. Left central venous catheter with tip terminating in the left brachiocephalic vein. Right central venous catheter with tip terminating at the atriocaval junction. Extensive lytic osseous metastases compatible with the patients history of multiple myeloma. Similar to the prior examination, there is loss of height of multiple thoracic vertebrae which appear similar to the prior examination. Redemonstration of sternal as well as multiple rib lesions. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'mild splenomegaly': 'clinical finding': 'mild splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'splenomegaly', 'strength_term': 'mild'anatomical entity_fin: 'pancreas': clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'chronic pancreatitis': 'clinical finding': 'chronic pancreatitis', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'previously measured index mesenteric soft tissue nodule': 'clinical finding': 'previously measured index mesenteric soft tissue nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously measured index mesenteric soft tissue', 'observation': 'nodule'anatomical entity_fin: 'stomach': imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: 'new nodule': 'clinical finding': 'new nodule', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'imaging observation_fin: ['fat']clinical findings_fin: 'other smaller nodular densities': 'clinical finding': 'other smaller nodular densities', 'existence': 'pos_dx', 'descriptive_term': 'other smaller nodular', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Mild Splenomegaly, unchanged. Punctate calcification the pancreas may be compatible with chronic pancreatitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Previously measured index mesenteric soft tissue nodule is no longer visualized. However, there is a new nodule adjacent to the stomach best seen on image #87, series #3 and omental fat. Other smaller nodular densities in the omental fat are 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. 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: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'anatomical entity_fin: 'middle': , 'lobes': , 'fluid': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'large cavitary mass': 'clinical finding': 'large cavitary mass', 'existence': 'pos_dx', 'descriptive_term': 'large cavitary', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'several other patchy opacities': 'clinical finding': 'several other patchy opacities', 'existence': 'pos_dx', 'descriptive_term': 'several other patchy', 'observation': 'opacity', 'quantity_term': 'several', 'cavitation': 'clinical finding': 'cavitation', 'existence': 'pos_dx', 'observation': 'cavitation'clinical findings_fin: 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening'location descriptor_fin: ['right']clinical findings_fin: 'small right pleural effusion': 'clinical finding': 'small right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'brachiocephalic vein': location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: 'brachiocephalic': 'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'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': '1.3 x 1.3 cm', 'size_descriptor': 'node']clinical findings_fin: 'pre-carinal lymph node': 'clinical finding': 'pre-carinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'pre-carinal lymph', 'observation': 'node'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'left subclavian vein': location descriptor_fin: ['left']anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'left'imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'borderline enlarged left axillary lymph node': 'clinical finding': 'borderline enlarged left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged left axillary lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged', 'fat': 'clinical finding': 'fat', 'existence': 'unc_dx', 'observation': 'fat'location descriptor_fin: ['right']clinical findings_fin: 'prominent low density tissue': 'clinical finding': 'prominent low density tissue', 'existence': 'pos_dx', 'descriptive_term': 'prominent low density', 'observation': 'tissue', 'strength_term': 'prominent', 'normal lymphatic structure': 'clinical finding': 'normal lymphatic structure', 'existence': 'pos_dx', 'descriptive_term': 'normal lymphatic', 'observation': 'structure', 'strength_term': 'normal' [/INST] [RESP] Lack of IV contrast limits the evaluation of solid organ pathology and lymphadenopathy. Centrilobular emphysema. There is a large cavitary mass occupying the right upper and middle lobes with air fluid levels. This area was shown to be metabolically active on the recent PET or CT. Several other patchy opacities in both lower lobes with areas of cavitation again noted. Overall, these findings are grossly unchanged when compared to the recent PET or CT. Areas of bronchial wall thickening again noted. Small right pleural effusion. Left jugular catheter tip in the brachiocephalic vein. Mildly enlarged mediastinal lymph nodes. For reference, a pre-carinal lymph node measures 1.3 x 1.3 cm. Normal heart size. No pericardial effusion. Left PICC tip in the left subclavian vein. Borderline enlarged left axillary lymph node which may contain fat. There is prominent low density tissue in the right retrocrural region which is the normal location of the cisterna chyli, a normal lymphatic structure. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'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: 'partial empty sella is incidentally noted': 'clinical finding': 'partial empty sella is incidentally noted'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 unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. Partial empty sella is incidentally noted. 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: clinical findings_fin: 'focal air space opacity': 'clinical finding': 'focal air space opacity', 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'normal in size and appearance': 'clinical finding': 'normal in size and appearance'clinical findings_fin: 'normal in size and appearance': 'clinical finding': 'normal in size and appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'preserved cortical medullary differentiation': 'clinical finding': 'preserved cortical medullary differentiation', 'existence': 'pos_dx', 'descriptive_term': 'preserved cortical medullary', 'observation': 'differentiation', 'change_term': 'preserved'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'size_fin: ['size': '6 mm', 'size_descriptor': 'appendix']anatomical entity_fin: 'appendix': imaging observation_fin: ['fat']clinical findings_fin: 'pericecal fat stranding': 'clinical finding': 'pericecal fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'pericecal fat', 'observation': 'strand'clinical findings_fin: 'appendicolith': 'clinical finding': 'appendicolith', 'existence': 'neg_dx', 'observation': 'appendicolith'clinical findings_fin: 'osseous lesions': 'clinical finding': 'osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'osseous', '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: 'wall': clinical findings_fin: 'distended , with normal wall thickness': 'clinical finding': 'distended , with normal wall thickness', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'trace free fluid': 'clinical finding': 'trace free fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace free', 'observation': 'fluid' [/INST] [RESP] . No focal air space opacity or pleural effusion. No focal lesions or biliary ductal dilatation. Normal in size and appearance. Normal in size and appearance. No significant abnormality noted. Symmetric with preserved cortical medullary differentiation. No retroperitoneal lymphadenopathy. Appendix measures approximately 6 mm, with intraluminal air delineating the entire length of the appendix. No pericecal fat stranding. No appendicolith. No osseous lesions. No significant abnormality noted. No significant abnormality noted. Distended, with normal wall thickness. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Trace free fluid in the pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']object_fin: ['aneurysm clip']clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'pos_dx', 'observation': 'aneurysm'clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'chiari decompression': 'clinical finding': 'chiari decompression', 'existence': 'pos_dx', 'descriptive_term': 'chiari', 'observation': 'decompression', 'suboccipital craniectomy': 'clinical finding': 'suboccipital craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'suboccipital', 'observation': 'craniectomy'clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'pathological enhancement': 'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'origin': , 'right ophthalmic artery': clinical findings_fin: 'moderate atherosclerotic calcification': 'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'location descriptor_fin: ['left', 'right']clinical findings_fin: 'moderate atherosclerotic plaque': 'clinical finding': 'moderate atherosclerotic plaque', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'plaque', 'strength_term': 'moderate'location descriptor_fin: ['bilateral']clinical findings_fin: 'flow-limiting stenosis': 'clinical finding': 'flow-limiting stenosis', 'existence': 'neg_dx', 'descriptive_term': 'flow-limiting', 'observation': 'stenosis', 'occlusion': 'clinical finding': 'occlusion', 'existence': 'neg_dx', 'observation': 'occlusion'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: 'right posterior communicating artery': clinical findings_fin: 'right posterior communicating artery is present': 'clinical finding': 'right posterior communicating artery is present'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 demonstration of left pterional craniotomy with an aneurysm clip in the suprasellar region. Again seen are postoperative findings related to Chiari decompression with suboccipital craniectomy. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is minimal mucosal thickening in the right maxillary sinus. The remaining paranasal sinuses and mastoids or middle ears are grossly clear. There is moderate atherosclerotic calcification along the origin of the right ophthalmic artery. There is moderate atherosclerotic plaque involving left more than right cavernous ICA. However, there is no flow-limiting stenosis or occlusion in the bilateral intracranial ICA. The middle and anterior cerebral arteries are unremarkable. A right posterior communicating artery is present. 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: 'left frontal lobe': , 'operculum': , 'external capsule': clinical findings_fin: 'minimal mass effect': 'clinical finding': 'minimal mass effect', 'existence': 'pos_dx', 'descriptive_term': 'minimal mass', 'observation': 'effect', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'infarct': 'clinical finding': 'infarct', 'existence': 'pos_dx', 'observation': 'infarct'clinical findings_fin: 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', '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: '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': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Low-attenuation region is noted in the left frontal lobe operculum obscuring the gray-white matter differentiation and external capsule with minimal mass effect, compatible with acute or subacute infarct. Patchy nonspecific low attenuation is noted in the periventricular and deep white matter suggestive of chronic ischemic small vessel disease. Otherwise, the ventricles, sulci, and cisterns are symmetric and prominent compatible with age-appropriate volume loss. The gray-white matter differentiation is preserved. There is no 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'morphologically normal kidneys': 'clinical finding': 'morphologically normal kidneys'anatomical entity_fin: 'renal arteries': anatomical entity_fin: 'left renal vein': anatomical entity_fin: 'ureters': size_fin: ['size': '10.9-cm', 'size': '6.6-cm']anatomical entity_fin: 'right kidney': size_fin: ['size': '10.8-cm', 'size': '6.8-cm']anatomical entity_fin: 'left kidney': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'ovary': , 'uterus': location descriptor_fin: ['left']clinical findings_fin: 'soft tissue': 'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'anatomical entity_fin: 'uterus': clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'unc_dx', 'observation': 'surgically'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'terminal ileum': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'abdominal': 'location descriptor': 'anterior'imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: 'surgical scar': 'clinical finding': 'surgical scar', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'scar'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. Morphologically normal kidneys. Single renal arteries bilaterally with no early branching. Single preaortic left renal vein. Single ureters bilaterally. Right kidney measures 10.9-cm in length by 6.6-cm in thickness. The left kidney measures10.8-cm in length by 6.8-cm in thickness. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Soft tissue in the left adnexal region may represent normal ovary or asymmetric location of uterus. Correlate with surgical history as to whether the uterus is surgically present or absent. No significant abnormality noted. No significant abnormality noted. Postsurgical changes in the region of the terminal ileum. Surgical scar anterior abdominal fat. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'demonstrated right hemispheric extra-axial collection has resolved': 'clinical finding': 'demonstrated right hemispheric extra-axial collection has resolved'clinical findings_fin: 'acute interval hemorrhage': 'clinical finding': 'acute interval hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute interval', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'periventricular and subcortical hypoattenuation': 'clinical finding': 'periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical', 'observation': 'hypoattenuation', 'indeterminate small vessel ischemic disease': 'clinical finding': 'indeterminate small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'mild atrophy': 'clinical finding': 'mild atrophy', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'atrophy', 'strength_term': 'mild'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Previously demonstrated right hemispheric extra-axial collection has resolved. No evidence of acute interval hemorrhage. No midline shift. Periventricular and subcortical hypoattenuation is unchanged from the prior exam likely reflecting moderate age indeterminate small vessel ischemic disease. Prominent ventricles and sulci unchanged suggestive of mild atrophy. The visualized 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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, moderate hydronephrosis': 'clinical finding': 'bilateral, moderate hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'pos_dx', 'observation': 'hydroureter'size_fin: ['size': '1 cm', 'size_descriptor': 'ureters']anatomical entity_fin: 'ureters': , 'anastomosis': clinical findings_fin: 'ureters measure approximately 1 cm in diameter and are observed to the level of the anastomosis of the neobladder': 'clinical finding': 'ureters measure approximately 1 cm in diameter and are observed to the level of the anastomosis of the neobladder'anatomical entity_fin: 'bladder': location descriptor_fin: ['adjacent']clinical findings_fin: 'multiple, shotty and enlarged retroperitoneal lymph nodes': 'clinical finding': 'multiple, shotty and enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple shotty and enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged', 'adjacent inflammatory changes': 'clinical finding': 'adjacent inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'change', 'metastatic bladder cancer': 'clinical finding': 'metastatic bladder cancer', 'existence': 'unc_dx', 'descriptive_term': 'metastatic bladder', 'observation': 'cancer', 'pathologic lymph nodes': 'clinical finding': 'pathologic lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'pathologic lymph', 'observation': 'node'size_fin: ['size': '1.2 x 1.5 cm', 'size_descriptor': 'node']anatomical entity_fin: 'fluid': , 'mesentery': clinical findings_fin: 'largest lymph node': 'clinical finding': 'largest lymph node', 'existence': 'pos_dx', 'descriptive_term': 'largest lymph', 'observation': 'node', 'series fluid and shotty lymph nodes': 'clinical finding': 'series fluid and shotty lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'series fluid and shotty 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: 'foley present within the neobladder': 'clinical finding': 'foley present within the neobladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': location descriptor_fin: ['right']clinical findings_fin: 'focal small bowel stenosis': 'clinical finding': 'focal small bowel stenosis', 'existence': 'pos_dx', 'descriptive_term': 'focal small bowel', 'observation': 'stenosis', 'strength_term': 'small', 'partial small bowel obstruction': 'clinical finding': 'partial small bowel obstruction', 'existence': 'pos_dx', 'descriptive_term': 'partial small bowel', 'observation': 'obstruction', 'strength_term': 'partial - small'clinical findings_fin: 'diverticular disease': 'clinical finding': 'diverticular disease', 'existence': 'pos_dx', 'descriptive_term': 'diverticular', 'observation': 'disease', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral, moderate hydronephrosis and hydroureter. Ureters measure approximately 1 cm in diameter and are observed to the level of the anastomosis of the neobladder. Multiple, shotty and enlarged retroperitoneal lymph nodes with adjacent inflammatory changes in light of patients clinical history of metastatic bladder cancer likely represent pathologic lymph nodes. The largest lymph node measures 1.2 x 1.5 cm, best seen on image 52/156, series Fluid and shotty lymph nodes scattered throughout the mesentery. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley present within the neobladder. No significant abnormality noted. Focal small bowel stenosis apparent within the right hemipelvis consistent with partial small bowel obstruction. This is best seen on image 137/166, series Diverticular disease without diverticulitis. 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: 'calcaneus': , 'cuboid': , 'middle': , 'cuneiform bone': , 'metatarsal': , 'joint': object_fin: ['bullet']clinical findings_fin: 'again seen are multiple bullet fragments': 'clinical finding': 'again seen are multiple bullet fragments'anatomical entity_fin: 'calcaneus': , 'cuboid': , 'lateral cuneiform': , 'joints': location descriptor_fin: ['lateral']clinical findings_fin: 'comminuted, nondisplaced fractures': 'clinical finding': 'comminuted, nondisplaced fractures', 'existence': 'pos_dx', 'descriptive_term': 'comminuted nondisplaced', 'observation': 'fracture'clinical findings_fin: 'moderate soft tissue swelling': 'clinical finding': 'moderate soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'moderate soft tissue', 'observation': 'swell', 'strength_term': 'moderate' [/INST] [RESP] Again seen are multiple bullet fragments along the bullet path in the calcaneus and cuboid bones and a bullet lodged within the middle cuneiform bone at the middle cuneiform - second metatarsal joint. There are comminuted, nondisplaced fractures of the lateral aspect of the calcaneus, the cuboid and lateral cuneiform bones involving the calcaneocuboid and cuboid and lateral cuneiform joints. There is moderate soft tissue swelling. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'main pulmonary arteries': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'mural thrombi': 'clinical finding': 'mural thrombi', 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombi'anatomical entity_fin: 'heart': 'location descriptor': 'right', 'main pulmonary artery': , 'hepatic veins': location descriptor_fin: ['right']clinical findings_fin: 'chronic pulmonary hypertension': 'clinical finding': 'chronic pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'chronic pulmonary', 'observation': 'hypertension', 'temporal_term': 'chronic', 'right heart failure': 'clinical finding': 'right heart failure', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'failure', 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'anatomical entity_fin: 'lungs': clinical findings_fin: 'irregularly shaped cavitary lesions': 'clinical finding': 'irregularly shaped cavitary lesions', 'existence': 'pos_dx', 'descriptive_term': 'irregularly shaped cavitary', 'observation': 'lesion', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'largest lesion': 'clinical finding': 'largest lesion', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'clinical findings_fin: 'these lesions': 'clinical finding': 'these lesions', 'existence': 'pos_dx', 'descriptive_term': 'these', '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' [/INST] [RESP] . Mural thrombi in the right and left main pulmonary arteries are unchanged in appearance. Findings of chronic pulmonary hypertension and right heart failure including increased diameter of the main pulmonary artery, right heart enlargement, and reflux of contrast into hepatic veins are present. Irregularly shaped cavitary lesions with associated areas of consolidation and tree in bud pattern are scattered throughout both lungs. The largest lesion is present in the right upper lobe. When compared to the study dated 10/2/2008, these lesions are increased in size and number. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'previously seen left para pontine foci': 'clinical finding': 'previously seen left para pontine foci', 'existence': 'pos_dx', 'descriptive_term': 'previously seen left para pontine', 'observation': 'foci', 'increased density': 'clinical finding': 'increased density', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'diffuse subcortical and ventricular white matter hypoattenuation': 'clinical finding': 'diffuse subcortical and ventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subcortical and ventricular white matter', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'middle cerebral arteries': clinical findings_fin: 'densities': 'clinical finding': 'densities', 'existence': 'pos_dx', 'observation': 'density', 'atherosclerosis': 'clinical finding': 'atherosclerosis', 'existence': 'unc_dx', 'observation': 'atherosclerosis'clinical findings_fin: 'stable ventriculomegaly': 'clinical finding': 'stable ventriculomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'ventriculomegaly', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'sellar mass': 'clinical finding': 'sellar mass', 'existence': 'pos_dx', 'descriptive_term': 'sellar', 'observation': 'mass', 'suprasellar extension': 'clinical finding': 'suprasellar extension', 'existence': 'pos_dx', 'descriptive_term': 'suprasellar', 'observation': 'extension'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'otherwise unremarkable calvaria': 'clinical finding': 'otherwise unremarkable calvaria', 'existence': 'pos_dx', 'descriptive_term': 'otherwise unremarkable', 'observation': 'calvaria', 'strength_term': 'unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'normally pneumatized': 'clinical finding': 'normally pneumatized', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'pneumatized', 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable visualized portions of the orbits': 'clinical finding': 'unremarkable visualized portions of the orbits' [/INST] [RESP] No evidence of intracranial hemorrhage, mass, or edema. The previously seen left para pontine foci of increased density are unchanged, most compatible with calcification. There is diffuse subcortical and ventricular white matter hypoattenuation, representing small vessel ischemic disease of indeterminate age. The densities of the middle cerebral arteries are likely secondary to atherosclerosis. There is stable ventriculomegaly. Postsurgical changes are again seen at the sphenoid. The sellar mass with suprasellar extension is again seen and unchanged in size and appearance. Otherwise unremarkable calvaria and skull base. Normally pneumatized paranasal sinuses and mastoid air cells. Unremarkable visualized portions of the orbits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: 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', 'bronchitis': 'clinical finding': 'bronchitis', 'existence': 'unc_dx', 'observation': 'bronchiti'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'normal cardiac size': 'clinical finding': 'normal cardiac size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'hilar or mediastinal adenopathy': 'clinical finding': 'hilar or mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'adenopathy'clinical findings_fin: '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] . Mild bronchial wall thickening, may represent bronchitis. No focal consolidation, pleural effusion or pneumothorax. Right chest wall port with tip terminating at the cavoatrial junction. Normal cardiac size. No pericardial effusion. No hilar or mediastinal adenopathy. 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: 'bases': clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': , 'ascending colon': location descriptor_fin: ['inferior']clinical findings_fin: 'significant inflammatory mass': 'clinical finding': 'significant inflammatory mass', 'existence': 'pos_dx', 'descriptive_term': 'significant inflammatory', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'multiple round low density lesions': 'clinical finding': 'multiple round low density lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple round low density', 'observation': 'lesion', 'quantity_term': 'multiple'size_fin: ['size': '1.6 x 1.9 cm', 'size_descriptor': 'one']size_fin: ['size': '2.4 x 2.2 cm', 'size': '2.4 x 2.0 cm']location descriptor_fin: ['inferior']clinical findings_fin: 'another': 'clinical finding': 'another', 'existence': 'pos_dx', 'observation': 'another', 'more inferior lesion': 'clinical finding': 'more inferior lesion', 'existence': 'pos_dx', 'descriptive_term': 'more inferior', 'observation': 'lesion', 'quantity_term': 'more'anatomical entity_fin: 'tubular structures': , 'portal veins': clinical findings_fin: 'vascular flow phenomena': 'clinical finding': 'vascular flow phenomena', 'existence': 'pos_dx', 'descriptive_term': 'vascular flow', 'observation': 'phenomenon', 'low density tubular structures': 'clinical finding': 'low density tubular structures', 'existence': 'pos_dx', 'descriptive_term': 'low density tubular', 'observation': 'structure', 'dilated bile ducts': 'clinical finding': 'dilated bile ducts', 'existence': 'unc_dx', 'descriptive_term': 'dilated bile', 'observation': 'duct', 'change_term': '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: 'ducts': , 'kidneys': clinical findings_fin: 'multiple cystic dilatations': 'clinical finding': 'multiple cystic dilatations', 'existence': 'pos_dx', 'descriptive_term': 'multiple cystic', 'observation': 'dilatation', 'quantity_term': 'multiple', 'medullary sponge kidney': 'clinical finding': 'medullary sponge kidney', 'existence': 'pos_dx', 'descriptive_term': 'medullary sponge', 'observation': 'kidney'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ascending colon': , 'liver': location descriptor_fin: ['inferior']clinical findings_fin: 'significant, ill-defined inflammatory mass': 'clinical finding': 'significant, ill-defined inflammatory mass', 'existence': 'pos_dx', 'descriptive_term': 'significant ill-defined inflammatory', 'observation': 'mass', 'strength_term': 'ill-defined'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Atelectasis in the bases but no significant abnormality noted. Significant inflammatory mass in the inferior tip of the liver that has extended from the ascending colon or hepatic flexure. There are also multiple round low density lesions throughout the right lobe of the liver. The one in segment 7 measures 1.6 x 1.9 cm. Another in segment 6 measures 2.4 x 2.2 cm and the more inferior lesion in segment 6 measures 2.4 x 2.0 cm. In segments 5/6, there is vascular flow phenomena as well as low density tubular structures probably representing focal thrombosed portal veins or dilated bile ducts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple cystic dilatations in the collecting ducts of both kidneys compatible with medullary sponge kidney. No focal lesions. No significant abnormality noted. Significant, ill-defined inflammatory mass involving the ascending colon or hepatic flexure with extension into the inferior tip of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. No significant abnormality noted. Small amount of free fluid within the pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: 'severe centrilobular and paraseptal emphysema': 'clinical finding': 'severe centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'size_fin: ['size': '13 x 6 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe nodule': 'clinical finding': 'right middle lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'clinical findings_fin: 'likely unchanged accounting for differences in positioning with respiration': 'clinical finding': 'likely unchanged accounting for differences in positioning with respiration', 'change_term': 'unchanged'size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: '5 mm subpleural right middle lobe nodule': 'clinical finding': '5 mm subpleural right middle lobe nodule', 'existence': 'pos_dx', 'descriptive_term': '5 mm subpleural right middle lobe', 'observation': 'nodule'size_fin: ['size': '4 x 4 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe nodule': 'clinical finding': 'right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'nodule', 'larger': 'clinical finding': 'larger', 'existence': 'neg_dx', 'observation': 'large', 'increased density': 'clinical finding': 'increased density', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'other scattered micronodules': 'clinical finding': 'other scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other scattered', 'observation': 'micronodule'anatomical entity_fin: 'fluid': , 'trachea': clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'unc_dx', 'observation': 'debris'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'aorta': clinical findings_fin: 'severe atherosclerotic changes': 'clinical finding': 'severe atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'severe atherosclerotic', 'observation': 'change', 'strength_term': 'severe', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'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'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: 'liver': clinical findings_fin: 'numerous small hypodensities': 'clinical finding': 'numerous small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'numerous small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'numerous'anatomical entity_fin: 'main pancreatic duct': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'focal narrowing': 'clinical finding': 'focal narrowing', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'narrowing'size_fin: ['size': '18 x 10 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'nodule': 'clinical finding': 'nodule', 'existence': 'pos_dx', 'observation': 'nodule'anatomical entity_fin: 'l2 vertebral body': , 'bone': clinical findings_fin: 'sclerotic focus': 'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus' [/INST] [RESP] . Severe centrilobular and paraseptal emphysema. Right middle lobe nodule appears morphologically different and it is difficult to measure accurately, but is approximately 13 x 6 mm. It is likely unchanged accounting for differences in positioning with respiration. 5 mm subpleural right middle lobe nodule unchanged. The right upper lobe nodule measures 4 x 4 mm does not appear significantly larger in size but is more prominent with increased density. Other scattered micronodules unchanged. Continued fluid or debris within the trachea and bronchi. No mediastinal or hilar lymphadenopathy. Severe coronary artery calcifications. Severe atherosclerotic changes and calcification within the aorta. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Bilateral renal cysts. Numerous small hypodensities within the liver are too small to characterize, but unchanged. The main pancreatic duct is prominent, but without areas of focal narrowing. Nodule in the left adrenal gland measuring 18 x 10 mm. Sclerotic focus within the L2 vertebral body likely represents a bone island. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'bases': clinical findings_fin: 'linear scarring': 'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'definitive pulmonary metastases': 'clinical finding': 'definitive pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'definitive pulmonary', 'observation': 'metastase'clinical findings_fin: 'scattered punctate micronodules': 'clinical finding': 'scattered punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate', 'observation': 'micronodule'size_fin: ['size': '55 x 55 mm', 'size_descriptor': 'mass']anatomical entity_fin: 'right atrial appendage': location descriptor_fin: ['anterior']clinical findings_fin: 'heterogeneous anterior mediastinal mass': 'clinical finding': 'heterogeneous anterior mediastinal mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous anterior mediastinal', 'observation': 'mass'clinical findings_fin: 'pericardial invasion': 'clinical finding': 'pericardial invasion', 'existence': 'unc_dx', 'descriptive_term': 'pericardial', 'observation': 'invasion', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_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'location descriptor_fin: ['right']clinical findings_fin: 'punctate hypodense right thyroid nodule': 'clinical finding': 'punctate hypodense right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'punctate hypodense right thyroid', 'observation': 'nodule'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' [/INST] [RESP] . Linear scarring and atelectasis, especially at the bases, but no definitive pulmonary metastases. Scattered punctate micronodules are present though these are most likely post inflammatory. Heterogeneous anterior mediastinal mass measuring 55 x 55 mm on image 40/88 abuts the aortic root, SVC, and right atrial appendage. There is likely pericardial invasion though no pericardial effusion is present. Scattered small subcentimeter mediastinal nodes. Punctate hypodense right thyroid nodule. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Cholelithiasis. [/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: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular right upper lobe scarring': 'clinical finding': 'nodular right upper lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'nodular right upper lobe', 'observation': 'scarr', 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'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': , 'pericardium': clinical findings_fin: 'heart and pericardium appear normal': 'clinical finding': 'heart and pericardium appear normal'clinical findings_fin: 'mild thoracic endplate compression': 'clinical finding': 'mild thoracic endplate compression', 'existence': 'pos_dx', 'descriptive_term': 'mild thoracic endplate', 'observation': 'compression', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']object_fin: ['surgical clips']clinical findings_fin: 'upper abdominal surgical clips': 'clinical finding': 'upper abdominal surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal surgical', 'observation': 'clip' [/INST] [RESP] . Moderate to severe centrilobular emphysema is present. Nodular right upper lobe scarring is present, but no other significant abnormality. No mediastinal or hilar lymphadenopathy. The heart and pericardium appear normal. Mild thoracic endplate compression. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Upper abdominal surgical clips are present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hypoattenuating renal lesions': 'clinical finding': 'bilateral hypoattenuating renal lesions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypoattenuating renal', 'observation': 'lesion', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'pelvis': location descriptor_fin: ['right']clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'transverse colon': 'location descriptor': 'distal', 'mesenteric lymph nodes': imaging observation_fin: ['fat']location descriptor_fin: ['adjacent', 'distal']clinical findings_fin: 'focal fat stranding': 'clinical finding': 'focal fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'focal fat', 'observation': 'strand', 'associated borderline enlarged mesenteric lymph nodes': 'clinical finding': 'associated borderline enlarged mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'associated borderline enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'unc_dx', 'observation': 'diverticulitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'endometrium': clinical findings_fin: 'heterogeneous uterine lesion': 'clinical finding': 'heterogeneous uterine lesion', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous uterine', 'observation': 'lesion', 'leiomyoma': 'clinical finding': 'leiomyoma', 'existence': 'unc_dx', 'observation': 'leiomyoma', 'adenomyosis': 'clinical finding': 'adenomyosis', 'existence': 'unc_dx', 'observation': 'adenomyosis', 'malignancy': 'clinical finding': 'malignancy', 'existence': 'pos_dx', 'observation': 'malignancy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral hypoattenuating renal lesions are compatible with simple cysts. Right extrarenal pelvis. No evidence of nephrolithiasis, hydronephrosis or hydroureter. No significant abnormality noted. Focal fat stranding adjacent to the distal transverse colon with associated borderline enlarged mesenteric lymph nodes is suggestive of diverticulitis. No significant abnormality noted. No significant abnormality noted. Heterogeneous uterine lesion which appears to be contiguous with the endometrium may represent a leiomyoma or adenomyosis however, malignancy is also in the differential. 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'clinical findings_fin: 'detectable acute intracranial process': 'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute nonhemorrhagic ischemic strokes': 'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'lateral ventricles': location descriptor_fin: ['bilateral', 'anterior', 'inferior']clinical findings_fin: 'bilateral anterior and inferior frontal encephalomalacia': 'clinical finding': 'bilateral anterior and inferior frontal encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral anterior and inferior frontal', 'observation': 'encephalomalacia'location descriptor_fin: ['midline']object_fin: ['aneurysm clip']clinical findings_fin: 'aneurysm clip': 'clinical finding': 'aneurysm clip', 'existence': 'pos_dx', 'descriptive_term': 'aneurysm', 'observation': 'clip'clinical findings_fin: 'small vessel ischemic strokes': 'clinical finding': 'small vessel ischemic strokes', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'neg_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'cells': , 'fluid': location descriptor_fin: ['left', 'bilateral']clinical findings_fin: 'interval increase opacification': 'clinical finding': 'interval increase opacification', 'existence': 'pos_dx', 'descriptive_term': 'interval increase', 'observation': 'opacification', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'patchy opacification': 'clinical finding': 'patchy opacification', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacification', 'bilateral mastoid air cells': 'clinical finding': 'bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'bilateral mastoid air', 'observation': 'cell'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable images through the orbits': 'clinical finding': 'unremarkable images through the orbits' [/INST] [RESP] Nonenhanced head. There is no detectable acute intracranial process. CT is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Diffuse bilateral anterior and inferior frontal encephalomalacia with resultant expansion of lateral ventricles similar to prior exam. Aneurysm clip in the midline at the level of basal cistern similar to prior exam. Findings suggestive of small vessel ischemic strokes of indeterminate age remain grossly similar to prior exam. Calvarium demonstrate postoperative changes and unremarkable otherwise. Interval increase opacification of left ethmoid air cells, new sphenoid focus of mucosal thickening and bilateral maxillary air fluid levels are new since prior exam. Patchy opacification of bilateral mastoid air cells similar to prior exam. Unremarkable images through the orbits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['peripheral']clinical findings_fin: 'diffuse, peripheral and basilar predominant interstitial lung disease': 'clinical finding': 'diffuse, peripheral and basilar predominant interstitial lung disease', 'existence': 'pos_dx', 'descriptive_term': 'diffuse peripheral and basilar predominant interstitial lung', 'observation': 'disease', 'groundglass and reticular opacities': 'clinical finding': 'groundglass and reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass and reticular', 'observation': 'opacity'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'coarse reticular opacities': 'clinical finding': 'coarse reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'coarse reticular', 'observation': 'opacity', 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'location descriptor_fin: ['distal']clinical findings_fin: 'mild distal traction bronchiectasis': 'clinical finding': 'mild distal traction bronchiectasis', 'existence': 'neg_dx', 'descriptive_term': 'mild distal traction', 'observation': 'bronchiectasis', 'strength_term': 'mild', 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'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'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] . Diffuse, peripheral and basilar predominant interstitial lung disease with groundglass and reticular opacities, markedly improved compared to the previous scan. Coarse reticular opacities have developed at the lung bases with architectural distortion, while groundglass opacity has decreased. There is mild distal traction bronchiectasis but no evidence of honeycombing. No significant lymphadenopathy. No pericardial effusion. 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: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'detectable acute intracranial process': 'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', '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'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'images through the orbits are unremarkable': 'clinical finding': 'images through the orbits are unremarkable'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid', 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'neg_dx', 'observation': 'pneumatized'clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'sphenoid sinus': , 'sphenoethmoidal recess': location descriptor_fin: ['left']clinical findings_fin: 'sphenoid sinus': 'clinical finding': 'sphenoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus', 'complete opacification': 'clinical finding': 'complete opacification', 'existence': 'unc_dx', 'descriptive_term': 'complete', 'observation': 'opacification', 'occluded left previously operated': 'clinical finding': 'occluded left previously operated', 'existence': 'unc_dx', 'descriptive_term': 'occluded left previously', 'observation': 'operate'location descriptor_fin: ['right']clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'location descriptor_fin: ['bilateral']clinical findings_fin: 'maxillary': 'clinical finding': 'maxillary', 'existence': 'pos_dx', 'observation': 'maxillary', 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive', 'widely patent bilateral sinonasal windows': 'clinical finding': 'widely patent bilateral sinonasal windows', 'existence': 'pos_dx', 'descriptive_term': 'widely patent bilateral sinonasal', 'observation': 'window', 'change_term': 'patent'clinical findings_fin: 'sinusitis': 'clinical finding': 'sinusitis', 'existence': 'neg_dx', 'observation': 'sinusitis'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'clinical findings_fin: 'mild leftward nasal septum deviation': 'clinical finding': 'mild leftward nasal septum deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild leftward nasal septum', 'observation': 'deviation', 'strength_term': 'mild'anatomical entity_fin: 'maxillofacial region': clinical findings_fin: 'appreciable interval change': 'clinical finding': 'appreciable interval change', 'existence': 'neg_dx', 'descriptive_term': 'appreciable interval', 'observation': 'change' [/INST] [RESP] Nonenhanced head. No detectable acute intracranial process. Unremarkable cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation. Calvarium is intact. Images through the orbits are unremarkable. Mastoid air cells and middle ear cavities are well pneumatized and unremarkable. Frontal sinuses are well pneumatized and unremarkable. Sphenoid sinus demonstrate complete opacification off its left chamber with occluded left previously operated or widened sphenoethmoidal recess. The pneumatized right chamber. Maxillary sinuses demonstrate extensive postoperative changes of endoscopic functional sinus surgery with widely patent bilateral sinonasal windows. No areas of sinusitis. Nasal cavity is unremarkable with the exception of changes related to sinus surgery. Mild leftward nasal septum deviation is present. Compared to prior CT exam of maxillofacial region there is no appreciable interval change. [/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: 'unremarkable cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation for patients stated': 'clinical finding': 'unremarkable cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation for patients stated'anatomical entity_fin: 'scalp': clinical findings_fin: 'calvarium and soft tissues of the scalp are unremarkable': 'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'paranasal sinuses': , 'sphenoid sinus': location descriptor_fin: ['right']clinical findings_fin: 'complete opacification': 'clinical finding': 'complete opacification', 'existence': 'unc_dx', 'descriptive_term': 'complete', 'observation': 'opacification' [/INST] [RESP] Nonenhanced head. No detectable acute posttraumatic intracranial or calvarial findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation for patients stated age of 73. Calvarium and soft tissues of the scalp are unremarkable. Limited images through the orbits are unremarkable. Mastoid air cells and middle ear cavities are well pneumatized. Images through the paranasal sinuses demonstrate complete opacification of right chamber of the sphenoid sinus and unremarkable otherwise. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cells': location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'smoothly-marginated, expansile lesion': 'clinical finding': 'smoothly-marginated, expansile lesion', 'existence': 'pos_dx', 'descriptive_term': 'smoothly-marginated expansile', 'observation': 'lesion', 'bony destruction': 'clinical finding': 'bony destruction', 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'destruction'anatomical entity_fin: 'middle': , 'meatus': , 'nasal cavity': clinical findings_fin: 'is expansion into the middle meatus but the nasal cavity is unremarkable': 'clinical finding': 'is expansion into the middle meatus but the nasal cavity is unremarkable'size_fin: ['size': '18 x 17 mm']anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'intracranial abnormality': 'clinical finding': 'intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'abnormality' [/INST] [RESP] Smoothly-marginated, expansile lesion in the left posterior ethmoid air cells without evidence of bony destruction is re-demonstrated. There is expansion into the middle meatus but the nasal cavity is unremarkable. This measures 18 x 17 mm. The remainder of the paranasal sinuses and mastoid air cells are normally pneumatized. No intracranial abnormality. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'enhanced sinus': 'clinical finding': 'enhanced sinus'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'acute or chronic sinus disease': 'clinical finding': 'acute or chronic sinus disease', 'existence': 'neg_dx', 'descriptive_term': 'acute or chronic sinus', 'observation': 'disease', 'strength_term': 'acute', 'temporal_term': 'acute - chronic', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'orbits': clinical findings_fin: 'any retroseptal inflammatory changes': 'clinical finding': 'any retroseptal inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'any retroseptal inflammatory', 'observation': 'change'anatomical entity_fin: 'globes': 'location descriptor': 'bilateral', 'lacrimal glands': , 'musculature': imaging observation_fin: ['fat']location descriptor_fin: ['bilateral']clinical findings_fin: 'normal appearing bilateral globes , lacrimal glands , extra ocular musculature and retro-orbital fat': 'clinical finding': 'normal appearing bilateral globes , lacrimal glands , extra ocular musculature and retro-orbital fat'anatomical entity_fin: 'optic nerve': clinical findings_fin: 'visualized portion of optic nerve': 'clinical finding': 'visualized portion of optic nerve'clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement', 'abnormality': 'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'neg_dx', 'observation': 'pneumatized', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'subcutaneous fat': , 'cheek': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'very subtle stranding': 'clinical finding': 'very subtle stranding', 'existence': 'pos_dx', 'descriptive_term': 'very subtle', 'observation': 'strand', 'strength_term': 'subtle', 'known facial cellulitis': 'clinical finding': 'known facial cellulitis', 'existence': 'pos_dx', 'descriptive_term': 'known facial', 'observation': 'cellulitis'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'anatomical entity_fin: 'maxilla': , 'mandible': clinical findings_fin: 'detectable abnormality': 'clinical finding': 'detectable abnormality', 'existence': 'neg_dx', 'descriptive_term': 'detectable', 'observation': 'abnormality'clinical findings_fin: 'any dental caries': 'clinical finding': 'any dental caries', 'existence': 'neg_dx', 'descriptive_term': 'any dental', 'observation': 'cary' [/INST] [RESP] Enhanced sinus. Images through the paranasal sinuses demonstrate no evidence of acute or chronic sinus disease and no evidence of abnormal enhancement. Images through the orbits demonstrate no evidence of any retroseptal inflammatory changes. Normal appearing bilateral globes, lacrimal glands, extra ocular musculature and retro-orbital fat. The visualized portion of optic nerve is unremarkable. Cavernous sinuses demonstrate normal pattern of enhancement and without abnormality. The mastoid air cells and middle ear cavities are well pneumatized and unremarkable and without evidence of abnormal enhancement. Very subtle stranding of the subcutaneous fat of the left cheek is believed to represent patients known facial cellulitis. There is no abnormal enhancement and no evidence of any fluid extubation or abscess formation. There is no detectable abnormality at the level of the alveolar ridge of the maxilla and the mandible. No evidence of any dental caries. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild paraseptal emphysema': 'clinical finding': 'mild paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'suspicious pulmonary nodule': 'clinical finding': 'suspicious pulmonary nodule', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tracheostomy tube']clinical findings_fin: 'stable tracheostomy tube': 'clinical finding': 'stable tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'stable tracheostomy', 'observation': 'tube', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'neck': 'location descriptor': 'right'imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous enhancing right neck mass': 'clinical finding': 'heterogeneous enhancing right neck mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous enhancing right neck', 'observation': 'mass'anatomical entity_fin: 'neck': anatomical entity_fin: 'thoracic inlet': clinical findings_fin: 'stable poorly defined esophageal thickening': 'clinical finding': 'stable poorly defined esophageal thickening', 'existence': 'unc_dx', 'descriptive_term': 'stable poorly defined esophageal', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'right subclavian vein': location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: 'gastroesophageal junction': object_fin: ['surgical clips']clinical findings_fin: 'stable hiatal hernia': 'clinical finding': 'stable hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'stable hiatal', 'observation': 'hernia', 'strength_term': 'stable', 'change_term': 'stable', 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'clinical findings_fin: 'stable mild intrahepatic biliary ductal dilatation': 'clinical finding': 'stable mild intrahepatic biliary ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'stable - mild', 'change_term': 'stable' [/INST] [RESP] . Mild paraseptal emphysema. No suspicious pulmonary nodule. No pleural effusion. No significant abnormality noted. Stable tracheostomy tube. Slight interval decrease in size of heterogeneous enhancing right neck mass, which is incompletely visualized. Please see dedicated neck CT for further findings. Stable poorly defined esophageal thickening at the thoracic inlet is likely due to radiation. Right PICC line catheter tip within the right subclavian vein. Stable hiatal hernia with multiple surgical clips at the gastroesophageal junction. Stable mild intrahepatic biliary ductal dilatation. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance': 'clinical finding': 'cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance'location descriptor_fin: ['midline']clinical findings_fin: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'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: 'fluid': imaging observation_fin: ['margin']location descriptor_fin: ['medial', 'left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'left sylvian fissure': 'clinical finding': 'left sylvian fissure', 'existence': 'pos_dx', 'descriptive_term': 'left sylvian', 'observation': 'fissure', 'fissure': 'clinical finding': 'fissure', 'existence': 'unc_dx', 'observation': 'fissure', 'partial volume averaging': 'clinical finding': 'partial volume averaging', 'existence': 'unc_dx', 'descriptive_term': 'partial volume', 'observation': 'average', 'strength_term': 'partial', 'a small arachnoid cyst': 'clinical finding': 'a small arachnoid cyst', 'existence': 'pos_dx', 'descriptive_term': 'a small arachnoid', 'observation': 'cyst', 'strength_term': 'small'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] The cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance. The ventricles are normal in volume and the midline is maintained. No abnormal extra axial fluid collections, mass, or intracranial hemorrhage. The gray-white matter differentiation is preserved. A focal area of hypoattenuation in the medial margin of the left sylvian fissure measures fluid density and likely represents prominence of the fissure from partial volume averaging or less likely a small arachnoid cyst. 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: clinical findings_fin: 'multiple calcified and noncalcified pulmonary micronodules': 'clinical finding': 'multiple calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified and noncalcified pulmonary', 'observation': 'micronodule', 'quantity_term': 'multiple', 'change_term': 'calcified', 'most likely granulomas': 'clinical finding': 'most likely granulomas', 'existence': 'pos_dx', 'descriptive_term': 'most likely', 'observation': 'granuloma', 'quantity_term': 'most'location descriptor_fin: ['right']clinical findings_fin: 'small right pleural fluid': 'clinical finding': 'small right pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'fluid', 'strength_term': 'small', 'overlying atelectasis': 'clinical finding': 'overlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'clinical findings_fin: 'suspicious pulmonary lesions': 'clinical finding': 'suspicious pulmonary lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'lesion'location descriptor_fin: ['right']clinical findings_fin: 'calcified right mediastinal and hilar lymph nodes': 'clinical finding': 'calcified right mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right mediastinal and hilar lymph', 'observation': 'node', 'change_term': 'calcified', 'old, healed granulomatous infection': 'clinical finding': 'old, healed granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'old healed granulomatous', 'observation': 'infection', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed'imaging observation_fin: ['fat']clinical findings_fin: 'single high density nodule': 'clinical finding': 'single high density nodule', 'existence': 'pos_dx', 'descriptive_term': 'single high density', 'observation': 'nodule', 'quantity_term': 'single', 'lymph node': 'clinical finding': 'lymph node', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'size_fin: ['size': '4 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'spine': location descriptor_fin: ['upper']clinical findings_fin: '3-4 mm low-density lesion': 'clinical finding': '3-4 mm low-density lesion', 'existence': 'pos_dx', 'descriptive_term': '3-4 mm low-density', 'observation': 'lesion'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Multiple calcified and noncalcified pulmonary micronodules, most likely granulomas. Small right pleural fluid collection with overlying atelectasis. No suspicious pulmonary lesions. Calcified right mediastinal and hilar lymph nodes, statistically most likely secondary to old, healed granulomatous infection. A single high density nodule is seen in the epicardial fat image 79 which most likely is a lymph node. 3-4 mm low-density lesion in the upper thoracic spine is too small to be characterized. CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '13 x 12 mm', 'size': '8 x 8 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe nodule': 'clinical finding': 'left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'size_fin: ['size': '5-mm', 'size_descriptor': 'nodule']location descriptor_fin: ['right']clinical findings_fin: 'new right cardiophrenic 5-mm solid nodule': 'clinical finding': 'new right cardiophrenic 5-mm solid nodule', 'existence': 'pos_dx', 'descriptive_term': 'new right cardiophrenic 5-mm solid', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'lung': location descriptor_fin: ['right']clinical findings_fin: 'right mid lung nodular opacity': 'clinical finding': 'right mid lung nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'right mid lung nodular', 'observation': 'opacity'anatomical entity_fin: 'bronchiole': location descriptor_fin: ['left']clinical findings_fin: 'left basilar branching nodular opacity': 'clinical finding': 'left basilar branching nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'left basilar branching nodular', 'observation': 'opacity', 'bronchiole mucous plugging': 'clinical finding': 'bronchiole mucous plugging', 'existence': 'unc_dx', 'descriptive_term': 'bronchiole mucous', 'observation': 'plugging'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'anatomical entity_fin: 'neck': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'neck': clinical findings_fin: 'stable mediastinal lymphadenopathy': 'clinical finding': 'stable mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'stable mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '14 mm', 'size': '16 mm']anatomical entity_fin: 'axis': clinical findings_fin: 'reference ap node': 'clinical finding': 'reference ap node', 'existence': 'pos_dx', 'descriptive_term': 'reference ap', 'observation': 'node'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: '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] . The left lower lobe nodule measures 13 x 12 mm , compared to 8 x 8 mm previously. New right cardiophrenic 5-mm solid nodule. Increasing right mid lung nodular opacity. Left basilar branching nodular opacity may be secondary to bronchiole mucous plugging. No pleural effusions. Mild apical scarring, unchanged. Postsurgical changes of the lower neck are partially imaged. Please refer to the dedicated CT of the neck report for further detail. Stable mediastinal lymphadenopathy. The reference AP node measures 14 mm in short axis , compared to 16 mm previously. Normal cardiac size without pericardial effusion. 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: location descriptor_fin: ['lower']clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'size_fin: ['size': '3-mm']anatomical entity_fin: 'right lung': clinical findings_fin: '3-mm nonspecific nodular density': 'clinical finding': '3-mm nonspecific nodular density', 'existence': 'pos_dx', 'descriptive_term': '3-mm nonspecific nodular', 'observation': 'density'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'rib': 'location descriptor': 'anterior right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'expansile anterior right rib lesion': 'clinical finding': 'expansile anterior right rib lesion', 'existence': 'pos_dx', 'descriptive_term': 'expansile anterior right rib', 'observation': 'lesion'clinical findings_fin: 'numerous metastatic lesions': 'clinical finding': 'numerous metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'numerous metastatic', 'observation': 'lesion', 'quantity_term': 'numerous'size_fin: ['size': '5.1 x 6.8 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'index lesion': 'clinical finding': 'index lesion', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'size_fin: ['size': '5.0 x 3.5 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'index lesion': 'clinical finding': 'index lesion', 'existence': 'pos_dx', 'descriptive_term': 'index', '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'location descriptor_fin: ['right']procedure_fin: ['nephrectomy']clinical findings_fin: 'right nephrectomy bed is again seen': 'clinical finding': 'right nephrectomy bed is again seen'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': , 'gland': clinical findings_fin: 'heterogeneously slightly enlarged': 'clinical finding': 'heterogeneously slightly enlarged', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneously slightly', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Lack of intravenous contrast is noted to lower the sensitivity for detection of organic pathology. 3-mm nonspecific nodular density in the right lung is unchanged on series 4 image 49/114. No significant abnormality noted. Expansile anterior right rib lesion is again noted. Numerous metastatic lesions are again seen. Index lesion in right hepatic lobe is stable measuring 5.1 x 6.8 cm on series 3 image 107/218. Index lesion in segment 3 of the left lobe is grossly stable, measuring 5.0 x 3.5 cm on image 95/218. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right nephrectomy bed is again seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Heterogeneously slightly enlarged prostate gland is again seen. 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 temporal lobes': location descriptor_fin: ['right', 'inferior', 'anterior']anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'vacuo dilation': 'clinical finding': 'vacuo dilation', 'existence': 'pos_dx', 'descriptive_term': 'vacuo', 'observation': 'dilation'size_fin: ['size': '17 mm']clinical findings_fin: 'again seen is an epidural collection measuring 17 mm in thickness , unchanged': 'clinical finding': 'again seen is an epidural collection measuring 17 mm in thickness , unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'rim': clinical findings_fin: 'thickened fibrous tissue': 'clinical finding': 'thickened fibrous tissue', 'existence': 'pos_dx', 'descriptive_term': 'thickened fibrous', 'observation': 'tissue', 'change_term': 'thickened'clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'neg_dx', 'observation': 'effacement'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial masses': 'clinical finding': 'intracranial masses', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'territorial infarction': 'clinical finding': 'territorial infarction', 'existence': 'neg_dx', 'descriptive_term': 'territorial', 'observation': 'infarction'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst', 'mucosal polyp': 'clinical finding': 'mucosal polyp', 'existence': 'unc_dx', 'descriptive_term': 'mucosal', 'observation': 'polyp'anatomical entity_fin: 'paranasal sinuses': , '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] Status post right frontal temporal craniotomy and resection of inferior frontal and anterior right temporal lobes. Ex vacuo dilation of the right lateral ventricle is again noted. Again seen is an epidural collection measuring 17 mm in thickness, unchanged from the prior MRI. Thickened fibrous tissue rim is again seen around the epidural collection. There is no effacement of the basal cisterns. There is no evidence for intracranial masses, or midline shift. The gray-white matter junction is preserved and there is no evidence of territorial infarction. Retention cyst or mucosal polyp is again noted in the inferior right maxillary sinus. The visualized portions of the remaining paranasal sinuses and 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: anatomical entity_fin: 'right lung': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'pleura': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'small right-sided pleural effusion': 'clinical finding': 'small right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right-sided pleural', 'observation': 'effusion', 'strength_term': 'small', 'irregular thickening': 'clinical finding': 'irregular thickening', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'thickening'size_fin: ['size': '5-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'mm nodule': 'clinical finding': 'mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'mm', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe air froe opacity': 'clinical finding': 'left lower lobe air froe opacity', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe air froe', 'observation': 'opacity'imaging observation_fin: ['wedge']clinical findings_fin: 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter hypodensity': 'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'clinical findings_fin: 'intrahepatic billy acree': 'clinical finding': 'intrahepatic billy acree', 'existence': 'pos_dx', 'descriptive_term': 'intrahepatic billy', 'observation': 'acree'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Postsurgical changes in the right lung. Partial right lower lobe resection, small right-sided pleural effusion, irregular thickening of the right-sided pleura are unchanged. Reference 5-mm nodule in the right upper lobe on image number 46, series number 4 is unchanged. Previously described left lower lobe air froe opacity as increased in size. Its wedge-shaped. This may represent infection although, metastatic disease cannot be entirely excluded. No significant abnormality noted. No significant abnormality noted. Nonspecific, subcentimeter hypodensity in the left lobe of the liver there is stable. Minimal prominence of intrahepatic Billy Acree persist. 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. Not visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'stable right subcentimeter hypodensity': 'clinical finding': 'stable right subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable right subcentimeter', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable', 'probably a cyst': 'clinical finding': 'probably a cyst', 'existence': 'pos_dx', 'descriptive_term': 'probably a', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. No significant abnormality noted. Stable right subcentimeter hypodensity too small to characterize, but probably a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasal bones': location descriptor_fin: ['displaced']clinical findings_fin: 'slightly displaced fractures': 'clinical finding': 'slightly displaced fractures', 'existence': 'pos_dx', 'descriptive_term': 'slightly displaced', 'observation': 'fracture', 'change_term': 'displaced'anatomical entity_fin: 'skin': clinical findings_fin: 'overlying skin defect': 'clinical finding': 'overlying skin defect', 'existence': 'pos_dx', 'descriptive_term': 'overlying skin', 'observation': 'defect', 'subcutaneous soft tissue stranding': 'clinical finding': 'subcutaneous soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous soft tissue', 'observation': 'strand', 'swelling': 'clinical finding': 'swelling', 'existence': 'pos_dx', 'observation': 'swell'clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'other maxillofacial fractures': 'clinical finding': 'other maxillofacial fractures', 'existence': 'neg_dx', 'descriptive_term': 'other maxillofacial', 'observation': 'fracture'anatomical entity_fin: 'temporomandibular joints': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits appear to be unremarkable': 'clinical finding': 'orbits appear to be unremarkable'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent' [/INST] [RESP] There are slightly displaced fractures of the nasal bones. There is a overlying skin defect and subcutaneous soft tissue stranding and swelling. The nasal septum appears to be grossly intact. There is no evidence of other maxillofacial fractures. The dentition and temporomandibular joints appear to be intact. The orbits appear to be unremarkable. The partially imaged lateral ventricles appear to be relatively prominent. [/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: 'left renal veins': clinical findings_fin: 'circumaortic left renal veins are identified': 'clinical finding': 'circumaortic left renal veins are identified'anatomical entity_fin: 'kidneys': clinical findings_fin: 'otherwise , kidneys are normal': 'clinical finding': 'otherwise , kidneys are normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'right adnexal cyst': 'clinical finding': 'right adnexal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right adnexal', 'observation': 'cyst', 'physiologic ovarian cyst': 'clinical finding': 'physiologic ovarian cyst', 'existence': 'unc_dx', 'descriptive_term': 'physiologic ovarian', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant pelvic lymphadenopathy': 'clinical finding': 'significant pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant 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: 'pelvic free fluid': 'clinical finding': 'pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'pelvic 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. Circumaortic left renal veins are identified. Otherwise, kidneys are normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right adnexal cyst likely represents a physiologic ovarian cyst. No significant abnormality noted. No significant pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Pelvic free fluid is also noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pleura': , 'apex': location descriptor_fin: ['right']clinical findings_fin: 'calcified pleural plaque': 'clinical finding': 'calcified pleural plaque', 'existence': 'pos_dx', 'descriptive_term': 'calcified pleural', 'observation': 'plaque', 'change_term': 'calcified'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'minimal bibasilar atelectasis': 'clinical finding': 'minimal bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'lobes': 'location descriptor': 'bilateral upper'location descriptor_fin: ['centrilobular', 'bilateral', 'upper']clinical findings_fin: 'centrilobular emphysematous changes': 'clinical finding': 'centrilobular emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular emphysematous', 'observation': 'change'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered mediastinal lymph nodes': 'clinical finding': 'scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'clinical findings_fin: 'great vessels are normal in caliber': 'clinical finding': 'great vessels are normal in caliber'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'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'aneurysmal': 'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'anatomical entity_fin: 'kidneys': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'subtle hyperdensity': 'clinical finding': 'subtle hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'hyperdensity', 'strength_term': 'subtle', 'dehydration': 'clinical finding': 'dehydration', 'existence': 'pos_dx', 'observation': 'dehydration'anatomical entity_fin: 'spine': location descriptor_fin: ['anterior']clinical findings_fin: 'surgical hardware': 'clinical finding': 'surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'hardware'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate multi-level degenerative changes': 'clinical finding': 'moderate multi-level degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multi-level degenerative', 'observation': 'change', 'strength_term': 'moderate' [/INST] [RESP] . Calcified pleural plaque involving the pleura at the right apex. Scattered pulmonary micronodules. Minimal bibasilar atelectasis. Centrilobular emphysematous changes within the bilateral upper lobes. No pleural effusion. There are scattered mediastinal lymph nodes, none of which are pathologically enlarged by CT criteria. The great vessels are normal in caliber. The heart is normal in size and there is no pericardial effusion. Mild. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Atherosclerotic calcifications affect the abdominal aorta and its major branches without aneurysmal dilatation. Subtle hyperdensity within the medullary pyramids of the bilateral kidneys suggests dehydration. Surgical hardware noted involving the anterior cervical spine. Moderate multi-level degenerative changes affect the thoracic spine. [/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: ['left', 'lower']clinical findings_fin: 'left lower lobe atelectasis': 'clinical finding': 'left lower lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'atelectasis', 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'bronchus': location descriptor_fin: ['right']object_fin: ['tube']anatomical entity_fin: 'chest': location descriptor_fin: ['retracted']object_fin: ['tube']clinical findings_fin: 'note that a more recent chest radiograph has been performed and the tube has been retracted': 'clinical finding': 'note that a more recent chest radiograph has been performed and the tube has been retracted'anatomical entity_fin: 'stomach': object_fin: ['tube']anatomical entity_fin: 'right atrium': location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'left central venous catheter': 'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'tiny retroperitoneal nodes': 'clinical finding': 'tiny retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'tiny retroperitoneal', 'observation': 'node', 'strength_term': 'tiny'size_fin: ['size': '11 x 15 mm', 'size_descriptor': 'measures']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'rectum': , 'pelvis': non-anatomical substance_fin: ['barium']clinical findings_fin: 'retained high density': 'clinical finding': 'retained high density', 'existence': 'pos_dx', 'descriptive_term': 'retained high', 'observation': 'density'anatomical entity_fin: 'pelvis': clinical findings_fin: 'significantly limited in this respect': 'clinical finding': 'significantly limited in this respect'clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'unc_dx', 'descriptive_term': 'streak', 'observation': 'artifact'object_fin: ['catheter']clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed'clinical findings_fin: 'several small lymph nodes': 'clinical finding': 'several small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'anatomical entity_fin: 'rectum': , 'pelvis': non-anatomical substance_fin: ['barium']clinical findings_fin: 'high density barium noted throughout the rectum which obscures': 'clinical finding': 'high density barium noted throughout the rectum which obscures'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Left lower lobe atelectasis and small left pleural effusion noted. ET tube terminates in the right mainstem bronchus. Note that a more recent chest radiograph has been performed and the tube has been retracted on this radiograph. NG tube terminates in the stomach. Left central venous catheter terminates in the right atrium. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Tiny retroperitoneal nodes. Largest measures 11 x 15 mm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is retained high density barium in the rectum which obscures images of the pelvis. Evaluation of the pelvis is significantly limited in this respect. Not clearly visualized secondary to streak artifact. Decompressed secondary to a Foley catheter. Impossible to assess given streak artifact. There do appear to be several small lymph nodes but these are not measurable currently. High density barium noted throughout the rectum which obscures images of the pelvis. Limited evaluation. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'liver': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': imaging observation_fin: ['foci']clinical findings_fin: 'hypodense foci': 'clinical finding': 'hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'foci', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '4cm', 'size_descriptor': 'mucosa']anatomical entity_fin: 'mucosa': , 'ileum': imaging observation_fin: ['hyperenhancement']location descriptor_fin: ['distal']clinical findings_fin: 'mild hyperenhancement': 'clinical finding': 'mild hyperenhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hyperenhancement', 'strength_term': 'mild', 'acute inflammation': 'clinical finding': 'acute inflammation', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'inflammation', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'terminal ileum': , 'bowel': imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: 'enteroenteric fistula': 'clinical finding': 'enteroenteric fistula', 'existence': 'unc_dx', 'descriptive_term': 'enteroenteric', 'observation': 'fistula'anatomical entity_fin: 'bowel': clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse', 'small bowel thickening': 'clinical finding': 'small bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'thickening', 'strength_term': 'small'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'several small mesenteric lymph nodes': 'clinical finding': 'several small mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small mesenteric lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'clinical findings_fin: 'duodenal diverticulum': 'clinical finding': 'duodenal diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'duodenal', 'observation': 'diverticulum'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'surgical staples': 'clinical finding': 'surgical staples', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'staple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Mild dependent atelectasis is present. Hypodense lesion in the inferior right liver is too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypodense foci in the right kidney are too small to characterize, but likely represent simple cysts. No significant abnormality noted. Irregular mucosa with mild hyperenhancement of the distal 4cm of ileum is consistent with acute inflammation. The terminal ileum is closely opposed to an adjacent loop of small bowel with loss of the fat plane which is concerning for formation of an enteroenteric fistula. Some of the small bowel loops are collapsed an incompletely evaluated, however no additional areas of small bowel thickening is identified. Several small mesenteric lymph nodes are present. Incidental note is made of a duodenal diverticulum. No significant abnormality noted. Surgical staples are seen in the area of the prostate. 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: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'scalp': , 'parietal bone': 'location descriptor': 'left', 'temporal bones': location descriptor_fin: ['adjacent', 'left']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'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': '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: '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: 'vertebral arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. There is soft tissue swelling along the scalp tissues adjacent to the left parietal bone and left occipital and temporal bones. 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. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'large uterine fibroid': 'clinical finding': 'large uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'large uterine', 'observation': 'fibroid', 'strength_term': 'large', 'internal calcifications': 'clinical finding': 'internal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'internal', '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: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema', 'possible pancolitis': 'clinical finding': 'possible pancolitis', 'existence': 'unc_dx', 'descriptive_term': 'possible', 'observation': 'pancolitis', 'pseudomembranous colitis': 'clinical finding': 'pseudomembranous colitis', 'existence': 'unc_dx', 'descriptive_term': 'pseudomembranous', 'observation': 'colitis'imaging observation_fin: ['ulcer']clinical findings_fin: 'sacral ulcer': 'clinical finding': 'sacral ulcer', 'existence': 'pos_dx', 'descriptive_term': 'sacral', 'observation': 'ulcer', 'local inflammatory changes': 'clinical finding': 'local inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'local inflammatory', 'observation': 'change', 'intrinsic calcification': 'clinical finding': 'intrinsic calcification', 'existence': 'pos_dx', 'descriptive_term': 'intrinsic', 'observation': 'calcification'clinical findings_fin: 'small perirectal fluid collection': 'clinical finding': 'small perirectal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small perirectal fluid', 'observation': 'collection', 'strength_term': 'small', 'drainable abscess': 'clinical finding': 'drainable abscess', 'existence': 'neg_dx', 'descriptive_term': 'drainable', 'observation': 'abscess'clinical findings_fin: 'degenerative disk disease': 'clinical finding': 'degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative disk', 'observation': 'disease'anatomical entity_fin: 'aorta': clinical findings_fin: 'extensive calcification': 'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive' [/INST] [RESP] . Large uterine fibroid with internal calcifications. No significant abnormality noted. No significant abnormality noted. Diffuse colonic wall thickening or edema, suggesting possible pancolitis such as pseudomembranous colitis. The sacral ulcer is seen , with local inflammatory changes and intrinsic calcification. There is a small perirectal fluid collection, but no evidence of a drainable abscess. Degenerative disk disease, greatest in the L5-S1 disk space. Extensive calcification of the aorta and iliac vessels. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6-mm', 'size_descriptor': 'nodule']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: '6-mm pulmonary nodule': 'clinical finding': '6-mm pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': '6-mm pulmonary', 'observation': 'nodule'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'stable postoperative changes': 'clinical finding': 'stable postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postoperative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '10 x 8 mm', 'size': '13 x 8 mm']clinical findings_fin: 'prevascular or ap window node': 'clinical finding': 'prevascular or ap window node', 'existence': 'pos_dx', 'descriptive_term': 'prevascular or ap window', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': imaging observation_fin: ['heterogeneous enhancement', 'enhancing']clinical findings_fin: 'heterogeneous enhancement': 'clinical finding': 'heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'enhancement', 'focal poorly enhancing nodule': 'clinical finding': 'focal poorly enhancing nodule', 'existence': 'pos_dx', 'descriptive_term': 'focal poorly enhancing', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right apical 6-mm pulmonary nodule on image 26, series 4, is unchanged. Stable postoperative changes in the right upper and lower lobes. Heart size is normal without a pericardial effusion. Prevascular or AP window node on image 33/series 3 measures 10 x 8 mm, previously 13 x 8 mm. 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. Heterogeneous enhancement of the uterus, with focal poorly enhancing nodule at the fundus. 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: 'aerated': 'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'anatomical entity_fin: 'cells': location descriptor_fin: ['left', 'right']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent', 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'small bony spur': 'clinical finding': 'small bony spur', 'existence': 'pos_dx', 'descriptive_term': 'small bony', 'observation': 'spur', 'strength_term': 'small'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'several of the left mastoid air cells are opacified': 'clinical finding': 'several of the left mastoid air cells are opacified', 'change_term': 'opacified'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': , 'brain': , 'parenchyma': clinical findings_fin: 'orbits and visualized brain parenchyma are unremarkable': 'clinical finding': 'orbits and visualized brain parenchyma are unremarkable' [/INST] [RESP] The frontal sinuses and sphenoid sinuses are normally aerated. Mucosal thickening is present in the ethmoid air cells and left greater than right maxillary sinuses. The ostiomeatal units are patent but narrowed bilaterally. There is mild rightward deviation of the nasal septum with a small bony spur. Several of the left mastoid air cells are opacified. The right mastoid air cells are normally pneumatized. The orbits and visualized brain parenchyma are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'tonsils': , 'nasopharynx': , 'oropharynx': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'associated punctate tonsillolith': 'clinical finding': 'associated punctate tonsillolith', 'existence': 'pos_dx', 'descriptive_term': 'associated punctate', 'observation': 'tonsillolith', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'palatine tonsil': 'location descriptor': 'right'imaging observation_fin: ['foci']location descriptor_fin: ['right']procedure_fin: ['drainage']clinical findings_fin: 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci'clinical findings_fin: 'focal drainable fluid collection': 'clinical finding': 'focal drainable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal drainable fluid', 'observation': 'collection'clinical findings_fin: 'mass lesions': 'clinical finding': 'mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unremarkable': 'clinical finding': 'thyroid and major salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'maxilla': imaging observation_fin: ['teeth', 'tooth']location descriptor_fin: ['right']clinical findings_fin: '2 non-erupted teeth': 'clinical finding': '2 non-erupted teeth', 'existence': 'pos_dx', 'descriptive_term': '2 non-erupted', 'observation': 'tooth', 'associated sclerotic lesion': 'clinical finding': 'associated sclerotic lesion', 'existence': 'pos_dx', 'descriptive_term': 'associated sclerotic', 'observation': 'lesion', 'tooth structure': 'clinical finding': 'tooth structure', 'existence': 'pos_dx', 'descriptive_term': 'tooth', 'observation': 'structure'anatomical entity_fin: 'body': 'location descriptor': 'posterior', 'mandible': , 'maxilla': imaging observation_fin: ['foci']location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'well circumscribed, minimally expansile hypoattenuating lesion': 'clinical finding': 'well circumscribed, minimally expansile hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'well circumscribed minimally expansile hypoattenuating', 'observation': 'lesion', 'multiple scattered small foci': 'clinical finding': 'multiple scattered small foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered small', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'multiple', 'ground glass opacity': 'clinical finding': 'ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity' [/INST] [RESP] There is enlargement of the palatine and adenoid tonsils as well as an associated punctate tonsillolith in the nasopharynx with narrowing of the nasopharynx and upper oropharynx. There are punctate foci of air within the right palatine tonsil that may be related to recent drainage attempt. There is no evidence of focal drainable fluid collection. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There are 2 non-erupted teeth within the right hemi-maxilla and an associated sclerotic lesion approaching the attenuation of enamel with surrounding lucency and vaguely reminiscent of a tooth structure at the position of the right maxillary canine. There is a well circumscribed, minimally expansile hypoattenuating lesion within the posterior body of the right hemi-mandible, as well as multiple scattered small foci of ground glass opacity bilaterally at the periapical regions of the maxilla and mandible. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'unchanged micronodules': 'clinical finding': 'unchanged micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'granulomata': 'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'calcified lymph nodes': 'clinical finding': 'calcified lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'coronary artery calcification': 'clinical finding': 'coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'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: 'gi contrast': 'clinical finding': 'gi contrast', 'existence': 'neg_dx', 'descriptive_term': 'gi', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small accessory splenule': 'clinical finding': 'small accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'small accessory', 'observation': 'splenule', 'strength_term': 'small'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'large right adrenal gland unchanged': 'clinical finding': 'large right adrenal gland unchanged', 'change_term': 'unchanged'location descriptor_fin: ['left']clinical findings_fin: 'stable left adrenal nodule': 'clinical finding': 'stable left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable left adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'multiple renal cysts': 'clinical finding': 'multiple renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'multiple renal', 'observation': 'cyst', '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: 'gi_1': 'clinical finding': 'gi', 'existence': 'pos_dx', 'observation': 'gi', 'gi_2': '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] . Unchanged micronodules calcified granulomata. No evidence of pulmonary or pleural metastases. Mild centrilobular emphysema. Calcified lymph nodes from prior granulomatous disease. Coronary artery calcification. Mild degenerative abnormalities. Absence of GI contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. Small accessory splenule. A large right adrenal gland unchanged. Stable left adrenal nodule. Multiple renal cysts. No significant abnormality noted. No significant abnormality noted. Absence of GI 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: 'left hemidiaphragm': clinical findings_fin: 'elevation': 'clinical finding': 'elevation', 'existence': 'pos_dx', 'observation': 'elevation', 'left hemidiaphragm': 'clinical finding': 'left hemidiaphragm', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'hemidiaphragm'location descriptor_fin: ['left']clinical findings_fin: 'left basilar scarring': 'clinical finding': 'left basilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'left basilar', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right atrium': location descriptor_fin: ['left']object_fin: ['catheter']anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter hypodensity': 'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'unc_dx', 'descriptive_term': 'simple', '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'anatomical entity_fin: 'left kidney': clinical findings_fin: 'subcentimeter hypodensity': 'clinical finding': 'subcentimeter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'unc_dx', 'descriptive_term': 'simple', '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'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Note is made of elevation of the left hemidiaphragm. There is left basilar scarring or atelectasis. No significant abnormality noted. Left jugular catheter tip terminates at the junction of the SVC and right atrium. Subcentimeter hypodensity in the left lobe of the liver is too small to characterize, but likely represents a simple cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodensity in the interpolar region of the left kidney is too small to characterize but likely represents a simple cyst. No significant abnormality noted. No significant abnormality noted. Multilevel degenerative changes of the thoracolumbar spine. 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 lateral ventricle': location descriptor_fin: ['right', 'midline', 'lateral']object_fin: ['catheter']procedure_fin: ['ventriculostomy']anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'dysmorphic': 'clinical finding': 'dysmorphic', 'existence': 'pos_dx', 'observation': 'dysmorphic'anatomical entity_fin: 'fourth ventricle': clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'anatomical entity_fin: 'left cerebral hemisphere': clinical findings_fin: 'diffuse parenchymal volume loss': 'clinical finding': 'diffuse parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse parenchymal volume', 'observation': 'loss'size_fin: ['size': '11 mm', 'size': '6 mm']anatomical entity_fin: 'fluid': location descriptor_fin: ['left']clinical findings_fin: 'demonstrated prominent left extra-axial fluid space now appears more hypodense and slightly increased': 'clinical finding': 'demonstrated prominent left extra-axial fluid space now appears more hypodense and slightly increased', 'change_term': 'increased'anatomical entity_fin: 'septum pellucidum': , 'corpus callosum': clinical findings_fin: 'septum pellucidum and corpus callosum are poorly visualized': 'clinical finding': 'septum pellucidum and corpus callosum are poorly visualized' [/INST] [RESP] There is redemonstration of a right parietal approach ventriculostomy catheter which crosses the midline with its tip terminating at the lateral aspect of the left lateral ventricle. There has been interval decrease in size of the dysmorphic lateral ventricles, since prior exam dated 10/12/2014. The third and the fourth ventricle is grossly unchanged in size. There is unchanged dysmorphic appearance of the left cerebral hemisphere as with diffuse parenchymal volume loss. Previously demonstrated prominent left extra-axial fluid space now appears more hypodense and slightly increased in size measuring up to 11 mm, previously 6 mm, though this may reflect expansion secondary to reduced ventricular size. The septum pellucidum and corpus callosum are poorly visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'stable postoperative': 'clinical finding': 'stable postoperative', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'postoperative', 'strength_term': 'stable', 'change_term': 'stable', 'recurrent mass': 'clinical finding': 'recurrent mass', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'mass', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'clinical findings_fin: 'scattered small cervical lymph nodes': 'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral palatine tonsilloliths': 'clinical finding': 'bilateral palatine tonsilloliths', 'existence': 'pos_dx', 'descriptive_term': 'bilateral palatine', 'observation': 'tonsillolith'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'left submandibular gland': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'postcontrast appearance of the salivary glands is otherwise unremarkable': 'clinical finding': 'postcontrast appearance of the salivary glands is otherwise unremarkable'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right', 'middle ear': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'diffuse opacification': 'clinical finding': 'diffuse opacification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'opacification', 'partial right middle ear opacification': 'clinical finding': 'partial right middle ear opacification', 'existence': 'neg_dx', 'descriptive_term': 'partial right middle ear', 'observation': 'opacification', 'strength_term': 'partial'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'size_fin: ['size': '11 mm', 'size_descriptor': 'redemonstration']anatomical entity_fin: 'back': 'location descriptor': 'upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'slightly ill-defined nodularity': 'clinical finding': 'slightly ill-defined nodularity', 'existence': 'pos_dx', 'descriptive_term': 'slightly ill-defined', 'observation': 'nodularity', 'strength_term': 'ill-defined'clinical findings_fin: 'cervical degenerative changes': 'clinical finding': 'cervical degenerative changes', 'existence': 'neg_dx', 'descriptive_term': 'cervical degenerative', 'observation': 'change'clinical findings_fin: 'destructive osseous lesions': 'clinical finding': 'destructive osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion' [/INST] [RESP] Redemonstrated are stable postoperative findings in the left neck without evidence of a recurrent mass or significant cervical lymphadenopathy. There are scattered small cervical lymph nodes which are similar to prior. There are bilateral palatine tonsilloliths again seen. Airway is patent. The left submandibular gland is again atrophic. The postcontrast appearance of the salivary glands is otherwise unremarkable. The thyroid gland is unremarkable. Diffuse opacification of the right mastoid air cells and partial right middle ear opacification is not significantly changed. Major vascular structures are patent. There is redemonstration of a small subcutaneous area of slightly ill-defined nodularity along the left paramedian upper back at the T1-T2 level, which measures up to 11 mm in the AP dimension and can be better assessed with direct inspection. Cervical degenerative changes are not significantly different from the prior exam. No destructive osseous lesions are appreciated. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'palate': , 'maxillary sinus': , 'wall': , 'nasal cavity': , 'oral cavity': , 'oropharynx': , 'nasopharynx': imaging observation_fin: ['enhancing']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'enhancing soft tissue mass': 'clinical finding': 'enhancing soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'enhancing soft tissue', 'observation': 'mass'anatomical entity_fin: 'pterygopalatine fossa': , 'inferior orbital fissure': location descriptor_fin: ['inferior', 'left']size_fin: ['size': '5.9 x 5.5 x 6.7 cm']location descriptor_fin: ['left']clinical findings_fin: 'eroded': 'clinical finding': 'eroded', 'existence': 'neg_dx', 'observation': 'erode'imaging observation_fin: ['fat']location descriptor_fin: ['displaced', 'left']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'lobe': , 'left parotid gland': imaging observation_fin: ['fat']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'visualized lymphadenopathy': 'clinical finding': 'visualized lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'visualized', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'any aggressive appearing bony lesion': 'clinical finding': 'any aggressive appearing bony lesion', 'existence': 'neg_dx', 'descriptive_term': 'any aggressive appearing bony', 'observation': 'lesion'anatomical entity_fin: 'fluid': clinical findings_fin: 'additional masses': 'clinical finding': 'additional masses', 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'mass', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'location descriptor_fin: ['midline']clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': , 'mastoid air cells': clinical findings_fin: 'visualized portions of the orbits and the mastoid air cells': 'clinical finding': 'visualized portions of the orbits and the mastoid air cells' [/INST] [RESP] There is a large, heterogeneously attenuating and enhancing soft tissue mass which has eroded a portion of the left posterolateral hard palate and adjacent maxillary sinus wall to involve the nasal cavity, maxillary sinus, oral cavity, oropharynx and nasopharynx. The this extends superiorly to involve the pterygopalatine fossa and extends to the inferior aspect of the left inferior orbital fissure. It measures 5.9 x 5.5 x 6.7 cm. This contacts, though has not eroded, the left pterygoid plates. The parapharyngeal fat is displaced posterolaterally and the mass abuts but does not obviously invade the left carotid sheath. There is a fat plane between the mass and the deep lobe of the left parotid gland. There is no visualized lymphadenopathy. There are degenerative changes of the cervical spine without any aggressive appearing bony lesion. Intracranially there are no additional masses, fluid collections, or hemorrhage. Gray-white matter differentiation is maintained bilaterally and the midline is intact. Visualized portions of the orbits and the 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: 'head': clinical findings_fin: 'enhanced head': 'clinical finding': 'enhanced head'anatomical entity_fin: 'brain': , 'parenchyma': , 'leptomeninges': clinical findings_fin: 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'gray -- white matter': 'clinical finding': 'gray -- white matter', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white', 'observation': 'matter'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle': clinical findings_fin: 'visualized paranasal sinuses , mastoid air cells , and middle cavities': 'clinical finding': 'visualized paranasal sinuses , mastoid air cells , and middle cavities'anatomical entity_fin: 'scalp': clinical findings_fin: 'abnormality': 'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality' [/INST] [RESP] Enhanced head. Examination demonstrates no evidence of metastatic disease to the brain parenchyma, leptomeninges, or the calvarium. The cortical sulci, ventricular system, CSF, cisterns, and gray -- white matter differentiation remains within normal limits. Visualized paranasal sinuses, mastoid air cells, and middle cavities are within normal limits. No abnormality of the scalp is detected. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']object_fin: ['drainage catheter']clinical findings_fin: 'right frontal drainage catheter': 'clinical finding': 'right frontal drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal drainage', 'observation': 'catheter'clinical findings_fin: 'ventricular size remains within normal limits': 'clinical finding': 'ventricular size remains within normal limits'imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'right parietooccipital hematoma': 'clinical finding': 'right parietooccipital hematoma', 'existence': 'unc_dx', 'descriptive_term': 'right parietooccipital', 'observation': 'hematoma'imaging observation_fin: ['hematoma']clinical findings_fin: 'hematoma': 'clinical finding': 'hematoma', 'existence': 'pos_dx', 'observation': 'hematoma'clinical findings_fin: 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'size_fin: ['size': '2 mm', 'size_descriptor': 'shift']location descriptor_fin: ['midline']clinical findings_fin: 'leftward midline shift is unchanged': 'clinical finding': 'leftward midline shift is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'apparent herniation': 'clinical finding': 'apparent herniation', 'existence': 'neg_dx', 'descriptive_term': 'apparent', 'observation': 'herniation'clinical findings_fin: 'subgaleal fluid collection': 'clinical finding': 'subgaleal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subgaleal fluid', 'observation': 'collection', 'craniotomy site': 'clinical finding': 'craniotomy site', 'existence': 'pos_dx', 'descriptive_term': 'craniotomy', 'observation': 'site'anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: 'mild right sided scalp swelling': 'clinical finding': 'mild right sided scalp swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild right sided scalp', 'observation': 'swell', 'strength_term': 'mild'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'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'paranasal sinus mucosal disease': 'clinical finding': 'paranasal sinus mucosal disease', 'existence': 'pos_dx', 'descriptive_term': 'paranasal sinus mucosal', 'observation': 'disease'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The right frontal drainage catheter has been stable in course and position. The ventricular size remains within normal limits. There is redemonstration of postsurgical change of the right parietal craniotomy for evacuation of the right parietooccipital hematoma. The hematoma has been grossly stable in size. No new hemorrhage. The leftward midline shift is unchanged, measuring approximately 2 mm. No apparent herniation is seen. The subgaleal fluid collection at the craniotomy site is unchanged. There are minimal intracranial air and mild right sided scalp swelling. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. The paranasal sinus mucosal disease is present. The 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: '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'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'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: 'patchy low attenuation': 'clinical finding': 'patchy low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy low', 'observation': 'attenuation', 'chronic small vessel disease': 'clinical finding': 'chronic small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'not changed from previous study': 'clinical finding': 'not changed from previous study', 'change_term': 'changed'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvarium and skull base are normal': 'clinical finding': 'calvarium and skull base are normal'clinical findings_fin: 'ventricles are normal in size': 'clinical finding': 'ventricles are normal in size'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'paranasal sinuses and mastoid air cells are unremarkable': 'clinical finding': 'paranasal sinuses and mastoid air cells are unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are normal': 'clinical finding': 'orbits are normal' [/INST] [RESP] No acute intracranial hemorrhage or extra-axial fluid collection. No midline shift, masses, or edema. Gray-white matter differentiation is preserved. No CT evidence of acute territorial ischemia. There is patchy low attenuation in the periventricular white matter, compatible with chronic small vessel disease. This finding is not changed from previous study. The calvarium and skull base are normal. The ventricles are normal in size. The paranasal sinuses and mastoid air cells are unremarkable. The orbits are normal. [/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: ['breast implants']clinical findings_fin: 'breast implants': 'clinical finding': 'breast implants', 'existence': 'pos_dx', 'descriptive_term': 'breast', 'observation': 'implant'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'mild right hydronephrosis': 'clinical finding': 'mild right hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild right', 'observation': 'hydronephrosis', 'strength_term': 'mild'size_fin: ['size': '5 mm', 'size_descriptor': 'calcification']anatomical entity_fin: 'pelvis': , 'right ureter': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: '5 mm calcification': 'clinical finding': '5 mm calcification', 'existence': 'pos_dx', 'descriptive_term': '5 mm', 'observation': 'calcification'location descriptor_fin: ['right']clinical findings_fin: 'mild right ureteral dilation': 'clinical finding': 'mild right ureteral dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild right ureteral', 'observation': 'dilation', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'moderately distended': 'clinical finding': 'moderately distended', 'existence': 'pos_dx', 'descriptive_term': 'moderately', 'observation': 'distended', 'strength_term': 'moderately'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 buttock calcifications': 'clinical finding': 'right buttock calcifications', 'existence': 'pos_dx', 'descriptive_term': 'right buttock', 'observation': 'calcification', 'probably injection granulomata': 'clinical finding': 'probably injection granulomata', 'existence': 'pos_dx', 'descriptive_term': 'probably injection', 'observation': 'granulomata'location descriptor_fin: ['right']clinical findings_fin: 'right ureteral calculus': 'clinical finding': 'right ureteral calculus', 'existence': 'pos_dx', 'descriptive_term': 'right ureteral', 'observation': 'calculus' [/INST] [RESP] . No significant abnormality noted. Breast implants. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild right hydronephrosis. 5 mm calcification in the pelvis may be located in the distal right ureter. Mild right ureteral dilation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderately distended bladder is otherwise unremarkable. No significant abnormality noted. No significant abnormality noted. Right buttock calcifications, probably injection granulomata. Right ureteral calculus. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '6 mm', 'size_descriptor': 'nodules']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'multiple bilateral pulmonary nodules': 'clinical finding': 'multiple bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'right middle lobe nodule': 'clinical finding': 'right middle lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'right middle lobe', 'observation': 'nodule'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'extensive pleural effusions': 'clinical finding': 'extensive pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'extensive pleural', 'observation': 'effusion', 'strength_term': 'extensive', 'lung nodules': 'clinical finding': 'lung nodules', 'existence': 'unc_dx', 'descriptive_term': 'lung', 'observation': 'nodule'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'enlarged mediastinal lymph nodes': 'clinical finding': 'enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'thoracic vertebral body': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'sclerotic lesion': 'clinical finding': 'sclerotic lesion', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Pleural effusions have resolved. Multiple bilateral pulmonary nodules measuring approximately 6 mm appear overall decreased in size for instance, a right middle lobe nodule is no longer visualized. However, comparison is limited by extensive pleural effusions on prior study likely obscuring lung nodules at the bases. Enlarged mediastinal lymph nodes appear similar to prior. Sclerotic lesion in an upper thoracic vertebral body , similar to prior and likely bone island. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'convexity': imaging observation_fin: ['blood products']location descriptor_fin: ['right']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'status post burr hole': 'clinical finding': 'status post burr hole', 'existence': 'pos_dx', 'descriptive_term': 'status post burr', 'observation': 'hole', 'blood products': 'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'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', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'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', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial', 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell' [/INST] [RESP] New finding since last exam is placement of the ICP monitor. Post surgical changes are redemonstrated status post burr hole in the high convexity right frontal calvarium and small amount of blood products along the track of the ICP monitor. Otherwise, the ventricles, sulci, and cisterns are symmetric and unremarkable. The gray white matter differentiation is intact. There is no mass effect, midline shift, intra-or extra-axial fluid collection or hemorrhage. The orbits are unremarkable. Partial opacification is noted in the sphenoid, ethmoid and maxillary sinuses as well as mastoid air cells. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'rib': , 'vertebral body': clinical findings_fin: 'curvature': 'clinical finding': 'curvature', 'existence': 'pos_dx', 'observation': 'curvature'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'size_fin: ['size': '6 mm', 'size_descriptor': 'indentation']anatomical entity_fin: 'endplate': 'location descriptor': 'superior'location descriptor_fin: ['right', 'anterior', 'superior']clinical findings_fin: 'schmorls node herniation': 'clinical finding': 'schmorls node herniation', 'existence': 'pos_dx', 'descriptive_term': 'schmorls node', 'observation': 'herniation'clinical findings_fin: 'acute schmorls node herniation': 'clinical finding': 'acute schmorls node herniation', 'existence': 'unc_dx', 'descriptive_term': 'acute schmorls node', 'observation': 'herniation', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'normal bone mineralization': 'clinical finding': 'normal bone mineralization', 'existence': 'pos_dx', 'descriptive_term': 'normal bone', 'observation': 'mineralization', 'strength_term': 'normal'anatomical entity_fin: 'skeletal': location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'flowing anterior osteophytes': 'clinical finding': 'flowing anterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'flowing anterior', 'observation': 'osteophyte', 'diffuse idiopathic skeletal hyperostosis': 'clinical finding': 'diffuse idiopathic skeletal hyperostosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse idiopathic skeletal', 'observation': 'hyperostosis'anatomical entity_fin: 'thoracic esophagus': location descriptor_fin: ['anterior']clinical findings_fin: 'very large anterior osteophyte': 'clinical finding': 'very large anterior osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'very large anterior', 'observation': 'osteophyte', 'strength_term': 'large'anatomical entity_fin: 'contents': clinical findings_fin: 'gross disk herniation': 'clinical finding': 'gross disk herniation', 'existence': 'neg_dx', 'descriptive_term': 'gross disk', 'observation': 'herniation', 'intraspinal mass lesion': 'clinical finding': 'intraspinal mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'intraspinal mass', 'observation': 'lesion'clinical findings_fin: 'significant foraminal stenosis': 'clinical finding': 'significant foraminal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant foraminal', 'observation': 'stenosis'anatomical entity_fin: 'aortic valve': object_fin: ['prosthesis']clinical findings_fin: 'prior sternotomy': 'clinical finding': 'prior sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'sternotomy'clinical findings_fin: 'some coronary artery calcification': 'clinical finding': 'some coronary artery calcification', 'existence': 'unc_dx', 'descriptive_term': 'some coronary artery', 'observation': 'calcification', 'quantity_term': 'some'clinical findings_fin: 'multiple gallstones': 'clinical finding': 'multiple gallstones', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'gallstone', 'quantity_term': 'multiple' [/INST] [RESP] For purposes of the study, the first rib bearing vertebral body is designated as T1. Alignment and curvature are anatomic. No evidence of an acute fracture. Indentation of the right anterior aspect of the T2 superior endplate by 6 mm is most consistent at this time with a Schmorls node herniation. If there is question of an acute Schmorls node herniation, MRI may be done for further evaluation. Elsewhere, the vertebral have preserved heights or shape with normal bone mineralization. Flowing anterior osteophytes are seen from T4 through L1 predominately on the right side, consistent with diffuse idiopathic skeletal hyperostosis. At T6, this is associated with a very large anterior osteophyte which may be minimally distort the course of the thoracic esophagus. Canal contents are not well evaluated however no gross disk herniation or intraspinal mass lesion is noted. No evidence of significant foraminal stenosis. Visualized extraspinal soft tissue is notable for prior sternotomy and an aortic valve prosthesis placement. There may also be some coronary artery calcification. Multiple gallstones are also seen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'postradiation changes': 'clinical finding': 'postradiation changes', 'existence': 'pos_dx', 'descriptive_term': 'postradiation', 'observation': 'change'anatomical entity_fin: 'bulla': , 'lungs': clinical findings_fin: 'few bulla are noted in the lungs': 'clinical finding': 'few bulla are noted in the lungs'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': , 'pelvis': clinical findings_fin: 'demineralization': 'clinical finding': 'demineralization', 'existence': 'unc_dx', 'observation': 'demineralization', 'osseous metastasis': 'clinical finding': 'osseous metastasis', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['colon']clinical findings_fin: 'numerous diverticula': 'clinical finding': 'numerous diverticula', 'existence': 'pos_dx', 'descriptive_term': 'numerous', 'observation': 'diverticula', 'quantity_term': 'numerous'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Fibrosis, bronchiectasis, and volume loss in the right upper lobe that has the appearance of postradiation changes. A few bulla are noted in the lungs. 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. Heterogeneity of the bones and spine in the pelvis is noted which could be due to demineralization however osseous metastasis cannot be completely excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Numerous diverticula are noted throughout the colon. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'frontal sinus': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'cells': location descriptor_fin: ['anterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'cells': location descriptor_fin: ['left', 'right']clinical findings_fin: 'prominent left greater than right haller cells are incidentally noted': 'clinical finding': 'prominent left greater than right haller cells are incidentally noted', 'change_term': 'greater'anatomical entity_fin: 'cells': location descriptor_fin: ['posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'sphenoid sinus': , 'sphenoethmoidal recesses': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'is mild rightward nasal septal deviation': 'clinical finding': 'is mild rightward nasal septal deviation'anatomical entity_fin: 'middle': 'location descriptor': 'right'location descriptor_fin: ['right']anatomical entity_fin: 'middle': clinical findings_fin: 'paradoxical': 'clinical finding': 'paradoxical', 'existence': 'pos_dx', 'observation': 'paradoxical'anatomical entity_fin: 'nasal turbinate': clinical findings_fin: 'nasal turbinate morphology is otherwise within normal limits': 'clinical finding': 'nasal turbinate morphology is otherwise within normal limits'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'roof': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric' [/INST] [RESP] . The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. There is mild mucosal thickening in the left maxillary sinus. The maxillary sinuses are otherwise clear. The ostiomeatal units are clear. Prominent left greater than right Haller cells are incidentally noted. The posterior ethmoid air cells are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is mild rightward nasal septal deviation. There is partial pneumatization of the right middle turbinate. The middle turbinates are also partially paradoxical. The nasal turbinate morphology is otherwise within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right precentral gyrus': clinical findings_fin: 'mild swelling': 'clinical finding': 'mild swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'swell', 'strength_term': 'mild', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'grey-white matter differentiation': 'clinical finding': 'grey-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grey-white matter', 'observation': 'differentiation'anatomical entity_fin: 'cerebral white matter': , 'basal ganglia': 'location descriptor': 'right', 'left corona radiata': imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: 'diffuse cerebral white matter hypoattenuation': 'clinical finding': 'diffuse cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse cerebral white matter', 'observation': 'hypoattenuation', 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'diffuse cerebral volume loss': 'clinical finding': 'diffuse cerebral volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse cerebral volume', 'observation': 'loss'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'probable cerumen': 'clinical finding': 'probable cerumen', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cerumen' [/INST] [RESP] There is mild swelling, hypoattenuation, and loss of grey-white matter differentiation affecting the majority of the right precentral gyrus. There is a background of diffuse cerebral white matter hypoattenuation and punctate foci of encephalomalacia in the right basal ganglia region and left corona radiata. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration, with diffuse cerebral volume loss. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is probable cerumen within the bilateral external auditory canals. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: 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'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'minimal intrahepatic biliary dilatation in the right lobe liver is unchanged': 'clinical finding': 'minimal intrahepatic biliary dilatation in the right lobe liver is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'more moderate biliary dilatation': 'clinical finding': 'more moderate biliary dilatation', 'existence': 'pos_dx', 'descriptive_term': 'more moderate biliary', 'observation': 'dilatation', 'strength_term': 'moderate', 'quantity_term': 'more', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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']clinical findings_fin: 'ivc filter is unchanged': 'clinical finding': 'ivc filter is unchanged', 'change_term': 'unchanged'location descriptor_fin: ['left']clinical findings_fin: 'left para-aortic adenopathy': 'clinical finding': 'left para-aortic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'adenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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 abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 bilateral pleural effusions. Minimal intrahepatic biliary dilatation in the right lobe liver is unchanged. Again noted more moderate biliary dilatation in the left lobe associated with atrophy, not significantly changed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. IVC filter is unchanged. Left para-aortic adenopathy is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. An IUD is in place. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': imaging observation_fin: ['fat']clinical findings_fin: 'mild gaseous distention': 'clinical finding': 'mild gaseous distention', 'existence': 'pos_dx', 'descriptive_term': 'mild gaseous', 'observation': 'distention', 'strength_term': 'mild', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement', 'associated fat stranding': 'clinical finding': 'associated fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'associated fat', 'observation': 'strand'clinical findings_fin: 'findings are within normal limits': 'clinical finding': 'findings are 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'anatomical entity_fin: 'lumbosacral spine': clinical findings_fin: 'dextroscoliosis': 'clinical finding': 'dextroscoliosis', 'existence': 'pos_dx', 'observation': 'dextroscoliosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 is limited by the absence of oral or enteric contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is mild gaseous distention of the appendix, but no wall thickening, abnormal contrast enhancement or associated fat stranding was found. Findings are 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. Dextroscoliosis of the lumbosacral spine. 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: ['bilateral', 'left']object_fin: ['catheter']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'location descriptor_fin: ['bilateral']clinical findings_fin: 'persistent dependent atelectasis': 'clinical finding': 'persistent dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'persistent dependent', 'observation': 'atelectasis', 'temporal_term': 'persistent', '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: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'size_fin: ['size': '5.8 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'anterior mediastinum': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'prominent soft tissue density mass': 'clinical finding': 'prominent soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft tissue density', 'observation': 'mass', 'strength_term': 'prominent'imaging observation_fin: ['hematoma']clinical findings_fin: 'large hematoma': 'clinical finding': 'large hematoma', 'existence': 'neg_dx', 'descriptive_term': 'large', 'observation': 'hematoma', 'strength_term': 'large'anatomical entity_fin: 'left pulmonary artery': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass', 'mediastinal mass': 'clinical finding': 'mediastinal mass', 'existence': 'unc_dx', 'descriptive_term': 'mediastinal', 'observation': 'mass'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left', 'left subclavian vein': location descriptor_fin: ['left']clinical findings_fin: 'filling defect': 'clinical finding': 'filling defect', 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'clinical findings_fin: 'axillary or retrocrural lymphadenopathy': 'clinical finding': 'axillary or retrocrural lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary or retrocrural', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormalities': 'clinical finding': 'significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is interval decrease in bilateral pleural effusions with a left pleural catheter in place. There is persistent dependent atelectasis and small bilateral pleural effusions. A pericardial drain is noted a small pericardial effusion. Prominent soft tissue density mass in the anterior mediastinum measures 5.8 cm in craniocaudal dimension, unchanged. There is no evidence of a large hematoma. The left pulmonary artery is smaller than the right, similar compared to prior examination and possibly due to mass effect from the mediastinal mass. There is a filling defect in the left internal jugular vein near the confluence with the left subclavian vein. No axillary or retrocrural lymphadenopathy. No significant abnormalities. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious 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'clinical findings_fin: 'size is normal': 'clinical finding': 'size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant adenopathy': 'clinical finding': 'significant adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'adenopathy'clinical findings_fin: 'residual thymic tissue': 'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual'clinical findings_fin: '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: 'liver': clinical findings_fin: 'stable hypoattenuating lesions': 'clinical finding': 'stable hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'stable hypoattenuating', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable', 'hemangiomas': 'clinical finding': 'hemangiomas', 'existence': 'pos_dx', 'observation': 'hemangiomas', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'slightly malrotated left kidney': 'clinical finding': 'slightly malrotated left kidney', 'existence': 'pos_dx', 'descriptive_term': 'slightly malrotated left', 'observation': 'kidney', 'change_term': 'malrotated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'retroperitoneal adenopathy': 'clinical finding': 'retroperitoneal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'adenopathy'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'imaging observation_fin: ['colon']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules or masses. No pleural effusions. Size is normal. No pericardial effusion. No significant adenopathy. Residual thymic tissue. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Stable hypoattenuating lesions in the liver, previously characterized as hemangiomas on MR. No significant abnormality noted. No significant abnormality noted. Slightly malrotated left kidney. No significant abnormality noted. No retroperitoneal adenopathy. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Postsurgical changes in the colon. No evidence of obstruction. 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: 'pe': 'clinical finding': 'pe', 'existence': 'pos_dx', 'observation': 'pe'anatomical entity_fin: 'chest wall': clinical findings_fin: 'extensive chest wall collaterals': 'clinical finding': 'extensive chest wall collaterals', 'existence': 'pos_dx', 'descriptive_term': 'extensive chest wall', 'observation': 'collateral', 'strength_term': 'extensive', 'numerous small lymph nodes': 'clinical finding': 'numerous small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'numerous small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'numerous'anatomical entity_fin: 'lungs': clinical findings_fin: 'limited images of the lungs': 'clinical finding': 'limited images of the lungs'object_fin: ['central venous catheter']clinical findings_fin: 'central venous catheter': 'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter' [/INST] [RESP] The PE examination was unable to be performed due to in adequate IV flow rate. This was discussed with Dr. 42 on 6/30/2015 by Dr. Westin. Limited images show extensive chest wall collaterals versus numerous small lymph nodes. Limited images of the lungs are unremarkable. A central venous catheter is partially visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'linear scarring': 'clinical finding': 'linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'new opacity': 'clinical finding': 'new opacity', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'opacity', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'right adrenal nodule': 'clinical finding': 'right adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'right adrenal', 'observation': 'nodule' [/INST] [RESP] . Linear scarring and atelectasis in right middle lobe, improved. Emphysema. Calcified granulomas. No new opacity. No significant abnormality noted. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right adrenal nodule is unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'stable soft tissue density': 'clinical finding': 'stable soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'stable soft tissue', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'diffuse emphysematous changes': 'clinical finding': 'diffuse emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse emphysematous', 'observation': 'change'object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'anatomical entity_fin: 'grafts': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ureteral stents': 'clinical finding': 'bilateral ureteral stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ureteral', 'observation': 'stent'clinical findings_fin: 'metabolic activity': 'clinical finding': 'metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'metabolic', 'observation': 'activity', 'multiple pelvic fdg avid lesions': 'clinical finding': 'multiple pelvic fdg avid lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple pelvic fdg avid', 'observation': 'lesion', 'quantity_term': 'multiple'location descriptor_fin: ['left']clinical findings_fin: 'left pelvic lymph nodes': 'clinical finding': 'left pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left pelvic lymph', 'observation': 'node'location descriptor_fin: ['right']clinical findings_fin: 'increased activity': 'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'nodal metastasis': 'clinical finding': 'nodal metastasis', 'existence': 'unc_dx', 'descriptive_term': 'nodal', 'observation': 'metastasis'anatomical entity_fin: 'liver': , 'spleen': , 'kidneys': , 'intestines': , 'bladder': clinical findings_fin: 'physiological activity is seen in the liver , spleen , kidneys , intestines and bladder': 'clinical finding': 'physiological activity is seen in the liver , spleen , kidneys , intestines and bladder'clinical findings_fin: 'esophagitis': 'clinical finding': 'esophagitis', 'existence': 'pos_dx', 'observation': 'esophagitis'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'abnormal fdg uptake': 'clinical finding': 'abnormal fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'abnormal fdg', 'observation': 'uptake', 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'density' [/INST] [RESP] Todays CT portion grossly demonstrates stable soft tissue density in the left maxillary sinus. Diffuse emphysematous changes are noted. The tip of Port-A-Cath projects SVC. The bilateral ureteral stents and pelvic vessel grafts are noted. Todays PET examination demonstrates interval increase in size, number and metabolic activity of the multiple pelvic FDG avid lesions. The maximal SUV in the left pelvic lymph nodes is 19.3. A new focus of increased activity is seen in the right common iliac region, which is highly suspicious for nodal metastasis. Physiological activity is seen in the liver, spleen, kidneys, intestines and bladder. Diffuse esophageal activity is stable and consistent with esophagitis or physiological activity. No abnormal FDG uptake is seen in the soft tissue density in the left maxillary sinus. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'nodular groundglass abnormality': 'clinical finding': 'nodular groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'nodular groundglass', 'observation': 'abnormality'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'oblong linear partially calcified lesions': 'clinical finding': 'oblong linear partially calcified lesions', 'existence': 'pos_dx', 'descriptive_term': 'oblong linear partially calcified', 'observation': 'lesion', 'strength_term': 'partially', 'change_term': 'calcified'anatomical entity_fin: 'lungs': clinical findings_fin: 'extensive emphysematous changes': 'clinical finding': 'extensive emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive emphysematous', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'airways': clinical findings_fin: 'multiple small calcified and noncalcified micronodules': 'clinical finding': 'multiple small calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small calcified and noncalcified', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple', 'change_term': 'calcified'object_fin: ['port', 'catheter']clinical findings_fin: 'vp shunt': 'clinical finding': 'vp shunt', 'existence': 'pos_dx', 'descriptive_term': 'vp', 'observation': 'shunt'clinical findings_fin: 'dense aortic atherosclerosis': 'clinical finding': 'dense aortic atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'dense aortic', 'observation': 'atherosclerosis'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'probable ulcerated atherosclerotic plaque': 'clinical finding': 'probable ulcerated atherosclerotic plaque', 'existence': 'pos_dx', 'descriptive_term': 'probable ulcerated atherosclerotic', 'observation': 'plaque'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'location descriptor_fin: ['left']clinical findings_fin: 'left renal hypodensity': 'clinical finding': 'left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'hypodensity' [/INST] [RESP] . Areas of nodular groundglass abnormality in the right lower lobe have resolved. Oblong linear partially calcified lesions at the right apex, not substantially different. Extensive emphysematous changes again noted throughout the lungs. Improvement in mucous plugging or secretions within the airways. Multiple small calcified and noncalcified micronodules again noted. Port catheter terminates at the cavoatrial junction. VP shunt, incompletely visualized. Dense aortic atherosclerosis. Probable ulcerated atherosclerotic plaque again noted at the aortic arch. Severe. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Left renal hypodensity, better characterized on previous studies. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'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': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'normal cervical lordosis': 'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal'anatomical entity_fin: 'spine': clinical findings_fin: 'cervical spine alignment is anatomic': 'clinical finding': 'cervical spine alignment is anatomic'anatomical entity_fin: 'vertebral bodies': , 'dens': , 'lateral masses': , 'facets': imaging observation_fin: ['pedicles']location descriptor_fin: ['posterior']clinical findings_fin: 'lateral masses': 'clinical finding': 'lateral masses', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'mass', 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'spinal cord': , 'spinal canal': clinical findings_fin: 'spinal canal stenosis': 'clinical finding': 'spinal canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'anatomical entity_fin: 'foramen': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk spaces are preserved': 'clinical finding': 'intervertebral disk spaces are preserved', 'change_term': 'preserved'clinical findings_fin: 'paraspinal soft tissues are unremarkable': 'clinical finding': 'paraspinal soft tissues are unremarkable'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'small nodule': 'clinical finding': 'small nodule', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'nodule', 'strength_term': 'small'anatomical entity_fin: 'tonsil': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification' [/INST] [RESP] 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. There is normal cervical lordosis. The cervical spine alignment is anatomic. The vertebral bodies, dens, lateral masses, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits of CT scanning, the thecal sac and spinal cord are preserved with no evidence of spinal canal stenosis. The neural foramen are patent. The intervertebral disk spaces are preserved. The paraspinal soft tissues are unremarkable. A small nodule is seen in the left thyroid lobe. There is a punctate calcification in the left tonsil, which is nonspecific. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.6 x 3.0 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'unchanged right upper lobe mass': 'clinical finding': 'unchanged right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right upper lobe', 'observation': 'mass', 'strength_term': 'unchanged', 'change_term': 'unchanged'size_fin: ['size': '3.8 x 1.8 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'unchanged left upper lobe mass': 'clinical finding': 'unchanged left upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left upper lobe', 'observation': 'mass', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'extensive bullous emphysema': 'clinical finding': 'extensive bullous emphysema', 'existence': 'pos_dx', 'descriptive_term': 'extensive bullous', 'observation': 'emphysema', 'strength_term': 'extensive', 'upper lobe architectural distortion': 'clinical finding': 'upper lobe architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe architectural', 'observation': 'distortion'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'unchanged subcentimeter right para-aortic lymph node': 'clinical finding': 'unchanged subcentimeter right para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter right para-aortic lymph', 'observation': 'node', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'wall': clinical findings_fin: 'moderate thickening': 'clinical finding': 'moderate thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'thickening', 'strength_term': 'moderate'anatomical entity_fin: 't4 vertebral body': clinical findings_fin: 'nonspecific focal sclerosis': 'clinical finding': 'nonspecific focal sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific focal', 'observation': 'sclerosis'imaging observation_fin: ['focal enhancement']location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter focal enhancement': 'clinical finding': 'subcentimeter focal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter focal', 'observation': 'enhancement', 'flash filling hemangioma': 'clinical finding': 'flash filling hemangioma', 'existence': 'unc_dx', 'descriptive_term': 'flash filling', 'observation': 'hemangioma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'punctate cortical lucencies , too small': 'clinical finding': 'punctate cortical lucencies , too 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' [/INST] [RESP] . Unchanged right upper lobe mass measures 2.6 x 3.0 cm. Unchanged left upper lobe mass measures 3.8 x 1.8 cm. Extensive bullous emphysema and upper lobe architectural distortion consistent with radiation reaction. No significant lymphadenopathy. Unchanged subcentimeter right para-aortic lymph node. Moderate thickening of the esophageal wall possibly related to radiation reaction. Nonspecific focal sclerosis in the T4 vertebral body unchanged compared to previous examination. Subcentimeter focal enhancement at left hepatic dome unchanged and probably represents a flash filling hemangioma. No significant abnormality noted. No significant abnormality noted. Punctate cortical lucencies, too small to be characterized, unchanged. 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: 'suprahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'size_fin: ['size': '9-mm', 'size_descriptor': 'dimension', 'size': '10-mm', 'size_descriptor': 'length']anatomical entity_fin: 'axis': size_fin: ['size': '26 mm x 25 mm', 'size': '29 x 25 mm']anatomical entity_fin: 'submandibular space': 'location descriptor': 'right', 'supraclavicular lymph nodes': location descriptor_fin: ['right']clinical findings_fin: 'right submandibular space lymph node': 'clinical finding': 'right submandibular space lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right submandibular space lymph', 'observation': 'node', 'stable right axillary space lymph node': 'clinical finding': 'stable right axillary space lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable right axillary space lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable', 'small right-sided supraclavicular lymph nodes': 'clinical finding': 'small right-sided supraclavicular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small right-sided supraclavicular lymph', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '7 x 13 mm', 'size_descriptor': 'level']anatomical entity_fin: 'infrahyoid neck': location descriptor_fin: ['left']clinical findings_fin: '7 x 13 mm left-sided level 2 lymph node': 'clinical finding': '7 x 13 mm left-sided level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': '7 x 13 mm left-sided level 2 lymph', 'observation': 'node', 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'visceral space': , 'thyroid gland': clinical findings_fin: 'small': 'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['posterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': , 'paranasal sinuses': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'canal stenosis': 'clinical finding': 'canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'canal', 'observation': 'stenosis'anatomical entity_fin: 'endplate': clinical findings_fin: 'are some endplate and tortuosity 5 is present at c6-7': 'clinical finding': 'are some endplate and tortuosity 5 is present at c6-7' [/INST] [RESP] Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. There is a 9-mm short axis dimension by 10-mm length. Right submandibular space lymph node which means a stable there is a stable right axillary space lymph node measuring 26 mm x 25 mm axial dimensions, previously measuring 29 x 25 mm or number of small right-sided supraclavicular lymph nodes present, which are similar compared to the prior exam. There is a 7 x 13 mm left-sided level 2 lymph node present measuring the same on the prior exam Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland is small but appears intact. The airway appears patent. The visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits and paranasal sinuses are intact. The paranasal sinuses and mastoid air cells are clear. The parotid and the submandibular glands appear intact. The visualized lung apices appear clear. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for canal stenosis. There are some endplate and tortuosity 5 is present at C6-7. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal basilar atelectasis': 'clinical finding': 'minimal basilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mild hepatomegaly': 'clinical finding': 'mild hepatomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hepatomegaly', 'strength_term': 'mild'procedure_fin: ['cholecystectomy']clinical findings_fin: 'biliary ductal': 'clinical finding': 'biliary ductal', 'existence': 'neg_dx', 'descriptive_term': 'biliary', 'observation': 'ductal'anatomical entity_fin: 'spleen': clinical findings_fin: 'autoinfarcted': 'clinical finding': 'autoinfarcted', 'existence': 'pos_dx', 'observation': 'autoinfarcted'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'nonspecific mildly prominent right lower quadrant mesenteric lymph nodes': 'clinical finding': 'nonspecific mildly prominent right lower quadrant mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mildly prominent right lower quadrant mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'clinical findings_fin: 'enteric inflammation': 'clinical finding': 'enteric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'inflammation'anatomical entity_fin: 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Minimal basilar atelectasis or scarring. Cardiomegaly without pericardial effusion. No pleural effusion. Mild hepatomegaly. Status post cholecystectomy without biliary ductal dilatation. Autoinfarcted spleen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Note is made of nonspecific mildly prominent right lower quadrant mesenteric lymph nodes. However given the absence of enteric inflammation this is of doubtful current clinical significance. Mild osseous stigmata of sickle cell disease. 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': '27-mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'bronchus': location descriptor_fin: ['right', 'upper', 'adjacent', 'anterior']clinical findings_fin: '27-mm right upper lobe lesion': 'clinical finding': '27-mm right upper lobe lesion', 'existence': 'pos_dx', 'descriptive_term': '27-mm right upper lobe', 'observation': 'lesion', 'lung cancer': 'clinical finding': 'lung cancer', 'existence': 'pos_dx', 'descriptive_term': 'lung', 'observation': 'cancer'anatomical entity_fin: 'subpleural region': location descriptor_fin: ['peripheral']clinical findings_fin: 'small nodular focus': 'clinical finding': 'small nodular focus', 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'focus', 'strength_term': 'small', 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'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: '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] . 27-mm right upper lobe lesion consistent with lung cancer, , adjacent to a right upper lobe anterior segmental branch bronchus. A small nodular focus is seen peripheral to this in the subpleural region, and there are scattered pulmonary micronodules elsewhere. Left upper lobe post inflammatory modalities may be from prior granulomatous disease. Severe coronary artery calcifications are present. No significant abnormality noted. 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: 'left temporal lobe': , 'left thalamus': , 'basal ganglia': 'location descriptor': 'left', 'corpus callosum': location descriptor_fin: ['left']clinical findings_fin: 'extensive vasogenic edema': 'clinical finding': 'extensive vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'extensive vasogenic', 'observation': 'edema', 'strength_term': 'extensive'anatomical entity_fin: 'left temporal lobe': clinical findings_fin: 'focal hyperdensity': 'clinical finding': 'focal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hyperdensity'clinical findings_fin: 'known glioblastoma': 'clinical finding': 'known glioblastoma', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'glioblastoma'anatomical entity_fin: 'midbrain': clinical findings_fin: 'it is noted': 'clinical finding': 'it is noted'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent sulcal and partial left lateral ventricle effacement': 'clinical finding': 'adjacent sulcal and partial left lateral ventricle effacement', 'existence': 'neg_dx', 'descriptive_term': 'adjacent sulcal and partial left lateral ventricle', 'observation': 'effacement', 'strength_term': 'partial'clinical findings_fin: 'new parenchymal signal abnormality': 'clinical finding': 'new parenchymal signal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal signal', 'observation': 'abnormality', 'temporal_term': 'new', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'location descriptor_fin: ['midline']clinical findings_fin: 'discrete intracranial hemorrhage': 'clinical finding': 'discrete intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'discrete intracranial', 'observation': 'hemorrhage', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': 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'clinical findings_fin: 'trace intracranial vascular calcification': 'clinical finding': 'trace intracranial vascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'trace intracranial vascular', 'observation': 'calcification' [/INST] [RESP] Again seen is extensive vasogenic edema involving the left temporal lobe, left thalamus, left basal ganglia, and corpus callosum. Within the left temporal lobe, there is a focal hyperdensity consistent with mineralization. Findings are consistent with known glioblastoma diagnosis and appear grossly stable. It is noted that midbrain and cortical infiltration were present on prior MRI, but they are not discretely seen by CT. The degree of adjacent sulcal and partial left lateral ventricle effacement is not significantly changed from prior. There is no new parenchymal signal abnormality or mass lesion. There is no discrete intracranial hemorrhage, midline shift, or basal cistern effacement. Paranasal sinuses and mastoid air cells are clear. Orbital contents are unremarkable. Trace intracranial vascular calcification. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'enlarged bilateral axillary lymph nodes': 'clinical finding': 'enlarged bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged bilateral axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'object_fin: ['filter']anatomical entity_fin: 'mesenteric lymph node': clinical findings_fin: 'prominent mesenteric lymph node': 'clinical finding': 'prominent mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent mesenteric lymph', 'observation': 'node', 'strength_term': 'prominent', 'mesenteric haziness': 'clinical finding': 'mesenteric haziness', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'haziness'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'enlarged iliac and inguinal lymph nodes': 'clinical finding': 'enlarged iliac and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged iliac and inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'axilla': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'multiple enlarged hypermetabolic lymph nodes': 'clinical finding': 'multiple enlarged hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged hypermetabolic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged', 'lymphoma': 'clinical finding': 'lymphoma', 'existence': 'pos_dx', 'observation': 'lymphoma'anatomical entity_fin: 'diaphragm': , 'abdominal': , 'mesentery': location descriptor_fin: ['bilateral']clinical findings_fin: 'hypermetabolic prominent lymph nodes': 'clinical finding': 'hypermetabolic prominent lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic prominent lymph', 'observation': 'node', 'strength_term': 'prominent', 'bilateral iliac and inguinal enlarged lymph nodes': 'clinical finding': 'bilateral iliac and inguinal enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral iliac and inguinal enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'additional tumor': 'clinical finding': 'additional tumor', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'tumor'anatomical entity_fin: 'abdominal': , 'mesenteric lymph nodes': clinical findings_fin: 'abdominal mesenteric lymph nodes': 'clinical finding': 'abdominal mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'abdominal mesenteric lymph', 'observation': 'node'imaging observation_fin: ['foci']clinical findings_fin: 'discrete osseous or splenic foci': 'clinical finding': 'discrete osseous or splenic foci', 'existence': 'neg_dx', 'descriptive_term': 'discrete osseous or splenic', 'observation': 'foci' [/INST] [RESP] Todays CT portion grossly demonstrates enlarged bilateral axillary lymph nodes. IVC filter in place. Prominent mesenteric lymph node is mesenteric haziness. Enlarged iliac and inguinal lymph nodes. Todays PET examination demonstrates multiple enlarged hypermetabolic lymph nodes in the low cervical chains bilaterally, as well as in the bilateral axilla right greater than left with SUV max of 13.6 consistent with history of lymphoma. Below the diaphragm there are hypermetabolic prominent lymph nodes in the abdominal mesentery, as well as in the bilateral iliac and inguinal enlarged lymph nodes consistent with additional tumor. SUV max of 10.5 in the abdominal mesenteric lymph nodes. No discrete osseous or splenic foci are identified. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'oral cavity': , 'contents': clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact', 'dental amalgam': 'clinical finding': 'dental amalgam', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'amalgam'anatomical entity_fin: 'tongue': , 'neck': location descriptor_fin: ['left', 'anterior']procedure_fin: ['treatment']clinical findings_fin: 'discernible measurable mass': 'clinical finding': 'discernible measurable mass', 'existence': 'neg_dx', 'descriptive_term': 'discernible measurable', 'observation': 'mass', 'neck dissection': 'clinical finding': 'neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'dissection'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'thyroid and remaining salivary glands are unremarkable': 'clinical finding': 'thyroid and remaining salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'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'location descriptor_fin: ['bilateral']clinical findings_fin: 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is streak artifact related to dental amalgam, which obscures portions of the oral cavity contents. Within these limits, there is no discernible measurable mass in the left anterior oral tongue, amidst post-treatment findings related to partial glossectomy and neck dissection, as well as radiation therapy. There is no evidence of significant cervical lymphadenopathy. The thyroid and remaining salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. There is retention cyst formation in the bilateral maxillary sinuses. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Small amount of bibasilar atelectasis. Otherwise no significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Examination is limited due to arterial phase of enhancement. Within this limitation, no significant abnormality noted in the visualized upper abdomen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'gross abnormality': 'clinical finding': 'gross abnormality', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'lymph node enlargement': 'clinical finding': 'lymph node enlargement', 'existence': 'neg_dx', 'descriptive_term': 'lymph node', 'observation': 'enlargement'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'small soft tissue nodules': 'clinical finding': 'small soft tissue nodules', 'existence': 'pos_dx', 'descriptive_term': 'small soft tissue', 'observation': 'nodule', 'strength_term': 'small', 'likely lymph nodes': 'clinical finding': 'likely lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'likely lymph', 'observation': 'node'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'focal abnormality': 'clinical finding': 'focal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'abnormality'anatomical entity_fin: 'airway': clinical findings_fin: 'airway is preserved': 'clinical finding': 'airway is preserved', 'change_term': 'preserved'clinical findings_fin: 'nasopharyngeal, oropharyngeal or laryngeal mass': 'clinical finding': 'nasopharyngeal, oropharyngeal or laryngeal mass', 'existence': 'neg_dx', 'descriptive_term': 'nasopharyngeal oropharyngeal or laryngeal', 'observation': 'mass'location descriptor_fin: ['right']clinical findings_fin: 'partially imaged aicd through right subclavian approach': 'clinical finding': 'partially imaged aicd through right subclavian approach'anatomical entity_fin: 'lungs': , 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['suture']clinical findings_fin: 'minimal scarring': 'clinical finding': 'minimal scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'spine': , 'disc': , 'endplate': , 'spinal canal': location descriptor_fin: ['left']clinical findings_fin: 'multilevel spondylosis': 'clinical finding': 'multilevel spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel', 'observation': 'spondylosis', 'moderate disc height loss': 'clinical finding': 'moderate disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'moderate disc height', 'observation': 'loss', 'strength_term': 'moderate', 'uncovertebral osteophytosis': 'clinical finding': 'uncovertebral osteophytosis', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophytosis', 'moderate left foraminal and mild spinal canal stenoses': 'clinical finding': 'moderate left foraminal and mild spinal canal stenoses', 'existence': 'pos_dx', 'descriptive_term': 'moderate left foraminal and mild spinal canal', 'observation': 'stenoses', 'strength_term': 'moderate - mild' [/INST] [RESP] Imaged brain shows no gross abnormality. The paranasal sinuses and mastoid air cells are clear. Cervical soft tissues are symmetric without significant abnormality. There is no lymph node enlargement. The parotid glands are fatty and contain small soft tissue nodules, likely lymph nodes. The other major salivary glands show no focal abnormality. The airway is preserved. There is no nasopharyngeal, oropharyngeal or laryngeal mass. Partially imaged AICD through right subclavian approach. Imaged lungs are notable for suture material in the right apex and minimal scarring. Cervical spine shows multilevel spondylosis that is most pronounced at C5-C6 where there is moderate disc height loss associated with endplate and uncovertebral osteophytosis causing moderate left foraminal and mild spinal canal stenoses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute or subacute ischemic stroke': 'clinical finding': 'acute or subacute ischemic stroke', 'existence': 'neg_dx', 'descriptive_term': 'acute or subacute ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'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: 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right sphenoid sinus': 'clinical finding': 'right sphenoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'right sphenoid', 'observation': 'sinus', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'any significant interval change': 'clinical finding': 'any significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'any significant interval', 'observation': 'change'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Again there is no evidence of acute or subacute ischemic stroke. There is no evidence of intracranial hemorrhage either. 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 right sphenoid sinus shows opacification which does not show any significant interval change since previous study. The 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['enhancing']clinical findings_fin: 'intrapelvic biliary ductal dilatation': 'clinical finding': 'intrapelvic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrapelvic biliary ductal', 'observation': 'dilatation', 'enhancing masses': 'clinical finding': 'enhancing masses', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'mass'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'imaging modality_fin: ['ultrasound']clinical findings_fin: 'calcified gallstones': 'clinical finding': 'calcified gallstones', 'existence': 'neg_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', 'change_term': 'calcified', 'cholesterol stones': 'clinical finding': 'cholesterol stones', 'existence': 'unc_dx', 'descriptive_term': 'cholesterol', 'observation': 'stone', 'gallstones': 'clinical finding': 'gallstones', 'existence': 'unc_dx', 'observation': 'gallstone'anatomical entity_fin: 'common bile duct': , 'pancreatic duct': clinical findings_fin: 'also normal in caliber': 'clinical finding': 'also normal in caliber'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3.5 x 2.4 cm', 'size_descriptor': 'nodule']anatomical entity_fin: 'fluid': 'location descriptor': 'adjacent'location descriptor_fin: ['left', 'adjacent']clinical findings_fin: '3.5 x 2.4 cm cystic nodule': 'clinical finding': '3.5 x 2.4 cm cystic nodule', 'existence': 'pos_dx', 'descriptive_term': '3 5 x 2 4 cm cystic', 'observation': 'nodule'imaging modality_fin: ['ultrasound']clinical findings_fin: 'correlation with pelvic ultrasound is advised': 'clinical finding': 'correlation with pelvic ultrasound is advised'anatomical entity_fin: 'uterus': clinical findings_fin: 'uterus enhances heterogeneously which may reflect underlying fibroids but is nonspecific on': 'clinical finding': 'uterus enhances heterogeneously which may reflect underlying fibroids but is nonspecific on'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 intrapelvic biliary ductal dilatation or enhancing masses. The gallbladder is prominent in size however there is no evidence of pericholecystic fluid or wall thickening. No calcified gallstones are identified although the sensitivity of CT for the detection of cholesterol stones is somewhat limited and if gallstones or clinical concern, correlation with ultrasound would be advised. The common bile duct and pancreatic duct are also normal in caliber. 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. There is a 3.5 x 2.4 cm cystic nodule in the region left adnexa with a small amount of adjacent fluid. Correlation with pelvic ultrasound is advised as clinically indicated. The uterus enhances heterogeneously which may reflect underlying fibroids but is nonspecific on. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pneumobilia , unchanged': 'clinical finding': 'pneumobilia , unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'common bile duct': clinical findings_fin: 'metallic stent': 'clinical finding': 'metallic stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic', 'observation': 'stent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': , 'hip': object_fin: ['prosthesis']clinical findings_fin: 'artifacts': 'clinical finding': 'artifacts', 'existence': 'pos_dx', 'observation': 'artifact'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Pneumobilia, unchanged. Metallic stent in the common bile duct, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts are unchanged. No significant abnormality noted. Mild. Postsurgical changes secondary to gastric surgery. No significant abnormality noted. No significant abnormality noted. Limited evaluation of the pelvis due to artifacts from the hip prosthesis. 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: 'tongue': 'location descriptor': 'left', 'base': location descriptor_fin: ['left']clinical findings_fin: 'measurable left tongue base mass': 'clinical finding': 'measurable left tongue base mass', 'existence': 'neg_dx', 'descriptive_term': 'measurable left tongue base', 'observation': 'mass'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'location descriptor_fin: ['left']clinical findings_fin: 'unchanged subcentimeter partially calcified left thyroid nodule': 'clinical finding': 'unchanged subcentimeter partially calcified left thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter partially calcified left thyroid', 'observation': 'nodule', 'strength_term': 'unchanged - partially', 'change_term': 'unchanged - calcified'anatomical entity_fin: 'salivary glands': procedure_fin: ['treatment']clinical findings_fin: 'hyperemic': 'clinical finding': 'hyperemic', 'existence': 'pos_dx', 'observation': 'hyperemic'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'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'imaging observation_fin: ['apical']clinical findings_fin: 'extensive pulmonary emphysema': 'clinical finding': 'extensive pulmonary emphysema', 'existence': 'pos_dx', 'descriptive_term': 'extensive pulmonary', 'observation': 'emphysema', 'strength_term': 'extensive', 'unchanged apical nodularity': 'clinical finding': 'unchanged apical nodularity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged apical', 'observation': 'nodularity', 'strength_term': 'unchanged', 'change_term': 'unchanged' [/INST] [RESP] There is no measurable left tongue base mass. There is no significant cervical lymphadenopathy. There is an unchanged subcentimeter partially calcified left thyroid nodule. The salivary glands are mildly hyperemic, likely due to treatment effects. The major cervical vessels are patent. The osseous structures are unchanged. The airways are patent. The imaged intracranial structures are unremarkable. There is extensive pulmonary emphysema and unchanged apical nodularity. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'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', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement'clinical findings_fin: 'intracranial metastatic disease': 'clinical finding': 'intracranial metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'intracranial metastatic', 'observation': 'disease'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits 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: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_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: 'submandibular glands': clinical findings_fin: 'parotid and submandibular glands are unremarkable': 'clinical finding': 'parotid and submandibular glands are unremarkable'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'cystic lesion': 'clinical finding': 'cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'anatomical entity_fin: 'mediastinum': location descriptor_fin: ['right']clinical findings_fin: 'right calcified hilar lymph nodes': 'clinical finding': 'right calcified hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right calcified hilar lymph', 'observation': 'node', 'change_term': 'calcified' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. No intracranial metastatic disease is evident. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. The 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 parotid and submandibular glands are unremarkable. Cystic lesion in the right thyroid lobe is unchanged. No lymphadenopathy is noted. The carotid arteries and jugular veins are patent. Degenerative changes of the mid cervical spine are unchanged. The airway is patent. Biapical scarring is again seen. Limited views of the mediastinum demonstrate right calcified hilar lymph nodes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '19 x 14 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'fluid': , 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'fluid density lesion': 'clinical finding': 'fluid density lesion', 'existence': 'pos_dx', 'descriptive_term': 'fluid density', 'observation': 'lesion', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'uterus is not well visualized': 'clinical finding': 'uterus is not well visualized'anatomical entity_fin: 'ovaries': clinical findings_fin: 'ovaries appear unremarkable': 'clinical finding': 'ovaries appear unremarkable'anatomical entity_fin: 'uterus': , 'ovaries': imaging modality_fin: ['ultrasound']clinical findings_fin: 'clinical concern for uterus and ovaries pelvic ultrasound': 'clinical finding': 'clinical concern for uterus and ovaries pelvic ultrasound'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'multiple scybalous': 'clinical finding': 'multiple scybalous', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'scybalous', 'quantity_term': 'multiple' [/INST] [RESP] . Fluid density lesion in the right lobe of the liver measuring 19 x 14 mm on image number 36, series number Lack of IV contrast limits optimal evaluation, however, this lesion like represents a cyst. 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. Uterus is not well visualized. The ovaries appear unremarkable. If there is any clinical concern for uterus and ovaries pelvic ultrasound is recommended for further evaluation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple scybalous near the bladder. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cerebellum': imaging observation_fin: ['foci']clinical findings_fin: 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'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: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'object_fin: ['tube']anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Punctate foci of hypoattenuation within the centrum semiovale and periventricular white matter as well as the cerebellum are nonspecific and similar to that seen on the prior exam. No evidence of acute territorial ischemia is seen. No intracranial hemorrhage is seen. There is no evidence of mass, mass effect or midline shift. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. An ET tube is in place. The bones of the calvarium and skull base are intact. [/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: 'any acute intracranial process': 'clinical finding': 'any acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'any acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute nonhemorrhagic ischemic stroke': 'clinical finding': 'acute nonhemorrhagic ischemic stroke', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'unremarkable cortical sulci and ventricular system for patients stated age of 72': 'clinical finding': 'unremarkable cortical sulci and ventricular system for patients stated age of 72'clinical findings_fin: 'white matter differentiation and unchanged since prior study': 'clinical finding': 'white matter differentiation and unchanged since prior study', 'change_term': 'unchanged'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'chronic lacunar infarct': 'clinical finding': 'chronic lacunar infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'scalp': clinical findings_fin: 'calvarium and soft tissues of the scalp are unremarkable': 'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'paranasal sinuses and mastoid air cells are visualized and unremarkable': 'clinical finding': 'paranasal sinuses and mastoid air cells are visualized and unremarkable'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral orbits are unremarkable': 'clinical finding': 'bilateral orbits are unremarkable' [/INST] [RESP] Nonenhanced head. There is no evidence of any acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic stroke. Unremarkable cortical sulci and ventricular system for patients stated age of 72 and unchanged since prior exam. APreserved gray -- white matter differentiation and unchanged since prior study. Stable punctate focus of low-attenuation in the right basal ganglia likely representing a chronic lacunar infarct. Calvarium and soft tissues of the scalp are unremarkable. All paranasal sinuses and mastoid air cells are visualized and unremarkable. Bilateral orbits are unremarkable. [/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', 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing abnormality': 'clinical finding': 'enhancing abnormality', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'abnormality'anatomical entity_fin: 'tongue': , 'floor': , 'mouth': , 'submandibular space': , 'neck': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']procedure_fin: ['treatment']clinical findings_fin: 'extensive post-treatment changes': 'clinical finding': 'extensive post-treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive post-treatment', 'observation': 'change', 'strength_term': 'extensive'clinical findings_fin: 'discrete mass': 'clinical finding': 'discrete mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'mass'size_fin: ['size': '9 mm', 'size_descriptor': 'node']anatomical entity_fin: 'neck': 'location descriptor': 'right', 'axis': location descriptor_fin: ['right']clinical findings_fin: 'small lymph node': 'clinical finding': 'small lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'multiple smaller right-sided cervical lymph nodes': 'clinical finding': 'multiple smaller right-sided cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple smaller right-sided cervical lymph', 'observation': 'node', 'quantity_term': 'multiple', 'level i and level 5 lymph nodes': 'clinical finding': 'level i and level 5 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'level i and level 5 lymph', 'observation': 'node'clinical findings_fin: 'new nodes': 'clinical finding': 'new nodes', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'node', 'temporal_term': 'new'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_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: 'submandibular glands': clinical findings_fin: 'absent': 'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid and thyroid glands are unremarkable': 'clinical finding': 'parotid and thyroid glands are unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] Head. There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Neck. Extensive post-treatment changes are again present in the tongue, floor of the mouth, submandibular space and bilateral neck. No evidence of discrete mass is identified. A small lymph node in right neck at level 5 measures 9 mm in short axis, similar to measurement on prior study. Multiple smaller right-sided cervical lymph nodes including level I and level 5 lymph nodes are stable in size to decreased in size from prior. No new nodes are identified. Degenerative changes of the cervical spine are again noted. The airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. , submandibular glands are absent. The parotid and thyroid glands are unremarkable. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6.1 x 3.5 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'right lung': , 'base': location descriptor_fin: ['peripheral']clinical findings_fin: 'irregular soft tissue mass': 'clinical finding': 'irregular soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'irregular soft tissue', 'observation': 'mass', 'peripheral coarse calcifications': 'clinical finding': 'peripheral coarse calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral coarse', 'observation': 'calcification'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': '1.2 x 0.7 cm']clinical findings_fin: 'reference precarinal lymph node': 'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '1.4 x 0.9 cm', 'size_descriptor': 'nodes']anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mildly prominent left axillary lymph nodes': 'clinical finding': 'mildly prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent left axillary lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'location descriptor_fin: ['left']clinical findings_fin: 'left-sided aicd': 'clinical finding': 'left-sided aicd'anatomical entity_fin: 't12 vertebral body': clinical findings_fin: 'compression fracture': 'clinical finding': 'compression fracture', 'existence': 'pos_dx', 'descriptive_term': 'compression', 'observation': 'fracture'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hemangiomas': 'clinical finding': 'multiple hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'hemangiomas', 'quantity_term': 'multiple'imaging observation_fin: ['hematoma']location descriptor_fin: ['peripheral']clinical findings_fin: 'hypoattenuating well-defined lesion': 'clinical finding': 'hypoattenuating well-defined lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating well-defined', 'observation': 'lesion', 'peripheral discontinuous calcifications': 'clinical finding': 'peripheral discontinuous calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral discontinuous', 'observation': 'calcification', 'old hematoma': 'clinical finding': 'old hematoma', 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'hematoma', 'temporal_term': 'old', 'healed infection': 'clinical finding': 'healed infection', 'existence': 'pos_dx', 'descriptive_term': 'healed', 'observation': 'infection', 'strength_term': 'healed', 'change_term': 'healed'size_fin: ['size': '1.9 x 0.9 cm', 'size_descriptor': 'node']clinical findings_fin: 'mildly enlarged portacaval lymph node': 'clinical finding': 'mildly enlarged portacaval lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged portacaval lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened' [/INST] [RESP] . Irregular soft tissue mass with peripheral coarse calcifications located at the right lung base measures 6.1 x 3.5 cm. Mildly enlarged mediastinal lymph nodes. Reference precarinal lymph node measures 1.2 x 0.7 cm. Moderate coronary artery calcifications. Cardiac size is moderately enlarged. Mildly prominent left axillary lymph nodes measures 1.4 x 0.9 cm. Left-sided AICD. Compression fracture of the T12 vertebral body. Multiple hemangiomas are noted in the liver. Segment 8 hypoattenuating well-defined lesion with peripheral discontinuous calcifications may represent old hematoma versus healed infection. Mildly enlarged portacaval lymph node measures 1.9 x 0.9 cm. Thickened left adrenal gland. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'calcified lung granulomas': 'clinical finding': 'calcified lung granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified lung', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'airspace': clinical findings_fin: 'focal airspace opacities': 'clinical finding': 'focal airspace opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'object_fin: ['catheter']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'imaging observation_fin: ['blood']clinical findings_fin: 'anemia': 'clinical finding': 'anemia', 'existence': 'unc_dx', 'observation': 'anemia'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: 'calcified splenic granuloma': 'clinical finding': 'calcified splenic granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified' [/INST] [RESP] . Calcified lung granulomas. No focal airspace opacities or pleural effusions are evident. Venous catheter tip in SVC. Calcified right hilar lymph nodes, compatible with prior granulomatous infection. Hypoattenuating blood pool suggestive of anemia. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Calcified splenic granuloma. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'anterior']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'air-fluid levels': 'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'nasal bones': clinical findings_fin: 'unchanged deformity': 'clinical finding': 'unchanged deformity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'deformity', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'remote fracture': 'clinical finding': 'remote fracture', 'existence': 'unc_dx', 'descriptive_term': 'remote', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'right conchae bullosa': 'clinical finding': 'right conchae bullosa', 'existence': 'pos_dx', 'descriptive_term': 'right conchae', 'observation': 'bullosa'anatomical entity_fin: 'nasal cavity': location descriptor_fin: ['left']clinical findings_fin: 'left conchae bullosa': 'clinical finding': 'left conchae bullosa', 'existence': 'pos_dx', 'descriptive_term': 'left conchae', 'observation': 'bullosa', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'mild nasal septal deviation': 'clinical finding': 'mild nasal septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild nasal septal', 'observation': 'deviation', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'orbits': clinical findings_fin: 'imaged intracranial structure and orbits': 'clinical finding': 'imaged intracranial structure and orbits'clinical findings_fin: 'imaged facial soft tissues are also grossly unremarkable': 'clinical finding': 'imaged facial soft tissues are also grossly unremarkable' [/INST] [RESP] There is partial opacification of the bilateral anterior ethmoid sinuses and frontoethmoid recesses. There is mild mucosal thickening within the bilateral maxillary sinuses without evidence of air-fluid levels. The frontal and sphenoid sinuses are clear. There is unchanged deformity of the nasal bones, which may be related to remote fracture. There is near complete opacification of the right conchae bullosa, which has increased. The left conchae bullosa is clear, as is the remainder of the nasal cavity. There is mild nasal septal deviation to the left. There is partial opacification of the left mastoid air cells, which has increased slightly. The imaged intracranial structure and orbits are grossly unremarkable. The imaged facial soft tissues are also grossly unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'major fissure': 'clinical finding': 'major fissure', 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'anatomical entity_fin: 'lung': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'air space opacity': 'clinical finding': 'air space opacity', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'wall': , 'chest wall': 'location descriptor': 'left'location descriptor_fin: ['anterior', 'right', 'left']clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral axillary lymphadenopathy': 'clinical finding': 'bilateral axillary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'anterior chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['bullet']anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'moderately enlarged gastrohepatic nodes': 'clinical finding': 'moderately enlarged gastrohepatic nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged gastrohepatic', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged' [/INST] [RESP] . Interval resolution of a focal area of consolidation in the right upper lobe adjacent the major fissure, which was probably due to infection. New patchy areas of air space opacity in the left lower lung are present, likely secondary to infection and or or aspiration. Metallic fragments in the area of the anterior right ventricular wall and left chest wall. No significant lymphadenopathy. Bilateral axillary lymphadenopathy, decreased compared to previous. Metallic fragment possibly from a bullet, in the left anterior chest wall. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Moderately enlarged gastrohepatic nodes, unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cortex': location descriptor_fin: ['left']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'old cva': 'clinical finding': 'old cva', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'cva', 'temporal_term': 'old'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: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'limited views of the paranasal sinuses and mastoid air cells': 'clinical finding': 'limited views of the paranasal sinuses and mastoid air cells' [/INST] [RESP] Encephalomalacia in the left frontal cortex consistent with old CVA. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. Limited views of the paranasal sinuses and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'imaging observation_fin: ['foci']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'anatomical entity_fin: 'temporalis muscle': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'new finding when compared to the prior exam': 'clinical finding': 'new finding when compared to the prior exam'anatomical entity_fin: 'scalp': imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'previously seen left parietal scalp hematoma': 'clinical finding': 'previously seen left parietal scalp hematoma', 'existence': 'pos_dx', 'descriptive_term': 'previously seen left parietal scalp', 'observation': 'hematoma', 'diminished': 'clinical finding': 'diminished', 'existence': 'pos_dx', 'observation': 'diminish'size_fin: ['size': '5 mm']location descriptor_fin: ['right']clinical findings_fin: 'thin right frontal subdural hematoma': 'clinical finding': 'thin right frontal subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'thin right frontal subdural', 'observation': 'hematoma'size_fin: ['size': '4-mm', 'size_descriptor': 'shift']location descriptor_fin: ['adjacent', 'midline', 'left']clinical findings_fin: 'adjacent sulcal effacement': 'clinical finding': 'adjacent sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'adjacent sulcal', 'observation': 'effacement'clinical findings_fin: 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'clinical findings_fin: 'patchy white matter hypoattenuation': 'clinical finding': 'patchy white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy white matter', 'observation': 'hypoattenuation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'partial effacement': 'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Postoperative change redemonstrated status post right suboccipital craniotomy. Scattered foci of pneumocephalus are identified. Prominence of the right temporalis muscle is a new finding when compared to the prior exam. The previously seen left parietal scalp hematoma has diminished in size. A thin right frontal subdural hematoma is redemonstrated with a maximal thickness of approximately 5 mm. Adjacent sulcal effacement persists as well as a mild 4-mm midline shift to the left. No new hemorrhage is detected. Patchy white matter hypoattenuation is unchanged. Ventricular size and configuration are stable with partial effacement of the right lateral ventricle. The basilar cisterns remain patent. Partial opacification of the right mastoid air cells is noted. Otherwise, the paranasal sinuses and left 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '6.2 x 4.2 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': location descriptor_fin: ['right', 'central', 'left']clinical findings_fin: 'right hepatic lobe hypodense lesion': 'clinical finding': 'right hepatic lobe hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'right hepatic lobe hypodense', 'observation': 'lesion', 'central calcifications': 'clinical finding': 'central calcifications', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'calcification', 'left hepatic lobe lesion': 'clinical finding': 'left hepatic lobe lesion', 'existence': 'pos_dx', 'descriptive_term': 'left hepatic lobe', 'observation': 'lesion', 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'anatomical entity_fin: 'spleen': , 'pelvis': 'location descriptor': 'upper'location descriptor_fin: ['upper']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'location descriptor_fin: ['right']clinical findings_fin: 'right renal calcifications': 'clinical finding': 'right renal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calcification'clinical findings_fin: 'multiple small retroperitoneal lymph nodes': 'clinical finding': 'multiple small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'spine': clinical findings_fin: 'extensive patchy sclerosis': 'clinical finding': 'extensive patchy sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive patchy', 'observation': 'sclerosis', 'strength_term': 'extensive', 'myelofibrosis': 'clinical finding': 'myelofibrosis', 'existence': 'pos_dx', 'observation': 'myelofibrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'patchy sclerosis': 'clinical finding': 'patchy sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'sclerosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '6.2 x 4.2 cm', 'size': '3.9 x 5.5 cm']location descriptor_fin: ['left']clinical findings_fin: 'para': 'clinical finding': 'para', 'existence': 'pos_dx', 'observation': 'para'size_fin: ['size': '1.4 x 1.8 cm', 'size': '1.3 cm'] [/INST] [RESP] . No significant abnormality noted. Liver is mildly enlarged. Right hepatic lobe hypodense lesion with central calcifications measures 6.2 x 4.2 cm similar appearing left hepatic lobe lesion without calcification appears unchanged. Spleen is enlarged and extends into the upper pelvis. No significant abnormality noted. No significant abnormality noted. Right renal calcifications likely representing small nonobstructive calculi. Multiple small retroperitoneal lymph nodes. Moderate. No bowel obstruction. Extensive patchy sclerosis of the spine and osseous structures from myelofibrosis. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Patchy sclerosis of the osseous structures. No significant abnormality noted. 6.2 x 4.2 cm 3.9 x 5.5 cm on prior. LEFT PARA-. 1.4 x 1.8 cm 1.3 cm on prior. [/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: 'cerebellum': 'location descriptor': 'right', 'fourth ventricle': imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'small hematoma': 'clinical finding': 'small hematoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hematoma', 'strength_term': 'small', 'dissection': 'clinical finding': 'dissection', 'existence': 'pos_dx', 'observation': 'dissection'size_fin: ['size': '16 x 12', 'size_descriptor': '-mm']imaging observation_fin: ['hematoma']clinical findings_fin: 'hematoma': 'clinical finding': 'hematoma', 'existence': 'pos_dx', 'observation': 'hematoma'anatomical entity_fin: 'fourth ventricle': clinical findings_fin: 'enlargement': 'clinical finding': 'enlargement', 'existence': 'neg_dx', 'observation': 'enlargement'anatomical entity_fin: 'third ventricle': , 'left lateral ventricle': imaging observation_fin: ['blood']location descriptor_fin: ['bilateral']clinical findings_fin: 'casting': 'clinical finding': 'casting', 'existence': 'unc_dx', 'observation': 'casting', 'acute blood product': 'clinical finding': 'acute blood product', 'existence': 'pos_dx', 'descriptive_term': 'acute blood', 'observation': 'product', 'strength_term': 'acute', 'temporal_term': 'acute', 'blood': 'clinical finding': 'blood', 'existence': 'pos_dx', 'observation': 'blood'anatomical entity_fin: 'fourth ventricle': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'supratentorial parenchyma hemorrhage': 'clinical finding': 'supratentorial parenchyma hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'supratentorial parenchyma', 'observation': 'hemorrhage'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal subarachnoid hemorrhage': 'clinical finding': 'minimal subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'minimal subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'bilateral sylvian fissures': 'clinical finding': 'bilateral sylvian fissures', 'existence': 'pos_dx', 'descriptive_term': 'bilateral sylvian', 'observation': 'fissure'anatomical entity_fin: 'perimesencephalic cistern': imaging observation_fin: ['blood']clinical findings_fin: 'blood': 'clinical finding': 'blood', 'existence': 'neg_dx', 'observation': 'blood'clinical findings_fin: 'small vessel ischemic strokes': 'clinical finding': 'small vessel ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'mild enlargement': 'clinical finding': 'mild enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'enlargement', 'strength_term': 'mild'location descriptor_fin: ['midline']clinical findings_fin: 'well mineralized': 'clinical finding': 'well mineralized', 'existence': 'pos_dx', 'descriptive_term': 'well', 'observation': 'mineralized'follow-up_fin: follow-up recommended [/INST] [RESP] Nonenhanced head. Examination demonstrates a small hematoma in the right cerebellum with dissection into the fourth ventricle. The hematoma measures approximately 16 x 12-mm in size. There is no evidence of enlargement of the fourth ventricle. Images through the supratentorial space demonstrate casting of the third ventricle with acute blood product and a small amount of blood in bilateral frontal horns and trigone of left lateral ventricle. This is believed to be secondary to extension of hemorrhage from the fourth ventricle superiorly. There is no evidence of supratentorial parenchyma hemorrhage. Minimal subarachnoid hemorrhage in bilateral sylvian fissures are present. No evidence of blood in the basal cistern or the perimesencephalic cistern. Examination also demonstrates extensive periventricular and subcortical low attenuation of white matter consistent with small vessel ischemic strokes of indeterminate age. There is mild enlargement of the lateral ventricles. The cortical sulci are well mineralized and there is no evidence for midline shift. This examination is nondiagnostic due to motion artifact and also very poor visualization of intramuscular contrast secondary to difficulty with IV line. This patient would not be charged for the exam. Recommend follow-up with repeat CTA. [/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: 'few nonspecific punctate hypodensities': 'clinical finding': 'few nonspecific punctate hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'few nonspecific punctate', 'observation': 'hypodensity', 'quantity_term': 'few'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['medial', 'left']clinical findings_fin: 'poorly marginated hypervascular focus': 'clinical finding': 'poorly marginated hypervascular focus', 'existence': 'pos_dx', 'descriptive_term': 'poorly marginated hypervascular', 'observation': 'focus'clinical findings_fin: 'vascular flow phenomena': 'clinical finding': 'vascular flow phenomena', 'existence': 'unc_dx', 'descriptive_term': 'vascular flow', 'observation': 'phenomenon', 'space-occupying lesion': 'clinical finding': 'space-occupying lesion', 'existence': 'pos_dx', 'descriptive_term': 'space-occupying', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower pole renal cyst': 'clinical finding': 'left lower pole renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left lower pole renal', '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'size_fin: ['size': '1.7 cm']location descriptor_fin: ['right']clinical findings_fin: 'previously seen hyperdense right adnexal lesion': 'clinical finding': 'previously seen hyperdense right adnexal lesion', 'existence': 'pos_dx', 'descriptive_term': 'previously seen hyperdense right adnexal', 'observation': 'lesion'size_fin: ['size': '1.9 x 1.5 cm']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small scattered pelvic lymph nodes': 'clinical finding': 'small scattered pelvic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered pelvic lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. There are a few nonspecific punctate hypodensities too small to characterize unchanged. There is a poorly marginated hypervascular focus in the subcapsular area of the medial segment left lobe series 4 image 43 also unchanged from prior exam. I favor vascular flow phenomena rather than a space-occupying lesion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left lower pole renal cyst, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously seen hyperdense right adnexal lesion is again seen on series 4 image 124 and measures 2.1-1.7 cm. Previously 1.9 x 1.5 cm. Differential diagnosis remains the same however given stability since 2012 likely of questionable significance. No significant abnormality noted. Small scattered pelvic lymph nodes, unchanged not pathologic in size. 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: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'mild-moderate age-related volume loss': 'clinical finding': 'mild-moderate age-related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal low density': 'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density', 'mild-moderate small vessel ischemic changes': 'clinical finding': 'mild-moderate small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'mild-moderate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - moderate - small'location descriptor_fin: ['left', 'central']clinical findings_fin: 'focal abnormal low density': 'clinical finding': 'focal abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'focal abnormal low', 'observation': 'density', 'mild volume loss': 'clinical finding': 'mild volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild volume', 'observation': 'loss', 'strength_term': 'mild'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'clinical findings_fin: 'pathological enhancement': 'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'patchy paranasal sinus mucosal thickening': 'clinical finding': 'patchy paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'patchy paranasal sinus mucosal', 'observation': 'thickening'anatomical entity_fin: 'internal carotid artery': 'location descriptor': 'right'location descriptor_fin: ['proximal', 'right']clinical findings_fin: 'focal atherosclerotic calcification': 'clinical finding': 'focal atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'focal atherosclerotic', 'observation': 'calcification'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'size_fin: ['size': '2 mm', 'size_descriptor': 'outpouching']anatomical entity_fin: 'origin': , 'infundibulum': location descriptor_fin: ['right']clinical findings_fin: 'right pcom': 'clinical finding': 'right pcom', 'existence': 'unc_dx', 'descriptive_term': 'right', 'observation': 'pcom', 'tiny aneurysm': 'clinical finding': 'tiny aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'tiny', 'observation': 'aneurysm', 'strength_term': 'tiny'location descriptor_fin: ['right', 'medial']clinical findings_fin: 'right pcom': 'clinical finding': 'right pcom', 'existence': 'unc_dx', 'descriptive_term': 'right', 'observation': 'pcom'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'location descriptor_fin: ['right']anatomical entity_fin: 'left vertebral artery': anatomical entity_fin: 'vertebral arteries': , 'basilar artery': , 'posterior cerebral arteries': clinical findings_fin: 'otherwise normal in course and caliber': 'clinical finding': 'otherwise 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'anatomical entity_fin: 'neck': clinical findings_fin: 'cta neck': 'clinical finding': 'cta neck' [/INST] [RESP] Noncontrast images are somewhat limited by patient motion. The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are patchy areas of abnormal low density in the periventricular and subcortical white matter, which are nonspecific but may represent mild-moderate small vessel ischemic changes. In addition, there is focal abnormal low density along the left post central gyrus extending into both the left centrum semiovale with mild volume loss. There is no extraaxial fluid collection. There is no pathological enhancement. Patchy paranasal sinus mucosal thickening is again noted. There is focal atherosclerotic calcification along the proximal cavernous right internal carotid artery. The intracranial internal carotid arteries are normal in course and caliber. There is a tiny apparent 2 mm outpouching which is posteriorly medially directed in the expected location of the right PCOM origin which may represent a small infundibulum versus a tiny aneurysm. The small caliber right PCOM is suggested emanating from its medial aspect. The middle and anterior cerebral arteries are unremarkable. The post-PICA right V4 segment is developmentally diminutive. The left vertebral artery is dominant. The vertebral arteries, basilar artery, and posterior cerebral arteries are otherwise normal in course and caliber. There is no evidence of flow-limiting stenosis. CTA NECK [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'non-enhanced head': 'clinical finding': 'non-enhanced head'location descriptor_fin: ['right']clinical findings_fin: 'mixed density right-sided frontal, temporal, parietal subdural': 'clinical finding': 'mixed density right-sided frontal, temporal, parietal subdural', 'existence': 'unc_dx', 'descriptive_term': 'mixed density right-sided frontal temporal parietal', 'observation': 'subdural'imaging observation_fin: ['foci', 'blood']clinical findings_fin: 'subdural_1': 'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural', 'acute blood product': 'clinical finding': 'acute blood product', 'existence': 'pos_dx', 'descriptive_term': 'acute blood', 'observation': 'product', 'strength_term': 'acute', 'temporal_term': 'acute', 'subdural_2': 'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'size_fin: ['size': '21.5 mm', 'size_descriptor': 'portion']location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'subdural': 'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural'size_fin: ['size': '8 mm', 'size_descriptor': 'effacement']anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['adjacent', 'midline', 'left']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'imaging observation_fin: ['foci']clinical findings_fin: 'very subtle subcortical foci': 'clinical finding': 'very subtle subcortical foci', 'existence': 'unc_dx', 'descriptive_term': 'very subtle subcortical', 'observation': 'foci', 'strength_term': 'subtle', 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'unc_dx', 'observation': 'low', 'minimal small vessel ischemic strokes': 'clinical finding': 'minimal small vessel ischemic strokes', 'existence': 'unc_dx', 'descriptive_term': 'minimal small vessel ischemic', 'observation': 'stroke', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'anatomical entity_fin: 'scalp': clinical findings_fin: 'calvarium and soft tissues of the scalp are unremarkable': 'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'images through the orbits are unremarkable': 'clinical finding': 'images through the orbits are unremarkable'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': , 'paranasal sinuses': clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid' [/INST] [RESP] Non-enhanced head. Examination demonstrate a mixed density right-sided frontal, temporal, parietal subdural collection. Subdural is primarily of low density however there are multiple foci of acute blood product within the subdural. The thickest portion of the subdural measures approximately 21.5 mm in the right posterior frontal -- parietal region. There is effacement of adjacent cortical sulci, mass effect on the right lateral ventricle and midline shift of approximately 8 mm to the left. There is no evidence of parenchymal hemorrhage or edema. There is no evidence of hydrocephalus. Very subtle subcortical foci of low-attenuation is suspected for minimal small vessel ischemic strokes of indeterminate age. Calvarium and soft tissues of the scalp are unremarkable. Images through the orbits are unremarkable. Mastoid air cells, middle ear cavities and paranasal sinuses are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'nonspecific punctate basilar micronodules': 'clinical finding': 'nonspecific punctate basilar micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific punctate basilar', 'observation': 'micronodule'anatomical entity_fin: 'duct': , 'parenchyma': clinical findings_fin: 'focal mass lesion': 'clinical finding': 'focal mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal mass', '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: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'ureterolithiasis': 'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'anatomical entity_fin: 'renal collecting systems': 'location descriptor': 'bilateral', 'ureters': location descriptor_fin: ['bilateral']clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': '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'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'nondistended': 'clinical finding': 'nondistended', 'existence': 'pos_dx', 'observation': 'nondistend'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There are nonspecific punctate basilar micronodules. There is no intrahepatic biliary duct dilatation or focal mass lesion within the hepatic parenchyma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is no nephrolithiasis or ureterolithiasis. No filling defects are evident within the bilateral renal collecting systems and ureters. No significant abnormality noted. Severe. No significant abnormality noted. There are degenerative changes of the lower lumbar spine. No significant abnormality noted. Status post hysterectomy. The urinary bladder is nondistended. No significant abnormality noted. No significant abnormality noted. There are degenerative changes of the lower lumbar spine. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['enhancing']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral adnexal multicystic peripherally enhancing lesions': 'clinical finding': 'bilateral adnexal multicystic peripherally enhancing lesions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal multicystic peripherally enhancing', 'observation': 'lesion'size_fin: ['size': '4.3 x 2.9 cm', 'size': '5.6 x 2.5 cm']location descriptor_fin: ['right']clinical findings_fin: 'right-sided lesion': 'clinical finding': 'right-sided lesion', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'lesion'size_fin: ['size': '7.9 x 5.6 cm', 'size': '4.0 x 4.5 cm']location descriptor_fin: ['left']clinical findings_fin: 'left sided, more complex lesion': 'clinical finding': 'left sided, more complex lesion', 'existence': 'pos_dx', 'descriptive_term': 'left sided more complex', 'observation': 'lesion', 'quantity_term': 'more'location descriptor_fin: ['left']clinical findings_fin: 'small focus of air is also redemonstrated within the multicystic left sided adnexal collection': 'clinical finding': 'small focus of air is also redemonstrated within the multicystic left sided adnexal collection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Bilateral adnexal multicystic peripherally enhancing lesions are redemonstrated. The right-sided lesion is decreased in size, measuring 4.3 x 2.9 cm , previously 5.6 x 2.5 cm. The left sided, more complex lesion has increased in size, measuring 7.9 x 5.6 cm , previously 4.0 x 4.5 cm. Small focus of air is also redemonstrated within the multicystic left sided adnexal collection. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
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