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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '13 x 13 mm', 'size': '14 x 11 mm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'neg_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'right adrenal gland is within normal limits': 'clinical finding': 'right adrenal gland is 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: 'very mild': 'clinical finding': 'very mild'anatomical entity_fin: 'abdominal': 'location descriptor': 'anterior upper', 'omentum': location descriptor_fin: ['anterior', 'upper']clinical findings_fin: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'procedure_fin: ['repair', 'omentectomy']clinical findings_fin: 'post ventral hernia': 'clinical finding': 'post ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'post ventral', 'observation': 'hernia'anatomical entity_fin: 'bowel': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'size_fin: ['size': '13 x 13 mm', 'size_descriptor': 'nodularity']anatomical entity_fin: 'liver': 'location descriptor': 'peripheral right', 'capsule': location descriptor_fin: ['peripheral', 'right', 'superior']clinical findings_fin: 'subtle nodularity': 'clinical finding': 'subtle nodularity', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'nodularity', 'strength_term': 'subtle', 'smaller nodularity': 'clinical finding': 'smaller nodularity', 'existence': 'pos_dx', 'descriptive_term': 'smaller', 'observation': 'nodularity', 'peritoneal disease': 'clinical finding': 'peritoneal disease', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'disease'clinical findings_fin: 'slightly increased from prior': 'clinical finding': 'slightly increased from prior', 'change_term': 'increased'anatomical entity_fin: 'uterus': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Left adrenal nodule is not significantly changed given slight differences in technique, measuring 13 x 13 mm , previously 14 x 11 mm. The right adrenal gland is within normal limits. No significant abnormality noted. No significant abnormality noted. Very mild. There is nodularity noted along the anterior upper abdominal omentum which is new. Status post ventral hernia repair and omentectomy. The bowel is of normal caliber, without evidence of obstruction. Subtle nodularity along the peripheral right liver capsule in Morisons pouch, measuring 13 x 13 mm , with smaller nodularity more superior to this level, most compatible with peritoneal disease. These are slightly increased from prior. The uterus is atrophic or surgically absent. 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: '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', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'imaging observation_fin: ['falx', 'hematoma']clinical findings_fin: 'hyperdense thickening': 'clinical finding': 'hyperdense thickening', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'thickening', 'subdural hemorrhage': 'clinical finding': 'subdural hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'subdural', 'observation': 'hemorrhage', 'hematoma': 'clinical finding': 'hematoma', 'existence': 'unc_dx', 'observation': 'hematoma'anatomical entity_fin: 'lambdoid sutures': , 'occipital bone': clinical findings_fin: 'diastasis': 'clinical finding': 'diastasis', 'existence': 'pos_dx', 'observation': 'diastasis', 'lambdoid sutures': 'clinical finding': 'lambdoid sutures', 'existence': 'pos_dx', 'descriptive_term': 'lambdoid', 'observation': 'suture', 'mild depression': 'clinical finding': 'mild depression', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'depression', 'strength_term': 'mild'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 normal. There is no mass effect, edema or midline shift. Hyperdense thickening along the tentorium and falx representing small amount of subdural hemorrhage or hematoma likely secondary to traumatic birth. Diastasis of the lambdoid sutures with mild depression of the occipital bone. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': location descriptor_fin: ['proximal']clinical findings_fin: 'proximal small bowel loops are normal': 'clinical finding': 'proximal small bowel loops are normal'anatomical entity_fin: 'bowel': , 'ileum': 'location descriptor': 'proximal', 'jejunum': 'location descriptor': 'distal'location descriptor_fin: ['proximal', 'distal']clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'anatomical entity_fin: 'bowel': , 'pelvis': , 'terminal ileum': clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'clinical findings_fin: 'ovarian cancer': 'clinical finding': 'ovarian cancer', 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'cancer', 'peritoneal carcinomatosis': 'clinical finding': 'peritoneal carcinomatosis', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis', 'adhesions': 'clinical finding': 'adhesions', 'existence': 'unc_dx', 'observation': 'adhesion'anatomical entity_fin: 'bowel': clinical findings_fin: 'distention': 'clinical finding': 'distention', 'existence': 'pos_dx', 'observation': 'distention', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite' [/INST] [RESP] Lack of IV contrast severe limits optimal evaluation. 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. Proximal small bowel loops are normal in caliber. There are distended small bowel segments in the proximal ileum and distal jejunum. Small bowel loops in the pelvis including the terminal ileum are small in caliber and demonstrate wall thickening. Given the history of ovarian cancer and previous surgeries this may be secondary to peritoneal carcinomatosis or adhesions. The amount of distention of the mid small bowel loops and wall thickening involving the pelvic small bowel loops have increased compared to previous CT. Of ascites has significantly increased in the interval. No significant abnormality noted. No significant abnormality noted. Not visualized. No significant abnormality noted. No significant change from previous CT. Please see discussion about. No significant abnormality noted. Small amount of ascites [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'unchanged small mediastinal lymph nodes': 'clinical finding': 'unchanged small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged small mediastinal lymph', 'observation': 'node', 'strength_term': 'unchanged - small', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.6 cm', 'size_descriptor': 'index']location descriptor_fin: ['left']clinical findings_fin: 'index left para-aortic lymph node': 'clinical finding': 'index left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left para-aortic lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'sclerotic right iliac focus': 'clinical finding': 'sclerotic right iliac focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic right iliac', 'observation': 'focus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Unchanged small mediastinal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index left para-aortic lymph node now measures two by 1.6 cm on image number 127, not significantly changed from previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic right iliac focus is unchanged. No significant abnormality noted [/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'clinical findings_fin: 'periventricular hypoattenuation': 'clinical finding': 'periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'diffuse parenchymal volume loss': 'clinical finding': 'diffuse parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse parenchymal volume', 'observation': 'loss'location descriptor_fin: ['midline']clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'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' [/INST] [RESP] There is no acute intracranial hemorrhage. There is periventricular hypoattenuation compatible with chronic small vessel ischemic disease. There is diffuse parenchymal volume loss which appears to be commensurate with the patients age. There is no extraaxial fluid collection, midline shift, or mass effect. The osseous structures are intact. The visualized portions of the paranasal sinuses and mastoid air cells are grossly 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '1.8 x 2.4 cm', 'size_descriptor': 'region']location descriptor_fin: ['left']clinical findings_fin: 'left sided cystic adnexal': 'clinical finding': 'left sided cystic adnexal', 'existence': 'pos_dx', 'descriptive_term': 'left sided cystic', 'observation': 'adnexal'imaging modality_fin: ['ultrasound']clinical findings_fin: 'ovarian cyst': 'clinical finding': 'ovarian cyst', 'existence': 'unc_dx', 'descriptive_term': 'ovarian', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No 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. There is a left sided cystic adnexal region measuring 1.8 x 2.4 cm at image 74 of series 5935. This probably represents an ovarian cyst that may be further evaluated with transvaginal ultrasound examination, if clinically indicated. 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: location descriptor_fin: ['centrilobular']clinical findings_fin: 'mild centrilobular and paraseptal emphysema': 'clinical finding': 'mild centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'lungs': location descriptor_fin: ['lower']clinical findings_fin: 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airspace': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'peribronchial distribution airspace opacities': 'clinical finding': 'peribronchial distribution airspace opacities', 'existence': 'pos_dx', 'descriptive_term': 'peribronchial distribution airspace', 'observation': 'opacity', 'pneumonia': 'clinical finding': 'pneumonia', 'existence': 'pos_dx', 'observation': 'pneumonia'clinical findings_fin: 'mild diffuse bronchial wall thickening': 'clinical finding': 'mild diffuse bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse bronchial wall', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax', 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'location descriptor_fin: ['right', 'left']clinical findings_fin: 'mild diffuse mediastinal and hilar lymphadenopathy': 'clinical finding': 'mild diffuse mediastinal and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'mild'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'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'anatomical entity_fin: 'fluid': size_fin: ['size': '30-mm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'chest wall': clinical findings_fin: '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: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'spleen': clinical findings_fin: 'granuloma': 'clinical finding': 'granuloma', 'existence': 'pos_dx', 'observation': 'granuloma'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small' [/INST] [RESP] . Motion artifact degrades image quality. Mild centrilobular and paraseptal emphysema. Diffuse bronchiolitis pattern throughout the lungs, lower zone predominant. Within the right lower lobe, peribronchial distribution airspace opacities are compatible with pneumonia. Mild diffuse bronchial wall thickening. No pneumothorax or pleural fluid. Mild diffuse mediastinal and hilar lymphadenopathy, right greater than left. Moderate coronary artery calcifications. Normal heart size. No pericardial fluid. Main pulmonary artery enlarged measuring at least 30-mm in transverse dimension, suggestive of pulmonary hypertension. Numerous small lymph nodes throughout the chest wall. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Hepatosplenomegaly. Granuloma in the spleen. Cholelithiasis without signs of cholecystitis. Small lymph nodes in the upper abdomen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'abdominal': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobes': location descriptor_fin: ['left', 'right']clinical findings_fin: 'hypodense lesions': 'clinical finding': 'hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'left and right hepatic': 'clinical finding': 'left and right hepatic', 'existence': 'pos_dx', 'descriptive_term': 'left and right', 'observation': 'hepatic', 'hemangiomas': 'clinical finding': 'hemangiomas', 'existence': 'pos_dx', 'observation': 'hemangiomas'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'unchanged subcentimeter renal cortical hypodensities': 'clinical finding': 'unchanged subcentimeter renal cortical hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged subcentimeter renal cortical', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal aorta': , 'arteries': clinical findings_fin: 'atherosclerotic abdominal aorta': 'clinical finding': 'atherosclerotic abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic abdominal', 'observation': 'aorta', 'aneurysmal': 'clinical finding': 'aneurysmal', 'existence': 'neg_dx', 'observation': 'aneurysmal'procedure_fin: ['right hemicolectomy']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'anatomical entity_fin: 'bowel': clinical findings_fin: 'nondilated': 'clinical finding': 'nondilated', 'existence': 'pos_dx', 'observation': 'nondilated', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 limits evaluation of the solid abdominal viscera. No significant abnormality noted. Hypodense lesions in the left and right hepatic lobes, previously characterized as hemangiomas, are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Unchanged subcentimeter renal cortical hypodensities. No significant abnormality noted. Atherosclerotic abdominal aorta and iliac arteries without aneurysmal dilatation. There are postoperative changes of right hemicolectomy. The bowel loops are nondilated without evidence of bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'focal consolidations': 'clinical finding': 'focal consolidations', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'intra-or extra hepatic biliary dilatation': 'clinical finding': 'intra-or extra hepatic biliary dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extra hepatic biliary', 'observation': 'dilatation'clinical findings_fin: 'normal splenic size': 'clinical finding': 'normal splenic size'clinical findings_fin: 'pancreatic ductal dilatation': 'clinical finding': 'pancreatic ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pancreatic ductal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'anatomical entity_fin: 'fluid': , 'quadrant': 'location descriptor': 'right lower'imaging observation_fin: ['fat']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'fat', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No focal consolidations or pleural effusions. Visualized heart is grossly normal in size without pericardial effusion. No focal hepatic lesions. No intra-or extra hepatic biliary dilatation. Normal splenic size. No pancreatic ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy. Contrast opacifies through small and large bowel without evidence of obstruction. Contrast opacifies a normal-appearing appendix. No fat stranding or inflammatory fluid collections in the right lower quadrant seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy. Rule. 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']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'clinical findings_fin: 'bibasilar consolidations': 'clinical finding': 'bibasilar consolidations', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'anatomical entity_fin: 'fluid': clinical findings_fin: 'significant change change': 'clinical finding': 'significant change change', 'existence': 'pos_dx', 'descriptive_term': 'significant change', 'observation': 'change'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material', 'likely biliary sludge': 'clinical finding': 'likely biliary sludge', 'existence': 'pos_dx', 'descriptive_term': 'likely biliary', 'observation': 'sludge'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'retained contrast': 'clinical finding': 'retained contrast', 'existence': 'pos_dx', 'descriptive_term': 'retained', 'observation': 'contrast', 'ct pe': 'clinical finding': 'ct pe', 'existence': 'pos_dx', 'descriptive_term': 'ct', 'observation': 'pe'anatomical entity_fin: 'kidney': clinical findings_fin: 'acute kidney injury': 'clinical finding': 'acute kidney injury', 'existence': 'unc_dx', 'descriptive_term': 'acute kidney', 'observation': 'injury', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'diffuse bowel thickening': 'clinical finding': 'diffuse bowel thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse bowel', 'observation': 'thickening'anatomical entity_fin: 'bowel': location descriptor_fin: ['upper']clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', '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'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'increasing anasarca': 'clinical finding': 'increasing anasarca', 'existence': 'pos_dx', 'descriptive_term': 'increasing', 'observation': 'anasarca', 'strength_term': 'increasing', 'change_term': 'increasing', 'increased free fluid': 'clinical finding': 'increased free fluid', 'existence': 'pos_dx', 'descriptive_term': 'increased free', 'observation': 'fluid', 'strength_term': 'increased', 'change_term': 'increased'anatomical entity_fin: 'fluid': clinical findings_fin: 'loculated fluid collections are identified': 'clinical finding': 'loculated fluid collections are identified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': object_fin: ['catheter']clinical findings_fin: 'foley catheter is seen within the bladder': 'clinical finding': 'foley catheter is seen within the bladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 pleural effusions, not significantly changed compared to the exam. Bibasilar consolidations compatible with atelectasis. A large amount of perihepatic fluid is seen in, significant change change compared to the prior exam. No focal hepatic lesions identified. The gallbladder is filled with hyperdense material, likely biliary sludge. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Retained contrast is seen in the kidneys bilaterally from a CT PE study performed 12 hours prior. These findings are suggestive of acute kidney injury. No significant abnormality noted. Again seen is diffuse bowel thickening which is slightly increased compared to the prior exam. A few loops of small bowel are distended to the upper limit of normal without gross evidence of obstruction. No significant abnormality noted. Increasing anasarca with with increased free fluid tracking within the abdomen and pelvis. No loculated fluid collections are identified. No significant abnormality noted. A Foley catheter is seen within the bladder. 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'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'cervical spinethere': 'clinical finding': 'cervical spinethere', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'spinethere', 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'overall alignment': 'clinical finding': 'overall alignment', 'existence': 'pos_dx', 'descriptive_term': 'overall', 'observation': 'alignment'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxations': 'clinical finding': 'subluxations', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized paraspinal contents are unremarkable': 'clinical finding': 'visualized paraspinal contents are unremarkable'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c2- 3 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c2- 3 there is no significant compromise to the spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'c3 - 4 there is no significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['anterior']clinical findings_fin: 'anterior disk osteophyte': 'clinical finding': 'anterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'anterior disk', 'observation': 'osteophyte'anatomical entity_fin: 'spinal canal': , 'foramina': clinical findings_fin: 'is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'is no significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['anterior']clinical findings_fin: 'anterior disk osteophyte': 'clinical finding': 'anterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'anterior disk', 'observation': 'osteophyte'anatomical entity_fin: 'spinal canal': , 'foramina': clinical findings_fin: 'significant compromise to the spinal canal or neural foramina': 'clinical finding': 'significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['anterior']clinical findings_fin: 'anterior disk osteophyte': 'clinical finding': 'anterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'anterior disk', 'observation': 'osteophyte'anatomical entity_fin: 'spinal canal': , 'foramina': clinical findings_fin: 'significant compromise to the spinal canal or neural foramina': 'clinical finding': 'significant compromise to the spinal canal or neural foramina'location descriptor_fin: ['anterior']clinical findings_fin: 'anterior disk osteophyte': 'clinical finding': 'anterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'anterior disk', 'observation': 'osteophyte'anatomical entity_fin: 'spinal canal': , 'foramina': clinical findings_fin: 'significant compromise to the spinal canal or neural foramina': 'clinical finding': 'significant compromise to the spinal canal or neural foramina'imaging observation_fin: ['cord']clinical findings_fin: 'cord injury': 'clinical finding': 'cord injury', 'existence': 'unc_dx', 'descriptive_term': 'cord', 'observation': 'injury', 'ligamentous injury': 'clinical finding': 'ligamentous injury', 'existence': 'unc_dx', 'descriptive_term': 'ligamentous', 'observation': 'injury' [/INST] [RESP] HeadThe CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Cervical spineThere is loss of cervical lordosis which may be due to positioning. The cervical vertebral bodies are appropriate in overall alignment and height. No fractures or subluxations are identified in the cervical spine. The visualized paraspinal contents are unremarkable. At C2-3 there is no significant compromise to the spinal canal or neural foramina. At C3-4 there is no significant compromise to the spinal canal or neural foramina. At C4-5 there is an anterior disk osteophyte complex. There is no significant compromise to the spinal canal or neural foramina. At C5-6 there is an anterior disk osteophyte complex. There is loss of vertebral disk space. No significant compromise to the spinal canal or neural foramina. At C6-7 there is an anterior disk osteophyte complex. There is loss of vertebral disk space. No significant compromise to the spinal canal or neural foramina. At C7-T1 there is an anterior disk osteophyte complex. There is loss of vertebral disk space. No significant compromise to the spinal canal or neural foramina. If there is significant concern for cord injury or ligamentous injury, MRI should be considered. [/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']procedure_fin: ['nephrectomy']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'location descriptor_fin: ['left']clinical findings_fin: 'stable left renal cyst': 'clinical finding': 'stable left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Right nephrectomy site clear. Stable left renal 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: clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'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: 'spine': , 'vertebral bodies': clinical findings_fin: 'degenerative abnormality': 'clinical finding': 'degenerative abnormality', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality', 'minimal and stable compression': 'clinical finding': 'minimal and stable compression', 'existence': 'pos_dx', 'descriptive_term': 'minimal and stable', 'observation': 'compression', 'strength_term': 'minimal - stable', 'quantity_term': 'minimal', 'change_term': 'stable'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'hepatic dome cystlike hypodensity': 'clinical finding': 'hepatic dome cystlike hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'hepatic dome cystlike', 'observation': 'hypodensity' [/INST] [RESP] . Scattered pulmonary micronodules appear benign. Basilar atelectasis or scarring is unchanged. Left pleural effusion nearly resolved. No mediastinal or hilar lymphadenopathy. Severe coronary artery calcifications are present. Degenerative abnormality is affect the thoracic spine, with minimal and stable compression of several midthoracic vertebral bodies. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. The hepatic dome cystlike hypodensity unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']location descriptor_fin: ['superior']clinical findings_fin: 'moderate motion artifact': 'clinical finding': 'moderate motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'moderate motion', 'observation': 'artifact', 'strength_term': 'moderate'object_fin: ['tube']procedure_fin: ['ventriculostomy']anatomical entity_fin: 'frontal bone': 'location descriptor': 'right', 'right frontal lobe': , 'right lateral ventricle': , 'frontal horn of left lateral ventricle': location descriptor_fin: ['right', 'anterior']object_fin: ['tube']anatomical entity_fin: 'frontal bone': 'location descriptor': 'right', 'left lateral ventricle': imaging observation_fin: ['falx']location descriptor_fin: ['right', 'anterior']object_fin: ['catheter']clinical findings_fin: 'new pneumocephalus': 'clinical finding': 'new pneumocephalus', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'pneumocephalus', 'temporal_term': 'new'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'air is noted within the left lateral ventricle as': 'clinical finding': 'air is noted within the left lateral ventricle as'anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['lateral', 'anterior']clinical findings_fin: 'hyperdensity': 'clinical finding': 'hyperdensity', 'existence': 'pos_dx', 'observation': 'hyperdensity', 'previously noted infarct': 'clinical finding': 'previously noted infarct', 'existence': 'pos_dx', 'descriptive_term': 'previously noted', 'observation': 'infarct', 'petechial hemorrhage': 'clinical finding': 'petechial hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'petechial', 'observation': 'hemorrhage', 'caudate hyperdensity': 'clinical finding': 'caudate hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'caudate', 'observation': 'hyperdensity'size_fin: ['size': '4 mm', 'size_descriptor': 'evacuation']location descriptor_fin: ['right']clinical findings_fin: 'right-sided subdural effusion': 'clinical finding': 'right-sided subdural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right-sided subdural', 'observation': 'effusion'location descriptor_fin: ['midline']clinical findings_fin: 'significant midline shift is noted': 'clinical finding': 'significant midline shift is noted'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'superior sagittal sinus': , 'veins': , 'convexity': 'location descriptor': 'anterior left'location descriptor_fin: ['anterior', 'right', 'left']clinical findings_fin: 'increased density': 'clinical finding': 'increased density', 'existence': 'unc_dx', 'descriptive_term': 'increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'thrombosis': 'clinical finding': 'thrombosis', 'existence': 'unc_dx', 'observation': 'thrombosis'anatomical entity_fin: 'right caudate nucleus': location descriptor_fin: ['right']clinical findings_fin: 'ill-defined hypodense focus': 'clinical finding': 'ill-defined hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hypodense', 'observation': 'focus', 'strength_term': 'ill-defined', 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'clinical findings_fin: 'large suprasellar mass': 'clinical finding': 'large suprasellar mass', 'existence': 'pos_dx', 'descriptive_term': 'large suprasellar', 'observation': 'mass', 'strength_term': 'large', 'pilocytic astrocytoma': 'clinical finding': 'pilocytic astrocytoma', 'existence': 'unc_dx', 'descriptive_term': 'pilocytic', 'observation': 'astrocytoma' [/INST] [RESP] Moderate motion artifact is noted in the superior slices. The patient is status post frontal craniotomy and replacement of a ventriculostomy tube. The tube courses through the right frontal bone, through the right frontal lobe, anterior to the right lateral ventricle, with its tip in the frontal horn of left lateral ventricle. There is new pneumocephalus along the right frontal bone and anterior falx, as well as along the catheter tract and anterior to the left lateral ventricle. Air is noted within the left lateral ventricle as well. There are several small patches of hyperdensity again noted lateral to the anterior horn of the right lateral ventricle, including the caudate, which is the area of the previously noted infarct and likely represents petechial hemorrhage there has been minimal expansion of the caudate hyperdensity since the prior examination. There has been interval evacuation of the right-sided subdural effusion, which has markedly decreased in size on the coronal images, now measuring 4 mm in thickness. No significant midline shift is noted. The size of the left lateral ventricle including the left temporal horn is not significantly changed in size. The anterior aspect of the superior sagittal sinus and several cortical veins and the high right convexity and anterior left convexity demonstrate increased density, concerning for thrombosis. An ill-defined hypodense focus in the right centrum semiovale and right caudate nucleus is consistent with the known area of infarction. The large suprasellar mass with solid and cystic components is unchanged, known to represent a pilocytic astrocytoma. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': location descriptor_fin: ['subsegmental']clinical findings_fin: 'mild basilar subsegmental atelectasis': 'clinical finding': 'mild basilar subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar subsegmental', 'observation': 'atelectasis', 'strength_term': 'mild'clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'interstitial lung disease': 'clinical finding': 'interstitial lung disease', 'existence': 'neg_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease'anatomical entity_fin: 'right atrium': clinical findings_fin: 'moderate cardiomegaly': 'clinical finding': 'moderate cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'cardiomegaly', 'strength_term': 'moderate'anatomical entity_fin: 'fluid': clinical findings_fin: 'pericardial thickening': 'clinical finding': 'pericardial thickening', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'thickening'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'anatomical entity_fin: 'brachiocephalic arteries': clinical findings_fin: 'mild vascular calcifications': 'clinical finding': 'mild vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild vascular', 'observation': 'calcification', 'strength_term': 'mild', 'brachiocephalic': 'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'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: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'procedure_fin: ['cholecystectomy']clinical findings_fin: 'vascular calcifications': 'clinical finding': 'vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification' [/INST] [RESP] . Small lung volumes, unremarkable in appearance except for mild basilar subsegmental atelectasis. Specifically, there is no evidence of edema or interstitial lung disease. Moderate cardiomegaly, with a particularly large right atrium. No pericardial thickening or fluid. Scattered mediastinal lymph nodes appear normal sized. Mild vascular calcifications are present affecting the brachiocephalic arteries. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. A moderate amount of ascites is noted. Status post cholecystectomy vascular calcifications noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary parenchymal or pleural abnormality': 'clinical finding': 'pulmonary parenchymal or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary parenchymal or pleural', 'observation': 'abnormality'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pulmonary mass': 'clinical finding': 'pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'nodule': 'clinical finding': 'nodule', 'existence': 'neg_dx', 'observation': 'nodule', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'thymus': clinical findings_fin: 'normal thymus is noted': 'clinical finding': 'normal thymus is noted'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: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'azygos vein': location descriptor_fin: ['adjacent']clinical findings_fin: 'focal calcification': 'clinical finding': 'focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification'anatomical entity_fin: 'brachiocephalic vein': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'left brachiocephalic': 'clinical finding': 'left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'brachiocephalic'anatomical entity_fin: 'left vertebral artery': , 'aortic arch': , 'normal variant': clinical findings_fin: 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'clinical findings_fin: 'bmi is abnormally increased': 'clinical finding': 'bmi is abnormally increased', 'change_term': 'increased'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'soft tissues': location descriptor_fin: ['left', 'posterior']object_fin: ['lumboperitoneal shunt', 'catheter']clinical findings_fin: 'lumboperitoneal shunt catheter is noted within the left posterior subcutaneous soft tissues and an intrathecal catheter tip terminates': 'clinical finding': 'lumboperitoneal shunt catheter is noted within the left posterior subcutaneous soft tissues and an intrathecal catheter tip terminates' [/INST] [RESP] . No pulmonary parenchymal or pleural abnormality. Specifically, there is no focal consolidation, pulmonary mass or nodule, pleural effusions or pneumothorax. A normal thymus is noted. No mediastinal or hilar lymphadenopathy. Normal cardiac size without pericardial effusion. Note is made of a focal calcification adjacent to the azygos vein. Contrast pooling within a tributary of the left brachiocephalic vein. The left vertebral artery originates from the aortic arch, a normal variant. BMI is abnormally increased. No significant abnormality. Lumboperitoneal shunt catheter is noted within the left posterior subcutaneous soft tissues and an intrathecal catheter tip terminates at T6. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'abnormal extra-axial fluid', 'observation': 'collection'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'internal carotid arteries': , 'vertebral artery': 'location descriptor': 'left distal'location descriptor_fin: ['left', 'distal']clinical findings_fin: 'vascular calcification': 'clinical finding': 'vascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns are patent and normal in size. Vascular calcification affects the internal carotid arteries and the left distal vertebral artery. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. 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: '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'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'clinical findings_fin: 'few small nodes': 'clinical finding': 'few small nodes', 'existence': 'pos_dx', 'descriptive_term': 'few small', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'few'anatomical entity_fin: 'tonsils': clinical findings_fin: 'adenoids': 'clinical finding': 'adenoids', 'existence': 'pos_dx', 'observation': 'adenoid'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'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: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , 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'anatomical entity_fin: 'chest': clinical findings_fin: 'limited view of the chest': 'clinical finding': 'limited view of the chest' [/INST] [RESP] The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. There are a few small nodes at levels II and V bilaterally. There is also prominence of the adenoids and tonsils. These are common findings in patients at this age. No lymphadenopathy or mass is noted. 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, submandibular, and thyroid glands are unremarkable. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. Limited view of the chest is unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'size_fin: ['size': '39 mm', 'size_descriptor': 'ap', 'size': '29 mm', 'size_descriptor': 'transverse', 'size': '39 mm', 'size_descriptor': 'caudad']anatomical entity_fin: 'right parotid gland': clinical findings_fin: 'mildly heterogeneous soft tissue mass': 'clinical finding': 'mildly heterogeneous soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'mildly heterogeneous soft tissue', 'observation': 'mass', 'strength_term': 'mildly', 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'lobe': 'location descriptor': 'superficial', 'parotid gland': , 'masseter muscle': 'location descriptor': 'right'location descriptor_fin: ['superficial', 'right']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'lobe': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'mandible': 'location descriptor': 'adjacent'location descriptor_fin: ['adjacent']clinical findings_fin: 'erosion': 'clinical finding': 'erosion', 'existence': 'neg_dx', 'observation': 'erosion'anatomical entity_fin: 'parotid gland': 'location descriptor': 'contralateral'location descriptor_fin: ['contralateral']clinical findings_fin: 'similar mass': 'clinical finding': 'similar mass', 'existence': 'neg_dx', 'descriptive_term': 'similar', 'observation': 'mass'anatomical entity_fin: 'submandibular glands': , 'thyroid gland': clinical findings_fin: 'submandibular glands and thyroid gland are unremarkable': 'clinical finding': 'submandibular glands and thyroid gland are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'neck': clinical findings_fin: 'small lymph nodes': 'clinical finding': 'small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'internal carotid artery': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'retropharyngeal course of the right internal carotid artery is noted': 'clinical finding': 'retropharyngeal course of the right internal carotid artery is noted'anatomical entity_fin: 'lungs': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'lytic lesions': 'clinical finding': 'lytic lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'degenerative disease_1': 'clinical finding': 'degenerative disease', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'degenerative disease_2': 'clinical finding': 'degenerative disease', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'artifact': 'clinical finding': 'artifact', 'existence': 'pos_dx', 'observation': 'artifact' [/INST] [RESP] Visualized intracranial contents are unremarkable. A mildly heterogeneous soft tissue mass with calcifications is present within the right parotid gland measuring approximately 39 mm AP by 29 mm transverse by 39 mm greater caudad. This mass is located within the superficial lobe of the parotid gland and closely approximates the right masseter muscle. The mass is lobulated in nature however, well encapsulated. No evidence of deep lobe extension of the mass. Adjacent mandible shows no areas of erosion. No similar mass is present within the contralateral parotid gland. Submandibular glands and thyroid gland are unremarkable. Aerodigestive tract is patent. Small lymph nodes are noted along both sides of the neck. No enlarged lymph nodes are seen by CT criteria. Retropharyngeal course of the right internal carotid artery is noted. The visualized upper lungs are clear. No lytic lesions are seen within the cervical vertebral bodies. Cervical spine demonstrates degenerative disease though degree of degenerative disease is obscured due to artifact at the level of the lower cervical spine. [/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'location descriptor_fin: ['right']clinical findings_fin: 'small mediastinal and borderline enlarged right hilar lymph node': 'clinical finding': 'small mediastinal and borderline enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal and borderline enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'small - borderline - enlarged', 'change_term': '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'omental plaquing': 'clinical finding': 'omental plaquing', 'existence': 'pos_dx', 'descriptive_term': 'omental', 'observation': 'plaquing', 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'anatomical entity_fin: 'omentum': 'location descriptor': 'upper'imaging observation_fin: ['soft tissue densities']location descriptor_fin: ['upper']clinical findings_fin: 'previously seen soft tissue densities': 'clinical finding': 'previously seen soft tissue densities', 'existence': 'pos_dx', 'descriptive_term': 'previously seen soft tissue', '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'anatomical entity_fin: 'pelvis': imaging observation_fin: ['soft tissue density']location descriptor_fin: ['bilateral']clinical findings_fin: 'hazy soft tissue density': 'clinical finding': 'hazy soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'hazy soft tissue', 'observation': 'density', 'peritoneal carcinomatosis': 'clinical finding': 'peritoneal carcinomatosis', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Small mediastinal and borderline enlarged right hilar lymph node, 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. Omental plaquing, most prominent in the right lower quadrant, best seen on image number 137, series number Previously noted significant amount of ascites has resolved. Previously seen soft tissue densities within the upper omentum is significantly decreased. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hazy soft tissue density in the pelvis most prominent in bilateral adnexal areas may represent peritoneal carcinomatosis. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild emphysema': 'clinical finding': 'mild emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'size_fin: ['size': '11 x 14 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe opacity': 'clinical finding': 'left lower lobe opacity', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'opacity', 'resolution': 'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'clinical findings_fin: 'diffuse groundglass opacities': 'clinical finding': 'diffuse groundglass opacities', 'existence': 'neg_dx', 'descriptive_term': 'diffuse groundglass', 'observation': 'opacity'size_fin: ['size': '10 mm', 'size_descriptor': 'opacity']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe opacity': 'clinical finding': 'right lower lobe opacity', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe calcified granuloma': 'clinical finding': 'right upper lobe calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe calcified', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'additional micronodules': 'clinical finding': 'additional micronodules', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'micronodule'clinical findings_fin: 'referenced prevascular lymph node': 'clinical finding': 'referenced prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'referenced prevascular lymph', 'observation': 'node'clinical findings_fin: 'additional pathologically enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'additional pathologically enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'additional pathologically enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'location descriptor_fin: ['right', 'distal']object_fin: ['port']clinical findings_fin: 'right port-a-cath': 'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'previously noted liver hypodensity': 'clinical finding': 'previously noted liver hypodensity', 'existence': 'neg_dx', 'descriptive_term': 'previously noted liver', 'observation': 'hypodensity' [/INST] [RESP] . Mild emphysema unchanged. The main bronchi are enlarged with bronchiectasis noted more peripherally, unchanged. Left lower lobe opacity measures 11 x 14 mm on axial image 64/110 and is smaller, likely reflecting resolution of an infectious process. Diffuse groundglass opacities have also improved. A right lower lobe opacity measures approximately 10 mm at axial image 78/110 and is also smaller. Right upper lobe calcified granuloma unchanged. Scattered additional micronodules unchanged. Referenced prevascular lymph node is unchanged. No additional pathologically enlarged mediastinal or hilar lymph nodes. Cardiac size is normal with no pericardial effusion. Right Port-A-Cath in place with its distal tip in the SVC. No significant abnormality noted. Previously noted liver hypodensity is not seen on the present exam. [/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'anatomical entity_fin: 'lobe': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'two new subcentimer hypoattenuating lesions': 'clinical finding': 'two new subcentimer hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'two new subcentimer hypoattenuating', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['lateral', 'left']clinical findings_fin: 'another subcentimeter low attenuating lesion': 'clinical finding': 'another subcentimeter low attenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'another subcentimeter low attenuating', 'observation': 'lesion'clinical findings_fin: 'potential metastatic lesions': 'clinical finding': 'potential metastatic lesions', 'existence': 'unc_dx', 'descriptive_term': 'potential metastatic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'whipple surgery': 'clinical finding': 'whipple surgery', 'existence': 'pos_dx', 'descriptive_term': 'whipple', 'observation': 'surgery'anatomical entity_fin: 'mesentery': 'location descriptor': 'superior', 'vein': location descriptor_fin: ['superior']clinical findings_fin: 'noted decrease in the caliber of superior mesentery vein has resolved': 'clinical finding': 'noted decrease in the caliber of superior mesentery vein has resolved'clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'clinical findings_fin: 'minimal soft tissue changes': 'clinical finding': 'minimal soft tissue changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal soft tissue', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'portal veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'leiomyomatous uterus': 'clinical finding': 'leiomyomatous uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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. Two new subcentimer hypoattenuating lesions are noted in the posterior segment right hepatic lobe near the dome,. Another subcentimeter low attenuating lesion is noted in the lateral segment left lobe liver. Although nonspecific in appearance and small size, they have not been seen on the prior CT examinations and are worrisome for potential metastatic lesions. No significant abnormality noted. Changes secondary to Whipple surgery. Previously noted decrease in the caliber of superior mesentery vein has resolved. SMV is slightly narrowed but improved since previous exam. Minimal soft tissue changes in the surgery bed again noted but has decreased. The splenic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Leiomyomatous uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are unchanged in size and configuration': 'clinical finding': 'ventricles and basal cisterns are unchanged in size and configuration', 'change_term': 'unchanged'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' [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. [/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: 'this likely represents': 'clinical finding': 'this likely represents'anatomical entity_fin: 'wall': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'clinical findings_fin: 'emphysematous gastritis': 'clinical finding': 'emphysematous gastritis', 'existence': 'unc_dx', 'descriptive_term': 'emphysematous', 'observation': 'gastritis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']anatomical entity_fin: 'bowel': clinical findings_fin: 'visualized bowel loops are unremarkable': 'clinical finding': 'visualized bowel loops are unremarkable'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'borderline enlarged mesenteric lymph nodes': 'clinical finding': 'borderline enlarged mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': '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'size_fin: ['size': '4.7-cm', 'size_descriptor': 'fibroids']anatomical entity_fin: 'uterus': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral adnexal cystic lesions': 'clinical finding': 'bilateral adnexal cystic lesions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal cystic', 'observation': 'lesion'imaging modality_fin: ['ultrasound']clinical findings_fin: 'further evaluation with pelvic ultrasound': 'clinical finding': 'further evaluation with pelvic ultrasound'size_fin: ['size': '10 x 10.9 cm', 'size_descriptor': 'collection']anatomical entity_fin: 'pelvis': clinical findings_fin: '10 x 10.9 cm loculated fluid collection': 'clinical finding': '10 x 10.9 cm loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': '10 x 10 9 cm loculated fluid', 'observation': 'collection'clinical findings_fin: 'peritoneal inclusion cyst': 'clinical finding': 'peritoneal inclusion cyst', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal inclusion', '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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral sacroiliitis': 'clinical finding': 'bilateral sacroiliitis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'sacroiliitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. There is intrahepatic air in a branching pattern. This likely represents portal venous air. Gastric wall is slightly thickened and there small amount of air within the wall. The constellation of these findings may be secondary to emphysematous gastritis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right lower quadrant ostomy. Visualized bowel loops are unremarkable. Borderline enlarged mesenteric lymph nodes. No significant abnormality noted. No significant abnormality noted. Multiple fibroids in the uterus largest measuring 4.7-cm in diameter. Bilateral adnexal cystic lesions. Further evaluation with pelvic ultrasound is recommended. In the pelvis there is 10 x 10.9 cm loculated fluid collection. This may represent a peritoneal inclusion cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral sacroiliitis. 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'anatomical entity_fin: 'body': , 'pancreas': clinical findings_fin: 'underdevelopment': 'clinical finding': 'underdevelopment', 'existence': 'pos_dx', 'observation': 'underdevelopment', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3-mm', 'size_descriptor': 'stone']anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'right kidney': location descriptor_fin: ['lower']clinical findings_fin: '3-mm nonobstructing stone': 'clinical finding': '3-mm nonobstructing stone', 'existence': 'pos_dx', 'descriptive_term': '3-mm nonobstructing', 'observation': 'stone'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'size_fin: ['size': '4-mm', 'size_descriptor': 'cyst']anatomical entity_fin: 'right kidney': clinical findings_fin: '4-mm probable cyst': 'clinical finding': '4-mm probable cyst', 'existence': 'pos_dx', 'descriptive_term': '4-mm probable', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'duodenum': location descriptor_fin: ['midline']anatomical entity_fin: 'bowel': , 'abdomen': 'location descriptor': 'left'imaging observation_fin: ['colon']location descriptor_fin: ['right', 'left']clinical findings_fin: 'small bowel is located in the right abdomen and the colon': 'clinical finding': 'small bowel is located in the right abdomen and the colon'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel malrotation': 'clinical finding': 'bowel malrotation', 'existence': 'pos_dx', 'descriptive_term': 'bowel', 'observation': 'malrotation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '4.0 x 3.6 x 2.5 cm', 'size_descriptor': 'ovary']anatomical entity_fin: 'left ovary': clinical findings_fin: 'left ovary is prominent in size': 'clinical finding': 'left ovary is prominent in size'anatomical entity_fin: 'right ovary': clinical findings_fin: 'right ovary is not definitely visualized': 'clinical finding': 'right ovary is not definitely visualized'location descriptor_fin: ['right']object_fin: ['suture']clinical findings_fin: 'surgical suture noted along the right uterine cornua': 'clinical finding': 'surgical suture noted along the right uterine cornua'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is underdevelopment of the body and tail of the pancreas. No significant abnormality noted. There is a 3-mm nonobstructing stone in the lower pole of the right kidney. No hydronephrosis noted. 4-mm probable cyst in the right kidney. No significant abnormality noted. The duodenum does not cross the midline. The small bowel is located in the right abdomen and the colon predominantly in the left abdomen. Findings are consistent with bowel malrotation. No significant abnormality noted. No significant abnormality noted. The left ovary is prominent in size, measuring 4.0 x 3.6 x 2.5 cm. The right ovary is not definitely visualized. Surgical suture noted along the right uterine cornua. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. There is small amount of free fluid in the pelvis, likely physiologic. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'right internal capsule': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'subcortical hypodensity': 'clinical finding': 'subcortical hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcortical', 'observation': 'hypodensity', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'small lacunar infarcts': 'clinical finding': 'small lacunar infarcts', 'existence': 'pos_dx', 'descriptive_term': 'small lacunar', 'observation': 'infarct', 'strength_term': 'small'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'acute cortical ischemia': 'clinical finding': 'acute cortical ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute cortical', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous abnormality': 'clinical finding': 'osseous abnormality', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality' [/INST] [RESP] There are patchy areas of subcortical hypodensity consistent with small vessel ischemic disease as well a small lacunar infarcts involving the head of the caudate on the left in the anterior limb of the right internal capsule. There is no evidence of intracranial hemorrhage. No evidence of acute cortical ischemia. Bone windows reveal no osseous abnormality [/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'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'parastomal hernia': 'clinical finding': 'parastomal hernia', 'existence': 'pos_dx', 'descriptive_term': 'parastomal', 'observation': 'hernia'clinical findings_fin: 'parastomal hernia': 'clinical finding': 'parastomal hernia', 'existence': 'pos_dx', 'descriptive_term': 'parastomal', 'observation': 'hernia', 'nonobstructing': 'clinical finding': 'nonobstructing', 'existence': 'pos_dx', 'observation': 'nonobstructing'location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'scarred': 'clinical finding': 'scarred', 'existence': 'unc_dx', 'observation': 'scarred', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'anatomical entity_fin: 'skin': imaging observation_fin: ['enhancing']location descriptor_fin: ['right', 'superior']clinical findings_fin: 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening', 'induration_1': 'clinical finding': 'induration', 'existence': 'pos_dx', 'observation': 'induration', 'very small well-circumscribed enhancing fluid collection': 'clinical finding': 'very small well-circumscribed enhancing fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'very small well-circumscribed enhancing fluid', 'observation': 'collection', 'strength_term': 'small', 'skin induration': 'clinical finding': 'skin induration', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'induration', 'induration_2': 'clinical finding': 'induration', 'existence': 'pos_dx', 'observation': 'induration'location descriptor_fin: ['left']clinical findings_fin: 'indurated tissues': 'clinical finding': 'indurated tissues', 'existence': 'pos_dx', 'descriptive_term': 'indurated', 'observation': 'tissue'anatomical entity_fin: 'thigh': location descriptor_fin: ['right']clinical findings_fin: 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening', 'focal fluid collection': 'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'anatomical entity_fin: 'inguinal lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged right inguinal lymph node': 'clinical finding': 'mildly enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'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. Right lower quadrant ostomy with parastomal hernia is again seen. The parastomal hernia is nonobstructing. 00 to 6:00 position. From this soft tissue thickening there are tracts which may be scarred down sinus tracts extending to the posterior right and left buttock skin thickening. Skin thickening and induration along the right buttock with a very small well-circumscribed enhancing fluid collection in the superior portion of the skin induration connecting to the remainder of the induration. There is a drain within the indurated tissues in the subcutaneous left perineal area. Along the right inner thigh there is also skin thickening without focal fluid collection or abscess. Mildly enlarged right inguinal lymph node is are reactive. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '11-mm', 'size': '6-mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']clinical findings_fin: 'peripheral nodule': 'clinical finding': 'peripheral nodule', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'nodule'clinical findings_fin: 'benign lesion': 'clinical finding': 'benign lesion', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'lesion', 'strength_term': 'benign'anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'high attenuation nodule': 'clinical finding': 'high attenuation nodule', 'existence': 'pos_dx', 'descriptive_term': 'high attenuation', 'observation': 'nodule', 'upper lobe predominant cystlike abnormalities': 'clinical finding': 'upper lobe predominant cystlike abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant cystlike', 'observation': 'abnormality'clinical findings_fin: 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity', 'peribronchial thickening': 'clinical finding': 'peribronchial thickening', 'existence': 'pos_dx', 'descriptive_term': 'peribronchial', 'observation': 'thickening'anatomical entity_fin: 'thoracic aorta': , 'coronary arteries': clinical findings_fin: 'atherosclerotic calcifications of the thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the thoracic', 'observation': 'aorta', 'coronary': 'clinical finding': 'coronary', 'existence': 'pos_dx', 'observation': 'coronary'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'limited images of the upper abdomen': 'clinical finding': 'limited images of the upper abdomen'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'small cystic lesion': 'clinical finding': 'small cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'small cystic', 'observation': 'lesion', 'strength_term': 'small'size_fin: ['size': '3.2-cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'fluid': , 'pole': , 'left kidney': clinical findings_fin: '3.2-cm fluid attenuation lesion': 'clinical finding': '3.2-cm fluid attenuation lesion', 'existence': 'pos_dx', 'descriptive_term': '3 2-cm fluid attenuation', 'observation': 'lesion', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst'anatomical entity_fin: 'aorta': , 'superior mesenteric artery': , 'renal arteries': clinical findings_fin: 'heavy atherosclerotic calcifications': 'clinical finding': 'heavy atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'heavy atherosclerotic', 'observation': 'calcification', 'strength_term': 'heavy', 'stenotic': 'clinical finding': 'stenotic', 'existence': 'unc_dx', 'observation': 'stenotic' [/INST] [RESP] . Peripheral nodule in the right upper lobe again measures a maximum of 11-mm in AP dimension and a maximum of 6-mm in transverse dimension. This appears unchanged when compared to the exam of 9/22/08 when remeasured, most consistent with a benign lesion. Causing image misregistration. High attenuation nodule in the left upper lobe image 83 series 5 appears unchanged upper lobe predominant cystlike abnormalities are unchanged. Scattered regions of tree in bud opacities again noted as well as some areas of peribronchial thickening. Heavy atherosclerotic calcifications of the thoracic aorta and coronary arteries. Normal heart size. Unremarkable. Limited images of the upper abdomen. The small cystic lesion upper pole left kidney image 93 unchanged. 3.2-cm fluid attenuation lesion mid pole left kidney image 110 incompletely characterized but probably a cyst. Heavy atherosclerotic calcifications of the aorta and its branches including the superior mesenteric artery which may be stenotic and the renal arteries bilaterally. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'anatomical entity_fin: 'fluid': clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'clinical findings_fin: 'ventricular system is normal in size and morphology': 'clinical finding': 'ventricular system is normal in size and morphology'anatomical entity_fin: 'skull': clinical findings_fin: 'skull or maxillofacial fracture': 'clinical finding': 'skull or maxillofacial fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull or maxillofacial', 'observation': 'fracture'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'right', 'cells': location descriptor_fin: ['right', 'bilateral']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'walls': location descriptor_fin: ['peripheral', 'right']clinical findings_fin: 'peripheral mucosal thickening': 'clinical finding': 'peripheral mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'peripheral mucosal', 'observation': 'thickening', 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis', 'chronicity': 'clinical finding': 'chronicity', 'existence': 'pos_dx', 'observation': 'chronicity' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. No skull or maxillofacial fracture is identified. The orbital soft tissue structures are intact. Opacification of the right frontal sinus, the bilateral frontoethmoidal recesses, and the right ethmoid air cells is seen. In addition, there is peripheral mucosal thickening in the right maxillary sinus with sclerosis of the sinus walls indicating chronicity. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr'clinical findings_fin: 'pleural or pulmonary metastases': 'clinical finding': 'pleural or pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pleural or pulmonary', 'observation': 'metastase'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy', 'cabg': 'clinical finding': 'cabg', 'existence': 'pos_dx', 'observation': 'cabg', 'extensive native coronary artery calcification': 'clinical finding': 'extensive native coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive native coronary artery', 'observation': 'calcification', 'strength_term': 'extensive'clinical findings_fin: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative abnormalities': 'clinical finding': 'mild degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'abnormality', 'strength_term': 'mild'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder sludge': 'clinical finding': 'gallbladder sludge', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder', 'observation': 'sludge'clinical findings_fin: 'stable hepatic cystlike hypodensities': 'clinical finding': 'stable hepatic cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic cystlike', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative hypertrophic abnormalities': 'clinical finding': 'degenerative hypertrophic abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative hypertrophic', 'observation': 'abnormality', 'large osteophytes': 'clinical finding': 'large osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'osteophyte', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Apical scarring. No evidence of pleural or pulmonary metastases. Median sternotomy for CABG with extensive native coronary artery calcification. No significantly enlarged mediastinal or hilar lymph nodes. Median sternotomy. Mild degenerative abnormalities affect the thoracic spine. Gallbladder sludge, unchanged. Stable hepatic cystlike hypodensities, 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. Degenerative hypertrophic abnormalities affect the lumbar spine, with large osteophytes. 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: 'solid organ': 'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'basilar and posterioperipheral predominant reticular and groundglass opacities': 'clinical finding': 'basilar and posterioperipheral predominant reticular and groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar and posterioperipheral predominant reticular and groundglass', 'observation': 'opacity'anatomical entity_fin: 'lung': , 'bases': location descriptor_fin: ['peripheral']clinical findings_fin: 'mild progression': 'clinical finding': 'mild progression', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'progression', 'strength_term': 'mild', 'cystic lung changes': 'clinical finding': 'cystic lung changes', 'existence': 'pos_dx', 'descriptive_term': 'cystic lung', 'observation': 'change'clinical findings_fin: 'scattered nonspecific pulmonary micronodules': 'clinical finding': 'scattered nonspecific pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific pulmonary', 'observation': 'micronodule'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'air-fluid': 'clinical finding': 'air-fluid', 'existence': 'pos_dx', 'observation': 'air'anatomical entity_fin: 'heart': clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'significant hilar or mediastinal lymphadenopathy': 'clinical finding': 'significant hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'iv and gi contrast': 'clinical finding': 'iv and gi contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv and gi', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Examination limited for solid organ pathology and lymphadenopathy due to the lack of IV contrast. Basilar and posterioperipheral predominant reticular and groundglass opacities are again seen at the lung bases. Additionally, there is mild progression of cystic lung changes also seen in the peripheral aspects of the lung bases. Scattered nonspecific pulmonary micronodules. No pleural effusions or significant air trapping. Patulous esophagus with air-fluid level seen. Heart size is normal with small pericardial effusion, unchanged. No significant hilar or mediastinal lymphadenopathy. No significant abnormality noted. Absence of IV and GI 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: location descriptor_fin: ['bilateral']clinical findings_fin: 'large bilateral pleural effusions': 'clinical finding': 'large bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral pleural', 'observation': 'effusion', 'strength_term': 'large', 'overlying atelectasis': 'clinical finding': 'overlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'near complete collapse': 'clinical finding': 'near complete collapse', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'collapse'clinical findings_fin: 'mild groundglass opacity': 'clinical finding': 'mild groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'mild groundglass', 'observation': 'opacity', 'strength_term': 'mild', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left', 'brachiocephalic vein': 'location descriptor': 'distal left'location descriptor_fin: ['left', 'distal']clinical findings_fin: 'svc stent': 'clinical finding': 'svc stent', 'existence': 'pos_dx', 'descriptive_term': 'svc', 'observation': 'stent', 'low attenuation thrombus': 'clinical finding': 'low attenuation thrombus', 'existence': 'pos_dx', 'descriptive_term': 'low attenuation', 'observation': 'thrombus', 'distal left brachiocephalic': 'clinical finding': 'distal left brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'distal left', 'observation': 'brachiocephalic', 'stent': 'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'clinical findings_fin: 'normal cardiac size': 'clinical finding': 'normal cardiac size'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'location descriptor_fin: ['superior']clinical findings_fin: 'subcarinal and superior mediastinal soft tissue is unchanged': 'clinical finding': 'subcarinal and superior mediastinal soft tissue is unchanged', 'change_term': 'unchanged'size_fin: ['size': '2.9 x 1.7 cm', 'size_descriptor': 'tissue']location descriptor_fin: ['right']clinical findings_fin: 'measured reference right hilar soft tissue is approximately similar': 'clinical finding': 'measured reference right hilar soft tissue is approximately similar'anatomical entity_fin: 'lung': clinical findings_fin: 'atelectatic lung is seen at both hila': 'clinical finding': 'atelectatic lung is seen at both hila'anatomical entity_fin: 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'location descriptor_fin: ['right']clinical findings_fin: 'significant right axillary adenopathy': 'clinical finding': 'significant right axillary adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant right axillary', 'observation': 'adenopathy'anatomical entity_fin: 'breast': 'location descriptor': 'superior right'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['central', 'superior', 'right']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'size_fin: ['size': '2.5 x 1.3 cm']location descriptor_fin: ['contralateral']clinical findings_fin: 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'fluid', 'observation': 'collection', 'abscess': 'clinical finding': 'abscess', 'existence': 'unc_dx', 'observation': 'abscess', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor', 'contralateral breast cancer': 'clinical finding': 'contralateral breast cancer', 'existence': 'unc_dx', 'descriptive_term': 'contralateral breast', 'observation': 'cancer'clinical findings_fin: 'rapid development suggests a benign etiology': 'clinical finding': 'rapid development suggests a benign etiology'anatomical entity_fin: 'liver parenchyma': clinical findings_fin: 'congestion': 'clinical finding': 'congestion', 'existence': 'unc_dx', 'observation': 'congestion'anatomical entity_fin: 'head': , 'pancreas': object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail' [/INST] [RESP] . Interval development of large bilateral pleural effusions with overlying atelectasis. There is near complete collapse of the right upper and right middle lobe. Mild groundglass opacity likely due to edema. No suspicious pulmonary nodules. Interval placement of a SVC stent with low attenuation thrombus extending into the left internal jugular vein and distal left brachiocephalic vein and slightly distal to the stent in the SVC. Normal cardiac size. Small pericardial effusion, slightly increased. Subcarinal and superior mediastinal soft tissue is unchanged. The previously measured reference right hilar soft tissue is approximately similar measuring 2.9 x 1.7 cm. Atelectatic lung is seen at both hila. Surgical clips identified in the left axilla. No significant right axillary adenopathy. Soft tissue density with a central low attenuation seen in the superior right breast. It measures approximately 2.5 x 1.3 cm. It may represent a fluid collection, abscess or less likely tumor given the history of contralateral breast cancer. Its rapid development suggests a benign etiology. Heterogeneous liver parenchyma likely due to congestion. Surgical clips are seen near the tail and head of the pancreas, incompletely evaluated. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5-mm', 'size_descriptor': 'nodules']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'two small less than 5-mm pulmonary nodules': 'clinical finding': 'two small less than 5-mm pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'two small less than 5-mm pulmonary', 'observation': 'nodule', 'strength_term': 'small', 'quantity_term': 'less'clinical findings_fin: 'neoplastic': 'clinical finding': 'neoplastic', 'existence': 'unc_dx', 'observation': 'neoplastic'anatomical entity_fin: 'left major fissure': clinical findings_fin: 'punctate nodule': 'clinical finding': 'punctate nodule', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'nodule', 'most likely an intrapulmonary lymph node': 'clinical finding': 'most likely an intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'most likely an intrapulmonary lymph', 'observation': 'node', 'quantity_term': 'most'anatomical entity_fin: 'trachea': clinical findings_fin: 'large multinodular thyroid': 'clinical finding': 'large multinodular thyroid', 'existence': 'pos_dx', 'descriptive_term': 'large multinodular', 'observation': 'thyroid', 'strength_term': 'large', 'heterogeneous density': 'clinical finding': 'heterogeneous density', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'density', 'rightward tracheal deviation': 'clinical finding': 'rightward tracheal deviation', 'existence': 'pos_dx', 'descriptive_term': 'rightward tracheal', 'observation': 'deviation', 'at least 50% narrowing': 'clinical finding': 'at least 50% narrowing', 'existence': 'pos_dx', 'descriptive_term': 'at least 50 ', 'observation': 'narrowing'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'aortic arch': , 'origin': , 'left subclavian artery': location descriptor_fin: ['left', 'inferior', 'posterior']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'liver': , 'chest': clinical findings_fin: 'multiple hypodense lesions': 'clinical finding': 'multiple hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'clinical findings_fin: 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst', 'hemangiomas': 'clinical finding': 'hemangiomas', 'existence': 'unc_dx', 'observation': 'hemangiomas', 'neoplasm': 'clinical finding': 'neoplasm', 'existence': 'unc_dx', 'observation': 'neoplasm'location descriptor_fin: ['left']clinical findings_fin: 'punctate nonobstructive left renal calculus': 'clinical finding': 'punctate nonobstructive left renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructive left renal', 'observation': 'calculus' [/INST] [RESP] . Two small less than 5-mm pulmonary nodules are noted in the right upper lobe. Given their size and close association is more likely they are postinflammatory than neoplastic. Punctate nodule along left major fissure most likely an intrapulmonary lymph node. Large multinodular thyroid with heterogeneous density causing rightward tracheal deviation and at least 50% narrowing of the trachea. The large mass from the left lobe extends inferiorly to the level of the aortic arch and the inferior tip extends just posterior to the origin of the left subclavian artery. Negative. Multiple hypodense lesions are seen in the liver and are incompletely evaluated on chest CT. These may represent cysts or hemangiomas though neoplasm cant be excluded. An ultrasound or MR would likely provide more definitive characterization. There is a punctate nonobstructive left renal calculus. [/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: 'hilum': , 'liver': clinical findings_fin: 'focal low density': 'clinical finding': 'focal low density', 'existence': 'pos_dx', 'descriptive_term': 'focal low', 'observation': 'density', 'treated or residual disease': 'clinical finding': 'treated or residual disease', 'existence': 'pos_dx', 'descriptive_term': 'treated or residual', 'observation': 'disease', 'temporal_term': 'residual'size_fin: ['size': '2 x 2.5', 'size': '1.7 x 2.3 cm']anatomical entity_fin: 'hilum': clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', '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: ['bilateral']clinical findings_fin: 'bilateral extrarenal pelvics': 'clinical finding': 'bilateral extrarenal pelvics', 'existence': 'pos_dx', 'descriptive_term': 'bilateral extrarenal', 'observation': 'pelvic'clinical findings_fin: 'small mesenteric nonspecific lymph nodes': 'clinical finding': 'small mesenteric nonspecific lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mesenteric nonspecific 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: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'anatomical entity_fin: 'superior mesenteric vein': clinical findings_fin: 'previously described small filling defect': 'clinical finding': 'previously described small filling defect', 'existence': 'neg_dx', 'descriptive_term': 'previously described small filling', 'observation': 'defect', 'strength_term': 'small'anatomical entity_fin: 'pelvis': clinical findings_fin: 'multiple cystic lesions': 'clinical finding': 'multiple cystic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple cystic', 'observation': 'lesion', 'quantity_term': 'multiple'size_fin: ['size': '2.5 x 2.7 cm']clinical findings_fin: 'largest lesion': 'clinical finding': 'largest lesion', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion', 'pseudomyxoma': 'clinical finding': 'pseudomyxoma', 'existence': 'unc_dx', 'observation': 'pseudomyxoma', 'these lesions': 'clinical finding': 'these lesions', 'existence': 'unc_dx', 'descriptive_term': 'these', 'observation': 'lesion', 'recurrent disease': 'clinical finding': 'recurrent disease', 'existence': 'unc_dx', 'descriptive_term': 'recurrent', '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: 'rectum': object_fin: ['suture']clinical findings_fin: 'suture lines': 'clinical finding': 'suture lines', 'existence': 'pos_dx', 'descriptive_term': 'suture', 'observation': 'line'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Focal low density near the hepatic hilum and along the dome of the liver represent treated or residual disease. The lesion near the hepatic hilum is minimally increased measuring 2 x 2.5-cm on axial image 22 of series 3, previously measured 1.7 x 2.3 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral extrarenal pelvics. Small mesenteric nonspecific lymph nodes. No significant abnormality noted. No significant abnormality noted. No evidence of ascites. Previously described small filling defect within the superior mesenteric vein is not seen on the current study. Interval development of multiple cystic lesions in the pelvis. The largest lesion measures 2.5 x 2.7 cm on image 102 of series Given the history of pseudomyxoma these lesions are concerning for recurrent disease. No significant abnormality noted. No significant abnormality noted. Suture lines along the rectum are consistent with prior surgery. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'supratentorial ventriculomegaly': 'clinical finding': 'supratentorial ventriculomegaly', 'existence': 'pos_dx', 'descriptive_term': 'supratentorial', 'observation': 'ventriculomegaly'size_fin: ['size': '23 mm', 'size': '28 mm', 'size': '8 mm', 'size': '14 mm']anatomical entity_fin: 'body': , 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'periventricular white matter hypoattenuation': 'clinical finding': 'periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular white matter', 'observation': 'hypoattenuation', 'improved csf dynamics': 'clinical finding': 'improved csf dynamics', 'existence': 'pos_dx', 'descriptive_term': 'improved csf', 'observation': 'dynamic'location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: 'right frontal approach ventricular shunt catheter': 'clinical finding': 'right frontal approach ventricular shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach ventricular shunt', 'observation': 'catheter', 'stable hypodensity': 'clinical finding': 'stable hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['midline']clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced', 'new mass effect': 'clinical finding': 'new mass effect', 'existence': 'neg_dx', 'descriptive_term': 'new mass', 'observation': 'effect', 'temporal_term': 'new', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage'location descriptor_fin: ['left']clinical findings_fin: 'stable layering hemorrhage': 'clinical finding': 'stable layering hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'stable layering', 'observation': 'hemorrhage', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation', 'periventricular hypoattenuation': 'clinical finding': 'periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypoattenuation'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild paranasal sinus mucosal thickening': 'clinical finding': 'mild paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable' [/INST] [RESP] Since the prior examination, supratentorial ventriculomegaly has diminished. The body of the left lateral ventricle measures 23 mm, previously 28 mm, and the left temporal horn measures 8 mm, previously 14 mm. Periventricular white matter hypoattenuation also appears slightly less distinct consistent with improved CSF dynamics. A right frontal approach ventricular shunt catheter is in stable position with stable hypodensity along the tract. The sulci remain slightly effaced, but there is no new mass effect, midline shift or basal cistern effacement. No parenchymal hemorrhage is seen. Stable layering hemorrhage is again noted in the left occipital horn. The gray-white differentiation is preserved outside of the areas of periventricular hypoattenuation noted above. Mild paranasal sinus mucosal thickening. Mastoid air cells are clear. Orbital contents are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'comminuted fracture': 'clinical finding': 'comminuted fracture', 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture'clinical findings_fin: 'multiple fracture fragments': 'clinical finding': 'multiple fracture fragments', 'existence': 'pos_dx', 'descriptive_term': 'multiple fracture', 'observation': 'fragment', 'quantity_term': 'multiple'location descriptor_fin: ['displaced']clinical findings_fin: 'largest fracture': 'clinical finding': 'largest fracture', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'fracture'anatomical entity_fin: 'articular surface': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'anatomical entity_fin: 'head': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'humerus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'moderate soft tissue edema': 'clinical finding': 'moderate soft tissue edema', 'existence': 'pos_dx', 'descriptive_term': 'moderate soft tissue', 'observation': 'edema', 'strength_term': 'moderate' [/INST] [RESP] Comminuted fracture of the coronoid process is again seen on this exam. Multiple fracture fragments are seen. The largest fracture fragment is mildly distally displaced. The fracture appears to involve the articular surface. The radial head is intact. The distal humerus is intact. There is moderate soft tissue edema present in the subcutaneous tissues. [/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: 'fluid': clinical findings_fin: 'hepatic laceration': 'clinical finding': 'hepatic laceration', 'existence': 'neg_dx', 'descriptive_term': 'hepatic', 'observation': 'laceration'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal in appearance': 'clinical finding': 'gallbladder is normal in appearance'anatomical entity_fin: 'fluid': clinical findings_fin: 'splenic laceration': 'clinical finding': 'splenic laceration', 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'broad based umbilical hernia': 'clinical finding': 'broad based umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'broad based umbilical', 'observation': 'hernia', '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: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 is no evidence of perihepatic fluid or hepatic laceration. The gallbladder is normal in appearance. No evidence of splenic laceration or perisplenic fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Broad based umbilical hernia without evidence of obstruction. No significant abnormality noted. No evidence of free fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small basilar atelectasis': 'clinical finding': 'small basilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'small basilar', 'observation': 'atelectasis', 'strength_term': 'small', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '5.8 cm', 'size_descriptor': 'hernia', 'size': '5.3 cm', 'size_descriptor': 'defect']anatomical entity_fin: 'abdominal': , 'sigmoid colon': , 'bowel': clinical findings_fin: 'mid ventral abdominal hernia': 'clinical finding': 'mid ventral abdominal hernia', 'existence': 'pos_dx', 'descriptive_term': 'mid ventral abdominal', 'observation': 'hernia', 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'pull up and correlation with patients clinical history recommended': 'clinical finding': 'pull up and correlation with patients clinical history recommended'anatomical entity_fin: 'appendix': clinical findings_fin: 'normal appendix': 'clinical finding': 'normal appendix'size_fin: ['size': '5.4 cm', 'size_descriptor': 'prostate']anatomical entity_fin: 'prostate': 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'size_fin: ['size': '5.8 cm', 'size_descriptor': 'hernia', 'size': '5.3 cm', 'size_descriptor': 'defect']anatomical entity_fin: 'abdominal': , 'sigmoid colon': clinical findings_fin: 'mid ventral abdominal hernia': 'clinical finding': 'mid ventral abdominal hernia', 'existence': 'pos_dx', 'descriptive_term': 'mid ventral abdominal', 'observation': 'hernia', 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect'size_fin: ['size': '7 mm', 'size_descriptor': 'foci']anatomical entity_fin: 'head': imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'sclerotic foci': 'clinical finding': 'sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'foci' [/INST] [RESP] . Small basilar atelectasis or scarring. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mid ventral abdominal hernia seen containing redundant sigmoid colon, defect measures 5.8 cm on transaxial imaging by 5.3 cm in craniocaudal dimension, no bowel obstruction. Upper abdominal postsurgical sequela, may reflect pull up and correlation with patients clinical history recommended. Normal appendix. PROSTATE/. Enlarged prostate, measuring 5.4 cm. No significant abnormality noted. Mid ventral abdominal hernia seen containing nonobstructed redundant sigmoid colon, defect measures 5.8 cm on transaxial imaging by 5.3 cm in craniocaudal dimension. Sclerotic foci, measuring up to 7 mm, located in left femoral head. [/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: 'loculated right pleural effusion': 'clinical finding': 'loculated right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'effusion', 'nodular pleural thickening': 'clinical finding': 'nodular pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'nodular pleural', 'observation': 'thickening', 'right middle lobe collapse': 'clinical finding': 'right middle lobe collapse', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'collapse'clinical findings_fin: 'moderate centrilobular emphysema': 'clinical finding': 'moderate centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'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'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'sacroiliac degenerative changes': 'clinical finding': 'sacroiliac degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'sacroiliac degenerative', 'observation': 'change'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': , 'pleura': 'location descriptor': 'right', 'diaphragm': , 'lung': location descriptor_fin: ['right']clinical findings_fin: 'markedly hypermetabolic right hilar mass': 'clinical finding': 'markedly hypermetabolic right hilar mass', 'existence': 'unc_dx', 'descriptive_term': 'markedly hypermetabolic right hilar', 'observation': 'mass', 'hypermetabolism': 'clinical finding': 'hypermetabolism', 'existence': 'pos_dx', 'observation': 'hypermetabolism', 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease', 'primary lung neoplasm': 'clinical finding': 'primary lung neoplasm', 'existence': 'unc_dx', 'descriptive_term': 'primary lung', 'observation': 'neoplasm'anatomical entity_fin: 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'multiple hypermetabolic lymph nodes': 'clinical finding': 'multiple hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypermetabolic lymph', 'observation': 'node', 'quantity_term': 'multiple', 'retrocrural and left subpectoral hypermetabolic lymph nodes': 'clinical finding': 'retrocrural and left subpectoral hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'retrocrural and left subpectoral hypermetabolic lymph', 'observation': 'node', 'nodal metastases': 'clinical finding': 'nodal metastases', 'existence': 'pos_dx', 'descriptive_term': 'nodal', 'observation': 'metastase'location descriptor_fin: ['left']clinical findings_fin: 'focal hypermetabolism': 'clinical finding': 'focal hypermetabolism', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypermetabolism', 'osseous metastasis': 'clinical finding': 'osseous metastasis', 'existence': 'unc_dx', 'descriptive_term': 'osseous', 'observation': 'metastasis'anatomical entity_fin: 'ischium': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'hamstring tendinopathy': 'clinical finding': 'hamstring tendinopathy', 'existence': 'unc_dx', 'descriptive_term': 'hamstring', 'observation': 'tendinopathy' [/INST] [RESP] . Loculated right pleural effusion with nodular pleural thickening and right middle lobe collapse. Moderate centrilobular emphysema. Mildly prominent left axillary lymph nodes. Cholelithiasis. Atherosclerotic calcifications. Lumbar spine and sacroiliac degenerative changes. Todays PET examination demonstrates a markedly hypermetabolic right hilar mass , as well as other nodular areas of hypermetabolism within the collapsed right middle lobe and along the right pleura or diaphragm consistent with metastatic disease, most likely from a primary lung neoplasm. Additionally, there are multiple hypermetabolic lymph nodes in the left axilla, as well as retrocrural and left subpectoral hypermetabolic lymph nodes consistent with nodal metastases. There is focal hypermetabolism in the left iliac bone , suspicious for osseous metastasis, without clear CT correlate. There is faintly increased metabolism along the left ischium, which is favored benign and may represent hamstring tendinopathy. [/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'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation remains within normal on this nonenhanced exam': 'clinical finding': 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation remains within normal on this nonenhanced exam'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': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'partially visualized orbits , paranasal sinuses and mastoid air cells': 'clinical finding': 'partially visualized orbits , paranasal sinuses and mastoid air cells' [/INST] [RESP] Nonenhanced head. There is no detectable acute intracranial process. Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remains within normal on this nonenhanced exam. Calvarium and soft tissues of the scalp are unremarkable. Partially visualized orbits, 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: anatomical entity_fin: 'frontal sinus': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': location descriptor_fin: ['anterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': location descriptor_fin: ['posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_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': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'mild s-shaped nasal septal deviation': 'clinical finding': 'mild s-shaped nasal septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild s-shaped nasal septal', 'observation': 'deviation', 'strength_term': 'mild'anatomical entity_fin: 'nasal turbinate': clinical findings_fin: 'nasal turbinate morphology is within normal limits': 'clinical finding': 'nasal turbinate morphology is within normal limits'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'roof': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'mild cervical spondylotic changes': 'clinical finding': 'mild cervical spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild cervical spondylotic', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'cervical lordosis': imaging observation_fin: ['reversal']clinical findings_fin: 'normal cervical lordosis': 'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal' [/INST] [RESP] . The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The posterior ethmoid air cells are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is mild S-shaped nasal septal deviation. The nasal turbinate morphology is within normal limits. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. Mild cervical spondylotic changes are present. There is trace reversal of the normal cervical lordosis centered at C4-C5. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'parietal bones': , 'convexity': , 'left frontal lobe': imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'comminuted fracture': 'clinical finding': 'comminuted fracture', 'existence': 'pos_dx', 'descriptive_term': 'comminuted', 'observation': 'fracture', 'associated large left subgaleal hematoma': 'clinical finding': 'associated large left subgaleal hematoma', 'existence': 'pos_dx', 'descriptive_term': 'associated large left subgaleal', 'observation': 'hematoma', 'strength_term': 'large', 'very small associated subdural hematoma': 'clinical finding': 'very small associated subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'very small associated subdural', 'observation': 'hematoma', 'strength_term': 'small'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'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: ['bilateral']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild' [/INST] [RESP] Comminuted fracture through the left frontal and parietal bones with associated large left subgaleal hematoma and very small associated subdural hematoma along the high convexity of the left frontal lobe that is best seen on coronal images. Otherwise, ventricles, sulci, and cisterns are symmetric and unremarkable. No mass effect or midline shift. Gray-white matter differentiation is preserved. Mild mucosal thickening in bilateral maxillary sinuses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.5 x 3.0 x 3.8 cm', 'size_descriptor': 'focus']anatomical entity_fin: 'lobe': imaging observation_fin: ['rim enhancement']location descriptor_fin: ['left']clinical findings_fin: 'heterogeneous, hypoattenuating focus': 'clinical finding': 'heterogeneous, hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous hypoattenuating', 'observation': 'focus', 'septations': 'clinical finding': 'septations', 'existence': 'pos_dx', 'observation': 'septation'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'left thyroid lobe proper is not distinctly visualized': 'clinical finding': 'left thyroid lobe proper is not distinctly visualized'anatomical entity_fin: 'larynx': , 'glottis': clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'resultant rightward tracheal deviation': 'clinical finding': 'resultant rightward tracheal deviation', 'existence': 'pos_dx', 'descriptive_term': 'resultant rightward tracheal', 'observation': 'deviation'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'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: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'clinically significant adenopathy': 'clinical finding': 'clinically significant adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'clinically significant', 'observation': 'adenopathy'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is a heterogeneous, hypoattenuating focus with septations and subtle rim enhancement measuring 2.5 x 3.0 x 3.8 cm in the expected location of the left thyroid lobe. The left thyroid lobe proper is not distinctly visualized. This collection exerts mass effect narrowing the larynx, glottis, and resultant rightward tracheal deviation. The airway remains patent. The parotid and submandibular glands are unremarkable. The lung apices are clear. There is no clinically significant adenopathy. The visualized intracranial contents are unremarkable. Mastoid air cells and middle ear cavities are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'location descriptor_fin: ['centrilobular']clinical findings_fin: 'mild to moderate centrilobular predominant emphysema': 'clinical finding': 'mild to moderate centrilobular predominant emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate centrilobular predominant', 'observation': 'emphysema', 'strength_term': 'mild - moderate'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['bilateral', 'lower', 'left']clinical findings_fin: 'mild bronchiectasis': 'clinical finding': 'mild bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild', 'scattered bilateral lower lobe ground glass': 'clinical finding': 'scattered bilateral lower lobe ground glass', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral lower lobe ground', 'observation': 'glass', 'reticular opacities': 'clinical finding': 'reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'reticular', 'observation': 'opacity', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'location descriptor_fin: ['left']clinical findings_fin: 'left pleural calcifications': 'clinical finding': 'left pleural calcifications', 'existence': 'unc_dx', 'descriptive_term': 'left pleural', 'observation': 'calcification', 'prior empyema': 'clinical finding': 'prior empyema', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'empyema', 'hemothorax': 'clinical finding': 'hemothorax', 'existence': 'unc_dx', 'observation': 'hemothorax'anatomical entity_fin: 'aorta': clinical findings_fin: 'moderate atherosclerotic calcifications': 'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'likely reactive mediastinal lymph nodes': 'clinical finding': 'likely reactive mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'likely reactive mediastinal lymph', 'observation': 'node'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'new trace pericardial effusion': 'clinical finding': 'new trace pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'new trace pericardial', 'observation': 'effusion', 'temporal_term': 'new'location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia', 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'portal vein': clinical findings_fin: 'portal vein thrombus': 'clinical finding': 'portal vein thrombus', 'existence': 'pos_dx', 'descriptive_term': 'portal vein', 'observation': 'thrombus', 'cavernous transformation': 'clinical finding': 'cavernous transformation', 'existence': 'pos_dx', 'descriptive_term': 'cavernous', 'observation': 'transformation'anatomical entity_fin: 'pancreas': clinical findings_fin: 'calcified and atrophic': 'clinical finding': 'calcified and atrophic', 'existence': 'pos_dx', 'descriptive_term': 'calcified and', 'observation': 'atrophic', 'change_term': 'calcified', 'chronic pancreatitis': 'clinical finding': 'chronic pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'clinical findings_fin: 'splenic resection': 'clinical finding': 'splenic resection'location descriptor_fin: ['left']clinical findings_fin: 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst' [/INST] [RESP] . Biapical scarring. Mild to moderate centrilobular predominant emphysema. No suspicious nodules or masses identified. Mild bronchiectasis, scattered bilateral lower lobe ground glass and reticular opacities, as well as large amounts of aspirated secretions in the left lower lobe suggestive of aspiration. Left pleural calcifications suggestive of prior empyema or hemothorax. Moderate atherosclerotic calcifications of the aorta and its corresponding branches. Mildly enlarged and likely reactive mediastinal lymph nodes. No cardiomegaly. New trace pericardial effusion. Moderate. Right IJ port catheter with tip in the SVC. Absence of enteric contrast material limits sensitivity for abdominal pathology. Pneumobilia and biliary ductal dilatation appearing similar to prior exam. Portal vein thrombus with cavernous transformation. Calcified and atrophic pancreas consistent with chronic pancreatitis. Splenic resection. Left renal cyst appearing similar to prior exam. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'adequate': 'clinical finding': 'adequate', 'existence': 'pos_dx', 'observation': 'adequate', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'location descriptor_fin: ['right']clinical findings_fin: 'small intrapulmonary lymph nodes': 'clinical finding': 'small intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small intrapulmonary lymph', 'observation': 'node', 'strength_term': 'small', 'right fissures': 'clinical finding': 'right fissures', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'fissure'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'nonspecific ill-defined hypodense lesion': 'clinical finding': 'nonspecific ill-defined hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific ill-defined hypodense', 'observation': 'lesion', 'strength_term': 'ill-defined' [/INST] [RESP] . The exam is technically adequate, and there is no evidence of a pulmonary embolism. Small intrapulmonary lymph nodes are seen along the right fissures. No significant abnormality noted. No significant abnormality noted. Nonspecific ill-defined hypodense lesion in the right hepatic lobe is incompletely characterized on this exam. [/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: 'cerebral cortex': clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'intracranial venous sinuses demonstrate normal density': 'clinical finding': 'intracranial venous sinuses demonstrate normal density'anatomical entity_fin: 'scalp': , 'orbits': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells': 'clinical finding': 'unremarkable calvarium , soft tissues of the scalp , orbits , paranasal sinuses and mastoid air cells' [/INST] [RESP] Nonenhanced head. There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray-white matter differentiation is unremarkable. The intracranial venous sinuses demonstrate normal density. Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and mastoid air cells. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'esophagus': clinical findings_fin: 'new infiltrative mass': 'clinical finding': 'new infiltrative mass', 'existence': 'pos_dx', 'descriptive_term': 'new infiltrative', 'observation': 'mass', 'temporal_term': 'new'anatomical entity_fin: 'wall': , 'trachea': clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor', 'gross tumor invasion': 'clinical finding': 'gross tumor invasion', 'existence': 'neg_dx', 'descriptive_term': 'gross tumor', 'observation': 'invasion'anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'extensive left neck lymphadenopathy': 'clinical finding': 'extensive left neck lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive left neck', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'size_fin: ['size': '8 cm', 'size_descriptor': 'lymphadenopathy']anatomical entity_fin: 'musculature': , 'prevertebral space': 'location descriptor': 'left', 'internal jugular vein': , 'common carotid artery': imaging observation_fin: ['infiltrates']location descriptor_fin: ['left']clinical findings_fin: 'confluent left supraclavicular, level 4, and level 3 lymphadenopathy': 'clinical finding': 'confluent left supraclavicular, level 4, and level 3 lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'confluent left supraclavicular level 4 and level 3', 'observation': 'lymphadenopathy', 'infiltrates': 'clinical finding': 'infiltrates', 'existence': 'pos_dx', 'observation': 'infiltrate'size_fin: ['size': '35 mm', 'size_descriptor': 'nodularity']location descriptor_fin: ['left']clinical findings_fin: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity'anatomical entity_fin: 'vertebrae': clinical findings_fin: 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis', 'fragmentation': 'clinical finding': 'fragmentation', 'existence': 'pos_dx', 'observation': 'fragmentation'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable' [/INST] [RESP] There is a new infiltrative mass in the cervical esophagus that measures up to approximately 5 cm. The tumor indents the party wall, but there is no evidence of gross tumor invasion into the trachea. There is extensive left neck lymphadenopathy. For example, confluent left supraclavicular, level 4, and level 3 lymphadenopathy measuring up to nearly 8 cm infiltrates the surrounding musculature, including the left prevertebral space, obliterates the internal jugular vein, and encases the common carotid artery. There is nodularity in the left thyroid measuring up to 35 mm. There is sclerosis and fragmentation of the C6 and C7 vertebrae. The major salivary glands are 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', 'mediastinum': location descriptor_fin: ['right', 'lower', 'upper', 'adjacent']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'previously identified right lower lobe pulmonary nodule': 'clinical finding': 'previously identified right lower lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'previously identified right lower lobe pulmonary', 'observation': 'nodule', 'ground glass opacity': 'clinical finding': 'ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'anatomical entity_fin: 'left lung': , 'base': imaging observation_fin: ['angle']clinical findings_fin: 'linear groundglass opacity': 'clinical finding': 'linear groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'linear groundglass', 'observation': 'opacity', 'benign scar': 'clinical finding': 'benign scar', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'scar', 'strength_term': 'benign'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'anatomical entity_fin: 'airspace': clinical findings_fin: 'focal airspace opacity': 'clinical finding': 'focal airspace opacity', 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '6 mm']location descriptor_fin: ['left']clinical findings_fin: 'previously identified left paratracheal lymph node': 'clinical finding': 'previously identified left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left paratracheal lymph', 'observation': 'node'anatomical entity_fin: 'spine': clinical findings_fin: 'mild multilevel degenerative changes': 'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'moderate atherosclerotic calcifications': 'clinical finding': 'moderate atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate' [/INST] [RESP] . There is interval resolution of the previously identified right lower lobe pulmonary nodule and ground glass opacity in the right upper lobe adjacent to the mediastinum. Linear groundglass opacity at the costophrenic angle of the left lung base is stable compared to prior examination and most likely represents a benign scar but can be followed. There are no new suspicious pulmonary nodules. No focal airspace opacity, pleural effusion, or pneumothorax. The cardiac size is within normal limits without pericardial effusion. The previously identified left paratracheal lymph node is decreased in size and currently measures 6 mm. Mild. Mild multilevel degenerative changes affect the thoracic spine. No axillary lymphadenopathy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Moderate atherosclerotic calcifications affect the intra-abdominal aorta and its branches. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'supraclavicular': , 'left carotid artery': location descriptor_fin: ['lateral', 'left']clinical findings_fin: 'mild enhanced soft tissue mass': 'clinical finding': 'mild enhanced soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'mild enhanced soft tissue', 'observation': 'mass', 'strength_term': 'mild'clinical findings_fin: 'hypoattenuation cystic degeneration': 'clinical finding': 'hypoattenuation cystic degeneration', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuation cystic', 'observation': 'degeneration', 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'neural foreman expansion': 'clinical finding': 'neural foreman expansion', 'existence': 'neg_dx', 'descriptive_term': 'neural foreman', 'observation': 'expansion'location descriptor_fin: ['adjacent']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'bony erosion': 'clinical finding': 'bony erosion', 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'erosion', 'adenopathy': 'clinical finding': 'adenopathy', 'existence': 'neg_dx', 'observation': 'adenopathy'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'two retention cysts': 'clinical finding': 'two retention cysts', 'existence': 'pos_dx', 'descriptive_term': 'two retention', 'observation': 'cyst'anatomical entity_fin: 'cells': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'nonspecific inflammatory change': 'clinical finding': 'nonspecific inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific inflammatory', 'observation': 'change'anatomical entity_fin: 'brain': , 'parenchyma': , 'skull': , 'base': clinical findings_fin: 'visualized brain parenchyma and skull base': 'clinical finding': 'visualized brain parenchyma and skull base' [/INST] [RESP] Post infused CT images demonstrate mild enhanced soft tissue mass in the supraclavicular space lateral to the left carotid artery at the C7 level. There is hypoattenuation cystic degeneration within the lesion. No neural foreman expansion is detected. The mass is hard to distinguish from the adjacent soft tissue. No bony erosion or adenopathy is see. Two retention cysts are detected in the right maxillary sinus. Mild mucosal thickening in the right anterior ethmoid air cells is consistent with nonspecific inflammatory change. Visualized brain parenchyma and skull base are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral pleural effusions': 'clinical finding': 'moderate bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'anatomical entity_fin: 'pleura': 'location descriptor': 'right', 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'thickened_1': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'thickened_2': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'size_fin: ['size': '6 mm', 'size_descriptor': 'pleura']anatomical entity_fin: 'apex': 'location descriptor': 'posterior medial', 'pleura': location descriptor_fin: ['posterior', 'medial']size_fin: ['size': '7 mm', 'size_descriptor': 'pleura']anatomical entity_fin: 'aortic arch': , 'pleura': size_fin: ['size': '19 mm', 'size_descriptor': 'node']clinical findings_fin: 'enlarged retrocrural node': 'clinical finding': 'enlarged retrocrural node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged retrocrural', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'mediastinum': location descriptor_fin: ['right']object_fin: ['chest tube']clinical findings_fin: 'multiple micronodules': 'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple', 'right chest tube': 'clinical finding': 'right chest tube', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'tube'anatomical entity_fin: 'aorta': clinical findings_fin: 'extensive calcification': 'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'cyst-like hypodensity': 'clinical finding': 'cyst-like hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'cyst-like', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': , 'pole': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'right kidney renal cysts': 'clinical finding': 'right kidney renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'right kidney renal', 'observation': 'cyst'anatomical entity_fin: 'left kidney': , 'pole': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'left kidney upper pole cyst': 'clinical finding': 'left kidney upper pole cyst', 'existence': 'pos_dx', 'descriptive_term': 'left kidney upper pole', '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: 'lumbar scoliosis': 'clinical finding': 'lumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'lumbar', 'observation': 'scoliosis' [/INST] [RESP] . Moderate bilateral pleural effusions. Thickened right pleura and thickened interlobular septa at the right base, consistent with mesothelioma. Posterior medial apex pleura, 6 mm. Aortic arch level pleura, 7 mm. Enlarged retrocrural node, 19 mm. Multiple micronodules bilaterally, marked on image series Right chest tube in place with its tip at the midthoracic level, abutting the mediastinum. Extensive calcification of the aorta and its branches. Coronary calcification. No significant abnormality noted. Cyst-like hypodensity in the right hepatic lobe. No significant abnormality noted. No significant abnormality noted. Right kidney renal cysts, the largest at the lower pole. Left kidney upper pole cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lumbar scoliosis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6 x 6 mm', 'size': '3 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference small nodule': 'clinical finding': 'reference small nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference small', 'observation': 'nodule', 'strength_term': 'small'clinical findings_fin: 'other small micronodules': 'clinical finding': 'other small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other small', 'observation': 'micronodule', 'strength_term': 'small'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': 'location descriptor': 'upper', 'lingula': imaging observation_fin: ['reticulation']location descriptor_fin: ['right', 'upper']clinical findings_fin: 'subpleural reticulation': 'clinical finding': 'subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'reticulation'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'clinical findings_fin: 'mild basal or air trapping': 'clinical finding': 'mild basal or air trapping', 'existence': 'pos_dx', 'descriptive_term': 'mild basal or air', 'observation': 'trapping', 'strength_term': 'mild', 'expiratory phase': 'clinical finding': 'expiratory phase', 'existence': 'pos_dx', 'descriptive_term': 'expiratory', 'observation': 'phase'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'procedure_fin: ['cholecystectomy'] [/INST] [RESP] . The reference small nodule in the right upper lobe has increased to 6 x 6 mm , measuring 3 mm on previous. Other small micronodules are stable. Subpleural reticulation in the right middle and upper lobe as well as lingula is stable. Centrilobular emphysema. Mild basal or air trapping on expiratory phase imaging. Scattered small mediastinal lymph nodes are stable. Negative. Status post cholecystectomy. [/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'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '30 cm']anatomical entity_fin: 'terminal ileum': location descriptor_fin: ['distal']clinical findings_fin: 'circumferential thickening': 'clinical finding': 'circumferential thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential', 'observation': 'thickening', 'associated inflammatory changes': 'clinical finding': 'associated inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'associated inflammatory', 'observation': 'change', 'enteritis': 'clinical finding': 'enteritis', 'existence': 'pos_dx', 'observation': 'enteritis', 'infectious, inflammatory or ischemic': 'clinical finding': 'infectious, inflammatory or ischemic', 'existence': 'pos_dx', 'descriptive_term': 'infectious inflammatory or', 'observation': 'ischemic'anatomical entity_fin: 'bowel': clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'thoracolumbar scoliosis': 'clinical finding': 'thoracolumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'thoracolumbar', 'observation': 'scoliosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small pelvic ascites': 'clinical finding': 'small pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'small pelvic', 'observation': 'ascite', 'strength_term': 'small'clinical findings_fin: 'thoracolumbar scoliosis': 'clinical finding': 'thoracolumbar scoliosis', 'existence': 'pos_dx', 'descriptive_term': 'thoracolumbar', 'observation': 'scoliosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Cannot be evaluated. The distal 30 cm of terminal ileum show circumferential thickening and associated inflammatory changes, consistent with enteritis of an infectious, inflammatory or ischemic etiology. There is no evidence of abscess formation or bowel obstruction. Thoracolumbar scoliosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small pelvic ascites. Thoracolumbar scoliosis. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': 'location descriptor': 'right'location descriptor_fin: ['right', 'posterior']object_fin: ['ventriculoperitoneal shunt', 'catheter']clinical findings_fin: 'right posterior approach ventriculoperitoneal': 'clinical finding': 'right posterior approach ventriculoperitoneal', 'existence': 'pos_dx', 'descriptive_term': 'right posterior approach', 'observation': 'ventriculoperitoneal'object_fin: ['catheter']clinical findings_fin: 'visible kinking': 'clinical finding': 'visible kinking', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'kinking', 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity', 'catheter or reservoir system': 'clinical finding': 'catheter or reservoir system', 'existence': 'neg_dx', 'descriptive_term': 'catheter or reservoir', 'observation': 'system'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '36 mm', 'size': '43 mm']anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'moderate enlargement': 'clinical finding': 'moderate enlargement', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'enlargement', 'strength_term': 'moderate'clinical findings_fin: 'it is also noted': 'clinical finding': 'it is also noted'anatomical entity_fin: 'brain': , 'head': clinical findings_fin: 'this change': 'clinical finding': 'this change', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'change', 'hydrocephalus--suggest': 'clinical finding': 'hydrocephalus--suggest', 'existence': 'unc_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'focal fluid collection': 'clinical finding': 'focal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'focal fluid', 'observation': 'collection', 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'brain': , 'parenchyma': , 'left frontal lobe': clinical findings_fin: 'some moderate thinning': 'clinical finding': 'some moderate thinning', 'existence': 'pos_dx', 'descriptive_term': 'some moderate', 'observation': 'thinning', 'strength_term': 'moderate', 'quantity_term': 'some', 'white matter': 'clinical finding': 'white matter', 'existence': 'pos_dx', 'descriptive_term': 'white', 'observation': 'matter', 'porencephaly': 'clinical finding': 'porencephaly', 'existence': 'unc_dx', 'observation': 'porencephaly'anatomical entity_fin: 'right cerebral hemisphere': 'location descriptor': 'posterior', 'corpus callosum': , 'brainstem': location descriptor_fin: ['posterior']clinical findings_fin: 'white matter volume loss': 'clinical finding': 'white matter volume loss', 'existence': 'pos_dx', 'descriptive_term': 'white matter volume', 'observation': 'loss', 'thinning': 'clinical finding': 'thinning', 'existence': 'pos_dx', 'observation': 'thinning'clinical findings_fin: 'new parenchymal abnormality': 'clinical finding': 'new parenchymal abnormality', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'abnormality', 'temporal_term': 'new'anatomical entity_fin: 'septum pellucidum': location descriptor_fin: ['left', 'midline']clinical findings_fin: 'some distortion': 'clinical finding': 'some distortion', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'distortion', 'quantity_term': 'some', 'left ventriculomegaly': 'clinical finding': 'left ventriculomegaly', 'existence': 'unc_dx', 'descriptive_term': 'left', 'observation': 'ventriculomegaly', 'generalized mass effect': 'clinical finding': 'generalized mass effect', 'existence': 'neg_dx', 'descriptive_term': 'generalized mass', 'observation': 'effect', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'unc_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' [/INST] [RESP] There is redemonstration of a right posterior approach ventriculoperitoneal shunt catheter that terminates in the region of the right foramen of Monro. There is no visible kinking or discontinuity of the catheter or reservoir system as visualized. Since the prior examination, the size of the right lateral ventricle has decreased to near normal size. There remains moderate enlargement of the left lateral ventricle though to a lesser degree, 36 mm versus 43 mm previously at the left frontal horn. It is also noted that the extra-axial spaces have decreased in size. This change may reflect interval brain growth or recovery from hydrocephalus--suggest correlation with head circumference. There is no focal fluid collection or acute intracranial hemorrhage. Evaluation of brain parenchyma redemonstrates some moderate thinning of the white matter overlying the left frontal lobe, suggestive of porencephaly. There is also white matter volume loss in the posterior right cerebral hemisphere and thinning of the corpus callosum, brainstem. There is no new parenchymal abnormality. Although there remains some distortion of the septum pellucidum in the context of the left ventriculomegaly, no generalized mass effect, midline shift, or basal cistern effacement. Paranasal sinuses and mastoid air cells are clear. Orbital contents are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': clinical findings_fin: 'poor contrast': 'clinical finding': 'poor contrast', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'contrast'anatomical entity_fin: 'neck': location descriptor_fin: ['right']clinical findings_fin: 'discrete mass': 'clinical finding': 'discrete mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'mass'clinical findings_fin: 'definite soft tissue mass': 'clinical finding': 'definite soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'definite soft tissue', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'airway': anatomical entity_fin: 'vasculature': clinical findings_fin: 'normal enhancement': 'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'temporal bones': 'location descriptor': 'left', 'external auditory canals': location descriptor_fin: ['right', 'left']clinical findings_fin: 'views of both right and left temporal bones show normal appearance of the external auditory canals including its cartilaginous and bony portions': 'clinical finding': 'views of both right and left temporal bones show normal appearance of the external auditory canals including its cartilaginous and bony portions'anatomical entity_fin: 'middle ear cavity': , 'middle ear': clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate', 'middle ear ossicles': 'clinical finding': 'middle ear ossicles', 'existence': 'pos_dx', 'descriptive_term': 'middle ear', 'observation': 'ossicle'anatomical entity_fin: 'inner ear': , 'cochlea': , 'vestibule': , 'semicircular canals': , 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'inner ear structures including the cochlea , vestibule , semicircular canals , internal auditory canal and facial nerve canal are normal in appearance': 'clinical finding': 'inner ear structures including the cochlea , vestibule , semicircular canals , internal auditory canal and facial nerve canal are normal in appearance'anatomical entity_fin: 'vestibular aqueduct': clinical findings_fin: 'well visualized and show': 'clinical finding': 'well visualized and show'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'neg_dx', 'observation': 'aerate', 'opacification': 'clinical finding': 'opacification', 'existence': 'neg_dx', 'observation': 'opacification', 'erosions': 'clinical finding': 'erosions', 'existence': 'neg_dx', 'observation': 'erosion'anatomical entity_fin: 'carotid canal': , 'jugular fossa': imaging observation_fin: ['angle']clinical findings_fin: 'carotid canal , jugular fossa and sinus angle are unremarkable': 'clinical finding': 'carotid canal , jugular fossa and sinus angle are unremarkable'anatomical entity_fin: 'apices': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral aerated': 'clinical finding': 'bilateral aerated', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'aerate' [/INST] [RESP] Images of the soft tissue neck are slightly limited secondary to poor contrast bolus. Views of the soft tissue neck show slight fullness along the right tonsillar soft tissues however no discrete mass is identified, series 4 image number 33 of 72. The remaining images show no definite soft tissue mass with no abnormal enhancement. There is no compromise of the pharyngeal or laryngeal airway. Normal enhancement is seen involving the carotid vasculature. There is no significant cervical lymphadenopathy. Views of both right and left temporal bones show normal appearance of the external auditory canals including its cartilaginous and bony portions. The middle ear cavity is well aerated with normal appearance of the middle ear ossicles. The inner ear structures including the cochlea, vestibule, semicircular canals, internal auditory canal and facial nerve canal are normal in appearance. The vestibular aqueduct is well visualized and show no evidence of enlargement. The mastoid air cells are well aerated with no opacification or erosions. The carotid canal, jugular fossa and sinus angle are unremarkable. Of incidental note are bilateral aerated Petrus apices. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'moderate bilateral pleural effusions': 'clinical finding': 'moderate bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate'anatomical entity_fin: 'lingula': 'location descriptor': 'inferior'location descriptor_fin: ['bilateral', 'inferior']clinical findings_fin: 'patchy bilateral groundglass': 'clinical finding': 'patchy bilateral groundglass', 'existence': 'pos_dx', 'descriptive_term': 'patchy bilateral', 'observation': 'groundglass', 'alveolar, and interstitial opacity': 'clinical finding': 'alveolar, and interstitial opacity', 'existence': 'pos_dx', 'descriptive_term': 'alveolar and interstitial', 'observation': 'opacity', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'clinical findings_fin: 'background mild centrilobular emphysema': 'clinical finding': 'background mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'background mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'mild intrathoracic lymphadenopathy': 'clinical finding': 'mild intrathoracic lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild intrathoracic', 'observation': 'lymphadenopathy', 'strength_term': 'mild'clinical findings_fin: 'severe coronary calcification': 'clinical finding': 'severe coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Moderate bilateral pleural effusions. Patchy bilateral groundglass, alveolar, and interstitial opacity with a few areas of traction bronchiectasis, most notably in the inferior lingula. Background mild centrilobular emphysema. Mild intrathoracic lymphadenopathy. Severe coronary calcification. Atherosclerotic calcification of the aorta and its branches. Degenerative change involving the spine. 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: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'upper lobe calcified micronodule': 'clinical finding': 'upper lobe calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'right lower lobe micronodules': 'clinical finding': 'right lower lobe micronodules', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'micronodule'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: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 adrenal gland': location descriptor_fin: ['adjacent']clinical findings_fin: 'small retroperitoneal nodes': 'clinical finding': 'small retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'small, fat-containing left inguinal hernia': 'clinical finding': 'small, fat-containing left inguinal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing left inguinal', 'observation': 'hernia', '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'location descriptor_fin: ['left']procedure_fin: ['orchiectomy'] [/INST] [RESP] . Right upper lobe calcified micronodule and right lower lobe micronodules are stable. Residual thymic tissue is unchanged. No mediastinal or hilar lymphadenopathy is evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal nodes adjacent to the left adrenal gland appear unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of pelvic lymphadenopathy. A small, fat-containing left inguinal hernia is noted. No significant abnormality noted. No significant abnormality noted. Status post left orchiectomy. [/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: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'significant intrahepatic or extra hepatic biliary ductal dilatation': 'clinical finding': 'significant intrahepatic or extra hepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'significant intrahepatic or extra hepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'portal vein': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': 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: 'evidence of free intraperitoneal air': 'clinical finding': 'evidence of free intraperitoneal air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No evidence of focal hepatic lesion. No evidence of significant intrahepatic or extra hepatic biliary ductal dilatation. Portal vein is patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of hydronephrosis. No significant abnormality noted. Mild. Small and large bowel caliber are within normal limits without evidence of obstruction. No significant abnormality noted. No evidence of free intraperitoneal air. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. Grade 1 anterolisthesis of L5 on S1. 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: 'cerebral cortex': clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'anatomical entity_fin: 'scalp': clinical findings_fin: 'unremarkable calvarium and soft tissues': 'clinical finding': 'unremarkable calvarium and soft tissues'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': , 'paranasal sinuses': clinical findings_fin: 'unremarkable mastoid air cells': 'clinical finding': 'unremarkable mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'unremarkable mastoid air', 'observation': 'cell', 'strength_term': 'unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable orbits': 'clinical finding': 'unremarkable orbits' [/INST] [RESP] Nonenhanced head. No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation. Unremarkable calvarium and soft tissues of the scalp. Unremarkable mastoid air cells, middle ear cavities and all paranasal sinuses. Unremarkable orbits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '4-mm', 'size_descriptor': 'micronodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']clinical findings_fin: 'approximately 4-mm pulmonary micronodule': 'clinical finding': 'approximately 4-mm pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'approximately 4-mm pulmonary', 'observation': 'micronodule'size_fin: ['size': '3-mm', 'size_descriptor': 'micronodule']anatomical entity_fin: 'right major fissure': clinical findings_fin: 'stable appearing 3-mm pulmonary micronodule': 'clinical finding': 'stable appearing 3-mm pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'stable appearing 3-mm pulmonary', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lung': clinical findings_fin: 'pulmonary masses': 'clinical finding': 'pulmonary masses', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'calcified lung nodules': 'clinical finding': 'calcified lung nodules', 'existence': 'neg_dx', 'descriptive_term': 'calcified lung', 'observation': 'nodule', 'change_term': 'calcified', 'air space opacities': 'clinical finding': 'air space opacities', 'existence': 'neg_dx', 'descriptive_term': 'air space', 'observation': 'opacity', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pleural thickening': 'clinical finding': 'pleural thickening', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'thickening'clinical findings_fin: 'hilar, axillary, or mediastinal lymphadenopathy': 'clinical finding': 'hilar, axillary, or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar axillary or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'residual thymic tissue': 'clinical finding': 'residual thymic tissue', 'existence': 'pos_dx', 'descriptive_term': 'residual thymic', 'observation': 'tissue', 'temporal_term': 'residual', 'calcification': 'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification', 'posttherapy changes': 'clinical finding': 'posttherapy changes', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'anatomical entity_fin: 'chest': , 'right atrium': location descriptor_fin: ['left']object_fin: ['port', 'catheter']clinical findings_fin: 'focal bone lesions': 'clinical finding': 'focal bone lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal bone', 'observation': 'lesion'anatomical entity_fin: 'abdominal': , 'organs': clinical findings_fin: 'visualized abdominal organs are normal': 'clinical finding': 'visualized abdominal organs are normal' [/INST] [RESP] . Stable appearing approximately 4-mm pulmonary micronodule in the peripheral aspect of the right upper lobe. Stable appearing 3-mm pulmonary micronodule along the right major fissure which may represent intrapulmonary lymph node. No evidence of pulmonary masses, calcified lung nodules, air space opacities, pleural effusions, or pleural thickening. No evidence of hilar, axillary, or mediastinal lymphadenopathy. The residual thymic tissue is hyperdense which is nonspecific but may represent calcification secondary to posttherapy changes. Left-sided chest port catheter with tip terminating in the right atrium. No focal bone lesions are identified. The visualized abdominal organs are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal periventricular hypodensity': 'clinical finding': 'minimal periventricular hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'minimal periventricular', 'observation': 'hypodensity', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'minimal small vessel ischemic change': 'clinical finding': 'minimal small vessel ischemic change', 'existence': 'unc_dx', 'descriptive_term': 'minimal small vessel ischemic', 'observation': 'change', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'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': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'scalp': clinical findings_fin: 'multifocal scalp cutaneous calcifications': 'clinical finding': 'multifocal scalp cutaneous calcifications', 'existence': 'pos_dx', 'descriptive_term': 'multifocal scalp cutaneous', 'observation': 'calcification' [/INST] [RESP] There is minimal periventricular hypodensity, which may represent minimal small vessel ischemic change. 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 except for partial opacification of the left maxillary sinus. Multifocal scalp cutaneous calcifications. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'minimal paransal sinus disease': 'clinical finding': 'minimal paransal sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal paransal sinus', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Minimal paransal sinus disease. [/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: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'chest wall': 'location descriptor': 'right', 'right atrium': location descriptor_fin: ['right']object_fin: ['port', '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: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'small inguinal lymph nodes': 'clinical finding': 'small inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small inguinal lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No mediastinal or hilar lymphadenopathy. None. Right chest wall port catheter tip 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 retroperitoneal lymphadenopathy. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy. Small inguinal lymph nodes which are not enlarged by CT size criteria. 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: 'multiple gas containing gallstones': 'clinical finding': 'multiple gas containing gallstones', 'existence': 'pos_dx', 'descriptive_term': 'multiple gas containing', 'observation': 'gallstone', 'quantity_term': 'multiple', 'gallbladder wall thickening': 'clinical finding': 'gallbladder wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening', 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'two subcentimeter hypodense lesions': 'clinical finding': 'two subcentimeter hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter 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'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', 'benign adenoma': 'clinical finding': 'benign adenoma', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign'location descriptor_fin: ['right']clinical findings_fin: 'right adrenal is unremarkable': 'clinical finding': 'right adrenal is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'scattered subcentimeter mesenteric lymph nodes': 'clinical finding': 'scattered subcentimeter mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mesenteric lymph', 'observation': 'node'imaging observation_fin: ['fat']location descriptor_fin: ['left', 'right']clinical findings_fin: 'colonic wall thickening': 'clinical finding': 'colonic wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'colonic wall', 'observation': 'thickening', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'fat', 'observation': 'strand', 'loculated intraperitoneal fluid collection': 'clinical finding': 'loculated intraperitoneal fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'loculated intraperitoneal fluid', 'observation': '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'clinical findings_fin: '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. Multiple gas containing gallstones are present without gallbladder wall thickening, pericholecystic fluid or intra-\extra panic biliary ductal dilatation. Two subcentimeter hypodense lesions in the right hepatic lobe are too small to further characterize, but unchanged from prior examination. No significant abnormality noted. No significant abnormality noted. Stable left adrenal nodule, likely represents a benign adenoma. Right adrenal is unremarkable. No significant abnormality noted. No significant abnormality noted. Scattered subcentimeter mesenteric lymph nodes are noted. Left and right colonic diverticula are present without evidence of colonic wall thickening, fat stranding or loculated intraperitoneal fluid collection. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Colonic diverticula are again seen without evidence of 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: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'trachea': clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'clinical findings_fin: 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'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: 'multiple hepatic hypodensities': 'clinical finding': 'multiple hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple'clinical findings_fin: 'suspicious masses': 'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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] . No suspicious pulmonary nodules or masses. No pleural effusions. Mild amount of debris within the trachea. Status post thyroidectomy. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of pericardial effusion. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple hepatic hypodensities, unchanged over 4 years. No suspicious masses. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxilla': 'location descriptor': 'right', 'nasolacrimal duct': , 'inferior nasal turbinate': location descriptor_fin: ['right']procedure_fin: ['antrectomy']clinical findings_fin: 'post-surgical changes': 'clinical finding': 'post-surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'change'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'imaging observation_fin: ['enhancing']clinical findings_fin: 'discrete enhancing mass': 'clinical finding': 'discrete enhancing mass', 'existence': 'neg_dx', 'descriptive_term': 'discrete enhancing', 'observation': 'mass', 'tumor recurrence': 'clinical finding': 'tumor recurrence', 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'recurrence'anatomical entity_fin: 'neck': location descriptor_fin: ['bilateral']clinical findings_fin: 'scattered bilateral nonenlarged lymph nodes': 'clinical finding': 'scattered bilateral nonenlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral nonenlarged lymph', 'observation': 'node'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'cells': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'nonspecific mucosal thickening': 'clinical finding': 'nonspecific mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific mucosal', 'observation': 'thickening'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular and thyroid glands are also within normal limits': 'clinical finding': 'parotid , submandibular and thyroid glands are also within normal limits'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'anatomical entity_fin: 'endplate': , 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'endplate osteophyte': 'clinical finding': 'endplate osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte', 'left neuroforaminal narrowing': 'clinical finding': 'left neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'left neuroforaminal', 'observation': 'narrowing'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Post-surgical changes are redemonstrated in the right maxilla including partial resection of the nasolacrimal duct, antrectomy and inferior nasal turbinate resection. There is redemonstration of minimal mucosal thickening in the right maxillary sinus, which has unchanged since the previous exam. There is no discrete enhancing mass to suggest tumor recurrence. Scattered bilateral nonenlarged lymph nodes are again seen throughout the neck. The orbits are unremarkable. Nonspecific mucosal thickening is noted in the ethmoid air cells and left maxillary sinus. The mastoids are clear. The mucosal space along the airway is patent. The parotid, submandibular and thyroid glands are also within normal limits. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. There are endplate osteophyte and left neuroforaminal narrowing at C5/C6. The lung apices are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'external auditory canal': clinical findings_fin: 'external auditory canal is normal': 'clinical finding': 'external auditory canal is normal'anatomical entity_fin: 'middle ear cavity': clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'anatomical entity_fin: 'malleus': , 'incus': clinical findings_fin: 'malleus and incus are within normal limits': 'clinical finding': 'malleus and incus are within normal limits'anatomical entity_fin: 'stapes': , 'oval window': clinical findings_fin: 'however , the stapes is not visualized by ct technique': 'clinical finding': 'however , the stapes is not visualized by ct technique'anatomical entity_fin: 'facial nerve': , 'nerve': location descriptor_fin: ['inferior', 'superior']clinical findings_fin: 'dehiscence': 'clinical finding': 'dehiscence', 'existence': 'pos_dx', 'observation': 'dehiscence', 'inferior displacement': 'clinical finding': 'inferior displacement', 'existence': 'pos_dx', 'descriptive_term': 'inferior', 'observation': 'displacement'anatomical entity_fin: 'round window': clinical findings_fin: 'round window': 'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'anatomical entity_fin: 'cochlea': , 'vestibule': , 'semicircular canals': clinical findings_fin: 'cochlea , vestibule , and semicircular canals are normal': 'clinical finding': 'cochlea , vestibule , and semicircular canals are normal'anatomical entity_fin: 'vestibular aqueducts': clinical findings_fin: 'cochlear and vestibular aqueducts are normal': 'clinical finding': 'cochlear and vestibular aqueducts are normal'anatomical entity_fin: 'internal auditory canals': clinical findings_fin: 'internal auditory canals are normal': 'clinical finding': 'internal auditory canals are normal'anatomical entity_fin: 'carotid canals': , 'sigmoid sinus': clinical findings_fin: 'carotid canals , sigmoid sinus plates , and jugular fossae are normal': 'clinical finding': 'carotid canals , sigmoid sinus plates , and jugular fossae are normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'external auditory canal': clinical findings_fin: 'external auditory canal is normal': 'clinical finding': 'external auditory canal is normal'anatomical entity_fin: 'middle ear cavity': clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate'anatomical entity_fin: 'malleus': , 'incus': clinical findings_fin: 'malleus and incus are within normal limits': 'clinical finding': 'malleus and incus are within normal limits'anatomical entity_fin: 'stapes': , 'oval window': clinical findings_fin: 'oval window': 'clinical finding': 'oval window', 'existence': 'pos_dx', 'descriptive_term': 'oval', 'observation': 'window'anatomical entity_fin: 'facial nerve': , 'nerve': , 'stapes': location descriptor_fin: ['inferior']clinical findings_fin: 'dehiscence': 'clinical finding': 'dehiscence', 'existence': 'pos_dx', 'observation': 'dehiscence', 'slight inferior displacement': 'clinical finding': 'slight inferior displacement', 'existence': 'pos_dx', 'descriptive_term': 'slight inferior', 'observation': 'displacement', 'dysplastic': 'clinical finding': 'dysplastic', 'existence': 'pos_dx', 'observation': 'dysplastic'anatomical entity_fin: 'round window': clinical findings_fin: 'round window': 'clinical finding': 'round window', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'window'anatomical entity_fin: 'cochlea': , 'vestibule': , 'semicircular canals': clinical findings_fin: 'cochlea , vestibule , and semicircular canals are normal': 'clinical finding': 'cochlea , vestibule , and semicircular canals are normal'anatomical entity_fin: 'vestibular aqueducts': clinical findings_fin: 'cochlear and vestibular aqueducts are normal': 'clinical finding': 'cochlear and vestibular aqueducts are normal'anatomical entity_fin: 'internal auditory canals': clinical findings_fin: 'internal auditory canals are normal': 'clinical finding': 'internal auditory canals are normal'anatomical entity_fin: 'carotid canals': , 'sigmoid sinus': clinical findings_fin: 'carotid canals , sigmoid sinus plates , and jugular fossae are normal': 'clinical finding': 'carotid canals , sigmoid sinus plates , and jugular fossae are normal' [/INST] [RESP] . The mastoid air cells are well developed and pneumatized. The external auditory canal is normal. The middle ear cavity is well aerated. The malleus and incus are within normal limits. However, the stapes is not visualized by CT technique and the oval window is dysplastic. Additionally, an aberrant course of the facial nerve is noted with dehiscence and inferior displacement of the nerve along the superior aspect of the cochlear promontory. The round window is normal. The cochlea, vestibule, and semicircular canals are normal. The cochlear and vestibular aqueducts are normal. The internal auditory canals are normal. The carotid canals, sigmoid sinus plates, and jugular fossae are normal. The mastoid air cells are well developed and pneumatized. The external auditory canal is normal. The middle ear cavity is well aerated. The malleus and incus are within normal limits. However, the stapes and oval window are dysplastic. Additionally, an aberrant course of the facial nerve is noted with dehiscence and slight inferior displacement of the nerve abutting the dysplastic stapes. The round window is normal. The cochlea, vestibule, and semicircular canals are normal. The cochlear and vestibular aqueducts are normal. The internal auditory canals are normal. The carotid canals, sigmoid sinus plates, and jugular fossae are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.5 x 1.6 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'posterior']clinical findings_fin: 'spiculated mass': 'clinical finding': 'spiculated mass', 'existence': 'pos_dx', 'descriptive_term': 'spiculated', 'observation': 'mass'size_fin: ['size': '4 mm', 'size_descriptor': 'medial']imaging observation_fin: ['satellite nodule']location descriptor_fin: ['medial']clinical findings_fin: 'small satellite nodule': 'clinical finding': 'small satellite nodule', 'existence': 'pos_dx', 'descriptive_term': 'small satellite', 'observation': 'nodule', 'strength_term': 'small', 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'clinical findings_fin: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'mitral valve': clinical findings_fin: 'high attenuation': 'clinical finding': 'high attenuation', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'attenuation', 'annuloplasty ring': 'clinical finding': 'annuloplasty ring', 'existence': 'unc_dx', 'descriptive_term': 'annuloplasty', 'observation': 'ring', 'calcifications': 'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'anatomical entity_fin: 'interatrial septum': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'anatomical entity_fin: 't11 vertebral body': , 'end plate': 'location descriptor': 'superior', 'upper abdomen': location descriptor_fin: ['superior']clinical findings_fin: 'small focal sclerosis': 'clinical finding': 'small focal sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'small focal', 'observation': 'sclerosis', 'strength_term': 'small' [/INST] [RESP] . Spiculated mass in the periphery of the right lower lobe, abutting the posterior pleural surface measures 1.5 x 1.6 cm in image 61. There is a small satellite nodule medial to the lesion measuring approximately 4 mm on image 62. These appear grossly unchanged from the recent outside exams. No significantly enlarged mediastinal or hilar lymph nodes. High attenuation in the region of the mitral valve could represent an annuloplasty ring or calcifications. Fatty infiltration of the interatrial septum. Small focal sclerosis in the T11 vertebral body just below the superior end plate, image 77 CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: 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: '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'anatomical entity_fin: 'globes': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'retrobulbar hemorrhage': 'clinical finding': 'retrobulbar hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'retrobulbar', 'observation': 'hemorrhage'anatomical entity_fin: 'skull': clinical findings_fin: 'visible soft tissue trauma': 'clinical finding': 'visible soft tissue trauma', 'existence': 'neg_dx', 'descriptive_term': 'visible soft tissue', 'observation': 'trauma', 'depressed skull fracture': 'clinical finding': 'depressed skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'depressed skull', 'observation': 'fracture'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening' [/INST] [RESP] There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The ventricles, sulci, and cisterns are symmetric. Cerebral volume is age appropriate. The gray-white matter differentiation is preserved. No acute territorial ischemia is present within the limits of CT imaging. The visualized globes and lenses are intact. There is no retrobulbar hemorrhage. There is no visible soft tissue trauma or depressed skull fracture. Visualized paranasal sinuses and mastoid air cells are clear apart from mucosal thickening the right maxillary sinus which is commonly seen in a patient this age. [/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'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'anatomical entity_fin: 'liver': clinical findings_fin: 'possible fatty': 'clinical finding': 'possible fatty', 'existence': 'pos_dx', 'descriptive_term': 'possible', 'observation': 'fatty'location descriptor_fin: ['upper']clinical findings_fin: 'upper normal size': 'clinical finding': 'upper normal size'size_fin: ['size': '6 cm', 'size_descriptor': 'length']clinical findings_fin: 'this is unchanged': 'clinical finding': 'this is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '0.7 x 0.6 cm', 'size_descriptor': 'series']clinical findings_fin: 'index aortocaval node': 'clinical finding': 'index aortocaval node', 'existence': 'pos_dx', 'descriptive_term': 'index aortocaval', 'observation': 'node'size_fin: ['size': '0.6 x 0.6 cm']clinical findings_fin: 'new nodes': 'clinical finding': 'new nodes', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'node', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': location descriptor_fin: ['superior']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'clinical findings_fin: 'statistically most likely fibroid': 'clinical finding': 'statistically most likely fibroid'clinical findings_fin: 'this is probably unchanged': 'clinical finding': 'this is probably unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'pelvis': clinical findings_fin: 'nonobstructive adhesions': 'clinical finding': 'nonobstructive adhesions', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive', 'observation': 'adhesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Cholecystectomy clips. Possible fatty liver. Upper normal size. 6 cm length coronal image 30. This is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Index aortocaval node series 2 image 107 measures 0.7 x 0.6 cm. Previously 0.6 x 0.6 cm. No new nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypodense lesion superior aspect of uterus without calcification. Statistically most likely fibroid. This is probably unchanged. No significant abnormality noted. No significant abnormality noted. Some distortion of small bowel loops in the pelvis consistent with nonobstructive adhesions. 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'anatomical entity_fin: 'liver': clinical findings_fin: 'diffuse hypoattenuation': 'clinical finding': 'diffuse hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'hypoattenuation', 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'anatomical entity_fin: 'liver': clinical findings_fin: 'nodular contour': 'clinical finding': 'nodular contour', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'contour', 'cirrhosis': 'clinical finding': 'cirrhosis', 'existence': 'unc_dx', 'observation': 'cirrhosis'clinical findings_fin: 'borderline splenomegaly': 'clinical finding': 'borderline splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'splenomegaly', 'strength_term': 'borderline'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['hematoma']clinical findings_fin: 'retroperitoneal hematoma': 'clinical finding': 'retroperitoneal hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hematoma'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications of the abdominal aorta': 'clinical finding': 'atherosclerotic calcifications of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the abdominal', 'observation': 'aorta'imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing ventral hernia': 'clinical finding': 'small fat-containing ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing ventral', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal appearing': 'clinical finding': 'appendix is normal appearing'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] . No significant abnormality noted. Diffuse hypoattenuation of the liver, compatible with fatty infiltration. Nodular contour of the liver, raising question of cirrhosis. Without iv contrast no further evaluation can be made. Borderline splenomegaly is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of retroperitoneal hematoma. Atherosclerotic calcifications of the abdominal aorta. Small fat-containing ventral hernia. Degenerative changes of the thoracolumbar spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is normal appearing. 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: anatomical entity_fin: 'lung': , 'bases': location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'nonobstructive left renal calculus': 'clinical finding': 'nonobstructive left renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive left renal', 'observation': 'calculus'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'anatomical entity_fin: 'bowel': , 'bladder': clinical findings_fin: 'equivocal vascular abnormality': 'clinical finding': 'equivocal vascular abnormality', 'existence': 'pos_dx', 'descriptive_term': 'equivocal vascular', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 diverticulosis': 'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'clinical findings_fin: 'significant inflammatory change': 'clinical finding': 'significant inflammatory change', 'existence': 'neg_dx', 'descriptive_term': 'significant inflammatory', 'observation': 'change', 'peridiverticular abscess': 'clinical finding': 'peridiverticular abscess', 'existence': 'neg_dx', 'descriptive_term': 'peridiverticular', 'observation': 'abscess'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Subsegmental atelectasis noted at both lung bases. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Nonobstructive left renal calculus. Bilateral renal cysts. No significant abnormality noted. Equivocal vascular abnormality in small bowel immediately cephalad to the bladder dome noted on arterial weighted images. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. No significant abnormality noted. No significant abnormality noted. Colonic diverticulosis. No significant inflammatory change or peridiverticular abscess identified. 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: 'mastoid air cells': clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'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: 'brain': , 'parenchyma': imaging observation_fin: ['enhancing']clinical findings_fin: 'abnormal enhancing lesions': 'clinical finding': 'abnormal enhancing lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing', 'observation': 'lesion'anatomical entity_fin: 'skull': , 'base': , 'temporal bones': clinical findings_fin: 'images through the skull base including the cavernous sinuses and temporal bones are normal': 'clinical finding': 'images through the skull base including the cavernous sinuses and temporal bones are normal'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'paranasal sinuses appear normal': 'clinical finding': 'paranasal sinuses appear normal'size_fin: ['size': '12 x 17']location descriptor_fin: ['right']clinical findings_fin: '12 x 17-mm right pharyngeal mucosal mass': 'clinical finding': '12 x 17-mm right pharyngeal mucosal mass', 'existence': 'pos_dx', 'descriptive_term': '12 x 17-mm right pharyngeal mucosal', 'observation': 'mass'procedure_fin: ['treatment']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'size_fin: ['size': '8 mm', 'size': '10 mm']anatomical entity_fin: 'submandibular lymph node': 'location descriptor': 'right', 'axis': location descriptor_fin: ['right']clinical findings_fin: 'right submandibular lymph node': 'clinical finding': 'right submandibular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right submandibular lymph', 'observation': 'node'imaging observation_fin: ['enhancing']clinical findings_fin: 'other abnormally enhancing or enlarged lymph nodes': 'clinical finding': 'other abnormally enhancing or enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'other abnormally enhancing or enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'neck': , 'sternocleidomastoid muscle': 'location descriptor': 'left', 'internal jugular vein': , 'submandibular gland': location descriptor_fin: ['left']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'left radical neck dissection': 'clinical finding': 'left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'left radical neck', 'observation': 'dissection'object_fin: ['valve']procedure_fin: ['laryngectomy']anatomical entity_fin: 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: 'high attenuation focus': 'clinical finding': 'high attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'high attenuation', 'observation': 'focus', 'residual': 'clinical finding': 'residual', 'existence': 'unc_dx', 'observation': 'residual'clinical findings_fin: 'carotid calcifications': 'clinical finding': 'carotid calcifications', 'existence': 'pos_dx', 'descriptive_term': 'carotid', 'observation': 'calcification'clinical findings_fin: 'osseous or cartilaginous lesions': 'clinical finding': 'osseous or cartilaginous lesions', 'existence': 'neg_dx', 'descriptive_term': 'osseous or cartilaginous', 'observation': 'lesion'anatomical entity_fin: 'lung': , 'apices': , 'superior mediastinum': clinical findings_fin: 'visualized lung apices and superior mediastinum': 'clinical finding': 'visualized lung apices and superior mediastinum'anatomical entity_fin: 'chest': anatomical entity_fin: 'neck': , 'larynx': location descriptor_fin: ['left']procedure_fin: ['laryngectomy']clinical findings_fin: 'left radical neck dissection': 'clinical finding': 'left radical neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'left radical neck', 'observation': 'dissection', 'prior squamous cell carcinoma': 'clinical finding': 'prior squamous cell carcinoma', 'existence': 'unc_dx', 'descriptive_term': 'prior squamous cell', 'observation': 'carcinoma' [/INST] [RESP] . Opacification of the mastoid air cells is noted, increased since the prior examination. This may be related to prior radiation. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. No abnormal enhancing lesions are appreciated in the brain parenchyma. Images through the skull base including the cavernous sinuses and temporal bones are normal. The paranasal sinuses appear normal. On axial image 34, a 12 x 17-mm right pharyngeal mucosal mass is again visualized, unchanged in size since the prior exam. The attenuation characteristics of the mass has changed it now appears less dense likely reflecting a response to treatment. The right submandibular lymph node mentioned in the prior examination measures 8 mm previously measuring 10 mm in short axis dimension. No other abnormally enhancing or enlarged lymph nodes are identified. Again seen are postoperative changes of a left radical neck dissection including absence of the left sternocleidomastoid muscle, internal jugular vein, and submandibular gland. Patient is also status post laryngectomy with a tracheostomy valve in place. Again visualized is a high attenuation focus in the right thyroid gland that may represent residual thyroid gland, correlate with surgical history. Note is made of carotid calcifications at the carotid bifurcation. No osseous or cartilaginous lesions are identified. The visualized lung apices and superior mediastinum are unremarkable. Please see chest CT for further evaluation. Patient records indicate that patient is status post total laryngectomy and left radical neck dissection for prior squamous cell carcinoma of the larynx. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'scalp': clinical findings_fin: 'visible scalp trauma': 'clinical finding': 'visible scalp trauma', 'existence': 'neg_dx', 'descriptive_term': 'visible scalp', 'observation': 'trauma'anatomical entity_fin: 'skull': clinical findings_fin: 'skull fracture': 'clinical finding': 'skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'ventricles and sulci have normal size and configuration': 'clinical finding': 'ventricles and sulci have normal size and configuration'anatomical entity_fin: 'internal capsule': clinical findings_fin: 'mild periventricular and internal capsule hypoattenuation': 'clinical finding': 'mild periventricular and internal capsule hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and internal capsule', 'observation': 'hypoattenuation', 'strength_term': 'mild', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'focal parenchymal lesion': 'clinical finding': 'focal parenchymal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal parenchymal', 'observation': 'lesion', 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial mass effect': 'clinical finding': 'intracranial mass effect', 'existence': 'neg_dx', 'descriptive_term': 'intracranial mass', 'observation': 'effect', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'underpneumatized': 'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'anatomical entity_fin: 'contents': , 'globe': clinical findings_fin: 'retrobulbar hemorrhage': 'clinical finding': 'retrobulbar hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'retrobulbar', 'observation': 'hemorrhage' [/INST] [RESP] There is no visible scalp trauma. There is no skull fracture. There is no acute intracranial hemorrhage or extraaxial collection. The ventricles and sulci have normal size and configuration. There is mild periventricular and internal capsule hypoattenuation, compatible with chronic small vessel ischemic disease similar to prior exam. There is no focal parenchymal lesion or CT evidence of acute territorial ischemia. There is no intracranial mass effect, midline shift, or basal cistern effacement. Paranasal sinuses are clear. The mastoid air cells are underpneumatized, similar to prior exam. Orbital contents are unremarkable--no globe disruption or retrobulbar hemorrhage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'frontal lobe': , 'parenchyma': imaging observation_fin: ['blood']location descriptor_fin: ['left']clinical findings_fin: 'nodular hyperdensity blood': 'clinical finding': 'nodular hyperdensity blood', 'existence': 'pos_dx', 'descriptive_term': 'nodular hyperdensity', 'observation': 'blood', 'left insular gyrus and frontal lobe encephalomalacia': 'clinical finding': 'left insular gyrus and frontal lobe encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'left insular gyrus and frontal lobe', 'observation': 'encephalomalacia', 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'anatomical entity_fin: 'left lateral ventricle': imaging observation_fin: ['wedge']location descriptor_fin: ['left']clinical findings_fin: 'large wedge-shaped were demarcated hypoattenuation encephalomalacia': 'clinical finding': 'large wedge-shaped were demarcated hypoattenuation encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'large wedge-shaped were demarcated hypoattenuation', 'observation': 'encephalomalacia', 'strength_term': 'large'anatomical entity_fin: 'corona radiata': location descriptor_fin: ['bilateral']clinical findings_fin: 'nonspecific low attenuation change': 'clinical finding': 'nonspecific low attenuation change', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific low attenuation', 'observation': 'change'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'pons': clinical findings_fin: 'ill defined low attenuation focus': 'clinical finding': 'ill defined low attenuation focus', 'existence': 'pos_dx', 'descriptive_term': 'ill defined low attenuation', 'observation': 'focus', 'remote lacunar infarction': 'clinical finding': 'remote lacunar infarction', 'existence': 'pos_dx', 'descriptive_term': 'remote lacunar', 'observation': 'infarction'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'parenchymal volume loss': 'clinical finding': 'parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal volume', 'observation': 'loss'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'calvarium , visualized paranasal sinuses and mastoid air cells are also normal': 'clinical finding': 'calvarium , visualized paranasal sinuses and mastoid air cells are also normal'anatomical entity_fin: 'lens': 'location descriptor': 'dislocated'location descriptor_fin: ['dislocated', 'left']clinical findings_fin: 'dislocated lens is seen': 'clinical finding': 'dislocated lens is seen', 'change_term': 'dislocated' [/INST] [RESP] Examination demonstrates nodular hyperdensity blood in left insular gyrus and frontal lobe encephalomalacia parenchyma, measuring approximately 55 Hounsfield in density. A large wedge-shaped were demarcated hypoattenuation encephalomalacia is identified at left MCA distribution with associated ex vacuo dilatation of left lateral ventricle, likely represent remote vascular event. There are also patchy area of nonspecific low attenuation change in bilateral periventricular and corona radiata white matter, likely represents microangiopathic etiology. There is no midline shift. Ill defined low attenuation focus in the mid of the pons suggests remote lacunar infarction. Cortical sulci, ventricular system and all CSF cisterns are prominent secondary to parenchymal volume loss. Calvarium, visualized paranasal sinuses and mastoid air cells are also normal. Dislocated lens is seen floating in left vitreous. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'anatomical entity_fin: 'basal ganglia': imaging observation_fin: ['foci']clinical findings_fin: 'small hypodense foci': 'clinical finding': 'small hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'foci', 'strength_term': 'small'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['medial', 'left']clinical findings_fin: 'old medial blowout fracture': 'clinical finding': 'old medial blowout fracture', 'existence': 'unc_dx', 'descriptive_term': 'old medial blowout', 'observation': 'fracture', 'temporal_term': 'old'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal', '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. Periventricular and subcortical white matter hypodensities of a moderate degree are present. Small hypodense foci are redemonstrated in the basal ganglia. 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. Redemonstrated is medial deviation of the left lamina papyracea likely related to old medial blowout fracture. Atherosclerotic calcifications are present along the distal internal carotid arteries and distal vertebral arteries. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'biapical and dependent upper lobe scarring': 'clinical finding': 'biapical and dependent upper lobe scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical and dependent upper lobe', 'observation': 'scarr'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'groundglass nodular opacities': 'clinical finding': 'groundglass nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass nodular', 'observation': 'opacity'anatomical entity_fin: 'aorta': , 'coronary arteries': clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Biapical and dependent upper lobe scarring, unchanged. Cluster of groundglass nodular opacities in the right middle lobe may be post infectious or inflammatory. Atherosclerotic calcifications in the aorta and coronary arteries. No significant mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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 centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'lung parenchyma': , 'bases': clinical findings_fin: 'mosaic attenuation': 'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation', 'air trapping': 'clinical finding': 'air trapping', 'existence': 'unc_dx', 'descriptive_term': 'air', 'observation': 'trapping'anatomical entity_fin: 'lung': , 'bases': , 'middle': 'location descriptor': 'right', 'lobe': , 'lingula': 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': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'left hemidiaphragm': clinical findings_fin: 'pleural lipoma': 'clinical finding': 'pleural lipoma', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'lipoma'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'fluid': anatomical entity_fin: 'aortic valve': object_fin: ['prosthesis']size_fin: ['size': '26 x 26 mm', 'size_descriptor': 'root']object_fin: ['valve']size_fin: ['size': '42 mm', 'size_descriptor': 'aorta']anatomical entity_fin: 'ascending aorta': anatomical entity_fin: 'aorta': imaging observation_fin: ['margin', 'foci', 'blood products']location descriptor_fin: ['anterior']clinical findings_fin: 'several high density foci': 'clinical finding': 'several high density foci', 'existence': 'pos_dx', 'descriptive_term': 'several high density', 'observation': 'foci', 'quantity_term': 'several', 'calcified blood products': 'clinical finding': 'calcified blood products', 'existence': 'unc_dx', 'descriptive_term': 'calcified blood', 'observation': 'product', 'change_term': 'calcified', 'felt pledgets': 'clinical finding': 'felt pledgets', 'existence': 'unc_dx', 'descriptive_term': 'felt', 'observation': 'pledget'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'felt pledget is seen between the aortic root and main pulmonary artery': 'clinical finding': 'felt pledget is seen between the aortic root and main pulmonary artery'anatomical entity_fin: 'descending thoracic aorta': , 'main pulmonary artery': clinical findings_fin: 'descending thoracic aorta appears normal in caliber': 'clinical finding': 'descending thoracic aorta appears normal in caliber'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'healed sternotomy deformity': 'clinical finding': 'healed sternotomy deformity', 'existence': 'pos_dx', 'descriptive_term': 'healed sternotomy', 'observation': 'deformity', 'strength_term': 'healed', 'change_term': 'healed'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '5.1 x 3.6 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'right adrenal gland': clinical findings_fin: '5.1 x 3.6 cm lipid-containing right adrenal gland mass': 'clinical finding': '5.1 x 3.6 cm lipid-containing right adrenal gland mass', 'existence': 'pos_dx', 'descriptive_term': '5 1 x 3 6 cm lipid-containing right adrenal gland', 'observation': 'mass', 'myelolipoma': 'clinical finding': 'myelolipoma', 'existence': 'pos_dx', 'observation': 'myelolipoma'clinical findings_fin: 'internal acute hemorrhage': 'clinical finding': 'internal acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'internal acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] . Mild centrilobular emphysema. Mosaic attenuation of the lung parenchyma at the bases is suspicious for air trapping. Linear scarring or atelectasis at the lung bases, right middle lobe and lingula. Pleural lipoma along the left hemidiaphragm. Please note the detailed assessment of the anatomy is not possible due to lack of cardiac gating on this standard protocol. The heart size is normal. No pericardial fluid. Metallic aortic valve prosthesis. I am unable to provide accurate measurements due to lack of cardiac gating, but as an estimation, the aortic root immediately above the valve is approximately 26 x 26 mm. Ascending aorta measures up to 42 mm in AP dimension. Along the anterior margin of the aorta there are several high density foci which may reflect calcified blood products or felt pledgets from prior surgery. A felt pledget is seen between the aortic root and main pulmonary artery. The descending thoracic aorta appears normal in caliber as does the main pulmonary artery. No lymphadenopathy. Mild. Healed sternotomy deformity. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. 5.1 x 3.6 cm lipid-containing right adrenal gland mass consistent with a myelolipoma. No evidence of internal acute hemorrhage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['reticulation']clinical findings_fin: 'substantial change': 'clinical finding': 'substantial change', 'existence': 'neg_dx', 'descriptive_term': 'substantial', 'observation': 'change', 'basilar predominant pulmonary fibrosis': 'clinical finding': 'basilar predominant pulmonary fibrosis', 'existence': 'neg_dx', 'descriptive_term': 'basilar predominant pulmonary', 'observation': 'fibrosis', 'mild groundglass opacity': 'clinical finding': 'mild groundglass opacity', 'existence': 'neg_dx', 'descriptive_term': 'mild groundglass', 'observation': 'opacity', 'strength_term': 'mild', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'bronchiolectasis': 'clinical finding': 'bronchiolectasis', 'existence': 'pos_dx', 'observation': 'bronchiolectasis', 'definite subpleural honeycombing': 'clinical finding': 'definite subpleural honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'definite subpleural', 'observation': 'honeycombing'anatomical entity_fin: 'lung': 'location descriptor': 'centrilobular'location descriptor_fin: ['centrilobular']clinical findings_fin: 'centrilobular lung emphysema': 'clinical finding': 'centrilobular lung emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular lung', 'observation': 'emphysema'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent central airways': 'clinical finding': 'patent central airways', 'change_term': 'patent'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'object_fin: ['central venous catheter']clinical findings_fin: 'central venous catheter': 'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'anatomical entity_fin: 'lobe': location descriptor_fin: ['left', 'right']anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'heterogeneous': 'clinical finding': 'heterogeneous', 'existence': 'unc_dx', 'observation': 'heterogeneous', 'autoimmune thyroid disease': 'clinical finding': 'autoimmune thyroid disease', 'existence': 'unc_dx', 'descriptive_term': 'autoimmune thyroid', 'observation': 'disease'clinical findings_fin: 'moderate diffuse mediastinal and hilar lymphadenopathy': 'clinical finding': 'moderate diffuse mediastinal and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'moderate diffuse mediastinal and hilar', 'observation': 'lymphadenopathy', 'strength_term': 'moderate', 'pulmonary fibrosis': 'clinical finding': 'pulmonary fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis'anatomical entity_fin: 'fluid': clinical findings_fin: 'mildly decreased from previous study': 'clinical finding': 'mildly decreased from previous study', 'change_term': 'decreased'anatomical entity_fin: 'heart': location descriptor_fin: ['right']clinical findings_fin: 'moderate dilation': 'clinical finding': 'moderate dilation', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'dilation', 'strength_term': 'moderate'size_fin: ['size': '4 cm', 'size_descriptor': 'dilation']clinical findings_fin: 'severe pa dilation': 'clinical finding': 'severe pa dilation', 'existence': 'pos_dx', 'descriptive_term': 'severe pa', 'observation': 'dilation', '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'location descriptor_fin: ['left']clinical findings_fin: 'probable left hepatic cyst': 'clinical finding': 'probable left hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'probable left hepatic', 'observation': 'cyst' [/INST] [RESP] . No substantial change in basilar predominant pulmonary fibrosis characterized by mild groundglass opacity, reticulation and interlobular septal thickening, traction bronchiectasis and bronchiolectasis without definite subpleural honeycombing. Mild focal areas of centrilobular lung emphysema. Patent central airways. No significant air trapping. Central venous catheter terminates in the SVC. Left thyroid lobe again is diminutive compared to the right. Thyroid gland is heterogeneous possibly related to autoimmune thyroid disease. Moderate diffuse mediastinal and hilar lymphadenopathy presumably reactive given pulmonary fibrosis, as before. Moderate degree of pericardial fluid, mildly decreased from previous study. Moderate dilation of the right aspect of the heart again noted. Severe PA dilation, as before, measuring 4 cm. Mild. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. Probable left hepatic cyst again noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'adjacent']clinical findings_fin: 'bilateral large pleural effusions': 'clinical finding': 'bilateral large pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral large pleural', 'observation': 'effusion', 'strength_term': 'large', 'adjacent bibasilar compressive atelectasis': 'clinical finding': 'adjacent bibasilar compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent bibasilar compressive', 'observation': 'atelectasis'clinical findings_fin: 'patchy groundglass opacities': 'clinical finding': 'patchy groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy groundglass', 'observation': 'opacity', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'location descriptor_fin: ['right', 'distal']object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['feeding tube']clinical findings_fin: 'stable ascites': 'clinical finding': 'stable ascites', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'ascite', 'strength_term': 'stable', 'change_term': 'stable', 'left liver cyst': 'clinical finding': 'left liver cyst', 'existence': 'pos_dx', 'descriptive_term': 'left liver', 'observation': 'cyst', 'multiple gallstones': 'clinical finding': 'multiple gallstones', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'gallstone', 'quantity_term': 'multiple', 'large lesser omental fluid collection': 'clinical finding': 'large lesser omental fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'large lesser omental fluid', 'observation': 'collection', 'strength_term': 'large', 'feeding tube': 'clinical finding': 'feeding tube', 'existence': 'pos_dx', 'descriptive_term': 'feeding', 'observation': 'tube' [/INST] [RESP] Motion limited examination. Increase in size of bilateral large pleural effusions with adjacent bibasilar compressive atelectasis. Patchy groundglass opacities bilaterally may represent edema. Coronary artery calcifications involving the left main left anterior descending branches. Right jugular catheter with distal tip in the SVC. No significant abnormality noted. Stable ascites, left liver cyst, multiple gallstones, large lesser omental fluid collection and feeding tube. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: 'post xrt fibrosis': 'clinical finding': 'post xrt fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'post xrt', 'observation': 'fibrosis'clinical findings_fin: 'punctate micronodules': 'clinical finding': 'punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'micronodule'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'severe coronary calcification': 'clinical finding': 'severe coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary', 'observation': 'calcification', 'strength_term': 'severe'clinical findings_fin: 'small subcentimeter cardiophrenic lymph nodes': 'clinical finding': 'small subcentimeter cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'these are similar in size to 3/17/2014 study': 'clinical finding': 'these are similar in size to 3/17/2014 study'object_fin: ['port', 'catheter']anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'extensive postop change': 'clinical finding': 'extensive postop change', 'existence': 'pos_dx', 'descriptive_term': 'extensive postop', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Post XRT fibrosis in anterior left upper lobe, unchanged. Punctate micronodules are unchanged. No new pulmonary nodules. Severe coronary calcification. Small subcentimeter cardiophrenic lymph nodes are stable to marginally increased. These are similar in size to 3/17/2014 study. Interval removal of port catheter. Extensive postop change involving left breast, unchanged. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal nonspecific periventricular hypoattenuation': 'clinical finding': 'minimal nonspecific periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific periventricular', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'fluid': clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema'clinical findings_fin: 'ventricular system is normal in size and morphology': 'clinical finding': 'ventricular system is normal in size and morphology'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['right']clinical findings_fin: 'swelling': 'clinical finding': 'swelling', 'existence': 'pos_dx', 'observation': 'swell'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'dislocation': 'clinical finding': 'dislocation', 'existence': 'neg_dx', 'observation': 'dislocation'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body height is within normal limits': 'clinical finding': 'vertebral body height is within normal limits'clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis'anatomical entity_fin: 'c7 vertebral body': 'location descriptor': 'posterior', 'vertebral body': , 'cortex': location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis', 'similarly sized lucent lesion': 'clinical finding': 'similarly sized lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'similarly sized lucent', 'observation': 'lesion', 'thinning': 'clinical finding': 'thinning', 'existence': 'pos_dx', 'observation': 'thinning'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'heterogeneous': 'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous', 'hypoattenuating lesion': 'clinical finding': 'hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion', 'coarse calcification': 'clinical finding': 'coarse calcification', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification'clinical findings_fin: 'multilevel cervical spondylosis': 'clinical finding': 'multilevel cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel cervical', 'observation': 'spondylosis'location descriptor_fin: ['central']clinical findings_fin: 'disk osteophyte': 'clinical finding': 'disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'osteophyte', 'mild central canal effacement': 'clinical finding': 'mild central canal effacement', 'existence': 'pos_dx', 'descriptive_term': 'mild central canal', 'observation': 'effacement', 'strength_term': 'mild'anatomical entity_fin: 'spinal canal': , 'cord': imaging observation_fin: ['cord']location descriptor_fin: ['central']clinical findings_fin: 'disk osteophyte': 'clinical finding': 'disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'osteophyte', 'superiorly directed central extrusion': 'clinical finding': 'superiorly directed central extrusion', 'existence': 'pos_dx', 'descriptive_term': 'superiorly directed central', 'observation': 'extrusion', 'mild to moderate spinal canal narrowing': 'clinical finding': 'mild to moderate spinal canal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'narrowing', 'strength_term': 'mild - moderate', 'possibly some impingement': 'clinical finding': 'possibly some impingement', 'existence': 'pos_dx', 'descriptive_term': 'possibly some', 'observation': 'impingement', 'quantity_term': 'some' [/INST] [RESP] .At most, there is minimal nonspecific periventricular hypoattenuation. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. The visualized paranasal sinuses and mastoid air cells are clear. The bones of the calvarium and skull base are intact. Right supraorbital soft tissue swelling is noted. No evidence of fracture or dislocation is seen. Vertebral body height is within normal limits. The cervical lordosis is straightened which may be positional. There is a subcentimeter region of sclerosis within the left aspect of the posterior C7 vertebral body, as well as a similarly sized lucent lesion on the opposite side of the vertebral body with thinning of the overlying cortex. The thyroid is heterogeneous and the right lobe contains a hypoattenuating lesion with a coarse calcification. Multilevel cervical spondylosis is identified. This includes disk osteophyte complexes at C3-4, C4-5 and C5-6 which result in mild central canal effacement. At C6-7, disk osteophyte formation is evident along with a superiorly directed central extrusion which results in mild to moderate spinal canal narrowing and possibly some impingement of the cord itself. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'superior mediastinum': imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'object_fin: ['clips']procedure_fin: ['cystectomy']clinical findings_fin: 'cystectomy clips': 'clinical finding': 'cystectomy clips'location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: 'left basilar and lingular subsegmental atelectasis': 'clinical finding': 'left basilar and lingular subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'left basilar and lingular subsegmental', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'anterior abdominal wall': imaging observation_fin: ['foci']clinical findings_fin: 'several soft tissue foci': 'clinical finding': 'several soft tissue foci', 'existence': 'pos_dx', 'descriptive_term': 'several soft tissue', 'observation': 'foci', 'quantity_term': 'several'location descriptor_fin: ['left', 'superior']clinical findings_fin: 'left supraclavicular and left superior mediastinal hypermetabolic activity': 'clinical finding': 'left supraclavicular and left superior mediastinal hypermetabolic activity', 'existence': 'unc_dx', 'descriptive_term': 'left supraclavicular and left superior mediastinal hypermetabolic', 'observation': 'activity', 'strength_term': 'superior'anatomical entity_fin: 'anterior abdominal wall': imaging observation_fin: ['foci']clinical findings_fin: 'increased embolic activity': 'clinical finding': 'increased embolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased embolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased' [/INST] [RESP] Todays CT portion grossly demonstrates soft tissue density in the left supraclavicular and superior mediastinum, decreased from prior exam. Diffuse fatty infiltration of the liver. Cystectomy clips. Left basilar and lingular subsegmental atelectasis or scarring. Several soft tissue foci in the anterior abdominal wall likely due to prior injections. Todays PET examination demonstrates left supraclavicular and left superior mediastinal hypermetabolic activity is decreased in size and activity, with SUV max of 15.5 previously 19.9. Several foci of increased embolic activity in the anterior abdominal wall likely due to prior injection. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'bullous emphysematous changes': 'clinical finding': 'bullous emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'bullous emphysematous', 'observation': 'change'clinical findings_fin: 'diffuse coronary artery calcification': 'clinical finding': 'diffuse coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse coronary artery', 'observation': 'calcification'size_fin: ['size': '1.3 x 1.3 cm', 'size_descriptor': 'node']anatomical entity_fin: 'pretracheal lymph node': clinical findings_fin: 'pretracheal lymph node': 'clinical finding': 'pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'pretracheal lymph', 'observation': 'node', '45 series gynecomastia': 'clinical finding': '45 series gynecomastia', 'existence': 'pos_dx', 'descriptive_term': '45 series', 'observation': 'gynecomastia'clinical findings_fin: 'multiple small hepatic hypodensities': 'clinical finding': 'multiple small hepatic hypodensities', 'existence': 'unc_dx', 'descriptive_term': 'multiple small hepatic', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'multiple', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.5 mm', 'size_descriptor': 'duct']anatomical entity_fin: 'main pancreatic duct': clinical findings_fin: 'prominent main pancreatic duct measures 2.5 mm in diameter': 'clinical finding': 'prominent main pancreatic duct measures 2.5 mm in diameter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'innumerable benign appearing simple renal cysts': 'clinical finding': 'innumerable benign appearing simple renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'innumerable benign appearing simple renal', 'observation': 'cyst', 'strength_term': 'benign'location descriptor_fin: ['right']clinical findings_fin: 'right parapelvic cyst': 'clinical finding': 'right parapelvic cyst', 'existence': 'pos_dx', 'descriptive_term': 'right parapelvic', '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'size_fin: ['size': '2.2 cm', 'size_descriptor': 'diameter']anatomical entity_fin: 'neck': imaging observation_fin: ['fat']clinical findings_fin: 'fat-containing ventral hernia': 'clinical finding': 'fat-containing ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'fat-containing ventral', 'observation': 'hernia', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: '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] . Bullous emphysematous changes are most pronounced in the lung apices. Diffuse coronary artery calcification. A pretracheal lymph node measures 1.3 x 1.3 cm at axial image 45 series Gynecomastia. Multiple small hepatic hypodensities are probably benign cysts. No significant abnormality noted. Prominent main pancreatic duct measures 2.5 mm in diameter. No significant abnormality noted. Innumerable benign appearing simple renal cysts bilaterally. Right parapelvic cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Fat-containing ventral hernia has a neck with 2.2 cm diameter at image 133 of series No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Degenerative changes involve the spine and pelvis. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'antrum': location descriptor_fin: ['right', 'left']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification', 'high density': 'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density'location descriptor_fin: ['right']clinical findings_fin: 'positive mass effect': 'clinical finding': 'positive mass effect', 'existence': 'pos_dx', 'descriptive_term': 'positive mass', 'observation': 'effect'location descriptor_fin: ['lower', 'peripheral']clinical findings_fin: 'lower peripheral densities': 'clinical finding': 'lower peripheral densities', 'existence': 'unc_dx', 'descriptive_term': 'lower peripheral', 'observation': 'density'clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'pterygomaxillary fissure': imaging observation_fin: ['fat']clinical findings_fin: 'fat plane': 'clinical finding': 'fat plane', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'anatomical entity_fin: 'cells': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'scattered opacification': 'clinical finding': 'scattered opacification', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'opacification'location descriptor_fin: ['right']clinical findings_fin: 'minimal opacification': 'clinical finding': 'minimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'opacification', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'cells': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'clinical findings_fin: 'osteomeatal complex': 'clinical finding': 'osteomeatal complex', 'existence': 'pos_dx', 'descriptive_term': 'osteomeatal', 'observation': 'complex', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'middle nasal turbinates': clinical findings_fin: 'resection of the middle nasal turbinates & uncinate processes is seen bilaterally': 'clinical finding': 'resection of the middle nasal turbinates & uncinate processes is seen bilaterally'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal'anatomical entity_fin: 'walls': , 'antrum': location descriptor_fin: ['left']clinical findings_fin: 'hyperostosis': 'clinical finding': 'hyperostosis', 'existence': 'pos_dx', 'observation': 'hyperostosis'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'right'location descriptor_fin: ['right', 'left']clinical findings_fin: 'aplastic': 'clinical finding': 'aplastic', 'existence': 'pos_dx', 'observation': 'aplastic'size_fin: ['size': '6.5 mm', 'size_descriptor': 'plate']anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'low': 'clinical finding': 'low'anatomical entity_fin: 'globes': , 'extraocular muscles': , 'optic nerves': , 'contents': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'orbital soft tissues are normal': 'clinical finding': 'orbital soft tissues are normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is near complete opacification which is of high density of the maxillary antrum bilaterally, right greater than left. There is positive mass effect seen on the right. Lower peripheral densities is seen likely representing secretions. There is no significant interval change. The fat plane in the pterygomaxillary fissure is preserved bilaterally. Redemonstration of scattered opacification seen in the right posterior ethmoid air cells, minimally improved since prior examination. Minimal opacification is seen in the right frontal nasal recess, unchanged. Tiny amount of opacification is seen in a few of the left anterior ethmoid air cells, unchanged. Tiny amount of mucosal thickening is seen in the left sphenoid sinus, unchanged. The intersphenoid septum is normal. The osteomeatal complex is patent. Resection of the middle nasal turbinates & uncinate processes is seen bilaterally. The cribriform plate, lateral lamellae, fovea ethmoidalis and lamina papyracea appear normal. The osseous structures shows hyperostosis along the walls of the left maxillary antrum. The right frontal sinus is aplastic and the left is hypoplastic. The cribriform plate is low lying bilaterally, 6.5 mm below the fovea ethmoidalis bilaterally. The globes, lenses, extraocular muscles, optic nerves, and retro-orbital contents are symmetric and normal. The orbital soft tissues are normal. The mastoid air cells are clear bilaterally. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: 'groundglass and centrilobular micronodules': 'clinical finding': 'groundglass and centrilobular micronodules', 'existence': 'pos_dx', 'descriptive_term': 'groundglass and centrilobular', 'observation': 'micronodule', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'carina': clinical findings_fin: 'tracheal debris': 'clinical finding': 'tracheal debris', 'existence': 'pos_dx', 'descriptive_term': 'tracheal', 'observation': 'debris'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'chronic pancreatitis': 'clinical finding': 'chronic pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic' [/INST] [RESP] . Scattered areas of groundglass and centrilobular micronodules are new from prior study and likely are secondary to aspiration or infection. Continued surveillance should be performed to exclude metastases. Tracheostomy tube in place. Tracheal debris is seen at the level of the carina. No significant abnormality noted. Changes of chronic pancreatitis with mild pancreatic and biliary dilatation. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3 x 1.2 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'stable left upper lobe reference lesion': 'clinical finding': 'stable left upper lobe reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'stable left upper lobe reference', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pneumatoceles': 'clinical finding': 'bilateral pneumatoceles', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'pneumatocele'size_fin: ['size': '1.5 x 1 cm', 'size_descriptor': 'node']clinical findings_fin: 'stable reference ap window lymph node': 'clinical finding': 'stable reference ap window lymph node', 'existence': 'pos_dx', 'descriptive_term': 'stable reference ap window lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'mildly enlarged mesenteric lymph nodes': 'clinical finding': 'mildly enlarged mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Stable left upper lobe reference lesion best seen on image 31 of series 4 measuring 3 x 1.2 cm. Bilateral pneumatoceles unchanged. Stable reference AP window lymph node best seen on image 29 of series 3 measuring 1.5 x 1 cm. Mild. No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Mildly enlarged mesenteric lymph nodes with mesenteric soft tissue infiltration 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: 'right frontal lobe': clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'hyperattenuation material': 'clinical finding': 'hyperattenuation material', 'existence': 'neg_dx', 'descriptive_term': 'hyperattenuation', 'observation': 'material', 'small subarachnoid hemorrhage': 'clinical finding': 'small subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'small subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'small'clinical findings_fin: 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'anatomical entity_fin: 'temporal lobes': 'location descriptor': 'right posterior'imaging observation_fin: ['foci']location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'dystrophic appearing calcifications': 'clinical finding': 'dystrophic appearing calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic appearing', 'observation': 'calcification'anatomical entity_fin: 'temporal lobes': , 'body': , 'left lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'ethmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'subcentimeter left ethmoid sinus osteoma': 'clinical finding': 'subcentimeter left ethmoid sinus osteoma', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left ethmoid sinus', 'observation': 'osteoma'anatomical entity_fin: 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild degenerative disease': 'clinical finding': 'mild degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild', 'left temporomandibular joint': 'clinical finding': 'left temporomandibular joint', 'existence': 'pos_dx', 'descriptive_term': 'left temporomandibular', 'observation': 'joint'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] There is no significant change in hyperattenuation material within the sulci of the right frontal lobe, compatible with small subarachnoid hemorrhage. There is no new hemorrhage. There are linear foci of dystrophic appearing calcifications in the right parietal and right posterior temporal lobes which remain unchanged since at least 2/11/2015. There is an area of encephalomalacia involving the left parietal and temporal lobes with associated ex vacuo dilatation of the body and atrium of the left lateral ventricle, which is unchanged. The imaged portions of the paranasal sinuses and mastoid air cells are grossly clear, aside from a subcentimeter left ethmoid sinus osteoma. There is mild degenerative disease of the left temporomandibular joint. The osseous structures are otherwise intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'vague subcentimeter opacity': 'clinical finding': 'vague subcentimeter opacity', 'existence': 'pos_dx', 'descriptive_term': 'vague subcentimeter', 'observation': 'opacity'size_fin: ['size': '2.6 x 1.8 cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal lymph node': 'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple enlarged mediastinal lymph nodes': 'clinical finding': 'multiple enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'size_fin: ['size': '2.5 x 1.8 cm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'right supraclavicular node': 'clinical finding': 'right supraclavicular node', 'existence': 'pos_dx', 'descriptive_term': 'right supraclavicular', 'observation': 'node'clinical findings_fin: 'hilar adenopathy': 'clinical finding': 'hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'hilar', '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'size_fin: ['size': '1.5-cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'spleen': clinical findings_fin: 'indeterminant 1.5-cm hypodense lesion': 'clinical finding': 'indeterminant 1.5-cm hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'indeterminant 1 5-cm hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.0 x 3.5 cm']location descriptor_fin: ['left']clinical findings_fin: 'left adrenal mass': 'clinical finding': 'left adrenal mass', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.6 x 1.2 cm', 'size_descriptor': 'node']clinical findings_fin: '1.6 x 1.2 cm aortocaval lymph node': 'clinical finding': '1.6 x 1.2 cm aortocaval lymph node', 'existence': 'pos_dx', 'descriptive_term': '1 6 x 1 2 cm aortocaval lymph', 'observation': 'node'clinical findings_fin: 'hiatal hernia': 'clinical finding': 'hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'hiatal', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']clinical findings_fin: 'adnexa not clearly visualized': 'clinical finding': 'adnexa not clearly visualized'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small pelvic lymph nodes': 'clinical finding': 'small pelvic lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'small pelvic lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'clinical findings_fin: 'colonic diverticulosis': 'clinical finding': 'colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticulosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Emphysema. Vague subcentimeter opacity in the right middle lobe is nonspecific due to small size. Right paratracheal lymph node measures 2.6 x 1.8 cm. Multiple enlarged mediastinal lymph nodes are noted. Right supraclavicular node measures 2.5 x 1.8 cm. Hilar adenopathy. No significant abnormality noted. No significant abnormality noted. Indeterminant 1.5-cm hypodense lesion in the spleen. No significant abnormality noted. Left adrenal mass measures 2.0 x 3.5 cm. No significant abnormality noted. 1.6 x 1.2 cm aortocaval lymph node. Hiatal hernia. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Adnexa not clearly visualized. No significant abnormality noted. Small pelvic lymph nodes are not enlarged using CT size criteria. Colonic diverticulosis. 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: 'brain': , 'parenchyma': clinical findings_fin: 'attenuation and morphology of the brain parenchyma is within normal limits': 'clinical finding': 'attenuation and morphology of the brain parenchyma is within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'mildly prominent for patients staged age': 'clinical finding': 'mildly prominent for patients staged age'anatomical entity_fin: 'paranasal sinuses': , 'orbits': clinical findings_fin: 'calvarium , visualized paranasal sinuses , orbits are unremarkable': 'clinical finding': 'calvarium , visualized paranasal sinuses , orbits are unremarkable'anatomical entity_fin: 'middle ear cavity': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification' [/INST] [RESP] The attenuation and morphology of the brain parenchyma is within normal limits. No evidence of hemorrhage, edema, mass-effect or midline shift is detected. Cortical sulci, ventricular system and all CSF cisterns are mildly prominent for patients staged age and they have become more prominent on the current study when compared to the previous one. Calvarium, visualized paranasal sinuses, orbits are unremarkable. The opacification of right middle ear cavity has subsided. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral basilar consolidation': 'clinical finding': 'bilateral basilar consolidation', 'existence': 'pos_dx', 'descriptive_term': 'bilateral basilar', 'observation': 'consolidation'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'small bilateral pleural effusion': 'clinical finding': 'small bilateral pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'stomach': object_fin: ['feeding tube']clinical findings_fin: 'feeding tube tip': 'clinical finding': 'feeding tube tip', 'existence': 'pos_dx', 'descriptive_term': 'feeding tube', 'observation': 'tip'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube is noted': 'clinical finding': 'gastrostomy tube is noted'anatomical entity_fin: 'fluid': , 'bowel': location descriptor_fin: ['distal']clinical findings_fin: 'fluid-filled dilated': 'clinical finding': 'fluid-filled dilated', 'existence': 'pos_dx', 'descriptive_term': 'fluid-filled', 'observation': 'dilated', 'change_term': 'filled'anatomical entity_fin: 'anterior abdominal wall': 'location descriptor': 'right', 'bowel': location descriptor_fin: ['right']clinical findings_fin: 'spigelian hernia': 'clinical finding': 'spigelian hernia', 'existence': 'pos_dx', 'descriptive_term': 'spigelian', 'observation': 'hernia', 'herniating': 'clinical finding': 'herniating', 'existence': 'pos_dx', 'observation': 'herniating'anatomical entity_fin: 'descending colon': , 'fluid': clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse'clinical findings_fin: 'definitive transition point identified': 'clinical finding': 'definitive transition point identified'anatomical entity_fin: 'abdominal': , 'fluid': clinical findings_fin: 'free abdominal fluid is present': 'clinical finding': 'free abdominal fluid is present'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': , 'bladder': object_fin: ['catheter']clinical findings_fin: 'urinary bladder catheter is noted in the bladder': 'clinical finding': 'urinary bladder catheter is noted in the bladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 basilar consolidation. Small bilateral pleural effusion, left more than right. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Feeding tube tip is in the stomach. Gastrostomy tube is noted. Fluid-filled dilated distal small bowel loops are present. Spigelian hernia is noted in the right anterior abdominal wall with small bowel loop herniating through. The descending colon is relatively collapsed, but contains some air and fluid. There is no definitive transition point identified. Free abdominal fluid is present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Urinary bladder catheter is noted in the bladder. 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: 'main pulmonary artery': clinical findings_fin: 'discrete filling defects': 'clinical finding': 'discrete filling defects', 'existence': 'neg_dx', 'descriptive_term': 'discrete filling', 'observation': 'defect', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'size_fin: ['size': '2.9 cm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['upper']clinical findings_fin: 'upper limits of normal': 'clinical finding': 'upper limits of normal'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'left hemidiaphragm': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'significant bandlike left lower lobe atelectasis': 'clinical finding': 'significant bandlike left lower lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'significant bandlike left lower lobe', 'observation': 'atelectasis'clinical findings_fin: 'bibasilar linear atelectasis': 'clinical finding': 'bibasilar linear atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar linear', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'mosaic attenuation': 'clinical finding': 'mosaic attenuation', 'existence': 'unc_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation', 'small vessel disease': 'clinical finding': 'small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pulmonary infarction': 'clinical finding': 'pulmonary infarction', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'infarction'location descriptor_fin: ['anterior']clinical findings_fin: 'hyperplastic thymic tissue': 'clinical finding': 'hyperplastic thymic tissue', 'existence': 'unc_dx', 'descriptive_term': 'hyperplastic thymic', 'observation': 'tissue'anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'definitive thoracic lymphadenopathy': 'clinical finding': 'definitive thoracic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'definitive thoracic', 'observation': 'lymphadenopathy', 'typical seen mediastinal, hilar and axillary lymph nodes': 'clinical finding': 'typical seen mediastinal, hilar and axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'typical seen mediastinal hilar and axillary lymph', 'observation': 'node'anatomical entity_fin: 'spine': location descriptor_fin: ['posterior', 'right', 'left']clinical findings_fin: 'extramedullary hematopoiesis': 'clinical finding': 'extramedullary hematopoiesis', 'existence': 'unc_dx', 'descriptive_term': 'extramedullary', 'observation': 'hematopoiesis'anatomical entity_fin: 'heart': clinical findings_fin: 'normal limits in size': 'clinical finding': 'normal limits in size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'diffuse osseous sclerosis': 'clinical finding': 'diffuse osseous sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse osseous', 'observation': 'sclerosis', 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuating right renal lesions': 'clinical finding': 'hypoattenuating right renal lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right renal', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification', 'aneurysmal dilation': 'clinical finding': 'aneurysmal dilation', 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilation'clinical findings_fin: 'autosplenectomy changes': 'clinical finding': 'autosplenectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'autosplenectomy', 'observation': 'change' [/INST] [RESP] . No discrete filling defects within the main pulmonary artery or its branches to suggest pulmonary embolism. Main pulmonary artery measures at the upper limits of normal at 2.9 cm. There is significant bandlike left lower lobe atelectasis in the setting of an elevated left hemidiaphragm. In addition, bibasilar linear atelectasis or scarring is also present. An element of mosaic attenuation likely represents component of small vessel disease. No focal consolidation or evidence of pulmonary infarction. Anterior mediastinal soft tissues likely receive a hyperplastic thymic tissue. No definitive thoracic lymphadenopathy, although more numerous and prominent than typical seen mediastinal, hilar and axillary lymph nodes are present. There are lobulated posterior mediastinal soft tissues along the thoracic spine, right greater than left, likely representing a component of extramedullary hematopoiesis. Heart is within normal limits in size. No pericardial effusion. None. Diffuse osseous sclerosis in keeping with patients history of sickle cell disease. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis. Hypoattenuating right renal lesions likely representing cysts. There are atherosclerotic calcifications involving the infrarenal abdominal aorta without aneurysmal dilation. Autosplenectomy changes have significantly progressed. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: '6 mm wide dome-shaped soft tissue lesion': 'clinical finding': '6 mm wide dome-shaped soft tissue lesion', 'existence': 'pos_dx', 'descriptive_term': '6 mm wide dome-shaped soft tissue', 'observation': 'lesion', 'strength_term': 'wide'clinical findings_fin: 'numerous punctate scattered skin calcifications': 'clinical finding': 'numerous punctate scattered skin calcifications', 'existence': 'pos_dx', 'descriptive_term': 'numerous punctate scattered skin', 'observation': 'calcification', 'quantity_term': 'numerous'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'sylvian fissures': 'clinical finding': 'sylvian fissures', 'existence': 'pos_dx', 'descriptive_term': 'sylvian', 'observation': 'fissure'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'orbits , skull , paranasal sinuses , and mastoid air cells are grossly unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and mastoid air cells are grossly unremarkable'anatomical entity_fin: 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change' [/INST] [RESP] There is a 6 mm wide dome-shaped soft tissue lesion deep in the right parietal scalp, which is unchanged from 2011. There are numerous punctate scattered skin calcifications. There is disproportionate prominence of the third and lateral ventricles and Sylvian fissures. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and mastoid air cells are grossly unremarkable. There are degenerative changes involving the left temporomandibular joint. [/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'anatomical entity_fin: 'head': imaging observation_fin: ['fat']clinical findings_fin: 'mild fat stranding': 'clinical finding': 'mild fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild fat', 'observation': 'strand', 'strength_term': 'mild', 'mild focal pancreatitis': 'clinical finding': 'mild focal pancreatitis', 'existence': 'unc_dx', 'descriptive_term': 'mild focal', 'observation': 'pancreatitis', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Mild fat stranding around the pancreatic head can be compatible with mild focal pancreatitis involving the pancreatic head. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'midline']object_fin: ['shunt catheter']clinical findings_fin: 'left parietal approach shunt catheter': 'clinical finding': 'left parietal approach shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'left parietal approach shunt', 'observation': 'catheter'object_fin: ['catheter']clinical findings_fin: 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity'clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'left cerebral hemisphere': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'posterior left cerebral hemisphere encephalomalacia': 'clinical finding': 'posterior left cerebral hemisphere encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'posterior left cerebral hemisphere', 'observation': 'encephalomalacia'clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement', 'cerebellar tonsillar herniation': 'clinical finding': 'cerebellar tonsillar herniation', 'existence': 'pos_dx', 'descriptive_term': 'cerebellar tonsillar', 'observation': 'herniation', 'patients known chiari malformation': 'clinical finding': 'patients known chiari malformation', 'existence': 'pos_dx', 'descriptive_term': 'patients known chiari', 'observation': 'malformation'clinical findings_fin: 'new parenchymal findings are evident': 'clinical finding': 'new parenchymal findings are evident'location descriptor_fin: ['left']clinical findings_fin: 'left parietal burr hole': 'clinical finding': 'left parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left parietal burr', 'observation': 'hole'clinical findings_fin: 'unchanged diffuse thickening': 'clinical finding': 'unchanged diffuse thickening', 'existence': 'pos_dx', 'descriptive_term': 'unchanged diffuse', 'observation': 'thickening', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'otherwise radiographically unchanged calvaria': 'clinical finding': 'otherwise radiographically unchanged calvaria', 'existence': 'pos_dx', 'descriptive_term': 'otherwise radiographically unchanged', 'observation': 'calvaria', 'strength_term': 'unchanged', 'change_term': 'unchanged'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] Again seen is a left parietal approach shunt catheter with intracranial tip terminating at the midline, similar to multiple prior exams. No catheter kink or discontinuity is evident. The ventricular system is decompressed, similar to prior exams. There is no evidence of intracranial hemorrhage or edema. The posterior left cerebral hemisphere encephalomalacia is unchanged. The effacement of the basal cisterns and cerebellar tonsillar herniation consistent with the patients known Chiari malformation appears similar to the prior studies. No new parenchymal findings are evident. Left parietal burr hole. Unchanged diffuse thickening of the cranial vault. Otherwise radiographically unchanged 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: anatomical entity_fin: 'lobes': , 'salivary glands': non-anatomical substance_fin: ['radiopharmaceutical']anatomical entity_fin: 'lobe': location descriptor_fin: ['inferior', 'right', 'superior']clinical findings_fin: 'abnormally increased radiotracer uptake': 'clinical finding': 'abnormally increased radiotracer uptake', 'existence': 'pos_dx', 'descriptive_term': 'abnormally increased radiotracer', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased', 'persistent uptake': 'clinical finding': 'persistent uptake', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'uptake', 'temporal_term': 'persistent'clinical findings_fin: 'delayed images show appropriate washout of radiotracer from thyroid tissue': 'clinical finding': 'delayed images show appropriate washout of radiotracer from thyroid tissue' [/INST] [RESP] There is physiologic distribution of the radiopharmaceutical throughout the thyroid lobes and salivary glands. There is a focus of abnormally increased radiotracer uptake in the inferior aspect of the right thyroid lobe immediately superior to the sternal notch on early images with persistent uptake on delayed images. Delayed images show appropriate washout of radiotracer from thyroid tissue. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'apex': 'location descriptor': 'left'imaging observation_fin: ['extrapleural']location descriptor_fin: ['left']clinical findings_fin: 'extrapleural fat deposition': 'clinical finding': 'extrapleural fat deposition', 'existence': 'pos_dx', 'descriptive_term': 'extrapleural fat', 'observation': 'deposition'size_fin: ['size': '3 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'predominantly groundglass 3 mm nodule': 'clinical finding': 'predominantly groundglass 3 mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'predominantly groundglass 3 mm', 'observation': 'nodule'anatomical entity_fin: 'high-risk patients': clinical findings_fin: 'this is likely postinflammatory': 'clinical finding': 'this is likely postinflammatory'follow-up_fin: follow-up recommendedanatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'borderline bronchiectasis': 'clinical finding': 'borderline bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'bronchiectasis', 'strength_term': 'borderline', 'significant bronchial wall thickening': 'clinical finding': 'significant bronchial wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'significant bronchial wall', 'observation': 'thickening'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping', 'expiratory phase': 'clinical finding': 'expiratory phase', 'existence': 'neg_dx', 'descriptive_term': 'expiratory', 'observation': 'phase'location descriptor_fin: ['right']clinical findings_fin: 'hypodense right thyroid nodule': 'clinical finding': 'hypodense right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypodense right thyroid', 'observation': 'nodule'anatomical entity_fin: 'breasts': , 'breast': 'location descriptor': 'medial right'location descriptor_fin: ['medial', 'right']clinical findings_fin: 'nonspecific nodularity': 'clinical finding': 'nonspecific nodularity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'nodularity', 'well-circumscribed nodule': 'clinical finding': 'well-circumscribed nodule', 'existence': 'pos_dx', 'descriptive_term': 'well-circumscribed', 'observation': 'nodule'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 centrilobular emphysema. Extrapleural fat deposition at the left apex. Predominantly groundglass 3 mm nodule in right upper lobe. This is likely postinflammatory though in high-risk patients continued CT follow-up is recommended. Borderline bronchiectasis at the lung bases but no significant bronchial wall thickening. No significant air trapping on expiratory phase imaging. Hypodense right thyroid nodule incompletely evaluated. None. Nonspecific nodularity involving the breasts including a well-circumscribed nodule in the medial right breast. This would be better evaluated on mammography. 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: size_fin: ['size': '1.5 x 1.1 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe nodule': 'clinical finding': 'reference right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'nodule'location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent fibrosis': 'clinical finding': 'adjacent fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'fibrosis', 'pleural thickening': 'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening', 'radiation fibrosis': 'clinical finding': 'radiation fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral upper'location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: 'bilateral upper lobe pleural thickening': 'clinical finding': 'bilateral upper lobe pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral upper lobe pleural', 'observation': 'thickening', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'severe centrilobular emphysema': 'clinical finding': 'severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'clinical findings_fin: 'scattered additional micronodules': 'clinical finding': 'scattered additional micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered additional', 'observation': 'micronodule'clinical findings_fin: 'post operative changes': 'clinical finding': 'post operative changes', 'existence': 'pos_dx', 'descriptive_term': 'post operative', 'observation': 'change'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'extensive atherosclerotic calcifications': 'clinical finding': 'extensive atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive', 'stents': 'clinical finding': 'stents', 'existence': 'pos_dx', 'observation': 'stent'anatomical entity_fin: 'abdominal aorta': imaging observation_fin: ['ulcer']clinical findings_fin: 'extensive atherosclerotic changes': 'clinical finding': 'extensive atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'change', 'strength_term': 'extensive', 'extensive mural thrombus': 'clinical finding': 'extensive mural thrombus', 'existence': 'pos_dx', 'descriptive_term': 'extensive mural', 'observation': 'thrombus', 'strength_term': 'extensive', 'penetrating atherosclerotic ulcer': 'clinical finding': 'penetrating atherosclerotic ulcer', 'existence': 'pos_dx', 'descriptive_term': 'penetrating atherosclerotic', 'observation': 'ulcer', 'strength_term': 'penetrating'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly', 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy wires': 'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'spine': clinical findings_fin: 'stable degenerative changes': 'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'pelvis': location descriptor_fin: ['left']clinical findings_fin: 'probable left extrarenal pelvis , incompletely visualized': 'clinical finding': 'probable left extrarenal pelvis , incompletely visualized' [/INST] [RESP] . Reference right lower lobe nodule measures 1.5 x 1.1 cm. There is adjacent fibrosis and pleural thickening, slightly increased over the last two examinations, and likely due to radiation fibrosis. Bilateral upper lobe pleural thickening and calcification is stable and likely related to prior asbestos exposure. Severe centrilobular emphysema. Scattered additional micronodules are nonspecific, but not significantly changed. Post operative changes compatible with CABG. Extensive atherosclerotic calcifications with stents in the coronary arteries. There are extensive atherosclerotic changes of the thoracic or abdominal aorta with extensive mural thrombus and penetrating atherosclerotic ulcer. Small hiatal hernia, unchanged. No evidence of cardiomegaly or significant pericardial effusion. No evidence of mediastinal lymphadenopathy. Median sternotomy wires are intact. Stable degenerative changes of the thoracic spine. Probable left extrarenal pelvis, incompletely visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral large pleural effusions': 'clinical finding': 'bilateral large pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral large pleural', 'observation': 'effusion', 'strength_term': 'large', 'scattered diffuse air space disease': 'clinical finding': 'scattered diffuse air space disease', 'existence': 'pos_dx', 'descriptive_term': 'scattered diffuse air space', 'observation': 'disease', 'multiple basilar lung nodules': 'clinical finding': 'multiple basilar lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple basilar lung', 'observation': 'nodule', 'quantity_term': 'multiple'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'vicarious': 'clinical finding': 'vicarious', 'existence': 'pos_dx', 'observation': 'vicarious'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'ascending colon': 'location descriptor': 'right'location descriptor_fin: ['right', 'proximal']procedure_fin: ['embolization']clinical findings_fin: 'contrast blush': 'clinical finding': 'contrast blush', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'blush', 'gastrointestinal bleed': 'clinical finding': 'gastrointestinal bleed', 'existence': 'unc_dx', 'descriptive_term': 'gastrointestinal', 'observation': 'bleed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite', 'anasarca': 'clinical finding': 'anasarca', 'existence': 'pos_dx', 'observation': 'anasarca'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'anasarca': 'clinical finding': 'anasarca', 'existence': 'pos_dx', 'observation': 'anasarca' [/INST] [RESP] . Bilateral large pleural effusions with scattered diffuse air space disease and multiple basilar lung nodules. Contrast in gallbladder consistent with vicarious excretion otherwise unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Contrast blush seen within the right ascending colon, proximal to the site of previous embolization concerning for gastrointestinal bleed. This is best identified on arterial sequence, series 10. No significant abnormality noted. Ascites and anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Anasarca. Ascites. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral cataract': 'clinical finding': 'bilateral cataract', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'cataract' [/INST] [RESP] Patchy hypoattenuation in the periventricular and subcortical white matter is nonspecific, but likely represents the sequela of small vessel ischemic disease of indeterminate age. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. Bilateral cataract surgery. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'anatomical entity_fin: 'liver': imaging observation_fin: ['foci']clinical findings_fin: 'two low-attenuation foci': 'clinical finding': 'two low-attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'two low-attenuation', 'observation': 'foci'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'stable probable cyst': 'clinical finding': 'stable probable cyst', 'existence': 'pos_dx', 'descriptive_term': 'stable probable', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'size_fin: ['size': '9 x 7 mm', 'size': '6 x 6 mm']location descriptor_fin: ['left']clinical findings_fin: 'reference left para-aortic lymph node': 'clinical finding': 'reference left para-aortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left para-aortic lymph', 'observation': 'node'clinical findings_fin: 'colonic diverticula': 'clinical finding': 'colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'diverticula', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple subcutaneous injections': 'clinical finding': 'multiple subcutaneous injections', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcutaneous', 'observation': 'injection', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'clinical findings_fin: 'neobladder reconstruction': 'clinical finding': 'neobladder reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'neobladder', 'observation': 'reconstruction'location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent lymphadenopathy': 'clinical finding': 'adjacent lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'adjacent', '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'location descriptor_fin: ['right']clinical findings_fin: 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion'anatomical entity_fin: 'acetabulum': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Lack of intravenous contrast limits sensitivity for detecting solid organ pathology. No significant abnormality noted. Diffuse fatty infiltration of the liver. Two low-attenuation foci in the liver are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable probable cyst in the left upper pole. Reference left para-aortic lymph node measures 9 x 7 mm in comparison to 6 x 6 mm on the prior study. Scattered colonic diverticula without inflammation. No significant abnormality noted. Multiple subcutaneous injections. No significant abnormality noted. Absent or atrophic. Neobladder reconstruction, unchanged. No adjacent lymphadenopathy. No significant abnormality noted. No significant abnormality noted. Lucent lesion in the right aspect of S1 is unchanged. Lucent lesion in the anterior aspect of the right acetabulum is also unchanged. No significant abnormality noted [/RESP]</s> |
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