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<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['enhancing']procedure_fin: ['treatment']clinical findings_fin: 'mild supraglottic edema': 'clinical finding': 'mild supraglottic edema', 'existence': 'pos_dx', 'descriptive_term': 'mild supraglottic', 'observation': 'edema', 'strength_term': 'mild', 'enhancing laryngeal or hypopharyngeal masses': 'clinical finding': 'enhancing laryngeal or hypopharyngeal masses', 'existence': 'neg_dx', 'descriptive_term': 'enhancing laryngeal or hypopharyngeal', 'observation': 'mass', 'recurrence': 'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'clinical findings_fin: 'small retropharyngeal effusion': 'clinical finding': 'small retropharyngeal effusion', 'existence': 'pos_dx', 'descriptive_term': 'small retropharyngeal', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'subcentimeter right thyroid nodule': 'clinical finding': 'subcentimeter right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter right thyroid', 'observation': 'nodule'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'parotid glands are normal': 'clinical finding': 'parotid glands are normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'moderate mucosal thickening': 'clinical finding': 'moderate mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'moderate mucosal', 'observation': 'thickening', 'strength_term': 'moderate', 'mild adjacent periosteal thickening': 'clinical finding': 'mild adjacent periosteal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild adjacent periosteal', 'observation': 'thickening', 'strength_term': 'mild', 'chronic sinusitis': 'clinical finding': 'chronic sinusitis', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'sinusitis', 'temporal_term': 'chronic', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'visualized intracranial parenchyma is unremarkable': 'clinical finding': 'visualized intracranial parenchyma is unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'anatomical entity_fin: 'chest': clinical findings_fin: 'mild atherosclerotic calcifications': 'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'stenosis' [/INST] [RESP] There is mild supraglottic edema which is likely treatment related but no enhancing laryngeal or hypopharyngeal masses suggest recurrence. A small retropharyngeal effusion is unchanged. There is no evidence of significant cervical lymphadenopathy. Subcentimeter right thyroid nodule. Submandibular glands are atrophic bilaterally. The parotid glands are normal. The osseous structures are unremarkable. The airways are patent. There is moderate mucosal thickening in the right maxillary sinus with mild adjacent periosteal thickening suggesting chronic sinusitis, with opacification increased from the prior exam. The visualized intracranial parenchyma is unremarkable. Status post gastric pull up procedure. Areas of scarring are noted in the lung apices. For findings in the chest, please refer to dedicated chest CT. Mild atherosclerotic calcifications at the carotid bifurcations without significant stenosis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '20 x 5 mm', 'size_descriptor': 'opacity']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']object_fin: ['suture']clinical findings_fin: 'right upper lobe linear opacity': 'clinical finding': 'right upper lobe linear opacity', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe linear', 'observation': 'opacity'clinical findings_fin: 'distinct new nodules': 'clinical finding': 'distinct new nodules', 'existence': 'neg_dx', 'descriptive_term': 'distinct new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'small focal groundglass nodularity': 'clinical finding': 'small focal groundglass nodularity', 'existence': 'neg_dx', 'descriptive_term': 'small focal groundglass', 'observation': 'nodularity', 'strength_term': 'small'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pericardium': clinical findings_fin: 'within limits': 'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'clinical findings_fin: 'moderate hiatal hernia': 'clinical finding': 'moderate hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'moderate hiatal', 'observation': 'hernia', 'strength_term': 'moderate'clinical findings_fin: 'mild and unchanged': 'clinical finding': 'mild and 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': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: '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: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'suspicious lytic or blastic lesions': 'clinical finding': 'suspicious lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The right upper lobe linear opacity again related to probable suture line appears unchanged, measuring 20 x 5 mm. No distinct new nodules or masses. No effusions. The small focal groundglass nodularity in the right lung base again remains not clearly visualized currently. No lymphadenopathy. The cardiac and pericardium are within limits. Moderate hiatal hernia. Mild and unchanged. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Mild degenerative changes. Specifically no suspicious lytic or blastic lesions observed. 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', 'pulmonary artery': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'embolus': 'clinical finding': 'embolus', 'existence': 'pos_dx', 'observation': 'embolus'anatomical entity_fin: 'liver': clinical findings_fin: 'ill-defined mass': 'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple other hypodense lesions': 'clinical finding': 'multiple other hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple other hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'location descriptor_fin: ['adjacent']clinical findings_fin: 'new small perihepatic ascites': 'clinical finding': 'new small perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new small perihepatic', 'observation': 'ascite', 'strength_term': 'small', 'temporal_term': 'new', 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'anatomical entity_fin: 'peritoneum': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'left adrenal gland nodule': 'clinical finding': 'left adrenal gland nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal gland', 'observation': 'nodule'location descriptor_fin: ['right']clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'right renal cyst': 'clinical finding': 'right renal cyst', 'existence': 'neg_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'anatomical entity_fin: 'hilum': location descriptor_fin: ['right']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'parapelvic cyst': 'clinical finding': 'parapelvic cyst', 'existence': 'unc_dx', 'descriptive_term': 'parapelvic', 'observation': 'cyst', 'and hydronephrosis': 'clinical finding': 'and hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'and', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'patients known duodenal mass': 'clinical finding': 'patients known duodenal mass', 'existence': 'pos_dx', 'descriptive_term': 'patients known duodenal', 'observation': 'mass'anatomical entity_fin: 'gastrointestinal tract': clinical findings_fin: 'acute bleeding': 'clinical finding': 'acute bleeding', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'bleed', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'bladder diverticulum': 'clinical finding': 'bladder diverticulum', 'existence': 'pos_dx', 'descriptive_term': 'bladder', 'observation': 'diverticulum'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Incidentally noted is an embolus in the right lower lobe pulmonary artery. Ill-defined mass in the liver is increased in size compared to previous study. Multiple other hypodense lesions in the liver have also slightly increased in size. There is now a new small perihepatic ascites adjacent to this mass. Extension of the mass into the peritoneum cannot be excluded. No significant abnormality noted. No significant abnormality noted. Left adrenal gland nodule is unchanged. No significant change in the appearance of the right renal cyst. Hypodense lesion at the right renal hilum likely represents a parapelvic cyst rightward and hydronephrosis. No significant abnormality noted. Severe. Again noted patients known duodenal mass which is slightly increased in size compared to previous study. No evidence of acute bleeding into the gastrointestinal tract. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bladder diverticulum is unchanged. 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 coronary artery': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'aorta': clinical findings_fin: 'tortuous': 'clinical finding': 'tortuous', 'existence': 'pos_dx', 'observation': 'tortuous'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in size': 'clinical finding': 'liver is normal in size'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'definite biliary ductal dilatation': 'clinical finding': 'definite biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'definite biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'portal vein': 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'anatomical entity_fin: 'pancreatic duct': , 'body': , 'tail of pancreas': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'size_fin: ['size': '9 mm']anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'two high-density stones': 'clinical finding': 'two high-density stones', 'existence': 'pos_dx', 'descriptive_term': 'two high-density', 'observation': 'stone'size_fin: ['size': '1.9 x 1.5 cm']clinical findings_fin: 'questionable small exophytic mass': 'clinical finding': 'questionable small exophytic mass', 'existence': 'pos_dx', 'descriptive_term': 'questionable small exophytic', 'observation': 'mass', 'strength_term': 'small'clinical findings_fin: 'ipmn': 'clinical finding': 'ipmn', 'existence': 'pos_dx', 'observation': 'ipmn'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'slight nodularity': 'clinical finding': 'slight nodularity', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'nodularity', 'benign adrenal adenoma': 'clinical finding': 'benign adrenal adenoma', 'existence': 'unc_dx', 'descriptive_term': 'benign adrenal', 'observation': 'adenoma', 'strength_term': 'benign'anatomical entity_fin: 'kidneys': location descriptor_fin: ['left', 'right']clinical findings_fin: 'cortical thinning': 'clinical finding': 'cortical thinning', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'thinning', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple low-density lesions': 'clinical finding': 'multiple low-density lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple low-density', 'observation': 'lesion', 'quantity_term': 'multiple', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'mild atherosclerotic calcification': 'clinical finding': 'mild atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', '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' [/INST] [RESP] . Atherosclerotic calcification affects the right coronary artery. The aorta is tortuous. The liver is normal in size. No focal hepatic lesions are identified. No definite biliary ductal dilatation is seen. The portal vein is patent. No significant abnormality noted. The pancreatic duct of the body and tail of pancreas is dilated to a maximal diameter of. 9 mm. In there is an abrupt transition at the site of the two high-density stones within the pancreatic duct. The questionable small exophytic mass is seen at this site measures approximately 1.9 x 1.5 cm. The previously noted sidebranch IPMN in the uncinate process is not well visualized on this CT examination. There is slight nodularity of the left adrenal gland which measures 4 HU on noncontrast images and likely represents a benign adrenal adenoma. Regions of cortical thinning suggestive of scarring are seen in both kidneys, left greater than right. Multiple low-density lesions are seen in both kidneys which likely represent benign cysts. Mild atherosclerotic calcification affects the abdominal aorta. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '16 mm', 'size_descriptor': 'mass']anatomical entity_fin: 'orbit': 'location descriptor': 'right inferior', 'inferior rectus muscle': location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'partially imaged mass': 'clinical finding': 'partially imaged mass', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged', 'observation': 'mass', 'strength_term': 'partially'anatomical entity_fin: 'cheek': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'right cheek tumor': 'clinical finding': 'right cheek tumor', 'existence': 'pos_dx', 'descriptive_term': 'right cheek', 'observation': 'tumor', 'flap reconstruction': 'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'size_fin: ['size': '9 mm', 'size_descriptor': 'change']anatomical entity_fin: 'cheek': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'clinical findings_fin: 'multiple punctate nodules': 'clinical finding': 'multiple punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate', 'observation': 'nodule', 'quantity_term': 'multiple'anatomical entity_fin: 'fluid': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable'clinical findings_fin: 'is mild plaque at the carotid bifurcations bilaterally': 'clinical finding': 'is mild plaque at the carotid bifurcations bilaterally'clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'clinical findings_fin: 'multiple dental caries': 'clinical finding': 'multiple dental caries', 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'cary', 'quantity_term': 'multiple'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] There is a partially imaged mass in the right inferior orbit that measures 16 mm in thickness and is indistinct from the inferior rectus muscle. There are postoperative findings related to right cheek tumor resection with flap reconstruction. There is no significant interval change in size of the mass in the right cheek subcutaneous tissues, measuring up to 9 mm in thickness. There is no evidence of significant cervical lymphadenopathy based on size criteria. There are multiple punctate nodules in the thyroid. There is minimal fluid in the right maxillary sinus. The major salivary glands are unremarkable. There is mild plaque at the carotid bifurcations bilaterally. There is multilevel degenerative spondylosis. There are multiple dental caries. The airways are patent. The imaged portions of the lungs are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '24 mm', 'size_descriptor': 'cyst']imaging observation_fin: ['tooth']clinical findings_fin: 'expansile periodontal cyst': 'clinical finding': 'expansile periodontal cyst', 'existence': 'pos_dx', 'descriptive_term': 'expansile periodontal', 'observation': 'cyst'anatomical entity_fin: 'wall': , 'lining': , 'alveolus': imaging observation_fin: ['hyperenhancement']clinical findings_fin: 'hyperenhancement': 'clinical finding': 'hyperenhancement', 'existence': 'pos_dx', 'observation': 'hyperenhancement', 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst', 'focal dehiscence': 'clinical finding': 'focal dehiscence', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'dehiscence'size_fin: ['size': '5 mm', 'size': '3 mm']anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'anterior left', 'wall': , 'floor': , 'orbit': location descriptor_fin: ['anterior', 'left']clinical findings_fin: '5 mm thick subperiosteal abscess': 'clinical finding': '5 mm thick subperiosteal abscess', 'existence': 'pos_dx', 'descriptive_term': '5 mm thick subperiosteal', 'observation': 'abscess', 'cortical disruption': 'clinical finding': 'cortical disruption', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'disruption'size_fin: ['size': '15 mm', 'size_descriptor': 'collection']anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['superior', 'posterior', 'left']clinical findings_fin: 'subperiosteal fluid collection': 'clinical finding': 'subperiosteal fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'subperiosteal fluid', 'observation': 'collection'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['left', 'right']clinical findings_fin: 'extensive mucosal thickening': 'clinical finding': 'extensive mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive mucosal', 'observation': 'thickening', 'strength_term': 'extensive', 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst'anatomical entity_fin: 'floor': location descriptor_fin: ['left']clinical findings_fin: 'mild thinning': 'clinical finding': 'mild thinning', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'thinning', 'strength_term': 'mild', 'demineralization': 'clinical finding': 'demineralization', 'existence': 'pos_dx', 'observation': 'demineralization'location descriptor_fin: ['left', 'inferior']clinical findings_fin: 'mild left intraconal stranding': 'clinical finding': 'mild left intraconal stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild left intraconal', 'observation': 'strand', 'strength_term': 'mild', 'swelling': 'clinical finding': 'swelling', 'existence': 'pos_dx', 'observation': 'swell', 'mild left proptosis': 'clinical finding': 'mild left proptosis', 'existence': 'pos_dx', 'descriptive_term': 'mild left', 'observation': 'proptosis', 'strength_term': 'mild'anatomical entity_fin: 'apex': 'location descriptor': 'left', 'orbit': , 'superior ophthalmic veins': 'location descriptor': 'right'location descriptor_fin: ['left', 'right', 'bilateral']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'face': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'extensive stranding': 'clinical finding': 'extensive stranding', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'strand', 'strength_term': 'extensive'location descriptor_fin: ['left']clinical findings_fin: 'mildly prominent reactive left suprahyoid lymph nodes': 'clinical finding': 'mildly prominent reactive left suprahyoid lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent reactive left suprahyoid lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'clinical findings_fin: 'imaged intracranial structures appear': 'clinical finding': 'imaged intracranial structures appear' [/INST] [RESP] There is an expansile periodontal cyst arising between the splayed roots of ADA tooth number 9 and number 10 that measures up to 24 mm, without evidence of associated dental caries. There is hyperenhancement of the cyst wall lining and a focal dehiscence of the overlying buccal maxillary alveolus. There is a 5 mm thick subperiosteal abscess originating at the site of cortical disruption that extends superiorly along the anterior left maxillary sinus wall and into the floor of the left post-septal orbit, where it measures up to 3 mm in thickness. In addition, there is a subperiosteal fluid collection within the superior and posterior portions of the left maxillary sinus that measures up to 15 mm. There is also extensive mucosal thickening and secretions within left maxillary sinus and a retention cyst in the right maxillary sinus. There is mild thinning and demineralization of part of the left orbital floor. There is mild left intraconal stranding and swelling of the inferior rectus and oblique muscles with mild left proptosis. The left orbital apex is intact and the right orbit appears to be unremarkable, with opacification of the bilateral superior ophthalmic veins. The pterygopalatine fossae appear to be intact bilaterally. However, there is extensive stranding within the subcutaneous tissues of the left face. There are mildly prominent reactive left suprahyoid lymph nodes. The imaged intracranial structures appear to be grossly unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'patchy periventricular hypoattenuation': 'clinical finding': 'patchy periventricular hypoattenuation', 'existence': 'unc_dx', 'descriptive_term': 'patchy periventricular', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'left vertebral artery': clinical findings_fin: 'dense atherosclerotic calcifications': 'clinical finding': 'dense atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dense atherosclerotic', 'observation': 'calcification' [/INST] [RESP] The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. Patchy periventricular hypoattenuation likely relates to chronic small vessel ischemic disease. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Dense atherosclerotic calcifications of the left vertebral artery noted intracranially. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '8 mm', 'size': '7 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe groundglass nodule': 'clinical finding': 'right upper lobe groundglass nodule', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe groundglass', 'observation': 'nodule'size_fin: ['size': '10 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe groundglass nodule': 'clinical finding': 'right lower lobe groundglass nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe groundglass', 'observation': 'nodule'anatomical entity_fin: 'back': clinical findings_fin: 'these groundglass nodules': 'clinical finding': 'these groundglass nodules', 'existence': 'pos_dx', 'descriptive_term': 'these groundglass', 'observation': 'nodule'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'unc_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': '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: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdomen': , 'pelvis': [/INST] [RESP] . The right upper lobe groundglass nodule measures 8 mm , previously 7 mm. The right lower lobe groundglass nodule measures 10 mm , unchanged. These groundglass nodules are unchanged in density dating back to 8/14/2014. No new pulmonary nodules or masses are identified. A focal consolidation, pleural effusion or pneumothorax. The heart size is normal, there is no pericardial effusion. No mediastinal lymphadenopathy. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Please refer to the separately dictated report for the same day MRI of the abdomen and pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'extensive thoracic kyphosis': 'clinical finding': 'extensive thoracic kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive thoracic', 'observation': 'kyphosis', 'strength_term': 'extensive'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'disk spaces': 'clinical finding': 'disk spaces', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'space', 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'clinical findings_fin: 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis'anatomical entity_fin: 'spine': clinical findings_fin: 'extensive degenerative changes': 'clinical finding': 'extensive degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive degenerative', 'observation': 'change', 'strength_term': 'extensive'clinical findings_fin: 'normal lumbar lordosis': 'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'disk spaces': 'clinical finding': 'disk spaces', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'space', 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'anatomical entity_fin: 'aorta': clinical findings_fin: 'extensive atherosclerotic calcifications': 'clinical finding': 'extensive atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'anatomical entity_fin: 'apex': , 'pelvis': imaging observation_fin: ['chest abdomen']object_fin: ['filter']clinical findings_fin: 'ivc filter is visualized': 'clinical finding': 'ivc filter is visualized'anatomical entity_fin: 'neural foramina': 'location descriptor': 'bilateral', 'spinal': location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent', 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis'anatomical entity_fin: 'neural foramina': 'location descriptor': 'bilateral', 'spinal': location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent', 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis'anatomical entity_fin: 'facets': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'spinal': , 'ligamentum flavum': clinical findings_fin: 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis', 'ligamentum flavum hypertrophy': 'clinical finding': 'ligamentum flavum hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'hypertrophy'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral', 'spinal': , 'lateral recess': location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'severe bilateral facet osteoarthritis': 'clinical finding': 'severe bilateral facet osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral facet', 'observation': 'osteoarthritis', 'strength_term': 'severe', 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis', 'lateral recess narrowing': 'clinical finding': 'lateral recess narrowing', 'existence': 'pos_dx', 'descriptive_term': 'lateral recess', 'observation': 'narrowing'anatomical entity_fin: 'neural foramina': 'location descriptor': 'bilateral', 'facet': location descriptor_fin: ['bilateral']clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow', 'extensive facet osteoarthritis': 'clinical finding': 'extensive facet osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'extensive facet', 'observation': 'osteoarthritis', 'strength_term': 'extensive'anatomical entity_fin: 'sacroiliac joints': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral degenerative changes': 'clinical finding': 'bilateral degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral degenerative', 'observation': 'change' [/INST] [RESP] .Extensive thoracic kyphosis is visualized. The vertebral body heights and disk spaces are maintained. No evidence of central spinal stenosis. Extensive degenerative changes noted originating at T6 and extending further inferiorly into the lumbar spine. There is normal lumbar lordosis. The vertebral body heights and disk spaces are maintained. Extensive atherosclerotic calcifications are seen in the aorta and its branches. An IVC filter is visualized whose apex is within the intrahepatic IVC which appears unchanged since the 12/2/07 chest abdomen and pelvis study. At the L1 -- L2 level, bilateral neural foramina are patent without evidence of central spinal stenosis. At the L2 -- L3 level, bilateral neural foramina are patent without evidence of central spinal stenosis. Degenerative changes noted within both facets. At the L3 -- L4 level, there is a bulging disk with central spinal stenosis and ligamentum flavum hypertrophy. At L4 -- L5 level severe bilateral facet osteoarthritis with central spinal stenosis and lateral recess narrowing on the left. At the L5 -- S1 level, bilateral neural foramina are slightly narrowed with extensive facet osteoarthritis. Bilateral degenerative changes noted in both sacroiliac joints [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'retained right frontal approach catheter and reservoir are seen , with its tip at foramen monroe': 'clinical finding': 'retained right frontal approach catheter and reservoir are seen , with its tip at foramen monroe'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': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'maxillary sinus': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear', 'minimal maxillary sinus mucosal thickening': 'clinical finding': 'minimal maxillary sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal maxillary sinus mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] A retained right frontal approach catheter and reservoir are seen, with its tip at foramen Monroe. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. The osseous structures are unremarkable. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal maxillary sinus mucosal thickening. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys show normal size and morphologic appearance': 'clinical finding': 'kidneys show normal size and morphologic appearance'anatomical entity_fin: 'urinary tract': clinical findings_fin: 'urinary tract stone disease': 'clinical finding': 'urinary tract stone disease', 'existence': 'neg_dx', 'descriptive_term': 'urinary tract stone', 'observation': 'disease'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'fluid': anatomical entity_fin: 'parenchyma': 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'anatomical entity_fin: 'uterus': clinical findings_fin: 'normal -appearing uterus': 'clinical finding': 'normal -appearing uterus'size_fin: ['size': '3 cm']imaging observation_fin: ['water density']location descriptor_fin: ['right']clinical findings_fin: 'right adnexal cyst': 'clinical finding': 'right adnexal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right adnexal', 'observation': 'cyst'clinical findings_fin: 'physiologic cystic changes': 'clinical finding': 'physiologic cystic changes', 'existence': 'pos_dx', 'descriptive_term': 'physiologic cystic', 'observation': 'change'clinical findings_fin: 'other abnormalities': 'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys show normal size and morphologic appearance. No evidence of urinary tract stone disease is seen. No hydronephrosis. No perinephric fluid collections. Lack of IV contrast precludes ability to evaluate renal parenchyma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal-appearing uterus. Approximately 3 cm unilocular homogeneous near water density right adnexal cyst. In a patient of this age and with this appearance is most likely represents physiologic cystic changes. No other abnormalities. 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: 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'clinical findings_fin: 'recurrent tumor': 'clinical finding': 'recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are within normal limits': 'clinical finding': 'major salivary glands are within normal limits'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'cervical spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'lungs': clinical findings_fin: 'imaged portions of the lungs': 'clinical finding': 'imaged portions of the lungs'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'mild periventricular hypoattenuation compatible small vessel ischemic disease': 'clinical finding': 'mild periventricular hypoattenuation compatible small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular hypoattenuation compatible small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - small'anatomical entity_fin: 'lens': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral intraocular lens implants again noted': 'clinical finding': 'bilateral intraocular lens implants again noted'clinical findings_fin: 'imaged intracranial structures are otherwise within normal limits': 'clinical finding': 'imaged intracranial structures are otherwise within normal limits' [/INST] [RESP] Postoperative findings related to total thyroidectomy are again seen. There is no evidence of soft tissue within the resection bed to suggest recurrent tumor. There is no significant cervical lymphadenopathy by CT size criteria. Major salivary glands are within normal limits. The major cervical vessels are patent. There are multilevel degenerative changes within the cervical spine, most pronounced at C5-6. The airways are patent. The imaged portions of the lungs are within normal limits. There is no evidence of intracranial hemorrhage, midline shift, or mass effect. There is mild periventricular hypoattenuation compatible small vessel ischemic disease indeterminate age. There are bilateral intraocular lens implants again noted. The imaged intracranial structures are otherwise within normal limits. [/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'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. There is mild mucosal thickening in the maxillary and ethmoid sinuses. The frontal sinuses, frontal-ethmoid recesses, and sphenoid sinuses are well developed and clear. The osteomeatal complexes are normal with intact uncinate processes and patent infundibuli. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary infection': 'clinical finding': 'pulmonary infection', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'infection'clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema', 'pulmonary fibrosis': 'clinical finding': 'pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'fibrosis', 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'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'location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'oral or iv contrast': 'clinical finding': 'oral or iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'oral or iv', 'observation': 'contrast' [/INST] [RESP] . No evidence of pulmonary infection. Unchanged findings of emphysema and pulmonary fibrosis with honeycombing. No pleural effusions. Moderate coronary artery calcifications. A right jugular catheter extends to the SVC or RA junction level. No significant abnormality noted. Examination limited without oral or IV contrast material, grossly unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3 mm']anatomical entity_fin: 'internal auditory canal': clinical findings_fin: 'stenotic': 'clinical finding': 'stenotic', 'existence': 'pos_dx', 'observation': 'stenotic'imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'communis': 'clinical finding': 'communis', 'existence': 'pos_dx', 'observation': 'communis'anatomical entity_fin: 'vestibular aqueduct': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'middle ear': , 'mastoid air cells': clinical findings_fin: 'septations': 'clinical finding': 'septations', 'existence': 'pos_dx', 'observation': 'septation', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'anatomical entity_fin: 'stapes': clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'facial nerve': clinical findings_fin: 'facial nerve describes a normal course': 'clinical finding': 'facial nerve describes a normal course'anatomical entity_fin: 'carotid canal': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'external auditory canal': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent', 'probable cerumen': 'clinical finding': 'probable cerumen', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cerumen'anatomical entity_fin: 'middle ear': , 'mastoid air cells': clinical findings_fin: 'septations': 'clinical finding': 'septations', 'existence': 'pos_dx', 'observation': 'septation', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'anatomical entity_fin: 'stapes': clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'inner ear': , 'internal auditory canal': clinical findings_fin: 'inner ear structures and internal auditory canal are unremarkable': 'clinical finding': 'inner ear structures and internal auditory canal are unremarkable'anatomical entity_fin: 'facial nerve': clinical findings_fin: 'facial nerve describes a normal course': 'clinical finding': 'facial nerve describes a normal course'anatomical entity_fin: 'carotid canal': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['left', 'superior']clinical findings_fin: 'superior cerebellar hemisphere encephalomalacia': 'clinical finding': 'superior cerebellar hemisphere encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'superior cerebellar hemisphere', 'observation': 'encephalomalacia', 'strength_term': 'superior'location descriptor_fin: ['bilateral'] [/INST] [RESP] . There is a diffusely narrow internal auditory canal, measuring 3 mm in diameter and the cochlear aperture is markedly stenotic. There is deficiency of the right modiolus, with a scala communis and deficiency of the apical turn. In addition, the vestibular aqueduct is enlarged. The middle ear and mastoid air cells are partially opacified and the septations appear to be slightly thickening diffusely. There is thickening of the stapes superstructure and crura. The rest of the ossicular chain and scutum appear to be intact. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. The external auditory canal is patent, but contains a small amount of probable cerumen. The middle ear and mastoid air cells are partially opacified and the septations appear to be slightly thickening diffusely. There is thickening of the stapes superstructure and the crura are not well delineated. The rest of the ossicular chain appears to be intact. The inner ear structures and internal auditory canal are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. There is left superior cerebellar hemisphere encephalomalacia. There are bilateral staphylomas. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'multiple pulmonary nodules': 'clinical finding': 'multiple pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple', 'prior inflammation': 'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'size_fin: ['size': '9 x 15 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'previously noted 9 x 15 mm left lower lobe nodule': 'clinical finding': 'previously noted 9 x 15 mm left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'previously noted 9 x 15 mm left lower lobe', 'observation': 'nodule'clinical findings_fin: 'new pulmonary or pleural abnormalities': 'clinical finding': 'new pulmonary or pleural abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary or pleural', 'observation': 'abnormality', 'temporal_term': 'new'anatomical entity_fin: 'lower lung zone': clinical findings_fin: 'lower lung zone groundglass opacity': 'clinical finding': 'lower lung zone groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'lower lung zone groundglass', 'observation': 'opacity'anatomical entity_fin: 'right lung': , 'base': anatomical entity_fin: 'heart': object_fin: ['surgical clips']clinical findings_fin: 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis' [/INST] [RESP] . Multiple pulmonary nodules, some of which are calcified, unchanged in size and consistent with prior inflammation or infection. Previously noted 9 x 15 mm left lower lobe nodule may be slightly smaller. No new pulmonary or pleural abnormalities. Lower lung zone groundglass opacity stable. Right lung base resection. Multiple surgical clips from heart transplant. Median sternotomy. Cholelithiasis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'obstructive lesions': 'clinical finding': 'obstructive lesions', 'existence': 'neg_dx', 'descriptive_term': 'obstructive', 'observation': 'lesion'anatomical entity_fin: 'paranasal sinus': anatomical entity_fin: 'frontal sinus': location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral uncinectomies': 'clinical finding': 'bilateral uncinectomies', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'uncinectomy', 'partial exenteration': 'clinical finding': 'partial exenteration', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'exenteration', 'strength_term': 'partial', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['right', 'left']clinical findings_fin: 'maxillary': 'clinical finding': 'maxillary', 'existence': 'pos_dx', 'observation': 'maxillary', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'anatomical entity_fin: 'fluid': location descriptor_fin: ['left']clinical findings_fin: 'seen air fluid level on the left side has resolved': 'clinical finding': 'seen air fluid level on the left side has resolved'anatomical entity_fin: 'cells': , 'cell': location descriptor_fin: ['right']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'neg_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'mucus': , 'sphenoid sinus': location descriptor_fin: ['left']clinical findings_fin: 'sphenoid sinuses': 'clinical finding': 'sphenoid sinuses', 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus', 'mucus retention cyst': 'clinical finding': 'mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'mucus retention', 'observation': 'cyst'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'frontal sinus': 'location descriptor': 'right', 'paranasal sinus': , 'mastoid air cells': , 'middle ears': , 'brain': location descriptor_fin: ['left', 'right']clinical findings_fin: 'more mucosal thickening': 'clinical finding': 'more mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'more mucosal', 'observation': 'thickening', 'quantity_term': 'more', 'less mucosal thickening': 'clinical finding': 'less mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'less mucosal', 'observation': 'thickening', 'quantity_term': 'less', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'mild opacities': 'clinical finding': 'mild opacities', 'existence': 'neg_dx', 'descriptive_term': 'mild', 'observation': 'opacity', 'strength_term': 'mild'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['posterior']clinical findings_fin: 'cerebellar mass': 'clinical finding': 'cerebellar mass', 'existence': 'pos_dx', 'descriptive_term': 'cerebellar', 'observation': 'mass' [/INST] [RESP] The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The patient is status post paranasal sinus surgery. There are bilateral uncinectomies present in the partial exenteration of the left ethmoid air cellsThe frontal sinuses demonstrate opacification of the right frontal sinus which is new since the previous exam. The left frontal sinus remains clear. Maxillary sinuses demonstrate mucosal thickening bilaterally right more than left associated with wall thickening. Previously seen air fluid level on the left side has resolved. Ethmoid air cells demonstrate mucosal thickening in the right ethmoid air cell. Sphenoid sinuses demonstrates a mucus retention cyst in the left sphenoid sinus which is since the prior exam. Comparing to an MRI from 12/17/12 on that exam there is more mucosal thickening in the left maxillary sinus and less mucosal thickening in the right frontal sinus are comparing to MRI from 5/9 / 13 there is significantly more paranasal sinus mucosal thickening on the current examVisualized portions of the mastoid air cells and middle ears demonstrate mild opacities not present on the prior exam but were present on the MRIs of the brain from May 2013 and December 2012. Visualized orbits are intact and the visualized intracranial structures are within normal limits. The patient is status post posterior fossa surgery for a cerebellar mass. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'high attenuation lesion': 'clinical finding': 'high attenuation lesion', 'existence': 'unc_dx', 'descriptive_term': 'high attenuation', 'observation': 'lesion'clinical findings_fin: 'acute ischemic or hemorrhagic lesion': 'clinical finding': 'acute ischemic or hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] There is high attenuation lesion likely within the right MCA M1 segment. However, there is no evidence of acute ischemic or hemorrhagic lesion. 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. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'moderately severe centrilobular emphysema': 'clinical finding': 'moderately severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderately severe centrilobular', 'observation': 'emphysema', 'strength_term': 'moderately - severe'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'air space opacity': 'clinical finding': 'air space opacity', 'existence': 'pos_dx', 'descriptive_term': 'air space', 'observation': 'opacity', 'pneumonia': 'clinical finding': 'pneumonia', 'existence': 'pos_dx', 'observation': 'pneumonia'location descriptor_fin: ['left']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'paratracheal and left hilar lymphadenopathy': 'clinical finding': 'paratracheal and left hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'paratracheal and left hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'coronary artery': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'focal calcification': 'clinical finding': 'focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule', 'benign adenoma': 'clinical finding': 'benign adenoma', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'adenoma', 'strength_term': 'benign' [/INST] [RESP] . Moderately severe centrilobular emphysema. Interval resolution of air space opacity in the posterior left upper lobe, compatible with pneumonia. Interval resolution of paratracheal and left hilar lymphadenopathy. Focal calcification in the area of the left anterior descending coronary artery. No significant abnormality noted. Left adrenal nodule unchanged from earlier scans compatible with a benign adenoma. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'stable centrilobular emphysema': 'clinical finding': 'stable centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'stable centrilobular', 'observation': 'emphysema', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'multiple scattered pulmonary micronodules': 'clinical finding': 'multiple scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'multiple', 'ground glass opacities': 'clinical finding': 'ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity'clinical findings_fin: 'basilar scarlike opacities': 'clinical finding': 'basilar scarlike opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar scarlike', 'observation': 'opacity'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'size_fin: ['size': '2.2 x 1.3 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'esophagus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'asymmetric mass': 'clinical finding': 'asymmetric mass', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'mass', 'primary esophageal cancer': 'clinical finding': 'primary esophageal cancer', 'existence': 'unc_dx', 'descriptive_term': 'primary esophageal', 'observation': 'cancer'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'neg_dx', 'descriptive_term': 'this', 'observation': 'lesion'anatomical entity_fin: 'left paraesophageal lymph node': clinical findings_fin: 'left paraesophageal lymph node': 'clinical finding': 'left paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left paraesophageal lymph', 'observation': 'node'location descriptor_fin: ['right', 'central']object_fin: ['catheter']clinical findings_fin: 'hepatic lesions': 'clinical finding': 'hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'hepatic', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': location descriptor_fin: ['adjacent']clinical findings_fin: 'previously noted tiny hypodensity': 'clinical finding': 'previously noted tiny hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'previously noted tiny', 'observation': 'hypodensity', 'strength_term': 'tiny'clinical findings_fin: 'unchanged cholelithiasis': 'clinical finding': 'unchanged cholelithiasis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'cholelithiasis', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'stable bilateral nodular adrenal lesions': 'clinical finding': 'stable bilateral nodular adrenal lesions', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral nodular adrenal', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['bilateral']clinical findings_fin: 'several bilateral renal cysts': 'clinical finding': 'several bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'several bilateral renal', 'observation': 'cyst', 'quantity_term': 'several', 'nonspecific hypodense lesions': 'clinical finding': 'nonspecific hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific hypodense', 'observation': 'lesion'clinical findings_fin: 'pancreatic cysts': 'clinical finding': 'pancreatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'pancreatic', 'observation': 'cyst'anatomical entity_fin: 'duct': clinical findings_fin: 'mild common biliary duct dilatation': 'clinical finding': 'mild common biliary duct dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube in stable position': 'clinical finding': 'gastrostomy tube in stable position', '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' [/INST] [RESP] . Stable centrilobular emphysema. Interval resolution of multiple scattered pulmonary micronodules and ground glass opacities. Basilar scarlike opacities remain unchanged. Coronary artery calcifications. There is an asymmetric mass in the distal esophagus measuring approximately 2.2 x 1.3 cm , which likely represents the primary esophageal cancer. This lesion was not clearly visualized on the prior CT scan. Left paraesophageal lymph node is unchanged. Right central catheter with its tip in the SVC. No evidence of hepatic lesions. Previously noted tiny hypodensity adjacent to the gallbladder is unchanged. Unchanged cholelithiasis. No significant abnormality noted. Stable bilateral nodular adrenal lesions, left greater than right. Several bilateral renal cysts and nonspecific hypodense lesions which are too small to characterize, unchanged. Unchanged multiple areas of low attenuation, consistent with pancreatic cysts. Mild common biliary duct dilatation. No significant abnormality noted. Gastrostomy tube in stable position. 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: 'oropharynx': , 'hypopharynx': , 'larynx': clinical findings_fin: 'post therapy appearance of the oropharynx , hypopharynx and larynx , unchanged': 'clinical finding': 'post therapy appearance of the oropharynx , hypopharynx and larynx , unchanged', 'change_term': 'unchanged'clinical findings_fin: 'focal mass': 'clinical finding': 'focal mass', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'recurrence': 'clinical finding': 'recurrence', 'existence': 'neg_dx', 'observation': 'recurrence', 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'vein': location descriptor_fin: ['left']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'thyroid gland': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'heterogenous enhancement': 'clinical finding': 'heterogenous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogenous', 'observation': 'enhancement'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'excessive emphysematous changes': 'clinical finding': 'excessive emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'excessive emphysematous', 'observation': 'change'clinical findings_fin: 'pulmonary mass': 'clinical finding': 'pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'anatomical entity_fin: 'chest': clinical findings_fin: 'normal cervical lordosis': 'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal', 'multi-level degenerative disease': 'clinical finding': 'multi-level degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'multi-level degenerative', 'observation': 'disease'location descriptor_fin: ['posterior']clinical findings_fin: 'posterior osteophytes': 'clinical finding': 'posterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'osteophyte'anatomical entity_fin: 'brain': , 'leptomeninges': clinical findings_fin: 'acute intracranial abnormality': 'clinical finding': 'acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'ventricular and basal cisterns appear unremarkable': 'clinical finding': 'ventricular and basal cisterns appear unremarkable'anatomical entity_fin: 'skull': , 'base': , 'orbits': , 'contents': clinical findings_fin: 'calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears normal': 'clinical finding': 'calvarium , skull base , orbits , retro-orbital contents , and infratemporal fossa appears normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] .Post therapy appearance of the oropharynx, hypopharynx and larynx, unchanged. No focal mass or abnormal enhancement to suggest recurrence or residual tumor. There is no significant cervical lymphadenopathy according to radiological size criteria. The carotid arteries and left jugular vein is patent. The thyroid gland appears shows heterogenous enhancement of the right thyroid lobe. Limited views of the lung apices shows scarring and excessive emphysematous changes. There is no pulmonary mass or nodules. Please review the dictated report of CT of chest. There is straightening of the normal cervical lordosis with multi-level degenerative disease. There are posterior osteophytes at C4-5 & C5-6 level. There is no acute intracranial abnormality or abnormal enhancement of the brain or leptomeninges. The ventricular and basal cisterns appear unremarkable. The calvarium, skull base, orbits, retro-orbital contents, and infratemporal fossa appears normal. The paranasal sinuses and mastoid air cells are pneumatized and clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: 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'anatomical entity_fin: 'floor': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'trace mucosal thickening': 'clinical finding': 'trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'trace mucosal', 'observation': 'thickening'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: 'moderate rightward nasal septal deviation': 'clinical finding': 'moderate rightward nasal septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'moderate rightward nasal septal', 'observation': 'deviation', 'strength_term': 'moderate'location descriptor_fin: ['left', 'central']clinical findings_fin: 'left-sided central low signal': 'clinical finding': 'left-sided central low signal', 'existence': 'pos_dx', 'descriptive_term': 'left-sided central low', 'observation': 'signal', 'paradoxical configuration': 'clinical finding': 'paradoxical configuration', 'existence': 'pos_dx', 'descriptive_term': 'paradoxical', 'observation': 'configuration'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'anatomical entity_fin: 'disc': , 'thecal sac': , 'cord': imaging observation_fin: ['cord']clinical findings_fin: 'large dorsal disc osteophyte': 'clinical finding': 'large dorsal disc osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'large dorsal disc', 'observation': 'osteophyte', 'strength_term': 'large', 'partial effacement': 'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'clinical findings_fin: 'partially visualized global cerebral volume loss': 'clinical finding': 'partially visualized global cerebral volume loss', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized global cerebral volume', 'observation': 'loss', 'strength_term': 'partially' [/INST] [RESP] . The frontal sinuses and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. There is trace mucosal thickening along the floor the right maxillary sinus. The maxillary sinuses are otherwise clear. The ostiomeatal units are clear. The posterior ethmoid air cells are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. There is moderate rightward nasal septal deviation. There is a left-sided central low signal with paradoxical configuration. The nasal cavity is clear. The lamina papyracea are intact. The roof of the ethmoids is relatively symmetric. Incidental note is made of a large dorsal disc osteophyte at C3-C4 resulting in partial effacement of thecal sac and possible abutment of the ventral cord. There is also partially visualized global cerebral volume loss which appears slightly greater than expected for patients stated age. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['anterior', 'right', 'upper', 'superior']clinical findings_fin: 'minimal groundglass': 'clinical finding': 'minimal groundglass', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'groundglass', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'fine nodular opacity': 'clinical finding': 'fine nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'fine nodular', 'observation': 'opacity', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure', 'mild aspiration': 'clinical finding': 'mild aspiration', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'aspiration', 'strength_term': 'mild', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'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] . Minimal groundglass and fine nodular opacity in the anterior segment of the right upper lobe immediately superior to the minor fissure, compatible with mild aspiration or scarring. No suspicious nodules. No significant lymphadenopathy. No pericardial effusion. None. None. 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: anatomical entity_fin: 'shoulder': , 'joints': , 'joint': clinical findings_fin: 'severe degenerative changes': 'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe', 'joint space narrowing': 'clinical finding': 'joint space narrowing', 'existence': 'pos_dx', 'descriptive_term': 'joint space', 'observation': 'narrowing', 'subchondral sclerosis': 'clinical finding': 'subchondral sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'sclerosis', 'subchondral pseudocyst': 'clinical finding': 'subchondral pseudocyst', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'pseudocyst', 'osteophytes': 'clinical finding': 'osteophytes', 'existence': 'pos_dx', 'observation': 'osteophyte'anatomical entity_fin: 'acromioclavicular joints': clinical findings_fin: 'severe degenerative changes': 'clinical finding': 'severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'severe degenerative', 'observation': 'change', 'strength_term': 'severe', 'widening': 'clinical finding': 'widening', 'existence': 'pos_dx', 'observation': 'widening'anatomical entity_fin: 'tuberosity': location descriptor_fin: ['lateral', 'right']clinical findings_fin: 'heterotopic bone formation': 'clinical finding': 'heterotopic bone formation', 'existence': 'pos_dx', 'descriptive_term': 'heterotopic bone', 'observation': 'formation'anatomical entity_fin: 'head': location descriptor_fin: ['left']clinical findings_fin: 'flattened': 'clinical finding': 'flattened', 'existence': 'pos_dx', 'observation': 'flattened' [/INST] [RESP] There are severe degenerative changes affecting both shoulder joints including joint space narrowing, subchondral sclerosis, subchondral pseudocyst formation and osteophytes. There are severe degenerative changes affecting both acromioclavicular joints with widening as well. There is heterotopic bone formation lateral to the right greater tuberosity. The left humeral head is somewhat flattened medially. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': location descriptor_fin: ['left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: 'monro': 'clinical finding': 'monro', 'existence': 'pos_dx', 'observation': 'monro'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['right']clinical findings_fin: 'larger': 'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large', 'dilated': 'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged' [/INST] [RESP] There is a left frontal approach ventriculostomy catheter with tip terminating at the level of foramen of Monro, unchanged from prior. The left lateral ventricle remains slightly larger than the right, but neither ventricle is dilated and there size and morphology are unchanged. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. The bony calvarium is unchanged. [/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: 'morphology and attenuation of the brain parenchyma is within normal limits': 'clinical finding': 'morphology and attenuation of the brain parenchyma is within normal limits'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'gray-white differentiation is preserved': 'clinical finding': 'gray-white differentiation is preserved', 'change_term': 'preserved'clinical findings_fin: 'ventricles and sulci appear normal in size and configuration given the patients age': 'clinical finding': 'ventricles and sulci appear normal in size and configuration given the patients age'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'location descriptor_fin: ['bilateral']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'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: 'visualized orbital contents are within normal limits': 'clinical finding': 'visualized orbital contents are within normal limits'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'alignment is anatomic': 'clinical finding': 'alignment is anatomic'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'minimal degenerative disease': 'clinical finding': 'minimal degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal'location descriptor_fin: ['central']clinical findings_fin: 'central canal stenosis': 'clinical finding': 'central canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis', 'neural foraminal compromise': 'clinical finding': 'neural foraminal compromise', 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'compromise'anatomical entity_fin: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right'] [/INST] [RESP] The morphology and attenuation of the brain parenchyma is within normal limits. No evidence of intracranial hemorrhage or extra-axial fluid collection. No CT evidence of acute territorial ischemia. Gray-white differentiation is preserved. The ventricles and sulci appear normal in size and configuration given the patients age. No mass-effect, midline shift or basal cistern effacement. Mucosal thickening of the bilateral maxillary sinuses. The remaining visualized prenatal sinuses and mastoid air cells are clear. The visualized orbital contents are within normal limits. The calvarium and other bones are intact. Alignment is anatomic. No fractures. Minimal degenerative disease. No evidence of central canal stenosis or neural foraminal compromise. Metallic fragments in the soft tissues of the right neck. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'suprahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'infrahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'visceral space': , 'thyroid gland': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['posterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'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: 'submandibular glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'canal stenosis': 'clinical finding': 'canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'canal', 'observation': 'stenosis'anatomical entity_fin: 'c7 vertebral body': clinical findings_fin: 'hyperdense': 'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'anatomical entity_fin: 'cervical curvature': imaging observation_fin: ['reversal']clinical findings_fin: 'normal cervical curvature': 'clinical finding': 'normal cervical curvature', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'curvature', 'strength_term': 'normal' [/INST] [RESP] Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the visceral space the thyroid gland appears intact. The airway appears patent. The visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits are intact. The paranasal sinuses are clear. The mastoid air cells are clear. The parotid and the submandibular glands appear intact. The visualized lung apices appear clear. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for canal stenosis. The the C7 vertebral body appears hyperdense. There is loss of disk space height at C5-6 and C6-7 as well as reversal of the normal cervical curvature [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'mild mosaic attenuation': 'clinical finding': 'mild mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild mosaic', 'observation': 'attenuation', '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'clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess', 'intraperitoneal fluid collection': 'clinical finding': 'intraperitoneal fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intraperitoneal fluid', 'observation': 'collection'anatomical entity_fin: 'flank': 'location descriptor': 'left'location descriptor_fin: ['proximal', 'left']object_fin: ['catheter']clinical findings_fin: 'is a small caliber catheter , the proximal portions of which portions are coiled': 'clinical finding': 'is a small caliber catheter , the proximal portions of which portions are coiled', 'change_term': 'coiled'anatomical entity_fin: 'peritoneum': , 'quadrant': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']object_fin: ['catheter']anatomical entity_fin: 'pelvis': , 'terminal ileum': object_fin: ['catheter']clinical findings_fin: 'intraperitoneal portions of catheter are present and the tip terminates': 'clinical finding': 'intraperitoneal portions of catheter are present and the tip terminates'object_fin: ['catheter']clinical findings_fin: 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection'imaging observation_fin: ['fat']object_fin: ['catheter']clinical findings_fin: 'mild skin thickening': 'clinical finding': 'mild skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild skin', 'observation': 'thickening', 'strength_term': 'mild', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild mosaic attenuation in the lungs is nonspecific. 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 abscess or intraperitoneal fluid collection. There is a small caliber catheter, the proximal portions of which portions are coiled in the subcutaneous tissues of the left flank. The catheter enters the peritoneum in the left lower quadrant. Intraperitoneal portions of catheter are present and the tip terminates in the pelvis near the terminal ileum. No fluid collection near the catheter. Mild skin thickening and fat stranding near the extraperitoneal portions of the catheter could relate to recent placement or manipulation or be inflammatory in etiology. 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', 'lower']clinical findings_fin: 'stable pulmonary': 'clinical finding': 'stable pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'pulmonary', 'strength_term': 'stable', 'change_term': 'stable', 'left lower lobectomy': 'clinical finding': 'left lower lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'left lower', 'observation': 'lobectomy', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'size_fin: ['size': '8 mm', 'size_descriptor': 'nodule']imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right 8 mm apical groundglass nodule': 'clinical finding': 'right 8 mm apical groundglass nodule', 'existence': 'pos_dx', 'descriptive_term': 'right 8 mm apical groundglass', 'observation': 'nodule'clinical findings_fin: 'internal change': 'clinical finding': 'internal change', 'existence': 'neg_dx', 'descriptive_term': 'internal', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe part solid nodule': 'clinical finding': 'right lower lobe part solid nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe part solid', 'observation': 'nodule', 'multiple scattered subpleural micronodules': 'clinical finding': 'multiple scattered subpleural micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered subpleural', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral and largely paraseptal and apical emphysema': 'clinical finding': 'bilateral and largely paraseptal and apical emphysema', 'existence': 'pos_dx', 'descriptive_term': 'bilateral and largely paraseptal and apical', 'observation': 'emphysema'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'size_fin: ['size': '8 mm', 'size_descriptor': 'node']clinical findings_fin: 'reference precarinal lymph node': 'clinical finding': 'reference precarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal lymph', 'observation': 'node'anatomical entity_fin: 'pericardium': clinical findings_fin: 'within limits': 'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit', 'distinct coronary calcificationssmall hiatal hernia': 'clinical finding': 'distinct coronary calcificationssmall hiatal hernia', 'existence': 'neg_dx', 'descriptive_term': 'distinct coronary calcificationssmall hiatal', 'observation': 'hernia'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'imaging observation_fin: ['wedge']clinical findings_fin: 'unchanged compression fracture': 'clinical finding': 'unchanged compression fracture', 'existence': 'pos_dx', 'descriptive_term': 'unchanged compression', 'observation': 'fracture', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'new partial wedge deformity': 'clinical finding': 'new partial wedge deformity', 'existence': 'pos_dx', 'descriptive_term': 'new partial wedge', 'observation': 'deformity', 'strength_term': 'partial', 'temporal_term': 'new'clinical findings_fin: 'remaining mild changes': 'clinical finding': 'remaining mild changes', 'existence': 'pos_dx', 'descriptive_term': 'remaining mild', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'right renal nonobstructing stone': 'clinical finding': 'right renal nonobstructing stone', 'existence': 'pos_dx', 'descriptive_term': 'right renal nonobstructing', 'observation': 'stone' [/INST] [RESP] . Stable pulmonary appearance including a left lower lobectomy with mild mediastinal shift and scarring. The right 8 mm apical groundglass nodule appears unchanged. Continued serial imaging is needed to secure stability and lack of internal change. The right lower lobe part solid nodule is also similar in appearance and associated with multiple scattered subpleural micronodules. No effusions. Bilateral and largely paraseptal and apical emphysema. No lymphadenopathy. The reference precarinal lymph node remains 8 mm. The cardiac and pericardium are within limits without evidence of distinct coronary calcificationsSmall hiatal hernia suspected. None. Postsurgical changes including deformity of the left sixth rib. Unchanged compression fracture of L1 with a new partial wedge deformity of T11. Remaining mild changes are all otherwise unchanged. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right renal nonobstructing stone unchanged [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5 mm', 'size_descriptor': 'hematoma']anatomical entity_fin: 'scalp': 'location descriptor': 'left posterior'imaging observation_fin: ['hematoma', 'foci']location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'left posterior scalp hematoma': 'clinical finding': 'left posterior scalp hematoma', 'existence': 'pos_dx', 'descriptive_term': 'left posterior scalp', 'observation': 'hematoma', 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'minimal nonspecific cerebral white matter hypoattenuation': 'clinical finding': 'minimal nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': clinical findings_fin: 'orbits and skull are grossly unremarkable': 'clinical finding': 'orbits and skull are grossly unremarkable'location descriptor_fin: ['bilateral']clinical findings_fin: 'tiny rentention cysts': 'clinical finding': 'tiny rentention cysts', 'existence': 'pos_dx', 'descriptive_term': 'tiny rentention', 'observation': 'cyst', 'strength_term': 'tiny' [/INST] [RESP] There is a left posterior scalp hematoma that measures up to 5 mm in thickness, with punctate foci of emphysema. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. There is minimal nonspecific cerebral white matter hypoattenuation. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits and skull are grossly unremarkable. There are tiny rentention cysts in the bilateral maxillary sinuses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'sulcal hyperdensity': 'clinical finding': 'sulcal hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'hyperdensity', 'gyral hypoattenuation': 'clinical finding': 'gyral hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'gyral', 'observation': 'hypoattenuation'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'some compression': 'clinical finding': 'some compression', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'compression', 'quantity_term': 'some'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] There is sulcal hyperdensity associated with gyral hypoattenuation involving the right fusiform inferior temporal gyri. It is associated with mass effect and some compression of the trigone of the right lateral ventricle which was also present on the CT from 12/2/2015. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'significant hydronephrosis': 'clinical finding': 'significant hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'hydronephrosis'clinical findings_fin: 'parenchymal thickness is also smaller': 'clinical finding': 'parenchymal thickness is also smaller'clinical findings_fin: 'congenital upj obstruction': 'clinical finding': 'congenital upj obstruction', 'existence': 'unc_dx', 'descriptive_term': 'congenital upj', 'observation': 'obstruction'anatomical entity_fin: 'right kidney': clinical findings_fin: 'moderate hydronephrosis': 'clinical finding': 'moderate hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate', 'right kidney_1': 'clinical finding': 'right kidney', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'kidney', 'punctate stones': 'clinical finding': 'punctate stones', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'stone', 'mild rotation': 'clinical finding': 'mild rotation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'rotation', 'strength_term': 'mild', 'right kidney_2': 'clinical finding': 'right kidney', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'kidney'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ovarian cysts': 'clinical finding': 'bilateral ovarian cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ovarian', 'observation': 'cyst'anatomical entity_fin: 'right ovary': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'punctate dense calcification': 'clinical finding': 'punctate dense calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate dense', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The left kidney. The demonstrates significant hydronephrosis, which has progressed compared to previous study. Parenchymal thickness is also smaller. This is likely due to congenital UPJ obstruction. Moderate hydronephrosis of the right kidney with punctate stones and mild rotation of the right kidney are also stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral ovarian cysts. Right ovary is enlarged with punctate dense calcification, not significant changed from previous study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of free fluid in the pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'patchy periventricular and deep white matter hypodensities': 'clinical finding': 'patchy periventricular and deep white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'patchy periventricular and deep white matter', 'observation': 'hypodensity', 'age-indeterminate small vessel ischemic disease': 'clinical finding': 'age-indeterminate small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'scalp': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left scalp cystic lesion': 'clinical finding': 'left scalp cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'left scalp cystic', 'observation': 'lesion', 'possibly a sebaceous cyst': 'clinical finding': 'possibly a sebaceous cyst', 'existence': 'pos_dx', 'descriptive_term': 'possibly a sebaceous', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'visualized orbits are unremarkable': 'clinical finding': 'visualized orbits are unremarkable'anatomical entity_fin: 'arteries': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] No CT evidence of acute territorial ischemia. The gray-white matter differentiation is preserved. Patchy periventricular and deep white matter hypodensities are nonspecific but suggestive of age-indeterminate small vessel ischemic disease. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. There is a left scalp cystic lesion, possibly a sebaceous cyst. The visualized paranasal sinuses and mastoid air cells are clear. Visualized orbits are unremarkable. Atherosclerotic calcifications of the internal arteries are noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'suprahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'infrahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'size_fin: ['size': '5 mm']anatomical entity_fin: 'submandibular space': 'location descriptor': 'left', 'axis': , 'visceral space': , 'thyroid gland': location descriptor_fin: ['left']clinical findings_fin: 'lymph node': 'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'imaging observation_fin: ['cord']location descriptor_fin: ['right']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'anatomical entity_fin: 'lining': , 'aryepiglottic fold': 'location descriptor': 'left'location descriptor_fin: ['left', 'right']clinical findings_fin: 'thicker': 'clinical finding': 'thicker', 'existence': 'pos_dx', 'observation': 'thick'location descriptor_fin: ['posterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': , 'paranasal sinuses': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'canal stenosis': 'clinical finding': 'canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'canal', 'observation': 'stenosis'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'imaging observation_fin: ['enhancing']clinical findings_fin: 'abnormal enhancing mass lesions': 'clinical finding': 'abnormal enhancing mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing mass', 'observation': 'lesion'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] .Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. A lymph node in the left submandibular space measures 5 mm in size short axis dimensionWithin the visceral space the thyroid gland appears intact. The airway appears patent. Thickening of the right vocal cord maximum prior exam is less prominent on current. The mucosal lining of the left aryepiglottic fold is thicker than the right. This finding was present on priorThe visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits and paranasal sinuses are intact. The paranasal sinuses and mastoid air cells are clear. The parotid and the submandibular glands appear intact. The visualized lung apices appear clear. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for canal stenosis. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No acute intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'imaging observation_fin: ['infiltrates']clinical findings_fin: 'acute infiltrates': 'clinical finding': 'acute infiltrates', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infiltrate', 'strength_term': 'acute', 'temporal_term': 'acute', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'unc_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'old granulomatous disease': 'clinical finding': 'old granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'old granulomatous', 'observation': 'disease', 'temporal_term': 'old'clinical findings_fin: 'diffuse pancreatic atrophy': 'clinical finding': 'diffuse pancreatic atrophy', 'existence': 'pos_dx', 'descriptive_term': 'diffuse pancreatic', 'observation': 'atrophy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'renal calculus': 'clinical finding': 'renal calculus', 'existence': 'neg_dx', 'descriptive_term': 'renal', 'observation': 'calculus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . There is a small pericardial effusion. No acute infiltrates or effusions. No significant abnormality noted. Punctate calcifications within the spleen are probably due to old granulomatous disease. Diffuse pancreatic atrophy. No significant abnormality noted. No significant abnormality noted. No hydronephrosis. No renal calculus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse atherosclerotic calcifications of the aorta and major branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diffuse atherosclerotic calcifications in major vessels. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left medial'location descriptor_fin: ['left', 'medial']clinical findings_fin: 'ill-defined hyperattenuating mass': 'clinical finding': 'ill-defined hyperattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined hyperattenuating', 'observation': 'mass', 'strength_term': 'ill-defined'anatomical entity_fin: 'left corona radiata': , 'temporal lobe': 'location descriptor': 'left medial'location descriptor_fin: ['left', 'medial']clinical findings_fin: 'surrounding hypoattenuation': 'clinical finding': 'surrounding hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'hypoattenuation'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 basal cisterns are unchanged': 'clinical finding': 'ventricles and basal cisterns are unchanged', 'change_term': 'unchanged'location descriptor_fin: ['midline']clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus', 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'patchy and scattered intracerebral periventricular white matter hypoattenuation': 'clinical finding': 'patchy and scattered intracerebral periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy and scattered intracerebral periventricular white matter', 'observation': 'hypoattenuation', 'chronic small vessel ischemia': 'clinical finding': 'chronic small vessel ischemia', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel', 'observation': 'ischemia', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'vertebral artery': location descriptor_fin: ['right']clinical findings_fin: 'dense atherosclerotic calcification': 'clinical finding': 'dense atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense atherosclerotic', 'observation': 'calcification'location descriptor_fin: ['left']clinical findings_fin: 'left frontal burr hole': 'clinical finding': 'left frontal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'left frontal burr', 'observation': 'hole' [/INST] [RESP] There is redemonstration of ill-defined hyperattenuating mass within the left medial temporal lobe, which appears to have slightly increased in size since the prior examination. Furthermore, there has been interim considerable interval increase in the surrounding hypoattenuation, particularly extending along the left corona radiata and inferiorly in the left medial temporal lobe. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are unchanged. No evidence of hydrocephalus, midline shift or herniation. There are patchy and scattered intracerebral periventricular white matter hypoattenuation which is nonspecific, but most consistent with chronic small vessel ischemia, unchanged. There is dense atherosclerotic calcification along the right intracranial vertebral artery. There is a left frontal burr hole. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['central']clinical findings_fin: 'moderate central lobular emphysema': 'clinical finding': 'moderate central lobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate central lobular', 'observation': 'emphysema', 'strength_term': 'moderate'clinical findings_fin: 'stable scattered micronodules': 'clinical finding': 'stable scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable scattered', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'bases': clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'coronary arteries': , 'aorta': clinical findings_fin: 'atherosclerotic changes': 'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'object_fin: ['port']clinical findings_fin: 'mediastinal or hilar adenopathy': 'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right-sided port-a-cath': 'clinical finding': 'right-sided port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'port-a-'anatomical entity_fin: 'liver': clinical findings_fin: 'hypodense well circumscribed lesions': 'clinical finding': 'hypodense well circumscribed lesions', 'existence': 'pos_dx', 'descriptive_term': 'hypodense well circumscribed', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'right renal calculus': 'clinical finding': 'right renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'calculus'anatomical entity_fin: 'pole': 'location descriptor': 'right lower', 'kidney': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'small hypodense cortical cyst': 'clinical finding': 'small hypodense cortical cyst', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense cortical', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'thoracic vertebrae': clinical findings_fin: 'partial collapse': 'clinical finding': 'partial collapse', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'collapse', 'strength_term': 'partial', 'interval change': 'clinical finding': 'interval change', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'change'anatomical entity_fin: 'aorta': , 'arteries': clinical findings_fin: 'atherosclerotic changes': 'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change' [/INST] [RESP] . Moderate central lobular emphysema. Stable scattered micronodules. Scarring and or or atelectasis at both bases. No pleural effusions identified. No new pulmonary nodules can be identified. Atherosclerotic changes of the coronary arteries and aorta. Port-A-Cath in the SVC. No mediastinal or hilar adenopathy. Right-sided Port-A-Cath. Hypodense well circumscribed lesions within the liver consistent with cysts. No significant abnormality noted. No significant abnormality noted. Nonobstructing right renal calculus. Small hypodense cortical cyst within the right lower pole kidney. No significant abnormality noted. No significant abnormality noted. Gastrostomy in place. Partial collapse of two thoracic vertebrae that represents interval change in comparison to the previous exam. Atherosclerotic changes of the aorta and iliac arteries [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'heart': 'location descriptor': 'left', 'chest': imaging observation_fin: ['border']location descriptor_fin: ['adjacent', 'left']clinical findings_fin: 'opacity': 'clinical finding': 'opacity', 'existence': 'pos_dx', 'observation': 'opacity', 'summation artifact': 'clinical finding': 'summation artifact', 'existence': 'pos_dx', 'descriptive_term': 'summation', 'observation': 'artifact', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'calcified pleural thickening': 'clinical finding': 'calcified pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'calcified pleural', 'observation': 'thickening', 'change_term': 'calcified', 'an intrapulmonary lesion': 'clinical finding': 'an intrapulmonary lesion', 'existence': 'neg_dx', 'descriptive_term': 'an intrapulmonary', 'observation': 'lesion', 'cancer': 'clinical finding': 'cancer', 'existence': 'unc_dx', 'observation': 'cancer'location descriptor_fin: ['left']clinical findings_fin: 'pleural calcification': 'clinical finding': 'pleural calcification', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'calcification', 'prior inflammation': 'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation', 'asbestos related pleural disease': 'clinical finding': 'asbestos related pleural disease', 'existence': 'unc_dx', 'descriptive_term': 'asbestos related pleural', 'observation': 'disease'clinical findings_fin: 'significant pulmonary or pleural abnormality': 'clinical finding': 'significant pulmonary or pleural abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant pulmonary or pleural', 'observation': 'abnormality'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'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'clinical findings_fin: 'pericardial calcifications': 'clinical finding': 'pericardial calcifications', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdomen': procedure_fin: ['cholecystectomy']clinical findings_fin: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'upper abdominal vascular calcifications': 'clinical finding': 'upper abdominal vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal vascular', 'observation': 'calcification' [/INST] [RESP] . Opacity adjacent to the left heart border reported on the U7/26/2013 chest radiograph is a summation artifact of scarring and bronchial wall thickening with calcified pleural thickening, not an intrapulmonary lesion such as cancer. Pleural calcification is left-sided, likely from prior inflammation rather than asbestos related pleural disease. No significant pulmonary or pleural abnormality. Median sternotomy for CABG. The native coronary arteries are densely calcified. Pericardial calcifications are present. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Pneumobilia, presumably the patient having undergone cholecystectomy although a portion of the abdomen is not included. Upper abdominal vascular calcifications are present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'vasculature': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'mild bibasilar atelectasis': 'clinical finding': 'mild bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild bibasilar', 'observation': 'atelectasis', 'strength_term': 'mild'clinical findings_fin: 'multiple calcified granulomas': 'clinical finding': 'multiple calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'granuloma', 'quantity_term': 'multiple', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': location descriptor_fin: ['bilateral']clinical findings_fin: 'native bilateral atrophic': 'clinical finding': 'native bilateral atrophic', 'existence': 'pos_dx', 'descriptive_term': 'native bilateral', 'observation': 'atrophic', 'multiple cystic': 'clinical finding': 'multiple cystic', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'cystic', 'quantity_term': 'multiple'anatomical entity_fin: 'iliac fossa': 'location descriptor': 'right', 'kidney': location descriptor_fin: ['right']object_fin: ['nephroureteral stent']clinical findings_fin: 'nephroureteral stent': 'clinical finding': 'nephroureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'nephroureteral', 'observation': 'stent'anatomical entity_fin: 'kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'kidney': clinical findings_fin: 'mild perinephric stranding': 'clinical finding': 'mild perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perinephric', 'observation': 'strand', 'strength_term': 'mild', 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'fluid': , 'kidney': , 'abdominal': , 'musculature': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'anatomical entity_fin: 'fluid': clinical findings_fin: 'evidence of loculated fluid collections': 'clinical finding': 'evidence of loculated fluid collections'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['foci']clinical findings_fin: 'multiple sclerotic foci': 'clinical finding': 'multiple sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple sclerotic', 'observation': 'foci', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Please note that the evaluation of solid organs and vasculature is limited due to lack of IV contrast. Mild bibasilar atelectasis. Multiple calcified granulomas are noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Native bilateral atrophic kidneys with multiple cystic structures are noted, some of which are too small to characterize and are not fully evaluated on this noncontrast study. Right Iliac fossa transplant kidney is noted with nephroureteral stent in place. There is no hydronephrosis of the transplant kidney. There is mild perinephric stranding of the transplant kidney, likely reflecting postoperative changes. No significant lymphadenopathy. None. No evidence of obstruction. Disorganized fluid in the subcutaneous soft tissues overlying the transplant kidney extending to the abdominal musculature which, which is not fully evaluated due to lack of contrast. No evidence of loculated fluid collections. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple sclerotic foci are noted in the pelvis, likely representing bony islands. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '12 mm', 'size': '0.8 cm']anatomical entity_fin: 'appendix': , 'wall': imaging observation_fin: ['enhancing']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', '0.8 cm appendicolith': 'clinical finding': '0.8 cm appendicolith', 'existence': 'pos_dx', 'descriptive_term': '0 8 cm', 'observation': 'appendicolith'imaging observation_fin: ['fat']clinical findings_fin: 'mesenteric edema': 'clinical finding': 'mesenteric edema', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric', 'observation': 'edema', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'anatomical entity_fin: 'bowel': location descriptor_fin: ['adjacent']clinical findings_fin: 'adjacent reactive ileocecal bowel wall thickening': 'clinical finding': 'adjacent reactive ileocecal bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent reactive ileocecal bowel wall', 'observation': 'thickening'clinical findings_fin: 'extraluminal gas': 'clinical finding': 'extraluminal gas', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal', 'observation': 'gas', 'perforation': 'clinical finding': 'perforation', 'existence': 'unc_dx', 'observation': 'perforation'size_fin: ['size': '0.9 cm', 'size_descriptor': 'lymphadenopathy']clinical findings_fin: 'mild mesenteric lymphadenopathy': 'clinical finding': 'mild mesenteric lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild mesenteric', 'observation': 'lymphadenopathy', '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: 'small pelvic ascites': 'clinical finding': 'small pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'small pelvic', 'observation': 'ascite', 'strength_term': 'small' [/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. None. Dilated appendix measuring up to 12 mm with thickened enhancing wall and containing a 0.8 cm appendicolith. Mesenteric edema and fat stranding visualized. Adjacent reactive ileocecal bowel wall thickening noted. No evidence of extraluminal gas to suggest perforation. Mild mesenteric lymphadenopathy measuring up to 0.9 cm. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small pelvic ascites. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'unchanged right apical linear opacity': 'clinical finding': 'unchanged right apical linear opacity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right apical linear', 'observation': 'opacity', 'strength_term': 'unchanged', 'change_term': 'unchanged'location descriptor_fin: ['adjacent', 'centrilobular']clinical findings_fin: 'adjacent ill defined centrilobular nodules': 'clinical finding': 'adjacent ill defined centrilobular nodules', 'existence': 'pos_dx', 'descriptive_term': 'adjacent ill defined centrilobular', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new pulmonary micronodules': 'clinical finding': 'new pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'new pulmonary', 'observation': 'micronodule', 'temporal_term': 'new'clinical findings_fin: 'mild coronary calcifications': 'clinical finding': 'mild coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary', 'observation': 'calcification', 'strength_term': 'mild'location descriptor_fin: ['bilateral']procedure_fin: ['mastectomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'associated skin thickening': 'clinical finding': 'associated skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated skin', 'observation': 'thickening'anatomical entity_fin: 'axilla': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'size_fin: ['size': '11 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '11 mm soft tissue nodule': 'clinical finding': '11 mm soft tissue nodule', 'existence': 'pos_dx', 'descriptive_term': '11 mm soft tissue', 'observation': 'nodule', 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'alternatively an enlarged lymph node': 'clinical finding': 'alternatively an enlarged lymph node', 'existence': 'unc_dx', 'descriptive_term': 'alternatively an enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'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: 'unchanged right hepatic hypodensities': 'clinical finding': 'unchanged right hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'unchanged right hepatic', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'new lesions': 'clinical finding': 'new lesions', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'unchanged probable right lower pole renal cyst': 'clinical finding': 'unchanged probable right lower pole renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'unchanged probable right lower pole renal', 'observation': 'cyst', 'strength_term': '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: '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] . Unchanged right apical linear opacity. However, there appears to be increasing adjacent ill defined centrilobular nodules. New pulmonary micronodules in the left upper lobe. Mild coronary calcifications. Postsurgical changes status post bilateral mastectomy with associated skin thickening. Surgical clips again noted in the bilateral axilla. 11 mm soft tissue nodule in the left axilla is unchanged from the prior study and may represent postsurgical change or alternatively an enlarged lymph node. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Unchanged right hepatic hypodensities, too small to accurately characterize. No new lesions identified. No significant abnormality noted. Splenule. No significant abnormality noted. Unchanged probable right lower pole renal cyst. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'stable mild intrahepatic ductal dilatation': 'clinical finding': 'stable mild intrahepatic ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'stable mild intrahepatic ductal', 'observation': 'dilatation', 'strength_term': 'stable - mild', 'change_term': 'stable'size_fin: ['size': '1.9 x 1.2 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'gallbladder': , 'cystic duct': location descriptor_fin: ['peripheral', 'superior']clinical findings_fin: '1.9 x 1.2 cm cystic lesion': 'clinical finding': '1.9 x 1.2 cm cystic lesion', 'existence': 'pos_dx', 'descriptive_term': '1 9 x 1 2 cm cystic', 'observation': 'lesion', 'peripheral enhancement': 'clinical finding': 'peripheral enhancement', 'existence': 'unc_dx', 'descriptive_term': 'peripheral', 'observation': 'enhancement', 'unusual cystic duct dilatation': 'clinical finding': 'unusual cystic duct dilatation', 'existence': 'unc_dx', 'descriptive_term': 'unusual cystic duct', 'observation': 'dilatation', 'strength_term': 'unusual'clinical findings_fin: 'calcified lymph node': 'clinical finding': 'calcified lymph node', 'existence': 'unc_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified'follow-up_fin: follow-up recommendedclinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 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: 'redemonstrated retroperitoneal lymphadenopathy': 'clinical finding': 'redemonstrated retroperitoneal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'redemonstrated 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'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pelvic adenopathy': 'clinical finding': 'bilateral pelvic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pelvic', 'observation': 'adenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.5 x 1.3 cm', 'size': '1.9 x 1.8 cm']size_fin: ['size': '0.9 x 1.1 cm', 'size': '1.2 x 1.2 cm'] [/INST] [RESP] . No significant abnormality noted. Stable mild intrahepatic ductal dilatation. 1.9 x 1.2 cm cystic lesion with suggestion of peripheral enhancement superior to the gallbladder may represent unusual cystic duct dilatation, as it was seen to a lesser degree on the prior scan. Alternatively this could also represent a calcified lymph node. Attention to this upon subsequent follow-up imaging is suggested. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. Redemonstrated retroperitoneal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral pelvic adenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1.5 x 1.3 cm 1.9 x 1.8 cm on prior. 0.9 x 1.1 cm 1.2 x 1.2 cm on prior. [/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: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'skull': , 'scalp': clinical findings_fin: 'skull fractures': 'clinical finding': 'skull fractures', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture', 'scalp trauma': 'clinical finding': 'scalp trauma', 'existence': 'neg_dx', 'descriptive_term': 'scalp', 'observation': 'trauma'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture', 'dislocation': 'clinical finding': 'dislocation', 'existence': 'neg_dx', 'observation': 'dislocation'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'orbits': clinical findings_fin: 'visualized orbits are unremarkable': 'clinical finding': 'visualized orbits are unremarkable'anatomical entity_fin: 'globe': , 'lens': clinical findings_fin: 'globe rupture': 'clinical finding': 'globe rupture', 'existence': 'neg_dx', 'descriptive_term': 'globe', 'observation': 'rupture', 'lens dislocation': 'clinical finding': 'lens dislocation', 'existence': 'neg_dx', 'descriptive_term': 'lens', 'observation': 'dislocation'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture', 'malalignment': 'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'anatomical entity_fin: 'spine': clinical findings_fin: 'alignment of the cervical spine is within normal limits': 'clinical finding': 'alignment of the cervical spine is within normal limits'clinical findings_fin: 'prevertebral soft tissues are normal': 'clinical finding': 'prevertebral soft tissues are normal'anatomical entity_fin: 'lung': 'location descriptor': 'bilateral', 'apices': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral lung apices are unremarkable': 'clinical finding': 'bilateral lung apices are unremarkable' [/INST] [RESP] .There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The gray-white matter differentiation is preserved. The ventricles, sulci, and cisterns are symmetric and unremarkable. No skull fractures or scalp trauma. No fractures or dislocation. The frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, sphenoid sinuses, and maxillary sinuses are well developed and clear. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. Visualized orbits are unremarkable. No evidence of globe rupture or lens dislocation. No fractures or malalignment of the cervical spine. Alignment of the cervical spine is within normal limits. The prevertebral soft tissues are normal. Bilateral lung apices are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'spine': clinical findings_fin: 'straightening': 'clinical finding': 'straightening', 'existence': 'pos_dx', 'observation': 'straighten', 'muscle spasm': 'clinical finding': 'muscle spasm', 'existence': 'unc_dx', 'descriptive_term': 'muscle', 'observation': 'spasm'anatomical entity_fin: 'vertebral bodies': , 'dens': , 'lateral masses': , 'facets': imaging observation_fin: ['pedicles']location descriptor_fin: ['posterior']clinical findings_fin: 'lateral masses': 'clinical finding': 'lateral masses', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'mass', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'spinal cord': , 'spinal canal': clinical findings_fin: 'spinal canal stenosis': 'clinical finding': 'spinal canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'spinal canal', 'observation': 'stenosis'anatomical entity_fin: 'foramen': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'intervertebral disk': clinical findings_fin: 'intervertebral disk spaces are preserved': 'clinical finding': 'intervertebral disk spaces are preserved', 'change_term': 'preserved'clinical findings_fin: 'paraspinal and prevertebral soft tissues are unremarkable': 'clinical finding': 'paraspinal and prevertebral soft tissues are unremarkable' [/INST] [RESP] Straightening of the cervical spine may be positional versus due to muscle spasm. The vertebral bodies, dens, lateral masses, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or subluxation. Within the limits of CT scanning, the thecal sac and spinal cord are preserved with no evidence of spinal canal stenosis. The neural foramen are patent. The intervertebral disk spaces are preserved. The paraspinal and prevertebral soft tissues are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3.4 x 2.0 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference right upper lobe mass': 'clinical finding': 'reference right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'mass'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'previously identified nonsolid opacities': 'clinical finding': 'previously identified nonsolid opacities', 'existence': 'pos_dx', 'descriptive_term': 'previously identified nonsolid', 'observation': 'opacity', 'confluent air space opacity': 'clinical finding': 'confluent air space opacity', 'existence': 'pos_dx', 'descriptive_term': 'confluent air space', 'observation': 'opacity', 'associated small to moderate pleural effusion': 'clinical finding': 'associated small to moderate pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'associated small to moderate pleural', 'observation': 'effusion', 'strength_term': 'small - moderate'clinical findings_fin: 'bacterial pneumonia': 'clinical finding': 'bacterial pneumonia', 'existence': 'unc_dx', 'descriptive_term': 'bacterial', 'observation': 'pneumonia'clinical findings_fin: 'radiation pneumonitis': 'clinical finding': 'radiation pneumonitis', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'pneumonitis'clinical findings_fin: 'extensive air space opacity': 'clinical finding': 'extensive air space opacity', 'existence': 'pos_dx', 'descriptive_term': 'extensive air space', 'observation': 'opacity', 'strength_term': 'extensive', 'small nodules': 'clinical finding': 'small nodules', 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'nodule', 'strength_term': 'small', 'tumor progression': 'clinical finding': 'tumor progression', 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'progression', 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution'follow-up_fin: follow-up recommendedanatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'bud opacity': 'clinical finding': 'bud opacity', 'existence': 'neg_dx', 'descriptive_term': 'bud', 'observation': 'opacity'anatomical entity_fin: 'descending aorta': , 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: 'small opacity': 'clinical finding': 'small opacity', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'opacity', 'strength_term': 'small'anatomical entity_fin: 'airspace': clinical findings_fin: 'faint lingular airspace opacity': 'clinical finding': 'faint lingular airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'faint lingular airspace', 'observation': 'opacity'location descriptor_fin: ['bilateral']clinical findings_fin: 'previously seen bilateral pulmonary emboli': 'clinical finding': 'previously seen bilateral pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'previously seen bilateral pulmonary', 'observation': 'emboli', 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'size_fin: ['size': '2.4 x 1.7 cm', 'size_descriptor': 'mass']location descriptor_fin: ['right']clinical findings_fin: 'right hilar mass': 'clinical finding': 'right hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'clinical findings_fin: 'mild esophageal thickening': 'clinical finding': 'mild esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild esophageal', 'observation': 'thickening', 'strength_term': 'mild'location descriptor_fin: ['right']clinical findings_fin: 'right myolipoma': 'clinical finding': 'right myolipoma', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'myolipoma' [/INST] [RESP] . Reference right upper lobe mass measures 3.4 x 2.0 cm. Previously identified nonsolid opacities in the right upper and lower lobes have become confluent air space opacity with associated small to moderate pleural effusion. Findings are suggestive of bacterial pneumonia given the clinical history. Radiation pneumonitis may present similarly. Given the extensive air space opacity, small nodules or tumor progression may be obscured and follow up exam is recommended following resolution. Previously identified tree in bud opacity in the left upper lobe is no longer visible. There is a small opacity immediately posterior to the descending aorta in the left upper lobe which is more typical of postinflammatory or infectious etiology. Faint lingular airspace opacity has developed which is more likely postinflammtory or postinfecitous. The previously seen bilateral pulmonary emboli are no longer visible though this CT protocol is insensitive for evaluation of pulmonary emboli. Emphysema. The reference right hilar mass again measures 2.4 x 1.7 cm. Coronary calcification. Mild esophageal thickening again is seen. Negative. Negative. Negative. Negative. Right myolipoma stable. Negative. Negative. Negative. [/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 lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal': 'clinical finding': 'gallbladder is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': location descriptor_fin: ['left']clinical findings_fin: 'few subcentimeter left renal hypodense lesions': 'clinical finding': 'few subcentimeter left renal hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'few subcentimeter left renal hypodense', 'observation': 'lesion', 'quantity_term': 'few'clinical findings_fin: 'retroperitoneal, or mesenteric lymphadenopathy': 'clinical finding': 'retroperitoneal, or mesenteric lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal or mesenteric', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic ossification': 'clinical finding': 'atherosclerotic ossification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'ossification'anatomical entity_fin: 'bowel': clinical findings_fin: 'abnormal bowel thickening': 'clinical finding': 'abnormal bowel thickening', 'existence': 'neg_dx', 'descriptive_term': 'abnormal bowel', 'observation': 'thickening', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'abdominal': clinical findings_fin: 'abnormal free fluid': 'clinical finding': 'abnormal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'abnormal free', 'observation': 'fluid'size_fin: ['size': '5.7 mm']anatomical entity_fin: 'prostate': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'significant degenerative changes': 'clinical finding': 'significant degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'significant degenerative', 'observation': 'change'clinical findings_fin: 'focal osseous lesion': 'clinical finding': 'focal osseous lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No focal hepatic lesions are identified. No intrahepatic or extrahepatic biliary ductal dilatation. The gallbladder is normal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys enhance symmetrically. Few subcentimeter left renal hypodense lesions are too small to accurately characterize, but likely benign. No pelvic sidewall, retroperitoneal, or mesenteric lymphadenopathy. Atherosclerotic ossification of the abdominal aorta and its branches. No abnormal bowel thickening or evidence of obstruction. No free intra-abdominal air or abnormal free fluid. The prostate is enlarged, measuring 5.7 mm in greatest axial dimension, with punctate calcifications. No significant abnormality noted. See above. See above. Significant degenerative changes affect the visualized thoracic lumbar spine. No focal osseous lesion is identified to suggest metastatic disease. 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: 'is no detectable acute posttraumatic intracranial findings': 'clinical finding': 'is no detectable acute posttraumatic intracranial findings'clinical findings_fin: 'periventricular and subcortical white matter': 'clinical finding': 'periventricular and subcortical white matter', 'existence': 'unc_dx', 'descriptive_term': 'periventricular and subcortical white', 'observation': 'matter', 'vessel ischemic strokes': 'clinical finding': 'vessel ischemic strokes', 'existence': 'unc_dx', 'descriptive_term': 'vessel ischemic', 'observation': 'stroke'clinical findings_fin: 'perivascular calcification': 'clinical finding': 'perivascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'perivascular', 'observation': 'calcification', 'tortuosity': 'clinical finding': 'tortuosity', 'existence': 'pos_dx', 'observation': 'tortuosity'anatomical entity_fin: 'cells': , 'middle ear cavities': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'sphenoid sinus': clinical findings_fin: 'extensive opacification': 'clinical finding': 'extensive opacification', 'existence': 'unc_dx', 'descriptive_term': 'extensive', 'observation': 'opacification', 'strength_term': 'extensive', 'chronic long-standing sinus disease': 'clinical finding': 'chronic long-standing sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic long-standing sinus', 'observation': 'disease', 'temporal_term': 'chronic'location descriptor_fin: ['right', 'posterior', 'left', 'anterior']clinical findings_fin: 'chronic sinus disease': 'clinical finding': 'chronic sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic sinus', 'observation': 'disease', 'temporal_term': 'chronic', 'right posterior ethmoids': 'clinical finding': 'right posterior ethmoids', 'existence': 'pos_dx', 'descriptive_term': 'right posterior', 'observation': 'ethmoid', 'left anterior ethmoid': 'clinical finding': 'left anterior ethmoid', 'existence': 'pos_dx', 'descriptive_term': 'left anterior', 'observation': 'ethmoid' [/INST] [RESP] Nonenhanced head. There is no detectable acute posttraumatic intracranial findings. Patchy low attenuation of periventricular and subcortical white matter is highly suspected a mild to moderate small vessel ischemic strokes of indeterminate age. Perivascular calcification and tortuosity of vertebral -- basilar system and cavernous carotids are noted. Calvarium is intact theremastoid air cells, middle ear cavities are unremarkable. Limited images through the orbits are unremarkable. Extensive opacification of sphenoid sinus with high density material is suspected of chronic long-standing sinus disease. Chronic sinus disease of right posterior ethmoids and left anterior ethmoid is also present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']object_fin: ['catheter']procedure_fin: ['ventriculostomy']location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'stable': 'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'imaging observation_fin: ['blood']procedure_fin: ['ventriculostomy']clinical findings_fin: 'subarachnoid blood': 'clinical finding': 'subarachnoid blood', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'blood', 'intraventricular blood': 'clinical finding': 'intraventricular blood', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'blood'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'neg_dx', 'observation': 'hypodensity'clinical findings_fin: 'new subarachnoid hemorrhage': 'clinical finding': 'new subarachnoid hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new subarachnoid', 'observation': 'hemorrhage', 'temporal_term': 'new'anatomical entity_fin: 'right posterior communicating artery': object_fin: ['coil']clinical findings_fin: 'status post embolic coil occlusion': 'clinical finding': 'status post embolic coil occlusion', 'existence': 'pos_dx', 'descriptive_term': 'status post embolic coil', 'observation': 'occlusion', 'right posterior communicating artery aneurysm': 'clinical finding': 'right posterior communicating artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'right posterior communicating artery', 'observation': 'aneurysm'anatomical entity_fin: 'paranasal sinuses': , 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'minor opacity': 'clinical finding': 'minor opacity', 'existence': 'unc_dx', 'descriptive_term': 'minor', 'observation': 'opacity'object_fin: ['nasogastric tube']clinical findings_fin: 'nasogastric tube': 'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid air cells hypoplastic': 'clinical finding': 'mastoid air cells hypoplastic'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'sella turcica': clinical findings_fin: 'senile calcificationsincidental': 'clinical finding': 'senile calcificationsincidental', 'existence': 'pos_dx', 'descriptive_term': 'senile', 'observation': 'calcificationsincidental', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged' [/INST] [RESP] There has been interval removal of a right frontal ventriculostomy catheter. The CSF spaces are appropriate for the patients stated age with no midline shift. Since the prior exam these size of the lateral ventricles remains stable. The extent of subarachnoid blood and intraventricular blood remains stable and the ventriculostomy is in stable position. There is redemonstration and no change in hypodensities in the periventricular white matter and subcortical white matter. There is no evidence for new subarachnoid hemorrhage. There is redemonstration of a status post embolic coil occlusion of a right posterior communicating artery aneurysm. The visualized portions of the paranasal sinuses demonstrating minor opacity in the left sphenoid sinus. Nasogastric tube is in place. The mastoid air cells hypoplastic. The visualized portions of the orbits are intact. Incidental mode is made of senile calcificationsIncidental mode is made of empty sella with enlarged sella turcica. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['midline']clinical findings_fin: 'detectable acute intracranial hemorrhage': 'clinical finding': 'detectable acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', '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', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'imaging observation_fin: ['foci']clinical findings_fin: 'extensive periventricular and subcortical foci': 'clinical finding': 'extensive periventricular and subcortical foci', 'existence': 'pos_dx', 'descriptive_term': 'extensive periventricular and subcortical', 'observation': 'foci', 'strength_term': 'extensive', 'advanced small vessel ischemic strokes': 'clinical finding': 'advanced small vessel ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'advanced small vessel ischemic', 'observation': 'stroke', 'strength_term': 'advanced - small'clinical findings_fin: 'underlying volume loss': 'clinical finding': 'underlying volume loss', 'existence': 'unc_dx', 'descriptive_term': 'underlying volume', 'observation': 'loss'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Nonenhanced head. No detectable acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. There is extensive periventricular and subcortical foci of low attenuation of white matter consistent with advanced small vessel ischemic strokes of indeterminate age. There is also prominence of cortical sulci, ventricular system as well as the cerebellar and vermian folia for patient stated age of 73 which are highly concerning for underlying volume loss. Calvarium is intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly', 'diffuse hepatic steatosis': 'clinical finding': 'diffuse hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse hepatic', 'observation': 'steatosis'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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, mildly enlarged nonspecific mesenteric lymph nodes': 'clinical finding': 'scattered, mildly enlarged nonspecific mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mildly enlarged nonspecific mesenteric lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'size_fin: ['size': '15 mm', 'size_descriptor': 'node']anatomical entity_fin: 'mesenteric lymph node': , 'axis': clinical findings_fin: 'enlarged mesenteric lymph node': 'clinical finding': 'enlarged mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mesenteric lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Hepatomegaly and diffuse hepatic steatosis. No focal hepatic lesions. No intra-or extrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered, mildly enlarged nonspecific mesenteric lymph nodes. For future reference, an enlarged mesenteric lymph node measures 15 mm in short axis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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'anatomical entity_fin: 'temporal lobes': 'location descriptor': 'bilateral medial'location descriptor_fin: ['bilateral', 'medial']clinical findings_fin: 'diffuse cerebral volume loss': 'clinical finding': 'diffuse cerebral volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse cerebral volume', 'observation': 'loss'anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'mild patchy cerebral white matter hypoattenuation': 'clinical finding': 'mild patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild patchy cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'skull': , 'paranasal sinuses': , 'mastoid air cells': , 'scalp': clinical findings_fin: 'skull , paranasal sinuses , mastoid air cells , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'skull , paranasal sinuses , mastoid air cells , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. There is diffuse cerebral volume loss that is most pronounced involvement of the bilateral medial temporal lobes. There is mild patchy cerebral white matter hypoattenuation, which appears to have slightly progressed. The basal cisterns are patent. There is no midline shift or herniation. The skull, paranasal sinuses, mastoid air cells, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'partially visualized brain is grossly unremarkable': 'clinical finding': 'partially visualized brain is grossly unremarkable'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'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'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable'imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: 'medialization': 'clinical finding': 'medialization', 'existence': 'pos_dx', 'observation': 'medialization', 'mild paraglottic hyperattenuation': 'clinical finding': 'mild paraglottic hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild paraglottic', 'observation': 'hyperattenuation', 'strength_term': 'mild', 'prior teflon': 'clinical finding': 'prior teflon', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'teflon'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 unremarkable': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are unremarkable'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'parotid and submandibular glands are unremarkable': 'clinical finding': 'parotid and submandibular glands are unremarkable'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral tonsilliths': 'clinical finding': 'bilateral tonsilliths', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'tonsillith'clinical findings_fin: 'scattered small cervical lymph nodes': 'clinical finding': 'scattered small cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small cervical lymph', 'observation': 'node', 'strength_term': 'small', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'spine': clinical findings_fin: 'mild multilevel degenerative changes': 'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'thorax': , 'chest': clinical findings_fin: 'dedicated chest ct performed on the same day': 'clinical finding': 'dedicated chest ct performed on the same day' [/INST] [RESP] The partially visualized brain is grossly unremarkable. The mastoid air cells are clear. There is mild mucosal thickening of the bilateral maxillary sinuses appearing similar to the prior exam. The orbital contents are unremarkable. There is redemonstration of medialization of the left true vocal cord with mild paraglottic hyperattenuation at this level which appears similar to the prior exam and may be due to prior Teflon injection as previously suggested. Otherwise, remaining aerodigestive tract is patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are unremarkable. The parotid and submandibular glands are unremarkable. The thyroid is mildly enlarged without focal lesions evident. Bilateral tonsilliths are evident. There are scattered small cervical lymph nodes, however there is no lymphadenopathy identified by CT criteria. The carotid arteries and jugular veins are patent. Mild multilevel degenerative changes of the cervical spine appear similar to the prior exam. For findings in the thorax, please see dedicated chest CT performed on the same day. [/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: 'slight progression': 'clinical finding': 'slight progression', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'progression', 'extensive numerous bilobar hepatic metastatic lesions': 'clinical finding': 'extensive numerous bilobar hepatic metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'extensive numerous bilobar hepatic metastatic', 'observation': 'lesion', 'strength_term': 'extensive', 'quantity_term': 'numerous'size_fin: ['size': '4.3 x 4.3 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'reference segment two left lobe lesion': 'clinical finding': 'reference segment two left lobe lesion', 'existence': 'pos_dx', 'descriptive_term': 'reference segment two left lobe', 'observation': 'lesion'size_fin: ['size': '7.7 x 6.2 cm', 'size': '3.5 x 2.6 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'segment 8 mass': 'clinical finding': 'segment 8 mass', 'existence': 'pos_dx', 'descriptive_term': 'segment 8', 'observation': 'mass', 'reference segment 6 right lobe mass': 'clinical finding': 'reference segment 6 right lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference segment 6 right lobe', 'observation': 'mass'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: 'scattered peripancreatic lymph nodes': 'clinical finding': 'scattered peripancreatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered peripancreatic lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left renal vein': location descriptor_fin: ['left']clinical findings_fin: 'left renal vein narrowing': 'clinical finding': 'left renal vein narrowing', 'existence': 'unc_dx', 'descriptive_term': 'left renal vein', 'observation': 'narrowing' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Slight progression of extensive numerous bilobar hepatic metastatic lesions. Reference segment two left lobe lesion on image 76 measures 4.3 x 4.3 cm. Segment 8 mass on image 64 measures 7.7 x 6.2 cm, Reference segment 6 right lobe mass on image 92 measures 3.5 x 2.6 cm. No ductal dilatation. Hepatic vessels remain patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered peripancreatic lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left gonadal varices possibly from left renal vein narrowing. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'focal groundglass opacity': 'clinical finding': 'focal groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'focal groundglass', 'observation': 'opacity', 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'focal hemorrhage': 'clinical finding': 'focal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hemorrhage'location descriptor_fin: ['left']clinical findings_fin: 'left basilar atelectasis': 'clinical finding': 'left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'left basilar', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'bochdalek hernia': 'clinical finding': 'bochdalek hernia', 'existence': 'pos_dx', 'descriptive_term': 'bochdalek', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '1.4 x 0.9 cm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'prominent left inguinal node': 'clinical finding': 'prominent left inguinal node', 'existence': 'pos_dx', 'descriptive_term': 'prominent left inguinal', 'observation': 'node', 'strength_term': 'prominent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 testis': imaging observation_fin: ['foci']location descriptor_fin: ['superior']clinical findings_fin: 'hypoattenuating round foci': 'clinical finding': 'hypoattenuating round foci', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating round', 'observation': 'foci', 'epididymal cyst': 'clinical finding': 'epididymal cyst', 'existence': 'unc_dx', 'descriptive_term': 'epididymal', 'observation': 'cyst' [/INST] [RESP] . Focal groundglass opacity in the right lower lobe may represent inflammatory changes from infection versus less likely focal hemorrhage. Left basilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bochdalek hernia is present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prominent left inguinal node measuring 1.4 x 0.9 cm and is nonspecific. No significant abnormality noted. No significant abnormality noted. Hypoattenuating round foci superior to the right testis that likely is an epididymal cyst. [/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', 'new abnormal pulmonary nodules': 'clinical finding': 'new abnormal pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new abnormal pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'unc_dx', 'observation': 'mass'clinical findings_fin: 'ground glass opacity': 'clinical finding': 'ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'clinical findings_fin: 'new focal air space consolidation': 'clinical finding': 'new focal air space consolidation', 'existence': 'neg_dx', 'descriptive_term': 'new focal air space', 'observation': 'consolidation', 'temporal_term': 'new'location descriptor_fin: ['bilateral', 'subsegmental']clinical findings_fin: 'new small bilateral effusions': 'clinical finding': 'new small bilateral effusions', 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new', 'associated subsegmental atelectasis': 'clinical finding': 'associated subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'size_fin: ['size': '0.8 cm', 'size_descriptor': 'node']anatomical entity_fin: 'pretracheal lymph node': , 'axis': clinical findings_fin: 'pretracheal lymph node': 'clinical finding': 'pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'pretracheal lymph', 'observation': 'node'clinical findings_fin: 'mitral valvular calcifications': 'clinical finding': 'mitral valvular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mitral valvular', 'observation': 'calcification'clinical findings_fin: 'significant coronary artery calcification': 'clinical finding': 'significant coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'significant coronary artery', 'observation': 'calcification'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'mild calcification': 'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'chest': 'location descriptor': 'left upper'location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: 'manipulation': 'clinical finding': 'manipulation', 'existence': 'unc_dx', 'observation': 'manipulation'anatomical entity_fin: 'arm': 'location descriptor': 'left', 'subclavian vein': location descriptor_fin: ['left']anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'hepatic lobe hypodensity': 'clinical finding': 'hepatic lobe hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'hepatic lobe', 'observation': 'hypodensity', 'non-contrast': 'clinical finding': 'non-contrast', 'existence': 'pos_dx', 'observation': 'non-contrast'location descriptor_fin: ['right']clinical findings_fin: 'partially visualized right renal calyceal prominence': 'clinical finding': 'partially visualized right renal calyceal prominence'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small' [/INST] [RESP] . Scattered pulmonary micronodules, some calcified without new abnormal pulmonary nodules or masses. Decreased prominence of scattered areas of ground glass opacity thought to represent aspiration. No new focal air space consolidation. New small bilateral effusions with associated subsegmental atelectasis. The heart is normal in size without pericardial effusion. No mediastinal or hilar lymphadenopathy by CT size criteria. A pretracheal lymph node measures up to 0.8 cm in short axis , slightly more prominent compared to the prior exam. Mitral valvular calcifications. No significant coronary artery calcification. Mild calcification of the thoracic aorta. No axillary lymphadenopathy. Soft tissue infiltration in the anterior left upper chest may be due to manipulation from line placement. Left arm PICC, tip in the subclavian vein. Degenerative disease of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Right hepatic lobe hypodensity is incompletely evaluated on non-contrast imaging, unchanged from the prior exam. Partially visualized right renal calyceal prominence. Small hiatal hernia. [/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: ['anterior']clinical findings_fin: 'anterior subpleural fibrosis': 'clinical finding': 'anterior subpleural fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'anterior subpleural', 'observation': 'fibrosis', 'radiation changes': 'clinical finding': 'radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'change'clinical findings_fin: 'extensive mediastinal adenopathy': 'clinical finding': 'extensive mediastinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive mediastinal', 'observation': 'adenopathy', 'strength_term': 'extensive'size_fin: ['size': '3.9 x 1.2 cm', 'size_descriptor': 'image']clinical findings_fin: 'index prevascular lymph node': 'clinical finding': 'index prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index prevascular lymph', 'observation': 'node'size_fin: ['size': '10 x 16 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'hilar lymph node': 'clinical finding': 'hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'size_fin: ['size': '13 x 17 mm']location descriptor_fin: ['left']clinical findings_fin: 'left hilar index node': 'clinical finding': 'left hilar index node', 'existence': 'pos_dx', 'descriptive_term': 'left hilar index', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 scarring. Anterior subpleural fibrosis compatible with radiation changes. Extensive mediastinal adenopathy. Index prevascular lymph node measures 3.9 x 1.2 cm image #22, series #3, not significantly changed compared to previous study. Right hilar lymph node measures 10 x 16 mm on image #35, series #3, not significantly changed compared to previous study. Left hilar index node measures 13 x 17 mm on image #35, series #3, not significantly changed compared to previous study. None. 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. None. 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: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'age related volume loss': 'clinical finding': 'age related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'age related volume', 'observation': 'loss'clinical findings_fin: 'periventricular white matter': 'clinical finding': 'periventricular white matter', 'existence': 'pos_dx', 'descriptive_term': 'periventricular white', 'observation': 'matter', 'subcortical chronic ischemic vascular changes': 'clinical finding': 'subcortical chronic ischemic vascular changes', 'existence': 'pos_dx', 'descriptive_term': 'subcortical chronic ischemic vascular', 'observation': 'change', 'temporal_term': 'chronic'location descriptor_fin: ['midline']clinical findings_fin: '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'anatomical entity_fin: 'fluid': anatomical entity_fin: 'globus pallidus': clinical findings_fin: 'symmetric calcifications': 'clinical finding': 'symmetric calcifications', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'calcification', 'globus pallidus': 'clinical finding': 'globus pallidus', 'existence': 'pos_dx', 'descriptive_term': 'globus', 'observation': 'pallidus'clinical findings_fin: 'known tiny infarcts': 'clinical finding': 'known tiny infarcts', 'existence': 'neg_dx', 'descriptive_term': 'known tiny', 'observation': 'infarct', 'strength_term': 'tiny'clinical findings_fin: 'osseous abnormalities': 'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] No evidence for acute intracranial hemorrhage, mass effect, or edema. There is age related volume loss with prominence of the ventricles and the sulci. There are periventricular white matter and subcortical chronic ischemic vascular changes. There is no midline shift. The gray-white matter differentiation is preserved. There is no extra-axial fluid. There are symmetric calcifications of the globus pallidus bilaterally, unchanged from the previous study. The known tiny infarcts seen in the previous MRI are not appreciated in the current study. No osseous abnormalities. Paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['peripheral']clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', 'peribronchial nodular and reticular peripheral or subpleural opacities': 'clinical finding': 'peribronchial nodular and reticular peripheral or subpleural opacities', 'existence': 'neg_dx', 'descriptive_term': 'peribronchial nodular and reticular peripheral or subpleural', 'observation': 'opacity'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'persistent bronchiectasis': 'clinical finding': 'persistent bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'persistent', 'observation': 'bronchiectasis', 'temporal_term': 'persistent', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'location descriptor_fin: ['left']clinical findings_fin: 'unchanged left basilar atelectasis': 'clinical finding': 'unchanged left basilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'unchanged left basilar', 'observation': 'atelectasis', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'bronchioles': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'mild mucous impaction': 'clinical finding': 'mild mucous impaction', 'existence': 'pos_dx', 'descriptive_term': 'mild mucous', 'observation': 'impaction', 'strength_term': 'mild'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered subcentimeter mediastinal lymph nodes': 'clinical finding': 'scattered subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal lymph', 'observation': 'node'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'visible coronary artery calcification': 'clinical finding': 'visible coronary artery calcification', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'anatomical entity_fin: 'axillary lymph node': location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: 'ipsilateral axillary lymph node dissection': 'clinical finding': 'ipsilateral axillary lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'ipsilateral axillary lymph node', 'observation': 'dissection'clinical findings_fin: 'significant axillary, cardiophrenic, or retrocrural lymphadenopathy': 'clinical finding': 'significant axillary, cardiophrenic, or retrocrural lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant axillary cardiophrenic or retrocrural', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative disease': 'clinical finding': 'mild degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'clinical findings_fin: 'suspicious osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'left kidney': clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'benign cyst': 'clinical finding': 'benign cyst', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'clinical findings_fin: 'scattered nonspecific, subcentimeter para-aortic and retroperitoneal lymph nodes': 'clinical finding': 'scattered nonspecific, subcentimeter para-aortic and retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific subcentimeter para-aortic and retroperitoneal lymph', 'observation': 'node' [/INST] [RESP] . No significant interval change in peribronchial nodular and reticular peripheral or subpleural opacities in the bronchovascular distribution bilaterally. Focal consolidation in the right middle lobe is not significantly changed. There is persistent bronchiectasis central airways are patent. Unchanged left basilar atelectasis or scarring. Mild mucous impaction of the distal bronchioles. No pleural effusion or pneumothorax. Scattered subcentimeter mediastinal lymph nodes. The heart size is normal. No pericardial effusion. No visible coronary artery calcification. Status post left mastectomy with ipsilateral axillary lymph node dissection. No significant axillary, cardiophrenic, or retrocrural lymphadenopathy. Mild degenerative disease affects is thoracic spine. No suspicious osseous lesions. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hypodense lesion in the left kidney not seen on the exam likely represents a benign cyst. Scattered nonspecific, subcentimeter para-aortic and retroperitoneal lymph nodes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pleural space': location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'moderate right hydropneumothorax': 'clinical finding': 'moderate right hydropneumothorax', 'existence': 'pos_dx', 'descriptive_term': 'moderate right', 'observation': 'hydropneumothorax', 'strength_term': 'moderate'location descriptor_fin: ['left']clinical findings_fin: 'moderate left pleural effusion': 'clinical finding': 'moderate left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'effusion', 'strength_term': 'moderate'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'fluid': clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small', 'hemopericardium': 'clinical finding': 'hemopericardium', 'existence': 'unc_dx', 'observation': 'hemopericardium'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aortic arch': location descriptor_fin: ['proximal']clinical findings_fin: 'aortic dissection': 'clinical finding': 'aortic dissection', 'existence': 'pos_dx', 'descriptive_term': 'aortic', 'observation': 'dissection'location descriptor_fin: ['proximal']clinical findings_fin: 'ulcerated atherosclerotic plaque': 'clinical finding': 'ulcerated atherosclerotic plaque', 'existence': 'pos_dx', 'descriptive_term': 'ulcerated atherosclerotic', 'observation': 'plaque'anatomical entity_fin: 'origins': , 'true lumen': location descriptor_fin: ['peripheral']clinical findings_fin: 'true lumen': 'clinical finding': 'true lumen', 'existence': 'pos_dx', 'descriptive_term': 'true', 'observation': 'lumen', 'abnormality': 'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality' [/INST] [RESP] . Moderate right hydropneumothorax with catheter in the pleural space. Moderate left pleural effusion. Cardiomegaly. Small pericardial effusion with slightly increased fluid attenuation, hemopericardium cannot be excluded. Mild. No significant abnormality noted. Type A aortic dissection begins proximal to the takeoff of the great vessels and terminates proximal to the aortic arch. Ulcerated atherosclerotic plaque is seen at the proximal arch. The origins of the great vessels arise from the true lumen and are normal in appearance without abnormality seen in their peripheral distribution. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': , 'chest': 'location descriptor': 'right'location descriptor_fin: ['right', 'bilateral']object_fin: ['port']clinical findings_fin: 'post-therapy changes': 'clinical finding': 'post-therapy changes', 'existence': 'pos_dx', 'descriptive_term': 'post-therapy', 'observation': 'change', 'bilateral pulmonary nodules': 'clinical finding': 'bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pulmonary', 'observation': 'nodule', 'atherosclerotic disease': 'clinical finding': 'atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease', 'moderate to severe coronary involvement': 'clinical finding': 'moderate to severe coronary involvement', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe coronary', 'observation': 'involvement', 'strength_term': 'moderate - severe'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'scarring in the anterior abdominal wall may be postsurgical': 'clinical finding': 'scarring in the anterior abdominal wall may be postsurgical'anatomical entity_fin: 'neck': 'location descriptor': 'left', 'tongue': 'location descriptor': 'left', 'base': location descriptor_fin: ['left']clinical findings_fin: 'complete resolution': 'clinical finding': 'complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'resolution', 'previous hypermetabolic left neck lymph node activity': 'clinical finding': 'previous hypermetabolic left neck lymph node activity', 'existence': 'pos_dx', 'descriptive_term': 'previous hypermetabolic left neck lymph node', 'observation': 'activity', 'temporal_term': 'previous', 'near-complete resolution': 'clinical finding': 'near-complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near-complete', 'observation': 'resolution', 'left tongue base lesion': 'clinical finding': 'left tongue base lesion', 'existence': 'pos_dx', 'descriptive_term': 'left tongue base', 'observation': 'lesion'anatomical entity_fin: 'base': , 'tongue': clinical findings_fin: 'inflammation': 'clinical finding': 'inflammation', 'existence': 'unc_dx', 'observation': 'inflammation', 'small residual tumor': 'clinical finding': 'small residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'small residual', 'observation': 'tumor', 'strength_term': 'small', 'temporal_term': 'residual'anatomical entity_fin: 'base': , 'tongue': anatomical entity_fin: 'lung': imaging observation_fin: ['foci']clinical findings_fin: 'significant progression': 'clinical finding': 'significant progression', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'progression', 'hypermetabolic thoracic metastases': 'clinical finding': 'hypermetabolic thoracic metastases', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic thoracic', 'observation': 'metastase', 'multiple new lung foci': 'clinical finding': 'multiple new lung foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple new lung', 'observation': 'foci', 'quantity_term': 'multiple', 'temporal_term': 'new'anatomical entity_fin: 'lung': 'location descriptor': 'right medial', 'base': location descriptor_fin: ['right', 'medial']clinical findings_fin: 'active of these is seen at the right medial lung base , and has': 'clinical finding': 'active of these is seen at the right medial lung base , and has'anatomical entity_fin: 'right upper paratracheal lymph node': clinical findings_fin: 'hypermetabolic right upper paratracheal lymph node metastatic': 'clinical finding': 'hypermetabolic right upper paratracheal lymph node metastatic', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic right upper paratracheal lymph node', 'observation': 'metastatic'anatomical entity_fin: 'transverse colon': clinical findings_fin: 'small-to-medium-sized hypermetabolic lesion': 'clinical finding': 'small-to-medium-sized hypermetabolic lesion', 'existence': 'pos_dx', 'descriptive_term': 'small-to-medium-sized hypermetabolic', 'observation': 'lesion', 'strength_term': 'small - medium'clinical findings_fin: 'it was present previously': 'clinical finding': 'it was present previously'clinical findings_fin: 'primary colonic polyp': 'clinical finding': 'primary colonic polyp', 'existence': 'unc_dx', 'descriptive_term': 'primary colonic', 'observation': 'polyp'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'fdg avid metastatic disease': 'clinical finding': 'fdg avid metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'fdg avid metastatic', 'observation': 'disease' [/INST] [RESP] Todays CT portion grossly demonstrates post-therapy changes in the neck, a right chest port with tip in the SVC, bilateral pulmonary nodules as described on recent diagnostic CT, and atherosclerotic disease with moderate to severe coronary involvement. Scarring in the anterior abdominal wall may be postsurgical in etiology. Todays PET examination demonstrates complete resolution of previous hypermetabolic left neck lymph node activity, and near-complete resolution of the left tongue base lesion. Minimal activity at the base of the tongue may reflect inflammation or small residual tumor. Maximum SUV at the base of the tongue is currently 7.2, previously 30.1. There has been significant progression of hypermetabolic thoracic metastases with multiple new lung foci seen on the present study. The most metabolically active of these is seen at the right medial lung base, and has maximum SUV of 11.7. A hypermetabolic right upper paratracheal lymph node metastatic focus has increased in size and activity, currently with maximum SUV of 10.2, previously 6.8. In the mid transverse colon, a small-to-medium-sized hypermetabolic lesion is noted, with a maximum SUV of 17.3. It was present previously, although is more conspicuous currently, likely due to differences in scan technique. This finding is highly suspicious for a primary colonic polyp, which could be benign or malignant. No FDG avid metastatic disease is seen in the abdomen or pelvis. [/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'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'anatomical entity_fin: 'pituitary gland': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'clinical findings_fin: 'mild leftward nasal septal deviation': 'clinical finding': 'mild leftward nasal septal deviation', 'existence': 'pos_dx', 'descriptive_term': 'mild leftward nasal septal', 'observation': 'deviation', 'strength_term': 'mild'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal turbinates are normal': 'clinical finding': 'nasal turbinates are normal'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The pituitary gland appears mildly prominent. There is mild leftward nasal septal deviation. The frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, sphenoid sinuses, and maxillary sinuses are well developed and clear. The osteomeatal complexes are normal with intact uncinate processes and patent infundibuli. The intersphenoid septum is normal. The nasal turbinates are normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lumbar vertebral column': clinical findings_fin: 'normal alignment': 'clinical finding': 'normal alignment', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'alignment', 'strength_term': 'normal'anatomical entity_fin: 'bodies': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'location descriptor_fin: ['right']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'object_fin: ['bullet']clinical findings_fin: 'bullet fragments are seen': 'clinical finding': 'bullet fragments are seen'clinical findings_fin: 'soft tissues are normal': 'clinical finding': 'soft tissues are normal'clinical findings_fin: 'acute abnormalities': 'clinical finding': 'acute abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] The lumbar vertebral column is of normal alignment. No fracture of the lumbovertebral bodies are seen. There is a fracture of the right iliac bone that is incompletely evaluated. No bullet fragments are seen. The soft tissues are normal. No acute abnormalities are visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3 mm', 'size_descriptor': 'size']anatomical entity_fin: 'triquetrum': clinical findings_fin: 'subtle focal sclerosis': 'clinical finding': 'subtle focal sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'subtle focal', 'observation': 'sclerosis', 'strength_term': 'subtle', 'questionable tiny nidus': 'clinical finding': 'questionable tiny nidus', 'existence': 'unc_dx', 'descriptive_term': 'questionable tiny', 'observation': 'nidus', 'strength_term': 'tiny'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'carpal bones': location descriptor_fin: ['adjacent']clinical findings_fin: 'similar sclerosis': 'clinical finding': 'similar sclerosis', 'existence': 'neg_dx', 'descriptive_term': 'similar', 'observation': 'sclerosis'clinical findings_fin: 'significant ulnar variance': 'clinical finding': 'significant ulnar variance', 'existence': 'neg_dx', 'descriptive_term': 'significant ulnar', 'observation': 'variance'imaging observation_fin: ['carpal']clinical findings_fin: 'carpal coalition': 'clinical finding': 'carpal coalition', 'existence': 'neg_dx', 'descriptive_term': 'carpal', 'observation': 'coalition'clinical findings_fin: 'radiocarpal alignment': 'clinical finding': 'radiocarpal alignment', 'existence': 'pos_dx', 'descriptive_term': 'radiocarpal', 'observation': 'alignment'location descriptor_fin: ['distal']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'significant osteophyte': 'clinical finding': 'significant osteophyte', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'osteophyte', 'erosions': 'clinical finding': 'erosions', 'existence': 'neg_dx', 'observation': 'erosion'clinical findings_fin: 'scapholunate and lunotriquetral intervals are within normal limits': 'clinical finding': 'scapholunate and lunotriquetral intervals are within normal limits'anatomical entity_fin: 'tendons': clinical findings_fin: 'extensor and flexor tendons are grossly unremarkable': 'clinical finding': 'extensor and flexor tendons are grossly unremarkable'clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'clinical findings_fin: 'muscular fatty atrophy': 'clinical finding': 'muscular fatty atrophy', 'existence': 'neg_dx', 'descriptive_term': 'muscular fatty', 'observation': 'atrophy' [/INST] [RESP] An the axial series 3 image 152, there is subtle focal sclerosis measuring roughly 3 mm size along the volar aspect of the triquetrum, perhaps with a questionable tiny nidus. No fracture is identified. No similar sclerosis is identified within the adjacent surrounding carpal bones. No significant ulnar variance is identified. No carpal coalition is identified. Radiocarpal alignment is normal. Distal radio-ulnar junction is intact. No significant osteophyte formation nor erosions are identified. Scapholunate and Lunotriquetral intervals are within normal limits. Please note that evaluation of soft tissue structures is not optimal with CT. The extensor and flexor tendons are grossly unremarkable. No soft tissue swelling is identified. No muscular fatty atrophy is identified. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'convexity': , 'right frontal lobe': , 'interhemispheric fissure': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'serpentine hyperdensities': 'clinical finding': 'serpentine hyperdensities', 'existence': 'pos_dx', 'descriptive_term': 'serpentine', 'observation': 'hyperdensity', 'additional hyperdensity': 'clinical finding': 'additional hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'hyperdensity', 'subarachnoid hemorrhage': 'clinical finding': 'subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid', 'observation': 'hemorrhage'anatomical entity_fin: 'convexity': location descriptor_fin: ['left']clinical findings_fin: 'trace subarachnoid hemorrhage': 'clinical finding': 'trace subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'trace subarachnoid', 'observation': 'hemorrhage'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'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'clinical findings_fin: 'grey-white differentiation': 'clinical finding': 'grey-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'grey-white', 'observation': 'differentiation'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['midline']clinical findings_fin: 'osseous abnormalities': 'clinical finding': 'osseous abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There are serpentine hyperdensities along the right cerebral sulci, most conspicuous along the convexity and the anterior right frontal lobe, with additional hyperdensity along the right aspect of the interhemispheric fissure, consistent with subarachnoid hemorrhage. Trace subarachnoid hemorrhage is also seen along the left frontal convexity. There is no mass effect or edema. Ventricular size and the sulci are slightly prominent more than that expected for the patients age. The grey-white differentiation is maintained. The basal cisterns are patent. No midline shift. No osseous abnormalities. 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: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'globe': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['prosthesis']clinical findings_fin: 'redemonstrated is the right globe prosthesis': 'clinical finding': 'redemonstrated is the right globe prosthesis'clinical findings_fin: 'vascular calcifications': 'clinical finding': 'vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification' [/INST] [RESP] The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Redemonstrated is the right globe prosthesis. Note is made of vascular calcifications. [/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'location descriptor_fin: ['left']clinical findings_fin: 'aortic retroperitoneal lymph node': 'clinical finding': 'aortic retroperitoneal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'aortic retroperitoneal lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'malrotation': 'clinical finding': 'malrotation', 'existence': 'neg_dx', 'observation': 'malrotation'anatomical entity_fin: 'vertebral bodies': , 'iliac wings': , 'sacrum': imaging observation_fin: ['foci']location descriptor_fin: ['proximal']clinical findings_fin: 'innumerable metastatic foci': 'clinical finding': 'innumerable metastatic foci', 'existence': 'pos_dx', 'descriptive_term': 'innumerable metastatic', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'vertebral bodies': , 'iliac wings': , 'sacrum': imaging observation_fin: ['foci']location descriptor_fin: ['proximal']clinical findings_fin: 'innumerable metastatic foci': 'clinical finding': 'innumerable metastatic foci', 'existence': 'pos_dx', 'descriptive_term': 'innumerable metastatic', 'observation': 'foci'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. In the in the image number 46/111, a partially calcified left juxta aortic retroperitoneal lymph node is noted that has enlarged in anteroposterior dimension. However, the lesion remains the same in cephalocaudad dimension. No malrotation. There are innumerable metastatic foci involving the vertebral bodies, iliac wings, the sacrum the acetabula, pubic bones, the ischia and proximal femora. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are innumerable metastatic foci involving the vertebral bodies, iliac wings, the sacrum the acetabula, pubic bones, the ischia and proximal femora. 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']clinical findings_fin: 'left paraclinoid aneurysm': 'clinical finding': 'left paraclinoid aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'left paraclinoid', 'observation': 'aneurysm'anatomical entity_fin: 'skull': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'moderately extensive periventricular hypoattenuation': 'clinical finding': 'moderately extensive periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'moderately extensive periventricular', 'observation': 'hypoattenuation', 'strength_term': 'moderately - extensive', 'age indeterminate microvascular ischemic disease': 'clinical finding': 'age indeterminate microvascular ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'disease'clinical findings_fin: 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'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', 'any abnormal extra-axial fluid collection': 'clinical finding': 'any abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'any abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'ventricular size and morphology are within normal limits': 'clinical finding': 'ventricular size and morphology are within normal limits' [/INST] [RESP] Evidence of left pterional craniotomy is seen for clipping of a left paraclinoid aneurysm. Apart from the surgical findings, the osseous structures of the skull are intact. Moderately extensive periventricular hypoattenuation is seen, a finding which most commonly represents age indeterminate microvascular ischemic disease. No evidence of parenchymal edema or mass effect is detected. The gray-white differentiation is preserved. No acute intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. Ventricular size and morphology are within normal limits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'large enhancing mass': 'clinical finding': 'large enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'large enhancing', 'observation': 'mass', 'strength_term': 'large'size_fin: ['size': '6.2 x 7.6 cm', 'size': '5.9 cm']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 't3 vertebral bodies': , 'pedicle': , 'transverse processes': imaging observation_fin: ['pedicle']location descriptor_fin: ['left']clinical findings_fin: 'extensive lytic destruction': 'clinical finding': 'extensive lytic destruction', 'existence': 'pos_dx', 'descriptive_term': 'extensive lytic', 'observation': 'destruction', 'strength_term': 'extensive'anatomical entity_fin: 't4 vertebral bodies': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'is relatively smaller component involving': 'clinical finding': 'is relatively smaller component involving'anatomical entity_fin: 'spinal': clinical findings_fin: 'spinal decompression': 'clinical finding': 'spinal decompression', 'existence': 'pos_dx', 'descriptive_term': 'spinal', 'observation': 'decompression'anatomical entity_fin: 'spinal canal': location descriptor_fin: ['lateral', 'superior']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'location descriptor_fin: ['left']clinical findings_fin: 'left neural foraminal stenosis': 'clinical finding': 'left neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'left neural foraminal', 'observation': 'stenosis', 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'location descriptor_fin: ['posterior']clinical findings_fin: 'small fluid collection': 'clinical finding': 'small fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small fluid', 'observation': 'collection', 'strength_term': 'small', 'seroma': 'clinical finding': 'seroma', 'existence': 'unc_dx', 'observation': 'seroma', 'pseudomeningocele': 'clinical finding': 'pseudomeningocele', 'existence': 'unc_dx', 'observation': 'pseudomeningocele'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'destruction': 'clinical finding': 'destruction', 'existence': 'pos_dx', 'observation': 'destruction'clinical findings_fin: 'diffuse idiopathic skeletal hyperostosis': 'clinical finding': 'diffuse idiopathic skeletal hyperostosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse idiopathic skeletal', 'observation': 'hyperostosis'location descriptor_fin: ['left']clinical findings_fin: 'left renal mass': 'clinical finding': 'left renal mass', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'mass', 'left adrenal nodule': 'clinical finding': 'left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodule' [/INST] [RESP] Again seen is a large enhancing mass extending from the left T1-T2 level to the left T3-T4 level. Mass measures up to approximately 6.2 x 7.6 cm in the axial and transverse dimensions and up to 5.9 cm in the craniocaudal dimension. There is extensive lytic destruction of the T2 and T3 vertebral bodies on the left as well as the pedicle, lamina, and transverse processes. There is relatively smaller component involving the right aspect of the T2, T3, and T4 vertebral bodies and posterior elements. There is evidence of spinal decompression with laminectomy from T2 to T4 levels. Mass extends to involve the ventral and lateral aspects of the spinal canal include just superior to the level of the laminectomy. There is also left neural foraminal stenosis at T1-T2, T2-T3, and T3-T4 related to tumor. There is small fluid collection involving the posterior paraspinous soft tissues which may represent a seroma or pseudomeningocele. Destruction of the left third rib and milder involvement of the left fourth rib are noted. Evidence of diffuse idiopathic skeletal hyperostosis. Left renal mass and left adrenal nodule again seen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'unchanged punctate micronodules': 'clinical finding': 'unchanged punctate micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged punctate', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'granulomata': 'clinical finding': 'granulomata', 'existence': 'pos_dx', 'observation': 'granulomata'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'known right thyroid nodule': 'clinical finding': 'known right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'known right thyroid', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'unchanged flash filling': 'clinical finding': 'unchanged flash filling', 'existence': 'pos_dx', 'descriptive_term': 'unchanged flash', 'observation': 'fill', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'hemangioma hepatic segment iii': 'clinical finding': 'hemangioma hepatic segment iii', 'existence': 'pos_dx', 'descriptive_term': 'hemangioma hepatic segment', 'observation': 'iii' [/INST] [RESP] . Unchanged punctate micronodules, most of which are calcified representing granulomata. No evidence of pulmonary or pleural metastases. No significant abnormality noted. A known right thyroid nodule, previously worked up, is incompletely visualized. No significant abnormality noted. Unchanged flash filling hemangioma hepatic segment III. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'arteries': clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery normal in caliber': 'clinical finding': 'main pulmonary artery normal in caliber'anatomical entity_fin: 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'location descriptor_fin: ['subsegmental']clinical findings_fin: 'basilar streaky air space opacities': 'clinical finding': 'basilar streaky air space opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar streaky air space', 'observation': 'opacity', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'vaso-occlusive disease': 'clinical finding': 'vaso-occlusive disease', 'existence': 'unc_dx', 'descriptive_term': 'vaso-occlusive', 'observation': 'disease'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'nonspecific faint ground glass opacities': 'clinical finding': 'nonspecific faint ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific faint ground glass', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['left']clinical findings_fin: 'unchanged prominent left cardiophrenic lymph nodes': 'clinical finding': 'unchanged prominent left cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent left cardiophrenic lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged'anatomical entity_fin: 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'coarse trabeculation': 'clinical finding': 'coarse trabeculation', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'trabeculation', 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis', 'other skeletal abnormalities': 'clinical finding': 'other skeletal abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'other skeletal', 'observation': 'abnormality', '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'clinical findings_fin: 'splenic capsular calcifications': 'clinical finding': 'splenic capsular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic capsular', 'observation': 'calcification'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper', 'hilum': , 'gastrohepatic ligament': location descriptor_fin: ['upper']clinical findings_fin: 'upper abdominal lymphadenopathy': 'clinical finding': 'upper abdominal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'any definite focal lesions': 'clinical finding': 'any definite focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'any definite focal', 'observation': 'lesion', 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'unc_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease' [/INST] [RESP] . Technically adequate study for the diagnosis of pulmonary emboli to the level of the segmental arteries. No evidence of pulmonary emboli. Main pulmonary artery normal in caliber. No right heart strain. Basilar streaky air space opacities, which likely represent subsegmental atelectasis, though infection or vaso-occlusive disease cannot be excluded. Nonspecific faint ground glass opacities are also identified in the right lower lobe. No pleural effusions. Normal heart size without pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Unchanged prominent left cardiophrenic lymph nodes. Coarse trabeculation, sclerosis, and other skeletal abnormalities compatible with sickle cell disease, similar to prior. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic capsular calcifications. Upper abdominal lymphadenopathy similar to prior examination, particularly at the splenic hilum and gastrohepatic ligament. Partial visualization of a slightly heterogenous nephrogram without any definite focal lesions, which may be secondary to sickle cell disease, similar to prior. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'location descriptor_fin: ['left']clinical findings_fin: 'small to moderate left pleural fluid collection': 'clinical finding': 'small to moderate left pleural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small to moderate left pleural fluid', 'observation': 'collection', 'strength_term': 'small - moderate'anatomical entity_fin: 'rib': , 'musculature': location descriptor_fin: ['left', 'lateral']clinical findings_fin: 'new focal thickening': 'clinical finding': 'new focal thickening', 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'thickening', 'temporal_term': 'new'anatomical entity_fin: 'lobe': imaging modality_fin: ['scintigraphy']location descriptor_fin: ['left']clinical findings_fin: 'nonspecific heterogeneous nodule': 'clinical finding': 'nonspecific heterogeneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific heterogeneous', 'observation': 'nodule'non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'pull-up': 'clinical finding': 'pull-up', 'existence': 'pos_dx', 'observation': 'pull'anatomical entity_fin: 'spine': imaging observation_fin: ['bone density']location descriptor_fin: ['left', 'lower']clinical findings_fin: 'subtle mottled bone density': 'clinical finding': 'subtle mottled bone density', 'existence': 'pos_dx', 'descriptive_term': 'subtle mottled bone', 'observation': 'density', 'strength_term': 'subtle', 'prior irradiation': 'clinical finding': 'prior irradiation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'irradiation'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'very subtle left intercostal muscular': 'clinical finding': 'very subtle left intercostal muscular', 'existence': 'pos_dx', 'descriptive_term': 'very subtle left intercostal', 'observation': 'muscular', 'strength_term': 'subtle'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Scarring in the upper lung fields. Mild centrilobular emphysema. Small to moderate left pleural fluid collection is new. At the left postero-lateral 10 th/11 th rib interspace , there is a new focal thickening isoattenuating to the intercostal musculature. Nonspecific heterogeneous nodule in the left thyroid lobe image 12, indeterminate by CT and may be further assessed with nuclear scintigraphy if indicated clinically. Gastric pull-up grossly unremarkable in appearance within the limitations of incomplete luminal expansion and lack of oral contrast. Subtle mottled bone density in the left lower thoracic spine and may be secondary to prior irradiation, unchanged. Very subtle left intercostal muscular prominence at the 10 th/11 th rib interspace new from previous, of unclear clinical significance. CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'esophagus': 'location descriptor': 'distal'location descriptor_fin: ['distal']non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'oral contrast material': 'clinical finding': 'oral contrast material', 'existence': 'pos_dx', 'descriptive_term': 'oral contrast', 'observation': 'material', 'gastroesophageal reflux': 'clinical finding': 'gastroesophageal reflux', 'existence': 'unc_dx', 'descriptive_term': 'gastroesophageal', 'observation': 'reflux'anatomical entity_fin: 'liver': 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: 'bowel': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'only moderate distention': 'clinical finding': 'only moderate distention', 'existence': 'pos_dx', 'descriptive_term': 'only moderate', 'observation': 'distention', 'strength_term': 'moderate'clinical findings_fin: 'marked, diffuse colonic diverticulosis': 'clinical finding': 'marked, diffuse colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'marked diffuse colonic', 'observation': 'diverticulosis', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'pericolonic changes': 'clinical finding': 'pericolonic changes', 'existence': 'pos_dx', 'descriptive_term': 'pericolonic', 'observation': 'change', 'chronic inflammation': 'clinical finding': 'chronic inflammation', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'inflammation', 'temporal_term': 'chronic'clinical findings_fin: 'superimposed mild focal diverticulitis': 'clinical finding': 'superimposed mild focal diverticulitis', 'existence': 'unc_dx', 'descriptive_term': 'superimposed mild focal', 'observation': 'diverticulitis', 'strength_term': 'mild'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'moderate degenerative changes': 'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdomen': anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative changes': 'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'clinical findings_fin: 'minimal degenerative anterolisthesis': 'clinical finding': 'minimal degenerative anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'anterolisthesis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted at the lung bases. A small amount of oral contrast material is seen in the mid to distal esophagus suggesting gastroesophageal reflux. No significant abnormality noted in the liver. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is only moderate distention of the small bowel loops with oral contrast limiting evaluation. Marked, diffuse colonic diverticulosis is identified with areas of wall thickening and pericolonic changes suggesting chronic inflammation. A superimposed mild focal diverticulitis cannot be excluded. Moderate degenerative changes of the lower thoracic spine. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please refer to abdomen section above. Moderate degenerative changes of the lumbar spine. Minimal degenerative anterolisthesis of L4 relative to L5. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lung': clinical findings_fin: 'calcified nodules': 'clinical finding': 'calcified nodules', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'nodule', 'change_term': 'calcified', 'previous granulomatous infection': 'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['peripheral', 'posterior', 'right', 'lower']clinical findings_fin: 'patchy peripheral opacities': 'clinical finding': 'patchy peripheral opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy peripheral', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'micro-nodule': 'clinical finding': 'micro-nodule', 'existence': 'pos_dx', 'observation': 'micro-nodule'clinical findings_fin: 'scarlike abnormality': 'clinical finding': 'scarlike abnormality', 'existence': 'pos_dx', 'descriptive_term': 'scarlike', 'observation': 'abnormality', 'prior lung mass': 'clinical finding': 'prior lung mass', 'existence': 'pos_dx', 'descriptive_term': 'prior lung', 'observation': 'mass'location descriptor_fin: ['bilateral']clinical findings_fin: 'new precarinal, bilateral hilar and subcarinal adenopathy': 'clinical finding': 'new precarinal, bilateral hilar and subcarinal adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'new precarinal bilateral hilar and subcarinal', 'observation': 'adenopathy', 'temporal_term': 'new'size_fin: ['size': '19 x 18 mm', 'size': '15 x 13 mm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar adenopathy': 'clinical finding': 'right hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'adenopathy'location descriptor_fin: ['left']clinical findings_fin: 'hilar lymph nodes': 'clinical finding': 'hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'vein': location descriptor_fin: ['right']clinical findings_fin: 'jugular vein stenotic': 'clinical finding': 'jugular vein stenotic', 'existence': 'pos_dx', 'descriptive_term': 'jugular vein', 'observation': 'stenotic'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Calcified nodules in the left lung consistent with previous granulomatous infection. Centrilobular emphysema. Patchy peripheral opacities in the posterior right lower lobe on images 65 and 67 are new from the previous study. Micro-nodule new right upper lobe on image 51 is stable. Scarlike abnormality in the region of the prior lung mass in the azygos esophageal recess appears unchanged. New precarinal, bilateral hilar and subcarinal adenopathy. For reference, right hilar adenopathy measures 19 x 18 mm , previously 15 x 13 mm. Calcified mediastinal and left hilar lymph nodes unchanged. Catheter tip at the level of the SVC or right atrial juncture. Coronary artery calcifications. Right chest port. Right jugular vein stenotic. CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'heel': , 'subtalar joints': clinical findings_fin: 'heel valgus': 'clinical finding': 'heel valgus', 'existence': 'pos_dx', 'descriptive_term': 'heel', 'observation': 'valgus'clinical findings_fin: 'any tarsal coalition': 'clinical finding': 'any tarsal coalition', 'existence': 'neg_dx', 'descriptive_term': 'any tarsal', 'observation': 'coalition'clinical findings_fin: 'pes planus': 'clinical finding': 'pes planus', 'existence': 'pos_dx', 'descriptive_term': 'pes', 'observation': 'planus'size_fin: ['size': '5mm', 'size_descriptor': 'ossicle']anatomical entity_fin: 'ossicle': , 'insertion': anatomical entity_fin: 'heel': , 'subtalar joints': clinical findings_fin: 'heel valgus': 'clinical finding': 'heel valgus', 'existence': 'pos_dx', 'descriptive_term': 'heel', 'observation': 'valgus'clinical findings_fin: 'any tarsal coalition': 'clinical finding': 'any tarsal coalition', 'existence': 'neg_dx', 'descriptive_term': 'any tarsal', 'observation': 'coalition'clinical findings_fin: 'pes planus': 'clinical finding': 'pes planus', 'existence': 'pos_dx', 'descriptive_term': 'pes', 'observation': 'planus'clinical findings_fin: 'beaking': 'clinical finding': 'beaking', 'existence': 'pos_dx', 'observation': 'beaking' [/INST] [RESP] .A considerable amount of heel valgus makes full evaluation of the subtalar joints difficult. There does not appear to be any tarsal coalition present. Pes planus is present. 5mm well-corticated accessory ossicle at the talar insertion of the talocalcaneal ligament. A considerable amount of heel valgus makes full evaluation of the subtalar joints difficult. There does not appear to be any tarsal coalition present. Pes planus is present. As seen on plain film, there is talar beaking. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'diffuse bilateral interstitial nodularity': 'clinical finding': 'diffuse bilateral interstitial nodularity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse bilateral interstitial', 'observation': 'nodularity'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']object_fin: ['suture']procedure_fin: ['biopsy']clinical findings_fin: 'several punctate pulmonary nodules': 'clinical finding': 'several punctate pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'several punctate pulmonary', 'observation': 'nodule', 'quantity_term': 'several'location descriptor_fin: ['bilateral']clinical findings_fin: 'additional scattered bilateral punctate nodules': 'clinical finding': 'additional scattered bilateral punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'additional scattered bilateral punctate', 'observation': 'nodule'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'new focal consolidation': 'clinical finding': 'new focal consolidation', 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'consolidation', 'temporal_term': 'new', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'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: 'additional significant abnormalities': 'clinical finding': 'additional significant abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There has been interval improvement in diffuse bilateral interstitial nodularity. Suture material is seen in the right upper lobe, presumably from previous biopsy, and several punctate pulmonary nodules in this area are no longer identified. Additional scattered bilateral punctate nodules are unchanged. There is a new focal consolidation seen at the right lung base that may represent atelectasis versus aspiration. Small pericardial effusion is stable. No additional significant abnormalities are 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 occipital lobe': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'some hypoattenuation': 'clinical finding': 'some hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'hypoattenuation', 'quantity_term': 'some', 'sulcal effacement': 'clinical finding': 'sulcal effacement', 'existence': 'pos_dx', 'descriptive_term': 'sulcal', 'observation': 'effacement', 'subacute infarct': 'clinical finding': 'subacute infarct', 'existence': 'unc_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'anatomical entity_fin: 'right internal capsule': location descriptor_fin: ['anterior']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'age-indeterminate infarct': 'clinical finding': 'age-indeterminate infarct', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate', 'observation': 'infarct'clinical findings_fin: 'some diffuse volume loss': 'clinical finding': 'some diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'some diffuse volume', 'observation': 'loss', 'quantity_term': 'some'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: 'basal cisterns are normal in size and configuration': 'clinical finding': 'basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'maxillary sinus': clinical findings_fin: 'mild maxillary sinus': 'clinical finding': 'mild maxillary sinus', 'existence': 'pos_dx', 'descriptive_term': 'mild maxillary', 'observation': 'sinus', 'strength_term': 'mild', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'anatomical entity_fin: 'orbits': , 'skull': , 'scalp': clinical findings_fin: 'orbits , skull , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable' [/INST] [RESP] There is some hypoattenuation involving the posterior right occipital lobe with sulcal effacement which is age indeterminate in the absence of previous exams for comparison but suspicious for a subacute infarct. There is an additional focus of hypoattenuation involving the anterior limb of the right internal capsule which may represent an age-indeterminate infarct. There is some diffuse volume loss. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild maxillary sinus because of thickening. The orbits, skull, and scalp soft tissues are grossly unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'upper lobe predominant reticular interstitial abnormality': 'clinical finding': 'upper lobe predominant reticular interstitial abnormality', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant reticular interstitial', 'observation': 'abnormality', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal and subcarinal lymphadenopathy': 'clinical finding': 'right paratracheal and subcarinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal and subcarinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'definite hilar lymphadenopathy': 'clinical finding': 'definite hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'definite hilar', 'observation': 'lymphadenopathy', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'clinical findings_fin: 'normal cardiac size': 'clinical finding': 'normal cardiac size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant axillary lymphadenopathy': 'clinical finding': 'significant axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'size_fin: ['size': '2.5 x 3.2 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'pancreas': , 'left adrenal gland': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'nonspecific 2.5 x 3.2 cm soft tissue density mass': 'clinical finding': 'nonspecific 2.5 x 3.2 cm soft tissue density mass', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific 2 5 x 3 2 cm soft tissue density', 'observation': 'mass' [/INST] [RESP] . Upper lobe predominant reticular interstitial abnormality with traction bronchiectasis. No evidence of air trapping on the expiration images. No pleural effusions or suspicious pulmonary nodules. Subcentimeter AP window, right paratracheal and subcarinal lymphadenopathy. No definite hilar lymphadenopathy though determination is difficult given the lack of contrast. Normal cardiac size. No pericardial effusion. No significant axillary lymphadenopathy. There is a nonspecific 2.5 x 3.2 cm soft tissue density mass abutting but not clearly arising from the pancreas or left adrenal gland. [/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: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'upper lobe predominant septal thickening': 'clinical finding': 'upper lobe predominant septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant septal', 'observation': 'thickening'location descriptor_fin: ['centrilobular']clinical findings_fin: 'centrilobular small groundglass nodules': 'clinical finding': 'centrilobular small groundglass nodules', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular small groundglass', 'observation': 'nodule', 'strength_term': 'small'clinical findings_fin: 'patients lymphoproliferative disease': 'clinical finding': 'patients lymphoproliferative disease', 'existence': 'unc_dx', 'descriptive_term': 'patients lymphoproliferative', 'observation': 'disease'anatomical entity_fin: 'middle': , 'mediastinum': location descriptor_fin: ['anterior']clinical findings_fin: 'small mediastinal nodes': 'clinical finding': 'small mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal', 'observation': 'node', 'strength_term': 'small'size_fin: ['size': '2.2 x 0.6 cm', 'size_descriptor': 'none']anatomical entity_fin: 'axis': clinical findings_fin: 'prevascular node': 'clinical finding': 'prevascular node', 'existence': 'pos_dx', 'descriptive_term': 'prevascular', 'observation': 'node'location descriptor_fin: ['central']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: ['left']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'aorta': clinical findings_fin: 'moderate calcification': 'clinical finding': 'moderate calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is septal thickening diffuse upper lobe predominant there is upper lobe predominant septal thickening. Centrilobular small groundglass nodules. These findings may be related to the patients lymphoproliferative disease or possibly drug reaction. Small mediastinal nodes including anterior and middle mediastinum and prevascular space. Based on short axis criteria none of these are pathologic in size For baseline purposes prevascular node is measured on series 3 image 29, 2.2 x 0.6 cm. Central line SVC RA junction. Small pericardial effusion, minimally more prominent than on the 4/22/2015 exam. Moderate. Left subclavian line. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate calcification aorta and branch vessels. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: '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: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'involuted': 'clinical finding': 'involuted', 'existence': 'pos_dx', 'observation': 'involute'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'alignment is anatomic': 'clinical finding': 'alignment is anatomic'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body height and morphology are within normal limits': 'clinical finding': 'vertebral body height and morphology are within normal limits'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'destructive osseous lesion': 'clinical finding': 'destructive osseous lesion', 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'mild cervical spondylosis': 'clinical finding': 'mild cervical spondylosis', 'existence': 'neg_dx', 'descriptive_term': 'mild cervical', 'observation': 'spondylosis', 'strength_term': 'mild', 'high-grade spinal canal compromise': 'clinical finding': 'high-grade spinal canal compromise', 'existence': 'neg_dx', 'descriptive_term': 'high-grade spinal canal', 'observation': 'compromise'clinical findings_fin: 'paraspinal soft tissues are within normal limits': 'clinical finding': 'paraspinal soft tissues are within normal limits' [/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. The right maxillary sinus is hypoplastic or partially involuted. The bones of the calvarium and skull base are intact. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No fracture or destructive osseous lesion is seen. Mild cervical spondylosis is demonstrated without high-grade spinal canal compromise. The paraspinal soft tissues are within normal limits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: 'mild apical scarring': 'clinical finding': 'mild apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild apical', 'observation': 'scarr', 'strength_term': 'mild', 'nodularity': 'clinical finding': 'nodularity', 'existence': 'neg_dx', 'observation': 'nodularity', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'clinical findings_fin: 'small dependent atelectasis': 'clinical finding': 'small dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'small dependent', 'observation': 'atelectasis', 'strength_term': 'small'clinical findings_fin: 'small mediastinal or hilar lymph nodes': 'clinical finding': 'small mediastinal or hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'small', 'adenopathy': 'clinical finding': 'adenopathy', 'existence': 'unc_dx', 'observation': 'adenopathy'anatomical entity_fin: 'right lateral chest wall': clinical findings_fin: 'stable right lateral chest wall intramuscular lipoma': 'clinical finding': 'stable right lateral chest wall intramuscular lipoma', 'existence': 'pos_dx', 'descriptive_term': 'stable right lateral chest wall intramuscular', 'observation': 'lipoma', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'duct': location descriptor_fin: ['right']clinical findings_fin: 'minimal right-sided focal intrahepatic biliary duct prominence unchanged': 'clinical finding': 'minimal right-sided focal intrahepatic biliary duct prominence unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'spleen': location descriptor_fin: ['adjacent']clinical findings_fin: 'presumed tiny splenule': 'clinical finding': 'presumed tiny splenule', 'existence': 'pos_dx', 'descriptive_term': 'presumed tiny', 'observation': 'splenule', 'strength_term': 'tiny'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']procedure_fin: ['adrenalectomy']location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: 'small postsurgical fat necrosis': 'clinical finding': 'small postsurgical fat necrosis', 'existence': 'pos_dx', 'descriptive_term': 'small postsurgical fat', 'observation': 'necrosis', 'strength_term': 'small'imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'enhancing soft tissue attenuation': 'clinical finding': 'enhancing soft tissue attenuation', 'existence': 'neg_dx', 'descriptive_term': 'enhancing soft tissue', 'observation': 'attenuation', 'local tumor recurrence': 'clinical finding': 'local tumor recurrence', 'existence': 'unc_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'location descriptor_fin: ['right']clinical findings_fin: 'minimal right renal cortical scarring': 'clinical finding': 'minimal right renal cortical scarring', 'existence': 'pos_dx', 'descriptive_term': 'minimal right renal cortical', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'sigmoid colon': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'sigmoid colon': 'clinical finding': 'sigmoid colon', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid', 'observation': 'colon'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'l5 vertebral body': 'location descriptor': 'right', 'bone': location descriptor_fin: ['right']clinical findings_fin: 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild apical scarring or nodularity, without significant change. Small dependent atelectasis. Scattered small mediastinal or hilar lymph nodes, not meeting criteria for adenopathy. None. Stable right lateral chest wall intramuscular lipoma, image 56 series 201. Minimal right-sided focal intrahepatic biliary duct prominence unchanged. Presumed tiny splenule adjacent to spleen on image 89 series 201. No significant abnormality noted. Status post left adrenalectomy. Status post left nephrectomy. Small postsurgical fat necrosis apparent, axial image 94. No enhancing soft tissue attenuation seen at level of left renal bed to suggest local tumor recurrence. Minimal right renal cortical scarring. No significant abnormality noted. None. Postsurgical changes related to sigmoid colon resection. No significant abnormality noted. No significant abnormality noted. Unchanged right L5 vertebral body sclerotic focus, may be a bone island but indeterminant. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'white matter': 'clinical finding': 'white matter', 'existence': 'pos_dx', 'descriptive_term': 'white', 'observation': 'matter', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'unchanged moderate diffuse cerebral and cerebellar volume loss': 'clinical finding': 'unchanged moderate diffuse cerebral and cerebellar volume loss', 'existence': 'pos_dx', 'descriptive_term': 'unchanged moderate diffuse cerebral and cerebellar volume', 'observation': 'loss', 'strength_term': 'unchanged - moderate', 'change_term': 'unchanged'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect or midline shift': 'clinical finding': 'mass-effect or midline shift', 'existence': 'neg_dx', 'descriptive_term': 'mass-effect or midline', 'observation': 'shift'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': , 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'stable fluid is again noted in the right maxillary sinus': 'clinical finding': 'stable fluid is again noted in the right maxillary sinus', 'change_term': 'stable'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: 'unremarkable images through the orbits': 'clinical finding': 'unremarkable images through the orbits'size_fin: ['size': '8 mm', 'size': '5 mm']anatomical entity_fin: 'skin': , 'apex': 'location descriptor': 'midline', 'scalp': location descriptor_fin: ['midline'] [/INST] [RESP] There is extensive periventricular and subcortical low attenuation of white matter remains without evidence of mass effect. There is unchanged moderate diffuse cerebral and cerebellar volume loss. There is no mass-effect or midline shift. There is no acute intracranial hemorrhage. Stable fluid is again noted in the right maxillary sinus. The remaining sinuses and mastoid air cells are clear. Unremarkable images through the orbits. There has been interval increase in size of a skin excrescence along the midline apex of the scalp, now measuring up to 8 mm, previously 5 mm. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'mild age-related volume loss': 'clinical finding': 'mild age-related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild age-related volume', 'observation': 'loss', 'strength_term': 'mild'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal low attenuation': 'clinical finding': 'abnormal low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'attenuation', 'advanced age indeterminate small vessel ischemic changes': 'clinical finding': 'advanced age indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'advanced age indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'advanced - small'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'chronic lacunar infarct': 'clinical finding': 'chronic lacunar infarct', 'existence': 'pos_dx', 'descriptive_term': 'chronic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'external auditory canals': clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']anatomical entity_fin: 'superior ophthalmic veins': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent' [/INST] [RESP] The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter, consistent with advanced age indeterminate small vessel ischemic changes. There is a chronic lacunar infarct in the right basal ganglia. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is debris within the external auditory canals. There are bilateral lens implants. Bilateral superior ophthalmic veins are slightly prominent. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['midline']clinical findings_fin: 'detectable acute intracranial hemorrhage': 'clinical finding': 'detectable acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', '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', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'imaging observation_fin: ['foci']clinical findings_fin: 'periventricular and minimally subcortical foci': 'clinical finding': 'periventricular and minimally subcortical foci', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and minimally subcortical', 'observation': 'foci', 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'white matter': 'clinical finding': 'white matter', 'existence': 'pos_dx', 'descriptive_term': 'white', 'observation': 'matter', 'small vessel ischemic strokes': 'clinical finding': 'small vessel ischemic strokes', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'stroke', 'strength_term': 'small'clinical findings_fin: 'early ischemic strokes': 'clinical finding': 'early ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'early ischemic', 'observation': 'stroke'clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'unc_dx', 'descriptive_term': 'volume', 'observation': 'loss'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'extensive chronic sinus disease': 'clinical finding': 'extensive chronic sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'extensive chronic sinus', 'observation': 'disease', 'strength_term': 'extensive', 'temporal_term': 'chronic'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits' [/INST] [RESP] Nonenhanced head. No detectable acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Periventricular and minimally subcortical foci of low-attenuation of white matter is believed to represent moderate degree of small vessel ischemic strokes of indeterminate age. CT is insensitive for detection of early ischemic strokes. Mild prominence of supratentorial ventricular system has not significantly changed since prior exam and likely result of volume loss. Calvarium is intact. Extensive chronic sinus disease which was also noted on prior exam from 2007 and with interval worsening. Limited images through the orbits are unremarkable [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'infarction': 'clinical finding': 'infarction', 'existence': 'neg_dx', 'observation': 'infarction'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing abnormality': 'clinical finding': 'enhancing abnormality', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'abnormality'anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'subtle nonspecific cerebral white matter hypoattenuation': 'clinical finding': 'subtle nonspecific cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'subtle nonspecific cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'subtle', 'small vessel ischemic changes': 'clinical finding': 'small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'change', 'strength_term': 'small'anatomical entity_fin: 'floor': , 'mouth': , 'neck': , 'mandible': procedure_fin: ['treatment', 'lymph node dissection']clinical findings_fin: 'extensive post-treatment changes': 'clinical finding': 'extensive post-treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive post-treatment', 'observation': 'change', 'strength_term': 'extensive', 'lymph node dissection': 'clinical finding': 'lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'lymph node', 'observation': 'dissection'anatomical entity_fin: 'mandible': 'location descriptor': 'right', 'neck': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'soft tissue lesion': 'clinical finding': 'soft tissue lesion', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'lesion'anatomical entity_fin: 'hyoid bone': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'increased soft tissue thickening': 'clinical finding': 'increased soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased soft tissue', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'increased uptake': 'clinical finding': 'increased uptake', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'uptake', 'strength_term': 'increased', 'change_term': 'increased'clinical findings_fin: 'tumor recurrence': 'clinical finding': 'tumor recurrence', 'existence': 'unc_dx', 'descriptive_term': 'tumor', 'observation': 'recurrence'size_fin: ['size': '9 x 6 mm', 'size': '8 x 5 mm']anatomical entity_fin: 'submandibular lymph nodes': location descriptor_fin: ['right']clinical findings_fin: 'small submandibular lymph nodes': 'clinical finding': 'small submandibular lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small submandibular lymph', 'observation': 'node', 'strength_term': 'small', 'lymph node': 'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'clinical findings_fin: 'other interval change': 'clinical finding': 'other interval change', 'existence': 'neg_dx', 'descriptive_term': 'other interval', 'observation': 'change'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease' [/INST] [RESP] Head. There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Subtle nonspecific cerebral white matter hypoattenuation is compatible with small vessel ischemic changes and is unchanged. Neck. Extensive post-treatment changes are again present in the floor of the mouth and neck, with lymph node dissection and reconstruction of the mandible. Immediately posterior to the right mandible at the parasymphysis region, there is soft tissue lesion, with subtle increase in size compared to the prior CT neck. There is also slightly increased soft tissue thickening immediately anterior to the right hyoid bone. This area correlates with the area with increased uptake on the prior PET study. Tumor recurrence cannot be excluded. Small submandibular lymph nodes are seen on the right, with a lymph node measuring 9 x 6 mm, compared to prior measurement of 8 x 5 mm which is not significantly different statistically. There is otherwise no evidence of other interval change identified. Degenerative disease is again seen in the cervical spine. [/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': location descriptor_fin: ['right']clinical findings_fin: 'dehiscence': 'clinical finding': 'dehiscence', 'existence': 'pos_dx', 'observation': 'dehiscence', 'right lamina papyracea': 'clinical finding': 'right lamina papyracea', 'existence': 'pos_dx', 'descriptive_term': 'right lamina', 'observation': 'papyracea', 'old blow-out fracture': 'clinical finding': 'old blow-out fracture', 'existence': 'pos_dx', 'descriptive_term': 'old blow-out', 'observation': 'fracture', 'temporal_term': 'old'clinical findings_fin: 'impingement': 'clinical finding': 'impingement', 'existence': 'neg_dx', 'observation': 'impingement'imaging observation_fin: ['falx']location descriptor_fin: ['anterior']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'thick calvarium': 'clinical finding': 'thick calvarium', 'existence': 'pos_dx', 'descriptive_term': 'thick', 'observation': 'calvarium' [/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 demonstrate a dehiscence of the right lamina papyracea from old blow-out fracture. No evidence for impingement of the rectus muscle. There is a calcification of the anterior falx. Thick calvarium. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'precentral sulcus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'acute subarachnoid hemorrhage': 'clinical finding': 'acute subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'acute subarachnoid', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['left']clinical findings_fin: 'left-sided subdural hematoma': 'clinical finding': 'left-sided subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'left-sided subdural', 'observation': 'hematoma', 'acute on chronic process': 'clinical finding': 'acute on chronic process', 'existence': 'unc_dx', 'descriptive_term': 'acute on chronic', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute - chronic'location descriptor_fin: ['right']clinical findings_fin: 'probable small right chronic subdural hematoma': 'clinical finding': 'probable small right chronic subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'probable small right chronic subdural', 'observation': 'hematoma', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'basal ganglia': , 'temporal lobe': 'location descriptor': 'anterior', 'left lateral ventricle': location descriptor_fin: ['anterior']clinical findings_fin: 'stable encephalomalacia': 'clinical finding': 'stable encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'encephalomalacia', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'diffuse periventricular hypoattenuation': 'clinical finding': 'diffuse periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse periventricular', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['midline']clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus', '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'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Acute subarachnoid hemorrhage is identified in the right precentral sulcus. Left-sided subdural hematoma with some dependent layering suggestive of an acute on chronic process. Probable small right chronic subdural hematoma. Stable encephalomalacia in the basal ganglia and anterior temporal lobe with associated ex vacuo dilatation of the left lateral ventricle. Diffuse periventricular hypoattenuation compatible with small vessel ischemic disease of indeterminate age. No evidence of hydrocephalus, mass effect, edema or midline shift. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': , 'middle': 'location descriptor': 'right'location descriptor_fin: ['left', 'upper', 'right']clinical findings_fin: 'reticulonodular abnormalities': 'clinical finding': 'reticulonodular abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'reticulonodular', 'observation': 'abnormality', 'bud pattern': 'clinical finding': 'bud pattern', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'pattern'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'previously described right lower lobe opacities': 'clinical finding': 'previously described right lower lobe opacities', 'existence': 'neg_dx', 'descriptive_term': 'previously described right lower lobe', 'observation': 'opacity'clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'anatomical entity_fin: 'lobe': , '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: 'coronary artery calcification': 'clinical finding': 'coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'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: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right neck dissection': 'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection'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] . Reticulonodular abnormalities anteriorly in the lingular region of the left upper lobe and in the right middle lobe, tree in bud pattern, unchanged. Previously described right lower lobe opacities are not present. Basilar scarring unchanged. Azygos pseudo-lobe, normal variant. Coronary artery calcification. No significantly enlarged mediastinal or hilar lymph nodes. Right neck dissection. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'esophagus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'distal esophagus appear similar prior exam': 'clinical finding': 'distal esophagus appear similar prior exam'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'size_fin: ['size': '7 mm', 'size': '8 mm']clinical findings_fin: 'small paraesophageal lymph node': 'clinical finding': 'small paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small paraesophageal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'pathologically enlarged lymph nodes': 'clinical finding': 'pathologically enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size normal': 'clinical finding': 'heart size normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: '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: 'two subcentimeter hypodensities': 'clinical finding': 'two subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter', 'observation': 'hypodensity'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal hypodensities': 'clinical finding': 'bilateral renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'hypodensity', 'benign cysts': 'clinical finding': 'benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'benign', 'observation': 'cyst', 'strength_term': 'benign'location descriptor_fin: ['left']clinical findings_fin: 'nonobstructing left renal stone': 'clinical finding': 'nonobstructing left renal stone', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructing left renal', 'observation': 'stone'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'scattered calcifications': 'clinical finding': 'scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'calcification'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'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 significant abnormality noted. Distal esophagus appear similar prior exam. Small hiatal hernia. Small paraesophageal lymph node is unchanged, measuring 7 mm, previously measured 8 mm. No pathologically enlarged lymph nodes. Heart size normal. No pericardial effusion. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Two subcentimeter hypodensities are unchanged and too small to characterize. Cholelithiasis without cholecystitis. No significant abnormality noted. No significant abnormality noted. Bilateral renal hypodensities appear unchanged, most likely represent benign cysts. Nonobstructing left renal stone again noted. No significant abnormality noted. Scattered calcifications in aorta and its branches. No lymphadenopathy. 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: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['lower', 'bilateral']clinical findings_fin: 'lower lobe bronchiectasis': 'clinical finding': 'lower lobe bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'bronchiectasis', 'bilateral tree': 'clinical finding': 'bilateral tree', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'tree', 'opacities': 'clinical finding': 'opacities', 'existence': 'pos_dx', 'observation': 'opacity', 'aspiration bronchiolitis': 'clinical finding': 'aspiration bronchiolitis', 'existence': 'unc_dx', 'descriptive_term': 'aspiration', 'observation': 'bronchiolitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '14 cm']anatomical entity_fin: 'spleen': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'spleen': location descriptor_fin: ['lower']clinical findings_fin: 'subcentimeter cyst': 'clinical finding': 'subcentimeter cyst', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'cyst'anatomical entity_fin: 'pancreas': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': location descriptor_fin: ['right']clinical findings_fin: 'fluid or postsurgical change': 'clinical finding': 'fluid or postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'fluid or postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is lower lobe bronchiectasis with bilateral tree and opacities, suggestive of aspiration bronchiolitis, new since the prior examination. No significant abnormality noted. The spleen is enlarged, measuring 14 cm in length. There is a subcentimeter cyst in the lower pole of the spleen. The pancreas is atrophic. 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. A small amount of fluid or postsurgical change is seen in the right inguinal region. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'left', 'axilla': 'location descriptor': 'left', 'mediastinum': 'location descriptor': 'upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'multiple enlarged lymph nodes': 'clinical finding': 'multiple enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'anatomical entity_fin: 'right atrium': object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'anatomical entity_fin: 'neck': 'location descriptor': 'left', 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'probable interval complete resolution': 'clinical finding': 'probable interval complete resolution', 'existence': 'unc_dx', 'descriptive_term': 'probable interval complete', 'observation': 'resolution', 'fdg avid lymphadenopathy': 'clinical finding': 'fdg avid lymphadenopathy', 'existence': 'unc_dx', 'descriptive_term': 'fdg avid', 'observation': 'lymphadenopathy'anatomical entity_fin: 'neck': , 'mediastinum': 'location descriptor': 'upper', 'chest wall': 'location descriptor': 'upper', 'chest': imaging observation_fin: ['fat']location descriptor_fin: ['bilateral', 'upper']clinical findings_fin: 'increased metabolic activity': 'clinical finding': 'increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'brown fat metabolism': 'clinical finding': 'brown fat metabolism', 'existence': 'pos_dx', 'descriptive_term': 'brown fat', 'observation': 'metabolism'imaging observation_fin: ['fat']clinical findings_fin: 'this brown fat activity': 'clinical finding': 'this brown fat activity', 'existence': 'pos_dx', 'descriptive_term': 'this brown fat', 'observation': 'activity', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'body': clinical findings_fin: 'fdg uptake': 'clinical finding': 'fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'fdg', 'observation': 'uptake', 'physiological': 'clinical finding': 'physiological', 'existence': 'pos_dx', 'observation': 'physiological'anatomical entity_fin: 'myocardium': , 'liver': , 'spleen': , 'kidneys': , 'intestines': , 'endometrial cavity': , 'bladder': clinical findings_fin: 'physiological activity is seen in the myocardium , liver , spleen , kidneys , intestines , adnexa , endometrial cavity and bladder': 'clinical finding': 'physiological activity is seen in the myocardium , liver , spleen , kidneys , intestines , adnexa , endometrial cavity and bladder' [/INST] [RESP] Todays CT portion grossly demonstrates multiple enlarged lymph nodes in the left neck, left axilla and left supraclavicular region as well as in the upper mediastinum, significantly improved as compared with prior study. The tip of the Port-A-Cath is in the right atrium. Todays PET examination demonstrates probable interval complete resolution of FDG avid lymphadenopathy in the left neck, left axilla, left supraclavicular region and upper mediastinal regions. Extensive curvilinear areas of increased metabolic activity are seen in the neck, bilateral supraclavicular regions, upper mediastinum and upper chest wall as well as in the paraspinal regions in the chest, which are consistent with brown fat metabolism. This brown fat activity limits evaluation of lymphadenopathy in these regions. The FDG uptake in the remaining portion of the body is physiological. Physiological activity is seen in the myocardium, liver, spleen, kidneys, intestines, adnexa, endometrial cavity and bladder. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'unc_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'anatomical entity_fin: 'superior mediastinum': clinical findings_fin: 'bulky adenopathy': 'clinical finding': 'bulky adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'bulky', 'observation': 'adenopathy'clinical findings_fin: 'reference lymph nodes': 'clinical finding': 'reference lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'size_fin: ['size': '15 x 11 mm', 'size': '15 x 10 mm']location descriptor_fin: ['left']clinical findings_fin: 'left level 4 lymph node': 'clinical finding': 'left level 4 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left level 4 lymph', 'observation': 'node'size_fin: ['size': '22 x 20 mm', 'size': '22 x 19 mm']location descriptor_fin: ['left']clinical findings_fin: 'left paratracheal reference lymph node': 'clinical finding': 'left paratracheal reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left paratracheal reference lymph', 'observation': 'node'location descriptor_fin: ['right']clinical findings_fin: 'right tracheoesophageal groove reference lymph node': 'clinical finding': 'right tracheoesophageal groove reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right tracheoesophageal groove reference lymph', 'observation': 'node'anatomical entity_fin: 'posterior longitudinal ligament': clinical findings_fin: 'ossification': 'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'location descriptor_fin: ['central']clinical findings_fin: 'multilevel neural foraminal narrowing': 'clinical finding': 'multilevel neural foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'multilevel neural foraminal', 'observation': 'narrowing', 'central canal stenosis': 'clinical finding': 'central canal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis'clinical findings_fin: 'destructive lesions': 'clinical finding': 'destructive lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'location descriptor_fin: ['right']clinical findings_fin: 'small right frontal hyperdense mass': 'clinical finding': 'small right frontal hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': 'small right frontal hyperdense', 'observation': 'mass', 'strength_term': 'small', 'calcifications': 'clinical finding': 'calcifications', 'existence': 'unc_dx', 'observation': 'calcification'size_fin: ['size': '11 mm', 'size_descriptor': 'lesion']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']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: 'mastoid air cells are unremarkable': 'clinical finding': 'mastoid air cells are unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'small micronodules': 'clinical finding': 'small micronodules', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small'anatomical entity_fin: 'chest': [/INST] [RESP] Patient has a history of total thyroidectomy. Redemonstrated bulky adenopathy in the superior mediastinum or paratracheal soft tissues. Reference lymph nodes provided on the prior CT examination are given below. Left level 4 lymph node currently measures 15 x 11 mm compared to 15 x 10 mm on the prior study. Left paratracheal reference lymph node currently measures 22 x 20 mm 22 x 19 mm on the prior study. Right tracheoesophageal groove reference lymph node. Additionally there is ossification of the posterior longitudinal ligament. Multilevel neural foraminal narrowing and central canal stenosis is unchanged from the prior study. No destructive lesions identified. Small right frontal hyperdense mass is seen in the partially visualized intracranial structures possibly containing calcifications and likely extra-axial in location. Lesion measures 11 mm and is stable. History of bilateral lens prostheses. Paranasal sinuses are clear. Mastoid air cells are unremarkable. Small micronodules within the lung apices. Please refer to CT chest from the same day for further details of these findings. [/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': , 'lingula': , 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'stable bronchiectasis': 'clinical finding': 'stable bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'bronchiectasis', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'bud opacities': 'clinical finding': 'bud opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity', 'bronchial wall thickening': 'clinical finding': 'bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bronchial wall', 'observation': 'thickening', 'mild bronchial or bronchiolar impaction': 'clinical finding': 'mild bronchial or bronchiolar impaction', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial or bronchiolar', 'observation': 'impaction', 'strength_term': 'mild'clinical findings_fin: 'stable enlarged': 'clinical finding': 'stable enlarged', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'enlarged', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'thyroid gland': location descriptor_fin: ['left']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: '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: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuated lesion': 'clinical finding': 'hypoattenuated lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuated', 'observation': 'lesion' [/INST] [RESP] . Stable bronchiectasis is identified, most pronounced in the right middle lobe, lingula, and lower lobes. Additionally, associated tree in bud opacities and bronchial wall thickening is present with mild bronchial or bronchiolar impaction. Stable enlarged. Hypoattenuated left lobe of the thyroid gland. No significant hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. No significant abnormality noted. Hypoattenuated lesion in the right lobe of the liver is incompletely visualized on this exam. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': , 'parenchyma': clinical findings_fin: 'intravenous contrast enhancement': 'clinical finding': 'intravenous contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'intravenous contrast', 'observation': 'enhancement'clinical findings_fin: 'minimal bibasilar atelectasis': 'clinical finding': 'minimal bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'suspicious lesions': 'clinical finding': 'suspicious lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'clinical findings_fin: 'intra-or extrahepatic ductal dilatation': 'clinical finding': 'intra-or extrahepatic ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extrahepatic ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder show unremarkable': 'clinical finding': 'gallbladder show unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'right renal cystic mass': 'clinical finding': 'right renal cystic mass', 'existence': 'pos_dx', 'descriptive_term': 'right renal cystic', 'observation': 'mass'anatomical entity_fin: 'right kidney': clinical findings_fin: 'scattered calcifications': 'clinical finding': 'scattered calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'calcification', 'postoperative': 'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative'clinical findings_fin: 'retroperitoneal hemorrhage': 'clinical finding': 'retroperitoneal hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'hemorrhage'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': , 'wall': , 'umbilicus': imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: 'small fat-containing ventral abdominal wall defect': 'clinical finding': 'small fat-containing ventral abdominal wall defect', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing ventral abdominal wall', 'observation': 'defect', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'right adnexal simple cyst': 'clinical finding': 'right adnexal simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'right adnexal simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'mild intrinsic hyperattenuating fluid collection': 'clinical finding': 'mild intrinsic hyperattenuating fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'mild intrinsic hyperattenuating fluid', 'observation': 'collection', 'strength_term': 'mild', 'small hemoperitoneum': 'clinical finding': 'small hemoperitoneum', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hemoperitoneum', 'strength_term': 'small' [/INST] [RESP] Lack of intravenous contrast enhancement limits the evaluation of solid organ parenchyma and vascular structures. Minimal bibasilar atelectasis. No suspicious lesions. No evidence of intra-or extrahepatic ductal dilatation. The gallbladder show unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval removal of right renal cystic mass. Scattered calcifications in the right kidney likely postoperative in nature. No evidence of retroperitoneal hemorrhage. Diffuse atherosclerotic calcifications of the aorta and its branches. No significant abnormality noted. No significant abnormality noted. Small fat-containing ventral abdominal wall defect superior to the umbilicus. Right adnexal simple cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild intrinsic hyperattenuating fluid collection in the pelvis represents small hemoperitoneum, likely postoperative in nature. [/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'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: 'heart': clinical findings_fin: 'heart normal size': 'clinical finding': 'heart normal size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']clinical findings_fin: 'large right breast mass': 'clinical finding': 'large right breast mass', 'existence': 'pos_dx', 'descriptive_term': 'large right breast', 'observation': 'mass', 'strength_term': 'large'size_fin: ['size': '4.8 x 4.2 cm']location descriptor_fin: ['contralateral']clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy', 'contralateral breast mass': 'clinical finding': 'contralateral breast mass', 'existence': 'neg_dx', 'descriptive_term': 'contralateral breast', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 femur': clinical findings_fin: 'subcentimeter sclerotic focus': 'clinical finding': 'subcentimeter sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter sclerotic', 'observation': 'focus'clinical findings_fin: 'additional bone lesions': 'clinical finding': 'additional bone lesions', 'existence': 'neg_dx', 'descriptive_term': 'additional bone', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Central venous catheter tip at the SVC or RA junction. Heart normal size. No pericardial effusion. No mediastinal lymphadenopathy. Large right breast mass has increased in size since the prior examination. It measures 4.8 x 4.2 cm on axial image 33/206. No axillary lymphadenopathy or contralateral breast mass identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter sclerotic focus within the intertrochanteric region of the right femur has been stable since 2005 and most likely presents a benign bone island. No additional bone lesions identified. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'large heterogeneous signal brainstem mass': 'clinical finding': 'large heterogeneous signal brainstem mass', 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous signal brainstem', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'third ventricle': , 'prepontine cistern': clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'anatomical entity_fin: 'lateral ventricles': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'increased': 'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase'clinical findings_fin: 'obstructive hydrocephalus': 'clinical finding': 'obstructive hydrocephalus', 'existence': 'unc_dx', 'descriptive_term': 'obstructive', 'observation': 'hydrocephalus'clinical findings_fin: 'intra-or extra axial hemorrhage': 'clinical finding': 'intra-or extra axial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intra-or extra axial', 'observation': 'hemorrhage', '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: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'paranasal sinuses': , 'orbits': , 'mastoid air cells': clinical findings_fin: 'calvarium , visualized paranasal sinuses , orbits and mastoid air cells are unremarkable': 'clinical finding': 'calvarium , visualized paranasal sinuses , orbits and mastoid air cells are unremarkable' [/INST] [RESP] Despite of different position, examination again shows a large heterogeneous signal brainstem mass with stable size and imaging features. The mass effect on the fourth and third ventricle and prepontine cistern has no significant change. The third and bilateral lateral ventricles has slightly increased in size, but is relative stable since prior. The findings are suggestive of obstructive hydrocephalus. No evidence of intra-or extra axial hemorrhage, acute cortical ischemia. Cortical sulci, and all CSF cisterns are symmetric and mild prominent, however, are stable since prior. Calvarium, visualized paranasal sinuses, orbits and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'right vertebral artery': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification' [/INST] [RESP] Examination shows patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Calcification of the right vertebral artery is present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial abscess': 'clinical finding': 'intracranial abscess', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'abscess', 'meningeal enhancement': 'clinical finding': 'meningeal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'meningeal', 'observation': 'enhancement'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'cva': 'clinical finding': 'cva', 'existence': 'neg_dx', 'observation': 'cva', '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: 'ventricles are normal in volume and morphology': 'clinical finding': 'ventricles are normal in volume and morphology'clinical findings_fin: 'osseous structures are within normal limits': 'clinical finding': 'osseous structures are within normal limits'clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'middle ear': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left middle ear opacification': 'clinical finding': 'left middle ear opacification', 'existence': 'pos_dx', 'descriptive_term': 'left middle ear', 'observation': 'opacification', 'otitis media': 'clinical finding': 'otitis media', 'existence': 'pos_dx', 'descriptive_term': 'otitis', 'observation': 'media' [/INST] [RESP] No evidence of intracranial abscess or meningeal enhancement. No evidence of intracranial hemorrhage, CVA, mass, or midline shift. The ventricles are normal in volume and morphology. The osseous structures are within normal limits. There is opacification of the partially visualized ethmoid sinuses. Left middle ear opacification may represent otitis media. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'scalp': , 'cheek': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'moderate left temporal scalp swelling': 'clinical finding': 'moderate left temporal scalp swelling', 'existence': 'pos_dx', 'descriptive_term': 'moderate left temporal scalp', 'observation': 'swell', 'strength_term': 'moderate'anatomical entity_fin: 'temporalis muscle': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'skull': imaging observation_fin: ['hematoma']clinical findings_fin: 'discrete soft tissue hematoma': 'clinical finding': 'discrete soft tissue hematoma', 'existence': 'neg_dx', 'descriptive_term': 'discrete soft tissue', 'observation': 'hematoma', '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 the sulci have normal size and configuration': 'clinical finding': 'ventricles and the sulci have normal size and configuration'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: 'focal parenchymal lesion': 'clinical finding': 'focal parenchymal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal parenchymal', 'observation': 'lesion', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'anatomical entity_fin: 'cheek': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left cheek swelling': 'clinical finding': 'left cheek swelling', 'existence': 'pos_dx', 'descriptive_term': 'left cheek', 'observation': 'swell', 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'orbits': , 'maxilla': , 'mandible': , 'skull': 'location descriptor': 'central', 'base': location descriptor_fin: ['central']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'temporomandibular joints': clinical findings_fin: 'temporomandibular joints are anatomically located': 'clinical finding': 'temporomandibular joints are anatomically located'anatomical entity_fin: 'fluid': imaging observation_fin: ['blood']location descriptor_fin: ['right', 'left']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'blood': 'clinical finding': 'blood', 'existence': 'unc_dx', 'observation': 'blood'clinical findings_fin: 'unrelated sinus disease': 'clinical finding': 'unrelated sinus disease', 'existence': 'unc_dx', 'descriptive_term': 'unrelated sinus', 'observation': 'disease', 'crying': 'clinical finding': 'crying', 'existence': 'unc_dx', 'observation': 'cry'anatomical entity_fin: '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'anatomical entity_fin: 'globe': , 'lens': imaging observation_fin: ['hematoma']clinical findings_fin: 'lens dislocation': 'clinical finding': 'lens dislocation', 'existence': 'neg_dx', 'descriptive_term': 'lens', 'observation': 'dislocation', 'retrobulbar hematoma': 'clinical finding': 'retrobulbar hematoma', 'existence': 'neg_dx', 'descriptive_term': 'retrobulbar', 'observation': 'hematoma'location descriptor_fin: ['upper']clinical findings_fin: 'visualized upper aerodigestive tract is also unremarkable': 'clinical finding': 'visualized upper aerodigestive tract is also unremarkable'anatomical entity_fin: 'tonsils': location descriptor_fin: ['upper']clinical findings_fin: 'upper cervical lymph nodes': 'clinical finding': 'upper cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'upper cervical lymph', 'observation': 'node' [/INST] [RESP] .There is mild-moderate left temporal scalp swelling extending over the left forehead and left cheek. The left temporalis muscle is enlarged. No discrete soft tissue hematoma and no skull fracture. There is no acute intracranial hemorrhage or extra-axial collection. The ventricles and the sulci have normal size and configuration. Gray-white matter differentiation is preserved. There is no focal parenchymal lesion or mass. There is no mass effect, midline shift, or basal cistern effacement. Despite presence of the left cheek swelling, there is no evidence of a fracture with special attention to the left tripod region. Specifically, there is no fracture of the bony orbits, maxilla, zygoma, mandible, or central skull base. The temporomandibular joints are anatomically located. There is some dependent fluid and debris within the right sphenoid and left maxillary sinuses, low attenuation and not felt to represent blood. It may be secondary to unrelated sinus disease or crying. Mastoid air cells are also clear. Orbital contents are unremarkable. No globe disruption, lens dislocation, or retrobulbar hematoma. Visualized upper aerodigestive tract is also unremarkable. Prominent adenoid or tonsils and upper cervical lymph nodes are common at this age. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'periventricular and subcortical hypoattenuation': 'clinical finding': 'periventricular and subcortical hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical', 'observation': 'hypoattenuation', 'moderate to severe small vessel ischemic disease': 'clinical finding': 'moderate to severe small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe small vessel ischemic', 'observation': 'disease', 'strength_term': 'moderate - severe - small'clinical findings_fin: 'ventricles and sulci are normal for the patients age': 'clinical finding': 'ventricles and sulci are normal for the patients age'clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'neg_dx', 'observation': 'effacement'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'territorial infarction': 'clinical finding': 'territorial infarction', 'existence': 'neg_dx', 'descriptive_term': 'territorial', 'observation': 'infarction'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'skull fracture': 'clinical finding': 'skull fracture', 'existence': 'neg_dx', 'descriptive_term': 'skull', 'observation': 'fracture'anatomical entity_fin: 'scalp': clinical findings_fin: 'scalp trauma': 'clinical finding': 'scalp trauma', 'existence': 'neg_dx', 'descriptive_term': 'scalp', 'observation': 'trauma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Periventricular and subcortical hypoattenuation is again seen consistent with moderate to severe small vessel ischemic disease. The ventricles and sulci are normal for the patients age. There is no effacement of the basal cisterns. There is no evidence for intracranial hemorrhage, masses, or midline shift. The gray-white matter junction is preserved and there is no evidence of territorial infarction. There are no extraaxial fluid collections or subdural hematomas. The calvaria and skull base are normal without evidence of skull fracture. No evidence of scalp trauma. The visualized portions of the paranasal sinuses and mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: 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'anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'mild scattered patchy cerebral white matter hypoattenuation': 'clinical finding': 'mild scattered patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered patchy cerebral white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. There is mild scattered patchy cerebral white matter hypoattenuation. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There are bilateral lens implants. [/RESP]</s> |
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