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<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'fluid': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'visualized bony structures are normal': 'clinical finding': 'visualized bony structures are normal'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left maxillary sinus retention cyst': 'clinical finding': 'left maxillary sinus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'left maxillary sinus retention', 'observation': 'cyst' [/INST] [RESP] VENTRICLES/.No midline shift. CSF spaces appropriate for patient age. No abnormal mass lesions, edema, or hemorrhage. No fluid collections. No evidence of hemorrhage. No fractures. Visualized bony structures are normal. Left maxillary sinus retention cyst. [/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'anatomical entity_fin: 'left temporal lobes': , 'pons': imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: '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: 'lens': clinical findings_fin: 'lens prostheses': 'clinical finding': 'lens prostheses', 'existence': 'pos_dx', 'descriptive_term': 'lens', 'observation': 'prosthes' [/INST] [RESP] There is patchy hypoattenuation in the cerebral white matter. There are foci of calcification in the right parietal and left temporal lobes as well as in the pons. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Lens prostheses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['right', 'posterior', 'left']anatomical entity_fin: 'temporal lobe': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'extensive residual peritumoral vasogenic edema': 'clinical finding': 'extensive residual peritumoral vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'extensive residual peritumoral vasogenic', 'observation': 'edema', 'strength_term': 'extensive', 'temporal_term': 'residual', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'size_fin: ['size': '26 x 22', 'size_descriptor': 'cavity']imaging observation_fin: ['blood']clinical findings_fin: 'resected tumor surgical cavity': 'clinical finding': 'resected tumor surgical cavity', 'existence': 'pos_dx', 'descriptive_term': 'resected tumor surgical', 'observation': 'cavity', 'change_term': 'resected', 'minimal expected postoperative blood': 'clinical finding': 'minimal expected postoperative blood', 'existence': 'pos_dx', 'descriptive_term': 'minimal expected postoperative', 'observation': 'blood', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'surgical cavity': 'clinical finding': 'surgical cavity', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'cavity', 'surgical approach': 'clinical finding': 'surgical approach', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'approach'location descriptor_fin: ['right']clinical findings_fin: 'extensive subarachnoid air': 'clinical finding': 'extensive subarachnoid air', 'existence': 'pos_dx', 'descriptive_term': 'extensive subarachnoid', 'observation': 'air', 'strength_term': 'extensive'size_fin: ['size': '5 mm', 'size_descriptor': 'combination']location descriptor_fin: ['midline']clinical findings_fin: 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change', 'residual peritumoral vasogenic edema': 'clinical finding': 'residual peritumoral vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'residual peritumoral vasogenic', 'observation': 'edema', 'temporal_term': 'residual'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'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' [/INST] [RESP] Nonenhanced head. There is evidence of interval right posterior temporal left parietal craniotomy. Extensive residual peritumoral vasogenic edema in the right anterior and mid temporal lobe is again identified and without convincing evidence of change since prior preoperative studies. Resected tumor surgical cavity measures approximately 26 x 22-mm in size and with minimal expected postoperative blood within the surgical cavity and along the surgical approach. Extensive subarachnoid air primarily in the right hemisphere is present. Combination of postop changes and residual peritumoral vasogenic edema results in leftward midline shift of approximately 5 mm which is not significantly different than preoperative studies. No evidence of hydrocephalus. No evidence of an acute intracranial hemorrhage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left putamen': clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', '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', 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild' [/INST] [RESP] There is a focus of hypoattenuation in the left putamen. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear except for mild mucosal thickening in the maxillary sinuses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior']clinical findings_fin: 'mild posterior plagiocephaly': 'clinical finding': 'mild posterior plagiocephaly', 'existence': 'pos_dx', 'descriptive_term': 'mild posterior', 'observation': 'plagiocephaly', 'strength_term': 'mild'anatomical entity_fin: 'cranial sutures': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits and intracranial structures are grossly unremarkable': 'clinical finding': 'orbits and intracranial structures are grossly unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is mild posterior plagiocephaly. However, the major cranial sutures are patent. The orbits and intracranial structures are grossly unremarkable. The paranasal sinuses, mastoid air cells, and middle ear cavities are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple mildly prominent mediastinal lymph nodes': 'clinical finding': 'multiple mildly prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple mildly prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent', 'quantity_term': 'multiple'anatomical entity_fin: 'breast': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral breast prostheses': 'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'location descriptor_fin: ['right']clinical findings_fin: 'markedly enlarged right axillary lymphadenopathy': 'clinical finding': 'markedly enlarged right axillary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'markedly enlarged right axillary', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'size_fin: ['size': '2.5 x 2.8 cm', 'size': '2.8 x 2.8 cm']clinical findings_fin: 'reference lymph node': 'clinical finding': 'reference lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference lymph', 'observation': 'node'anatomical entity_fin: 'chest': 'location descriptor': 'left', 'right atrium': location descriptor_fin: ['left', 'distal']object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hypoattenuating liver lesions': 'clinical finding': 'multiple hypoattenuating liver lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating liver', 'observation': 'lesion', 'quantity_term': 'multiple'size_fin: ['size': '2.9 x 3.5 cm', 'size': '2.6 x 2.6 cm']anatomical entity_fin: 'lobe': location descriptor_fin: ['inferior', 'right']clinical findings_fin: 'reference inferior right hepatic lobe lesion': 'clinical finding': 'reference inferior right hepatic lobe lesion', 'existence': 'pos_dx', 'descriptive_term': 'reference inferior right hepatic lobe', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'right kidney': location descriptor_fin: ['upper', 'lower']clinical findings_fin: 'non-obstructing calculi': 'clinical finding': 'non-obstructing calculi', 'existence': 'pos_dx', 'descriptive_term': 'non-obstructing', 'observation': 'calculi'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'vertebrae': , 'pelvis': clinical findings_fin: 'osseous metastases': 'clinical finding': 'osseous metastases', 'existence': 'pos_dx', 'descriptive_term': 'osseous', 'observation': 'metastase' [/INST] [RESP] . No significant abnormality noted. Multiple mildly prominent mediastinal lymph nodes, unchanged. Bilateral breast prostheses. Markedly enlarged right axillary lymphadenopathy. The reference lymph node measures 2.5 x 2.8 cm, slightly decreased from 2.8 x 2.8 cm. Port-a-Cath is seen within the left chest with the distal tip terminating in the right atrium. Multiple hypoattenuating liver lesions have increased in size. The reference inferior right hepatic lobe lesion measures 2.9 x 3.5 cm, increased from 2.6 x 2.6 cm. No significant abnormality noted. No significant abnormality noted. Non-obstructing calculi are seen within the upper and lower pole of the right kidney. No significant abnormality noted. No retroperitoneal lymphadenopathy is noted. No significant abnormality noted. Mottled appearance of multiple vertebrae and the bony pelvis, compatible with osseous metastases as seen on the recent bone scan. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left', 'eyelid': 'location descriptor': 'left upper'imaging observation_fin: ['heterogeneous enhancement']location descriptor_fin: ['left', 'upper']clinical findings_fin: 'thickening and heterogeneous enhancement': 'clinical finding': 'thickening and heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'thickening and heterogeneous', 'observation': 'enhancement', 'heterogeneous enhancement': 'clinical finding': 'heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'enhancement'anatomical entity_fin: 'lacrimal sac': , 'nasolacrimal duct': clinical findings_fin: 'inflammation': 'clinical finding': 'inflammation', 'existence': 'pos_dx', 'observation': 'inflammation'anatomical entity_fin: 'rim': imaging observation_fin: ['enhancing']clinical findings_fin: 'rim enhancing fluid collection': 'clinical finding': 'rim enhancing fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'rim enhancing fluid', 'observation': 'collection'imaging observation_fin: ['fat']clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'stranding': 'clinical finding': 'stranding', 'existence': 'neg_dx', 'observation': 'strand'anatomical entity_fin: 'globe': clinical findings_fin: 'contour': 'clinical finding': 'contour', 'existence': 'pos_dx', 'observation': 'contour'clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'cells': location descriptor_fin: ['anterior']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'circumferential mucosal thickening': 'clinical finding': 'circumferential mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential mucosal', 'observation': 'thickening'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'palatine tonsils': clinical findings_fin: 'mild enlargement': 'clinical finding': 'mild enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'enlargement', 'strength_term': 'mild', 'adenoidal': 'clinical finding': 'adenoidal', 'existence': 'pos_dx', 'observation': 'adenoidal', 'symmetric enlargement': 'clinical finding': 'symmetric enlargement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enlargement', 'palatine tonsils': 'clinical finding': 'palatine tonsils', 'existence': 'pos_dx', 'descriptive_term': 'palatine', 'observation': 'tonsil'anatomical entity_fin: 'neck': , 'left parotid gland': clinical findings_fin: 'multiple visible lymph nodes': 'clinical finding': 'multiple visible lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple visible lymph', 'observation': 'node', 'quantity_term': 'multiple', 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node' [/INST] [RESP] Thickening and heterogeneous enhancement of the soft tissues overlying the left frontal sinus is present with enlargement and heterogeneous enhancement as well of the left upper eyelid. Inflammation extends to the lacrimal sac and nasolacrimal duct medially. No evidence of a rim enhancing fluid collection internally. No evidence of abnormal enhancement or stranding of the intraorbital fat. The globe is normal in contour. Extra ocular muscles are not enlarged. Mucosal thickening of the ethmoid air cells are present with partial opacification of a few anterior ethmoid air cells. Circumferential mucosal thickening of the left maxillary sinus is present with frothy secretions internally. Visualized intracranial contents are unremarkable. Mastoid air cells are clear. Mild enlargement of the adenoidal soft tissues is present with symmetric enlargement of the palatine tonsils. Multiple visible lymph nodes are present along both sides of the neck including lymph nodes within the left parotid gland, most likely reactive in nature. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'scalp': location descriptor_fin: ['left']clinical findings_fin: 'mild left frontoparietal scalp thickening': 'clinical finding': 'mild left frontoparietal scalp thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild left frontoparietal scalp', 'observation': 'thickening', 'strength_term': 'mild', 'prior trauma': 'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is no intracranial hemorrhage, edema, midline shift, or abnormal extraaxial fluid collections. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. The osseous structures are intact. Mild left frontoparietal scalp thickening may be related to prior trauma. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pons': clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'anatomical entity_fin: 'heads': location descriptor_fin: ['bilateral']clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'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: 'fluid': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Hypodensity is present within the white matter and pons without associated mass effect. Focal regions of hypodensity are noted involving bilateral caudate heads and bilateral PICA territories. 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. Mucosal thickening with superimposed layering fluid is noted in the left maxillary sinus. The remaining visualized portions of 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: imaging observation_fin: ['reticulation']clinical findings_fin: 'diffuse subpleural reticulation': 'clinical finding': 'diffuse subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subpleural', 'observation': 'reticulation', 'associated honeycombing': 'clinical finding': 'associated honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'honeycombing', 'architectural distortions': 'clinical finding': 'architectural distortions', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe granuloma': 'clinical finding': 'right upper lobe granuloma', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'granuloma'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'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'prior coronary arterial bypass grafting': 'clinical finding': 'prior coronary arterial bypass grafting', 'existence': 'pos_dx', 'descriptive_term': 'prior coronary arterial bypass', 'observation': 'grafting'clinical findings_fin: 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '1.4 cm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'nonspecific 1.4 cm nodule': 'clinical finding': 'nonspecific 1.4 cm nodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific 1 4 cm', 'observation': 'nodule' [/INST] [RESP] . There is diffuse subpleural reticulation with a basilar preponderance, with associated honeycombing and architectural distortions including traction bronchiectasis. Right upper lobe granuloma. No pleural effusion or pneumothorax. Postsurgical changes compatible with prior coronary arterial bypass grafting. No significant mediastinal lymphadenopathy noted. The heart size is normal. Severe. No significant lymphadenopathy noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Nonspecific 1.4 cm nodule in the left lobe of the thyroid. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['proximal']clinical findings_fin: 'evaluation limited to the proximal segmental levels due to poor bolus timing': 'clinical finding': 'evaluation limited to the proximal segmental levels due to poor bolus timing'anatomical entity_fin: 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus', 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'clinical findings_fin: 'scattered calcified and noncalcified pulmonary micronodules': 'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pleural or pericardial effusion': 'clinical finding': 'pleural or pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural or pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'splenic parenchymal calcifications': 'clinical finding': 'splenic parenchymal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic parenchymal', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'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] . Evaluation limited to the proximal segmental levels due to poor bolus timing. No evidence of pulmonary embolus or right heart strain. Scattered calcified and noncalcified pulmonary micronodules suggest prior granulomatous disease. The heart size is normal as is the caliber of the great vessels. There is no pleural or pericardial effusion. There is no mediastinal or hilar lymphadenopathy. None. Mild degenerative changes affect the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Splenic parenchymal calcifications suggest prior granulomatous disease. Small hiatal hernia. [/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', 'right', 'left']clinical findings_fin: 'subpleural consolidation': 'clinical finding': 'subpleural consolidation', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'consolidation', 'interstitial opacities': 'clinical finding': 'interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'opacity', 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'interstitial pulmonary fibrosis': 'clinical finding': 'interstitial pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'interstitial pulmonary', 'observation': 'fibrosis'clinical findings_fin: 'definite honeycombing': 'clinical finding': 'definite honeycombing', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'honeycombing'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']procedure_fin: ['biopsy']clinical findings_fin: 'right lower lobe staples': 'clinical finding': 'right lower lobe staples', 'existence': 'unc_dx', 'descriptive_term': 'right lower lobe', 'observation': 'staple'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'ribs': 'location descriptor': 'right lateral'location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'deformity': 'clinical finding': 'deformity', 'existence': 'unc_dx', 'observation': 'deformity'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] . Upper lobe predominant, right greater than left, subpleural consolidation, interstitial opacities, architectural distortion and traction bronchiectasis is compatible with interstitial pulmonary fibrosis, unchanged from the previous exam dated 11/8/2011. No definite honeycombing. No pleural effusions. No evidence of air trapping. Right lower lobe staples likely from prior biopsy. Mildly enlarged mediastinal lymph nodes are likely reactive in etiology. The heart is normal in size without evidence of a pericardial effusion. Deformity of the right lateral ribs is likely from prior surgery. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment': 'clinical finding': 'post-treatment', 'existence': 'pos_dx', 'observation': 'post', 'mass lesions': 'clinical finding': 'mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'oropharynx': clinical findings_fin: 'unchanged asymmetry': 'clinical finding': 'unchanged asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'asymmetry', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'salivary glands': , 'submandibular glands': location descriptor_fin: ['bilateral']clinical findings_fin: 'small hypodense bilateral thyroid nodules': 'clinical finding': 'small hypodense bilateral thyroid nodules', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense bilateral thyroid', 'observation': 'nodule', 'strength_term': 'small', 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unchanged': 'clinical finding': 'osseous structures are unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Again seen are post-treatment findings in the neck without evidence of mass lesions or significant cervical lymphadenopathy. Unchanged asymmetry of the oropharynx. The thyroid and salivary glands are unchanged including small hypodense bilateral thyroid nodules and atrophy of the submandibular glands. The major cervical vessels are patent. The osseous structures are unchanged. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'previously described nodule': 'clinical finding': 'previously described nodule', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'nodule'size_fin: ['size': '3 mm']clinical findings_fin: 'high resolution': 'clinical finding': 'high resolution', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'resolution'clinical findings_fin: 'associated scarring': 'clinical finding': 'associated scarring', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'scarr', 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis', 'resolution': 'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'previously described micronodules': 'clinical finding': 'previously described micronodules', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'micronodule'clinical findings_fin: 'previously referenced nodule': 'clinical finding': 'previously referenced nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously referenced', 'observation': 'nodule'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'stable calcified granulomas': 'clinical finding': 'stable calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'stable calcified', 'observation': 'granuloma', 'strength_term': 'stable', 'change_term': 'stable - calcified'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'middle lobe subpleural opacity': 'clinical finding': 'middle lobe subpleural opacity', 'existence': 'pos_dx', 'descriptive_term': 'middle lobe subpleural', 'observation': 'opacity'imaging observation_fin: ['apical']location descriptor_fin: ['centrilobular']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr', 'severe centrilobular and paraseptal emphysema': 'clinical finding': 'severe centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'size_fin: ['size': '11 mm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'previous identified left hilar node': 'clinical finding': 'previous identified left hilar node', 'existence': 'pos_dx', 'descriptive_term': 'previous identified left hilar', 'observation': 'node', 'temporal_term': 'previous'size_fin: ['size': '11 mm', 'size_descriptor': 'node']location descriptor_fin: ['anterior']clinical findings_fin: 'anterior mediastinal node': 'clinical finding': 'anterior mediastinal node', 'existence': 'pos_dx', 'descriptive_term': 'anterior mediastinal', 'observation': 'node'anatomical entity_fin: 'thyroid gland': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'several cysts': 'clinical finding': 'several cysts', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'cyst', 'quantity_term': 'several'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size remains normal': 'clinical finding': 'heart size remains normal'clinical findings_fin: 'interval pericardial effusion': 'clinical finding': 'interval pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'interval pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple cystic lesions': 'clinical finding': 'multiple cystic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple cystic', 'observation': 'lesion', 'quantity_term': 'multiple', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'pos_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'changed': 'clinical finding': 'changed', 'existence': 'neg_dx', 'observation': 'change'clinical findings_fin: 'stable hepatic calcifications': 'clinical finding': 'stable hepatic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic', 'observation': 'calcification', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP] . The previously described nodule in the left upper lobe is smaller at this time. It measures approximately a 3 mm and demonstrates a more ovoid rather than rounded shape. This is confirmed on high resolution imaging. Given the associated scarring and fibrosis, this may be postinflammatory however, continued surveillance and to ensure stability or resolution in 12 months is recommended. One of the previously described micronodules within the left upper lobe has remained stable. The previously referenced nodule on 4/7/12 is no longer visualized. Stable calcified granulomas within the right upper and lower lobes. Right middle lobe subpleural opacity remains stable. Apical scarring, severe centrilobular and paraseptal emphysema unchanged. The previous identified left hilar node is unchanged, 11 mm. The anterior mediastinal node remains stable at 11 mm. Several cysts occupy the left thyroid gland and isthmus. The heart size remains normal. No interval pericardial effusion. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple cystic lesions of various sizes in the kidneys not as well characterized without intravenous contrast. These do not appear significantly changed in size. Stable hepatic calcifications when correlated to 3/15/2011. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prior groundglass opacities': 'clinical finding': 'prior groundglass opacities', 'existence': 'neg_dx', 'descriptive_term': 'prior groundglass', 'observation': 'opacity'anatomical entity_fin: 'pleura': 'location descriptor': 'posterior lateral'location descriptor_fin: ['left', 'posterior', 'lateral']clinical findings_fin: 'unchanged left posterior lateral pleural thickening': 'clinical finding': 'unchanged left posterior lateral pleural thickening', 'existence': 'unc_dx', 'descriptive_term': 'unchanged left posterior lateral pleural', 'observation': 'thickening', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'benign solitary fibrous tumor': 'clinical finding': 'benign solitary fibrous tumor', 'existence': 'unc_dx', 'descriptive_term': 'benign solitary fibrous', 'observation': 'tumor', 'strength_term': 'benign'clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'clinical findings_fin: 'tracheobronchial megaly': 'clinical finding': 'tracheobronchial megaly', 'existence': 'pos_dx', 'descriptive_term': 'tracheobronchial', 'observation': 'megaly', 'copd': 'clinical finding': 'copd', 'existence': 'unc_dx', 'observation': 'copd'anatomical entity_fin: 'spine': clinical findings_fin: 'hypertrophic degenerative abnormalities': 'clinical finding': 'hypertrophic degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'hypertrophic degenerative', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': , 'diaphragm': location descriptor_fin: ['right']clinical findings_fin: 'presumed hemangioma': 'clinical finding': 'presumed hemangioma', 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'hemangioma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube identified': 'clinical finding': 'gastrostomy tube identified'anatomical entity_fin: 'lumbar spine': clinical findings_fin: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality', 'retrolisthesis': 'clinical finding': 'retrolisthesis', 'existence': 'pos_dx', 'observation': 'retrolisthesis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Prior groundglass opacities have resolved. Unchanged left posterior lateral pleural thickening likely postinflammatory or a benign solitary fibrous tumor of the pleura. No evidence of metastases. Tracheobronchial megaly unchanged, suggestive of COPD. None. Hypertrophic degenerative abnormalities affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Presumed hemangioma right hepatic lobe near the diaphragm, unchanged. No significant abnormality noted. No significant abnormality noted. Left renal cyst. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. Gastrostomy tube identified. Degenerative abnormalities affect the lumbar spine, with a retrolisthesis at L2-3, L3-4, and L4-5. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary or pleural abnormalities': 'clinical finding': 'pulmonary or pleural abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'abnormality'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping', 'interstitial disease': 'clinical finding': 'interstitial disease', 'existence': 'neg_dx', 'descriptive_term': 'interstitial', 'observation': 'disease'anatomical entity_fin: 'thyroid gland': , 'lobes': clinical findings_fin: 'mild enlargement': 'clinical finding': 'mild enlargement', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'enlargement', 'strength_term': 'mild', 'thyroid gland': 'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland', 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No pulmonary or pleural abnormalities identified. No significant air trapping or evidence of interstitial disease. Mild enlargement of the thyroid gland with hypodensities in both lobes similar in appearance to the prior exam. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'size_fin: ['size': '32 mm', 'size_descriptor': 'artery']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'large bilateral pleural effusions': 'clinical finding': 'large bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral pleural', 'observation': 'effusion', 'strength_term': 'large'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'left lung': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'associated near complete atelectasis': 'clinical finding': 'associated near complete atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated near complete', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'left lung': 'clinical finding': 'left lung', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'lung'anatomical entity_fin: 'lung': clinical findings_fin: 'remaining aerated': 'clinical finding': 'remaining aerated', 'existence': 'pos_dx', 'descriptive_term': 'remaining', 'observation': 'aerate'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'anatomical entity_fin: 'hepatic veins': location descriptor_fin: ['left']clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'left ventricular hypertrophy': 'clinical finding': 'left ventricular hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular', 'observation': 'hypertrophy', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'extensive coronary and aortic atherosclerotic calcifications': 'clinical finding': 'extensive coronary and aortic atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive coronary and aortic atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive'clinical findings_fin: 'hilar mass': 'clinical finding': 'hilar mass', 'existence': 'neg_dx', 'descriptive_term': 'hilar', 'observation': 'mass', 'however extensive architectural distortion': 'clinical finding': 'however extensive architectural distortion', 'existence': 'neg_dx', 'descriptive_term': 'however extensive architectural', 'observation': 'distortion', 'strength_term': 'extensive', 'large pleural effusions': 'clinical finding': 'large pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large pleural', 'observation': 'effusion', 'strength_term': 'large', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'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', 'accentuated kyphosis': 'clinical finding': 'accentuated kyphosis', 'existence': 'pos_dx', 'descriptive_term': 'accentuated', 'observation': 'kyphosis'clinical findings_fin: 'focal osseous lesions': 'clinical finding': 'focal osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'hepatic veins': , 'heart': location descriptor_fin: ['right']clinical findings_fin: 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast' [/INST] [RESP] . Technically adequate exam with no pulmonary emboli. The main pulmonary artery is slightly dilated at 32 mm. Large bilateral pleural effusions, left greater than right. There is associated near complete atelectasis and consolidation of the right lower lobe and the left lung. The remaining aerated lung tissue is unremarkable. No suspicious pulmonary nodules. Cardiomegaly with left ventricular hypertrophy, straightening of the intraventricular septum, and relux of contrast into the hepatic veins. No pericardial effusion. Extensive coronary and aortic atherosclerotic calcifications. No hilar mass is identified, however extensive architectural distortion from the large pleural effusions and atelectasis limits evaluation. No axillary lymphadenopathy. Moderate degenerative changes in the thoracic spine with accentuated kyphosis. No focal osseous lesions. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Reflux of contrast into the hepatic veins, suggestive of elevated right-sided heart pressures. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'right hemithorax': , 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'linear opacities': 'clinical finding': 'linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'opacity', 'consistent atelectasis': 'clinical finding': 'consistent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'consistent', 'observation': 'atelectasis', 'persistent right middle lobe atelectasis': 'clinical finding': 'persistent right middle lobe atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'persistent right middle lobe', 'observation': 'atelectasis', 'temporal_term': 'persistent', 'scar': 'clinical finding': 'scar', 'existence': 'unc_dx', 'observation': 'scar'anatomical entity_fin: 'left lung': clinical findings_fin: 'few vague groundglass nodules': 'clinical finding': 'few vague groundglass nodules', 'existence': 'unc_dx', 'descriptive_term': 'few vague groundglass', 'observation': 'nodule', 'quantity_term': 'few', 'likely atelectasis': 'clinical finding': 'likely atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'atelectasis'size_fin: ['size': '10.5 x 7.7 cm', 'size': '9.0 cm']location descriptor_fin: ['right', 'anterior', 'central']clinical findings_fin: 'large heterogeneous right anterior mediastinal mass': 'clinical finding': 'large heterogeneous right anterior mediastinal mass', 'existence': 'pos_dx', 'descriptive_term': 'large heterogeneous right anterior mediastinal', 'observation': 'mass', 'strength_term': 'large', 'central necrosis': 'clinical finding': 'central necrosis', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'necrosis', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['left', 'right', 'lower']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'narrows': 'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'airway': clinical findings_fin: 'compression': 'clinical finding': 'compression', 'existence': 'unc_dx', 'observation': 'compression'clinical findings_fin: 'stable small pericardial effusion': 'clinical finding': 'stable small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'stable small pericardial', 'observation': 'effusion', 'strength_term': 'stable - small', 'change_term': 'stable'anatomical entity_fin: 'pericardial lymph nodes': location descriptor_fin: ['superior']clinical findings_fin: 'multiple stable to slightly smaller prominent superior mediastinal, ap window and pericardial lymph nodes': 'clinical finding': 'multiple stable to slightly smaller prominent superior mediastinal, ap window and pericardial lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple stable to slightly smaller prominent superior mediastinal ap window and pericardial lymph', 'observation': 'node', 'strength_term': 'stable - prominent - superior', 'quantity_term': 'multiple', 'change_term': 'stable'clinical findings_fin: 'mediastinal and hilar lymphadenopathy': 'clinical finding': 'mediastinal and hilar lymphadenopathy', 'existence': 'unc_dx', 'descriptive_term': 'mediastinal and hilar', 'observation': 'lymphadenopathy', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'solid organ': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'previously identified pancreatic and right renal masses': 'clinical finding': 'previously identified pancreatic and right renal masses', 'existence': 'neg_dx', 'descriptive_term': 'previously identified pancreatic and right renal', 'observation': 'mass' [/INST] [RESP] . Interval resolution of small bilateral pleural effusions. Linear opacities in the right hemithorax, consistent atelectasis persistent right middle lobe atelectasis or scar. A few vague groundglass nodules in the left lung likely atelectasis. Decrease in size of large heterogeneous right anterior mediastinal mass with central necrosis, now measuring approximately 10.5 X 7.7 cm in transaxial dimension and 9.0 cm in craniocaudal dimension please note comparable measurements limited by lack of intravenous contrast. This mass displaces mediastinal structures to the left and narrows the right middle or lower lobe bronchi. There is possibly minimal improvement in compression of the airway. Stable small pericardial effusion. Multiple stable to slightly smaller prominent superior mediastinal, AP window and pericardial lymph nodes. Mediastinal and hilar lymphadenopathy is difficult to evaluate due to lack of intravenous contrast. Interval removal of left PICC line catheter. The vascular structures are not able to be evaluated due to lack of intravenous contrast. Significant decrease in size of axillary lymphadenopathy. Solid organ evaluation limited by lack of intravenous contrast. As such, previously identified pancreatic and right renal masses are not identified. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '10 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'axis': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference nodule': 'clinical finding': 'reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['posterior', 'right', 'upper', 'lower']clinical findings_fin: 'new prominent posterior right upper lobe nodule': 'clinical finding': 'new prominent posterior right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'new prominent posterior right upper lobe', 'observation': 'nodule', 'strength_term': 'prominent', 'temporal_term': 'new', 'prominent subpleural nodule': 'clinical finding': 'prominent subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'prominent subpleural', 'observation': 'nodule', 'strength_term': 'prominent'clinical findings_fin: 'these nodules': 'clinical finding': 'these nodules', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'nonspecific micronodules': 'clinical finding': 'nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule'anatomical entity_fin: 'left lung': clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'fluid': clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening'anatomical entity_fin: 'thoracic aorta': , 'mitral valves': clinical findings_fin: 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe', 'moderate atherosclerotic calcification': 'clinical finding': 'moderate atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate-severe degenerative changes': 'clinical finding': 'moderate-severe degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate-severe degenerative', 'observation': 'change', 'strength_term': 'moderate - severe'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral gynecomastia': 'clinical finding': 'bilateral gynecomastia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': '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] . Reference nodule in the right upper lobe has markedly increased in size now measuring 10 mm in short axis dimension on image 39 series 5. Additionally, there is a new prominent posterior right upper lobe nodule and a prominent subpleural nodule in the right lower lobe. These nodules are all compatible with metastatic disease. Nonspecific micronodules in the right lower lobe are unchanged. No suspicious nodules identified in the left lung. No mediastinal or hilar lymphadenopathy. Heart size is normal, with small amount of pericardial fluid or thickening unchanged. Severe coronary artery calcifications and moderate atherosclerotic calcification of the thoracic aorta and aortic or mitral valves are noted. Moderate-severe degenerative changes in the thoracic spine. Bilateral gynecomastia again noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'previously known lamina papyracea fracture': 'clinical finding': 'previously known lamina papyracea fracture', 'existence': 'pos_dx', 'descriptive_term': 'previously known lamina papyracea', 'observation': 'fracture'location descriptor_fin: ['left']clinical findings_fin: 'extensive soft tissue swelling': 'clinical finding': 'extensive soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'extensive soft tissue', 'observation': 'swell', 'strength_term': 'extensive' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. The previously known lamina papyracea fracture is seen once again on the current study. There is extensive soft tissue swelling over the left frontal region. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild hypodensity': 'clinical finding': 'mild hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hypodensity', 'strength_term': 'mild'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: 'lens': clinical findings_fin: 'lens prostheses': 'clinical finding': 'lens prostheses', 'existence': 'pos_dx', 'descriptive_term': 'lens', 'observation': 'prosthes'anatomical entity_fin: 'zygomatic arch': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'surgical fixation screws': 'clinical finding': 'surgical fixation screws', 'existence': 'pos_dx', 'descriptive_term': 'surgical fixation', 'observation': 'screw'anatomical entity_fin: 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mild depression deformity': 'clinical finding': 'mild depression deformity', 'existence': 'pos_dx', 'descriptive_term': 'mild depression', 'observation': 'deformity', 'strength_term': 'mild' [/INST] [RESP] There is mild hypodensity in the periventricular white matter. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Lens prostheses. Surgical fixation screws at the left zygomatic arch. Mild depression deformity of the right nasal bone. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'azygos fissure': , 'lobe': clinical findings_fin: 'azygos': 'clinical finding': 'azygos', 'existence': 'pos_dx', 'observation': 'azygo', 'normal anatomical variant': 'clinical finding': 'normal anatomical variant', 'existence': 'pos_dx', 'descriptive_term': 'normal anatomical', 'observation': 'variant', 'strength_term': '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: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'location descriptor_fin: ['central']clinical findings_fin: 'mild central intrahepatic ductal dilatation is unchanged': 'clinical finding': 'mild central intrahepatic ductal dilatation is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'common bile duct': clinical findings_fin: 'metallic common bile duct stent': 'clinical finding': 'metallic common bile duct stent', 'existence': 'pos_dx', 'descriptive_term': 'metallic common bile duct', 'observation': 'stent'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.0 x 1.4 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'pancreas': clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '3.4 x 3.2 cm']anatomical entity_fin: 'pole': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower pole mass': 'clinical finding': 'left lower pole mass', 'existence': 'pos_dx', 'descriptive_term': 'left lower pole', 'observation': 'mass'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': procedure_fin: ['brachytherapy']clinical findings_fin: 'brachytherapy prostate seeds are redemonstrated': 'clinical finding': 'brachytherapy prostate seeds are redemonstrated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Azygos fissure, and lobe is noted, which is a normal anatomical variant. No significant abnormality noted. No significant abnormality noted. Pneumobilia is redemonstrated. Mild central intrahepatic ductal dilatation is unchanged. Metallic common bile duct stent is unchanged. Cholecystectomy clips are again seen. No significant abnormality noted. 2.0 x 1.4 cm, hypodense lesion in the uncinate process of the pancreas is unchanged. No significant abnormality noted. Left lower pole mass is grossly unchanged, measuring 3.4 x 3.2 cm on series 7 image 54/66. On the prior study, size measurements were incorrectly transcribed. Bilateral renal cysts are again seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Brachytherapy prostate seeds are redemonstrated. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scoliosis and degenerative changes in the lower lumbar spine are seen. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'medtronic infusion sinus': 'clinical finding': 'medtronic infusion sinus', 'existence': 'pos_dx', 'descriptive_term': 'medtronic infusion', 'observation': 'sinus'clinical findings_fin: 'minute mucosal thickening': 'clinical finding': 'minute mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minute mucosal', 'observation': 'thickening'anatomical entity_fin: 'sphenoid sinus': , 'middle': clinical findings_fin: '3 chambers': 'clinical finding': '3 chambers', 'existence': 'unc_dx', 'descriptive_term': '3', 'observation': 'chamber'anatomical entity_fin: 'sphenoid sinus': , 'sphenoethmoidal recesses': 'location descriptor': 'bilateral'location descriptor_fin: ['lateral', 'bilateral']clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'focal mucosal thickening': 'clinical finding': 'focal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'focal mucosal', 'observation': 'thickening'anatomical entity_fin: 'ethmoid sinus': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal bilateral ethmoid sinus disease': 'clinical finding': 'minimal bilateral ethmoid sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal bilateral ethmoid sinus', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'subtle interval progression': 'clinical finding': 'subtle interval progression', 'existence': 'unc_dx', 'descriptive_term': 'subtle interval', 'observation': 'progression', 'strength_term': 'subtle'anatomical entity_fin: 'medial rectus muscle': 'location descriptor': 'left'imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: 'chronic blowout fracture': 'clinical finding': 'chronic blowout fracture', 'existence': 'pos_dx', 'descriptive_term': 'chronic blowout', 'observation': 'fracture', 'temporal_term': 'chronic', 'right lamina papyracea': 'clinical finding': 'right lamina papyracea', 'existence': 'pos_dx', 'descriptive_term': 'right lamina', 'observation': 'papyracea', 'mild retro-orbital fat herniation': 'clinical finding': 'mild retro-orbital fat herniation', 'existence': 'pos_dx', 'descriptive_term': 'mild retro-orbital fat', 'observation': 'herniation', 'strength_term': 'mild', 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture', 'mild deformity': 'clinical finding': 'mild deformity', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'deformity', 'strength_term': 'mild'anatomical entity_fin: 'ostiomeatal units': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'mild leftward nasal septum deviation': 'clinical finding': 'mild leftward nasal septum deviation', 'existence': 'neg_dx', 'descriptive_term': 'mild leftward nasal septum', 'observation': 'deviation', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': location descriptor_fin: ['bilateral']clinical findings_fin: 'unremarkable and well pneumatized bilateral mastoid air cells': 'clinical finding': 'unremarkable and well pneumatized bilateral mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'unremarkable and well pneumatized bilateral mastoid air', 'observation': 'cell', 'strength_term': 'unremarkable', 'middle ear cavities': 'clinical finding': 'middle ear cavities', 'existence': 'pos_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'anatomical entity_fin: 'orbits': location descriptor_fin: ['right']clinical findings_fin: 'right lamina papyracea chronic blowout fracture': 'clinical finding': 'right lamina papyracea chronic blowout fracture', 'existence': 'pos_dx', 'descriptive_term': 'right lamina papyracea chronic blowout', 'observation': 'fracture', 'temporal_term': 'chronic' [/INST] [RESP] Medtronic infusion sinus. Frontal sinuses demonstrate minute mucosal thickening in the dependent portion which appears new since prior MRI exam. Sphenoid sinus demonstrate 3 chambers with apparent isolated middle chamber which remains completely opacified and identical to prior MRI exam. The two lateral chambers of the sphenoid sinus remain well pneumatized however with occluded bilateral sphenoethmoidal recesses secondary to focal mucosal thickening. Minimal bilateral ethmoid sinus disease is also noted with suggestion of subtle interval progression since prior MRI exam. There is redemonstration of a chronic blowout fracture of right lamina papyracea with mild retro-orbital fat herniation through the fracture and mild deformity of the left medial rectus muscle. Bilateral maxillary sinuses are well pneumatized and relate patent bilateral ostiomeatal units. Images through the nasal passage demonstrate mild leftward nasal septum deviation and unremarkable otherwise. Unremarkable and well pneumatized bilateral mastoid air cells and middle ear cavities. Unremarkable images through the orbits other than above detailed right lamina papyracea chronic blowout fracture. [/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: 'prominent likely reactive retroperitoneal lymph nodes': 'clinical finding': 'prominent likely reactive retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent likely reactive retroperitoneal lymph', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']object_fin: ['drainage catheter']clinical findings_fin: 'interval drainage catheter': 'clinical finding': 'interval drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'interval drainage', 'observation': 'catheter', 'previously seen presumed bilateral tubo-ovarian abscesses': 'clinical finding': 'previously seen presumed bilateral tubo-ovarian abscesses', 'existence': 'pos_dx', 'descriptive_term': 'previously seen presumed bilateral tubo-ovarian', 'observation': 'abscess'size_fin: ['size': '7.4 x 7.6 cm', 'size': '10.0 x 9.3 cm']location descriptor_fin: ['right']clinical findings_fin: 'multiloculated cystic': 'clinical finding': 'multiloculated cystic', 'existence': 'pos_dx', 'descriptive_term': 'multiloculated', 'observation': 'cystic'location descriptor_fin: ['inferior']procedure_fin: ['drainage']clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'clinical findings_fin: 'surrounding residual induration': 'clinical finding': 'surrounding residual induration', 'existence': 'pos_dx', 'descriptive_term': 'surrounding residual', 'observation': 'induration', 'temporal_term': 'residual'size_fin: ['size': '6.4 x 4.0 cm', 'size': '6.9 x 5.3 cm']location descriptor_fin: ['left']object_fin: ['drainage catheter']clinical findings_fin: 'single drainage catheter': 'clinical finding': 'single drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'single drainage', 'observation': 'catheter', 'quantity_term': 'single'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Prominent likely reactive retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Interval drainage catheter placement within previously seen presumed bilateral tubo-ovarian abscesses. The multiloculated cystic collection on the right now measures approximately 7.4 x 7.6 cm , previously 10.0 x 9.3 cm. There is now gas within the collection, likely iatrogenic from placement of 2 pigtail drainage catheters which are in the mid and inferior portion of the collection. Surrounding residual induration remains. Similarly, on the left the collection measures 6.4 x 4.0 cm , previously 6.9 x 5.3 cm. A single drainage catheter is seen within the midportion of this collection. 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: 'associated parenchymal volume loss': 'clinical finding': 'associated parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'associated parenchymal volume', 'observation': 'loss'clinical findings_fin: 'periventricular hypodensities': 'clinical finding': 'periventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypodensity', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'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: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'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: 'occiput': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small laceration': 'clinical finding': 'small laceration', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'laceration', 'strength_term': 'small', 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'mild anterolisthesis': 'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild', 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'anatomical entity_fin: 'dens': , 'ligaments': location descriptor_fin: ['superior']clinical findings_fin: 'ossific densities': 'clinical finding': 'ossific densities', 'existence': 'pos_dx', 'descriptive_term': 'ossific', 'observation': 'density', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'ossification': 'clinical finding': 'ossification', 'existence': 'pos_dx', 'observation': 'ossification'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'pharyngeal or prevertebral soft tissue swelling': 'clinical finding': 'pharyngeal or prevertebral soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'pharyngeal or prevertebral soft tissue', 'observation': 'swell'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle ears': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']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: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'cheek': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'anatomical entity_fin: 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'arthritic changes': 'clinical finding': 'arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'arthritic', 'observation': 'change' [/INST] [RESP] Prominence of the extra-axial spaces with associated parenchymal volume loss. Periventricular hypodensities are most consistent with small vessel ischemic disease. The gray-white matter differentiation is preserved. Midline is maintained. No evidence of acute intracranial hemorrhage. Small laceration with soft tissue swelling over the right occiput is noted. The calvaria and skull base are normal without evidence of fracture. Degenerative changes of the cervical spine are seen. Mild anterolisthesis of C3 on C4 is present, likely related to the degenerative disease. Ossific densities immediately superior to the dens of C2 are likely secondary to degenerative changes from ossification of ligaments. No acute fracture is identified. No pharyngeal or prevertebral soft tissue swelling is seen. The frontal, ethmoid, sphenoid, and maxillary paranasal sinuses, the mastoid air cells and middle ears are appropriately pneumatized. Mild mucosal thickening of the right maxillary sinus is present. No fracture is identified. Soft tissue swelling of the left cheek is visualized. There is arthritic changes at left temporomandibular joint. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'stomach': object_fin: ['bezoar']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'clinical findings_fin: 'gastrointestinal obstruction': 'clinical finding': 'gastrointestinal obstruction', 'existence': 'neg_dx', 'descriptive_term': 'gastrointestinal', 'observation': 'obstruction'clinical findings_fin: 'malrotation': 'clinical finding': 'malrotation', 'existence': 'neg_dx', 'observation': 'malrotation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The stomach is dilated and filled with debris concerning for bezoar. There is no evidence of gastrointestinal obstruction. No malrotation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'prior thyroidectomy': 'clinical finding': 'prior thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thyroidectomy'size_fin: ['size': '11 x 10 mm', 'size': '11 x 10 mm']location descriptor_fin: ['left']clinical findings_fin: 'previously identified left-sided paratracheal node': 'clinical finding': 'previously identified left-sided paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'previously identified left-sided paratracheal', 'observation': 'node'anatomical entity_fin: 'anterior chest wall': , 'right clavicle': 'location descriptor': 'medial', 'sternum': , 'neck': location descriptor_fin: ['medial']clinical findings_fin: 'bony destruction': 'clinical finding': 'bony destruction', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'destruction'anatomical entity_fin: 'rib': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right rib lesion': 'clinical finding': 'right rib lesion', 'existence': 'pos_dx', 'descriptive_term': 'right rib', 'observation': 'lesion'size_fin: ['size': '1.6 x 1.6 cm']anatomical entity_fin: 'trachea': location descriptor_fin: ['right', 'posterior', 'lateral']clinical findings_fin: 'soft tissue thickening': 'clinical finding': 'soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'thickening', 'right-sided posterior lateral deformity': 'clinical finding': 'right-sided posterior lateral deformity', 'existence': 'pos_dx', 'descriptive_term': 'right-sided posterior lateral', 'observation': 'deformity'anatomical entity_fin: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'new discrete masses': 'clinical finding': 'new discrete masses', 'existence': 'neg_dx', 'descriptive_term': 'new discrete', 'observation': 'mass', 'temporal_term': 'new', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement' [/INST] [RESP] Neck. Views of the soft tissue neck show post surgical changes in the anterior neck consistent with prior thyroidectomy. The previously identified left-sided paratracheal node is again seen and currently measures 11 x 10 mm compared with prior study measurement of 11 x 10 mm. There is again soft tissue prominence seen along the anterior chest wall with bony destruction seen along the medial right clavicle as well as the visualized sternum which is only partially visualized on the CT neck. In addition, there is right rib lesion which is also partially visualized. Soft tissue thickening measuring 1.6 x 1.6 cm is also seen along the right paratracheal region at the tracheoesophageal groove causing right-sided posterior lateral deformity of the trachea. The slight difference in measurements is not significantly different. Surgical clips are also seen involving the right neck along the jugular chain region. There are no new discrete masses or areas of abnormal enhancement. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'sylvian fissures': 'clinical finding': 'sylvian fissures', 'existence': 'pos_dx', 'descriptive_term': 'sylvian', 'observation': 'fissure'clinical findings_fin: 'unchanged moderate periventricular white matter hypoattenuation': 'clinical finding': 'unchanged moderate periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged moderate periventricular white matter', 'observation': 'hypoattenuation', 'strength_term': 'unchanged - moderate', 'change_term': 'unchanged', 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small right sphenoid sinus retention cyst': 'clinical finding': 'small right sphenoid sinus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small right sphenoid sinus retention', 'observation': 'cyst', 'strength_term': 'small'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: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable' [/INST] [RESP] There is a disproportionate prominence of the third and lateral ventricles as well as the Sylvian fissures compared to the cortical sulci. There is unchanged moderate periventricular white matter hypoattenuation, most consistent with chronic ischemic small vessel disease. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, or acute hemorrhage. The osseous structures are unremarkable. There is a small right sphenoid sinus retention cyst. The mastoid air cells are clear. The orbits are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': location descriptor_fin: ['right']clinical findings_fin: 'large right pleural effusion': 'clinical finding': 'large right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'large right pleural', 'observation': 'effusion', 'strength_term': 'large', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Large right pleural effusion with atelectasis of the right lung. Small left pleural effusion. No significant abnormality noted. Heart size is normal. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral maxillary cement implants': 'clinical finding': 'bilateral maxillary cement implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary cement', 'observation': 'implant', 'multiple small, bead-like implants': 'clinical finding': 'multiple small, bead-like implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple small bead-like', 'observation': 'implant', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'maxilla': 'location descriptor': 'left', 'mandible': location descriptor_fin: ['right', 'left']clinical findings_fin: 'extensive postsurgical changes': 'clinical finding': 'extensive postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postsurgical', 'observation': 'change', 'strength_term': 'extensive', 'reconstructive changes': 'clinical finding': 'reconstructive changes', 'existence': 'pos_dx', 'descriptive_term': 'reconstructive', 'observation': 'change'anatomical entity_fin: 'maxilla': , 'mandible': clinical findings_fin: 'internal fixation': 'clinical finding': 'internal fixation', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'fixation'anatomical entity_fin: 'maxilla': , 'mandible': clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual', 'distorted': 'clinical finding': 'distorted', 'existence': 'pos_dx', 'observation': 'distort'clinical findings_fin: 'new soft tissue masses': 'clinical finding': 'new soft tissue masses', 'existence': 'neg_dx', 'descriptive_term': 'new soft tissue', 'observation': 'mass', 'temporal_term': 'new'anatomical entity_fin: 'airway': anatomical entity_fin: 'airway': location descriptor_fin: ['upper']object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'location descriptor_fin: ['midline']clinical findings_fin: 'any intracranial hemorrhage': 'clinical finding': 'any intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'any intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'unc_dx', 'descriptive_term': 'midline', 'observation': 'shift', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'clinical findings_fin: 'symmetrical': 'clinical finding': 'symmetrical', 'existence': 'pos_dx', 'observation': 'symmetrical'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'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'paranasal sinus': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'mild paranasal sinus mucosal thickening': 'clinical finding': 'mild paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus mucosal', 'observation': 'thickening', 'strength_term': 'mild' [/INST] [RESP] New since prior is removal of the bilateral maxillary cement implants, which are replaced by multiple small, bead-like implants. Re-demonstration of the extensive postsurgical changes with reconstructive changes along both right and left maxilla and mandible. There is internal fixation seen at the level of the maxilla and mandible. The bony architecture of the residual visualized maxilla and mandible appear distorted which is stable from the previous study. There is no new soft tissue masses demonstrated. There is no compromise of the pharyngeal airway. A tracheostomy tube is in the upper cervical airway. There is normal gray-white matter differentiation with no evidence of any intracranial hemorrhage, mass, mass effect, hydrocephalus, midline shift or edema. The ventricular and basal cisterns appear symmetrical. 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 paranasal sinuses and mastoid air cells are clear except for mild paranasal sinus mucosal thickening. 3D reconstruction with various measurements are provided for references. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'multiple calcified micronodules': 'clinical finding': 'multiple calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified', 'observation': 'micronodule', 'quantity_term': 'multiple', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'suspicious masses': 'clinical finding': 'suspicious masses', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'mass', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'location descriptor_fin: ['left']clinical findings_fin: 'left basilar scar': 'clinical finding': 'left basilar scar', 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'scar'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'coronary artery': clinical findings_fin: 'extensive coronary artery and aortic calcifications': 'clinical finding': 'extensive coronary artery and aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive coronary artery and aortic', 'observation': 'calcification', 'strength_term': 'extensive'clinical findings_fin: 'multiple moderately enlarged mediastinal and hilar nodes': 'clinical finding': 'multiple moderately enlarged mediastinal and hilar nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple moderately enlarged mediastinal and hilar', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'anatomical entity_fin: 'right atrium': location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right port-a-cath': 'clinical finding': 'right port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'port-a-'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Multiple calcified micronodules, compatible with prior granulomatous disease. No evidence of suspicious masses or pleural effusions. Left basilar scar is postinflammatory. The heart size is normal without pericardial effusion. Extensive coronary artery and aortic calcifications. Multiple moderately enlarged mediastinal and hilar nodes, compatible with history of prior granulomatous disease. Right Port-A-Cath with its tip in the right atrium. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '0.6 x 0.6 cm', 'size': '0.8 x 1.2 cm']anatomical entity_fin: 'right occipital lobe': imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing lesion': 'clinical finding': 'enhancing lesion', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'lesion', 'associated edema': 'clinical finding': 'associated edema', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'edema'anatomical entity_fin: 'frontal lobes': clinical findings_fin: 'punctate lesions': 'clinical finding': 'punctate lesions', 'existence': 'neg_dx', 'descriptive_term': 'punctate', 'observation': 'lesion'clinical findings_fin: 'probably slightly smaller on same day mri to which you are referred': 'clinical finding': 'probably slightly smaller on same day mri to which you are referred'anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['right']clinical findings_fin: 'postsurgical encephalomalacia': 'clinical finding': 'postsurgical encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'encephalomalacia', 'surrounding vasogenic edema': 'clinical finding': 'surrounding vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding vasogenic', 'observation': 'edema'clinical findings_fin: 'stable postsurgical enhancement': 'clinical finding': 'stable postsurgical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'enhancement', 'strength_term': 'stable', 'change_term': 'stable', 'resection bed': 'clinical finding': 'resection bed', 'existence': 'pos_dx', 'descriptive_term': 'resection', 'observation': 'bed'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: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'clinical findings_fin: 'gross intracranial hemorrhage': 'clinical finding': 'gross intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'gross intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'new parenchymal lesions': 'clinical finding': 'new parenchymal lesions', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['left', 'right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'left mastoid air cells': 'clinical finding': 'left mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'left mastoid air', 'observation': 'cell', 'trace opacification': 'clinical finding': 'trace opacification', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'opacification', 'right mastoid air cells': 'clinical finding': 'right mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'right mastoid air', 'observation': 'cell'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'otherwise , paranasal sinuses unremarkable': 'clinical finding': 'otherwise , paranasal sinuses unremarkable' [/INST] [RESP] Enhancing lesion in right occipital lobe appears decreased in size since 3/26/2011, measuring 0.6 x 0.6 cm, previously measured 0.8 x 1.2 cm -- associated edema greatly decreased. Punctate lesions in both frontal lobes which were seen on prior MRI are not visible on this exam. They were probably slightly smaller on same day MRI to which you are referred. Status post right frontal craniotomy, with postsurgical encephalomalacia in right frontal lobe and surrounding vasogenic edema appearing similar to prior study. There is also stable postsurgical enhancement along the resection bed. No mass-effect or midline shift. Ventricles and basal cisterns are normal in size and configuration. No evidence of gross intracranial hemorrhage. No new parenchymal lesions seen. Again, refer to same day MRI. Opacification of left mastoid air cells and trace opacification of right mastoid air cells. Otherwise, paranasal sinuses unremarkable. NECK [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe discoid atelectasis': 'clinical finding': 'right middle lobe discoid atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'right middle lobe discoid', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'airspace': , 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'airspace consolidation': 'clinical finding': 'airspace consolidation', 'existence': 'pos_dx', 'descriptive_term': 'airspace', 'observation': 'consolidation', 'underlying infection': 'clinical finding': 'underlying infection', 'existence': 'unc_dx', 'descriptive_term': 'underlying', 'observation': 'infection', 'pneumonia': 'clinical finding': 'pneumonia', 'existence': 'unc_dx', 'observation': 'pneumonia'follow-up_fin: follow-up recommendedclinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'anatomical entity_fin: 'breast': imaging modality_fin: ['mammography']clinical findings_fin: 'calcified and noncalcified breast nodularity': 'clinical finding': 'calcified and noncalcified breast nodularity', 'existence': 'pos_dx', 'descriptive_term': 'calcified and noncalcified breast', 'observation': 'nodularity', 'change_term': 'calcified'procedure_fin: ['cholecystectomy']location descriptor_fin: ['distal']clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'patients postcholecystectomy': 'clinical finding': 'patients postcholecystectomy', 'existence': 'unc_dx', 'descriptive_term': 'patients', 'observation': 'postcholecystectomy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'ureters': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild prominence of bilateral ureters unchanged': 'clinical finding': 'mild prominence of bilateral ureters unchanged', 'change_term': 'unchanged'clinical findings_fin: 'symmetric renal parenchymal enhancement': 'clinical finding': 'symmetric renal parenchymal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric renal parenchymal', 'observation': 'enhancement'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal hypodensities': 'clinical finding': 'bilateral renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'hypodensity'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: 'descending and sigmoid colon diverticulosis': 'clinical finding': 'descending and sigmoid colon diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'descending and sigmoid colon', 'observation': 'diverticulosis'procedure_fin: ['hysterectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'iliac lymphadenopathy': 'clinical finding': 'iliac lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'iliac', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.7 x 1.1 cm', 'size': '2.6 x 1.5 cm']size_fin: ['size': '3.5 x 2.0 cm', 'size': '3.5 x 2.5 cm']size_fin: ['size': '1.7 x 1.0 cm', 'size': '2.2 x 1.1 cm'] [/INST] [RESP] . Bibasilar and right middle lobe discoid atelectasis or scarring. New from prior study is more focal sites of airspace consolidation in left lower lobe, underlying infection or pneumonia not entirely excluded. Follow-up to resolution recommended. No pleural effusion. Small hiatal hernia. Moderate. Calcified and noncalcified breast nodularity, nonspecific and would be better assessed with dedicated mammography. Status post cholecystectomy. Biliary ductal prominence without significant change and likely secondary to patients postcholecystectomy state, distal tapering of CBD noted, overall appearance stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild prominence of bilateral ureters unchanged. Symmetric renal parenchymal enhancement. Stable too small to characterize bilateral renal hypodensities. No significant abnormality noted. Mild. Descending and sigmoid colon diverticulosis. Status post hysterectomy. No significant abnormality noted. Improvement in iliac lymphadenopathy. No significant abnormality noted. 1.7 x 1.1 cm 2.6 x 1.5 cm on prior. 3.5 x 2.0 cm 3.5 x 2.5 cm on prior. 1.7 x 1.0 cm 2.2 x 1.1 cm on prior. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3.7 x 2.9 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe lesion': 'clinical finding': 'right upper lobe lesion', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'lesion'anatomical entity_fin: 'trachea': imaging observation_fin: ['borders']location descriptor_fin: ['central']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'necrosis': 'clinical finding': 'necrosis', 'existence': 'unc_dx', 'observation': 'necrosis'clinical findings_fin: 'several scattered punctate nodules': 'clinical finding': 'several scattered punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'several scattered punctate', 'observation': 'nodule', 'quantity_term': 'several', 'calcified': 'clinical finding': 'calcified', 'existence': 'pos_dx', 'observation': 'calcified'clinical findings_fin: 'previous granulomatous disease': 'clinical finding': 'previous granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'disease', 'temporal_term': 'previous'clinical findings_fin: 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'mediastinal lymph nodes': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe mass': 'clinical finding': 'right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe', 'observation': 'mass', 'several abnormal mediastinal lymph nodes': 'clinical finding': 'several abnormal mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several abnormal mediastinal lymph', 'observation': 'node', 'quantity_term': 'several'size_fin: ['size': '1.4 x 1.2 cm', 'size_descriptor': 'node']anatomical entity_fin: 'pretracheal lymph node': clinical findings_fin: 'reference pretracheal lymph node': 'clinical finding': 'reference pretracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference pretracheal lymph', 'observation': 'node'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is within normal limits': 'clinical finding': 'heart size is within normal limits'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'several small peripancreatic lymph nodes': 'clinical finding': 'several small peripancreatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small peripancreatic lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right upper lobe lesion measures 3.7 x 2.9 cm as seen on image 18 of 134. This mass has irregular borders, abuts the trachea, and is heterogeneous in appearance with central low density which could represent necrosis. Several scattered punctate nodules, at least one of which is calcified are seen. These may relate to previous granulomatous disease. No pleural fluid. Associated with the right upper lobe mass, are several abnormal mediastinal lymph nodes. A reference pretracheal lymph node measures 1.4 x 1.2 cm is seen on image 36 of 134. Heart size is within normal limits. No pericardial effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Several small peripancreatic lymph nodes are seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small vessel disease': 'clinical finding': 'small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] Patchy subcortical low attenuation compatible with small vessel disease of indeterminate age. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': anatomical entity_fin: 'brain': , 'leptomeninges': clinical findings_fin: 'detectable abnormal enhancement': 'clinical finding': 'detectable abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'detectable abnormal', 'observation': 'enhancement', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'limited images through the orbits , paranasal sinuses and mastoid air cells': 'clinical finding': 'limited images through the orbits , paranasal sinuses and mastoid air cells' [/INST] [RESP] Pre-and post-enhanced head. No detectable abnormal enhancement of brain parenchymal or leptomeninges to suggest presence of metastatic disease. Unremarkable cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation. Calvarium is intact. Limited images through the orbits, paranasal sinuses and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lungs': clinical findings_fin: 'stable apparent ground glass parenchymal density': 'clinical finding': 'stable apparent ground glass parenchymal density', 'existence': 'pos_dx', 'descriptive_term': 'stable apparent ground glass parenchymal', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'this ground glass opacity': 'clinical finding': 'this ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'this ground glass', 'observation': 'opacity', 'diffuse emphysema': 'clinical finding': 'diffuse emphysema', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'emphysema'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'trapping', 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'clinical findings_fin: 'redistribution': 'clinical finding': 'redistribution', 'existence': 'unc_dx', 'observation': 'redistribution', 'pulmonary perfusion': 'clinical finding': 'pulmonary perfusion', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'perfusion', 'diffuse scarring': 'clinical finding': 'diffuse scarring', 'existence': 'unc_dx', 'descriptive_term': 'diffuse', 'observation': 'scarr'anatomical entity_fin: 'right lung': object_fin: ['suture']clinical findings_fin: 'patients vats': 'clinical finding': 'patients vats', 'existence': 'pos_dx', 'descriptive_term': 'patients', 'observation': 'vat'clinical findings_fin: 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'fluid': clinical findings_fin: 'small amount of pericardial fluid': 'clinical finding': 'small amount of pericardial fluid'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'mediastinal lymph nodes': 'clinical finding': 'mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'stable degenerative changes': 'clinical finding': 'stable degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'liver': clinical findings_fin: 'stable calcifications': 'clinical finding': 'stable calcifications', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'calcification', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'left kidney': object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip' [/INST] [RESP] Lack of intravenous contrast limits evaluation of solid organs and lymphadenopathy. Within this limitation, the following findings are identified. Stable apparent ground glass parenchymal density of the lungs bilaterally. This ground glass opacity is again exaggerated due to the diffuse emphysema. Air trapping on expiratory views is consistent with areas of emphysema. This appearance is of uncertain significance, but may be due to redistribution of pulmonary perfusion or diffuse scarring. Suture lines from the patients VATS are observed in the right lung. No focal consolidation or pleural effusions. The heart size is normal. Coronary artery calcifications. Small amount of pericardial fluid. Mediastinal lymph nodes are enlarged but stable in appearance. Stable degenerative changes in the thoracic spine. Stable calcifications within the liver. The left kidney is not visualized and may be removed as there are surgical clips near the renal bed. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cervical lordosis': imaging observation_fin: ['reversal']clinical findings_fin: 'cervical lordosis': 'clinical finding': 'cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'cervical', 'observation': 'lordosis', 'mild grade 1 anterolisthesis': 'clinical finding': 'mild grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild grade 1', 'observation': 'anterolisthesis', 'strength_term': 'mild'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'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'location descriptor_fin: ['bilateral']clinical findings_fin: 'calcified atherosclerosis': 'clinical finding': 'calcified atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'atherosclerosis', 'change_term': 'calcified'anatomical entity_fin: 'cervical spine': , 'intervertebral disk': , 'endplate': , 'facet': location descriptor_fin: ['anterior', 'posterior', 'right', 'bilateral']clinical findings_fin: 'diffuse multilevel degenerative disease': 'clinical finding': 'diffuse multilevel degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'diffuse multilevel degenerative', 'observation': 'disease', 'intervertebral disk height': 'clinical finding': 'intervertebral disk height', 'existence': 'pos_dx', 'descriptive_term': 'intervertebral disk', 'observation': 'height', 'endplate sclerosis': 'clinical finding': 'endplate sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'sclerosis', 'anterior or posterior disk osteophyte complexes': 'clinical finding': 'anterior or posterior disk osteophyte complexes', 'existence': 'pos_dx', 'descriptive_term': 'anterior or posterior disk osteophyte', 'observation': 'complex', 'uncovertebral osteophytes': 'clinical finding': 'uncovertebral osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte', 'facet hypertrophy': 'clinical finding': 'facet hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'hypertrophy', 'right neural foraminal narrowing': 'clinical finding': 'right neural foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'right neural foraminal', 'observation': 'narrowing', 'bilateral neural foraminal narrowing': 'clinical finding': 'bilateral neural foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'bilateral neural foraminal', 'observation': 'narrowing'anatomical entity_fin: 'thecal sac': , 'spinal cord': location descriptor_fin: ['posterior']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass', 'prominent posterior disk osteophyte': 'clinical finding': 'prominent posterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'prominent posterior disk', 'observation': 'osteophyte', 'strength_term': 'prominent'anatomical entity_fin: 'lung': , 'apices': location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis', 'fibrotic scarring': 'clinical finding': 'fibrotic scarring', 'existence': 'unc_dx', 'descriptive_term': 'fibrotic', 'observation': 'scarr' [/INST] [RESP] There is reversal of the cervical lordosis with mild grade 1 anterolisthesis of C2 over C3, C3 over C4, and C4 over C5. The vertebral bodies, dens, lateral masses, pedicles, lamina, facets, and posterior elements are intact with no evidence of fracture or. 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. Calcified atherosclerosis is noted in the bilateral carotid bifurcations. Diffuse multilevel degenerative disease is noted throughout the cervical spine consisting of loss of intervertebral disk height, endplate sclerosis, anterior or posterior disk osteophyte complexes, uncovertebral osteophytes, and facet hypertrophy causing right neural foraminal narrowing at C3 C4 and C4-C5, bilateral neural foraminal narrowing at C5-C6 and C6-C7. Mass effect on the thecal sac deforms the ventral aspect of the thecal sac and indents the spinal cord at C6-C7 secondary to prominent posterior disk osteophyte complex. Subsegmental atelectasis or fibrotic scarring is noted in the lung apices. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cells': clinical findings_fin: 'frontal sinuses are hypoplastic and ethmoid air cells are normal': 'clinical finding': 'frontal sinuses are hypoplastic and ethmoid air cells are normal'clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'ostiomeatal units': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'sphenoid sinus': clinical findings_fin: 'sphenoid sinus': 'clinical finding': 'sphenoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus', 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'neg_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell', 'abnormality': 'clinical finding': 'abnormality', 'existence': 'neg_dx', 'observation': 'abnormality'anatomical entity_fin: 'brain': , 'orbits': clinical findings_fin: 'portions of the brain and orbits seen are normal': 'clinical finding': 'portions of the brain and orbits seen are normal' [/INST] [RESP] The frontal sinuses are hypoplastic and ethmoid air cells are normal in appearance. Mucosal thickening is seen in maxillary sinuses bilaterally. Ostiomeatal units are patent. Sphenoid sinus is well pneumatized and normal in appearance. Mastoid air cells show no abnormality. Portions of the brain and orbits seen are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.4 x 0.7 cm', 'size': '1.5 x 0.7 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'complex multicystic and solid lesion': 'clinical finding': 'complex multicystic and solid lesion', 'existence': 'pos_dx', 'descriptive_term': 'complex multicystic and solid', 'observation': 'lesion'anatomical entity_fin: 'lung': clinical findings_fin: 'otherwise, no substantial change': 'clinical finding': 'otherwise, no substantial change', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no substantial', 'observation': 'change', 'quantity_term': 'no', 'smoking-related lung disease': 'clinical finding': 'smoking-related lung disease', 'existence': 'neg_dx', 'descriptive_term': 'smoking-related lung', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'unchanged hepatic hypodensity': 'clinical finding': 'unchanged hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged hepatic', 'observation': 'hypodensity', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'probable left renal cyst': 'clinical finding': 'probable left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'probable left renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: '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: 'aortoiliac stents': 'clinical finding': 'aortoiliac stents', 'existence': 'pos_dx', 'descriptive_term': 'aortoiliac', 'observation': 'stent'size_fin: ['size': '3.1 cm']anatomical entity_fin: 'artery': location descriptor_fin: ['right', 'anterior', 'posterior']clinical findings_fin: 'right iliac artery aneurysm': 'clinical finding': 'right iliac artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'right iliac artery', 'observation': 'aneurysm'clinical findings_fin: 'mural thrombus': 'clinical finding': 'mural thrombus', 'existence': 'pos_dx', 'descriptive_term': 'mural', 'observation': 'thrombus' [/INST] [RESP] . Stable size of complex multicystic and solid lesion within the right upper lobe on image 46 of series 1.4 x 0.7 cm 1.5 x 0.7 cm on prior. Otherwise, no substantial change in smoking-related lung disease. No significant abnormality noted. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Unchanged hepatic hypodensity in the left lobe. No significant abnormality noted. No significant abnormality noted. Probable left renal cyst, as before. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. Aortoiliac stents again noted. Right iliac artery aneurysm on image 191 of series 4 is again noted measuring 3.1 cm in the anterior posterior direction. There is decreased size of mural thrombus posteriorly as compared to the CT from 7/2015. Continued imaging surveillance is suggested. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'retroperitoneum': imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'anatomical entity_fin: 'uterus': clinical findings_fin: 'enlarged and lobular contour': 'clinical finding': 'enlarged and lobular contour', 'existence': 'pos_dx', 'descriptive_term': 'enlarged and lobular', 'observation': 'contour', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'decreased density': 'clinical finding': 'decreased density', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'density', 'strength_term': 'decreased', 'change_term': 'decreased'imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right apical micronodule': 'clinical finding': 'right apical micronodule', 'existence': 'pos_dx', 'descriptive_term': 'right apical', 'observation': 'micronodule'anatomical entity_fin: 'uterus': imaging observation_fin: ['foci']clinical findings_fin: 'two foci': 'clinical finding': 'two foci', 'existence': 'unc_dx', 'descriptive_term': 'two', 'observation': 'foci', 'increased activity': 'clinical finding': 'increased activity', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'known endometrial cancer': 'clinical finding': 'known endometrial cancer', 'existence': 'pos_dx', 'descriptive_term': 'known endometrial', 'observation': 'cancer'anatomical entity_fin: 'vagina': imaging observation_fin: ['foci']clinical findings_fin: 'two additional foci': 'clinical finding': 'two additional foci', 'existence': 'pos_dx', 'descriptive_term': 'two additional', 'observation': 'foci', 'urine artifact': 'clinical finding': 'urine artifact', 'existence': 'unc_dx', 'descriptive_term': 'urine', 'observation': 'artifact', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'anatomical entity_fin: 'pelvis': 'location descriptor': 'lower'location descriptor_fin: ['external', 'lower']clinical findings_fin: 'urine artifact': 'clinical finding': 'urine artifact', 'existence': 'pos_dx', 'descriptive_term': 'urine', 'observation': 'artifact'anatomical entity_fin: 'cortex': location descriptor_fin: ['right']clinical findings_fin: 'decreased activity': 'clinical finding': 'decreased activity', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'activity', 'strength_term': 'decreased', 'change_term': 'decreased', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor', 'infarct': 'clinical finding': 'infarct', 'existence': 'unc_dx', 'observation': 'infarct'clinical findings_fin: 'is mild perihilar activity bilaterally': 'clinical finding': 'is mild perihilar activity bilaterally'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'thoracic vertebral body': location descriptor_fin: ['medial', 'right', 'lower', 'adjacent']clinical findings_fin: 'osteophyte': 'clinical finding': 'osteophyte', 'existence': 'pos_dx', 'observation': 'osteophyte', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right apical micronodule': 'clinical finding': 'right apical micronodule', 'existence': 'neg_dx', 'descriptive_term': 'right apical', 'observation': 'micronodule'imaging observation_fin: ['soft tissue density', 'blood']location descriptor_fin: ['left']clinical findings_fin: 'activity_1': 'clinical finding': 'activity', 'existence': 'pos_dx', 'observation': 'activity', 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density', 'activity_2': 'clinical finding': 'activity', 'existence': 'pos_dx', 'observation': 'activity', 'posttherapy changes': 'clinical finding': 'posttherapy changes', 'existence': 'unc_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'imaging observation_fin: ['colon']location descriptor_fin: ['distal']clinical findings_fin: 'focal diverticulitis': 'clinical finding': 'focal diverticulitis', 'existence': 'unc_dx', 'descriptive_term': 'focal', 'observation': 'diverticulitis' [/INST] [RESP] Todays CT portion grossly demonstrates soft tissue density in the retroperitoneum within the left para-aortic region. There is enlarged and lobular contour of the uterus with decreased density centrally. There is a right apical micronodule. Todays PET examination demonstrates two foci of increased activity within the uterus compatible with known endometrial cancer. More distally there are two additional foci of increased activity projecting over the vagina which may represent urine artifact, however tumor involvement cannot be excluded. Increased activity which is external to the patient overlying the lower pelvis is consistent with urine artifact. There is an area of decreased activity in the right mid frontal cortex which is nonspecific but can be due to tumor activity or infarct correlation with CT or MRI may be considered if warranted. There is mild perihilar activity bilaterally which is likely inflammatory in nature. There is mild FDG activity in the medial right lower lobe adjacent to osteophyte formation of a thoracic vertebral body consistent with degenerative changes. The right apical micronodule does not demonstrate any FDG activity. There is mild activity within the left para-aortic soft tissue density which is similar to blood pool activity likely reflecting posttherapy changes. There is moderate activity within a focal diverticula in the distal colon which is likely physiologic but may represent focal diverticulitis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'bilateral maxillary antrostomy': 'clinical finding': 'bilateral maxillary antrostomy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary', 'observation': 'antrostomy', 'right partial ethmoidectomy': 'clinical finding': 'right partial ethmoidectomy', 'existence': 'pos_dx', 'descriptive_term': 'right partial', 'observation': 'ethmoidectomy', 'strength_term': 'partial', 'middle turbinectomy': 'clinical finding': 'middle turbinectomy', 'existence': 'pos_dx', 'descriptive_term': 'middle', 'observation': 'turbinectomy'clinical findings_fin: 'polypoid mucosal thickening': 'clinical finding': 'polypoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'polypoid mucosal', 'observation': 'thickening', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'location descriptor_fin: ['midline']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'brain': clinical findings_fin: 'partially visualized brain is normal': 'clinical finding': 'partially visualized brain is normal'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'visualized salivary glands and parapharyngeal soft tissues appear': 'clinical finding': 'visualized salivary glands and parapharyngeal soft tissues appear'location descriptor_fin: ['left']clinical findings_fin: 'is a small periapical lucency over a left incisor': 'clinical finding': 'is a small periapical lucency over a left incisor' [/INST] [RESP] The patient is status post endoscopic sinus surgery with bilateral maxillary antrostomy and right partial ethmoidectomy, and middle turbinectomy. Scattered areas of polypoid mucosal thickening in the maxillary sinuses are stable from 2014, and the frontal and sphenoid sinuses are otherwise clear. The ethmoid air cells are also clear, improved from 2014. The mastoid air cells and middle ears are clear. The nasal septum is midline. The lamina papyracea are intact and the bilateral orbits are normal. The partially visualized brain is normal. The partially visualized salivary glands and parapharyngeal soft tissues appear normal. There is a small periapical lucency over a left incisor. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '7-mm', 'size': '8 by 3']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'imaging observation_fin: ['apical']location descriptor_fin: ['right', 'inferior', 'peripheral', 'upper']clinical findings_fin: 'right apical nodule': 'clinical finding': 'right apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'right apical', 'observation': 'nodule', 'inferior peripheral right upper lobe nodule': 'clinical finding': 'inferior peripheral right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'inferior peripheral right upper lobe', 'observation': 'nodule', 'nodules': 'clinical finding': 'nodules', 'existence': 'pos_dx', 'observation': 'nodule'size_fin: ['size': '13 by 9']clinical findings_fin: 'reference prevascular lymph node': 'clinical finding': 'reference prevascular lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference prevascular lymph', 'observation': 'node'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'other mediastinal lymph nodes': 'clinical finding': 'other mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other mediastinal lymph', 'observation': 'node'anatomical entity_fin: 'lymphoid tissues': location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymphoid tissues': 'clinical finding': 'right hilar lymphoid tissues', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymphoid', 'observation': 'tissue'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'uterine fibroid is unchanged': 'clinical finding': 'uterine fibroid is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Reference right apical nodule measures 7-mm on image number 17, series number Reference inferior peripheral right upper lobe nodule measures 8 by 3-mm image number 36, series number These nodules are stable. Reference prevascular lymph node measures 13 by 9-mm image number 26, series number 3, not significantly changed. Other mediastinal lymph nodes are relatively stable. Prominence of right hilar lymphoid tissues, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Uterine fibroid is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', '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': , 'ethmoid sinus': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear except for minimal mucosal thickening of the ethmoid sinus. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'size_fin: ['size': '4-cm', 'size_descriptor': 'consolidation']imaging observation_fin: ['air bronchograms']clinical findings_fin: 'air bronchograms': 'clinical finding': 'air bronchograms', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bronchogram', 'this 4-cm area consolidation': 'clinical finding': 'this 4-cm area consolidation', 'existence': 'pos_dx', 'descriptive_term': 'this 4-cm area', 'observation': 'consolidation'clinical findings_fin: 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'subcarinal lymph nodes': clinical findings_fin: 'enlarged subcarinal lymph nodes': 'clinical finding': 'enlarged subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged subcarinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'atherosclerotic changes': 'clinical finding': 'atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There is focal area of consolidation involving the lingular segment of the left upper lobe. Air bronchograms are noted within this 4-cm area consolidation. This most likely represents infection although aspiration can not be excluded. As noted previously there are enlarged subcarinal lymph nodes, unchanged. Atherosclerotic changes are identified within the coronary arteries. 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 movement artifact': 'clinical finding': 'significant movement artifact', 'existence': 'pos_dx', 'descriptive_term': 'significant movement', 'observation': 'artifact'anatomical entity_fin: 'convexity': location descriptor_fin: ['left']clinical findings_fin: 'linear hypodensity': 'clinical finding': 'linear hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'hypodensity', 'movement artifact': 'clinical finding': 'movement artifact', 'existence': 'pos_dx', 'descriptive_term': 'movement', 'observation': 'artifact'location descriptor_fin: ['midline']clinical findings_fin: 'any intracranial hemorrhage': 'clinical finding': 'any intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'any intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'unc_dx', 'descriptive_term': 'midline', 'observation': 'shift', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'clinical findings_fin: 'acute infarction': 'clinical finding': 'acute infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'symmetrical': 'clinical finding': 'symmetrical', 'existence': 'pos_dx', 'observation': 'symmetrical'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] There has been significant movement artifact which has degraded the imaging quality of this examination. There is a linear hypodensity along the outer aspect of the left frontal convexity which is causing the appearance of the extra-axial collection but this is due to the movement artifact. Overall there is normal gray-white matter differentiation with no evidence of any intracranial hemorrhage, mass, mass effect, hydrocephalus, midline shift or edema. There is no evidence of an acute infarction, however CT is not sensitive in the early acute phase. The ventricular and basal cisterns appear symmetrical. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'size_fin: ['size': '7.8 x 7.5 cm']anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'right kidney': location descriptor_fin: ['lower']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'fibroid uterus': 'clinical finding': 'fibroid uterus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. The largest arises from the lower pole of the right kidney and measures 7.8 x 7.5 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Fibroid uterus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'hip': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small osteophytes': 'clinical finding': 'small osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'osteophyte', 'strength_term': 'small', 'mild osteoarthritis': 'clinical finding': 'mild osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'anatomical entity_fin: 'hip': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild osteoarthritis': 'clinical finding': 'mild osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'osteoarthritis', 'strength_term': 'mild'anatomical entity_fin: 'symphysis': , 'joints': , 'facet': , 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'musculature': , 'hip': clinical findings_fin: 'musculature of the hip appears normal': 'clinical finding': 'musculature of the hip appears normal'clinical findings_fin: 'enteric intravenous contrast': 'clinical finding': 'enteric intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric intravenous', 'observation': 'contrast'imaging observation_fin: ['angle']clinical findings_fin: 'alpha angle': 'clinical finding': 'alpha angle'location descriptor_fin: ['lateral']clinical findings_fin: 'lateral osteophyte': 'clinical finding': 'lateral osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'osteophyte'anatomical entity_fin: 'lip': 'location descriptor': 'anterior', 'acetabulum': location descriptor_fin: ['anterior']clinical findings_fin: 'false': 'clinical finding': 'false', 'existence': 'pos_dx', 'observation': 'false'anatomical entity_fin: 'femoral neck': imaging observation_fin: ['angle']clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'imaging observation_fin: ['angle']clinical findings_fin: 'aiis width': 'clinical finding': 'aiis width'size_fin: ['size': '1.4 cm']clinical findings_fin: '1.4 cm': 'clinical finding': '1.4 cm'anatomical entity_fin: 'base': 'location descriptor': 'distal', 'rim': location descriptor_fin: ['distal']clinical findings_fin: 'aiis': 'clinical finding': 'aiis', 'existence': 'pos_dx', 'observation': 'aiis'size_fin: ['size': '5 mm'] [/INST] [RESP] Small osteophytes indicate mild osteoarthritis of the right hip. Mild osteoarthritis also affects the left hip. There are mild degenerative changes of the pubic symphysis, SI joints, and facet joints of the lower lumbar spine. The musculature of the hip appears normal. Evaluation of the pelvic viscera is limited secondary to lack of enteric intravenous contrast. CAM location. 00-3:00 anteriorly. Alpha angle. Between 60-65 degrees. Coronal center-edge angle. 51 degrees as measured to the lateral aspect of the acetabular dome, including the lateral osteophyte. Sagittal center-edge angle. 52 degrees as measured to the anterior lip of the acetabulum on the false profile series. Femoral neck-shaft angle. 128 degrees. Acetabular version. 23 degrees. Acetabular version. 19 degrees. Acetabular version. 22 degrees. Femoral version angle. 13 degrees. McKibbin index. 35 degrees. AIIS width. 1.4 cm. Distal base of AIIS to acetabular rim. 5 mm. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.4 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'left parietal lobe': clinical findings_fin: 'large primarily hyperdense lentiform extra-axial mass': 'clinical finding': 'large primarily hyperdense lentiform extra-axial mass', 'existence': 'pos_dx', 'descriptive_term': 'large primarily hyperdense lentiform extra-axial', 'observation': 'mass', 'strength_term': 'large'imaging observation_fin: ['swirl']clinical findings_fin: 'internal heterogeneous density': 'clinical finding': 'internal heterogeneous density', 'existence': 'pos_dx', 'descriptive_term': 'internal heterogeneous', 'observation': 'density', 'active hemorrhage': 'clinical finding': 'active hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'active', 'observation': 'hemorrhage', 'strength_term': 'active'anatomical entity_fin: 'left lateral ventricle': location descriptor_fin: ['left', 'right', 'midline']clinical findings_fin: 'associated regional mass-effect': 'clinical finding': 'associated regional mass-effect', 'existence': 'pos_dx', 'descriptive_term': 'associated regional', 'observation': 'mass', 'displacement': 'clinical finding': 'displacement', 'existence': 'pos_dx', 'observation': 'displacement', 'partial effacement': 'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'anatomical entity_fin: 'scalp': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell', 'underlying calvarial fracture': 'clinical finding': 'underlying calvarial fracture', 'existence': 'neg_dx', 'descriptive_term': 'underlying calvarial', 'observation': 'fracture'clinical findings_fin: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'clinical findings_fin: '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: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'arachnoid granulation': location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'right frontal hypodensity': 'clinical finding': 'right frontal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'right frontal', 'observation': 'hypodensity', 'arachnoid granulation': 'clinical finding': 'arachnoid granulation', 'existence': 'pos_dx', 'descriptive_term': 'arachnoid', 'observation': 'granulation'anatomical entity_fin: 'spine': clinical findings_fin: 'cervical spine': 'clinical finding': 'cervical spine'clinical findings_fin: 'alignment is anatomic': 'clinical finding': 'alignment is anatomic'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture', 'subluxations': 'clinical finding': 'subluxations', 'existence': 'neg_dx', 'observation': 'subluxation'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial and paraspinal contents are unremarkable': 'clinical finding': 'visualized intracranial and paraspinal contents are unremarkable' [/INST] [RESP] Head. There is a large primarily hyperdense lentiform extra-axial mass primarily overlying the left parietal lobe measuring up to 2.4 cm in maximal depth. Internal heterogeneous density suggests the swirl sign of active hemorrhage. There is associated regional mass-effect with displacement of underlying gyri, minimal left to right midline shift, and partial effacement of the left lateral ventricle. Right scalp soft tissue swelling is noted, however there is no underlying calvarial fracture. Basilar cisterns are maintained. The ventricles and sulci are normal in size. There is no evidence for acute cerebral or cerebellar cortical infarction. The visualized portions of the paranasal sinuses and mastoid air cells are clear. Posterior paramedian right frontal hypodensity is felt to represent arachnoid granulation. Cervical spine. Alignment is anatomic. There are no fractures or subluxations. The visualized intracranial and paraspinal contents are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal dependent atelectasis': 'clinical finding': 'minimal dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'pericardial or pleural effusions': 'clinical finding': 'pericardial or pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pericardial or pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': , 'duct': imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: 'homogeneous enhancement': 'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement'anatomical entity_fin: 'liver': clinical findings_fin: 'liver laceration': 'clinical finding': 'liver laceration', 'existence': 'neg_dx', 'descriptive_term': 'liver', 'observation': 'laceration'anatomical entity_fin: 'spleen': imaging observation_fin: ['homogeneous enhancement']clinical findings_fin: 'homogeneous enhancement': 'clinical finding': 'homogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'homogeneous', 'observation': 'enhancement', 'splenic laceration': 'clinical finding': 'splenic laceration', 'existence': 'neg_dx', 'descriptive_term': 'splenic', 'observation': 'laceration', 'perisplenic fluid collection': 'clinical finding': 'perisplenic fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'perisplenic fluid', 'observation': 'collection'anatomical entity_fin: 'pancreas': clinical findings_fin: 'normal enhancement': 'clinical finding': 'normal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'enhancement', 'strength_term': 'normal', 'intra or peripancreatic fluid collection': 'clinical finding': 'intra or peripancreatic fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra or peripancreatic fluid', 'observation': 'collection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': , 'kidney': imaging observation_fin: ['symmetric enhancement']clinical findings_fin: 'symmetric enhancement': 'clinical finding': 'symmetric enhancement', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'enhancement', 'kidney laceration': 'clinical finding': 'kidney laceration', 'existence': 'neg_dx', 'descriptive_term': 'kidney', 'observation': 'laceration', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Minimal dependent atelectasis with no evidence of pericardial or pleural effusions. Homogeneous enhancement of the liver with no evidence of intra or extrahepatic biliary duct dilatation. No evidence of liver laceration. Homogeneous enhancement of the spleen with no evidence of splenic laceration or perisplenic fluid collection. Normal enhancement of the pancreas with no intra or peripancreatic fluid collection. No significant abnormality noted. Symmetric enhancement of both kidneys with no evidence of kidney laceration or hydronephrosis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'screw device': 'clinical finding': 'screw device', 'existence': 'pos_dx', 'descriptive_term': 'screw', 'observation': 'device', 'intra-articular malleolus fracture': 'clinical finding': 'intra-articular malleolus fracture', 'existence': 'pos_dx', 'descriptive_term': 'intra-articular malleolus', 'observation': 'fracture'anatomical entity_fin: 'ankle joint': object_fin: ['orthopedic device']clinical findings_fin: 'metallic streak artifact': 'clinical finding': 'metallic streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'metallic streak', 'observation': 'artifact', 'orthopedic device': 'clinical finding': 'orthopedic device', 'existence': 'unc_dx', 'descriptive_term': 'orthopedic', 'observation': 'device'anatomical entity_fin: 'tibia': 'location descriptor': 'distal', 'articular cartilage': location descriptor_fin: ['distal']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent', 'distal fracture fragment': 'clinical finding': 'distal fracture fragment', 'existence': 'pos_dx', 'descriptive_term': 'distal fracture', 'observation': 'fragment', 'patent fracture lines': 'clinical finding': 'patent fracture lines', 'existence': 'pos_dx', 'descriptive_term': 'patent fracture', 'observation': 'line', 'change_term': 'patent', 'non-union': 'clinical finding': 'non-union', 'existence': 'pos_dx', 'observation': 'non-union'anatomical entity_fin: 'joint': clinical findings_fin: 'near-anatomic alignment': 'clinical finding': 'near-anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'near-anatomic', 'observation': 'alignment'imaging observation_fin: ['margins']location descriptor_fin: ['distal']clinical findings_fin: 'transverse distal fibular fracture': 'clinical finding': 'transverse distal fibular fracture', 'existence': 'pos_dx', 'descriptive_term': 'transverse distal fibular', 'observation': 'fracture', 'patent fracture line': 'clinical finding': 'patent fracture line', 'existence': 'pos_dx', 'descriptive_term': 'patent fracture', 'observation': 'line', 'change_term': 'patent', 'nonunion': 'clinical finding': 'nonunion', 'existence': 'pos_dx', 'observation': 'nonunion'anatomical entity_fin: 'ankle': clinical findings_fin: 'prominent soft tissue swelling': 'clinical finding': 'prominent soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'prominent soft tissue', 'observation': 'swell', 'strength_term': 'prominent', 'loculated fluid collection': 'clinical finding': 'loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection' [/INST] [RESP] Again seen is a side plate and screw device affixing an intra-articular malleolus fracture. Metallic streak artifact from the orthopedic device limits evaluation of the ankle joint. There is a patent cleft between the distal fracture fragment and the distal tibia extending to the articular cartilage, which has sclerotic edges and patent fracture lines, consistent with non-union. The tibiotalar joint is in near-anatomic alignment and appears grossly similar in appearance to the prior study. Similarly, the transverse distal fibular fracture demonstrates a patent fracture line and sclerotic margins, consistent with nonunion. There is prominent soft tissue swelling about the ankle without evidence of a loculated fluid collection. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': clinical findings_fin: 'focal hyperattenuation': 'clinical finding': 'focal hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hyperattenuation', 'small focal hemorrhage': 'clinical finding': 'small focal hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'small focal', 'observation': 'hemorrhage', 'strength_term': 'small'anatomical entity_fin: 'brain': , 'parenchyma': location descriptor_fin: ['midline']clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation', 'mass mass': 'clinical finding': 'mass mass', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': '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'clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'neg_dx', 'observation': 'dilated'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'lytic or erosive changes': 'clinical finding': 'lytic or erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or erosive', 'observation': 'change'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Images of the brain show focal hyperattenuation at the level the mid brain suspicious for a small focal hemorrhage. The remaining images show no additional areas of abnormal attenuation within the brain parenchyma with no mass mass effect or midline shift. There are no additional areas of acute intracranial hemorrhage. The ventricles and cortical sulci are not dilated. Bone windows show no lytic or erosive changes involving the calvarium or skull base. The visualized paranasal sinuses are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'intracranial shunt': 'clinical finding': 'intracranial shunt', 'existence': 'pos_dx', 'descriptive_term': 'intracranial', 'observation': 'shunt'clinical findings_fin: 'ventricular volumes are unchanged in size': 'clinical finding': 'ventricular volumes are unchanged in size', 'change_term': 'unchanged'location descriptor_fin: ['left']clinical findings_fin: 'stable encephalomalacia': 'clinical finding': 'stable encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'encephalomalacia', 'strength_term': 'stable', 'change_term': 'stable', 'remote infarct': 'clinical finding': 'remote infarct', 'existence': 'unc_dx', 'descriptive_term': 'remote', 'observation': 'infarct'anatomical entity_fin: 'occiput': clinical findings_fin: 'stable thickening': 'clinical finding': 'stable thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'thickening', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'abnormal interdigitation': 'clinical finding': 'abnormal interdigitation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'interdigitation'anatomical entity_fin: 'corpus callosum': clinical findings_fin: 'dysgenesis': 'clinical finding': 'dysgenesis', 'existence': 'pos_dx', 'observation': 'dysgenesis', 'corpus': 'clinical finding': 'corpus', 'existence': 'pos_dx', 'observation': 'corpus'clinical findings_fin: 'stable hypertelorism': 'clinical finding': 'stable hypertelorism', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'hypertelorism', 'strength_term': 'stable', 'change_term': 'stable'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: 'sphenoid sinus': 'location descriptor': 'right', 'paranasal sinuses': location descriptor_fin: ['right']clinical findings_fin: 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'polypoid thickening': 'clinical finding': 'polypoid thickening', 'existence': 'pos_dx', 'descriptive_term': 'polypoid', 'observation': 'thickening', '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] Stable position of intracranial shunt tip positioned near the right foramen of Monro. The ventricular volumes are unchanged in size. Stable encephalomalacia of the left cerebellar hemisphere likely due to a remote infarct. Stable thickening and flattening of the occiput. Again identified is abnormal interdigitation of the interhemispheric gyri and parallel lateral ventricles. This constellation of findings is compatible with dysgenesis of the corpus callosum. Stable hypertelorism. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Minimal mucosal thickening of the ethmoid sinuses bilaterally and polypoid thickening of the right sphenoid sinus, otherwise 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: '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: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'globe': , 'extraocular muscles': , 'optic nerve': location descriptor_fin: ['right']clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'globe': 'location descriptor': 'left', 'eye': imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'abnormal increased density': 'clinical finding': 'abnormal increased density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'orbital soft tissues are normal': 'clinical finding': 'orbital soft tissues are normal'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'face': clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'anatomical entity_fin: 'sphenoethmoidal recesses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'clear infundibuli': 'clinical finding': 'clear infundibuli', 'existence': 'pos_dx', 'descriptive_term': 'clear', 'observation': 'infundibuli'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal turbinates are normal': 'clinical finding': 'nasal turbinates are normal'clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plates': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] .The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The mastoid air cells are clear. On the right, the globe, lense, extraocular muscles, optic nerve, and intraconal space is symmetric and normal. The left globe redemonstrates abnormal increased density with foci of calcification along the perimeter consistent with prior eye surgery and is unchanged from previous examination. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of fracture. There is no abnormal enhancement. No evidence of soft tissue swelling over the face. The frontal sinuses, frontoethmoidal recesses, ethmoid sinuses, sphenoid sinuses, sphenoethmoidal recesses, and maxillary sinuses are clear. The osteomeatal complexes are normal with intact uncinate processes and clear infundibuli. The nasal turbinates are normal. The nasal septum demonstrates no significant deviation. The cribriform plates are intact. 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: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy', 'measurable mass': 'clinical finding': 'measurable mass', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'mass', '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 unremarkable': 'clinical finding': 'major salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'rib': , 'ribs': location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'unchanged partly imaged sclerotic and mixed lytic-sclerotic rib lesions': 'clinical finding': 'unchanged partly imaged sclerotic and mixed lytic-sclerotic rib lesions', 'existence': 'pos_dx', 'descriptive_term': 'unchanged partly imaged sclerotic and mixed lytic-sclerotic rib', 'observation': 'lesion', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'chronic nondisplaced pathologic fracture': 'clinical finding': 'chronic nondisplaced pathologic fracture', 'existence': 'pos_dx', 'descriptive_term': 'chronic nondisplaced pathologic', 'observation': 'fracture', 'temporal_term': 'chronic'anatomical entity_fin: 'rib': location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'unchanged healed right lateral third and fourth rib fracture deformity': 'clinical finding': 'unchanged healed right lateral third and fourth rib fracture deformity', 'existence': 'pos_dx', 'descriptive_term': 'unchanged healed right lateral third and fourth rib fracture', 'observation': 'deformity', 'strength_term': 'unchanged - healed', 'change_term': 'unchanged - healed'clinical findings_fin: 'multilevel cervical spondylotic changes': 'clinical finding': 'multilevel cervical spondylotic changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel cervical spondylotic', 'observation': 'change'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'several nodules': 'clinical finding': 'several nodules', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'nodule', 'quantity_term': 'several'anatomical entity_fin: 'chest': 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', 'cerebral edema': 'clinical finding': 'cerebral edema', 'existence': 'neg_dx', 'descriptive_term': 'cerebral', 'observation': 'edema'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: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP] . There are postoperative findings related to total thyroidectomy with no measurable mass or significant cervical lymphadenopathy. The major salivary glands are unremarkable. The major cervical vessels are patent. There are unchanged partly imaged sclerotic and mixed lytic-sclerotic rib lesions affecting the bilateral fifth ribs posteriorly, with chronic nondisplaced pathologic fracture of the left fifth rib. There are unchanged healed right lateral third and fourth rib fracture deformity. There are multilevel cervical spondylotic changes. The airways are patent. The imaged intracranial structures are unremarkable. There are several nodules in the incompletely imaged lungs. Please refer to dedicated accompanying chest report for further details. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'patients known colloid cyst': 'clinical finding': 'patients known colloid cyst', 'existence': 'unc_dx', 'descriptive_term': 'patients known colloid', 'observation': 'cyst'clinical findings_fin: 'cyst': 'clinical finding': 'cyst', 'existence': 'neg_dx', 'observation': 'cyst'imaging observation_fin: ['blood products']clinical findings_fin: 'blood products': 'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'anatomical entity_fin: 'lateral ventricle': imaging observation_fin: ['blood']clinical findings_fin: 'trace blood': 'clinical finding': 'trace blood', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'blood'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: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild paranasal sinus disease': 'clinical finding': 'mild paranasal sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'mild paranasal sinus', 'observation': 'disease', 'strength_term': 'mild' [/INST] [RESP] Examination shows postsurgical changes of a bifrontal craniotomy for resection of the patients known colloid cyst. The cyst is no longer seen on the present exam. There is small amount of air and blood products in the frontal extraaxial space. There is trace blood and air in the lateral ventricle. The ventricles, sulci, and cisterns are otherwise 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 mastoid air cells are clear. There is mild paranasal sinus disease. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'location descriptor_fin: ['bilateral']clinical findings_fin: 'large bilateral pleural effusions': 'clinical finding': 'large bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'large bilateral pleural', 'observation': 'effusion', 'strength_term': 'large', 'overlying atelectasis': 'clinical finding': 'overlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'atelectasis'anatomical entity_fin: 'airspace': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'patchy bilateral airspace opacities': 'clinical finding': 'patchy bilateral airspace opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy bilateral airspace', 'observation': 'opacity', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'moderate pericardial effusion': 'clinical finding': 'moderate pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate'anatomical entity_fin: 'rib': location descriptor_fin: ['left']clinical findings_fin: 'lucent expansile lesion': 'clinical finding': 'lucent expansile lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent expansile', 'observation': 'lesion'location descriptor_fin: ['bilateral', 'central']clinical findings_fin: 'bilateral central venous catheters': 'clinical finding': 'bilateral central venous catheters', 'existence': 'pos_dx', 'descriptive_term': 'bilateral central venous', 'observation': 'catheter'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'anatomical entity_fin: 'liver': clinical findings_fin: 'further evaluation is required , dedicated liver imaging is recommended': 'clinical finding': 'further evaluation is required , dedicated liver imaging is recommended' [/INST] [RESP] Lack of intravenous contrast limits evaluation of solid organs and lymphadenopathy. Within this limitation, the following findings are identified. Large bilateral pleural effusions with overlying atelectasis. Patchy bilateral airspace opacities are consistent with edema. Heart size is enlarged. Moderate pericardial effusion. Lucent expansile lesion of the left eighth rib in the posterolateral aspect, nonspecific. Bilateral central venous catheters, tips terminating in the SVC or RA junction. Degenerative changes in the spine. Hypodensity within the left hepatic lobe, on image 93/93, is not completely visualized. If further evaluation is required, dedicated liver imaging is recommended. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'detectable acute intracranial process': 'clinical finding': 'detectable acute intracranial process', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute intracranial', 'observation': 'process', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'acute nonhemorrhagic ischemic strokes': 'clinical finding': 'acute nonhemorrhagic ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'very minimal periventricular rotational white matter': 'clinical finding': 'very minimal periventricular rotational white matter', 'existence': 'unc_dx', 'descriptive_term': 'very minimal periventricular rotational white', 'observation': 'matter', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'age indeterminant minimal small vessel ischemic disease': 'clinical finding': 'age indeterminant minimal small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'age indeterminant minimal small vessel ischemic', 'observation': 'disease', 'strength_term': 'minimal - small', 'quantity_term': 'minimal'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation remain within normal for patient stated age': 'clinical finding': 'cerebral cortex , cortical sulci , ventricular system , csf cisterns and gray -- white matter differentiation remain within normal for patient stated age'anatomical entity_fin: 'scalp': clinical findings_fin: 'calvarium and soft tissues of the scalp are unremarkable': 'clinical finding': 'calvarium and soft tissues of the scalp are unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral mastoid': 'clinical finding': 'bilateral mastoid', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'mastoid', 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] Nonenhanced head. No detectable acute intracranial process. CT however is insensitive for detection of acute nonhemorrhagic ischemic strokes. Very minimal periventricular rotational white matter is suspected for age indeterminant minimal small vessel ischemic disease. Cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remain within normal for patient stated age. Calvarium and soft tissues of the scalp are unremarkable. Limited images through the orbits are unremarkable. All visualized paranasal sinuses and bilateral mastoid air cells and middle ear cavities are well pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': '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'anatomical entity_fin: 'pole': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper pole cyst': 'clinical finding': 'left upper pole cyst', 'existence': 'pos_dx', 'descriptive_term': 'left upper pole', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal': 'clinical finding': 'appendix is normal'clinical findings_fin: 'pneumoperitoneum or mesenteric free fluid': 'clinical finding': 'pneumoperitoneum or mesenteric free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pneumoperitoneum or mesenteric free', 'observation': 'fluid'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'calcified fibroids': 'clinical finding': 'calcified fibroids', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Basilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left upper pole cyst. No significant abnormality noted. No evidence of bowel obstruction. The appendix is normal. No pneumoperitoneum or mesenteric free fluid. Degenerative changes of the lumbar spine. No significant abnormality noted. Calcified fibroids. 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: 'pulmonary metastases': 'clinical finding': 'pulmonary metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'metastase'clinical findings_fin: 'severe centrilobular emphysema': 'clinical finding': 'severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'left neck mass': 'clinical finding': 'left neck mass', 'existence': 'pos_dx', 'descriptive_term': 'left neck', 'observation': 'mass'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'object_fin: ['port']anatomical entity_fin: 'chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['port', 'catheter']object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube': 'clinical finding': 'gastrostomy tube' [/INST] [RESP] . No evidence of pulmonary metastases. Severe centrilobular emphysema is noted. Left neck mass, these refer to the neck CT obtained concurrently but reported separately. There are no significantly enlarged mediastinal or hilar lymph nodes. Port-A-Cath tip in SVC. Left chest wall port, with a left subclavian catheter that terminates in the SVC. Gastrostomy tube. [/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: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'scar': 'clinical finding': 'scar', 'existence': 'unc_dx', 'observation': 'scar'imaging observation_fin: ['infiltrates']clinical findings_fin: 'infiltrates': 'clinical finding': 'infiltrates', 'existence': 'neg_dx', 'observation': 'infiltrate', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hypoattenuating lesions': 'clinical finding': 'multiple hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'lesion', 'quantity_term': 'multiple', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'layering high-density material': 'clinical finding': 'layering high-density material', 'existence': 'pos_dx', 'descriptive_term': 'layering high-density', 'observation': 'material', 'sludge': 'clinical finding': 'sludge', 'existence': 'pos_dx', 'observation': 'sludge'anatomical entity_fin: 'duct': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'multiple hypoattenuating lesions': 'clinical finding': 'multiple hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'lesion', 'quantity_term': 'multiple', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'size_fin: ['size': '3-mm']location descriptor_fin: ['right']clinical findings_fin: 'nonobstructing right renal calculus': 'clinical finding': 'nonobstructing right renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructing right renal', 'observation': 'calculus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['colon']anatomical entity_fin: 'quadrant': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']procedure_fin: ['colostomy']clinical findings_fin: 'status post takedown': 'clinical finding': 'status post takedown', 'existence': 'pos_dx', 'descriptive_term': 'status post', 'observation': 'takedown'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel loops appear': 'clinical finding': 'small bowel loops appear'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'anatomical entity_fin: 'abdominal': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']clinical findings_fin: 'open anterior abdominal wound': 'clinical finding': 'open anterior abdominal wound', 'existence': 'pos_dx', 'descriptive_term': 'open anterior abdominal', 'observation': 'wound', 'healed': 'clinical finding': 'healed', 'existence': 'pos_dx', 'observation': 'healed'clinical findings_fin: 'bones unremarkable': 'clinical finding': 'bones unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'uterus and adnexa appear normal': 'clinical finding': 'uterus and adnexa appear 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: 'post sigmoidectomy': 'clinical finding': 'post sigmoidectomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sigmoidectomy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Atelectasis or scar both lung bases. No infiltrates or effusions. Multiple hypoattenuating lesions of varying size scattered throughout the liver are unchanged, presumably simple cysts. Layering high-density material in the dependent portion of the gallbladder compatible with sludge. No intra-or extrahepatic biliary duct dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple hypoattenuating lesions within both kidneys which are too small to completely characterize are unchanged and most likely represent simple cysts. 3-mm nonobstructing right renal calculus unchanged. No significant abnormality noted. Abundant stool within the colon. Status post takedown of left lower quadrant colostomy. Small bowel loops appear normal. No obstruction or free air. Open anterior abdominal wound has healed. Bones unremarkable. No significant abnormality noted. Uterus and adnexa appear normal. No significant abnormality noted. No significant abnormality noted. Status post sigmoidectomy. 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: 'middle': location descriptor_fin: ['medial']clinical findings_fin: 'middle turbinectomies': 'clinical finding': 'middle turbinectomies', 'existence': 'pos_dx', 'descriptive_term': 'middle', 'observation': 'turbinectomy', 'partial ethmoidectomies': 'clinical finding': 'partial ethmoidectomies', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'ethmoidectomy', 'strength_term': 'partial'anatomical entity_fin: 'sphenoethmoidal recesses': location descriptor_fin: ['medial']clinical findings_fin: 'medial antrostomy': 'clinical finding': 'medial antrostomy', 'existence': 'pos_dx', 'descriptive_term': 'medial', 'observation': 'antrostomy', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['left']clinical findings_fin: 'large antrochoanal polyp': 'clinical finding': 'large antrochoanal polyp', 'existence': 'pos_dx', 'descriptive_term': 'large antrochoanal', 'observation': 'polyp', 'strength_term': 'large'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'mild nodular mucosal thickening': 'clinical finding': 'mild nodular mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild nodular mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'minimal mucosal thickening': 'clinical finding': 'minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'recurrent polyp': 'clinical finding': 'recurrent polyp', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'polyp'anatomical entity_fin: 'fluid': clinical findings_fin: 'air-fluid levels': 'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'location descriptor_fin: ['midline']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'midline': 'clinical finding': 'midline', 'existence': 'neg_dx', 'observation': 'midline', 'osseous deficiency': 'clinical finding': 'osseous deficiency', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'deficiency'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'unc_dx', 'observation': 'hydrocephalus', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized orbital contents are unremarkable': 'clinical finding': 'visualized orbital contents are unremarkable'size_fin: ['size': '11 mm', 'size_descriptor': 'craniocaudad']anatomical entity_fin: 'vertex': clinical findings_fin: 'large subgaleal lipoma': 'clinical finding': 'large subgaleal lipoma', 'existence': 'pos_dx', 'descriptive_term': 'large subgaleal', 'observation': 'lipoma', 'strength_term': 'large'anatomical entity_fin: 'scalp': , 'brain': clinical findings_fin: 'this scalp lesion': 'clinical finding': 'this scalp lesion', 'existence': 'pos_dx', 'descriptive_term': 'this scalp', 'observation': 'lesion' [/INST] [RESP] Since the prior examination, there has been functional endoscopic sinus surgery consisting of medial antrostomies, uncinectomies, middle turbinectomies, and partial ethmoidectomies. The medial antrostomy and the frontoethmoidal or sphenoethmoidal recesses are patent. Previously seen hyperdense material in the maxillary sinuses have cleared, and the large antrochoanal polyp on the left has been resected. Mild nodular mucosal thickening remains in the maxillary sinuses, but the remaining paranasal sinuses are now clear apart from minimal mucosal thickening. No discretely seen the soft tissue in the nasal cavity to suggest a recurrent polyp. No air-fluid levels are present. Nasal septum remains midline, there is no area of osseous deficiency seen. The mastoid air cells and middle ear cavities are clear. Visualized intracranial contents are unremarkable without evidence of acute intracranial hemorrhage, extra-axial collection, hydrocephalus, or mass effect. Visualized orbital contents are unremarkable. There is a large subgaleal lipoma seen at the vertex measuring approximately 11 mm craniocaudad. This scalp lesion had similar appearance on prior MRI of the brain dated June 20, 2006. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'right subdural hematoma': 'clinical finding': 'right subdural hematoma', 'existence': 'pos_dx', 'descriptive_term': 'right subdural', 'observation': 'hematoma'anatomical entity_fin: 'central sulcus': 'location descriptor': 'right'location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'location descriptor_fin: ['adjacent']clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema', 'adjacent gray matter': 'clinical finding': 'adjacent gray matter', 'existence': 'pos_dx', 'descriptive_term': 'adjacent gray', 'observation': 'matter'clinical findings_fin: 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'imaging observation_fin: ['foci']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is redemonstration of postoperative changes status post evacuation of right subdural hematoma. The hemorrhage along the right central sulcus and adjacent sulci has been less dense since prior exam. The edema in the adjacent gray matter and subcortical white matter remains. No new hemorrhage is seen. Scatter foci of hypoattenuation in the white matter are unremarkable. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no midline shift. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'unchanged cirrhotic liver': 'clinical finding': 'unchanged cirrhotic liver', 'change_term': 'unchanged'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically', 'absent': 'clinical finding': 'absent', 'existence': 'pos_dx', 'observation': 'absent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'several bilateral hypodensities': 'clinical finding': 'several bilateral hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several bilateral', 'observation': 'hypodensity', 'quantity_term': 'several', 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'right kidney': location descriptor_fin: ['lower']clinical findings_fin: 'intrinsically high attenuation density': 'clinical finding': 'intrinsically high attenuation density', 'existence': 'pos_dx', 'descriptive_term': 'intrinsically high attenuation', 'observation': 'density', 'complex cyst': 'clinical finding': 'complex cyst', 'existence': 'unc_dx', 'descriptive_term': 'complex', 'observation': 'cyst'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral punctate calcifications': 'clinical finding': 'bilateral punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate', 'observation': 'calcification', 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'pos_dx', 'observation': 'nephrolithiasis', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'generalized ascites': 'clinical finding': 'generalized ascites', 'existence': 'pos_dx', 'descriptive_term': 'generalized', 'observation': 'ascite'location descriptor_fin: ['right']clinical findings_fin: 'previously described loculated right paracolic fluid collection': 'clinical finding': 'previously described loculated right paracolic fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'previously described loculated right paracolic fluid', 'observation': 'collection'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'prominent calcifications': 'clinical finding': 'prominent calcifications', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'calcification', 'strength_term': 'prominent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lumbosacral spine': , 'pelvis': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Exam is not sensitive for detecting lesions in the solid organs due to lack of IV contrast. Given that limitation, the following observations are made. Bilateral pleural effusions have decreased in size. Pericardial effusion has increased in size. Unchanged cirrhotic liver. The gallbladder is surgically absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Several bilateral hypodensities that are unchanged and are likely cysts. An intrinsically high attenuation density in the lower pole of the right kidney is unchanged and likely a complex cyst. Bilateral punctate calcifications consistent with nephrolithiasis without evidence of hydronephrosis. No significant abnormality noted. Interval worsening of generalized ascites. The previously described loculated right paracolic fluid collection has resolved. See below. Prominent calcifications of the abdominal aorta and branch vessels. No significant abnormality noted. Foley catheter within the bladder. No significant abnormality noted. See above. Degenerative changes in the lumbosacral spine and pelvis. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'vertebral column alignment is within normal limits': 'clinical finding': 'vertebral column alignment is within normal limits'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'vertebral body and disc space heights are preserved': 'clinical finding': 'vertebral body and disc space heights are preserved', 'change_term': 'preserved'clinical findings_fin: 'paravertebral soft tissues are unremarkable': 'clinical finding': 'paravertebral soft tissues are unremarkable'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'l1 - 2 there is no significant compromise to spinal canal or neural foramina': 'clinical finding': 'l1 - 2 there is no significant compromise to spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'l2 - 3 there is no significant compromise to spinal canal or neural foramina': 'clinical finding': 'l2 - 3 there is no significant compromise to spinal canal or neural foramina'anatomical entity_fin: 'disc': 'location descriptor': 'lateral', 'neuroforaminal': 'location descriptor': 'left'location descriptor_fin: ['left', 'lateral']clinical findings_fin: 'mild asymmetric disc bulge': 'clinical finding': 'mild asymmetric disc bulge', 'existence': 'pos_dx', 'descriptive_term': 'mild asymmetric disc', 'observation': 'bulge', 'strength_term': 'mild', 'left versus lateral disc herniation': 'clinical finding': 'left versus lateral disc herniation', 'existence': 'pos_dx', 'descriptive_term': 'left versus lateral disc', 'observation': 'herniation', 'mild to moderate left neuroforaminal stenosis': 'clinical finding': 'mild to moderate left neuroforaminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate left neuroforaminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild bilateral facet hypertrophy': 'clinical finding': 'mild bilateral facet hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral facet', 'observation': 'hypertrophy', 'strength_term': 'mild'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'l4 - 5 there is no significant compromise to spinal canal or neural foramina': 'clinical finding': 'l4 - 5 there is no significant compromise to spinal canal or neural foramina'anatomical entity_fin: 'spinal canal': , 'neural foramina': clinical findings_fin: 'l5 - s1 there is no significant compromise to the spinal canal or neural foramina': 'clinical finding': 'l5 - s1 there is no significant compromise to the spinal canal or neural foramina' [/INST] [RESP] The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The paravertebral soft tissues are unremarkable. At L1-2 there is no significant compromise to spinal canal or neural foramina. At L2-3 there is no significant compromise to spinal canal or neural foramina. At L3-4 there is a mild asymmetric disc bulge to the left versus lateral disc herniation resulting in mild to moderate left neuroforaminal stenosis. There is also mild bilateral facet hypertrophy seen at this level. At L4-5 there is no significant compromise to spinal canal or neural foramina. At L5-S1 there is no significant compromise to the spinal canal or neural foramina. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'fluid': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'visualized bony structures are normal': 'clinical finding': 'visualized bony structures are normal'clinical findings_fin: 'minimal mucosal disease': 'clinical finding': 'minimal mucosal disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal mucosal', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'ethmoid': 'clinical finding': 'ethmoid', 'existence': 'pos_dx', 'observation': 'ethmoid'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: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'globes': clinical findings_fin: 'globes are normal and symmetric': 'clinical finding': 'globes are normal and symmetric'clinical findings_fin: 'lenses': 'clinical finding': 'lenses', 'existence': 'pos_dx', 'observation': 'lense'anatomical entity_fin: 'extraocular muscles': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'atrophied': 'clinical finding': 'atrophied', 'existence': 'pos_dx', 'observation': 'atrophy'anatomical entity_fin: 'optic nerves': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'intraconal or extraconal mass': 'clinical finding': 'intraconal or extraconal mass', 'existence': 'neg_dx', 'descriptive_term': 'intraconal or extraconal', 'observation': 'mass'imaging observation_fin: ['fat']clinical findings_fin: 'ventral bulbar fat is preserved': 'clinical finding': 'ventral bulbar fat is preserved', 'change_term': 'preserved'anatomical entity_fin: 'orbits': clinical findings_fin: 'soft tissues surrounding the orbits are unremarkable': 'clinical finding': 'soft tissues surrounding the orbits are unremarkable' [/INST] [RESP] .VENTRICLES/.No midline shift. CSF spaces appropriate for patient age. No abnormal mass lesions, edema, or hemorrhage. No fluid collections. No evidence of hemorrhage. No fractures. Visualized bony structures are normal. There is minimal mucosal disease in ethmoid sinuses. Otherwise the paranasal sinuses are clear. The mastoid air cells are incompletely pneumatized bilaterally. The globes are normal and symmetric. The lenses are in appropriate position. The extraocular muscles are intact but appear mildly atrophied. The optic nerves appear symmetric. There is no evidence for intraconal or extraconal mass. The ventral bulbar fat is preserved. The soft tissues surrounding the orbits are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute pulmonary embolus': 'clinical finding': 'acute pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolus', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['left', 'right']clinical findings_fin: 'small left greater than right pleural effusions': 'clinical finding': 'small left greater than right pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small left greater than right pleural', 'observation': 'effusion', 'strength_term': 'small', 'change_term': 'greater', 'associated basilar atelectasis': 'clinical finding': 'associated basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated basilar', 'observation': 'atelectasis'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: 'lower lobe subsegmental atelectasis': 'clinical finding': 'lower lobe subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'moderate to large pericardial effusion': 'clinical finding': 'moderate to large pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate to large pericardial', 'observation': 'effusion', 'strength_term': 'moderate - large'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'prominent mediastinal and hilar lymph nodes': 'clinical finding': 'prominent mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal and hilar lymph', 'observation': 'node', 'strength_term': 'prominent'clinical findings_fin: 'moderate hiatal hernia': 'clinical finding': 'moderate hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'moderate hiatal', 'observation': 'hernia', 'strength_term': 'moderate'anatomical entity_fin: 'ribs': location descriptor_fin: ['displaced', 'left']clinical findings_fin: 'minimally displaced acute fractures': 'clinical finding': 'minimally displaced acute fractures', 'existence': 'pos_dx', 'descriptive_term': 'minimally displaced acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'change_term': 'displaced'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] . There is no evidence of acute pulmonary embolus through the level of the segmental branches. There are small left greater than right pleural effusions with associated basilar atelectasis. No evidence of pneumothorax. There is right lower lobe subsegmental atelectasis. There is a moderate to large pericardial effusion measuring 10 Hounsfield units. The heart size is normal. There are prominent mediastinal and hilar lymph nodes. Moderate hiatal hernia. Mild. There are minimally displaced acute fractures of the left third through sixth ribs. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'soft tissue opacity': 'clinical finding': 'soft tissue opacity', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'opacity', 'lung cancer': 'clinical finding': 'lung cancer', 'existence': 'unc_dx', 'descriptive_term': 'lung', 'observation': 'cancer', 'secondary to post surgical changes': 'clinical finding': 'secondary to post surgical changes', 'existence': 'unc_dx', 'descriptive_term': 'secondary to post surgical', 'observation': 'change', 'prior thoracoplasty': 'clinical finding': 'prior thoracoplasty', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'thoracoplasty'size_fin: ['size': '27 x 25 mm']anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'patchy groundglass opacities': 'clinical finding': 'patchy groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy groundglass', 'observation': 'opacity', 'bud nodules': 'clinical finding': 'bud nodules', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'nodule', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'right hemithorax': clinical findings_fin: 'post thoracoplasty': 'clinical finding': 'post thoracoplasty', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'thoracoplasty', 'associated right hemithorax loss': 'clinical finding': 'associated right hemithorax loss', 'existence': 'pos_dx', 'descriptive_term': 'associated right hemithorax', 'observation': 'loss'anatomical entity_fin: 'spine': clinical findings_fin: 'marked degenerative changes': 'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Diagnostic exam. No pulmonary emboli. Soft tissue opacity at the right apex may represent a lung cancer, however this is difficult to evaluate secondary to post surgical changes from prior thoracoplasty. It measures approximately 27 x 25 mm. A PET scan would provide further characterization. Patchy groundglass opacities in the lower lobes with minimal tree in bud nodules, possibly related to aspiration. Heart is enlarged. No mediastinal lymphadenopathy. Status post thoracoplasty with associated right hemithorax loss. Marked degenerative changes of the thoracic spine. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lung': location descriptor_fin: ['left']clinical findings_fin: 'multiple pleural-based nodules': 'clinical finding': 'multiple pleural-based nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pleural-based', 'observation': 'nodule', 'quantity_term': 'multiple', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'clinical findings_fin: 'nodularity is minimally decreased': 'clinical finding': 'nodularity is minimally decreased', 'change_term': 'decreased'size_fin: ['size': '14 mm', 'size': '1.5 by 1.1']anatomical entity_fin: 'azygos arch': location descriptor_fin: ['medial', 'left']clinical findings_fin: 'pleural thickening': 'clinical finding': 'pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'thickening', 'left cardiophrenic lymph node': 'clinical finding': 'left cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left cardiophrenic lymph', 'observation': 'node', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'small hypodense lesions': 'clinical finding': 'small hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'lesion', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'scattered nonenlarged retroperitoneal lymph nodes': 'clinical finding': 'scattered nonenlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonenlarged retroperitoneal 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Multiple pleural-based nodules in the left lung associated with left pleural effusion and volume loss and mediastinal shift to the left is again noted. Nodularity is minimally decreased. Pleural thickening along the medial surface at the level of the azygos arch measures 14 mm on image number 32, series number Index left cardiophrenic lymph node measures 1.5 by 1.1-cm image number 71, series number No significant abnormality noted. Small hypodense lesions in the liver are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Scattered nonenlarged retroperitoneal lymph nodes are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1 cm']anatomical entity_fin: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'imaging observation_fin: ['fat']clinical findings_fin: 'fat infiltration': 'clinical finding': 'fat infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'infiltration', 'inflammatory change': 'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation'clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['hysterectomy']anatomical entity_fin: 'right ovary': clinical findings_fin: 'prominent right ovary': 'clinical finding': 'prominent right ovary'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Bibasilar atelectasis. No significant abnormality noted. No significant abnormality noted. Splenule. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is enlarged in the right lower quadrant measuring more than 1 cm in diameter. There is extensive surrounding fat infiltration suggesting inflammatory change. No perforation. No abscess. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. Prominent right ovary. 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: 'zygomatic arch': imaging observation_fin: ['foci']location descriptor_fin: ['adjacent']clinical findings_fin: 'comminuted and depressed fracture': 'clinical finding': 'comminuted and depressed fracture', 'existence': 'pos_dx', 'descriptive_term': 'comminuted and depressed', 'observation': 'fracture', 'adjacent soft tissue swelling': 'clinical finding': 'adjacent soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'adjacent soft tissue', 'observation': 'swell', 'cutaneous radiopaque foci': 'clinical finding': 'cutaneous radiopaque foci', 'existence': 'pos_dx', 'descriptive_term': 'cutaneous radiopaque', 'observation': 'foci', 'foreign bodies': 'clinical finding': 'foreign bodies', 'existence': 'pos_dx', 'descriptive_term': 'foreign', 'observation': 'body'anatomical entity_fin: 'wall': 'location descriptor': 'lateral', 'orbit': 'location descriptor': 'right'location descriptor_fin: ['lateral', 'right']clinical findings_fin: 'subtle fracture': 'clinical finding': 'subtle fracture', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'fracture', 'strength_term': 'subtle'imaging observation_fin: ['foci', 'margins']location descriptor_fin: ['superior']clinical findings_fin: 'small foci': 'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small', 'ill defined margins': 'clinical finding': 'ill defined margins', 'existence': 'pos_dx', 'descriptive_term': 'ill defined', 'observation': 'margin', 'edema': 'clinical finding': 'edema', 'existence': 'unc_dx', 'observation': 'edema'anatomical entity_fin: 'roof': location descriptor_fin: ['adjacent']clinical findings_fin: 'irregularity': 'clinical finding': 'irregularity', 'existence': 'pos_dx', 'observation': 'irregularity', 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus', 'subtle fracture': 'clinical finding': 'subtle fracture', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'fracture', 'strength_term': 'subtle'anatomical entity_fin: 'fluid': , 'wall': 'location descriptor': 'lateral', 'maxillary sinus': , 'floor': location descriptor_fin: ['lateral', 'right', 'adjacent']clinical findings_fin: 'high density': 'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density', 'subtle fracture': 'clinical finding': 'subtle fracture', 'existence': 'pos_dx', 'descriptive_term': 'subtle', 'observation': 'fracture', 'strength_term': 'subtle'anatomical entity_fin: 'extraocular muscle': imaging observation_fin: ['fat']clinical findings_fin: 'extraocular muscle or fat entrapment': 'clinical finding': 'extraocular muscle or fat entrapment', 'existence': 'neg_dx', 'descriptive_term': 'extraocular muscle or fat', 'observation': 'entrapment'anatomical entity_fin: 'mastoid air cells': location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'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'imaging observation_fin: ['teeth']clinical findings_fin: 'periodontal disease': 'clinical finding': 'periodontal disease', 'existence': 'pos_dx', 'descriptive_term': 'periodontal', 'observation': 'disease', 'periapical infections': 'clinical finding': 'periapical infections', 'existence': 'pos_dx', 'descriptive_term': 'periapical', 'observation': 'infection' [/INST] [RESP] Again noted are comminuted and depressed fracture of the zygomatic arch associated with adjacent soft tissue swelling and cutaneous radiopaque foci compatible with foreign bodies. There is subtle fracture of the lateral wall of the right orbit. Small foci of air are noted in extraconal space just superior to the superior rectus and has ill defined margins suggestive of edema. Adjacent to the extraconal air there is an irregularity of the orbital roof with small focus of pneumocephalus consistent with subtle fracture. Small amount of high density fluid layering along the lateral wall of the maxillary sinus and extends from the right orbital floor compatible with subtle fracture of the adjacent orbital floor and most likely represents the source of extraconal air. There is no CT evidence of extraocular muscle or fat entrapment. The sphenoid, ethmoid, left maxillary sinuses and mastoid air cells are clear. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. Periodontal disease with multiple periapical lucencies affecting the maxillary teeth compatible with periapical infections. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered micronodules': 'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered mediastinal lymph nodes': 'clinical finding': 'scattered mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mediastinal lymph', 'observation': 'node'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'hypertrophic degenerative abnormalities': 'clinical finding': 'hypertrophic degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'hypertrophic degenerative', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'vascular calcifications': 'clinical finding': 'vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'vascular', 'observation': 'calcification'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] . Scattered micronodules. No evidence of pulmonary or pleural metastases. Scattered mediastinal lymph nodes remain normal size. Coronary artery calcifications. Hypertrophic degenerative abnormalities lower thoracic spine. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Vascular calcifications. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'significant mass effect': 'clinical finding': 'significant mass effect', 'existence': 'neg_dx', 'descriptive_term': 'significant mass', 'observation': 'effect', 'subacute infarct': 'clinical finding': 'subacute infarct', 'existence': 'unc_dx', 'descriptive_term': 'subacute', 'observation': 'infarct'clinical findings_fin: 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'unc_dx', 'descriptive_term': 'mass', 'observation': 'lesion', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'unc_dx', 'descriptive_term': 'mass', 'observation': 'effect'location descriptor_fin: ['left']clinical findings_fin: 'chronic left mca infarct': 'clinical finding': 'chronic left mca infarct', 'existence': 'pos_dx', 'descriptive_term': 'chronic left mca', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'pons': clinical findings_fin: 'previously seen old lacunar infarcts': 'clinical finding': 'previously seen old lacunar infarcts', 'existence': 'pos_dx', 'descriptive_term': 'previously seen old lacunar', 'observation': 'infarct', 'temporal_term': 'old'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'location descriptor_fin: ['midline']clinical findings_fin: 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] New ill-defined region of low attenuation in the right cerebellar hemisphere without significant mass effect may be due to a subacute infarct. A mass lesion is less likely given the absence of mass effect. Chronic left MCA infarct is again seen. Previously seen old lacunar infarcts in the pons are less conspicuous on this study and could be related to differences in technique. The ventricles, sulci, and cisterns are slightly prominent, compatible with volume loss. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left putamen': 'location descriptor': 'superior', 'right thalamus': , 'pons': 'location descriptor': 'right'location descriptor_fin: ['superior', 'right']clinical findings_fin: 'hypoattenuation_1': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'hypoattenuation_2': 'clinical finding': 'hypoattenuation', 'existence': 'unc_dx', 'observation': 'hypoattenuation'clinical findings_fin: 'mild periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'mild periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'anatomical entity_fin: 'right putamen': clinical findings_fin: 'prominent perivascular space': 'clinical finding': 'prominent perivascular space', 'existence': 'pos_dx', 'descriptive_term': 'prominent perivascular', 'observation': 'space', 'strength_term': 'prominent'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Small focus of hypoattenuation within the superior left putamen, right thalamus and difficult to visualize hypoattenuation within the right pons is stable compared to the prior MRI examination. Mild periventricular and subcortical white matter hypoattenuation is present. Prominent perivascular space is noted in the region of the right putamen. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'diffuse groundglass abnormality': 'clinical finding': 'diffuse groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'diffuse groundglass', 'observation': 'abnormality', 'dense opacification': 'clinical finding': 'dense opacification', 'existence': 'pos_dx', 'descriptive_term': 'dense', 'observation': 'opacification', 'predominantly dependent peribronchovascular distribution': 'clinical finding': 'predominantly dependent peribronchovascular distribution', 'existence': 'pos_dx', 'descriptive_term': 'predominantly dependent peribronchovascular', 'observation': 'distribution'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'focal bronchiectasis': 'clinical finding': 'focal bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'bronchiectasis'anatomical entity_fin: 'lingula': clinical findings_fin: 'hyperlucent': 'clinical finding': 'hyperlucent', 'existence': 'pos_dx', 'observation': 'hyperlucent', 'vascularity': 'clinical finding': 'vascularity', 'existence': 'pos_dx', 'observation': 'vascularity'anatomical entity_fin: 'apices': , 'lung': 'location descriptor': 'peripheral', 'bases': location descriptor_fin: ['peripheral']clinical findings_fin: 'hyperlucency': 'clinical finding': 'hyperlucency', 'existence': 'pos_dx', 'observation': 'hyperlucency'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: 'thoracic inlet': , 'carina': object_fin: ['endotracheal tube']clinical findings_fin: 'endotracheal tube': 'clinical finding': 'endotracheal tube', 'existence': 'pos_dx', 'descriptive_term': 'endotracheal', 'observation': 'tube'object_fin: ['clip']procedure_fin: ['ligation']clinical findings_fin: 'pda ligation clip is present': 'clinical finding': 'pda ligation clip is present'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'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: 'spleen': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Diffuse groundglass abnormality is present in both lungs with areas of dense opacification in a predominantly dependent peribronchovascular distribution. There is focal bronchiectasis in the right lower lobe. The lingula is hyperlucent and hyperexpanded with a marked paucity of vascularity. Additional focal areas of hyperlucency are seen in the apices and peripheral lung bases. There is no pleural effusion or pneumothorax. An endotracheal tube is in place and terminates below the thoracic inlet and above the carina. A PDA ligation clip is present. Heart size is normal. There is no mediastinal lymphadenopathy. No significant abnormality noted. Heterogeneity of the spleen is likely secondary to bolus timing of contrast. No significant abnormality is noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'limited views of the paranasal sinuses and mastoid air cells': 'clinical finding': 'limited views of the paranasal sinuses and mastoid air cells' [/INST] [RESP] Motion artifact degrades quality of the study. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The ventricles, sulci, and cisterns are symmetric and unremarkable. The osseous structures are unremarkable. Limited views of the paranasal sinuses and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['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'clinical findings_fin: 'periventricular and subcortical white matter hypodensities': 'clinical finding': 'periventricular and subcortical white matter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypodensity'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/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. Periventricular and subcortical white matter hypodensities of a mild degree are present. Atherosclerotic calcifications are present along the distal internal carotid arteries. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/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: 'left para-aortic adenopathy': 'clinical finding': 'left para-aortic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic', 'observation': 'adenopathy'clinical findings_fin: 'retrocaval': 'clinical finding': 'retrocaval', 'existence': 'pos_dx', 'observation': 'retrocaval', 'iliac adenopathy': 'clinical finding': 'iliac adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'iliac', 'observation': 'adenopathy'clinical findings_fin: 'retrocaval adenopathy': 'clinical finding': 'retrocaval adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'retrocaval', 'observation': 'adenopathy'location descriptor_fin: ['left']clinical findings_fin: 'left para-aortic lymph nodes': 'clinical finding': 'left para-aortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'left para-aortic lymph', 'observation': 'node', 'lymph node': 'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'extensive bone metastases': 'clinical finding': 'extensive bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive bone', 'observation': 'metastase', 'strength_term': 'extensive'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': , 'gland': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'bladder': , 'prostate': imaging observation_fin: ['enhancing']clinical findings_fin: 'large enhancing mass': 'clinical finding': 'large enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'large enhancing', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'bladder': clinical findings_fin: 'invasion': 'clinical finding': 'invasion', 'existence': 'unc_dx', 'observation': 'invasion', 'prostate cancer': 'clinical finding': 'prostate cancer', 'existence': 'unc_dx', 'descriptive_term': 'prostate', 'observation': 'cancer', 'bladder cancer': 'clinical finding': 'bladder cancer', 'existence': 'pos_dx', 'descriptive_term': 'bladder', 'observation': 'cancer'anatomical entity_fin: 'bladder': , 'prostate': clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'pos_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large', 'cancer': 'clinical finding': 'cancer', 'existence': 'pos_dx', 'observation': 'cancer'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'extensive bone metastases': 'clinical finding': 'extensive bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive bone', 'observation': 'metastase', 'strength_term': 'extensive'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. Left para-aortic adenopathy is stable. However, the size of the retrocaval and iliac adenopathy is significantly increased within the interval. Retrocaval adenopathy best seen on image #58, series #7. Some of the left para-aortic lymph nodes have also minimally increased in size such as the lymph node on image #83, series #7. Moderate. No significant abnormality noted. Again noted extensive bone metastases. No significant abnormality noted. Prostate gland is enlarged. There is a large enhancing mass within the bladder which cannot be separated from the prostate. This may represent invasion of the bladder with prostate cancer versus bladder cancer. Large mass in the bladder which may represent extension from prostate versus bladder cancer. No significant abnormality noted. No significant abnormality noted. Again noted extensive bone metastases. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'imaged lower lungs appear': 'clinical finding': 'imaged lower lungs appear'anatomical entity_fin: 'liver': , 'gallbladder': , 'spleen': , 'pancreas': , 'adrenal glands': , 'kidneys': clinical findings_fin: 'liver , gallbladder , spleen , pancreas , adrenal glands , and kidneys appear normal': 'clinical finding': 'liver , gallbladder , spleen , pancreas , adrenal glands , and kidneys appear normal'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in caliber': 'clinical finding': 'appendix is normal in caliber'anatomical entity_fin: 'bowel': clinical findings_fin: 'large or small bowel dilatation': 'clinical finding': 'large or small bowel dilatation'anatomical entity_fin: 'fluid': clinical findings_fin: 'free intraperitoneal air or fluid': 'clinical finding': 'free intraperitoneal air or fluid'anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'urinary bladder is normal': 'clinical finding': 'urinary bladder is normal'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' [/INST] [RESP] The partially imaged lower lungs appear normal. The liver, gallbladder, spleen, pancreas, adrenal glands, and kidneys appear normal. The appendix is normal in caliber. No large or small bowel dilatation. No free intraperitoneal air or fluid. The urinary bladder is normal. No pathologically enlarged lymph nodes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'thorax': , 'lung': , 'base': location descriptor_fin: ['left']clinical findings_fin: 'loculated left hydro-hemo-thorax': 'clinical finding': 'loculated left hydro-hemo-thorax', 'existence': 'pos_dx', 'descriptive_term': 'loculated left', 'observation': 'hydro', 'hemothorax': 'clinical finding': 'hemothorax', 'existence': 'pos_dx', 'observation': 'hemothorax', 'occlusive': 'clinical finding': 'occlusive', 'existence': 'neg_dx', 'observation': 'occlusive'clinical findings_fin: 'background centrilobular emphysema': 'clinical finding': 'background centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'background centrilobular', 'observation': 'emphysema', 'mild diffuse septal thickening': 'clinical finding': 'mild diffuse septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse septal', 'observation': 'thickening', 'strength_term': 'mild', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'anatomical entity_fin: 'right lung': , 'base': , 'lingula': , 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['subsegmental', 'left', 'lower', 'adjacent']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis', 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'fluid', 'observation': 'collection'anatomical entity_fin: 'right atrium': location descriptor_fin: ['left']object_fin: ['catheter']clinical findings_fin: 'jugular catheter tip low in the right atrium': 'clinical finding': 'jugular catheter tip low in the right atrium'anatomical entity_fin: 'right atrium': , 'right ventricle': clinical findings_fin: 'enlargement of right atrium and right ventricle similar to previous': 'clinical finding': 'enlargement of right atrium and right ventricle similar to previous'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'aortic valve': clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'small pericardial fluid collection': 'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlargement of the main pulmonary artery , unchanged': 'clinical finding': 'enlargement of the main pulmonary artery , unchanged', 'change_term': 'unchanged'clinical findings_fin: 'mild mediastinal lymphadenopathy': 'clinical finding': 'mild mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild mediastinal', 'observation': 'lymphadenopathy', 'strength_term': 'mild'anatomical entity_fin: 'thyroid gland': , 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'enlargement': 'clinical finding': 'enlargement', 'existence': 'pos_dx', 'observation': 'enlargement', 'thyroid gland': 'clinical finding': 'thyroid gland', 'existence': 'pos_dx', 'descriptive_term': 'thyroid', 'observation': 'gland', 'several calcifications': 'clinical finding': 'several calcifications', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'calcification', 'quantity_term': 'several', '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: 'adrenal gland': location descriptor_fin: ['left']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'clinical findings_fin: 'subcentimeter hypoattenuating hepatic lesions': 'clinical finding': 'subcentimeter hypoattenuating hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypoattenuating hepatic', 'observation': 'lesion' [/INST] [RESP] . Loculated left hydro-hemo-thorax slightly larger overall though the hemothorax on of the collection is not occlusive changed, seen at the lung base. Background centrilobular emphysema with mild diffuse septal thickening consistent with edema. Subsegmental atelectasis at the right lung base and compressive atelectasis of the lingula and left lower lobe adjacent to the fluid collection. Left jugular catheter tip low in the right atrium. Enlargement of right atrium and right ventricle similar to previous. Coronary artery calcifications. Calcifications of the aortic valve noted. Small pericardial fluid collection, similar to previous. Enlargement of the main pulmonary artery, unchanged. Mild mediastinal lymphadenopathy, about the same. Enlargement of the thyroid gland with several calcifications in the left lobe, nonspecific by CT. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Limited scanning range. Left adrenal adrenal gland is thickened, unchanged. Subcentimeter hypoattenuating hepatic lesions are too small to characterize. [/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', 'metastases': 'clinical finding': 'metastases', 'existence': 'neg_dx', 'observation': 'metastase'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple low attenuation well-defined lesions': 'clinical finding': 'multiple low attenuation well-defined lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple low attenuation well-defined', 'observation': 'lesion', 'quantity_term': 'multiple', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'solid lesions': 'clinical finding': 'solid lesions', 'existence': 'neg_dx', 'descriptive_term': 'solid', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder and biliary tract are normal with no abnormal dilatation': 'clinical finding': 'gallbladder and biliary tract are normal with no abnormal dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': clinical findings_fin: 'significant residual density': 'clinical finding': 'significant residual density', 'existence': 'neg_dx', 'descriptive_term': 'significant residual', 'observation': 'density', 'temporal_term': 'residual'anatomical entity_fin: 'seminal vesicles': clinical findings_fin: 'seminal vesicles are not visualized': 'clinical finding': 'seminal vesicles are not visualized'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['foci']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality', 'lesion': 'clinical finding': 'lesion', 'existence': 'neg_dx', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase', 'small metastatic foci': 'clinical finding': 'small metastatic foci', 'existence': 'pos_dx', 'descriptive_term': 'small metastatic', 'observation': 'foci', 'strength_term': 'small'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 -- the bony structures appear normal with no evidence for metastases. Multiple low attenuation well-defined lesions are seen throughout the liver compatible with simple cysts. No solid lesions is seen to suggest metastases. Gallbladder and biliary tract are normal with no abnormal dilatation. 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. Prostate is been surgically removed with no significant residual density present. Seminal vesicles are not visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted -- no lesion suspicious for metastases seen, however a CT is not sensitive for small metastatic foci. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', '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', 'polypoid mucosal thickening': 'clinical finding': 'polypoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'polypoid mucosal', 'observation': 'thickening'anatomical entity_fin: 'internal carotid arteries': location descriptor_fin: ['distal']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear except for polypoid mucosal thickening in the maxillary sinuses. Calcifications of distal vertebral and internal carotid arteries are noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Postsurgical changes within the posterior fossa and suboccipital craniotomy are unchanged. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pancreas': clinical findings_fin: 'mild acute pancreatitis': 'clinical finding': 'mild acute pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'mild acute', 'observation': 'pancreatitis', 'strength_term': 'mild - 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Pancreas is mildly but diffusely enlarged. Its difficult to evaluate the pancreas on this noncontrast study, however, this may be compatible with mild acute pancreatitis. Correlation with serum markers is recommended. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'previously described left lower lobe nodule': 'clinical finding': 'previously described left lower lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously described left lower lobe', 'observation': 'nodule'clinical findings_fin: 'other scattered micronodules': 'clinical finding': 'other scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other scattered', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'basilar bronchiectasis': 'clinical finding': 'basilar bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'bronchiectasis'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'clinical findings_fin: 'aortic and coronary artery calcifications': 'clinical finding': 'aortic and coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic and coronary artery', 'observation': 'calcification'location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar lymph nodes': 'clinical finding': 'calcified right hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'chest wall': 'location descriptor': 'right posterior', 'right subscapularis': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'lipoma': 'clinical finding': 'lipoma', 'existence': 'pos_dx', 'observation': 'lipoma'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'size_fin: ['size': '4.9 x 3.3 cm']procedure_fin: ['cholecystectomy']anatomical entity_fin: 'spleen': clinical findings_fin: 'nonspecific hypodensity': 'clinical finding': 'nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable bilateral renal cysts': 'clinical finding': 'stable bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'cecum': , 'ascending colon': clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'mucosal edema': 'clinical finding': 'mucosal edema', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'edema'clinical findings_fin: 'colitis': 'clinical finding': 'colitis', 'existence': 'unc_dx', 'observation': 'colitis', 'inflammatory change': 'clinical finding': 'inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'colonic neoplasm': 'clinical finding': 'colonic neoplasm', 'existence': 'unc_dx', 'descriptive_term': 'colonic', 'observation': 'neoplasm'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change' [/INST] [RESP] . Previously described left lower lobe nodule is not significantly changed when compared to the prior examination. Other scattered micronodules, some which are calcified, are unchanged. Again seen is basilar bronchiectasis, most prominent in the left lower lobe. Hypodensities in the left thyroid lobe are stable. Aortic and coronary artery calcifications, unchanged. Calcified right hilar lymph nodes, unchanged. Lipoma in the right posterior chest wall and the right subscapularis muscle are unchanged. Again seen is a hypodense lesion in the right hepatic lobe, with metastatic disease. Today it measures 4.9 x 3.3 cm. Status post cholecystectomy. Nonspecific hypodensity within the spleen is unchanged. No significant abnormality noted. Stable bilateral renal cysts. No significant abnormality noted. No significant abnormality noted. There is wall thickening and mucosal edema involving the cecum and ascending colon. This may represent colitis or inflammatory change. However, colonic neoplasm cannot be excluded. Degenerative changes affect the thoracic and lumbar spine. [/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: 'lower lobe micronodules': 'clinical finding': 'lower lobe micronodules', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'micronodule'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter pancreatic tail cyst': 'clinical finding': 'subcentimeter pancreatic tail cyst', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter pancreatic tail', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal cysts': 'clinical finding': 'renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'anus': clinical findings_fin: 'soft tissue': 'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'clinical findings_fin: 'mucosal prolapse': 'clinical finding': 'mucosal prolapse', 'existence': 'unc_dx', 'descriptive_term': 'mucosal', 'observation': 'prolapse', 'neoplasm': 'clinical finding': 'neoplasm', 'existence': 'unc_dx', 'observation': 'neoplasm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right lower lobe micronodules are stable. Small mediastinal lymph nodes are unchanged. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter pancreatic tail cyst, unchanged. No significant abnormality noted. Renal cysts are unchanged. No significant abnormality noted. Moderate. 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. Soft tissue around the anus. Clinical exam is recommended for further evaluation. This may represent mucosal prolapse, however, a neoplasm cannot be excluded. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'parietal lobe': 'location descriptor': 'left posterior', 'left lateral ventricle': location descriptor_fin: ['left', 'posterior']procedure_fin: ['radiosurgery']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'periventricular hypoattenuation': 'clinical finding': 'periventricular hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular', 'observation': 'hypoattenuation', 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic', 'postradiation changes': 'clinical finding': 'postradiation changes', 'existence': 'unc_dx', 'descriptive_term': 'postradiation', 'observation': 'change'clinical findings_fin: 'ventricles and sulci are normal for age': 'clinical finding': 'ventricles and sulci are normal for age'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Again redemonstrated is an irregular area of hypoattenuation and encephalomalacia in the left posterior parietal lobe with ex vacuo dilatation of the left lateral ventricle which is consistent with patients known history of metastatic disease and subsequent stereotactic radiosurgery. Scattered areas of periventricular hypoattenuation is consistent with chronic ischemic small vessel disease and or or postradiation changes. The ventricles and sulci are normal for age. The cisterns are symmetric and unremarkable. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. 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: artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'size_fin: ['size': '3 mm', 'size_descriptor': 'micronodule']clinical findings_fin: 'previously seen 3 mm micronodule': 'clinical finding': 'previously seen 3 mm micronodule', 'existence': 'neg_dx', 'descriptive_term': 'previously seen 3 mm', 'observation': 'micronodule'anatomical entity_fin: 'graft': clinical findings_fin: 'endovascular stent': 'clinical finding': 'endovascular stent', 'existence': 'pos_dx', 'descriptive_term': 'endovascular', 'observation': 'stent', 'pseudoaneurysm': 'clinical finding': 'pseudoaneurysm', 'existence': 'pos_dx', 'observation': 'pseudoaneurysm'size_fin: ['size': '4.4 cm']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'wall': 'location descriptor': 'anterior', 'aorta': location descriptor_fin: ['anterior']clinical findings_fin: 'intimal calcification': 'clinical finding': 'intimal calcification', 'existence': 'pos_dx', 'descriptive_term': 'intimal', 'observation': 'calcification'clinical findings_fin: 'cardiac size is within normal limits': 'clinical finding': 'cardiac size is within normal limits'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'airway': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 't9 vertebral body': location descriptor_fin: ['anterior']clinical findings_fin: 'mild anterior wedging of the t9 vertebral body': 'clinical finding': 'mild anterior wedging of the t9 vertebral body'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '4.7 cm', 'size': '4.2 cm']anatomical entity_fin: 'abdomen': clinical findings_fin: 'aortic aneurysm': 'clinical finding': 'aortic aneurysm', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'aneurysm'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'stable hepatic dome cyst': 'clinical finding': 'stable hepatic dome cyst', 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic dome', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hyperdense and hypodense renal lesions': 'clinical finding': 'bilateral hyperdense and hypodense renal lesions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hyperdense and hypodense renal', 'observation': 'lesion' [/INST] [RESP] . Exam is mildly limited by motion artifact. No pleural effusions or pneumothorax. Previously seen 3 mm micronodule is not seen on current exam. Endovascular stent graft placement with exclusion of the pseudoaneurysm near the arch. Ascending aorta is dilated measuring up to 4.4 cm. There is a focal eccentric bulge along the anterior wall of the aorta with area of intimal calcification disruption unchanged since 10/15/2012. Cardiac size is within normal limits. No pericardial effusion. No hilar or mediastinal lymphadenopathy. Central airway is patent. Severe. Mild anterior wedging of the T9 vertebral body is unchanged. Degenerative changes of the thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Abdomen no aortic aneurysm measuring up to 4.7 cm at the diaphragmatic hiatus, previously 4.2 cm on 10/15/2012 study. Small hiatal hernia. Stable hepatic dome cyst. Bilateral hyperdense and hypodense renal lesions incompletely characterized but appears similar to prior study. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered multiple micronodules': 'clinical finding': 'scattered multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered multiple', 'observation': 'micronodule', 'quantity_term': 'multiple', 'suspected subpleural lymph nodes': 'clinical finding': 'suspected subpleural lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'suspected subpleural lymph', 'observation': 'node'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'recurrence': 'clinical finding': 'recurrence', 'existence': 'unc_dx', 'observation': 'recurrence'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pericardium': clinical findings_fin: 'mild to moderate coronary calcifications': 'clinical finding': 'mild to moderate coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate coronary', 'observation': 'calcification', 'strength_term': 'mild - moderate'anatomical entity_fin: 'chest': object_fin: ['port']clinical findings_fin: 'chest port has been removed': 'clinical finding': 'chest port has been removed'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'additional abnormalities': 'clinical finding': 'additional abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'abnormality' [/INST] [RESP] . Scattered multiple micronodules and suspected subpleural lymph nodes, unchanged. No new suspicious pulmonary nodules or masses. No effusions. No specific new findings to suggest recurrence. No lymphadenopathy. The cardiac and pericardium are within normal limits other than mild to moderate coronary calcifications unchanged. Chest port has been removed. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Cholecystectomy. No additional abnormalities observed in this limited upper abdominal evaluation [/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 or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect'clinical findings_fin: 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low'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: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass or mass effect. There are scattered patchy regions of low-attenuation within the supratentorial white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues 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: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment changes': 'clinical finding': 'post-treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post-treatment', 'observation': 'change', 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'size_fin: ['size': '0.5 cm', 'size': '0.5 cm']location descriptor_fin: ['left']clinical findings_fin: 'reference left level 2 lymph node': 'clinical finding': 'reference left level 2 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference left level 2 lymph', 'observation': 'node'size_fin: ['size': '7 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'small 7 mm lymph node': 'clinical finding': 'small 7 mm lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small 7 mm 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: 'neck': clinical findings_fin: 'recurrent mass': 'clinical finding': 'recurrent mass', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'mass'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'right vertebral artery': clinical findings_fin: 'probably superimposed stenosis': 'clinical finding': 'probably superimposed stenosis', 'existence': 'pos_dx', 'descriptive_term': 'probably superimposed', 'observation': 'stenosis'anatomical entity_fin: 'spine': clinical findings_fin: 'stable degenerative disease': 'clinical finding': 'stable degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'stable degenerative', 'observation': 'disease', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'paranasal sinus mucosal thickening': 'clinical finding': 'paranasal sinus mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'paranasal sinus mucosal', 'observation': 'thickening'anatomical entity_fin: 'chest': clinical findings_fin: 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary' [/INST] [RESP] Head. There is no evidence of intracranial mass, hemorrhage or infarction. No enhancing abnormality is seen. Neck. Post-treatment changes are again present in the neck with mucosal thickening. Reference left level 2 lymph node measures 0.5 cm , previously measuring 0.5 cm. Small 7 mm lymph node at right level 2 also appears stable. No pathologically enlarged lymph nodes are identified. No recurrent mass is identified in the neck. The carotid arteries and jugular veins are patent. The right vertebral artery is hypoplastic with probably superimposed stenosis, but it appears unchanged. Stable degenerative disease of the cervical spine is present. Paranasal sinus mucosal thickening is seen. Please see dedicated chest CT from todays date for pulmonary findings. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']anatomical entity_fin: 'fluid': , 'parenchyma': clinical findings_fin: 'mild mass effect': 'clinical finding': 'mild mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild mass', 'observation': 'effect', 'strength_term': 'mild'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift is present': 'clinical finding': 'midline shift is present'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'post-surgical edema': 'clinical finding': 'post-surgical edema', 'existence': 'pos_dx', 'descriptive_term': 'post-surgical', 'observation': 'edema'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'fluid': location descriptor_fin: ['superficial']clinical findings_fin: 'subgaleal air density': 'clinical finding': 'subgaleal air density', 'existence': 'pos_dx', 'descriptive_term': 'subgaleal air', 'observation': 'density' [/INST] [RESP] Patient is status post left frontal craniotomy. Small amount of air and extra axial fluid beneath the craniotomy site causes mild mass effect on the underlying parenchyma. No midline shift is present. The brain parenchyma in the surgical bed is low in attenuation consistent with post-surgical edema. No intracranial hemorrhage is seen. Subgaleal air density and fluid density is seen superficial to the the craniotomy site. [/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': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'likely remaining within normal limits for age': 'clinical finding': 'likely remaining within normal limits for age'clinical findings_fin: 'sulci are unremarkable': 'clinical finding': 'sulci are unremarkable'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'underpneumatized': 'clinical finding': 'underpneumatized', 'existence': 'pos_dx', 'observation': 'underpneumatized'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'size_fin: ['size': '1 cm', 'size_descriptor': 'cyst']anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'mucosal retention cyst': 'clinical finding': 'mucosal retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'mucosal retention', 'observation': 'cyst' [/INST] [RESP] There is no appreciable loss of gray-white differentiation. There is no acute intracranial hemorrhage or mass. The ventricles are somewhat diminutive in size, although likely remaining within normal limits for age. The sulci are unremarkable. There is no extraaxial fluid collection. There is no midline shift. The osseous structures are intact. The mastoid air cells are underpneumatized. The visualized paranasal sinuses are normally pneumatized. There is a mucosal retention cyst within the posterior aspect of the right maxillary sinus which measures approximately 1 cm in diameter. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lateral ventricle': , 'scalp': 'location descriptor': 'right', 'neck': location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'shunt': 'clinical finding': 'shunt', 'existence': 'pos_dx', 'observation': 'shunt'anatomical entity_fin: 'occipital lobes': clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'anatomical entity_fin: 'fluid': , 'parietal lobes': location descriptor_fin: ['lateral', 'right', 'left']clinical findings_fin: 'chronic fluid collections are noted lateral to the parietal lobes , right greater than left': 'clinical finding': 'chronic fluid collections are noted lateral to the parietal lobes , right greater than left', 'change_term': 'greater'clinical findings_fin: 'mild ventriculomegaly': 'clinical finding': 'mild ventriculomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ventriculomegaly', 'strength_term': 'mild'anatomical entity_fin: 'cerebral hemispheres': location descriptor_fin: ['posterior']clinical findings_fin: 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic infarct or congenital hypoplasia': 'clinical finding': 'chronic infarct or congenital hypoplasia', 'existence': 'unc_dx', 'descriptive_term': 'chronic infarct or congenital', 'observation': 'hypoplasia', 'temporal_term': 'chronic'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid air cells are opacified': 'clinical finding': 'mastoid air cells are opacified', 'change_term': 'opacified'clinical findings_fin: 'diffuse thickening': 'clinical finding': 'diffuse thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'thickening'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'paranasal sinuses are unremarkable': 'clinical finding': 'paranasal sinuses are unremarkable' [/INST] [RESP] A shunt, with its tip in the right lateral ventricle, exits the right frontal cranium and courses down the right scalp and lateral soft tissues of the neck. Areas of encephalomalacia are noted in the parietal and occipital lobes. Chronic fluid collections are noted lateral to the parietal lobes, right greater than left. Mild ventriculomegaly is noted. The CSF space is predominant in the posterior fossa and there is atrophy and hypoattenuation of the cerebral hemispheres, which may be due to chronic infarct or congenital hypoplasia. The mastoid air cells are opacified. There is diffuse thickening of the bones. The orbits are unremarkable. The paranasal sinuses are unremarkable. [/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: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'anatomical entity_fin: 'liver': , 'spleen': clinical findings_fin: 'hypodense': 'clinical finding': 'hypodense', 'existence': 'pos_dx', 'observation': 'hypodense', 'diffuse fatty infiltration': 'clinical finding': 'diffuse fatty infiltration', 'existence': 'unc_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'anatomical entity_fin: 'lobe': location descriptor_fin: ['medial', 'left']clinical findings_fin: 'tiny hepatic cyst': 'clinical finding': 'tiny hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'tiny hepatic', 'observation': 'cyst', 'strength_term': 'tiny'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.7 by 0.9', 'size_descriptor': '-cm']anatomical entity_fin: 'right adrenal gland': location descriptor_fin: ['anterior']clinical findings_fin: '1.7 by 0.9-cm nodule': 'clinical finding': '1.7 by 0.9-cm nodule', 'existence': 'pos_dx', 'descriptive_term': '1 7 by 0 9-cm', 'observation': 'nodule'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral simple renal cysts': 'clinical finding': 'bilateral simple renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '13 mm', 'size_descriptor': 'appendix']anatomical entity_fin: 'appendix': location descriptor_fin: ['adjacent']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'adjacent inflammatory stranding': 'clinical finding': 'adjacent inflammatory stranding', 'existence': 'pos_dx', 'descriptive_term': 'adjacent inflammatory', 'observation': 'strand', 'acute appendicitis': 'clinical finding': 'acute appendicitis', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'appendicitis', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'some sigmoid colonic diverticulosis': 'clinical finding': 'some sigmoid colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'some sigmoid colonic', 'observation': 'diverticulosis', 'quantity_term': 'some'anatomical entity_fin: 'acetabulum': 'location descriptor': 'left', 'rims': location descriptor_fin: ['superior', 'left']clinical findings_fin: 'well-defined lucent lesions': 'clinical finding': 'well-defined lucent lesions', 'existence': 'pos_dx', 'descriptive_term': 'well-defined lucent', 'observation': 'lesion', 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic', 'subchondral cysts': 'clinical finding': 'subchondral cysts', 'existence': 'unc_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst', 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Dependent atelectasis in both lung bases. The liver is diffusely hypodense relative to the spleen suggesting diffuse fatty infiltration. Tiny hepatic cyst is noted in the medial segment of left hepatic lobe. No significant abnormality noted. No significant abnormality noted. 1.7 by 0.9-cm nodule in anterior limb of right adrenal gland. Bilateral simple renal cysts are incidentally 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. The appendix is dilated to 13 mm in diameter with adjacent inflammatory stranding, consistent with acute appendicitis. Some sigmoid colonic diverticulosis is seen. Well-defined lucent lesions in superior aspect of left acetabulum with sclerotic rims may represent subchondral cysts from degenerative change. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'redemonstrated is a plump pituitary': 'clinical finding': 'redemonstrated is a plump pituitary'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': 'location descriptor': 'bilateral', 'middle ear cavities': , 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear', 'air-fluid levels': 'clinical finding': 'air-fluid levels', 'existence': 'neg_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral', 'sphenoethmoidal recesses': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral maxillary sinus ostia': 'clinical finding': 'bilateral maxillary sinus ostia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral maxillary sinus', 'observation': 'ostia', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'floor': , 'anterior cranial fossa': , 'cribriform plate': clinical findings_fin: 'floor of the anterior cranial fossa and cribriform plate region are unremarkable': 'clinical finding': 'floor of the anterior cranial fossa and cribriform plate region are unremarkable'location descriptor_fin: ['deviated']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'anatomical entity_fin: 'orbits': 'location descriptor': 'bilateral', 'nasopharynx': 'location descriptor': 'posterior'location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: 'bilateral orbits and the posterior nasopharynx appear unremarkable': 'clinical finding': 'bilateral orbits and the posterior nasopharynx appear unremarkable' [/INST] [RESP] Redemonstrated is a plump pituitary, better visualized on the comparison MRI. All of the paranasal sinuses are clear as are the bilateral mastoid air cells and middle ear cavities and there are no air-fluid levels. The bilateral maxillary sinus ostia are patent as are the bilateral frontoethmoidal and sphenoethmoidal recesses. The lamina papyracea are intact bilaterally. The floor of the anterior cranial fossa and cribriform plate region are unremarkable. The nasal septum is mildly deviated rightward. Bilateral orbits and the posterior nasopharynx appear unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '34 mm']anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe spiculated lung mass': 'clinical finding': 'left upper lobe spiculated lung mass', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe spiculated lung', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'unchanged left and largely paramediastinal changes': 'clinical finding': 'unchanged left and largely paramediastinal changes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left and largely paramediastinal', 'observation': 'change', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'associated fibrosis': 'clinical finding': 'associated fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'fibrosis', 'left upper lobe volume loss': 'clinical finding': 'left upper lobe volume loss', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe volume', 'observation': 'loss', 'suspected post radiation change': 'clinical finding': 'suspected post radiation change', 'existence': 'pos_dx', 'descriptive_term': 'suspected post radiation', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'dependent lower lobe atelectasis': 'clinical finding': 'dependent lower lobe atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent lower lobe', 'observation': 'atelectasis'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'mild nonspecific cardiomegaly': 'clinical finding': 'mild nonspecific cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild nonspecific', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'suspicious lytic or blastic lesions': 'clinical finding': 'suspicious lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious lytic or blastic', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'radiopaque stones': 'clinical finding': 'radiopaque stones', 'existence': 'pos_dx', 'descriptive_term': 'radiopaque', 'observation': 'stone'size_fin: ['size': '4.7 x 2.7 cm']clinical findings_fin: 'cm unchanged': 'clinical finding': 'cm unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Diagnostic quality study. Pulmonary artery is enlarged measuring 34 mm. No pulmonary emboli. Left upper lobe spiculated lung mass is unchanged, see below for measurement. Unchanged left and largely paramediastinal changes with associated fibrosis and left upper lobe volume loss consistent with suspected post radiation change. Dependent lower lobe atelectasis. No hilar or mediastinal lymphadenopathy. Mild nonspecific cardiomegaly. Severe. Degenerative changes of the spine. No suspicious lytic or blastic lesions found. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Radiopaque stones within the gallbladder. 4.7 x 2.7 cm unchanged [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'essentially no significant change': 'clinical finding': 'essentially no significant change', 'existence': 'pos_dx', 'descriptive_term': 'essentially no significant', 'observation': 'change', 'quantity_term': 'no', 'large right pleural effusion': 'clinical finding': 'large right pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'large right pleural', 'observation': 'effusion', 'strength_term': 'large'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'continued atelectasis': 'clinical finding': 'continued atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'continued', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': imaging observation_fin: ['wedge']location descriptor_fin: ['right']object_fin: ['staple']procedure_fin: ['biopsy']clinical findings_fin: 'staple line in the region of the right middle lobe is compatible with prior wedge biopsy': 'clinical finding': 'staple line in the region of the right middle lobe is compatible with prior wedge biopsy'location descriptor_fin: ['left']clinical findings_fin: 'mild left basilar atelectasis': 'clinical finding': 'mild left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild left basilar', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'heart': location descriptor_fin: ['median']object_fin: ['surgical clips']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy', 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'stable moderate cardiomegaly': 'clinical finding': 'stable moderate cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable moderate', 'observation': 'cardiomegaly', 'strength_term': 'stable - moderate', 'change_term': 'stable'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'minimally enlarged mediastinal lymph nodes': 'clinical finding': 'minimally enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'minimally enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'left central venous catheter': 'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': clinical findings_fin: 'partially visualized abdominal ascites': 'clinical finding': 'partially visualized abdominal ascites', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized abdominal', 'observation': 'ascite', 'strength_term': 'partially' [/INST] [RESP] . Essentially no significant change in size of large right pleural effusion. Continued atelectasis or consolidation in the right middle and lower lobes. Staple line in the region of the right middle lobe is compatible with prior wedge biopsy. Mild left basilar atelectasis. Median sternotomy and surgical clips compatible with prior heart transplant. Stable moderate cardiomegaly. No evidence of pericardial effusion. Minimally enlarged mediastinal lymph nodes unchanged. Left central venous catheter with tip at the SVC or RA junction. Right chest port catheter with tip in the SVC. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Partially visualized abdominal ascites, also seen on prior study. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral pleural effusions': 'clinical finding': 'small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in appearance': 'clinical finding': 'liver is normal in appearance'anatomical entity_fin: 'liver': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'intrahepatic or extrahepatic ductal dilatation': 'clinical finding': 'intrahepatic or extrahepatic ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic or extrahepatic ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallbladder is normal in appearance': 'clinical finding': 'gallbladder is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple low attenuation, well circumscribed lesions': 'clinical finding': 'multiple low attenuation, well circumscribed lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple low attenuation well circumscribed', 'observation': 'lesion', 'quantity_term': 'multiple', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': object_fin: ['catheter']clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['hematomas']clinical findings_fin: 'multiple extraperitoneal pelvic hematomas': 'clinical finding': 'multiple extraperitoneal pelvic hematomas', 'existence': 'pos_dx', 'descriptive_term': 'multiple extraperitoneal pelvic', 'observation': 'hematoma', 'quantity_term': 'multiple'size_fin: ['size': '5.2 x 3.5 cm', 'size_descriptor': 'anterior']anatomical entity_fin: 'bladder': , 'peritoneal cavity': imaging observation_fin: ['foci']location descriptor_fin: ['anterior']clinical findings_fin: 'free air': 'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air'clinical findings_fin: 'extensive soft tissue infiltration and subcutaneous air are also noted': 'clinical finding': 'extensive soft tissue infiltration and subcutaneous air are also noted' [/INST] [RESP] . Small bilateral pleural effusions. The liver is normal in appearance. A small amount of the ascites is noted around the liver. There is no evidence of intrahepatic or extrahepatic ductal dilatation. The gallbladder is normal in appearance. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple low attenuation, well circumscribed lesions arising from the kidneys that likely represent simple cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter in place within a collapsed bladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple extraperitoneal pelvic hematomas are noted. The largest collection anterior to the bladder measures 5.2 x 3.5 cm as seen on image 118 of series Foci of free air noted within the peritoneal cavity is consistent with recent surgery. Extensive soft tissue infiltration and subcutaneous air are also noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'innumerable scattered pulmonary nodules': 'clinical finding': 'innumerable scattered pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'innumerable scattered pulmonary', 'observation': 'nodule', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'size_fin: ['size': '4.5 x 4.7 cm', 'size': '4.7 x 4.7 cm']anatomical entity_fin: 'mediastinum': 'location descriptor': 'upper'location descriptor_fin: ['adjacent', 'upper', 'left']clinical findings_fin: 'largest is adjacent to the upper mediastinum on the left': 'clinical finding': 'largest is adjacent to the upper mediastinum on the left'size_fin: ['size': '3.9 x 3.4 cm', 'size': '4.5 x 4.1 cm']anatomical entity_fin: 'base': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left base cavitary lesion': 'clinical finding': 'left base cavitary lesion', 'existence': 'pos_dx', 'descriptive_term': 'left base cavitary', 'observation': 'lesion'clinical findings_fin: 'definite mediastinal lymphadenopathy': 'clinical finding': 'definite mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'definite mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'location descriptor_fin: ['right']clinical findings_fin: 'stable right hepatic dome cyst': 'clinical finding': 'stable right hepatic dome cyst', 'existence': 'pos_dx', 'descriptive_term': 'stable right hepatic dome', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable, bilateral, low-attenuation renal lesions': 'clinical finding': 'stable, bilateral, low-attenuation renal lesions', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral low-attenuation renal', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Innumerable scattered pulmonary nodules compatible with metastatic disease. The largest is adjacent to the upper mediastinum on the left which is stable to stable to slightly smaller in size and measures 4.5 x 4.7 cm previously it measured 4.7 x 4.7 cm. The left base cavitary lesion is smaller and measures 3.9 x 3.4 cm previously it measured 4.5 x 4.1 cm. No definite mediastinal lymphadenopathy. No significant abnormality noted. Cholelithiasis. Stable right hepatic dome cyst. No significant abnormality noted. No significant abnormality noted. Stable, bilateral, low-attenuation renal lesions likely represent cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
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