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<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': clinical findings_fin: 'small round lesion': 'clinical finding': 'small round lesion', 'existence': 'pos_dx', 'descriptive_term': 'small round', 'observation': 'lesion', 'strength_term': 'small', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small round lesion in the spleen too small to characterize likely represent cyst, unchanged from prior. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '25 x 22 mm', 'size': '24 x 23 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe subpleural nodule': 'clinical finding': 'left lower lobe subpleural nodule', 'existence': 'neg_dx', 'descriptive_term': 'left lower lobe subpleural', 'observation': 'nodule'size_fin: ['size': '22 x 15 mm', 'size': '25 x 14 mm']location descriptor_fin: ['left', 'inferior']clinical findings_fin: 'left inferior hilar or perivascular mass': 'clinical finding': 'left inferior hilar or perivascular mass', 'existence': 'pos_dx', 'descriptive_term': 'left inferior hilar or perivascular', 'observation': 'mass'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: 'mediastinal and hilar lymph nodes': 'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'size_fin: ['size': '10 mm', 'size': '11 mm']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal lymph node': 'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'anatomical entity_fin: 'vertebral body': imaging observation_fin: ['foci']clinical findings_fin: 'small sclerotic foci': 'clinical finding': 'small sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'small sclerotic', 'observation': 'foci', 'strength_term': 'small'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'subcentimeter hepatic hypodensities': 'clinical finding': 'subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hepatic', 'observation': 'hypodensity' [/INST] [RESP] . Left lower lobe subpleural nodule is not significantly changed measuring 25 x 22 mm , previously 24 x 23 mm. Left inferior hilar or perivascular mass is stable to minimally decreased measuring 22 x 15 mm , previously 25 x 14 mm. Cardiac size is within normal limits. No pericardial effusion. Mediastinal and hilar lymph nodes are stable to slightly smaller. For reference, right paratracheal lymph node measures 10 mm , previously 11 mm. None. Small sclerotic foci of the vertebral body appear similar to prior study. Absence of enteric contrast material limits sensitivity for abdominal pathology. Subcentimeter hepatic hypodensities too small to characterize, appear stable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left', 'head': imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'multiple foci': 'clinical finding': 'multiple foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'foci', 'quantity_term': 'multiple', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'acute ischemia': 'clinical finding': 'acute ischemia', 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'temporal lobe': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'posttreatment changes': 'clinical finding': 'posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'posttreatment', 'observation': 'change', 'known glioblastoma': 'clinical finding': 'known glioblastoma', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'glioblastoma'anatomical entity_fin: 'parietal lobe': 'location descriptor': 'right superior'location descriptor_fin: ['right', 'superior']clinical findings_fin: 'decreased density': 'clinical finding': 'decreased density', 'existence': 'pos_dx', 'descriptive_term': 'decreased', 'observation': 'density', 'strength_term': 'decreased', 'change_term': 'decreased', 'patients known arachnoid cyst': 'clinical finding': 'patients known arachnoid cyst', 'existence': 'pos_dx', 'descriptive_term': 'patients known arachnoid', 'observation': 'cyst'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray- white differentiation is otherwise normal': 'clinical finding': 'gray- white differentiation is otherwise normal'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'location descriptor_fin: ['left']clinical findings_fin: 'bones are otherwise unremarkable': 'clinical finding': 'bones are otherwise unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Multiple foci of hypoattenuation in the left basal ganglia are unchanged from the previous examination, however there is a new focus of hypodensity in the head of the caudate which is suggestive of acute ischemia. The area of encephalomalacia in the left anterior and mid temporal lobe is consistent with posttreatment changes related to the patients known glioblastoma. The area of decreased density overlying the right superior parietal lobe is consistent with the patients known arachnoid cyst. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white differentiation is otherwise normal. There is no midline shift, intra-or extra-axial fluid collection or acute hemorrhage. The patient is status post left craniotomy. The bones are otherwise 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: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'pulmonary micronodule': 'clinical finding': 'pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in morphology': 'clinical finding': 'liver is normal in morphology'clinical findings_fin: 'suspicious hepatic lesions': 'clinical finding': 'suspicious hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'anatomical entity_fin: 'portal veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'mild calcific arteriosclerotic disease': 'clinical finding': 'mild calcific arteriosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild calcific arteriosclerotic', 'observation': 'disease', 'strength_term': 'mild'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal 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'procedure_fin: ['prostatectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'previously measured lymph node': 'clinical finding': 'previously measured lymph node', 'existence': 'neg_dx', 'descriptive_term': 'previously measured lymph', 'observation': 'node'size_fin: ['size': '2.1 x 1.2 cm', 'size': '1.1 x 1.0 cm']location descriptor_fin: ['right', 'external', 'left']clinical findings_fin: 'external iliac node': 'clinical finding': 'external iliac node', 'existence': 'pos_dx', 'descriptive_term': 'external iliac', 'observation': 'node', 'new left internal iliac node': 'clinical finding': 'new left internal iliac node', 'existence': 'pos_dx', 'descriptive_term': 'new left internal iliac', 'observation': 'node', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Pulmonary micronodule in the right middle lobe is unchanged. Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild calcific arteriosclerotic disease of the aorta. Small retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. Status post prostatectomy. No significant abnormality noted. Previously measured lymph node has resolved and may have been resected. Right external iliac node measures 2.1 x 1.2 cm New left internal iliac node measures 1.1 x 1.0 cm. 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: 'parietal lobe': location descriptor_fin: ['right']clinical findings_fin: 'right temporal and parietal lobe encephalomalacia': 'clinical finding': 'right temporal and parietal lobe encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'right temporal and parietal lobe', 'observation': 'encephalomalacia'clinical findings_fin: 'periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'extra-axial fluid collection': 'clinical finding': 'extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extra-axial fluid', 'observation': 'collection', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'imaging observation_fin: ['interface']clinical findings_fin: 'gray-white matter interface': 'clinical finding': 'gray-white matter interface', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'interface'clinical findings_fin: 'acute territorial ischemia': 'clinical finding': 'acute territorial ischemia', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: '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: 'effacement': 'clinical finding': 'effacement', 'existence': 'neg_dx', 'observation': 'effacement'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: 'mastoid air cells': , 'paranasal sinuses': clinical findings_fin: 'visualized mastoid air cells and paranasal sinuses': 'clinical finding': 'visualized mastoid air cells and paranasal sinuses' [/INST] [RESP] Again seen is right temporal and parietal lobe encephalomalacia in the right MCA distribution, appearing similar to the prior study. Note is made of periventricular and subcortical white matter hypoattenuation which is nonspecific, but most consistent with small vessel ischemic disease of indeterminant age. There is no evidence of intracranial hemorrhage, extra-axial fluid collection, mass or edema. There is no mass effect or midline shift. There is preservation of the gray-white matter interface. There is no evidence of acute territorial ischemia. The ventricles and basal cisterns are normal in size and configuration. There is no effacement of the basal cisterns. The calvaria and skull base are radiographically normal. The visualized mastoid air cells and paranasal sinuses are within normal limits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '5-mm', 'size_descriptor': 'nodule', 'size': '3-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new 5-mm nodule': 'clinical finding': 'new 5-mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new 5-mm', 'observation': 'nodule', 'temporal_term': 'new', 'new 3-mm nodule': 'clinical finding': 'new 3-mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new 3-mm', 'observation': 'nodule', 'temporal_term': 'new'size_fin: ['size': '2-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: '2-mm nodule': 'clinical finding': '2-mm nodule', 'existence': 'pos_dx', 'descriptive_term': '2-mm', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'mild coronary artery calcification': 'clinical finding': 'mild coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'subcarinal lymph nodes': location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar and subcarinal lymph nodes': 'clinical finding': 'calcified right hilar and subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar and subcarinal lymph', 'observation': 'node', 'change_term': 'calcified', 'previous granulomatous infection': 'clinical finding': 'previous granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'previous granulomatous', 'observation': 'infection', 'temporal_term': 'previous'clinical findings_fin: 'small sliding hiatal hernia': 'clinical finding': 'small sliding hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small sliding hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '10 mm', 'size_descriptor': 'hypodensities']anatomical entity_fin: 'liver': clinical findings_fin: 'multiple small hypodensities': 'clinical finding': 'multiple small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'multiple'clinical findings_fin: 'more likely cysts': 'clinical finding': 'more likely cysts', 'existence': 'unc_dx', 'descriptive_term': 'more likely', 'observation': 'cyst', 'quantity_term': 'more', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'procedure_fin: ['cholecystectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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] . New 5-mm nodule peripherally in the right upper lobe , and a new 3-mm nodule anteriorly in the right upper lobe. A 2-mm nodule reported on the previous scan from 2005 in the right upper lobe has not changed and is presumably benign. No significant lymphadenopathy. Mild coronary artery calcification. Calcified right hilar and subcarinal lymph nodes compatible with previous granulomatous infection. Small sliding hiatal hernia. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple small hypodensities in the liver ranging up to about 10 mm in diameter. New or increased in size but too small to reliably characterize and more likely cysts than metastases. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3 mm', 'size_descriptor': 'micronodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: '3 mm micronodule': 'clinical finding': '3 mm micronodule', 'existence': 'pos_dx', 'descriptive_term': '3 mm', 'observation': 'micronodule'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple round well-defined hypoattenuating lesions': 'clinical finding': 'multiple round well-defined hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple round well-defined hypoattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'imaging observation_fin: ['water density']clinical findings_fin: 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'few lesions': 'clinical finding': 'few lesions', 'existence': 'pos_dx', 'descriptive_term': 'few', 'observation': 'lesion', 'quantity_term': 'few', 'benign lesions': 'clinical finding': 'benign lesions', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'lesion', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'specifically, no nephrolithiasis': 'clinical finding': 'specifically, no nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'specifically no', 'observation': 'nephrolithiasis', 'quantity_term': 'no', 'ureterolithiasis': 'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcification abdominal aorta': 'clinical finding': 'atherosclerotic calcification abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification abdominal', 'observation': 'aorta'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'sigmoid diverticulosis': 'clinical finding': 'sigmoid diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'sigmoid', 'observation': 'diverticulosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'multiple phleboliths': 'clinical finding': 'multiple phleboliths', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'phlebolith', 'quantity_term': 'multiple' [/INST] [RESP] . 3 mm micronodule in the left lower lobe is nonspecific. No pleural effusions. There are multiple round well-defined hypoattenuating lesions scattered throughout the liver. Those of which are amenable to Hounsfield measurement show water density and are compatible with simple cysts. There are a few lesions which are too small to accurately measure, but most likely represent benign lesions as well. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Specifically, no nephrolithiasis or ureterolithiasis. No hydronephrosis. No perinephric collections. Mild atherosclerotic calcification abdominal aorta. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sigmoid diverticulosis. No significant abnormality noted. Multiple phleboliths in the pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: 'small pleural effusions': 'clinical finding': 'small pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small', 'bibasilar subsegmental atelectasis': 'clinical finding': 'bibasilar subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'concerning pulmonary nodules': 'clinical finding': 'concerning pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'concerning pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent central airways': 'clinical finding': 'patent central airways', 'change_term': 'patent'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'multinodular': 'clinical finding': 'multinodular', 'existence': 'pos_dx', 'observation': 'multinodular'size_fin: ['size': '3.1 cm', 'size_descriptor': 'aneurysm']anatomical entity_fin: 'coronary artery': location descriptor_fin: ['left']clinical findings_fin: 'probable large left main coronary artery aneurysm': 'clinical finding': 'probable large left main coronary artery aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'probable large left main coronary artery', 'observation': 'aneurysm', 'strength_term': 'large', 'this lesion': 'clinical finding': 'this lesion', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'clinical findings_fin: 'extensive atherosclerotic disease': 'clinical finding': 'extensive atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive'size_fin: ['size': '3.7 cm', 'size_descriptor': 'dilation']anatomical entity_fin: 'thoracic aorta': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'mild dilation': 'clinical finding': 'mild dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'dilation', 'strength_term': 'mild'anatomical entity_fin: 'right atrium': , 'right ventricle': non-anatomical substance_fin: ['leads']object_fin: ['pacemaker']clinical findings_fin: 'sternotomy': 'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '1.8 cm', 'size': '1.2 cm']anatomical entity_fin: 'renal artery': location descriptor_fin: ['right', 'left']clinical findings_fin: 'probable atherosclerotic renal artery aneurysms': 'clinical finding': 'probable atherosclerotic renal artery aneurysms', 'existence': 'pos_dx', 'descriptive_term': 'probable atherosclerotic renal artery', 'observation': 'aneurysm'anatomical entity_fin: 'right renal artery': location descriptor_fin: ['distal']clinical findings_fin: 'small fusiform aneurysm': 'clinical finding': 'small fusiform aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'small fusiform', 'observation': 'aneurysm', 'strength_term': 'small'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'probable vicarious excretion': 'clinical finding': 'probable vicarious excretion', 'existence': 'pos_dx', 'descriptive_term': 'probable vicarious', 'observation': 'excretion', 'of contrast': 'clinical finding': 'of contrast', 'existence': 'unc_dx', 'descriptive_term': 'of', 'observation': 'contrast'clinical findings_fin: 'multiple hepatic hypodensities': 'clinical finding': 'multiple hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'hypodensity', 'quantity_term': 'multiple'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'percutaneous gastrostomy tube , noted': 'clinical finding': 'percutaneous gastrostomy tube , noted'clinical findings_fin: 'innumerable renal hypodensities': 'clinical finding': 'innumerable renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'innumerable renal', 'observation': 'hypodensity', 'polycystic kidney disease': 'clinical finding': 'polycystic kidney disease', 'existence': 'unc_dx', 'descriptive_term': 'polycystic kidney', 'observation': 'disease' [/INST] [RESP] . Small pleural effusions with bibasilar subsegmental atelectasis. No concerning pulmonary nodules, masses, or consolidation. Patent central airways. Multinodular thyroid gland. Probable large left main coronary artery aneurysm measuring up to 3.1 cm on image 55 of series Consider correlation with cardiac CTA this lesion has not been characterized. Extensive atherosclerotic disease status post CABG. Mild dilation of the distal thoracic aorta measuring up to 3.7 cm. Pacemaker leads terminate within the right atrium and right ventricle. Severe. Status post sternotomy. Absence of enteric contrast material limits sensitivity for abdominal pathology. Probable atherosclerotic renal artery aneurysms noted proximally measuring up to 1.8 cm on the right and 1.2 cm on the left. There is also a small fusiform aneurysm of the right renal artery in its mid or distal aspect. Probable vicarious excretion of contrast within the gallbladder. Multiple hepatic hypodensities, too small to characterize. Percutaneous gastrostomy tube, noted. Innumerable renal hypodensities, suggesting possible diagnosis of polycystic kidney disease. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'medtronic fusion': 'clinical finding': 'medtronic fusion', 'existence': 'pos_dx', 'descriptive_term': 'medtronic', 'observation': 'fusion', 'sinus': 'clinical finding': 'sinus', 'existence': 'pos_dx', 'observation': 'sinus'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'any acute or chronic sinus disease': 'clinical finding': 'any acute or chronic sinus disease', 'existence': 'neg_dx', 'descriptive_term': 'any acute or chronic sinus', 'observation': 'disease', 'strength_term': 'acute', 'temporal_term': 'acute - chronic'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: 'ostia': 'clinical finding': 'ostia', 'existence': 'pos_dx', 'observation': 'ostia', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'images through the nasal cavity are unremarkable': 'clinical finding': 'images through the nasal cavity are unremarkable'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid', 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'neg_dx', 'observation': 'pneumatized' [/INST] [RESP] Medtronic fusion nonenhanced sinus. All the paranasal sinuses are well pneumatized and with no evidence of any acute or chronic sinus disease. The ostiomeatal units of maxillary sinuses are patent bilaterally. The ostia of the sphenoid sinus is patent. Images through the nasal cavity are unremarkable. Mastoid air cells, and minimally cavities are well pneumatized and unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'coronary artery': , 'circumflex coronary arteries': 'location descriptor': 'left'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'valsalva': 'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'location descriptor_fin: ['left']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'coronary artery': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'circumflex coronary artery': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'non-dominant': 'clinical finding': 'non-dominant', 'existence': 'pos_dx', 'observation': 'non-dominant'location descriptor_fin: ['left']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'right coronary artery': location descriptor_fin: ['right']anatomical entity_fin: 'coronary artery': , 'posterior descending artery': anatomical entity_fin: 'right coronary artery': clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'location descriptor_fin: ['left']clinical findings_fin: 'left ventricular late diastolic volume': 'clinical finding': 'left ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular late diastolic', 'observation': 'volume'location descriptor_fin: ['right']clinical findings_fin: 'right ventricular late diastolic volume': 'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'location descriptor_fin: ['left']clinical findings_fin: 'left atrial volume': 'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'anatomical entity_fin: 'pulmonary veins': , 'left atrium': clinical findings_fin: 'are four distinct pulmonary veins which drain': 'clinical finding': 'are four distinct pulmonary veins which drain'anatomical entity_fin: 'left atrial appendage': clinical findings_fin: 'left atrial appendage thrombus': 'clinical finding': 'left atrial appendage thrombus', 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'location descriptor_fin: ['right']clinical findings_fin: 'right atrial volume': 'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'location descriptor_fin: ['superior', 'inferior']clinical findings_fin: 'superior and inferior vena cavae are grossly normal': 'clinical finding': 'superior and inferior vena cavae are grossly normal'anatomical entity_fin: 'coronary sinus': clinical findings_fin: 'coronary sinus is normal in size': 'clinical finding': 'coronary sinus is normal in size'anatomical entity_fin: 'aortic valve': clinical findings_fin: 'trace aortic valve calcification': 'clinical finding': 'trace aortic valve calcification', 'existence': 'pos_dx', 'descriptive_term': 'trace aortic valve', 'observation': 'calcification'anatomical entity_fin: 'mitral valve': clinical findings_fin: 'mitral valve calcification': 'clinical finding': 'mitral valve calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral valve', 'observation': 'calcification'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'aortic arch is not seen': 'clinical finding': 'aortic arch is not seen'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is normal in size': 'clinical finding': 'main pulmonary artery is normal in size'anatomical entity_fin: 'pericardium': clinical findings_fin: 'pericardium is normal in thickness': 'clinical finding': 'pericardium is normal in thickness'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion' [/INST] [RESP] . The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There are no significant stenoses in the LAD. The left circumflex coronary artery is non-dominant. It courses normally in the left AV groove. It gives rise to the obtuse marginal branches. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. There are no significant stenoses in the right coronary artery. The left ventricular late diastolic volume is normal. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is trace aortic valve calcification. No mitral valve calcification is noted. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not seen. The main pulmonary artery is normal in size. The pericardium is normal in thickness. There is no pericardial effusion. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement'anatomical entity_fin: 'orbits': clinical findings_fin: 'neckthe orbits are unremarkable': 'clinical finding': 'neckthe orbits are unremarkable'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left', 'paranasal sinuses': location descriptor_fin: ['left']clinical findings_fin: 'chronic obstruction': 'clinical finding': 'chronic obstruction', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'obstruction', 'temporal_term': 'chronic', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'hyperpneumatization': 'clinical finding': 'hyperpneumatization', 'existence': 'pos_dx', 'observation': 'hyperpneumatization', 'left sphenoid sinus': 'clinical finding': 'left sphenoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'left sphenoid', 'observation': 'sinus'anatomical entity_fin: 'palate': location descriptor_fin: ['left']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'post left hemimaxillectomy': 'clinical finding': 'post left hemimaxillectomy', 'existence': 'pos_dx', 'descriptive_term': 'post left', 'observation': 'hemimaxillectomy', 'left ethmoidectomy': 'clinical finding': 'left ethmoidectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'ethmoidectomy'imaging observation_fin: ['enhancing']clinical findings_fin: 'abnormal contrast enhancing mass': 'clinical finding': 'abnormal contrast enhancing mass', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast enhancing', 'observation': 'mass', 'lesion': 'clinical finding': 'lesion', 'existence': 'neg_dx', 'observation': 'lesion', 'recurrent or residual disease': 'clinical finding': 'recurrent or residual disease', 'existence': 'unc_dx', 'descriptive_term': 'recurrent or residual', 'observation': 'disease', 'temporal_term': 'residual'anatomical entity_fin: 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'parotid glands are unremarkable': 'clinical finding': 'parotid glands are unremarkable'anatomical entity_fin: 'lobes': imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'several low attenuating foci': 'clinical finding': 'several low attenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'several low attenuating', 'observation': 'foci', 'quantity_term': 'several'anatomical entity_fin: 'submental lymph nodes': , 'neck': clinical findings_fin: 'submental lymph nodes': 'clinical finding': 'submental lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'submental lymph', 'observation': 'node', 'neck lymphadenopathy': 'clinical finding': 'neck lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'neck', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] HEADThe ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. NECKThe orbits are unremarkable. Chronic obstruction of the left frontal sinus and frontal ethmoid recess is again noted, with the other paranasal sinuses appearing clear. There is hyperpneumatization of the left sphenoid sinus. Post surgical changes are redemonstrated, status post left hemimaxillectomy and left ethmoidectomy with left hard palate resection. No evidence of abnormal contrast enhancing mass or lesion to suggest recurrent or residual disease. The hypopharynx, larynx and subglottic airways are unremarkable or patent. The parotid glands are unremarkable. Several low attenuating foci are noted within the bilateral thyroid lobes. Nonpathologic and a nonenlarged view submental lymph nodes are seen, but there is no neck lymphadenopathy. The carotid arteries and jugular veins are patent. The lung apices are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'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 or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'clinical findings_fin: 'calvarial fracture': 'clinical finding': 'calvarial fracture', 'existence': 'neg_dx', 'descriptive_term': 'calvarial', 'observation': 'fracture'location descriptor_fin: ['right']anatomical entity_fin: 'upper lip': clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'clinical findings_fin: 'maxillary or mandibular fracture': 'clinical finding': 'maxillary or mandibular fracture', 'existence': 'neg_dx', 'descriptive_term': 'maxillary or mandibular', 'observation': 'fracture'anatomical entity_fin: 'paranasal sinuses': , 'cells': clinical findings_fin: 'developing paranasal sinuses and the ethmoid air cells are opacified': 'clinical finding': 'developing paranasal sinuses and the ethmoid air cells are opacified', 'change_term': 'developing - opacified'anatomical entity_fin: 'fluid': , 'middle ears': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'small amount of fluid is noted in bilateral middle ears , right more than on the left': 'clinical finding': 'small amount of fluid is noted in bilateral middle ears , right more than on the left' [/INST] [RESP] The ventricles and sulci are normal in size. There is no evidence of acute intracranial hemorrhage, mass or mass effect. There is no midline shift. The gray-white matter differentiation is preserved. No calvarial fracture is identified. There is missing right maxillary first incisor. There is soft tissue swelling over the upper lip. There is no evidence of maxillary or mandibular fracture. The developing paranasal sinuses and the ethmoid air cells are opacified, common finding for patients age. Small amount of fluid is noted in bilateral middle ears, right more than on the left [/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', 'related volume loss': 'clinical finding': 'related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'related volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'post cataract': 'clinical finding': 'post cataract', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'cataract'clinical findings_fin: 'empty sella is present': 'clinical finding': 'empty sella is present' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and prominent, age related volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. Status post cataract surgery bilaterally. An empty sella is present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'tibia': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'marked fragmentation': 'clinical finding': 'marked fragmentation', 'existence': 'pos_dx', 'descriptive_term': 'marked', 'observation': 'fragmentation'anatomical entity_fin: 'metaphysis': , 'epiphysis': clinical findings_fin: 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'anatomical entity_fin: 'tibia': , 'fibula': location descriptor_fin: ['external']clinical findings_fin: 'previous external fixation': 'clinical finding': 'previous external fixation', 'existence': 'pos_dx', 'descriptive_term': 'previous external', 'observation': 'fixation', 'temporal_term': 'previous'clinical findings_fin: 'periosteal reaction': 'clinical finding': 'periosteal reaction', 'existence': 'pos_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction', 'fracture fragments': 'clinical finding': 'fracture fragments', 'existence': 'pos_dx', 'descriptive_term': 'fracture', 'observation': 'fragment', 'interval attempted healing': 'clinical finding': 'interval attempted healing', 'existence': 'pos_dx', 'descriptive_term': 'interval attempted', 'observation': 'heal'clinical findings_fin: 'diffuse osteoporosis': 'clinical finding': 'diffuse osteoporosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'osteoporosis', 'disuse': 'clinical finding': 'disuse', 'existence': 'unc_dx', 'observation': 'disuse'anatomical entity_fin: 'calcaneus': clinical findings_fin: 'also noted in the calcaneus , likely from prior fixation': 'clinical finding': 'also noted in the calcaneus , likely from prior fixation' [/INST] [RESP] There is marked fragmentation of the distal tibia. There is a sclerotic focus at the junction of the tibial metaphysis and epiphysis, as seen on image 71 of series 202 of axial images, and image 63 of series 202 on coronal reconstruction, and image 59 of series 203 of sagittal reconstruction, which is concerning for sequestrum. Multiple round and tubular lucencies within the tibia and fibula indicate previous external fixation. Periosteal reaction is noted along the fracture fragments, consistent with interval attempted healing. There is diffuse osteoporosis of the bones, likely secondary to disuse. Lucency is also noted in the calcaneus, likely from prior fixation. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'limited images of the intracranial space': 'clinical finding': 'limited images of the intracranial space'anatomical entity_fin: 'skull': , 'base': , 'paranasal sinuses': location descriptor_fin: ['bilateral']clinical findings_fin: 'images through the skull base , cavernous sinuses , bilateral petrous bones and paranasal sinuses are essentially unremarkable': 'clinical finding': 'images through the skull base , cavernous sinuses , bilateral petrous bones and paranasal sinuses are essentially unremarkable'anatomical entity_fin: 'neck': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'neck': 'location descriptor': 'bilateral'imaging observation_fin: ['nonenhancing']location descriptor_fin: ['bilateral']clinical findings_fin: 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'size_fin: ['size': '7.3 x 5', 'size': '8.8-mm']location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'largest node': 'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node', 'left posterior triangle': 'clinical finding': 'left posterior triangle', 'existence': 'pos_dx', 'descriptive_term': 'left posterior', 'observation': 'triangle'location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'detectable lymph node': 'clinical finding': 'detectable lymph node', 'existence': 'neg_dx', 'descriptive_term': 'detectable lymph', 'observation': 'node'anatomical entity_fin: 'neck': clinical findings_fin: 'any masses': 'clinical finding': 'any masses', 'existence': 'neg_dx', 'descriptive_term': 'any', 'observation': 'mass'anatomical entity_fin: 'vasculature': , 'neck': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'any osseous or cartilaginous erosion': 'clinical finding': 'any osseous or cartilaginous erosion', 'existence': 'neg_dx', 'descriptive_term': 'any osseous or cartilaginous', 'observation': 'erosion'anatomical entity_fin: 'lobes': clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'limited view of lung apices demonstrate': 'clinical finding': 'limited view of lung apices demonstrate'size_fin: ['size': '16.6 x 9 mm', 'size': '16 mm']anatomical entity_fin: 'mediastinum': location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal lymph nodes': 'clinical finding': 'right paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'size_fin: ['size': '9.7 x 15.6 millimeter', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'additional node': 'clinical finding': 'additional node', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'node' [/INST] [RESP] .Limited images of the intracranial space are grossly unremarkable. Images through the skull base, cavernous sinuses, bilateral petrous bones and paranasal sinuses are essentially unremarkable. Images through the neck demonstrate no evidence of a mass in the soft tissues of neck. There are few small nonenhancing , non-necrotic and nonpathologic by CT size criteria lymph nodes in bilateral neck. The largest node in the left posterior triangle measures 7.3 x 5 on axial image 48 and 8.8-mm on coronal reformatted image 28. The clinical significance of the findings are questionable. There is no detectable lymph node inferior to the left thyroid as clinically it is indicated. No evidence of any masses in the soft tissues of the neck. The vasculature of the neck remains intact. No evidence of any osseous or cartilaginous erosion. Thyroid lobes are normal in size and pattern of enhancement. Limited view of lung apices demonstrate no definitive pathology. Very limited images of mediastinum demonstrates right paratracheal lymph nodes which measure approximately16.6 x 9 mm entrance axial dimensions and 16 mm in cranial cephalad access on coronal reformatted image 34. Additional node in the right paratracheal region on axial image 84 measures 9.7 x 15.6 millimeter in size. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'fluid': clinical findings_fin: 'mass lesions': 'clinical finding': 'mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unremarkable': 'clinical finding': 'thyroid and major salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'degenerative spondylosis': 'clinical finding': 'degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are grossly unremarkable': 'clinical finding': 'imaged intracranial structures are grossly unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is no evidence of fluid collections, mass lesions, or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is degenerative spondylosis at C5-6. The airways are patent. The imaged intracranial structures are grossly 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: clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: 'small soft tissue density': 'clinical finding': 'small soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'small soft tissue', 'observation': 'density', 'strength_term': 'small', 'small lymph node': 'clinical finding': 'small lymph node', 'existence': 'pos_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'cervical lymphadenopathy': 'clinical finding': 'cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': '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': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Postsurgical changes from total thyroidectomy. Small soft tissue density in the right thyroid bed, previously identified as a small lymph node. No cervical lymphadenopathy. The major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. 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: 'right lateral ventricle': , 'foramen': location descriptor_fin: ['right', 'adjacent']object_fin: ['catheter']clinical findings_fin: 'right lateral ventricle adjacent to the foramen of monroe': 'clinical finding': 'right lateral ventricle adjacent to the foramen of monroe'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'slitlike': 'clinical finding': 'slitlike', 'existence': 'pos_dx', 'observation': 'slitlike'anatomical entity_fin: 'prepontine cistern': , 'fourth ventricle': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'cerebellum': , 'corpus callosum': 'location descriptor': 'posterior', 'occipital lobes': location descriptor_fin: ['posterior']clinical findings_fin: 'high': 'clinical finding': 'high', 'existence': 'pos_dx', 'observation': 'high', 'dysmorphic posterior corpus callosum': 'clinical finding': 'dysmorphic posterior corpus callosum', 'existence': 'pos_dx', 'descriptive_term': 'dysmorphic posterior corpus', 'observation': 'callosum', 'congenital migrational abnormalities': 'clinical finding': 'congenital migrational abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'congenital migrational', 'observation': 'abnormality'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is a right parietal approach ventricular catheter with its tip terminating in the right lateral ventricle adjacent to the foramen of Monroe. The ventricles and CSF spaces are dysmorphic without gross evidence of hydrocephalus, although there are no comparison studies available. The frontal horns remain slitlike. Quadrigeminal cistern, prepontine cistern, and fourth ventricle are mildly dilated. High riding cerebellum, , dysmorphic posterior corpus callosum, and congenital migrational abnormalities of the parieto-occipital lobes are noted. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'size_fin: ['size': '3.9 x 4 cm', 'size_descriptor': 'disease']anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'diffuse pulmonary and pleural metastatic disease': 'clinical finding': 'diffuse pulmonary and pleural metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'diffuse pulmonary and pleural metastatic', 'observation': 'disease', 'upper lobe mass': 'clinical finding': 'upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe', 'observation': 'mass'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'size_fin: ['size': '9 x 9 mm']anatomical entity_fin: 'subcarinal lymph node': location descriptor_fin: ['right']clinical findings_fin: 'earlier reference subcarinal lymph node': 'clinical finding': 'earlier reference subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'earlier reference subcarinal lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subtle hypoattenuating segment 7 lesion': 'clinical finding': 'subtle hypoattenuating segment 7 lesion', 'existence': 'pos_dx', 'descriptive_term': 'subtle hypoattenuating segment 7', 'observation': 'lesion', 'strength_term': 'subtle'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'metastatic': 'clinical finding': 'metastatic', 'existence': 'unc_dx', 'observation': 'metastatic', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'imaging observation_fin: ['foci']clinical findings_fin: 'multiple subcentimeter hypoattenuating foci': 'clinical finding': 'multiple subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter hypoattenuating', 'observation': 'foci', 'quantity_term': 'multiple'clinical findings_fin: 'new lesions': 'clinical finding': 'new lesions', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Adequate exam with no pulmonary embolus identified. Diffuse pulmonary and pleural metastatic disease with reference to a upper lobe mass roughly unchanged in size measuring 3.9 x 4 cm on image 55/150. Slight improvement in right pleural effusion. Earlier reference subcarinal lymph node on the right is again difficult to measure but appears unchanged since prior study measuring 9 x 9 mm on image 139/301. No significant abnormality noted. Subtle hypoattenuating segment 7 lesion appears linear on coronal views and is unchanged in size since CT on 11/29/2007. This lesion is unlikely metastatic in etiology and may be due to phase of contrast enhancement. Multiple subcentimeter hypoattenuating foci are too small to fully characterize. No new lesions are identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/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: 'common bile duct': clinical findings_fin: 'dilated intrahepatic and extrahepatic bile ducts': 'clinical finding': 'dilated intrahepatic and extrahepatic bile ducts', 'existence': 'pos_dx', 'descriptive_term': 'dilated intrahepatic and extrahepatic bile', 'observation': 'duct', 'change_term': 'dilated'anatomical entity_fin: 'head': , 'pancreas': , 'lumen': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'soft tissue density material': 'clinical finding': 'soft tissue density material', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue density', 'observation': 'material', 'choledocholithiasis': 'clinical finding': 'choledocholithiasis', 'existence': 'pos_dx', 'observation': 'choledocholithiasis'anatomical entity_fin: 'gallbladder': object_fin: ['surgical staple']clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically', 'surgical staple': 'clinical finding': 'surgical staple', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'staple'anatomical entity_fin: 'liver': clinical findings_fin: 'benign perfusion defect': 'clinical finding': 'benign perfusion defect', 'existence': 'pos_dx', 'descriptive_term': 'benign perfusion', 'observation': 'defect', 'strength_term': 'benign'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Dilated intrahepatic and extrahepatic bile ducts extending distally within the common bile duct. Near the head of the pancreas, soft tissue density material is seen within the lumen compatible with choledocholithiasis. This is best visualized on coronal images 57-58. The gallbladder is surgically absent with surgical staple seen within the gallbladder fossa. There is a benign perfusion defect in segment 4 of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered punctate perifissural and subpleural nodules': 'clinical finding': 'scattered punctate perifissural and subpleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered punctate perifissural and subpleural', 'observation': 'nodule'clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'unc_dx', 'descriptive_term': 'basilar', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'neck': clinical findings_fin: 'postop change': 'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'object_fin: ['catheter']anatomical entity_fin: 'aortic valve': clinical findings_fin: 'post aortic valve replacement bovine arch': 'clinical finding': 'post aortic valve replacement bovine arch', 'existence': 'pos_dx', 'descriptive_term': 'post aortic valve replacement bovine', 'observation': 'arch'location descriptor_fin: ['median']clinical findings_fin: 'post median sternotomy': 'clinical finding': 'post median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post median', 'observation': 'sternotomy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'borderline intrahepatic biliary ductal dilatation': 'clinical finding': 'borderline intrahepatic biliary ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'borderline intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'borderline'anatomical entity_fin: 'common duct': clinical findings_fin: 'common duct within normal limits': 'clinical finding': 'common duct within normal limits'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 low-density adrenal nodules': 'clinical finding': 'bilateral low-density adrenal nodules', 'existence': 'pos_dx', 'descriptive_term': 'bilateral low-density adrenal', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube in expected location': 'clinical finding': 'gastrostomy tube in expected location'anatomical entity_fin: 'anterior abdominal wall': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small lipoma': 'clinical finding': 'small lipoma', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'lipoma', 'strength_term': 'small' [/INST] [RESP] . Scattered punctate perifissural and subpleural nodules, presumably post inflammatory. Basilar scarring or atelectasis. Postop change involving neck. Coronary calcification. Catheter tip at RA or SVC junction. Status post aortic valve replacement Bovine arch. Status post median sternotomy. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Borderline intrahepatic biliary ductal dilatation. Common duct within normal limits. No significant abnormality noted. Bilateral low-density adrenal nodules. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. Gastrostomy tube in expected location. Small lipoma in left anterior abdominal wall. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'anterior mediastinum': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hydronephrosis': 'clinical finding': 'bilateral hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'hydronephrosis', 'bilateral ureteral stents': 'clinical finding': 'bilateral ureteral stents', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ureteral', 'observation': 'stent'anatomical entity_fin: 'uterus': , 'pelvis': clinical findings_fin: 'surgically': 'clinical finding': 'surgically', 'existence': 'pos_dx', 'observation': 'surgically', 'corresponding postsurgical changes': 'clinical finding': 'corresponding postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'corresponding postsurgical', 'observation': 'change'anatomical entity_fin: 'anterior mediastinum': location descriptor_fin: ['posterior']clinical findings_fin: 'symmetric posterior nasopharyngeal uptake': 'clinical finding': 'symmetric posterior nasopharyngeal uptake', 'existence': 'pos_dx', 'descriptive_term': 'symmetric posterior nasopharyngeal', 'observation': 'uptake'clinical findings_fin: 'hypermetabolic round focus': 'clinical finding': 'hypermetabolic round focus', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic round', 'observation': 'focus', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor'anatomical entity_fin: 'inguinal lymph nodes': location descriptor_fin: ['bilateral']clinical findings_fin: 'several bilateral hypermetabolic inguinal lymph nodes': 'clinical finding': 'several bilateral hypermetabolic inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several bilateral hypermetabolic inguinal lymph', 'observation': 'node', 'quantity_term': 'several' [/INST] [RESP] Todays CT portion grossly demonstrates soft tissue density in the anterior mediastinum. Bilateral hydronephrosis with bilateral ureteral stents are noted. Uterus is surgically absent with corresponding postsurgical changes in the pelvis. Todays PET examination demonstrates diffuse soft tissue activity in the anterior mediastinum. Symmetric posterior nasopharyngeal uptake. Hypermetabolic round focus corresponding to the vaginal cuff suspicious for tumor. Several bilateral hypermetabolic inguinal lymph nodes are symmetric in distribution and are nonspecific. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']clinical findings_fin: 'small foci': 'clinical finding': 'small foci', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'foci', 'strength_term': 'small', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'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: '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'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] Small foci of hypoattenuation in the periventricular and subcortical white matter, most likely represent small vessel ischemic disease of indeterminate age. 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. Mild mucosal thickening in the right maxillary sinus. The paranasal sinuses and mastoid air cells are otherwise clear. Bilateral lens prostheses. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase', 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'mild coronary artery calcifications': 'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'location descriptor_fin: ['right']object_fin: ['catheter']anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative abnormalities': 'clinical finding': 'moderate degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'abnormality', 'strength_term': 'moderate'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: 'septated gallbladder with a large calcified stone': 'clinical finding': 'septated gallbladder with a large calcified stone', 'change_term': 'calcified' [/INST] [RESP] . No sign of pulmonary or pleural metastases, or other significant abnormality. There is no mediastinal or hilar lymphadenopathy. Mild coronary artery calcifications are present, the heart and pericardium otherwise unremarkable. Right jugular catheter, tip in SVC. Moderate degenerative abnormalities affect the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Septated gallbladder with a large calcified stone. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right main bronchus': imaging observation_fin: ['blood']clinical findings_fin: 'soft tissue': 'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue', 'clotted blood': 'clinical finding': 'clotted blood', 'existence': 'unc_dx', 'descriptive_term': 'clotted', 'observation': 'blood', 'endobronchial tumor': 'clinical finding': 'endobronchial tumor', 'existence': 'unc_dx', 'descriptive_term': 'endobronchial', 'observation': 'tumor'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'patchy groundglass opacity': 'clinical finding': 'patchy groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'patchy groundglass', 'observation': 'opacity', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'unc_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'lungs': clinical findings_fin: 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'neg_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'right main bronchus': imaging observation_fin: ['blood']clinical findings_fin: 'right main bronchus soft tissue mass': 'clinical finding': 'right main bronchus soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'right main bronchus soft tissue', 'observation': 'mass', 'blood clot': 'clinical finding': 'blood clot', 'existence': 'unc_dx', 'descriptive_term': 'blood', 'observation': 'clot'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'heart and pericardium appear normal': 'clinical finding': 'heart and pericardium appear normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right main bronchus partially filled by soft tissue, which could be clotted blood or an endobronchial tumor. Patchy groundglass opacity in the right upper lobe has an appearance suggestive of hemorrhage. Elsewhere, the lungs are unremarkable without evidence of bronchiectasis. Right main bronchus soft tissue mass or blood clot, described above. No lymphadenopathy identified. The heart and pericardium appear normal. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect', 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'size_fin: ['size': '3.1 cm']anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['upper']clinical findings_fin: 'upper limits of normal': 'clinical finding': 'upper limits of normal'imaging observation_fin: ['foci']location descriptor_fin: ['centrilobular']clinical findings_fin: 'groundglass opacities': 'clinical finding': 'groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'mild centrilobular nodularity': 'clinical finding': 'mild centrilobular nodularity', 'existence': 'unc_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'nodularity', 'strength_term': 'mild', 'more discrete bibasilar dependent consolidations': 'clinical finding': 'more discrete bibasilar dependent consolidations', 'existence': 'unc_dx', 'descriptive_term': 'more discrete bibasilar dependent', 'observation': 'consolidation', 'quantity_term': 'more', 'associated bronchial wall thickening': 'clinical finding': 'associated bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'associated bronchial wall', 'observation': 'thickening'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'scattered bilateral axillary lymph nodes': 'clinical finding': 'scattered bilateral axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered bilateral axillary lymph', 'observation': 'node'clinical findings_fin: 'supraclavicular lymphadenopathy': 'clinical finding': 'supraclavicular lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular', 'observation': 'lymphadenopathy'clinical findings_fin: 'thyroid appears normal': 'clinical finding': 'thyroid appears normal'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'postoperative pneumoperitoneum': 'clinical finding': 'postoperative pneumoperitoneum', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'pneumoperitoneum' [/INST] [RESP] . Technically adequate study. No filling defects to suggest a pulmonary embolus. The main pulmonary artery 3.1 cm which is upper limits of normal. Scattered foci of groundglass opacities with suggestion of mild centrilobular nodularity and more discrete bibasilar dependent consolidations with associated bronchial wall thickening. Trace bilateral pleural effusions. The heart size is normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. None. Scattered bilateral axillary lymph nodes are prominent but nonenlarged. No supraclavicular lymphadenopathy. Thyroid appears normal. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Postoperative pneumoperitoneum noted on prior studies. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'left', 'axilla': 'location descriptor': 'right', 'breast': 'location descriptor': 'right'location descriptor_fin: ['left', 'right']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'uterus': clinical findings_fin: 'diffuse atherosclerosis': 'clinical finding': 'diffuse atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atherosclerosis', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'linear densities': 'clinical finding': 'linear densities', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'density'clinical findings_fin: 'associated punctate hyperdensity': 'clinical finding': 'associated punctate hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'associated punctate', 'observation': 'hyperdensity'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion'imaging observation_fin: ['nipple']clinical findings_fin: 'normal inflammatory changes': 'clinical finding': 'normal inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'normal inflammatory', 'observation': 'change', 'strength_term': 'normal'anatomical entity_fin: 'spleen': clinical findings_fin: 'hypermetabolic activity': 'clinical finding': 'hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic', 'observation': 'activity'clinical findings_fin: 'artifact': 'clinical finding': 'artifact', 'existence': 'unc_dx', 'observation': 'artifact' [/INST] [RESP] Todays CT portion grossly demonstrates surgical clips in the left neck, right axilla, and right breast. There is diffuse atherosclerosis, with an enlarged uterus. There are linear densities in the lung bases. 00 position, with associated punctate hyperdensity. This lesion has SUV max 2.2. There are linear streaks of minimally increased activity around the nipple, consistent with normal inflammatory changes. There is an additional focus of hypermetabolic activity within the spleen, without CT correlate. The SUV max is 3.4. This is a nonspecific finding, and could possibly be artifact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'segmental pulmonary artery': 'location descriptor': 'right lower'location descriptor_fin: ['left', 'upper', 'lower', 'right']clinical findings_fin: 'right lower segmental pulmonary artery emboli': 'clinical finding': 'right lower segmental pulmonary artery emboli', 'existence': 'pos_dx', 'descriptive_term': 'right lower segmental pulmonary artery', 'observation': 'emboli'anatomical entity_fin: 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'location descriptor_fin: ['bilateral', 'right', 'left']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'associated atelectasis': 'clinical finding': 'associated atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'atelectasis'anatomical entity_fin: 'abdomen': , 'pelvis': clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'calcified pulmonary granulomas': 'clinical finding': 'calcified pulmonary granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified pulmonary', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'arteries': location descriptor_fin: ['right', 'left', 'lower']clinical findings_fin: 'two catheters': 'clinical finding': 'two catheters', 'existence': 'pos_dx', 'descriptive_term': 'two', 'observation': 'catheter', 'likely ekos catheters': 'clinical finding': 'likely ekos catheters', 'existence': 'pos_dx', 'descriptive_term': 'likely ekos', 'observation': 'catheter'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'aortic valve': object_fin: ['prosthesis']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'cardiac revascularization': 'clinical finding': 'cardiac revascularization', 'existence': 'pos_dx', 'descriptive_term': 'cardiac', 'observation': 'revascularization'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'clinical findings_fin: 'sternotomy': 'clinical finding': 'sternotomy', 'existence': 'pos_dx', 'observation': 'sternotomy'anatomical entity_fin: 'subcutaneous fat': 'location descriptor': 'midline'location descriptor_fin: ['midline']clinical findings_fin: 'midline subcutaneous fat stranding': 'clinical finding': 'midline subcutaneous fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'midline subcutaneous fat', 'observation': 'strand'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '9.1 x 3.8 cm', 'size_descriptor': 'hematoma']imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'new focal hematoma': 'clinical finding': 'new focal hematoma', 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'hematoma', 'temporal_term': 'new'anatomical entity_fin: 'fluid': clinical findings_fin: 'intermediate density': 'clinical finding': 'intermediate density', 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'density', 'also certainly hemorrhage': 'clinical finding': 'also certainly hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'also certainly', 'observation': 'hemorrhage'clinical findings_fin: 'calcified splenic granulomas': 'clinical finding': 'calcified splenic granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified' [/INST] [RESP] . Technically adequate study. Left upper and lower lobar and right lower segmental pulmonary artery emboli. There is propagation of the clot distally. No evidence of right heart strain. Bilateral pleural effusions, right greater than left with associated atelectasis. The pleural effusions are increased from 3/8/2016 CT abdomen and pelvis study. Calcified pulmonary granulomas. Two catheters entering IVC with tip in the right and left lower lobe segmental arteries, likely EKOS catheters. Cardiomegaly unchanged. Aortic valve prosthesis in place. Postoperative changes of cardiac revascularization. No pericardial effusion. No hilar or mediastinal lymphadenopathy. Severe. Patient is status post sternotomy. Subcutaneous drain is in place. There is midline subcutaneous fat stranding, likely postoperative. Degenerative changes of the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. New focal hematoma within the right suprahepatic region on image 213 of series 7 measuring 9.1 x 3.8 cm with a density of 54 Hounsfield units. New ascitic fluid of intermediate density, also certainly hemorrhage. Calcified splenic granulomas. [/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'anatomical entity_fin: 'spleen': clinical findings_fin: 'subcentimeter lesion': 'clinical finding': 'subcentimeter lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'punctate right renal stones': 'clinical finding': 'punctate right renal stones', 'existence': 'pos_dx', 'descriptive_term': 'punctate right renal', 'observation': 'stone', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'rectum': imaging observation_fin: ['thick walls']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']anatomical entity_fin: 'bowel': location descriptor_fin: ['proximal']procedure_fin: ['ileostomy']clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite' [/INST] [RESP] This study is limited due to lack of IV contrast. No significant abnormality noted. No significant abnormality noted. Subcentimeter lesion in the spleen likely benign. No significant abnormality noted. No significant abnormality noted. Punctate right renal stones without evidence of hydronephrosis. No significant abnormality noted. Is dilated and has thick walls all the way to the rectum. Right lower quadrant ileostomy. No evidence of bowel obstruction proximal to the ileostomy. No evidence of abscess. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As described above. No significant abnormality noted. Trace amount of ascites. [/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 dependent atelectasis': 'clinical finding': 'bilateral dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral dependent', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'left ventricular assist device': 'clinical finding': 'left ventricular assist device', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular assist', 'observation': 'device'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'artifacts': 'clinical finding': 'artifacts', 'existence': 'pos_dx', 'observation': 'artifact'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': , 'sigmoid colon': , 'bowel': , 'pelvis': clinical findings_fin: 'known bladder mass': 'clinical finding': 'known bladder mass', 'existence': 'pos_dx', 'descriptive_term': 'known bladder', 'observation': 'mass'size_fin: ['size': '11.8 x 9 cm']clinical findings_fin: 'it measures 11.8 x 9 cm on image # 87 , series # 201 , not significantly changed from previous study': 'clinical finding': 'it measures 11.8 x 9 cm on image # 87 , series # 201 , not significantly changed from previous study', 'change_term': 'changed'anatomical entity_fin: 'bowel': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bilateral dependent atelectasis. Left ventricular assist device is in place. Artifacts from this device limits optimal evaluation of the upper abdomen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Patients known bladder mass invades the sigmoid colon and small bowel loops in the pelvis. It measures 11.8 x 9 cm on image #87, series #201, not significantly changed from previous study. The mass also contains air likely secondary to fistulous communication with the surrounding bowel loops. The amount of air within the mass is new. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['peripheral']clinical findings_fin: 'lobular septal thickening': 'clinical finding': 'lobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'lobular septal', 'observation': 'thickening', 'subpleural cyst': 'clinical finding': 'subpleural cyst', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'cyst', 'basilar predominant ground glass opacities': 'clinical finding': 'basilar predominant ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant ground glass', 'observation': 'opacity'clinical findings_fin: 'mild traction bronchiectasis': 'clinical finding': 'mild traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild traction', 'observation': 'bronchiectasis', 'strength_term': 'mild'anatomical entity_fin: 'lungs': clinical findings_fin: 'this disease': 'clinical finding': 'this disease', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'disease'anatomical entity_fin: 'lung': clinical findings_fin: 'connective tissue related lung disease': 'clinical finding': 'connective tissue related lung disease', 'existence': 'pos_dx', 'descriptive_term': 'connective tissue related lung', 'observation': 'disease'anatomical entity_fin: 'walls': location descriptor_fin: ['left']clinical findings_fin: 'two large cysts': 'clinical finding': 'two large cysts', 'existence': 'pos_dx', 'descriptive_term': 'two large', 'observation': 'cyst', 'strength_term': 'large'clinical findings_fin: 'air trapping': 'clinical finding': 'air trapping', 'existence': 'neg_dx', 'descriptive_term': 'air', 'observation': 'trapping'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'previously identified axillary lymph nodes': 'clinical finding': 'previously identified axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'previously identified axillary lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Peripheral inter- and intra- lobular septal thickening with subpleural cyst formation and basilar predominant ground glass opacities. Mild traction bronchiectasis identified bilaterally. The majority of this disease process affects the basilar lungs however, there is a significant anterosuperior component. This pattern is compatible with connective tissue related lung disease. Two large cysts are identified on the left with thin walls. No air trapping noted on expiratory phase examination. No significant abnormality noted. Previously identified axillary lymph nodes are slightly larger on the current examination. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation'clinical findings_fin: 'ventricles have normal volume and morphology': 'clinical finding': 'ventricles have normal volume and morphology'anatomical entity_fin: 'fluid': clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intracranial vasculature is normal': 'clinical finding': 'intracranial vasculature is normal'clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'neck': clinical findings_fin: 'ct neck': 'clinical finding': 'ct neck' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation. The ventricles have normal volume and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collections. The osseous structures are intact. The paranasal sinuses and mastoid air cells are normally pneumatized. The intracranial vasculature is normal. No dissection is identified. CT NECK [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']object_fin: ['surgical clip']clinical findings_fin: 'post surgical changes': 'clinical finding': 'post surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change', 'status post left frontal-parietal-temporal craniotomies': 'clinical finding': 'status post left frontal-parietal-temporal craniotomies', 'existence': 'pos_dx', 'descriptive_term': 'status post left frontal-parietal-temporal', 'observation': 'craniotomy', 'surgical clip': 'clinical finding': 'surgical clip', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'foreign metallic material': 'clinical finding': 'foreign metallic material', 'existence': 'unc_dx', 'descriptive_term': 'foreign metallic', 'observation': 'material'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left posterior'location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'resulting encephalomalacia or gliosis': 'clinical finding': 'resulting encephalomalacia or gliosis', 'existence': 'pos_dx', 'descriptive_term': 'resulting encephalomalacia or', 'observation': 'gliosis'anatomical entity_fin: 'parietal lobes': location descriptor_fin: ['left']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'gliosis': 'clinical finding': 'gliosis', 'existence': 'unc_dx', 'observation': 'gliosis', 'chronic infarct': 'clinical finding': 'chronic infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'lateral ventricle': location descriptor_fin: ['left']clinical findings_fin: 'ex vacuo dilatation of left trigone of the lateral ventricle is observed': 'clinical finding': 'ex vacuo dilatation of left trigone of the lateral ventricle is observed'clinical findings_fin: 'mild prominent': 'clinical finding': 'mild prominent', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'prominent', 'strength_term': 'mild', 'cerebral volume loss': 'clinical finding': 'cerebral volume loss', 'existence': 'pos_dx', 'descriptive_term': 'cerebral volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Post surgical changes are noted status post left frontal-parietal-temporal craniotomies with surgical clip or foreign metallic material underlying the craniotomy site. There is resulting encephalomalacia or gliosis involving left posterior temporal lobe. Additionally, encephalomalacia or gliosis is noted involving the parasagittal left occipital and parietal lobes suspicious for chronic infarct. Ex vacuo dilatation of left trigone of the lateral ventricle is observed. Additionally, the ventricles, sulci, and cisterns are mild prominent secondary to cerebral volume loss. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'redemonstrated is a prior left parieto-occipital craniotomy': 'clinical finding': 'redemonstrated is a prior left parieto-occipital craniotomy'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'minimal hypoattenuation': 'clinical finding': 'minimal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hypoattenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'brain': location descriptor_fin: ['right']object_fin: ['embolic material']clinical findings_fin: 'hyperdense embolic material': 'clinical finding': 'hyperdense embolic material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense embolic', 'observation': 'material', 'short linear focus': 'clinical finding': 'short linear focus', 'existence': 'pos_dx', 'descriptive_term': 'short linear', 'observation': 'focus'anatomical entity_fin: 'brain': location descriptor_fin: ['midline']clinical findings_fin: 'focal mass lesions': 'clinical finding': 'focal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal mass', 'observation': 'lesion', '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', 'abnormal extra-axial fluid collection': 'clinical finding': 'abnormal extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'abnormal extra-axial fluid', 'observation': 'collection'clinical findings_fin: 'ventricular system is stable and within normal limits': 'clinical finding': 'ventricular system is stable and within normal limits', 'change_term': 'stable' [/INST] [RESP] Redemonstrated is a prior left parieto-occipital craniotomy. There is minimal hypoattenuation of the underlying posterior temporal lobe. Hyperdense embolic material is evident along the brain surface deep to the craniotomy, as well as a short linear focus to the right of the confluence of sinuses. Elsewhere in the brain, no focal mass lesions, mass effect or midline shift is seen. No intracranial hemorrhage or abnormal extra-axial fluid collection is detected. The ventricular system is stable and within normal limits for size. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobar arteries': clinical findings_fin: 'poor contrast': 'clinical finding': 'poor contrast', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'contrast', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'lung': , 'bases': , 'lingula': location descriptor_fin: ['subsegmental']clinical findings_fin: 'linear opacities': 'clinical finding': 'linear opacities', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'opacity', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'patchy ground glass opacities': 'clinical finding': 'patchy ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity', 'interlobular septal thickening': 'clinical finding': 'interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'interlobular septal', 'observation': 'thickening', 'mild edema': 'clinical finding': 'mild edema', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'anatomical entity_fin: 'superior vena cava': , 'right atrium': location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'heart': , 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'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: 'vertebral bodies': , 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'procedure_fin: ['splenectomy'] [/INST] [RESP] . The exam is suboptimal due to a poor contrast bolus, however there is no evidence of a pulmonary embolism to the level of the lobar arteries. Linear opacities in both lung bases and lingula likely represent subsegmental atelectasis. Patchy ground glass opacities and interlobular septal thickening may represent mild edema. Right port a catheter tip terminates at the junction of the superior vena cava and right atrium. The heart size is enlarged consistent with the given history of sickle cell disease. No pericardial effusion. No hilar or mediastinal lymphadenopathy. H-shaped vertebral bodies are consistent with sickle cell disease. The patient is status post a splenectomy. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'middle': 'location descriptor': 'right', 'lobe': , 'lingula': location descriptor_fin: ['right']clinical findings_fin: 'subcentimeter lung nodules': 'clinical finding': 'subcentimeter lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter lung', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'capsule': location descriptor_fin: ['adjacent']clinical findings_fin: 'thin , elliptical loculated fluid collections adjacent to the splenic capsule': 'clinical finding': 'thin , elliptical loculated fluid collections adjacent to the splenic capsule'clinical findings_fin: 'aspirated': 'clinical finding': 'aspirated', 'existence': 'pos_dx', 'observation': 'aspirated'follow-up_fin: follow-up recommendedclinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small scattered retroperitoneal lymph nodes': 'clinical finding': 'small scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small scattered retroperitoneal 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Subcentimeter lung nodules are noted in the right middle lobe and lingula. No significant abnormality noted. Thin , elliptical loculated fluid collections adjacent to the splenic capsule are of uncertain clinical significance. These collections are too small to be aspirated. If symptoms persist recommend further follow up with CT or ultrasound. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small scattered retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/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', 'acute cerebral or cerebellar cortical infarct': 'clinical finding': 'acute cerebral or cerebellar cortical infarct', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarct', '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'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', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'diffuse periventricular and subcortical white matter hypodensity': 'clinical finding': 'diffuse periventricular and subcortical white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'diffuse periventricular and subcortical white matter', 'observation': 'hypodensity', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'mild flattening': 'clinical finding': 'mild flattening', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'flattening', 'strength_term': 'mild'clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] No intracranial hemorrhage or evidence of acute cerebral or cerebellar cortical infarct. There are no extra-axial fluid collections or subdural hematomas. There are no masses, mass effect, edema or midline shift. Diffuse periventricular and subcortical white matter hypodensity, likely representing small vessel ischemic disease, of indeterminate age by CT. Note is made of mild flattening of the skull base , an anatomic variant. The ventricles and sulci are normal in size. The 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: clinical findings_fin: 'stable biapical scarring': 'clinical finding': 'stable biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'stable biapical', 'observation': 'scarr', 'strength_term': 'stable', 'change_term': 'stable', 'post radiation changes': 'clinical finding': 'post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'change'clinical findings_fin: 'stable nonspecific micronodules': 'clinical finding': 'stable nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable nonspecific', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable'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: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr', 'discoid atelectasis': 'clinical finding': 'discoid atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'discoid', 'observation': 'atelectasis'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'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'size_fin: ['size': '11 mm', 'size': '14 mm']anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'right', 'axis': location descriptor_fin: ['right']clinical findings_fin: 'right axillary lymph node': 'clinical finding': 'right axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right axillary lymph', 'observation': 'node'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'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] . Stable biapical scarring compatible with post radiation changes. Stable nonspecific micronodules. No new suspicious pulmonary nodules or masses. Basilar scarring or discoid atelectasis similar to the prior exam. No pleural effusion. Tracheostomy tube redemonstrated. No hilar or mediastinal lymphadenopathy. Cardiac size is normal without evidence of a pericardial effusion. Mild. Right axillary lymph node decrease in size now measuring 11 mm in short axis previously measuring 14 mm. Moderate degenerative changes in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'small periventricular hypodensities compatible small vessel': 'clinical finding': 'small periventricular hypodensities compatible small vessel', 'existence': 'pos_dx', 'descriptive_term': 'small periventricular hypodensities compatible small', 'observation': 'vessel', 'strength_term': 'small - small', '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. Small periventricular hypodensities compatible small vessel ischemicThe 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: 'subcentimeter micronodules': 'clinical finding': 'subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'micronodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']anatomical entity_fin: 'liver': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'residual': 'clinical finding': 'residual', 'existence': 'neg_dx', 'observation': 'residual'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Subcentimeter micronodules are unchanged. No significant abnormality noted. No significant abnormality noted. Right lobe resection. No evidence of lesions within the residual liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['fat']location descriptor_fin: ['bilateral', 'posterior']clinical findings_fin: 'bilateral posterior fat': 'clinical finding': 'bilateral posterior fat', 'existence': 'pos_dx', 'descriptive_term': 'bilateral posterior', 'observation': 'fat', 'diaphragmatic hernias': 'clinical finding': 'diaphragmatic hernias', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic', 'observation': 'hernias'clinical findings_fin: 'pleural or pericardial effusions': 'clinical finding': 'pleural or pericardial effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural or pericardial', 'observation': 'effusion'clinical findings_fin: 'moderate atherosclerotic coronary calcifications': 'clinical finding': 'moderate atherosclerotic coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate atherosclerotic coronary', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'normal hepatic': 'clinical finding': 'normal hepatic', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'hepatic', 'strength_term': 'normal', 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation', 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'normal appearing gallbladder': 'clinical finding': 'normal appearing gallbladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'kidneys': clinical findings_fin: 'otherwise unremarkable kidneys': 'clinical finding': 'otherwise unremarkable kidneys'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcification of the abdominal aorta': 'clinical finding': 'atherosclerotic calcification of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcification of the abdominal', 'observation': 'aorta'imaging observation_fin: ['fat']clinical findings_fin: 'small ventral fat-containing hernia': 'clinical finding': 'small ventral fat-containing hernia', 'existence': 'pos_dx', 'descriptive_term': 'small ventral fat-containing', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'multilevel severe degenerative disk disease': 'clinical finding': 'multilevel severe degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'multilevel severe degenerative disk', 'observation': 'disease', 'strength_term': 'severe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['cystectomy']clinical findings_fin: 'neobladder': 'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'clinical findings_fin: 'neobladder is unremarkable': 'clinical finding': 'neobladder is unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['surgical clips']clinical findings_fin: 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple' [/INST] [RESP] . Bilateral posterior fat containing diaphragmatic hernias. No pleural or pericardial effusions. Moderate atherosclerotic coronary calcifications. Normal hepatic morphology without biliary ductal dilatation or focal hepatic lesion. Normal appearing gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left upper pole simple cyst. Otherwise unremarkable kidneys. Moderate atherosclerotic calcification of the abdominal aorta. Small ventral fat-containing hernia. Multilevel severe degenerative disk disease. No significant abnormality noted. No significant abnormality noted. Status post cystectomy with neobladder creation. The neobladder is unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple surgical clips. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': , 'bowels': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'gastric fundus': imaging observation_fin: ['border']clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'extraluminal oral contrast': 'clinical finding': 'extraluminal oral contrast', 'existence': 'neg_dx', 'descriptive_term': 'extraluminal oral', 'observation': 'contrast'clinical findings_fin: 'gastric ulcer': 'clinical finding': 'gastric ulcer', 'existence': 'unc_dx', 'descriptive_term': 'gastric', 'observation': 'ulcer'imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing umbilical hernia': 'clinical finding': 'small fat-containing umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'size_fin: ['size': '8 mm', 'size_descriptor': 'neck']anatomical entity_fin: 'neck': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No renal or ureteric calculi. No significant abnormality noted. Enteric contrast within the gastric fundus appears to extend beyond the expected mucosal border. There is no extraluminal oral contrast. This appearance can be seen in the setting of a gastric ulcer. Small fat-containing umbilical hernia. The neck measures approximately 8 mm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'subcentimeter hypodense lesion': 'clinical finding': 'subcentimeter hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'subcentimeter hypodense lesion': 'clinical finding': 'subcentimeter hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_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'anatomical entity_fin: 'myometrium': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification', 'fibroids': 'clinical finding': 'fibroids', 'existence': 'unc_dx', 'observation': 'fibroids'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Subcentimeter hypodense lesion in segment 7 of the liver, most compatible with simple cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodense lesion in upper pole of the left kidney, most compatible with simple cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Heterogenous myometrium without calcification, a nonspecific finding, may be due to 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 nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule'clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'suspicious hepatic lesions': 'clinical finding': 'suspicious hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'clinical findings_fin: 'intra or extrahepatic biliary ductal dilatation': 'clinical finding': 'intra or extrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'intra or extrahepatic biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'portal vein': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'retroperitoneum': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'recurrent lesion': 'clinical finding': 'recurrent lesion', 'existence': 'neg_dx', 'descriptive_term': 'recurrent', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'hip': 'location descriptor': 'right', 'pelvis': location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'streak artifact': 'clinical finding': 'streak artifact', 'existence': 'pos_dx', 'descriptive_term': 'streak', 'observation': 'artifact'anatomical entity_fin: 'right iliopsoas': clinical findings_fin: 'stable asymmetry': 'clinical finding': 'stable asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'asymmetry', 'strength_term': 'stable', 'change_term': 'stable', 'disuse atrophy': 'clinical finding': 'disuse atrophy', 'existence': 'pos_dx', 'descriptive_term': 'disuse', 'observation': 'atrophy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No pulmonary nodules. No consolidation or pleural effusion. No mediastinal or hilar lymphadenopathy. None. Right subcutaneous port with its tip in the atriocaval junction. No suspicious hepatic lesions. No intra or extrahepatic biliary ductal dilatation. Portal vein is patent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of recurrent lesion of the right retroperitoneum. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post right hip arthroplasty, which causes streak artifact and limits evaluation of the pelvis. Stable asymmetry of the right iliopsoas muscle, likely disuse atrophy. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'lobar arteries': location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral pulmonary emboli': 'clinical finding': 'small bilateral pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral pulmonary', 'observation': 'emboli', 'strength_term': 'small'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'calcified hilar and mediastinal lymph nodes': 'clinical finding': 'calcified hilar and mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified hilar and mediastinal lymph', 'observation': 'node', 'change_term': 'calcified'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'size_fin: ['size': '1.6 x 1.3 cm', 'size_descriptor': 'nodule']location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'hypoattenuating inferior left thyroid nodule': 'clinical finding': 'hypoattenuating inferior left thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating inferior left thyroid', 'observation': 'nodule'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'neg_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast'procedure_fin: ['cholecystectomy']clinical findings_fin: 'mild intra and extrahepatic biliary ductal dilatation , likely related to cholecystectomy': 'clinical finding': 'mild intra and extrahepatic biliary ductal dilatation , likely related to cholecystectomy'clinical findings_fin: 'suspicious lesions': 'clinical finding': 'suspicious lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'lesion'clinical findings_fin: 'small splenule': 'clinical finding': 'small splenule'clinical findings_fin: 'splenic calcifications': 'clinical finding': 'splenic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'nodular right adrenal gland': 'clinical finding': 'nodular right adrenal gland'location descriptor_fin: ['left']clinical findings_fin: 'left renal cysts': 'clinical finding': 'left renal cysts', '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'anatomical entity_fin: 'hip': location descriptor_fin: ['right']procedure_fin: ['arthroplasty']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic', 'absent': 'clinical finding': 'absent', 'existence': 'unc_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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No suspicious pulmonary nodules or masses. There are small bilateral pulmonary emboli within the lobar arteries. Calcified hilar and mediastinal lymph nodes. Small hiatal hernia. Mild. Hypoattenuating inferior left thyroid nodule measures 1.6 x 1.3 cm. This lesion was not visible on the prior study due to extensive beam hardening from contrast bolus. Mild intra and extrahepatic biliary ductal dilatation, likely related to cholecystectomy. No suspicious lesions identified. Small splenule. Splenic calcifications likely the sequela of prior granulomatous disease. No significant abnormality noted. Nodular right adrenal gland. Left renal cysts. No significant abnormality noted. Mild. No significant abnormality noted. Right total hip arthroplasty. No significant abnormality noted. The uterus is atrophic or absent. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': 'location descriptor': 'bilateral', 'lobe': 'location descriptor': 'right lower'imaging observation_fin: ['air bronchogram']location descriptor_fin: ['bilateral', 'right', 'lower']clinical findings_fin: 'patchy opacities': 'clinical finding': 'patchy opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity', 'air bronchogram': 'clinical finding': 'air bronchogram', 'existence': 'pos_dx', 'descriptive_term': 'air', 'observation': 'bronchogram'location descriptor_fin: ['right']clinical findings_fin: 'small sized right pleural effusion': 'clinical finding': 'small sized right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small sized right pleural', 'observation': 'effusion', 'strength_term': 'small'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'stable mild to moderate cardiomegaly': 'clinical finding': 'stable mild to moderate cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'stable mild to moderate', 'observation': 'cardiomegaly', 'strength_term': 'stable - mild - moderate', 'change_term': 'stable'anatomical entity_fin: 'right atrium': location descriptor_fin: ['left']object_fin: ['central venous catheter']clinical findings_fin: 'left central venous catheter': 'clinical finding': 'left central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'left central venous', 'observation': 'catheter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper', 'organs': location descriptor_fin: ['upper']clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast' [/INST] [RESP] . Patchy opacities involve the bilateral lungs, worse in the right lower lobe with air bronchogram. There is a small sized right pleural effusion. Note is made of a pericardial effusion that has enlarged over the interval, and stable mild to moderate cardiomegaly. Again seen is a left central venous catheter with tip projecting over the SVC or right atrium. No significant abnormality noted. Given lack of IV or p. o. Contrast, the visualized upper abdominal organs are normal in morphology. [/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: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']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' [/INST] [RESP] There is patchy hypoattenuation in the cerebral white matter. There is a focus of hypoattenuation in the left basal ganglia. The ventricles, sulci, and cisterns are symmetric and appropriate for the patients age. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '3 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe micronodule': 'clinical finding': 'left upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'micronodule'location descriptor_fin: ['subsegmental']clinical findings_fin: 'minimal dependent bibasilar subsegmental atelectasis': 'clinical finding': 'minimal dependent bibasilar subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent bibasilar subsegmental', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'focal air space opacities': 'clinical finding': 'focal air space opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal air space', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'neg_dx', 'observation': 'infection', 'hypersensitivity reaction': 'clinical finding': 'hypersensitivity reaction', 'existence': 'neg_dx', 'descriptive_term': 'hypersensitivity', 'observation': 'reaction', 'interstitial lung disease': 'clinical finding': 'interstitial lung disease', 'existence': 'neg_dx', 'descriptive_term': 'interstitial lung', 'observation': 'disease'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'calcified prevascular space lymph node': 'clinical finding': 'calcified prevascular space lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified prevascular space lymph', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'mediastinal, hilar or axillary lymphadenopathy': 'clinical finding': 'mediastinal, hilar or axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal hilar or axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'large hiatal hernia': 'clinical finding': 'large hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'large hiatal', 'observation': 'hernia', 'strength_term': 'large'clinical findings_fin: 'calcified gallstones': 'clinical finding': 'calcified gallstones', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', 'change_term': 'calcified'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change', 'well-defined hypodense': 'clinical finding': 'well-defined hypodense', 'existence': 'neg_dx', 'descriptive_term': 'well-defined', 'observation': 'hypodense', 'focal fat': 'clinical finding': 'focal fat', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'fat' [/INST] [RESP] . Left upper lobe micronodule measures 3 mm , unchanged. Minimal dependent bibasilar subsegmental atelectasis. No focal air space opacities suggestive of infection, hypersensitivity reaction, or interstitial lung disease. No significant air trapping on expiratory imaging. Normal cardiac size without pericardial effusion. Atherosclerotic calcification of the aortic arch and annulus. Calcified prevascular space lymph node suggestive of prior granulomatous disease. No mediastinal, hilar or axillary lymphadenopathy. Multilevel degenerative changes of the spine. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Large hiatal hernia. Calcified gallstones. No significant interval change in well-defined hypodense region in the left lobe of the liver compatible with focal fat. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasopharynx': location descriptor_fin: ['posterior']clinical findings_fin: 'somewhat prominent soft tissue': 'clinical finding': 'somewhat prominent soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'somewhat prominent soft', 'observation': 'tissue', 'strength_term': 'prominent', 'hypertrophied adenoid tissue': 'clinical finding': 'hypertrophied adenoid tissue', 'existence': 'unc_dx', 'descriptive_term': 'hypertrophied adenoid', 'observation': 'tissue'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'hypopharynx': , 'larynx': clinical findings_fin: 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable': 'clinical finding': 'nasopharynx , oropharynx , hypopharynx , and larynx are otherwise unremarkable'anatomical entity_fin: 'trachea': 'location descriptor': 'upper', 'esophagus': location descriptor_fin: ['upper']clinical findings_fin: 'upper trachea and esophagus are unremarkable': 'clinical finding': 'upper trachea and esophagus are unremarkable'clinical findings_fin: 'abnormal soft tissue mass': 'clinical finding': 'abnormal soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'abnormal soft tissue', 'observation': 'mass', 'pathological enhancement': 'clinical finding': 'pathological enhancement', 'existence': 'neg_dx', 'descriptive_term': 'pathological', 'observation': 'enhancement'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'postcontrast appearance of the salivary glands is unremarkable': 'clinical finding': 'postcontrast appearance of the salivary glands is unremarkable'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'anatomical entity_fin: 'tongue': , 'floor': , 'mouth': clinical findings_fin: 'oral tongue and floor of mouth are unremarkable': 'clinical finding': 'oral tongue and floor of mouth are unremarkable'clinical findings_fin: 'interval dental extraction': 'clinical finding': 'interval dental extraction', 'existence': 'pos_dx', 'descriptive_term': 'interval dental', 'observation': 'extraction'clinical findings_fin: 'scattered dental disease': 'clinical finding': 'scattered dental disease', 'existence': 'pos_dx', 'descriptive_term': 'scattered dental', 'observation': 'disease'anatomical entity_fin: 'mandible': 'location descriptor': 'left'imaging observation_fin: ['tooth']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'persistent dental caries': 'clinical finding': 'persistent dental caries', 'existence': 'pos_dx', 'descriptive_term': 'persistent dental', 'observation': 'cary', 'temporal_term': 'persistent'imaging observation_fin: ['tooth']clinical findings_fin: 'persistent dental caries': 'clinical finding': 'persistent dental caries', 'existence': 'pos_dx', 'descriptive_term': 'persistent dental', 'observation': 'cary', 'temporal_term': 'persistent'anatomical entity_fin: 'maxilla': 'location descriptor': 'upper right'imaging observation_fin: ['tooth']location descriptor_fin: ['upper', 'right']clinical findings_fin: 'dental caries': 'clinical finding': 'dental caries', 'existence': 'pos_dx', 'descriptive_term': 'dental', 'observation': 'cary'location descriptor_fin: ['left']clinical findings_fin: 'cervical lymph nodes': 'clinical finding': 'cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'cervical lymph', 'observation': 'node', 'frank lymph node enlargement': 'clinical finding': 'frank lymph node enlargement', 'existence': 'neg_dx', 'descriptive_term': 'frank lymph node', 'observation': 'enlargement'size_fin: ['size': '1.6 cm', 'size_descriptor': 'node']anatomical entity_fin: 'hilum': location descriptor_fin: ['left']clinical findings_fin: 'enlarged 1.6 cm lymph node': 'clinical finding': 'enlarged 1.6 cm lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged 1 6 cm lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'axillary lymph nodes': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'additional prominent left axillary lymph nodes': 'clinical finding': 'additional prominent left axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional prominent left axillary lymph', 'observation': 'node', 'strength_term': 'prominent' [/INST] [RESP] PHARYNX/. There is somewhat prominent soft tissue along the posterior aspect of the nasopharynx which may relate to hypertrophied adenoid tissue in a patient of this age. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement. The postcontrast appearance of the salivary glands is unremarkable. The thyroid gland is unremarkable. The oral tongue and floor of mouth are unremarkable. There have been interval dental extraction. Scattered dental disease is present. For example, within the left mandible, on tooth #18 there is persistent dental caries with adjacent periradicular and periapical lucency. Tooth #19 contains persistent dental caries. Within the upper right maxilla, in tooth #4 there is interval development of dental caries. There is an increase in the number of cervical lymph nodes particularly left-sided, but no frank lymph node enlargement. There is an enlarged 1.6 cm lymph node within the left supraclavicular region with a fatty hilum which is likely benign in etiology. There are additional prominent left axillary lymph nodes. None. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'metaphysis': , 'physis': , 'epiphysis': location descriptor_fin: ['distal']clinical findings_fin: 'oblique fracture': 'clinical finding': 'oblique fracture', 'existence': 'pos_dx', 'descriptive_term': 'oblique', 'observation': 'fracture', 'triplane fracture': 'clinical finding': 'triplane fracture', 'existence': 'pos_dx', 'descriptive_term': 'triplane', 'observation': 'fracture'size_fin: ['size': '7 mm']anatomical entity_fin: 'articular surface': location descriptor_fin: ['anterior']clinical findings_fin: 'anterior displacement': 'clinical finding': 'anterior displacement', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'displacement', 'larger anterior fracture': 'clinical finding': 'larger anterior fracture', 'existence': 'pos_dx', 'descriptive_term': 'larger anterior', 'observation': 'fracture'size_fin: ['size': '3-mm', 'size_descriptor': 'gap']anatomical entity_fin: 'epiphysis': location descriptor_fin: ['distal']clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'anatomical entity_fin: 'diaphysis': 'location descriptor': 'distal', 'fibula': location descriptor_fin: ['distal']clinical findings_fin: 'additional acute, oblique nondisplaced fracture': 'clinical finding': 'additional acute, oblique nondisplaced fracture', 'existence': 'pos_dx', 'descriptive_term': 'additional acute oblique nondisplaced', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'ankle joint': clinical findings_fin: 'moderate associated ankle joint effusion': 'clinical finding': 'moderate associated ankle joint effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate associated ankle joint', 'observation': 'effusion', 'strength_term': 'moderate'clinical findings_fin: 'overlying cast': 'clinical finding': 'overlying cast', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'cast'clinical findings_fin: 'additional acute fractures': 'clinical finding': 'additional acute fractures', 'existence': 'neg_dx', 'descriptive_term': 'additional acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] There is an oblique fracture of the distal tibial metaphysis extending through the physis and epiphysis, compatible with a triplane fracture. Anterior displacement of the larger anterior fracture fragment by 7 mm is associated with incongruency of the articular surface. Additionally, there is a 3-mm gap at the level of the fracture plane involving the distal tibial epiphysis. Additional acute, oblique nondisplaced fracture through the distal diaphysis of the fibula. Moderate associated ankle joint effusion. Overlying cast is present. No additional acute fractures present. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'spine': clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'traumatic subluxation': 'clinical finding': 'traumatic subluxation', 'existence': 'neg_dx', 'descriptive_term': 'traumatic', 'observation': 'subluxation'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'appropriate': 'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'anatomical entity_fin: 'cervical lordosis': clinical findings_fin: 'normal cervical lordosis': 'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal', 'mild kyphotic attenuation': 'clinical finding': 'mild kyphotic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild kyphotic', 'observation': 'attenuation', 'strength_term': 'mild'clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'clinical findings_fin: 'severe disc height loss': 'clinical finding': 'severe disc height loss', 'existence': 'pos_dx', 'descriptive_term': 'severe disc height', 'observation': 'loss', 'strength_term': 'severe'anatomical entity_fin: 'endplate': clinical findings_fin: 'prominent endplate degenerative changes': 'clinical finding': 'prominent endplate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'prominent endplate degenerative', 'observation': 'change', 'strength_term': 'prominent'anatomical entity_fin: 'foraminal': location descriptor_fin: ['left']clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change', 'up to mild to moderate left c5-c6 neural foraminal stenosis': 'clinical finding': 'up to mild to moderate left c5-c6 neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'up to mild to moderate left c5-c6 neural foraminal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'mild to moderate spinal canal stenosis': 'clinical finding': 'mild to moderate spinal canal stenosis', 'existence': 'unc_dx', 'descriptive_term': 'mild to moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'mild - moderate'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'emphysematous changes': 'clinical finding': 'emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'emphysematous', 'observation': 'change' [/INST] [RESP] . No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic disease. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. No acute fracture or traumatic subluxation is demonstrated in the cervical spine. The cervical vertebral bodies are appropriate in height. There is loss of normal cervical lordosis with mild kyphotic attenuation at the C4-C5 level. There is grade 1 anterolisthesis of C3 on C4 and C7 on T1. There is severe disc height loss at the C4-C5, C5-C6, and to a lesser degree C6-C7 and C7-T1 levels. Prominent endplate degenerative changes are noted at the C4-C5, C5-C6, and C6-C7 levels. Multilevel degenerative changes are associated with up to mild to moderate left C5-C6 neural foraminal stenosis. Mild to moderate spinal canal stenosis suspected at the C4-C5 level and to a milder degree at C3-C4 and C5-C6. Emphysematous changes are noted at the lung apices. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pleural': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'overlying compressive atelectasis': 'clinical finding': 'overlying compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'overlying compressive', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'anatomical entity_fin: 'pleural': 'location descriptor': 'right', 'fluid': location descriptor_fin: ['right']clinical findings_fin: 'loculated right pleural fluid': 'clinical finding': 'loculated right pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'loculated right pleural', 'observation': 'fluid', 'new air-fluid level': 'clinical finding': 'new air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'new air-fluid', 'observation': 'level', 'temporal_term': 'new', 'hydropneumothorax': 'clinical finding': 'hydropneumothorax', 'existence': 'pos_dx', 'observation': 'hydropneumothorax'anatomical entity_fin: 'bronchopleural': clinical findings_fin: 'bronchopleural fistula': 'clinical finding': 'bronchopleural fistula', 'existence': 'unc_dx', 'descriptive_term': 'bronchopleural', 'observation': 'fistula'size_fin: ['size': '17 x 18 mm', 'size_descriptor': 'area']anatomical entity_fin: 'lung': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'low-attenuation': 'clinical finding': 'low-attenuation', 'existence': 'pos_dx', 'observation': 'low', 'infarction': 'clinical finding': 'infarction', 'existence': 'unc_dx', 'observation': 'infarction', 'recent pe': 'clinical finding': 'recent pe', 'existence': 'unc_dx', 'descriptive_term': 'recent', 'observation': 'pe'anatomical entity_fin: 'artery': clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'pericardial': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinum': object_fin: ['surgical clips']clinical findings_fin: 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'anatomical entity_fin: 'mediastinal': clinical findings_fin: 'shotty mediastinal lymphadenopathy': 'clinical finding': 'shotty mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'shotty mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Interval increase in bilateral pleural effusions with overlying compressive atelectasis or consolidation. The loculated right pleural fluid contains a new air-fluid level compatible with hydropneumothorax. This finding can be seen with bronchopleural fistula. Well-defined area of low-attenuation within the consolidated left lower lung measuring approximately 17 x 18 mm may represent an area of infarction from recent PE. Study limited due to lack of intravenous contrast. Coronary artery calcifications are noted. No pericardial effusion. Multiple surgical clips are noted in the mediastinum. Shotty mediastinal lymphadenopathy. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'motion artifacts': 'clinical finding': 'motion artifacts', 'existence': 'neg_dx', 'descriptive_term': 'motion', 'observation': 'artifact'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'inguinal lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple bilateral inguinal lymph nodes': 'clinical finding': 'multiple bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral inguinal lymph', 'observation': 'node', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] No motion artifacts degrades interpretation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple bilateral inguinal lymph nodes are visualized. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': , 'brain': , 'parenchyma': clinical findings_fin: 'limited view of the brain parenchyma': 'clinical finding': 'limited view of the brain parenchyma'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'location descriptor_fin: ['left']clinical findings_fin: 'minimal nasoseptal deviation': 'clinical finding': 'minimal nasoseptal deviation', 'existence': 'pos_dx', 'descriptive_term': 'minimal nasoseptal', 'observation': 'deviation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'nasal septal spur': 'clinical finding': 'nasal septal spur', 'existence': 'pos_dx', 'descriptive_term': 'nasal septal', 'observation': 'spur'location descriptor_fin: ['anterior']clinical findings_fin: 'lytic lesion': 'clinical finding': 'lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'location descriptor_fin: ['right', 'central', 'lateral']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'location descriptor_fin: ['adjacent']clinical findings_fin: 'associated adjacent bone remodeling': 'clinical finding': 'associated adjacent bone remodeling', 'existence': 'pos_dx', 'descriptive_term': 'associated adjacent bone', 'observation': 'remodeling' [/INST] [RESP] The orbits and limited view of the brain parenchyma are unremarkable. There is mild mucosal thickening in bilateral maxillary sinuses and at the ostiomeatal complexes. There is minimal nasoseptal deviation to the left, with a nasal septal spur. There is a lytic lesion at the anterior aspect of the maxillary alveolar ridge. The lesion is at the roots of the right central and lateral incisors. It correlates with the lesion seen on the prior MRI study. There is associated adjacent bone remodeling. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is normal caliber': 'clinical finding': 'main pulmonary artery is normal caliber'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['peripheral', 'right', 'upper']clinical findings_fin: 'minimal peripheral reticular opacities': 'clinical finding': 'minimal peripheral reticular opacities', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripheral reticular', 'observation': 'opacity', 'strength_term': 'minimal', 'quantity_term': 'minimal'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'clinical findings_fin: 'pulmonary nodules': 'clinical finding': 'pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': '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: 'breast': 'location descriptor': 'right'location descriptor_fin: ['left', 'right']object_fin: ['prosthesis']clinical findings_fin: 'again seen , with interval removal of the right breast prosthesis': 'clinical finding': 'again seen , with interval removal of the right breast prosthesis'anatomical entity_fin: 'fluid': location descriptor_fin: ['medial', 'left']object_fin: ['prosthesis']clinical findings_fin: 'small amount of fluid density is seen': 'clinical finding': 'small amount of fluid density is seen'anatomical entity_fin: 'axillary lymph nodes': object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'enlarged axillary lymph nodes': 'clinical finding': 'enlarged axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['right']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density', 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'unc_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild', 'destructive lesions': 'clinical finding': 'destructive lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive', 'observation': 'lesion'anatomical entity_fin: 'upper abdomen': , 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'nonspecific hypodense lesion': 'clinical finding': 'nonspecific hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific hypodense', 'observation': 'lesion' [/INST] [RESP] . No filling defects are seen within the pulmonary arteries to suggest pulmonary embolism on this technically adequate study. The main pulmonary artery is normal caliber. Minimal peripheral reticular opacities are seen in the right upper lobe, unchanged from the prior exam, possibly related to prior radiation therapy. No focal consolidation or pleural effusions. No pulmonary nodules or masses. No enlarged mediastinal or hilar lymph nodes. Heart size is within normal limits, with no evidence of pericardial effusion. Left breast prosthesis is again seen, with interval removal of the right breast prosthesis. A small amount of fluid density is seen medial to the left prosthesis , new compared to the prior study and of uncertain clinical significance. Surgical clips are seen in both axillae, with no enlarged axillary lymph nodes evident. Soft tissue density along the right internal mammary chain may represent lymph nodes, unchanged from the prior exam. Review of bone windows demonstrates mild degenerative changes of the thoracic spine, with no destructive lesions evident. Limited views of the upper abdomen again show a nonspecific hypodense lesion in the right hepatic lobe, unchanged from the prior exam. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'respiratory motion': 'clinical finding': 'respiratory motion', 'existence': 'pos_dx', 'descriptive_term': 'respiratory', 'observation': 'motion'anatomical entity_fin: 'pulmonary arteries': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli', 'main and interlobar pulmonary': 'clinical finding': 'main and interlobar pulmonary', 'existence': 'neg_dx', 'descriptive_term': 'main and interlobar', 'observation': 'pulmonary', 'distal pulmonary': 'clinical finding': 'distal pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'distal', 'observation': 'pulmonary', 'pe': 'clinical finding': 'pe', 'existence': 'unc_dx', 'observation': 'pe'anatomical entity_fin: 'lung': clinical findings_fin: 'perihilar groundglass opacities': 'clinical finding': 'perihilar groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'perihilar groundglass', 'observation': 'opacity', 'underinflation': 'clinical finding': 'underinflation', 'existence': 'unc_dx', 'observation': 'underinflation'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '3.4 cm']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary': 'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'cell': imaging observation_fin: ['sickle']clinical findings_fin: 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'spleen': clinical findings_fin: 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'procedure_fin: ['cholecystectomy'] [/INST] [RESP] . Despite appropriate bolus timing, respiratory motion and image noise limits evaluation. No pulmonary emboli identified within the main and interlobar pulmonary arteries however, the distal pulmonary arteries are incompletely evaluated and PE cannot be excluded in these areas. The lung volumes. Perihilar groundglass opacities most likely represent underinflation. No pleural effusion is evident. The main pulmonary artery is enlarged measuring 3.4 cm in diameter, which is nonspecific but can be seen in the setting of pulmonary arterial hypertension. Mild cardiomegaly, but no pleural effusion. None. Osseous sequelae of sickle cell disease. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Infarction of the spleen. Status post cholecystectomy. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'third ventricles': location descriptor_fin: ['left']clinical findings_fin: 'diffuse subarachnoid hemorrhage': 'clinical finding': 'diffuse subarachnoid hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'diffuse subarachnoid', 'observation': 'hemorrhage', 'intraventricular hemorrhage': 'clinical finding': 'intraventricular hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraventricular', 'observation': 'hemorrhage'anatomical entity_fin: 'interhemispheric fissure': clinical findings_fin: 'is slightly prominent clot anteriorly within the interhemispheric fissure': 'clinical finding': 'is slightly prominent clot anteriorly within the interhemispheric fissure'clinical findings_fin: 'definite aneurysm': 'clinical finding': 'definite aneurysm', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'aneurysm'clinical findings_fin: 'early hydrocephalus': 'clinical finding': 'early hydrocephalus', 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'hydrocephalus'clinical findings_fin: 'apparent mass lesions': 'clinical finding': 'apparent mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'apparent mass', 'observation': 'lesion'anatomical entity_fin: 'fluid': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'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] Diffuse subarachnoid hemorrhage is present as is intraventricular hemorrhage within the third ventricles and left occipital horn. There is slightly prominent clot anteriorly within the interhemispheric fissure. No definite aneurysm is identified. Given slight temporal horn dilatation, there may be early hydrocephalus. There are no apparent mass lesions. There are no extra-axial fluid collections. The calvarium is intact. Visualized 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: 'scattered micronodules': 'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', '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: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'clinical findings_fin: 'focal lesions': 'clinical finding': 'focal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal in size': 'clinical finding': 'spleen is normal in size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'enlarged retroperitoneal lymph nodes': 'clinical finding': 'enlarged retroperitoneal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered micronodules are nonspecific, but appear unchanged. Small mediastinal lymph nodes. Small hiatal hernia. Right Port-A-Cath is at the junction of the SVC in right HM. No focal lesions are evident. The spleen is normal in size. No significant abnormality noted. No significant abnormality noted. The kidneys enhance symmetrically without evidence of hydronephrosis or hydroureter. No enlarged retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Diverticulosis without evidence of diverticulitis. Mild degenerative changes affect the lumbar 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 ventricle': clinical findings_fin: 'left ventricle:normal global lv function': 'clinical finding': 'left ventricle:normal global lv function', 'existence': 'pos_dx', 'descriptive_term': 'left ventricle normal global lv', 'observation': 'function', 'strength_term': 'normal'anatomical entity_fin: 'wall': clinical findings_fin: 'regional wall motion abnormalities': 'clinical finding': 'regional wall motion abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'regional wall motion', 'observation': 'abnormality'clinical findings_fin: 'aortic calcifications': 'clinical finding': 'aortic calcifications', 'existence': 'neg_dx', 'descriptive_term': 'aortic', 'observation': 'calcification'clinical findings_fin: 'mitral annular calcification': 'clinical finding': 'mitral annular calcification', 'existence': 'neg_dx', 'descriptive_term': 'mitral annular', 'observation': 'calcification'anatomical entity_fin: 'aorta': , 'aortic arch': location descriptor_fin: ['left']anatomical entity_fin: 'aorta': clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'anatomical entity_fin: 'aortic arch': , 'descending aorta': clinical findings_fin: 'atherosclerosis': 'clinical finding': 'atherosclerosis', 'existence': 'pos_dx', 'observation': 'atherosclerosis'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is normal in size': 'clinical finding': 'main pulmonary artery is normal in size'anatomical entity_fin: 'pulmonary veins': , 'left atrium': anatomical entity_fin: 'pericardium': location descriptor_fin: ['superior', 'inferior', 'right']clinical findings_fin: 'superior and inferior vena cavae drain normally into the right atriumpericardium : the pericardium is normal in thickness': 'clinical finding': 'superior and inferior vena cavae drain normally into the right atriumpericardium : the pericardium is normal in thickness'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'coronary artery': , 'circumflex coronary arteries': 'location descriptor': 'left'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'valsalva': 'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'location descriptor_fin: ['distal', 'left']clinical findings_fin: 'stenosed': 'clinical finding': 'stenosed', 'existence': 'pos_dx', 'observation': 'stenosed'clinical findings_fin: 'lad gives rise to one significant diagonal branch': 'clinical finding': 'lad gives rise to one significant diagonal branch'clinical findings_fin: 'is no significant plaque in the lad or its branches': 'clinical finding': 'is no significant plaque in the lad or its branches'anatomical entity_fin: 'artery': location descriptor_fin: ['left']clinical findings_fin: 'left circumflex artery gives rise to a significant obtuse marginal branch': 'clinical finding': 'left circumflex artery gives rise to a significant obtuse marginal branch'clinical findings_fin: 'stenosed': 'clinical finding': 'stenosed', 'existence': 'pos_dx', 'observation': 'stenosed'location descriptor_fin: ['right']anatomical entity_fin: 'coronary artery': , 'posterior descending artery': location descriptor_fin: ['distal', 'proximal']clinical findings_fin: 'proximal rca': 'clinical finding': 'proximal rca', 'existence': 'pos_dx', 'descriptive_term': 'proximal', 'observation': 'rca', '% stenosis': 'clinical finding': '% stenosis', 'existence': 'pos_dx', 'descriptive_term': ' ', 'observation': 'stenosis'clinical findings_fin: 'are no other significant plaques in the rca or its branches': 'clinical finding': 'are no other significant plaques in the rca or its branches' [/INST] [RESP] .59 , This represents the 96 percentile for this patients age, race, and gender. Left Ventricle:Normal global LV function. There are no regional wall motion abnormalities. There are no aortic calcifications. There is no mitral annular calcification. Aorta: The aortic arch is left sided. Visualized portions of the aorta demonstrate no evidence of dissection or aneurysm. Atherosclerosis and calcified plaques are present in the aortic arch and in the descending aorta. The main pulmonary artery is normal in size. All four pulmonary veins drain normally into the left atrium. The superior and inferior vena cavae drain normally into the right atriumPericardium: The pericardium is normal in thickness. There is no pericardial effusion. The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There is a calcified plaque which is <25% stenosed in the distal portion of the left main. The LAD gives rise to one significant diagonal branch. There is no significant plaque in the LAD or its branches. The left circumflex artery gives rise to a significant obtuse marginal branch. There is a calcified plaque in the ostial LCX which is 25-50% stenosed. The RCA arises normally from the right sinus of valsalva. It is the dominant coronary artery giving rise to the posterior descending artery and a posterolateral branch. There is a calcified plaque in the distal portion of the proximal RCA which is causing <25% stenosis. There are no other significant plaques in the RCA or its branches. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'bowel': , 'vasculature': , 'solid organs': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'oral or intravenous contrast': 'clinical finding': 'oral or intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'oral or intravenous', 'observation': 'contrast'anatomical entity_fin: 'body': , 'skin': , 'subcutaneous fat': , 'abdominal': 'location descriptor': 'anterior', 'pelvis': location descriptor_fin: ['anterior']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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'antrum': object_fin: ['dobbhoff tube']clinical findings_fin: 'dobbhoff tube': 'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'anatomical entity_fin: 'fluid': clinical findings_fin: 'free or loculated intraperitoneal fluid': 'clinical finding': 'free or loculated intraperitoneal fluid'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'dilatation': 'clinical finding': 'dilatation', 'existence': 'neg_dx', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'anterior abdominal wall': 'location descriptor': 'left'imaging observation_fin: ['hematoma']location descriptor_fin: ['left']clinical findings_fin: 'large subcutaneous lesion': 'clinical finding': 'large subcutaneous lesion', 'existence': 'pos_dx', 'descriptive_term': 'large subcutaneous', 'observation': 'lesion', 'strength_term': 'large', 'known hematoma': 'clinical finding': 'known hematoma', 'existence': 'pos_dx', 'descriptive_term': 'known', 'observation': 'hematoma'size_fin: ['size': '30 cm by 12 cm']clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'active bleeding': 'clinical finding': 'active bleeding', 'existence': 'unc_dx', 'descriptive_term': 'active', 'observation': 'bleed', 'strength_term': 'active'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'surgical hardware': 'clinical finding': 'surgical hardware', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'hardware'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The exam is not sensitive for detecting lesions in the bowel vasculature or solid organs due to lack of oral or intravenous contrast. Due to body habitus skin and subcutaneous fat anterior abdominal particularly in the pelvis is partially cut off the field-of-view. Basilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Dobbhoff tube tip in region of the gastric antrum. No free or loculated intraperitoneal fluid. No bowel wall thickening or dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Foley catheter in place. No significant abnormality noted. No significant abnormality noted. Incompletely visualized large subcutaneous lesion in the left anterior abdominal wall consistent with the patients known hematoma. On coronal image 34/157, I estimate its greatest oblique length at about 30 cm by 12 cm. Due to the lack of IV contrast active bleeding cannot be excluded. Surgical hardware lower lumbar 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: 'sagittal suture': , 'convexity': clinical findings_fin: 'partial fusion': 'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial', 'sagittal suture': 'clinical finding': 'sagittal suture', 'existence': 'pos_dx', 'descriptive_term': 'sagittal', 'observation': 'suture'anatomical entity_fin: 'skull': clinical findings_fin: 'scaphocephalic': 'clinical finding': 'scaphocephalic', 'existence': 'pos_dx', 'observation': 'scaphocephalic'anatomical entity_fin: 'lambdoid sutures': clinical findings_fin: 'coronal, metopic, and lambdoid sutures': 'clinical finding': 'coronal, metopic, and lambdoid sutures', 'existence': 'pos_dx', 'descriptive_term': 'coronal metopic and lambdoid', 'observation': 'suture', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'fontanelles': clinical findings_fin: 'obliteration': 'clinical finding': 'obliteration', 'existence': 'pos_dx', 'observation': 'obliteration'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'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'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'maxillofacial and visualized osseous structures and soft tissues are unremarkable': 'clinical finding': 'maxillofacial and visualized osseous structures and soft tissues are unremarkable' [/INST] [RESP] Examination shows partial fusion of the sagittal suture at high convexity. The skull vault appear scaphocephalic. The coronal, metopic, and lambdoid sutures are patent. There is obliteration of the frontal and occipital fontanelles. The cerebral and cerebellar hemispheres appear symmetric and normal in volume and configuration. 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 paranasal sinuses and mastoid air cells are clear. The maxillofacial and visualized osseous structures and soft tissues are unremarkable. 3-D volume rendering images with measurements of various facial and cranial dimensions were generated for references. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': object_fin: ['surgical clips']clinical findings_fin: 'post thyroidectomy surgical changes': 'clinical finding': 'post thyroidectomy surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'post thyroidectomy surgical', 'observation': 'change', 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple bilateral nonpathologic subcentimeter size lymph nodes': 'clinical finding': 'multiple bilateral nonpathologic subcentimeter size lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral nonpathologic subcentimeter size lymph', 'observation': 'node', 'quantity_term': 'multiple', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '10.1 x 7.5 mm', 'size_descriptor': 'node']anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left'location descriptor_fin: ['posterior', 'left']clinical findings_fin: 'nonpathologic size enlarged lymph node': 'clinical finding': 'nonpathologic size enlarged lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonpathologic size enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'size_fin: ['size': '5.5 mm', 'size_descriptor': 'node', 'size': '3.9 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'level vi node': 'clinical finding': 'level vi node', 'existence': 'pos_dx', 'descriptive_term': 'level vi', 'observation': 'node', 'lymph node': 'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'oral cavity , oro or nasopharynx , hypopharynx , larynx and subglottic airways are unremarkable': 'clinical finding': 'oral cavity , oro or nasopharynx , hypopharynx , larynx and subglottic airways are unremarkable'anatomical entity_fin: 'submandibular gland': clinical findings_fin: 'parotid and submandibular gland are unremarkable': 'clinical finding': 'parotid and submandibular gland are unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'mild calcific atherosclerosis': 'clinical finding': 'mild calcific atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'mild calcific', 'observation': 'atherosclerosis', 'strength_term': 'mild'anatomical entity_fin: 'neural foramina': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'endplate osteophytes': 'clinical finding': 'endplate osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'endplate', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'clinical findings_fin: 'osseous metastatic lesions': 'clinical finding': 'osseous metastatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'lesion'anatomical entity_fin: 'chest': , 'mediastinal lymph nodes': imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: 'left apical nodule': 'clinical finding': 'left apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'left apical', 'observation': 'nodule', 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr', 'small mediastinal lymph nodes': 'clinical finding': 'small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure' [/INST] [RESP] Post thyroidectomy surgical changes with multiple surgical clips in the neck are redemonstrated. No abnormal enhancement or mass is seen in the thyroid bed. Multiple bilateral nonpathologic subcentimeter size lymph nodes are seen at the level Ia, Ib, IIa and IIb that are slightly enlarged in size compared to prior exam given the diffuse involvement, they are likely reactive. Nonpathologic size enlarged lymph node measures 10.1 x 7.5 mm at level IIa posterior to and abutting the left internal jugular vein is noted. A level VI node has increased minimally in size compared to prior exam the lymph node at the right tracheoesophageal recess measures 5.5 mm compared to 3.9 mm on prior. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable. The parotid and submandibular gland are unremarkable. The carotid arteries and jugular veins are patent. Mild calcific atherosclerosis of the carotid bifurcation is again noted. Endplate osteophytes with bilateral neural foramina narrowing at the level of C4/C5 is unchanged. No osseous metastatic lesions are noted. Limited view of the chest again demonstrates left apical nodule, apical scarring, and small mediastinal lymph nodes. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. Limited view of the intracranial structure is unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'surgical staples': 'clinical finding': 'surgical staples', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'staple'size_fin: ['size': '13 x 8 mm', 'size': '7 x 5 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe nodule': 'clinical finding': 'left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'small subpleural left upper lobe nodule': 'clinical finding': 'small subpleural left upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'small subpleural left upper lobe', 'observation': 'nodule', 'strength_term': 'small'anatomical entity_fin: 'base': 'location descriptor': 'right'location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'nodular scarring': 'clinical finding': 'nodular scarring', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'scarr', 'adjacent surgical staples': 'clinical finding': 'adjacent surgical staples', 'existence': 'pos_dx', 'descriptive_term': 'adjacent surgical', 'observation': 'staple'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'small nonspecific hypodensities': 'clinical finding': 'small nonspecific hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small nonspecific', 'observation': 'hypodensity', 'strength_term': 'small'size_fin: ['size': '7 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'mildly enlarged high right paratracheal node': 'clinical finding': 'mildly enlarged high right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged high right paratracheal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'coronary arch or calcifications': 'clinical finding': 'coronary arch or calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary arch or', 'observation': 'calcification'anatomical entity_fin: 'right atrium': object_fin: ['catheter']anatomical entity_fin: 'chest wall': 'location descriptor': 'right', 'right atrium': location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'spine': clinical findings_fin: 'mild multilevel degenerative changes': 'clinical finding': 'mild multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scarring and surgical staples in the right upper lung. Increase in left lower lobe nodule, now 13 x 8 mm compared to 7 x 5 mm previously. Small subpleural left upper lobe nodule unchanged. Nodular scarring at the right base also unchanged with adjacent surgical staples. Small nonspecific hypodensities in the thyroid gland. Mildly enlarged high right paratracheal node measuring 7 mm, not significantly changed. Moderately severe coronary arch or calcifications. Catheter tip in right atrium. Right chest wall port with tip terminating within the right atrium. Mild multilevel degenerative changes are visualized throughout the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'minimal bibasilar atelectasis': 'clinical finding': 'minimal bibasilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'minimal bibasilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'location descriptor_fin: ['right']clinical findings_fin: 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'size_fin: ['size': '1 cm', 'size_descriptor': 'duct']anatomical entity_fin: 'common bile duct': , 'head': , 'pancreas': procedure_fin: ['cholecystectomy']clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'anastomosis': procedure_fin: ['gastric bypass']anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel obstruction': 'clinical finding': 'small bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'clinical findings_fin: 'few colonic diverticula': 'clinical finding': 'few colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'few colonic', 'observation': 'diverticula', 'quantity_term': 'few', 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'anterior abdominal wall': imaging observation_fin: ['soft tissue densities']clinical findings_fin: 'multiple soft tissue densities': 'clinical finding': 'multiple soft tissue densities', 'existence': 'pos_dx', 'descriptive_term': 'multiple soft tissue', 'observation': 'density', 'quantity_term': 'multiple', 'injection granulomas': 'clinical finding': 'injection granulomas', 'existence': 'unc_dx', 'descriptive_term': 'injection', 'observation': 'granuloma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 bibasilar atelectasis could be nonspecific. However, could represent developing consolidation. Consider aspiration in the right clinical setting. Cholecystectomy clips noted. Common bile duct slightly prominent reaching up to 1 cm in the region of the head of the pancreas, which is an expected finding in cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post gastric bypass with retrocolic anastomosis. No evidence of small bowel obstruction. Few colonic diverticula without evidence of diverticulitis. Multiple soft tissue densities within the anterior abdominal wall could be related to injection granulomas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '4.3 x 3.1 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new lobulated mass': 'clinical finding': 'new lobulated mass', 'existence': 'pos_dx', 'descriptive_term': 'new lobulated', 'observation': 'mass', 'temporal_term': 'new', 'change_term': 'lobulated'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'lung': clinical findings_fin: 'smoking related lung disease': 'clinical finding': 'smoking related lung disease', 'existence': 'pos_dx', 'descriptive_term': 'smoking related lung', 'observation': 'disease'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent central airways': 'clinical finding': 'patent central airways', 'change_term': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'breast': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'postlumpectomy changes': 'clinical finding': 'postlumpectomy changes', 'existence': 'pos_dx', 'descriptive_term': 'postlumpectomy', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '1.7 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'new 1.7 cm hypodense lesion': 'clinical finding': 'new 1.7 cm hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'new 1 7 cm hypodense', 'observation': 'lesion', 'temporal_term': 'new', 'other tiny hepatic hypodensities': 'clinical finding': 'other tiny hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'other tiny hepatic', 'observation': 'hypodensity', 'strength_term': 'tiny'clinical findings_fin: 'scattered hepatic granulomas': 'clinical finding': 'scattered hepatic granulomas', 'existence': 'pos_dx', 'descriptive_term': 'scattered hepatic', 'observation': 'granuloma'clinical findings_fin: 'calcified splenic granuloma': 'clinical finding': 'calcified splenic granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified splenic', 'observation': 'granuloma', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal hypodensities': 'clinical finding': 'renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'renal', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . New lobulated mass in the left upper lobe on image 32 of series 4 measuring 4.3 x 3.1 cm. Postsurgical changes again noted in the left lower lobe. Smoking related lung disease, as before. Patent central airways. No significant abnormality noted. None. Postlumpectomy changes again noted within the left breast. Absence of enteric contrast material limits sensitivity for abdominal pathology. New 1.7 cm hypodense lesion in the right hepatic lobe on image 95 of series Other tiny hepatic hypodensities, too small to characterize. Scattered hepatic granulomas. Calcified splenic granuloma. No significant abnormality noted. Renal hypodensities, too small to characterize. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'acetabulum': location descriptor_fin: ['left']clinical findings_fin: 'left femoral head osteophytes': 'clinical finding': 'left femoral head osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'left femoral head', 'observation': 'osteophyte', 'subchondral cysts': 'clinical finding': 'subchondral cysts', 'existence': 'pos_dx', 'descriptive_term': 'subchondral', 'observation': 'cyst', 'moderate osteoarthritis': 'clinical finding': 'moderate osteoarthritis', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'osteoarthritis', 'strength_term': 'moderate'anatomical entity_fin: 'hip joint': location descriptor_fin: ['superior', 'right']clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'size_fin: ['size': '3 cm', 'size': '1 cm', 'size': '16 mm']anatomical entity_fin: 'ossicle': , 'acetabulum': imaging observation_fin: ['margin']location descriptor_fin: ['superolateral']anatomical entity_fin: 'ossicle': , 'rim': , 'acetabulum': clinical findings_fin: 'additional smaller ossicle is noted along the anterosuperior rim of the acetabulum': 'clinical finding': 'additional smaller ossicle is noted along the anterosuperior rim of the acetabulum'anatomical entity_fin: 'hip': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'similar but perhaps slightly less pronounced arthritic changes': 'clinical finding': 'similar but perhaps slightly less pronounced arthritic changes', 'existence': 'pos_dx', 'descriptive_term': 'similar but perhaps slightly less pronounced arthritic', 'observation': 'change', 'quantity_term': 'less'clinical findings_fin: 'soft tissues are unremarkable': 'clinical finding': 'soft tissues are unremarkable'anatomical entity_fin: 'condyles': location descriptor_fin: ['lateral']clinical findings_fin: 'lateral tilting': 'clinical finding': 'lateral tilting', 'existence': 'pos_dx', 'descriptive_term': 'lateral', 'observation': 'tilting', 'trochlear dysplasia': 'clinical finding': 'trochlear dysplasia', 'existence': 'unc_dx', 'descriptive_term': 'trochlear', 'observation': 'dysplasia'imaging observation_fin: ['angle']clinical findings_fin: 'alpha angle': 'clinical finding': 'alpha angle'anatomical entity_fin: 'ossicle': imaging observation_fin: ['angle']location descriptor_fin: ['center']anatomical entity_fin: 'neck': imaging observation_fin: ['angle']clinical findings_fin: 'degrees as measured on the direct sagittal imagesfemoral neck-shaft angle': 'clinical finding': 'degrees as measured on the direct sagittal imagesfemoral neck-shaft angle'anatomical entity_fin: 'ossicle': clinical findings_fin: 'anteversion': 'clinical finding': 'anteversion', 'existence': 'pos_dx', 'observation': 'anteversion'size_fin: ['size': '11 mm', 'size_descriptor': 'base']anatomical entity_fin: 'base': , 'rim': size_fin: ['size': '5 mm'] [/INST] [RESP] There are left femoral head osteophytes and subchondral cysts in the acetabulum indicating moderate osteoarthritis. Subjectively, the superior aspect of the hip joint appears slightly narrowed compared to that on the right. There is a large ossicle along the superolateral margin of the acetabulum measuring approximately 3 cm in AP dimension, 1 cm in mediolateral dimension and 16 mm in craniocaudal dimension. An additional smaller ossicle is noted along the anterosuperior rim of the acetabulum. Similar but perhaps slightly less pronounced arthritic changes affect the right hip. The soft tissues are unremarkable given the limitations inherent to CT. There is lateral tilting of the patellae bilaterally as well as relative prominence of the lateral femoral condyles bilaterally suggestive of trochlear dysplasia. CAM location. 00 to 4:00. Alpha angle. 00 Coronal center-edge angle. 51 degrees including the juxta-acetabular ossicle 29 degrees not including the ossicleSagittal center-edge angle. 63 degrees as measured on the direct sagittal imagesFemoral neck-shaft angle. 130 degreesAcetabular version. 0 degrees Acetabular version. 20 degrees anteversion ignoring anterosuperior ossicle 2 degrees including ossicleAcetabular version. 20 degrees anteversionFemoral version angle. 9 degrees anteversionMcKibbin index. 29 AIIS width. 11 mmDistal 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: location descriptor_fin: ['left']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'debridement': 'clinical finding': 'debridement', 'existence': 'pos_dx', 'observation': 'debridement', 'craniectomy': 'clinical finding': 'craniectomy', 'existence': 'pos_dx', 'observation': 'craniectomy', 'previously demonstrated left parietal, occipital and temporal fractures': 'clinical finding': 'previously demonstrated left parietal, occipital and temporal fractures', 'existence': 'unc_dx', 'descriptive_term': 'previously demonstrated left parietal occipital and temporal', 'observation': 'fracture', 'gunshot wound': 'clinical finding': 'gunshot wound', 'existence': 'pos_dx', 'descriptive_term': 'gunshot', 'observation': 'wound'clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'clinical findings_fin: 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'transcranial herniation': 'clinical finding': 'transcranial herniation', 'existence': 'pos_dx', 'descriptive_term': 'transcranial', 'observation': 'herniation', 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'encephalomalacic progression': 'clinical finding': 'encephalomalacic progression', 'existence': 'pos_dx', 'descriptive_term': 'encephalomalacic', 'observation': 'progression'clinical findings_fin: 'overlying swollen': 'clinical finding': 'overlying swollen', 'existence': 'pos_dx', 'descriptive_term': 'overlying', 'observation': 'swollen'clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'right temporal lobe': , 'choroidal fissure': clinical findings_fin: 'small cystic lesion': 'clinical finding': 'small cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'small cystic', 'observation': 'lesion', 'strength_term': 'small', 'choroidal fissure cyst': 'clinical finding': 'choroidal fissure cyst', 'existence': 'unc_dx', 'descriptive_term': 'choroidal fissure', 'observation': 'cyst' [/INST] [RESP] Redemonstrated are postsurgical changes of debridement and the craniectomy for previously demonstrated left parietal, occipital and temporal fractures from gunshot wound. There has been interval evolution of hemorrhage, now appearing less dense. Additionally, parenchymal edema, mass effect, and transcranial herniation persist, however with increasing degrees of hypodensity representing encephalomalacic progression. Air within the overlying swollen soft tissues has nearly resolved. No hydrocephalus. Small cystic lesion in the right temporal lobe likely represents a choroidal fissure cyst. The patients ICP monitoring device has been removed. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'anterior', 'lobe': location descriptor_fin: ['anterior']clinical findings_fin: 'mild scarring': 'clinical finding': 'mild scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'scarr', 'strength_term': 'mild'size_fin: ['size': '1.8 x 1.5 cm', 'size_descriptor': 'lesion']imaging observation_fin: ['enhancing']clinical findings_fin: 'hyper enhancing lesion': 'clinical finding': 'hyper enhancing lesion', 'existence': 'pos_dx', 'descriptive_term': 'hyper enhancing', 'observation': 'lesion', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma'clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', '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: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'perinephric inflammation': 'clinical finding': 'perinephric inflammation', 'existence': 'neg_dx', 'descriptive_term': 'perinephric', 'observation': 'inflammation'anatomical entity_fin: 'kidneys': 'location descriptor': 'bilateral'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'punctate hyperattenuating foci': 'clinical finding': 'punctate hyperattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate hyperattenuating', 'observation': 'foci', 'tiny nephrolithiasis': 'clinical finding': 'tiny nephrolithiasis', 'existence': 'unc_dx', 'descriptive_term': 'tiny', 'observation': 'nephrolithiasis', 'strength_term': 'tiny'clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'pos_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'neg_dx', 'descriptive_term': 'filling', 'observation': 'defect'location descriptor_fin: ['left']clinical findings_fin: 'left renal cysts': 'clinical finding': 'left renal cysts', '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'anatomical entity_fin: 'ascending colon': clinical findings_fin: 'submucosal fat deposition': 'clinical finding': 'submucosal fat deposition', 'existence': 'pos_dx', 'descriptive_term': 'submucosal fat', 'observation': 'deposition', 'chronic colitis': 'clinical finding': 'chronic colitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'colitis', 'temporal_term': 'chronic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild scarring at the anterior middle lobe. Hyper enhancing lesion in hepatic segment six measuring 1.8 x 1.5 cm may represent a hemangioma. Calcified granuloma. No significant abnormality noted. No significant abnormality noted. No lesions. No hydronephrosis or perinephric inflammation. On the precontrast images there are punctate hyperattenuating foci in bilateral kidneys which may represent tiny nephrolithiasis. There is normal symmetric excretion of IV contrast. No filling defects are identified within the opacified portions of the collecting system on delayed images. Left renal cysts. No significant abnormality noted. Moderate. Submucosal fat deposition in the ascending colon compatible with chronic colitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['teeth']clinical findings_fin: 'carious': 'clinical finding': 'carious', 'existence': 'pos_dx', 'observation': 'carious'location descriptor_fin: ['adjacent']clinical findings_fin: 'discernible evidence of adjacent inflammatory changed': 'clinical finding': 'discernible evidence of adjacent inflammatory changed', 'change_term': 'changed'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent', 'pharyngeal mucosal space edema': 'clinical finding': 'pharyngeal mucosal space edema', 'existence': 'neg_dx', 'descriptive_term': 'pharyngeal mucosal space', 'observation': 'edema'clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unremarkable': 'clinical finding': 'thyroid and major salivary glands are unremarkable'clinical findings_fin: 'mild multilevel degenerative spondylosis': 'clinical finding': 'mild multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'mild multilevel degenerative', 'observation': 'spondylosis', 'strength_term': 'mild', 'usual cervical lordosis': 'clinical finding': 'usual cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'usual cervical', 'observation': 'lordosis'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'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'ventricles are normal in size and configuration': 'clinical finding': 'ventricles 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: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': , 'scalp': clinical findings_fin: 'skull and scalp soft tissues are unremarkable': 'clinical finding': 'skull and scalp soft tissues are unremarkable' [/INST] [RESP] . Numerous maxillary and mandibular teeth are carious. However, there is no discernible evidence of adjacent inflammatory changed. The airways are patent, without convincing evidence of pharyngeal mucosal space edema. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is mild multilevel degenerative spondylosis and loss of the usual cervical lordosis. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'appreciable interval change': 'clinical finding': 'appreciable interval change', 'existence': 'neg_dx', 'descriptive_term': 'appreciable interval', 'observation': 'change', 'density': 'clinical finding': 'density', 'existence': 'neg_dx', 'observation': 'density'clinical findings_fin: 'stable and unremarkable exam otherwise': 'clinical finding': 'stable and unremarkable exam otherwise', 'change_term': 'stable'clinical findings_fin: 'acute nonhemorrhagic ischemic stroke': 'clinical finding': 'acute nonhemorrhagic ischemic stroke', 'existence': 'unc_dx', 'descriptive_term': 'acute nonhemorrhagic ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['midline']clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent' [/INST] [RESP] Nonenhanced head. Examination redemonstrates a focus of low attenuation in the left basal ganglia without appreciable interval change in density, size or extent. Stable and unremarkable exam otherwise. Note should be made that CT is insensitive for early detection of an acute nonhemorrhagic ischemic stroke. Ventricular system remains within normal size and maintain midline. CSF cisterns remain widely patent. [/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', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'cerebral hemispheres': 'location descriptor': 'bilateral', 'basal ganglia': 'location descriptor': 'right'location descriptor_fin: ['bilateral', 'right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'chronic infarcts': 'clinical finding': 'chronic infarcts', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'infarct', 'temporal_term': 'chronic'anatomical entity_fin: 'brain': location descriptor_fin: ['left']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'recent infarct': 'clinical finding': 'recent infarct', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'infarct'clinical findings_fin: 'diffuse atrophy': 'clinical finding': 'diffuse atrophy', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atrophy', 'prominent sulci': 'clinical finding': 'prominent sulci', 'existence': 'pos_dx', 'descriptive_term': 'prominent', 'observation': 'sulci', 'strength_term': 'prominent'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'location descriptor_fin: ['right', 'inferior']clinical findings_fin: 'unchanged calcific nodule': 'clinical finding': 'unchanged calcific nodule', 'existence': 'pos_dx', 'descriptive_term': 'unchanged calcific', 'observation': 'nodule', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'wall': location descriptor_fin: ['left', 'medial']clinical findings_fin: 'chronic deformity': 'clinical finding': 'chronic deformity', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'deformity', 'temporal_term': 'chronic'clinical findings_fin: 'acute calvarial fracture': 'clinical finding': 'acute calvarial fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute calvarial', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] There is no evidence of acute intracranial hemorrhage, edema or mass affect. Redemonstrated is periventricular and subcortical white matter hypoattenuation, which is nonspecific but likely related to chronic small vessel ischemic disease. Again seen are multiple areas of encephalomalacia in the bilateral cerebral hemispheres as well as the right basal ganglia related to chronic infarcts. Encephalomalacia in the left PCA territory has developed in the interval due to evolution of recent infarct seen on brain MRI from 8/2/2016. There is diffuse atrophy with enlargement of the ventricles which is slightly out of proportion to the prominent sulci but remains unchanged compared to the previous exam. There is no midline shift or herniation. An unchanged calcific nodule is seen along the subcutaneous tissues of the right inferior frontal region. There is chronic deformity involving the left medial orbital wall which was present previously. No evidence of acute calvarial fracture. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'size_fin: ['size': '5-mm', 'size': '6 mm']location descriptor_fin: ['left', 'superior']clinical findings_fin: '5-mm left superior paratracheal lymph node': 'clinical finding': '5-mm left superior paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '5-mm left superior paratracheal lymph', 'observation': 'node', 'strength_term': 'superior'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'clinical findings_fin: 'dense aortic and coronary calcifications': 'clinical finding': 'dense aortic and coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dense aortic and coronary', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', '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: 'scattered subcentimeter hepatic cyst': 'clinical finding': 'scattered subcentimeter hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hepatic', 'observation': 'cyst', 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'significant lumbar spine degenerative abnormalities': 'clinical finding': 'significant lumbar spine degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'significant lumbar spine degenerative', 'observation': 'abnormality', 'hypertrophy': 'clinical finding': 'hypertrophy', 'existence': 'pos_dx', 'observation': 'hypertrophy'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'tortuous and calcified abdominal aorta': 'clinical finding': 'tortuous and calcified abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'tortuous and calcified abdominal', 'observation': 'aorta', 'change_term': 'calcified' [/INST] [RESP] . Mild dependent atelectasis right lung base. No evidence of pulmonary or pleural metastases. 5-mm left superior paratracheal lymph node unchanged at 6 mm. There are no significantly enlarged mediastinal or hilar lymph nodes. There are dense aortic and coronary calcifications. Degenerative abnormalities affect the thoracolumbar spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered subcentimeter hepatic cyst like hypodensities are present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Significant lumbar spine degenerative abnormalities with hypertrophy. Tortuous and calcified abdominal aorta. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'leiomyoma': 'clinical finding': 'leiomyoma', 'existence': 'pos_dx', 'observation': 'leiomyoma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Leiomyoma in the 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: 'neck': clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'artery': , 'lumen': location descriptor_fin: ['left']clinical findings_fin: 'thrombus': 'clinical finding': 'thrombus', 'existence': 'pos_dx', 'observation': 'thrombus', 'only a very tiny residual': 'clinical finding': 'only a very tiny residual', 'existence': 'pos_dx', 'descriptive_term': 'only a very tiny', 'observation': 'residual', 'strength_term': 'tiny'clinical findings_fin: 'this is unchanged from prior': 'clinical finding': 'this is unchanged from prior', 'change_term': 'unchanged'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'pulmonary parenchymal abnormalities': 'clinical finding': 'pulmonary parenchymal abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary parenchymal', 'observation': 'abnormality'object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'clinical findings_fin: 'bone windows are otherwise unremarkable': 'clinical finding': 'bone windows are otherwise unremarkable' [/INST] [RESP] A contrast-enhanced CT scan the neck demonstrates no evidence of pathologic lymphadenopathy within the neck. Note is again made of thrombus within the left carotid artery at the bifurcation with only a very tiny residual lumen. This is unchanged from prior. Cuts through lung apices reveal no pulmonary parenchymal abnormalities. A Port-A-Cath is in place with its tip in the SVC. Bone windows are otherwise unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'new subpleural fluid collection': 'clinical finding': 'new subpleural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'new subpleural fluid', 'observation': 'collection', 'temporal_term': 'new'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'subcentimeter right upper lobe mass': 'clinical finding': 'subcentimeter right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter right upper lobe', 'observation': 'mass'clinical findings_fin: 'multiple small pulmonary micronodules': 'clinical finding': 'multiple small pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple small pulmonary', 'observation': 'micronodule', 'strength_term': 'small', 'quantity_term': 'multiple'location descriptor_fin: ['right']clinical findings_fin: 'right hilar masses': 'clinical finding': 'right hilar masses', 'existence': 'pos_dx', 'descriptive_term': 'right hilar', 'observation': 'mass'size_fin: ['size': '4.6 x 5.1 cm', 'size': '4.1 x 4.5 cm', 'size': '1.3 x 1.5 cm', 'size': '2.7 x 2.4 cm']location descriptor_fin: ['central']clinical findings_fin: 'focal central necrosis': 'clinical finding': 'focal central necrosis', 'existence': 'pos_dx', 'descriptive_term': 'focal central', 'observation': 'necrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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', 'right', 'left']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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 a new subpleural fluid collection in the right upper lobe. Subcentimeter right upper lobe mass, seen on series 4 image 23 has also decreased in size. Multiple small pulmonary micronodules are either stable or decreased in size. Marked interval improvement in right hilar masses. The first demonstrates focal central necrosis and has decreased from 4.6 x 5.1 cm to 4.1 x 4.5 cm the second, seen on series 4 image 37 now measures 1.3 x 1.5 cm, decreased from 2.7 x 2.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts, right greater than left, are stable. 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: 'pulmonary arteries': clinical findings_fin: 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['central']clinical findings_fin: 'large central pulmonary embolus': 'clinical finding': 'large central pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'large central pulmonary', 'observation': 'embolus', 'strength_term': 'large', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'neg_dx', 'observation': 'pulmonary'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['adjacent', 'right', 'lower']clinical findings_fin: 'calcified micronodules': 'clinical finding': 'calcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'micronodule', 'change_term': 'calcified', 'adjacent linear opacity': 'clinical finding': 'adjacent linear opacity', 'existence': 'pos_dx', 'descriptive_term': 'adjacent linear', 'observation': 'opacity', 'granulomas': 'clinical finding': 'granulomas', 'existence': 'unc_dx', 'observation': 'granuloma', 'adjacent scarring': 'clinical finding': 'adjacent scarring', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'scarr'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Poor opacification of the pulmonary arteries limits evaluation for pulmonary embolism. There is no large central pulmonary embolus seen in the main pulmonary artery. Calcified micronodules with adjacent linear opacity in the right lower lobe on image 71 of series 8 most likely represent granulomas with adjacent scarring. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'lymph nodes': 'clinical finding': 'lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand'size_fin: ['size': '2.1 x 3.9 x 2.9 cm', 'size_descriptor': 'node']clinical findings_fin: 'largest node': 'clinical finding': 'largest node', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'node'location descriptor_fin: ['bilateral', 'external']clinical findings_fin: 'additional bilateral inguinal, internal and external iliac nodes': 'clinical finding': 'additional bilateral inguinal, internal and external iliac nodes', 'existence': 'pos_dx', 'descriptive_term': 'additional bilateral inguinal internal and external iliac', 'observation': 'node'anatomical entity_fin: 'fluid': clinical findings_fin: 'free or loculated intraperitoneal fluid': 'clinical finding': 'free or loculated intraperitoneal fluid'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel wall thickening': 'clinical finding': 'bowel wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'bowel wall', 'observation': 'thickening', 'dilatation': 'clinical finding': 'dilatation', 'existence': 'neg_dx', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. Cluster of lymph nodes in the left inguinal chain with surrounding fat stranding. Largest node measures 2.1 x 3.9 x 2.9 cm seen on series 3 image 44. Additional bilateral inguinal, internal and external iliac nodes. No free or loculated intraperitoneal fluid. No bowel wall thickening or dilatation. No significant abnormality noted. No evidence of hernia. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'anterior', 'bilateral', 'left']clinical findings_fin: 'expected postsurgical changes': 'clinical finding': 'expected postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postsurgical', 'observation': 'change', 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus'anatomical entity_fin: 'frontal lobe': location descriptor_fin: ['right', 'central', 'lower']clinical findings_fin: 'previously identified right paramedian frontal lobe mass': 'clinical finding': 'previously identified right paramedian frontal lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously identified right paramedian frontal lobe', 'observation': 'mass', 'necrosis': 'clinical finding': 'necrosis', 'existence': 'unc_dx', 'observation': 'necrosis'location descriptor_fin: ['center', 'lower']clinical findings_fin: 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'size_fin: ['size': '6 x 6 mm', 'size_descriptor': 'foci']imaging observation_fin: ['foci', 'margins', 'blood products']clinical findings_fin: 'several high attenuation foci': 'clinical finding': 'several high attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'several high attenuation', 'observation': 'foci', 'quantity_term': 'several', 'post-operative blood products': 'clinical finding': 'post-operative blood products', 'existence': 'pos_dx', 'descriptive_term': 'post-operative blood', 'observation': 'product'procedure_fin: ['treatment']clinical findings_fin: 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'anatomical entity_fin: 'right frontal lobe': , 'body': 'location descriptor': 'anterior', 'corpus callosum': , 'frontal lobe': 'location descriptor': 'inferior'location descriptor_fin: ['anterior', 'inferior']clinical findings_fin: 'low density': 'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'anatomical entity_fin: 'left frontal lobe': clinical findings_fin: 'low density': 'clinical finding': 'low density', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'density'size_fin: ['size': '4 mm', 'size_descriptor': 'shift']location descriptor_fin: ['midline', 'left']clinical findings_fin: 'is stable midline shift to the left': 'clinical finding': 'is stable midline shift to the left', 'change_term': 'stable'anatomical entity_fin: 'lateral ventricle': location descriptor_fin: ['right', 'left']clinical findings_fin: 'unchanged mass effect': 'clinical finding': 'unchanged mass effect', 'existence': 'pos_dx', 'descriptive_term': 'unchanged mass', 'observation': 'effect', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'fluid': imaging observation_fin: ['blood products']clinical findings_fin: 'hyperdense blood products': 'clinical finding': 'hyperdense blood products', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense blood', 'observation': 'product'anatomical entity_fin: 'scalp': clinical findings_fin: 'is extensive subcutaneous air anteriorly in the scalp soft tissues': 'clinical finding': 'is extensive subcutaneous air anteriorly in the scalp soft tissues'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] There are expected postsurgical changes of right frontal craniotomy with pneumocephalus in the anterior bilateral extra-axial space, left more than the right. There has been interval resection of the previously identified right paramedian frontal lobe mass with central lower density suggesting necrosis. The low attenuation within the center of the resection cavity is lower in density now than the previous low attenuation associated with the center of the mass. There are several high attenuation foci along the resection cavity margins, the largest measuring 6 x 6 mm inferiorly consistent with post-operative blood products. Possibility of residual tumor with the treatment cavity cannot be evaluated without contrast administration. There is redemonstration of a large area of vasogenic pattern of low density in the right frontal lobe extending via the rostrum, genu and anterior body of the corpus callosum, as well as inferiorly to the inferior frontal lobe, overall unchanged from previous. The left frontal lobe white matter low density appears mildly increased in extent compared to previous. There is stable midline shift to the left which measures 4 mm. There is unchanged mass effect on the frontal horns of the lateral ventricle, right more than the left. There is minimal scattered postoperative fluid and hyperdense blood products in the extra-axial space along the craniotomy. There is extensive subcutaneous air anteriorly in the scalp soft tissues. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'tonsils': clinical findings_fin: 'cerebellar tonsils are low lying': 'clinical finding': 'cerebellar tonsils are low lying'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': , 'cells': location descriptor_fin: ['left', 'right']clinical findings_fin: 'scattered opacities': 'clinical finding': 'scattered opacities', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'opacity'clinical findings_fin: 'frontal sinuses are hypoplastic': 'clinical finding': 'frontal sinuses are hypoplastic'clinical findings_fin: 'sphenoid sinuses': 'clinical finding': 'sphenoid sinuses', 'existence': 'pos_dx', 'descriptive_term': 'sphenoid', 'observation': 'sinus', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'nasal cavity': , 'nasal cavities': location descriptor_fin: ['deviated', 'left']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', 'some opacification': 'clinical finding': 'some opacification', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'opacification', 'quantity_term': 'some'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The CSF spaces are appropriate for the patients stated age with no midline shift. The cerebellar tonsils are low lying. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses demonstrates scattered opacities in the maxillary sinuses and ethmoid air cells left ethmoid air cells more than right. The frontal sinuses are hypoplastic. Sphenoid sinuses appear clear. Within the nasal cavity the nasal septum is mildly deviated towards the left and there is some opacification of the nasal cavities. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'left', 'sternocleidomastoid muscle': 'location descriptor': 'left'imaging observation_fin: ['fat']location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'prior left neck dissection': 'clinical finding': 'prior left neck dissection', 'existence': 'unc_dx', 'descriptive_term': 'prior left neck', 'observation': 'dissection', 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left internal jugular vein is not visualized': 'clinical finding': 'left internal jugular vein is not visualized'clinical findings_fin: 'findings are stable': 'clinical finding': 'findings are stable', 'change_term': 'stable'imaging observation_fin: ['enhancing']clinical findings_fin: 'new soft tissue mass': 'clinical finding': 'new soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'new soft tissue', 'observation': 'mass', 'temporal_term': 'new', 'abnormal enhancing lesion': 'clinical finding': 'abnormal enhancing lesion', 'existence': 'neg_dx', 'descriptive_term': 'abnormal enhancing', 'observation': 'lesion'clinical findings_fin: 'scattered cervical lymph nodes': 'clinical finding': 'scattered cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered cervical lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'hypopharynx': clinical findings_fin: 'mucosal tissues of the nasopharynx , oropharynx and hypopharynx are within normal limits': 'clinical finding': 'mucosal tissues of the nasopharynx , oropharynx and hypopharynx are within normal limits'anatomical entity_fin: 'palatine tonsils': clinical findings_fin: 'scattered calcification': 'clinical finding': 'scattered calcification', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'calcification', 'palatine tonsils': 'clinical finding': 'palatine tonsils', 'existence': 'pos_dx', 'descriptive_term': 'palatine', 'observation': 'tonsil'anatomical entity_fin: 'epiglottis': , 'glottis': , 'airway': clinical findings_fin: 'epiglottis , valleculae , piriform sinuses , glottis and subglottic airway are normal': 'clinical finding': 'epiglottis , valleculae , piriform sinuses , glottis and subglottic airway are normal'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'parotid and submandibular glands , as well as the thyroid , are unremarkable': 'clinical finding': 'parotid and submandibular glands , as well as the thyroid , are unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'skull': , 'base': , 'spine': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'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' [/INST] [RESP] Evidence of a prior left neck dissection is seen with multiple surgical clips, infiltration of the fat planes and thickening and scarring about the left sternocleidomastoid muscle. The left internal jugular vein is not visualized. These findings are stable. No new soft tissue mass no abnormal enhancing lesion is identified. Scattered cervical lymph nodes are stable, none of which is pathologically enlarged by CT criteria. The mucosal tissues of the nasopharynx, oropharynx and hypopharynx are within normal limits. Scattered calcification of the palatine tonsils. The epiglottis, valleculae, piriform sinuses, glottis and subglottic airway are normal. The parotid and submandibular glands, as well as the thyroid, are unremarkable. The lung apices show no significant abnormality. The bones of the skull base and cervical spine are intact. Mild degenerative changes of the cervical spine. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'size_fin: ['size': '17 x 10 mm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: '17 x 10 mm hypodense lesion': 'clinical finding': '17 x 10 mm hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': '17 x 10 mm hypodense', 'observation': 'lesion'clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'unc_dx', 'descriptive_term': 'this', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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']anatomical entity_fin: 'bladder': location descriptor_fin: ['left']clinical findings_fin: 'hyperdense material': 'clinical finding': 'hyperdense material', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'material'clinical findings_fin: 'significant enhancement': 'clinical finding': 'significant enhancement', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'enhancement'anatomical entity_fin: 'bladder': imaging observation_fin: ['hematoma']clinical findings_fin: 'hematoma': 'clinical finding': 'hematoma', 'existence': 'unc_dx', 'observation': 'hematoma', 'underlying bladder neoplasm': 'clinical finding': 'underlying bladder neoplasm', 'existence': 'unc_dx', 'descriptive_term': 'underlying bladder', 'observation': 'neoplasm'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Cholelithiasis without evidence of cholecystitis or biliary dilatation. Fatty infiltration of the liver. 17 x 10 mm hypodense lesion at the periphery of the right lobe best seen on image number 35/169 at the portal venous phase. The etiology of this lesion is unknown. 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. A Foley catheter is in the bladder. Large amount of hyperdense material is present in the bladder mostly on the left dependent site. No significant enhancement is noted. This most likely represents a hematoma within the bladder however an underlying bladder neoplasm cannot be excluded. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute ischemic or hemorrhagic lesion': 'clinical finding': 'acute ischemic or hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal patch low attenuations': 'clinical finding': 'minimal patch low attenuations', 'existence': 'pos_dx', 'descriptive_term': 'minimal patch low', 'observation': 'attenuation', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'nonspecific small vessel ischemic disease': 'clinical finding': 'nonspecific small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'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', 'underlying bony fracture': 'clinical finding': 'underlying bony fracture', 'existence': 'neg_dx', 'descriptive_term': 'underlying bony', 'observation': 'fracture'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' [/INST] [RESP] No evidence of acute ischemic or hemorrhagic lesion. Minimal patch low attenuations on bilateral periventricular white matter indicate nonspecific small vessel ischemic disease. Soft tissue swelling around left cheek area without evidence of underlying bony fracture. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'head of caudate nucleus': 'location descriptor': 'right'imaging observation_fin: ['hematoma']location descriptor_fin: ['right']clinical findings_fin: 'acute hematoma': 'clinical finding': 'acute hematoma', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'hematoma', 'strength_term': 'acute', 'temporal_term': 'acute', 'interval change': 'clinical finding': 'interval change', 'existence': 'neg_dx', 'descriptive_term': 'interval', 'observation': 'change'anatomical entity_fin: 'right lateral ventricle': , 'third ventricle': imaging observation_fin: ['hematoma']clinical findings_fin: 'hematoma': 'clinical finding': 'hematoma', 'existence': 'pos_dx', 'observation': 'hematoma', 'change': 'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'minimally prominent lateral ventricles are similar': 'clinical finding': 'minimally prominent lateral ventricles are similar'location descriptor_fin: ['midline']clinical findings_fin: 'muscle ischemic strokes': 'clinical finding': 'muscle ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'muscle ischemic', 'observation': 'stroke'clinical findings_fin: 'acute ischemic strokes': 'clinical finding': 'acute ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'acute ischemic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute' [/INST] [RESP] Nonenhanced head. Acute hematoma in the right head of caudate nucleus with no interval change since prior exam is again noted. A section of hematoma in the right lateral ventricle and third ventricle is again noted with no change. Minimally prominent lateral ventricles are similar to prior study. No evidence of midline shift. Findings a small muscle ischemic strokes of indeterminate age. CT is insensitive for early detection of acute ischemic strokes. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left major fissure': clinical findings_fin: 'small nodular opacities': 'clinical finding': 'small nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'small nodular', 'observation': 'opacity', 'strength_term': 'small', 'intrapulmonary lymph nodes': 'clinical finding': 'intrapulmonary lymph nodes', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'location descriptor_fin: ['left']clinical findings_fin: 'basilar scarring': 'clinical finding': 'basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'scarr'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'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'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'middle': , 'mediastinum': , 'trachea': location descriptor_fin: ['left']clinical findings_fin: 'multinodular goiter': 'clinical finding': 'multinodular goiter', 'existence': 'pos_dx', 'descriptive_term': 'multinodular', 'observation': 'goiter', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'trachea': anatomical entity_fin: 'trachea': object_fin: ['tracheostomy tube']clinical findings_fin: 'aspirated debris': 'clinical finding': 'aspirated debris', 'existence': 'pos_dx', 'descriptive_term': 'aspirated', 'observation': 'debris', 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'anatomical entity_fin: 'spine': imaging observation_fin: ['foci']clinical findings_fin: 'nonspecific foci': 'clinical finding': 'nonspecific foci', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'foci', 'sclerosis': 'clinical finding': 'sclerosis', 'existence': 'pos_dx', 'observation': 'sclerosis'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small nodular opacities along the left major fissure likely represent intrapulmonary lymph nodes and are unchanged from the prior exam. Left basilar scarring. No suspicious nodules are present. No pleural effusion or pneumothorax. Tracheostomy tube is present. Left lobe of the multinodular goiter is markedly enlarged and extends into the middle mediastinum causing mass effect on the trachea and aortic branches. Leftward shift of the trachea. Aspirated debris is present within the tracheostomy tube and trachea. Pulmonary emboli are still visible. Moderate. Nonspecific foci of sclerosis and lucency are unchanged in the thoracic spine. Degenerative changes are present in the thoracic spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation'clinical findings_fin: 'ventricles have normal volume and morphology': 'clinical finding': 'ventricles have normal volume and morphology'anatomical entity_fin: 'fluid': clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem have normal morphology and attenuation. The ventricles have normal volume and morphology. No intracranial hemorrhage, abnormal enhancement or abnormal extra-axial fluid collections. The osseous structures are intact. The paranasal sinuses and mastoid air cells are normally pneumatized. NECK CT [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'right basal atelectasis': 'clinical finding': 'right basal atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'right basal', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'location descriptor_fin: ['left', 'subsegmental']clinical findings_fin: 'left basilar subsegmental atelectasis': 'clinical finding': 'left basilar subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'left basilar subsegmental', 'observation': 'atelectasis'anatomical entity_fin: 'liver': clinical findings_fin: 'reference hypodense lesion': 'clinical finding': 'reference hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'reference hypodense', 'observation': 'lesion', 'changed': 'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'anatomical entity_fin: 'hepatic veins': clinical findings_fin: 'attenuation of the hepatic veins is unchanged': 'clinical finding': 'attenuation of the hepatic veins is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'portal vein': clinical findings_fin: 'unchanged obliteration': 'clinical finding': 'unchanged obliteration', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'obliteration', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'liver': clinical findings_fin: 'abnormal hypoattenuation': 'clinical finding': 'abnormal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'hypoattenuation'clinical findings_fin: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia', 'mild biliary ductal dilation': 'clinical finding': 'mild biliary ductal dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild biliary ductal', 'observation': 'dilation', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': , 'pancreas': imaging observation_fin: ['enhancing']clinical findings_fin: 'ill-defined, infiltrative, heterogeneously enhancing and hypoattenuating lesion': 'clinical finding': 'ill-defined, infiltrative, heterogeneously enhancing and hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined infiltrative heterogeneously enhancing and hypoattenuating', 'observation': 'lesion', 'strength_term': 'ill-defined', 'changed': 'clinical finding': 'changed', 'existence': 'pos_dx', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'retroperitoneal and mesenteric nodes': 'clinical finding': 'retroperitoneal and mesenteric nodes', 'existence': 'pos_dx', 'descriptive_term': 'retroperitoneal and mesenteric', 'observation': 'node'anatomical entity_fin: 'bowel': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'abdominal': , 'fluid': clinical findings_fin: 'discrete abdominal fluid collections are identified': 'clinical finding': 'discrete abdominal fluid collections are identified'clinical findings_fin: 'large volume ascites': 'clinical finding': 'large volume ascites', 'existence': 'neg_dx', 'descriptive_term': 'large volume', 'observation': 'ascite', 'strength_term': 'large'clinical findings_fin: 'anasarca': 'clinical finding': 'anasarca', 'existence': 'pos_dx', 'observation': 'anasarca'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Right basal atelectasis or consolidation. Left basilar subsegmental atelectasis. The reference hypodense lesion within segment 8 of the liver is not acutely changed. Attenuation of the hepatic veins is unchanged. There is unchanged obliteration of the portal vein. Abnormal hypoattenuation throughout the liver is not significantly changed raising the question of vascular compromise. Pneumobilia and mild biliary ductal dilation is unchanged. No significant abnormality noted. The ill-defined, infiltrative, heterogeneously enhancing and hypoattenuating lesion within the head of the pancreas is not acutely changed. No significant abnormality noted. No significant abnormality noted. Retroperitoneal and mesenteric nodes are unchanged. Mild. The bowel is normal in caliber without evidence of obstruction. No discrete abdominal fluid collections are identified. There is large volume ascites which is not significantly changed since the prior study. Anasarca. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. As above. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left parietal lobe': location descriptor_fin: ['left', 'superior']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'superior left parietal lobe metastasis': 'clinical finding': 'superior left parietal lobe metastasis', 'existence': 'unc_dx', 'descriptive_term': 'superior left parietal lobe', 'observation': 'metastasis', 'strength_term': 'superior', 'local tumor recurrence': 'clinical finding': 'local tumor recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local tumor', 'observation': 'recurrence'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left basal ganglia lesion': 'clinical finding': 'left basal ganglia lesion', 'existence': 'neg_dx', 'descriptive_term': 'left basal ganglia', 'observation': 'lesion', 'other intracranial mass': 'clinical finding': 'other intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'other intracranial', 'observation': 'mass'clinical findings_fin: 'ventricles , sulci , and cisterns are unchanged in size': 'clinical finding': 'ventricles , sulci , and cisterns are unchanged in size', 'change_term': 'unchanged'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild scattered paranasal sinus opacification': 'clinical finding': 'mild scattered paranasal sinus opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered paranasal sinus', 'observation': 'opacification', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'location descriptor_fin: ['right']clinical findings_fin: 'minimal streaky soft tissue': 'clinical finding': 'minimal streaky soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'minimal streaky soft', 'observation': 'tissue', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'measurable tumor': 'clinical finding': 'measurable tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'tumor'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'esophagus': clinical findings_fin: 'patulous': 'clinical finding': 'patulous', 'existence': 'pos_dx', 'observation': 'patulous'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': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'multilevel degenerative cervical spondylosis': 'clinical finding': 'multilevel degenerative cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'lung': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'subcentimeter left upper lung nodules': 'clinical finding': 'subcentimeter left upper lung nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left upper lung', 'observation': 'nodule' [/INST] [RESP] . There are postoperative findings related to left parietal craniotomy for superior left parietal lobe metastasis resection, without gross evidence of local tumor recurrence. The left basal ganglia lesion is no longer conspicuous and there is no evidence of other intracranial mass. The ventricles, sulci, and cisterns are unchanged in size. There is mild scattered paranasal sinus opacification. The mastoid air cells are clear. The orbits are intact. There are postoperative findings related to thyroidectomy. There is minimal streaky soft tissue in the right thyroidectomy bed, but no measurable tumor. There is also no evidence of significant cervical lymphadenopathy based on size criteria. The cervical esophagus is patulous. The major salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative cervical spondylosis. The airways are patent. There are subcentimeter left upper lung nodules. [/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: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'nonspecific subcentimeter right hepatic lobe hypodense focus': 'clinical finding': 'nonspecific subcentimeter right hepatic lobe hypodense focus', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subcentimeter right hepatic lobe hypodense', 'observation': 'focus'anatomical entity_fin: 'portal veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'small bilateral renal cysts': 'clinical finding': 'small bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'small bilateral renal', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'descending colon': clinical findings_fin: 'diffuse colonic wall thickening': 'clinical finding': 'diffuse colonic wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse colonic wall', 'observation': 'thickening'anatomical entity_fin: 'fluid': clinical findings_fin: 'surrounding edema': 'clinical finding': 'surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'scattered mesenteric lymph nodes': 'clinical finding': 'scattered mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered mesenteric lymph', 'observation': 'node'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in caliber': 'clinical finding': 'appendix is normal in caliber'anatomical entity_fin: 'bowel': , 'jejunum': 'location descriptor': 'distal', 'ileum': 'location descriptor': 'proximal', 'lower abdomen': 'location descriptor': 'left'location descriptor_fin: ['distal', 'proximal', 'left']clinical findings_fin: 'focal small bowel intussusception': 'clinical finding': 'focal small bowel intussusception', 'existence': 'pos_dx', 'descriptive_term': 'focal small bowel', 'observation': 'intussusception', 'strength_term': 'small', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.6 cm', 'size_descriptor': 'tissue']anatomical entity_fin: 'psoas muscle': 'location descriptor': 'left'imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: '1.6 cm enhancing soft tissue': 'clinical finding': '1.6 cm enhancing soft tissue', 'existence': 'pos_dx', 'descriptive_term': '1 6 cm enhancing soft', 'observation': 'tissue'clinical findings_fin: 'pelvic ascites': 'clinical finding': 'pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite' [/INST] [RESP] . No significant abnormality noted. Nonspecific subcentimeter right hepatic lobe hypodense focus. Hepatic and portal veins are patent. No biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small bilateral renal cysts. No significant abnormality noted. None. Diffuse colonic wall thickening predominately of the descending colon extending to the hepatic flexure. There is surrounding edema and fluid. There are scattered mesenteric lymph nodes in the vicinity. The appendix is normal in caliber. A focal small bowel intussusception involving the distal jejunum or proximal ileum is noted in the left lower abdomen without bowel obstruction. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1.6 cm enhancing soft tissue in the left psoas muscle as seen on image 76/series 201 is nonspecific. Small amount of pelvic ascites. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suprasellar soft tissue mass': 'clinical finding': 'suprasellar soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'suprasellar soft tissue', 'observation': 'mass', 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'anatomical entity_fin: 'optic chiasm': , 'cavernous sinus': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'walls': 'location descriptor': 'bilateral superior', 'sphenoid sinus': location descriptor_fin: ['bilateral', 'superior']clinical findings_fin: 'eroded': 'clinical finding': 'eroded', 'existence': 'pos_dx', 'observation': 'erode'clinical findings_fin: 'pituitary adenoma': 'clinical finding': 'pituitary adenoma', 'existence': 'pos_dx', 'descriptive_term': 'pituitary', 'observation': 'adenoma'anatomical entity_fin: 'brain': , 'pituitary gland': clinical findings_fin: 'acute ischemic or hemorrhagic lesion': 'clinical finding': 'acute ischemic or hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'appropriate': 'clinical finding': 'appropriate', 'existence': 'pos_dx', 'observation': 'appropriate'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'anatomical entity_fin: 'maxilla': , 'mandible': , 'nasal bones': , 'palates': , 'spine': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'location descriptor_fin: ['bilateral']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'location descriptor_fin: ['anterior', 'posterior']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'nasal turbinates': clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyracea appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] There is a suprasellar soft tissue mass without evidence of calcification. The mass pushes optic chiasm superiorly and has some extension toward the right side cavernous sinus especially posterior aspect. On coronal scan. Bilateral superior walls of sphenoid sinus appear to be eroded. Constellation of findings indicate pituitary adenoma. Further imaging evaluation can be obtained with brain MRI with a dedicated pituitary gland. There is no evidence of acute ischemic or hemorrhagic lesion on the scan. Ventricle size appears to be appropriate. The orbits are unremarkable. The mastoids are clear. Limited view of the intracranial structure is unremarkable. The maxilla, mandible, sphenoid boned, nasal bones, zygoma, hard palates, pterygoid plates, visualized cervical spine and TMJs are intact, without fracture. There are mucosal thickening on bilateral maxillary sinuses. The frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, are well developed and clear. The osteomeatal complexes are normal with intact uncinate processes and patent infundibuli. The intersphenoid septum is normal. The nasal turbinates and nasal septum are normal. The cribriform plate, fovea ethmoidalis and lamina papyracea appear normal. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lateral chest wall': clinical findings_fin: 'punctate ossific density': 'clinical finding': 'punctate ossific density', 'existence': 'pos_dx', 'descriptive_term': 'punctate ossific', 'observation': 'density', 'heterotopic ossification': 'clinical finding': 'heterotopic ossification', 'existence': 'unc_dx', 'descriptive_term': 'heterotopic', 'observation': 'ossification'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'fluid': clinical findings_fin: 'morisons pouch': 'clinical finding': 'morisons pouch', 'existence': 'pos_dx', 'descriptive_term': 'morisons', 'observation': 'pouch'anatomical entity_fin: 'common duct': procedure_fin: ['cholecystectomy']clinical findings_fin: 'prominence of the common duct likely reflects': 'clinical finding': 'prominence of the common duct likely reflects'clinical findings_fin: 'retained stones': 'clinical finding': 'retained stones', 'existence': 'neg_dx', 'descriptive_term': 'retained', 'observation': 'stone'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'ureterolithiasis': 'clinical finding': 'ureterolithiasis', 'existence': 'neg_dx', 'observation': 'ureterolithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'pelvis': clinical findings_fin: 'trace amount of heterogeneous fluid within the dependent portion of the pelvis , which is of uncertain significance': 'clinical finding': 'trace amount of heterogeneous fluid within the dependent portion of the pelvis , which is of uncertain significance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Punctate ossific density along the left lateral chest wall likely reflects heterotopic ossification, but is nonspecific. Patient status post cholecystectomy. There is a trace amount of fluid within Morisons pouch, which is nonspecific, but presumably postoperative in etiology. Prominence of the common duct likely reflects sequelae of cholecystectomy. No retained stones are evident. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is no evidence of hydronephrosis or hydroureter. There is no evidence of nephrolithiasis or ureterolithiasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a trace amount of heterogeneous fluid within the dependent portion of the pelvis, which is of uncertain significance. 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: '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] 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. The osseous structures are unremarkable. Limited views of the paranasal sinuses and mastoid air cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution', 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'stable liver transplant': 'clinical finding': 'stable liver transplant', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'stable pancreatic atrophy': 'clinical finding': 'stable pancreatic atrophy', 'existence': 'pos_dx', 'descriptive_term': 'stable pancreatic', 'observation': 'atrophy', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': imaging observation_fin: ['colon']clinical findings_fin: 'new diffuse bowel wall thickening': 'clinical finding': 'new diffuse bowel wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'new diffuse bowel wall', 'observation': 'thickening', 'temporal_term': 'new'anatomical entity_fin: 'bowel': clinical findings_fin: 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'sigmoid colon': clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'acute colitis': 'clinical finding': 'acute colitis', 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'colitis', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Resolution of right pleural effusion. Stable liver transplant. No significant abnormality noted. Stable pancreatic atrophy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New diffuse bowel wall thickening involving the colon from the splenic flexure to the sigmoid. It not associated with perforation, abscess, or bowel obstruction. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. New diffuse colonic bowel wall thickening from the splenic flexure to the sigmoid colon suggestive for acute colitis. Not associated with obstruction or perforation. 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 small pleural effusions': 'clinical finding': 'bilateral small pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral small pleural', 'observation': 'effusion', 'strength_term': 'small', 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'anatomical entity_fin: 'liver': , 'lobes': clinical findings_fin: 'numerous liver metastases': 'clinical finding': 'numerous liver metastases', 'existence': 'pos_dx', 'descriptive_term': 'numerous liver', 'observation': 'metastase', 'quantity_term': 'numerous'clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.4-cm', 'size_descriptor': 'loops']anatomical entity_fin: 'bowel': anatomical entity_fin: 'bowel': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'size_fin: ['size': '5.8-cm', 'size_descriptor': 'contrast']anatomical entity_fin: 'anastomosis': imaging observation_fin: ['colon']non-anatomical substance_fin: ['oral contrast']anatomical entity_fin: 'fluid': clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess', 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air', 'perforation': 'clinical finding': 'perforation', 'existence': 'unc_dx', 'observation': 'perforation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'leiomyomatous uterus': 'clinical finding': 'leiomyomatous uterus'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral adnexal calcified lesions': 'clinical finding': 'bilateral adnexal calcified lesions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral adnexal calcified', 'observation': 'lesion', 'change_term': 'calcified'clinical findings_fin: 'calcified no ovarian lesions': 'clinical finding': 'calcified no ovarian lesions', 'existence': 'pos_dx', 'descriptive_term': 'calcified no ovarian', 'observation': 'lesion', 'quantity_term': 'no', '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] . Bilateral small pleural effusions and dependent atelectasis. Numerous liver metastases in both lobes are again noted. No significant change. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The bowel loops measuring up to 2.4-cm persist. Distal bowel loops are decompressed. Oral contrast passes into the colon which proximally demonstrates dilatation measuring up to 5.8-cm near the anastomosis. Small amount of ascites and subcutaneous fluid is present along the incision. However no evidence of abscess or free air to suggest perforation. No significant abnormality noted. No significant abnormality noted. Leiomyomatous uterus. Bilateral adnexal calcified lesions. There etiology is unknown and may be calcified fibroids versus calcified no ovarian lesions. 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: 'brain': , 'parenchyma': clinical findings_fin: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'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: 'face': 'location descriptor': 'left', '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: 'globes': , 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'object_fin: ['foreign body']clinical findings_fin: 'radiopaque foreign body': 'clinical finding': 'radiopaque foreign body', 'existence': 'neg_dx', 'descriptive_term': 'radiopaque foreign', 'observation': 'body'clinical findings_fin: 'orbital soft tissues are normal': 'clinical finding': 'orbital soft tissues are normal'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['posterior']clinical findings_fin: 'defect': 'clinical finding': 'defect', 'existence': 'unc_dx', 'observation': 'defect', 'remote trauma': 'clinical finding': 'remote trauma', 'existence': 'unc_dx', 'descriptive_term': 'remote', 'observation': 'trauma', 'injury': 'clinical finding': 'injury', 'existence': 'unc_dx', 'observation': 'injury'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'ostiomeatal units': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent' [/INST] [RESP] Images of the brain show no areas of abnormal attenuation seen the brain parenchyma with normal gray-white matter differentiation. There is no evidence of mass effect or midline shift. No abnormal enhancement is demonstrated. The ventricles and cortical sulci are not dilated. Bone windows show no lytic or erosive changes involving the calvarium or skull base. Diffuse soft tissue swelling over the left face including the nasal bridge as well as the left cheek. The globes, lenses, extraocular muscles, optic nerves, and retroglobal spaces are symmetric and normal. No radiopaque foreign body is identified. The orbital soft tissues are normal. The osseous structures are unremarkable with no evidence of an acute fracture. Defect of the posterior aspect of the lamina papyracea is likely due to remote trauma or injury. The paranasal sinuses are clear. Bilateral ostiomeatal units are patent. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'cerebral hemisphere': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild patchy bilateral cerebral hemisphere white matter hypoattenuation': 'clinical finding': 'mild patchy bilateral cerebral hemisphere white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'mild patchy bilateral cerebral hemisphere white matter', 'observation': 'hypoattenuation', 'strength_term': 'mild'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'imaging observation_fin: ['fat']location descriptor_fin: ['right']clinical findings_fin: 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect', 'herniation': 'clinical finding': 'herniation', 'existence': 'pos_dx', 'observation': 'herniation', 'orbital fat': 'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat', 'prior trauma': 'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma' [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. There is mild patchy bilateral cerebral hemisphere white matter hypoattenuation. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. There is a defect in the right lamina papyracea with herniation of orbital fat, which may be related to prior trauma. [/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: 'mild intrahepatic and extra hepatic biliary dilatation': 'clinical finding': 'mild intrahepatic and extra hepatic biliary dilatation', 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic and extra hepatic biliary', 'observation': 'dilatation', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'diffuse calcifications': 'clinical finding': 'diffuse calcifications', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification', 'atrophic': 'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic', 'chronic pancreatitis': 'clinical finding': 'chronic pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'wall': clinical findings_fin: 'abnormal thickening': 'clinical finding': 'abnormal thickening', 'existence': 'pos_dx', 'descriptive_term': 'abnormal', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'new diffuse abdominal and pelvic ascites': 'clinical finding': 'new diffuse abdominal and pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new diffuse abdominal and pelvic', 'observation': 'ascite', 'temporal_term': 'new', 'soft tissue anasarca': 'clinical finding': 'soft tissue anasarca', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'anasarca'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': object_fin: ['catheter']clinical findings_fin: 'foley catheter seen within the urinary bladder , nondependent air': 'clinical finding': 'foley catheter seen within the urinary bladder , nondependent air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'rectum': 'location descriptor': 'distal', 'anus': location descriptor_fin: ['distal']clinical findings_fin: 'slight abnormal thickening': 'clinical finding': 'slight abnormal thickening', 'existence': 'pos_dx', 'descriptive_term': 'slight abnormal', 'observation': 'thickening'location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'muscular calcification': 'clinical finding': 'muscular calcification', 'existence': 'pos_dx', 'descriptive_term': 'muscular', 'observation': 'calcification', 'old trauma': 'clinical finding': 'old trauma', 'existence': 'pos_dx', 'descriptive_term': 'old', 'observation': 'trauma', 'temporal_term': 'old'anatomical entity_fin: 'abdominal': clinical findings_fin: 'new diffuse abdominal and pelvic ascites': 'clinical finding': 'new diffuse abdominal and pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new diffuse abdominal and pelvic', 'observation': 'ascite', 'temporal_term': 'new', 'soft tissue anasarca': 'clinical finding': 'soft tissue anasarca', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'anasarca' [/INST] [RESP] . No significant abnormality noted. Mild intrahepatic and extra hepatic biliary dilatation. No significant abnormality noted. Diffuse calcifications are seen in the atrophic appearing pancreas, consistent with chronic pancreatitis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Abnormal thickening to the gastric wall appears similar to prior study. No significant abnormality noted. There is new diffuse abdominal and pelvic ascites as well as soft tissue anasarca noted. No significant abnormality noted. Foley catheter seen within the urinary bladder, nondependent air is also seen and is likely secondary to catheter placement. No significant abnormality noted. There is slight abnormal thickening of the distal rectum or anus, represent infectious etiology, consider correlation with physical exam and patient history. Muscular calcification adjacent to the right iliac bone appear similar to prior study, likely secondary to old trauma. There is new diffuse abdominal and pelvic ascites as well as soft tissue anasarca noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'stable emphysematous changes': 'clinical finding': 'stable emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'stable emphysematous', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'previously described subcentimeter right middle lobe nodule': 'clinical finding': 'previously described subcentimeter right middle lobe nodule', 'existence': 'neg_dx', 'descriptive_term': 'previously described subcentimeter right middle lobe', 'observation': 'nodule'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'size_fin: ['size': '19 x 10 mm', 'size_descriptor': 'image', 'size': '21 x 14 mm', 'size_descriptor': 'image']anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']object_fin: ['implant']clinical findings_fin: 'other perihepatic implants': 'clinical finding': 'other perihepatic implants', 'existence': 'pos_dx', 'descriptive_term': 'other perihepatic', 'observation': 'implant'clinical findings_fin: 'previously seen splenic lesion': 'clinical finding': 'previously seen splenic lesion', 'existence': 'neg_dx', 'descriptive_term': 'previously seen splenic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '8 x 7 mm', 'size_descriptor': 'summary']clinical findings_fin: 'reference gastrohepatic lymph node': 'clinical finding': 'reference gastrohepatic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference gastrohepatic lymph', 'observation': 'node', 'nonobstructive incisional hernias': 'clinical finding': 'nonobstructive incisional hernias', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive incisional', 'observation': 'hernias'size_fin: ['size': '21 x 18 mm', 'size_descriptor': 'image']anatomical entity_fin: 'quadrant': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']object_fin: ['implant']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'cul-de-sac': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'previous described near heterogeneous soft tissue density': 'clinical finding': 'previous described near heterogeneous soft tissue density', 'existence': 'neg_dx', 'descriptive_term': 'previous described near heterogeneous soft tissue', 'observation': 'density', 'temporal_term': 'previous'clinical findings_fin: 'lesion_1': 'clinical finding': 'lesion', 'existence': 'unc_dx', 'observation': 'lesion', 'lesion_2': 'clinical finding': 'lesion', 'existence': 'unc_dx', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Stable emphysematous changes. Previously described subcentimeter right middle lobe nodule is not visualized. Small mediastinal lymph nodes are unchanged. No significant abnormality noted. Serosal implant or the left lobe liver is significantly smaller now measuring 19 x 10 mm image number 71, series number Previously measured second implant near the dome is also smaller now measuring 21 x 14 mm image number 65, series number Other perihepatic implants are also smaller. Previously seen splenic lesion is no longer visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Reference gastrohepatic lymph node is smaller measuring 8 x 7 mm summary 6, series number Nonobstructive incisional hernias are unchanged. Left lower quadrant omental implant is significantly smaller measuring 21 x 18 mm image number 108, series number No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previous described near heterogeneous soft tissue density in the cul-de-sac is not well seen on todays study. This may be secondary to the decrease in the size of the lesion, however, it may also be possible that the lesion cannot be differentiated from the surrounding soft tissues. Presence or absence of diffusion can be better determined with pelvic MRI clinically indicated. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'significant emphysema': 'clinical finding': 'significant emphysema', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'emphysema'anatomical entity_fin: 'lobe': imaging modality_fin: ['scintigraphy']location descriptor_fin: ['right']clinical findings_fin: 'nonspecific partially calcified lesion': 'clinical finding': 'nonspecific partially calcified lesion', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific partially calcified', 'observation': 'lesion', 'strength_term': 'partially', 'change_term': 'calcified'anatomical entity_fin: 'heart': location descriptor_fin: ['upper']clinical findings_fin: 'upper normal heart size': 'clinical finding': 'upper normal heart size'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: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'endplate': 'location descriptor': 'superior', 't11 vertebral body': , 't7 vertebral body': location descriptor_fin: ['superior']clinical findings_fin: 'mild superior endplate depression': 'clinical finding': 'mild superior endplate depression', 'existence': 'pos_dx', 'descriptive_term': 'mild superior endplate', 'observation': 'depression', 'strength_term': 'mild - superior'anatomical entity_fin: 'right scapula': clinical findings_fin: 'visualized portion of the right scapula': 'clinical finding': 'visualized portion of the right scapula'clinical findings_fin: 'neural foraminal stenosis': 'clinical finding': 'neural foraminal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'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_fin: ['right']clinical findings_fin: 'punctate nonspecific hypoattenuating lesion': 'clinical finding': 'punctate nonspecific hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonspecific hypoattenuating', 'observation': 'lesion', 'possibly a cyst': 'clinical finding': 'possibly a cyst', 'existence': 'pos_dx', 'descriptive_term': 'possibly a', 'observation': 'cyst'anatomical entity_fin: 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'subcentimeter hypodense lesion': 'clinical finding': 'subcentimeter hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion' [/INST] [RESP] . No suspicious pulmonary nodules or masses. No pleural fluid or pneumothorax. No significant emphysema. Nonspecific partially calcified lesion in the right thyroid lobe , nonspecific by CT and may be further evaluated with nuclear scintigraphy. Upper normal heart size. Small hiatal hernia. No axillary lymphadenopathy. The mild superior endplate depression of the T11 vertebral body and T7 vertebral body. Visualized portion of the right scapula is unremarkable. Please note that the neural foraminal stenosis cannot be assessed due to technique. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Punctate nonspecific hypoattenuating lesion in the right hepatic lobe too small to accurately characterize, possibly a cyst. Subcentimeter hypodense lesion in the upper pole of the left kidney also too small to accurately 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'anatomical entity_fin: 'liver': imaging observation_fin: ['foci']clinical findings_fin: 'stable hypodense foci': 'clinical finding': 'stable hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense', 'observation': 'foci', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': imaging observation_fin: ['enhancing']location descriptor_fin: ['central']clinical findings_fin: 'large lobular multicystic lesion': 'clinical finding': 'large lobular multicystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'large lobular multicystic', 'observation': 'lesion', 'strength_term': 'large', 'central septation': 'clinical finding': 'central septation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'septation', 'central calcification': 'clinical finding': 'central calcification', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'calcification'size_fin: ['size': '9.6 cm x 7.0 cm', 'size': '8.0 cm x 6.4 cm']clinical findings_fin: 'this has increased in size': 'clinical finding': 'this has increased in size', 'change_term': 'increased'anatomical entity_fin: 'bowel': 'location descriptor': 'adjacent'location descriptor_fin: ['adjacent']clinical findings_fin: 'associated displacement': 'clinical finding': 'associated displacement', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'displacement'anatomical entity_fin: 'superior mesenteric veins': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'unc_dx', 'observation': 'narrowing'clinical findings_fin: 'increasing parenchymal atrophy': 'clinical finding': 'increasing parenchymal atrophy', 'existence': 'pos_dx', 'descriptive_term': 'increasing parenchymal', 'observation': 'atrophy', 'strength_term': 'increasing', 'change_term': 'increasing'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral hypodense foci': 'clinical finding': 'bilateral hypodense foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral hypodense', 'observation': 'foci'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': imaging observation_fin: ['fat', 'colon']clinical findings_fin: 'fat-containing umbilical hernia': 'clinical finding': 'fat-containing umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'fat-containing umbilical', 'observation': 'hernia', '3 additional ventral hernias': 'clinical finding': '3 additional ventral hernias', 'existence': 'pos_dx', 'descriptive_term': '3 additional ventral', 'observation': 'hernias', 'complication': 'clinical finding': 'complication', 'existence': 'pos_dx', 'observation': 'complication'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Stable hypodense foci in the liver, too small to characterize, favored to be benign. No significant abnormality noted. Again seen is a large lobular multicystic lesion in the pancreatic head with enhancing central septation and central calcification. This has increased in size from prior now measuring 9.6 cm x 7.0 cm, previously 8.0 cm x 6.4 cm. There is associated displacement of the adjacent bowel loops. The mass abuts the portal, splenic and superior mesenteric veins similar to prior without encasement or narrowing. There is upstream pancreatic ductal dilatation similar to prior with increasing parenchymal atrophy. No significant abnormality noted. Bilateral hypodense foci, too small to characterize, stable and favored to be benign. No significant abnormality noted. Mild. Fat-containing umbilical hernia as well as 3 additional ventral hernias, one of which contains a loop of colon and the other containing loops of small bowel, similar to prior without complication. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'hilum': location descriptor_fin: ['left']clinical findings_fin: 'punctate nonobstructing left renal calculus': 'clinical finding': 'punctate nonobstructing left renal calculus', 'existence': 'pos_dx', 'descriptive_term': 'punctate nonobstructing left renal', 'observation': 'calculus'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'focal calcification': 'clinical finding': 'focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification', 'degenerating fibroadenoma': 'clinical finding': 'degenerating fibroadenoma', 'existence': 'unc_dx', 'descriptive_term': 'degenerating', 'observation': 'fibroadenoma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This examination is limited by assess oral and intravenous contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate nonobstructing left renal calculus at the hilum is unchanged since 2007. No hydronephrosis or hydroureter. No other significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Focal calcification near the right uterine fundus is most likely due to a degenerating fibroadenoma. 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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