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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'anatomical entity_fin: 'spleen': clinical findings_fin: 'multiple hypodense lesions': 'clinical finding': 'multiple hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'lesion', 'quantity_term': 'multiple'clinical findings_fin: 'hamartoma': 'clinical finding': 'hamartoma', 'existence': 'unc_dx', 'observation': 'hamartoma', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing renal mass': 'clinical finding': 'enhancing renal mass', 'existence': 'neg_dx', 'descriptive_term': 'enhancing renal', 'observation': 'mass'clinical findings_fin: 'renal stone': 'clinical finding': 'renal stone', 'existence': 'neg_dx', 'descriptive_term': 'renal', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing lesions': 'clinical finding': 'enhancing lesions', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. Multiple hypodense lesions are seen in the spleen, slightly increased in size since the prior examination. Given the relative stability, a benign etiology such as hamartoma or hemangioma is favored. No significant abnormality noted. No significant abnormality noted. No evidence of hydroureter or hydronephrosis. No enhancing renal mass is seen. No renal stone is visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No enhancing lesions are seen within the bladder. 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: 'lung': , 'bases': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'esophagus': clinical findings_fin: 'prominent caliber esophagus': 'clinical finding': 'prominent caliber esophagus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '13.8 cm', 'size_descriptor': 'image']clinical findings_fin: 'mildly prominent 13.8 cm': 'clinical finding': 'mildly prominent 13.8 cm'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper', 'chest': location descriptor_fin: ['upper']clinical findings_fin: 'probably unchanged based on the upper abdominal images from the chest ct of 5/18/2015': 'clinical finding': 'probably unchanged based on the upper abdominal images from the chest ct of 5/18/2015', 'change_term': 'unchanged'anatomical entity_fin: 'pancreas': , 'fluid': imaging observation_fin: ['fat']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'fat', 'observation': 'strand'anatomical entity_fin: 'vasculature': clinical findings_fin: 'peripancreatic vasculature normal': 'clinical finding': 'peripancreatic vasculature normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left', 'external']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Lung bases clear. Prominent caliber esophagus. No significant abnormality noted. Mildly prominent 13.8 cm coronal image 45. Probably unchanged based on the upper abdominal images from the chest CT of 5/18/2015. Normal pancreas with no evidence of calcification, hemorrhage, mass or peripancreatic fat stranding or fluid. Peripancreatic vasculature normal. No significant abnormality noted. No significant abnormality noted. Trace atherosclerotic calcification. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Surgically absent. Surgical clips left adnexa or external iliac distribution. Correlate with surgical history. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'procedure_fin: ['diffusion']clinical findings_fin: 'acute ischemic': 'clinical finding': 'acute ischemic', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'ischemic', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['left', 'midline']clinical findings_fin: 'abnormal density': 'clinical finding': 'abnormal density', 'existence': 'unc_dx', 'descriptive_term': 'abnormal', 'observation': 'density'anatomical entity_fin: 'brain': clinical findings_fin: 'volume averaging artifact': 'clinical finding': 'volume averaging artifact', 'existence': 'unc_dx', 'descriptive_term': 'volume averaging', 'observation': 'artifact' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass or edema. I see no evidence of acute ischemic event however if this of clinical concern MR would diffusion weighted imaging would allow more sensitive evaluation. On a single image there is a question of subtle area of abnormal density in the pre-pontine cistern to the left of midline. I believe this represents volume averaging artifact, however as above, if MRI of the brain is obtained this would allow full evaluation of this region. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'foramen': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['catheter']procedure_fin: ['ventriculostomy']anatomical entity_fin: 'right frontal lobe': clinical findings_fin: 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive', 'previously seen large right frontal lobe mass': 'clinical finding': 'previously seen large right frontal lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'previously seen large right frontal lobe', 'observation': 'mass', 'strength_term': 'large'anatomical entity_fin: 'fluid': imaging observation_fin: ['foci']clinical findings_fin: 'dependent hyperdensity': 'clinical finding': 'dependent hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'hyperdensity', 'expected postoperative changes': 'clinical finding': 'expected postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'expected postoperative', 'observation': 'change'anatomical entity_fin: 'right frontal lobe': , 'external capsules': location descriptor_fin: ['right']clinical findings_fin: 'associated vasogenic pattern abnormal low density': 'clinical finding': 'associated vasogenic pattern abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'associated vasogenic pattern abnormal low', 'observation': 'density'anatomical entity_fin: 'right lateral ventricle': clinical findings_fin: 'persistent mass effect': 'clinical finding': 'persistent mass effect', 'existence': 'pos_dx', 'descriptive_term': 'persistent mass', 'observation': 'effect', 'temporal_term': 'persistent'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'decreased': 'clinical finding': 'decreased', 'existence': 'pos_dx', 'observation': 'decrease'size_fin: ['size': '6 mm', 'size': '8 mm']location descriptor_fin: ['midline', 'left']clinical findings_fin: 'midline shift to the left is decreased': 'clinical finding': 'midline shift to the left is decreased', 'change_term': 'decreased'anatomical entity_fin: 'scalp': clinical findings_fin: 'prominent scalp swelling': 'clinical finding': 'prominent scalp swelling', 'existence': 'pos_dx', 'descriptive_term': 'prominent scalp', 'observation': 'swell', 'strength_term': 'prominent', 'subcutaneous emphysema': 'clinical finding': 'subcutaneous emphysema', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema', 'subgaleal edema': 'clinical finding': 'subgaleal edema', 'existence': 'pos_dx', 'descriptive_term': 'subgaleal', 'observation': 'edema'anatomical entity_fin: 'frontal lobes': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']clinical findings_fin: 'extra-axial air is noted prominently along the anterior frontal lobes , with minimal mixed density extra-axial collection , likely postoperative': 'clinical finding': 'extra-axial air is noted prominently along the anterior frontal lobes , with minimal mixed density extra-axial collection , likely postoperative'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left lateral'location descriptor_fin: ['left', 'lateral']clinical findings_fin: 'additional known metastatic lesion': 'clinical finding': 'additional known metastatic lesion', 'existence': 'pos_dx', 'descriptive_term': 'additional known metastatic', 'observation': 'lesion'location descriptor_fin: ['left']clinical findings_fin: 'sulci': 'clinical finding': 'sulci', 'existence': 'pos_dx', 'observation': 'sulci', 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'small mucosal retention cyst': 'clinical finding': 'small mucosal retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small mucosal retention', 'observation': 'cyst', 'strength_term': 'small' [/INST] [RESP] There has been interval placement of a left paramedian frontal approach ventriculostomy catheter with tip near the left foramen of Monro. Extensive postoperative changes are seen from interval bifrontal craniotomy for partial resection of the previously seen large right frontal lobe mass. Minimal foci of air, fluid density, and dependent hyperdensity are seen in the resection cavity, consistent with expected postoperative changes. There is similar extent of associated vasogenic pattern abnormal low density in the right frontal lobe, again extending along the right internal and external capsules. There is persistent mass effect upon the right lateral ventricle, which is now slitlike anteriorly and decreased in dilatation posteriorly. The left lateral ventricle has also decreased in size. Midline shift to the left is decreased, now measuring 5-6 mm as compared to previous 8 mm. There is prominent scalp swelling, subcutaneous emphysema, and subgaleal edema. Extra-axial air is noted prominently along the anterior frontal lobes, with minimal mixed density extra-axial collection, likely postoperative in etiology. There is redemonstration of abnormal low density in the left lateral temporal lobe consistent with the additional known metastatic lesion. Sulci remain diffusely effaced with perhaps slight interval improvement on the left. There is a small mucosal retention cyst right maxillary sinus. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'airspace': clinical findings_fin: 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'airspace opacities': 'clinical finding': 'airspace opacities', 'existence': 'pos_dx', 'descriptive_term': 'airspace', 'observation': 'opacity'clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple small mediastinal lymph nodes': 'clinical finding': 'multiple small mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'multiple small mediastinal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple'location descriptor_fin: ['left']clinical findings_fin: 'mild left ventricular cardiomegaly': 'clinical finding': 'mild left ventricular cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild left ventricular', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'fluid': anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'unchanged prominent axillary lymph nodes': 'clinical finding': 'unchanged prominent axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'unchanged prominent axillary lymph', 'observation': 'node', 'strength_term': 'unchanged - prominent', 'change_term': 'unchanged', 'fatty hila': 'clinical finding': 'fatty hila', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'hila'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'limited images of the upper abdomen': 'clinical finding': 'limited images of the upper abdomen'anatomical entity_fin: 'liver': , 'spleen': clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior healed granulomatous disease': 'clinical finding': 'prior healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'size_fin: ['size': '2.8 x 2.9 cm']anatomical entity_fin: 'left kidney': location descriptor_fin: ['superior']clinical findings_fin: 'round structure': 'clinical finding': 'round structure', 'existence': 'pos_dx', 'descriptive_term': 'round', 'observation': 'structure', 'high-attenuation, exophytic cyst': 'clinical finding': 'high-attenuation, exophytic cyst', 'existence': 'unc_dx', 'descriptive_term': 'high-attenuation exophytic', 'observation': 'cyst'size_fin: ['size': '1.8 x 1.7 cm'] [/INST] [RESP] . Interval resolution of airspace opacities. Mild centrilobular emphysema. Multiple small mediastinal lymph nodes appear improved. Mild left ventricular cardiomegaly. No pericardial fluid. Unchanged prominent axillary lymph nodes contain fatty hila. Limited images of the upper abdomen. Punctate calcifications within the liver and spleen compatible with prior healed granulomatous disease. A round structure is noted superior to the left kidney that may represent a high-attenuation, exophytic cyst however, it measures 2.8 x 2.9 cm. It measured 1.8 x 1.7 cm on the examination dated 12/12/2007. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'low lung volumes': 'clinical finding': 'low lung volumes', 'existence': 'pos_dx', 'descriptive_term': 'low lung', 'observation': 'volume', 'detailed pulmonary': 'clinical finding': 'detailed pulmonary', 'existence': 'unc_dx', 'descriptive_term': 'detailed', 'observation': 'pulmonary'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'dominant nodule': 'clinical finding': 'dominant nodule', 'existence': 'pos_dx', 'descriptive_term': 'dominant', 'observation': 'nodule'anatomical entity_fin: 'lungs': , 'origin': location descriptor_fin: ['lower']clinical findings_fin: 'waxing and waning patchy opacities': 'clinical finding': 'waxing and waning patchy opacities', 'existence': 'pos_dx', 'descriptive_term': 'waxing and waning patchy', 'observation': 'opacity'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'new focal opacities': 'clinical finding': 'new focal opacities', 'existence': 'pos_dx', 'descriptive_term': 'new focal', 'observation': 'opacity', 'temporal_term': 'new'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: 'lung': , 'apices': clinical findings_fin: 'radiation fibrosis': 'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis'location descriptor_fin: ['right']clinical findings_fin: 'ij thrombosis': 'clinical finding': 'ij thrombosis', 'existence': 'pos_dx', 'descriptive_term': 'ij', 'observation': 'thrombosis'anatomical entity_fin: 'neck': size_fin: ['size': '1 cm', 'size': '1.2 cm']anatomical entity_fin: 'axis': location descriptor_fin: ['left']clinical findings_fin: 'nonindex low left paratracheal lymph node': 'clinical finding': 'nonindex low left paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'nonindex low left paratracheal lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'wall': clinical findings_fin: 'chronic gallbladder wall thickening': 'clinical finding': 'chronic gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'chronic gallbladder wall', 'observation': 'thickening', 'temporal_term': 'chronic', 'wall enhancement': 'clinical finding': 'wall enhancement', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'enhancement'clinical findings_fin: 'unchanged biliary dilation': 'clinical finding': 'unchanged biliary dilation', 'existence': 'pos_dx', 'descriptive_term': 'unchanged biliary', 'observation': 'dilation', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: '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: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'subcutaneous fat': , 'anterior abdominal wall': clinical findings_fin: 'probable injection granulomas': 'clinical finding': 'probable injection granulomas', 'existence': 'pos_dx', 'descriptive_term': 'probable injection', 'observation': 'granuloma'object_fin: ['tube']procedure_fin: ['gastrostomy']size_fin: ['size': '2.3 x 1.6 cm', 'size': '1.5 x 3.0 cm'] [/INST] [RESP] . Low lung volumes make detailed pulmonary evaluation difficult. Dominant nodule within the left upper lobe, smaller compared to previous study. Waxing and waning patchy opacities in the mid and lower aspect of the lungs, likely infectious or inflammatory in origin. However, there are new focal opacities within the lower lobes which have a somewhat nodular configuration. Smoking related lung disease, as before. Radiation fibrosis again noted within the lung apices. Tracheostomy in place. Right IJ thrombosis again noted. Please see same day CT neck for further description. Nonindex low left paratracheal lymph node on image 31 of series 201 again noted, slightly smaller compared to last study, currently measuring 1 cm in short axis compared to 1.2 cm. Moderate. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Chronic gallbladder wall thickening and wall enhancement again noted. Unchanged biliary dilation. No significant abnormality noted. No significant abnormality noted. Renal hypodensities again noted, 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. Probable injection granulomas noted within the subcutaneous fat of the anterior abdominal wall. Percutaneous gastrostomy tube in place. 2.3 x 1.6 cm 1.5 x 3.0 cm on prior. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'uterus': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'post procedure changes': 'clinical finding': 'post procedure changes', 'existence': 'pos_dx', 'descriptive_term': 'post procedure', 'observation': 'change', 'fallopian tubes': 'clinical finding': 'fallopian tubes', 'existence': 'pos_dx', 'descriptive_term': 'fallopian', 'observation': 'tube'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'distended_1': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'distended_2': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'orally administered contrast': 'clinical finding': 'orally administered contrast', 'existence': 'pos_dx', 'descriptive_term': 'orally administered', 'observation': 'contrast'clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening'size_fin: ['size': '1.4 x 2.6 cm', 'size_descriptor': 'changes']imaging observation_fin: ['fat']location descriptor_fin: ['right', 'proximal']clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change', 'subcutaneous emphysema': 'clinical finding': 'subcutaneous emphysema', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema', 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'anatomical entity_fin: 'fluid': clinical findings_fin: 'phlegmon': 'clinical finding': 'phlegmon', 'existence': 'unc_dx', 'observation': 'phlegmon', 'small early developing fluid collection': 'clinical finding': 'small early developing fluid collection', 'existence': 'unc_dx', 'descriptive_term': 'small early developing fluid', 'observation': 'collection', 'strength_term': 'small - developing', 'change_term': 'developing', 'sizable fluid collection': 'clinical finding': 'sizable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'sizable fluid', 'observation': 'collection'clinical findings_fin: 'all new since 2005': 'clinical finding': 'all new since 2005'imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'left inguinal hernia': 'clinical finding': 'left inguinal hernia', 'existence': 'pos_dx', 'descriptive_term': 'left inguinal', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted in the uterus. Post procedure changes seen in the fallopian tubes bilaterally. No significant abnormality noted. No significant abnormality noted. Evidence of prior proctocolectomy with ileal anal pouch -- the pouch is distended with similar appearance compared to 2005 examination well distended with orally administered contrast. No wall thickening of the pouch is seen. Just past the anal verge in the subcutaneous tissues about the right buttock and extending towards the right proximal 5 are inflammatory changes including subcutaneous emphysema predominately appearing as infiltrative soft tissue stranding in the fat but with small localized collections measuring up to 1.4 x 2.6 cm. No definite fluid collections are seen and whether this represents phlegmon versus small early developing fluid collection cannot be ascertained but there does not appear to be a sizable fluid collection that could be percutaneously drained. These findings are all new since 2005. Left inguinal hernia containing only mesenteric fat. 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: 'urinary bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'intrapelvic adenopathy': 'clinical finding': 'intrapelvic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'intrapelvic', 'observation': 'adenopathy'anatomical entity_fin: 'inguinal lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'mildly prominent bilateral inguinal lymph nodes': 'clinical finding': 'mildly prominent bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly prominent bilateral inguinal lymph', 'observation': 'node', 'strength_term': 'mildly - prominent'anatomical entity_fin: 'bowel': , 'pelvis': imaging observation_fin: ['colon']clinical findings_fin: 'imaged portion of the bowel and colon in the pelvis': 'clinical finding': 'imaged portion of the bowel and colon in the pelvis'anatomical entity_fin: 'sacrum': imaging observation_fin: ['fat']location descriptor_fin: ['posterior']location descriptor_fin: ['superficial']clinical findings_fin: 'superficial skin thickening': 'clinical finding': 'superficial skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'superficial skin', 'observation': 'thickening'anatomical entity_fin: 'fluid': anatomical entity_fin: 'fluid': clinical findings_fin: 'perirectal abscess': 'clinical finding': 'perirectal abscess', 'existence': 'neg_dx', 'descriptive_term': 'perirectal', 'observation': 'abscess'clinical findings_fin: 'pelvic ascites': 'clinical finding': 'pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'ascite' [/INST] [RESP] . No significant abnormality noted. The urinary bladder is well distended and unremarkable. No intrapelvic adenopathy. There are mildly prominent bilateral inguinal lymph nodes. The imaged portion of the bowel and colon in the pelvis are unremarkable. There is infiltration of fat posterior to the sacrum which does not completely extend to the bone. There is superficial skin thickening. No discrete drainable fluid collections. No perirectal abscess or intrapelvic fluid collections. There is a trace amount of pelvic ascites which is likely physiologic [/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: 'uncal herniation': 'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'moderate global parenchymal volume loss': 'clinical finding': 'moderate global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'moderate global parenchymal volume', 'observation': 'loss', 'strength_term': 'moderate'clinical findings_fin: 'infratentorial volume loss': 'clinical finding': 'infratentorial volume loss', 'existence': 'pos_dx', 'descriptive_term': 'infratentorial volume', 'observation': 'loss'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 changes': 'clinical finding': 'chronic small vessel ischemic changes', 'existence': 'unc_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'small', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'appropriate height': 'clinical finding': 'appropriate height', 'existence': 'pos_dx', 'descriptive_term': 'appropriate', 'observation': 'height'clinical findings_fin: 'alignment is maintained': 'clinical finding': 'alignment is maintained', 'change_term': 'maintained'anatomical entity_fin: 'spine': clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'spine': clinical findings_fin: 'suspicious bony lesions': 'clinical finding': 'suspicious bony lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious bony', 'observation': 'lesion'anatomical entity_fin: 'facet': , 'joints': location descriptor_fin: ['right']clinical findings_fin: 'ankylosis': 'clinical finding': 'ankylosis', 'existence': 'pos_dx', 'observation': 'ankylosis'anatomical entity_fin: 'spine': , 'spinal canal': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'high-grade spinal canal stenosis': 'clinical finding': 'high-grade spinal canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'high-grade spinal canal', 'observation': 'stenosis'clinical findings_fin: 'moderate foraminal narrowing': 'clinical finding': 'moderate foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'moderate foraminal', 'observation': 'narrowing', 'strength_term': 'moderate'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'scarring is noted in the lung apices': 'clinical finding': 'scarring is noted in the lung apices'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged' [/INST] [RESP] .No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is moderate global parenchymal volume loss, commensurate with patients age. Infratentorial volume loss also noted. No hydrocephalus. No extra-axial collections. There are multiple areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. The cervical vertebral bodies are appropriate height. Alignment is maintained. No fractures are identified in the cervical spine. No suspicious bony lesions are identified in the cervical spine. There is ankylosis involving the right C4-C5 facet joints. Degenerative changes are seen throughout the cervical spine without high-grade spinal canal stenosis. Moderate foraminal narrowing is noted at multiple levels. Scarring is noted in the lung apices. Left thyroid lobe is asymmetrically enlarged and heterogeneous similar to 7/12/2013. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'scalp': location descriptor_fin: ['left']object_fin: ['foreign body']clinical findings_fin: 'foreign body': 'clinical finding': 'foreign body', 'existence': 'pos_dx', 'descriptive_term': 'foreign', 'observation': 'body', 'residual hemorrhage': 'clinical finding': 'residual hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'hemorrhage', 'temporal_term': 'residual'anatomical entity_fin: 'scalp': imaging observation_fin: ['foci']clinical findings_fin: 'few punctate hyperattenuating foci': 'clinical finding': 'few punctate hyperattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'few punctate hyperattenuating', 'observation': 'foci', 'quantity_term': 'few', 'preexisting calcifications': 'clinical finding': 'preexisting calcifications', 'existence': 'unc_dx', 'descriptive_term': 'preexisting', 'observation': 'calcification', 'debris': 'clinical finding': 'debris', 'existence': 'unc_dx', 'observation': 'debris'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': 'pos_dx', 'observation': 'intact'clinical findings_fin: 'sulci , ventricles , and basal cisterns are normal in size and configuration': 'clinical finding': 'sulci , 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'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'skeleton': location descriptor_fin: ['bilateral', 'right']procedure_fin: ['repair']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'right zygomaticomaxillary complex fractures': 'clinical finding': 'right zygomaticomaxillary complex fractures', 'existence': 'pos_dx', 'descriptive_term': 'right zygomaticomaxillary complex', 'observation': 'fracture', 'associated deformities': 'clinical finding': 'associated deformities', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'deformity'anatomical entity_fin: 'wall': , 'neck': , 'condyle': location descriptor_fin: ['displaced', 'right', 'medial', 'inferior']clinical findings_fin: 'displaced right medial and inferior orbital wall fractures': 'clinical finding': 'displaced right medial and inferior orbital wall fractures', 'existence': 'pos_dx', 'descriptive_term': 'displaced right medial and inferior orbital wall', 'observation': 'fracture', 'change_term': 'displaced', 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity'clinical findings_fin: 'retrobulbar hemorrhage': 'clinical finding': 'retrobulbar hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'retrobulbar', 'observation': 'hemorrhage'anatomical entity_fin: 'orbit': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'location descriptor_fin: ['bilateral']clinical findings_fin: 'extensive mucosal thickening': 'clinical finding': 'extensive mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'extensive mucosal', 'observation': 'thickening', 'strength_term': 'extensive'location descriptor_fin: ['anterior', 'deviated', 'left']clinical findings_fin: 'anterior nasal septum': 'clinical finding': 'anterior nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'anterior nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'clinical findings_fin: 'multiple dental caries': 'clinical finding': 'multiple dental caries', 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'cary', 'quantity_term': 'multiple'anatomical entity_fin: 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] . There has been interval removal of the foreign body from the left frontal scalp, with a small amount of residual hemorrhage in this region. There are a few punctate hyperattenuating foci in the rest of the frontal scalp, which may represent preexisting calcifications or debris. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The sulci, ventricles, and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The calvarium appears to be intact. There are postoperative findings related to prior surgical repair of bilateral nasal skeleton and right zygomaticomaxillary complex fractures with associated deformities. There are also displaced right medial and inferior orbital wall fractures, as well as deformity of the right mandibular neck and condyle. There is no evidence of retrobulbar hemorrhage. The left orbit is intact. There is extensive mucosal thickening within the bilateral maxillary sinuses. The anterior nasal septum is deviated to the left. There are multiple dental caries. The left temporomandibular joint is intact. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'anatomical entity_fin: 'thyroid cartilage': imaging observation_fin: ['cord']location descriptor_fin: ['left']object_fin: ['prosthesis']clinical findings_fin: 'left-sided surgical prosthesis seen in the left vocal cord or thyroid cartilage , unchanged': 'clinical finding': 'left-sided surgical prosthesis seen in the left vocal cord or thyroid cartilage , unchanged', 'change_term': 'unchanged'clinical findings_fin: 'tracheostomy is in situ , again unchanged': 'clinical finding': 'tracheostomy is in situ , again unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'oral cavity': , 'hypopharynx': , 'larynx': , 'airway': location descriptor_fin: ['upper']clinical findings_fin: 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway': 'clinical finding': 'is normal appearance of the nasopharynx , oropharynx , limited view of the oral cavity , hypopharynx , larynx and upper cervical airway'clinical findings_fin: 'cervical lymphadenopathy': 'clinical finding': 'cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'cervical', 'observation': 'lymphadenopathy'size_fin: ['size': '5 x 6 mm']location descriptor_fin: ['left']clinical findings_fin: 'node': 'clinical finding': 'node', 'existence': 'pos_dx', 'observation': 'node'size_fin: ['size': '8 x 9.0mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'node': 'clinical finding': 'node', 'existence': 'pos_dx', 'observation': 'node'size_fin: ['size': '5.6 x 8.0 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'possible right jugulodiagastric node': 'clinical finding': 'possible right jugulodiagastric node', 'existence': 'pos_dx', 'descriptive_term': 'possible right jugulodiagastric', 'observation': 'node'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'multiple varying size nodules': 'clinical finding': 'multiple varying size nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple varying size', 'observation': 'nodule', 'quantity_term': 'multiple'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered small mediastinal lymph nodes': 'clinical finding': 'scattered small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mediastinal lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'chest': clinical findings_fin: 'ct of chest report performed on the same date': 'clinical finding': 'ct of chest report performed on the same date'anatomical entity_fin: 'cervical lordosis': , 'c4 vertebral bodies': clinical findings_fin: 'normal cervical lordosis': 'clinical finding': 'normal cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal cervical', 'observation': 'lordosis', 'strength_term': 'normal', 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'location descriptor_fin: ['posterior']clinical findings_fin: 'posterior osteophytes': 'clinical finding': 'posterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'osteophyte'anatomical entity_fin: 'brain': clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal' [/INST] [RESP] .There is no abnormal enhancement in the thyroid surgical bed. Left-sided surgical prosthesis seen in the left vocal cord or thyroid cartilage, unchanged since prior examination. Tracheostomy is in situ, again unchanged. There is normal appearance of the nasopharynx, oropharynx, limited view of the oral cavity, hypopharynx, larynx and upper cervical airway. No cervical lymphadenopathy according to radiological size criteria. e left level 1 a node, measuring 5 x 6 mm, larger in size. The right level 1 b node measures 8 x 9.0mm , stable. The possible right jugulodiagastric node measures 5.6 x 8.0 mm. Limited views of the lung apices show multiple varying size nodules bilaterally. Scattered small mediastinal lymph nodes are also seen. Please review the CT of chest report performed on the same date. There is straightening of the normal cervical lordosis with grade 1 anterolisthesis of C3 on C4 vertebral bodies. There are posterior osteophytes at C2-3, 4-5, 5-6 levels. The visualized portion of the brain is within normal. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral subdural hemorrhage': 'clinical finding': 'bilateral subdural hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'bilateral subdural', 'observation': 'hemorrhage', 'varying attenuations': 'clinical finding': 'varying attenuations', 'existence': 'pos_dx', 'descriptive_term': 'varying', 'observation': 'attenuation', 'superimposed acute on chronic hemorrhage': 'clinical finding': 'superimposed acute on chronic hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'superimposed acute on chronic', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute - chronic'clinical findings_fin: 'some dural hemorrhage': 'clinical finding': 'some dural hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'some dural', 'observation': 'hemorrhage', 'quantity_term': 'some'anatomical entity_fin: 'convexities': location descriptor_fin: ['right', 'left', 'posterior']clinical findings_fin: 'subdural': 'clinical finding': 'subdural', 'existence': 'pos_dx', 'observation': 'subdural', 'burr hole': 'clinical finding': 'burr hole', 'existence': 'pos_dx', 'descriptive_term': 'burr', 'observation': 'hole'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'anatomical entity_fin: 'brain': , 'parenchyma': location descriptor_fin: ['right', 'left', 'midline']clinical findings_fin: 'again shows mild to moderate enlargement of the ventricular system with minimal right to left midline shift which is stable': 'clinical finding': 'again shows mild to moderate enlargement of the ventricular system with minimal right to left midline shift which is stable', 'change_term': 'stable'clinical findings_fin: 'remainder of the exam is unchanged': 'clinical finding': 'remainder of the exam is unchanged', 'change_term': 'unchanged' [/INST] [RESP] Images of the brain again show bilateral subdural hemorrhage involving the frontal parietal and temporal regions with varying attenuations suggesting superimposed acute on chronic hemorrhage. The findings are stable when compared to the previous study with no suggestion of new superimpose some dural hemorrhage. There is again subdural air along the frontal region bilaterally related to patients recent history of partial evacuation with evidence of a burr hole involving both right and left posterior frontal or parietal convexities. There is no mass effect or midline shift. The brain parenchyma again shows mild to moderate enlargement of the ventricular system with minimal right to left midline shift which is stable from the previous study. The remainder of the exam is unchanged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'diffuse centrilobular emphysema': 'clinical finding': 'diffuse centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'diffuse centrilobular', 'observation': 'emphysema'clinical findings_fin: 'this is stable since the prior examination': 'clinical finding': 'this is stable since the prior examination', '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: 'multiple stable hepatic subcentimeter hypodensities': 'clinical finding': 'multiple stable hepatic subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple stable hepatic subcentimeter', 'observation': 'hypodensity', 'strength_term': 'stable', 'quantity_term': 'multiple', 'change_term': 'stable', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']procedure_fin: ['adrenalectomy']clinical findings_fin: 'local recurrence': 'clinical finding': 'local recurrence', 'existence': 'neg_dx', 'descriptive_term': 'local', 'observation': 'recurrence'location descriptor_fin: ['left']clinical findings_fin: 'normal left adrenal': 'clinical finding': 'normal left adrenal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'gastroesophageal junction': 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'clinical findings_fin: '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] . There is diffuse centrilobular emphysema with an upper lobe predominance. This is stable since the prior examination. No significant abnormality noted. No significant abnormality noted. There are multiple stable hepatic subcentimeter hypodensities, most likely due to simple cysts. No significant abnormality noted. No significant abnormality noted. Status post right adrenalectomy. No evidence of local recurrence. Normal left adrenal. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There are multiple surgical clips at the gastroesophageal junction. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'neobladder': 'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild bilateral hydronephrosis': 'clinical finding': 'mild bilateral hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral', 'observation': 'hydronephrosis', 'strength_term': 'mild'clinical findings_fin: 'extravasation': 'clinical finding': 'extravasation', 'existence': 'neg_dx', 'observation': 'extravasation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'anastomosis': clinical findings_fin: 'surgical changes': 'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change', 'neobladder': 'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'size_fin: ['size': '4.6 x 3.8 cm']location descriptor_fin: ['inferior']procedure_fin: ['bowel anastomosis']clinical findings_fin: 'small bowel anastomosis': 'clinical finding': 'small bowel anastomosis', 'existence': 'pos_dx', 'descriptive_term': 'small bowel', 'observation': 'anastomosis', 'strength_term': 'small', '4.6 x 3.8 cm loculated fluid collection': 'clinical finding': '4.6 x 3.8 cm loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': '4 6 x 3 8 cm loculated fluid', 'observation': 'collection'anatomical entity_fin: 'rim': imaging observation_fin: ['enhancing']clinical findings_fin: 'definite enhancing rim or intracollection gas': 'clinical finding': 'definite enhancing rim or intracollection gas', 'existence': 'neg_dx', 'descriptive_term': 'definite enhancing rim or intracollection', 'observation': 'gas', 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess'clinical findings_fin: 'a contained anastomotic leak': 'clinical finding': 'a contained anastomotic leak', 'existence': 'unc_dx', 'descriptive_term': 'a contained anastomotic', 'observation': 'leak', 'lymphocele': 'clinical finding': 'lymphocele', 'existence': 'unc_dx', 'observation': 'lymphocele', 'seroma': 'clinical finding': 'seroma', 'existence': 'unc_dx', 'observation': 'seroma'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'small volume of fluid in the pouch of douglas': 'clinical finding': 'small volume of fluid in the pouch of douglas'anatomical entity_fin: 'uterus': clinical findings_fin: 'fibroids': 'clinical finding': 'fibroids', 'existence': 'unc_dx', 'observation': 'fibroids'procedure_fin: ['cystectomy']clinical findings_fin: 'neobladder': 'clinical finding': 'neobladder', 'existence': 'pos_dx', 'observation': 'neobladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Postoperative changes from radical cystectomy with neobladder creation. Mild bilateral hydronephrosis. No extravasation is noted from the collecting system on the delayed images. No significant abnormality noted. Surgical changes from small bowel resection and re-anastomosis related to neobladder creation. Immediately inferior to the small bowel anastomosis is a 4.6 x 3.8 cm loculated fluid collection. No definite enhancing rim or intracollection gas is noted to indicate an abscess. This may represent a a contained anastomotic leak, lymphocele or seroma. Postsurgical changes in the anterior abdominal wall. No significant abnormality noted. Small volume of fluid in the pouch of Douglas. Heterogenous uterus suggestive of fibroids. Status post radical cystectomy with neobladder creation. 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: 'lung': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'tiny calcified left upper lung granuloma': 'clinical finding': 'tiny calcified left upper lung granuloma', 'existence': 'pos_dx', 'descriptive_term': 'tiny calcified left upper lung', 'observation': 'granuloma', 'strength_term': 'tiny', 'change_term': 'calcified'size_fin: ['size': '1 cm', 'size_descriptor': 'hilar']anatomical entity_fin: 'subcarinal lymph nodes': , 'mediastinal lymph nodes': location descriptor_fin: ['right']clinical findings_fin: 'subcarinal lymph nodes': 'clinical finding': 'subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node', 'greater than 1 cm hilar or mediastinal lymph nodes': 'clinical finding': 'greater than 1 cm hilar or mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'greater than 1 cm hilar or mediastinal lymph', 'observation': 'node', 'change_term': 'greater'anatomical entity_fin: 'left scapula': , 'back': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'irregular shaped soft tissue density': 'clinical finding': 'irregular shaped soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'irregular shaped soft tissue', 'observation': 'density'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pole': 'location descriptor': 'inferior', 'right kidney': location descriptor_fin: ['inferior']clinical findings_fin: 'subcentimeter round hypodense lesion': 'clinical finding': 'subcentimeter round hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter round hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Tiny calcified left upper lung granuloma anteriorly unchanged. A few subcentimeter paratracheal, right hilar, and subcarinal lymph nodes are appreciated, no greater than 1 cm hilar or mediastinal lymph nodes are noted. Irregular shaped soft tissue density over the left scapula muscles posteriorly is seen, significance of this finding is unknown, and is noted to be unchanged from the prior studies dated back to 11/2007. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter round hypodense lesion inferior pole right kidney is unchanged. 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': '3.0 x 1.5 cm', 'size': '2.9 x 1.4 cm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'essentially stable appearing subpleural right middle lobe mixed density': 'clinical finding': 'essentially stable appearing subpleural right middle lobe mixed density', 'existence': 'pos_dx', 'descriptive_term': 'essentially stable appearing subpleural right middle lobe mixed', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'chest wall': clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'underlying chest wall changes': 'clinical finding': 'underlying chest wall changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying chest wall', 'observation': 'change'clinical findings_fin: 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'follow-up_fin: follow-up recommendedanatomical entity_fin: 'neck': clinical findings_fin: 'partially visualized neck reconstruction': 'clinical finding': 'partially visualized neck reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'partially visualized neck', 'observation': 'reconstruction', 'strength_term': 'partially'object_fin: ['tracheostomy tube']clinical findings_fin: 'old tracheostomy tube': 'clinical finding': 'old tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'old tracheostomy', 'observation': 'tube', 'temporal_term': 'old'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'severe coronary calcifications': 'clinical finding': 'severe coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'pericardium': , 'heart': clinical findings_fin: 'pericardium and heart are otherwise unremarkable': 'clinical finding': 'pericardium and heart are otherwise unremarkable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'partial small gallstone': 'clinical finding': 'partial small gallstone', 'existence': 'pos_dx', 'descriptive_term': 'partial small', 'observation': 'gallstone', 'strength_term': 'partial - small'anatomical entity_fin: 'gallbladder': , 'liver': clinical findings_fin: 'suspected small subcentimeter hepatic cyst': 'clinical finding': 'suspected small subcentimeter hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'suspected small subcentimeter hepatic', 'observation': 'cyst', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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: 'mild scattered degenerative changes': 'clinical finding': 'mild scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered 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] . Essentially stable appearing subpleural right middle lobe mixed density, currently measuring 3.0 x 1.5 cm from a prior measurement of 2.9 x 1.4 cm. This lesion remains indistinguishable from the pleural surface and underlying chest wall changes. Appearance again is atypical and most consistent with scarring given the gross stability since 2011. Serial follow up will again remain important to ensure stability. Partially visualized neck reconstruction, unchanged. Old tracheostomy tube and tract. No lymphadenopathy. Severe coronary calcifications. Pericardium and heart are otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Partial small gallstone. Gallbladder and liver are otherwise unremarkable other than a suspected small subcentimeter hepatic cyst. 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. Mild scattered degenerative changes of the thoracic and lumbar spine. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'internal carotid artery': location descriptor_fin: ['left']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and appropriate for the patients age. The gray-white matter differentiation is normal. The left supraclinoid internal carotid artery appears focally enlarged with calcification. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered calcific granulomata': 'clinical finding': 'scattered calcific granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcific', 'observation': 'granulomata'clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'anatomical entity_fin: 'middle': clinical findings_fin: 'small middle mediastinal nodes': 'clinical finding': 'small middle mediastinal nodes', 'existence': 'neg_dx', 'descriptive_term': 'small middle mediastinal', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'port-a-cath': 'clinical finding': 'port-a-cath', 'existence': 'pos_dx', 'observation': 'port-a-'imaging observation_fin: ['foci']clinical findings_fin: 'few scattered small hypoattenuating foci': 'clinical finding': 'few scattered small hypoattenuating foci', 'existence': 'unc_dx', 'descriptive_term': 'few scattered small hypoattenuating', 'observation': 'foci', 'strength_term': 'small', 'quantity_term': 'few', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst', 'gist': 'clinical finding': 'gist', 'existence': 'pos_dx', 'observation': 'gist'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'pelvis': clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'changes': 'clinical finding': 'changes', 'existence': 'unc_dx', 'observation': 'change'anatomical entity_fin: 'rectum': imaging observation_fin: ['fat']clinical findings_fin: 'circumferential thickening': 'clinical finding': 'circumferential thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential', 'observation': 'thickening', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'clinical findings_fin: 'measurable discrete tumor': 'clinical finding': 'measurable discrete tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable discrete', 'observation': 'tumor'anatomical entity_fin: 'ischiorectal fossa': imaging observation_fin: ['fat']clinical findings_fin: 'ischiorectal fossa fat is normal': 'clinical finding': 'ischiorectal fossa fat is normal'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite', 'carcinomatosis': 'clinical finding': 'carcinomatosis', 'existence': 'neg_dx', 'observation': 'carcinomatosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered calcific granulomata. No evidence of nodules. Small middle mediastinal nodes not pathologic by size criteria. Port-A-Cath right chest wall. A few scattered small hypoattenuating foci likely cysts but should be followed given the history of GIST. 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. Diffuse thickening circumferentially of all small bowel loops in the pelvis possibly due to changes secondary to radiation. Correlate clinically to rule out other disease processes. There is also circumferential thickening and fat stranding around the rectum consistent with radiation therapy. No measurable discrete tumor however. Ischiorectal fossa fat is normal. No evidence of ascites or carcinomatosis. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild emphysema': 'clinical finding': 'mild emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'basilar linear scarring': 'clinical finding': 'basilar linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'scarr'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': , 'anterior longitudinal ligament': clinical findings_fin: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality', 'anterior longitudinal ligament calcification': 'clinical finding': 'anterior longitudinal ligament calcification', 'existence': 'pos_dx', 'descriptive_term': 'anterior longitudinal ligament', 'observation': 'calcification'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 very small cystlike hypodensities': 'clinical finding': 'scattered very small cystlike hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered very small cystlike', 'observation': 'hypodensity', '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: '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: 'degenerative abnormalities': 'clinical finding': 'degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild emphysema and bronchiectasis, with basilar linear scarring. No evidence of pulmonary or pleural metastases. Moderate coronary artery calcifications. There is no mediastinal or hilar lymphadenopathy present. Degenerative abnormalities affect the thoracic spine with anterior longitudinal ligament calcification. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered very small cystlike 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. Degenerative abnormalities 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: size_fin: ['size': '6-mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'subcentimeter, spiculated nodule': 'clinical finding': 'subcentimeter, spiculated nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter spiculated', 'observation': 'nodule', 'small lingular nodule': 'clinical finding': 'small lingular nodule', 'existence': 'pos_dx', 'descriptive_term': 'small lingular', 'observation': 'nodule', 'strength_term': 'small', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'liver': clinical findings_fin: 'focal liver lesions': 'clinical finding': 'focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'clinical findings_fin: 'stable borderline enlarged retroperitoneal lymph nodes': 'clinical finding': 'stable borderline enlarged retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable borderline enlarged retroperitoneal lymph', 'observation': 'node', 'strength_term': 'stable - borderline - enlarged', 'change_term': 'stable - 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'anatomical entity_fin: 'prostate': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'bladder': clinical findings_fin: 'thickwalled bladder': 'clinical finding': 'thickwalled bladder'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'l4 vertebral body': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Subcentimeter, spiculated nodule in the right upper lobe is unchanged, measuring 6-mm in image number 25, series number Small lingular nodule is also unchanged on image number 55, series number No significant abnormality noted. No significant abnormality noted. No focal liver lesions. Mild wall thickening of the gallbladder is unchanged. Gallbladder is less distended. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. Stable borderline enlarged retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate. Thickwalled bladder. No significant abnormality noted. No significant abnormality noted. Degenerative changes in L4 vertebral body is unchanged. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'liver': clinical findings_fin: 'diffusely decreased attenuation': 'clinical finding': 'diffusely decreased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffusely decreased', 'observation': 'attenuation', 'strength_term': 'decreased', 'change_term': 'decreased', 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'anatomical entity_fin: 'rib': location descriptor_fin: ['anterior']clinical findings_fin: 'suv': 'clinical finding': 'suv', 'existence': 'pos_dx', 'observation': 'suv'clinical findings_fin: 'prior trauma': 'clinical finding': 'prior trauma', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'trauma'clinical findings_fin: 'increased hypermetabolic activity': 'clinical finding': 'increased hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'increased hypermetabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'vagina': clinical findings_fin: 'is also increased activity within the vagina which is nonspecific and may relate': 'clinical finding': 'is also increased activity within the vagina which is nonspecific and may relate', 'change_term': 'increased'clinical findings_fin: 'other fdg avid lesions': 'clinical finding': 'other fdg avid lesions', 'existence': 'neg_dx', 'descriptive_term': 'other fdg avid', 'observation': 'lesion', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor' [/INST] [RESP] Todays CT portion grossly demonstrates diffusely decreased attenuation of the liver which is compatible with fatty infiltration. The cervix appears prominent. Todays PET examination demonstrates increased activity in the eighth anterior eighth rib with an SUV max of 2.6. This may relate to prior trauma. There is increased hypermetabolic activity within the cervix suspicious for residual tumor. There is also increased activity within the vagina which is nonspecific and may relate to an inflammatory process. No other FDG avid lesions suspicious for tumor activity are identified. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'airspace': clinical findings_fin: 'focal airspace opacities': 'clinical finding': 'focal airspace opacities', 'existence': 'neg_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'lacerations': 'clinical finding': 'lacerations', 'existence': 'neg_dx', 'observation': 'laceration'anatomical entity_fin: 'spleen': clinical findings_fin: 'spleen is normal in appearance': 'clinical finding': 'spleen is normal in appearance'anatomical entity_fin: 'pancreas': clinical findings_fin: 'pancreas is normal in appearance': 'clinical finding': 'pancreas is normal in appearance'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'injury': 'clinical finding': 'injury', 'existence': 'neg_dx', 'observation': 'injury', 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation', 'appendicitis': 'clinical finding': 'appendicitis', 'existence': 'unc_dx', 'observation': 'appendicitis'anatomical entity_fin: 'duodenum': clinical findings_fin: 'duodenum is normal in appearance': 'clinical finding': 'duodenum is normal in appearance'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'abdomen': clinical findings_fin: 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air', 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . No focal airspace opacities or pleural effusions are identified. The liver is normal in appearance, without evidence of lacerations. The spleen is normal in appearance. The pancreas is normal in appearance. No significant abnormality noted. Kidneys enhance symmetrically without evidence of injury or hydronephrosis. No significant lymphadenopathy identified. No evidence of obstruction is present. Appendix is not definitely visualized, but there is no evidence of inflammation or other secondary findings to suggest appendicitis. Duodenum is normal in appearance. No evidence of fracture is identified. No free air or free fluid is present within the abdomen. No significant abnormality noted. No significant abnormality noted. No significant lymphadenopathy. No evidence of obstruction, as above. No evidence of fractures are identified. No free fluid is present within the pelvis. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']clinical findings_fin: 'patchy foci': 'clinical finding': 'patchy foci', 'existence': 'unc_dx', 'descriptive_term': 'patchy', 'observation': 'foci', 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'associated mass effect': 'clinical finding': 'associated mass effect', 'existence': 'unc_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'clinical findings_fin: 'ventricular sizes are unremarkable': 'clinical finding': 'ventricular sizes are unremarkable'clinical findings_fin: 'disproportionate cerebellar atrophy': 'clinical finding': 'disproportionate cerebellar atrophy', 'existence': 'pos_dx', 'descriptive_term': 'disproportionate cerebellar', 'observation': 'atrophy'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] Patchy foci of hypodensity can be found within the white matter without associated mass effect. Ventricular sizes are unremarkable. There is disproportionate cerebellar atrophy. 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: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'anatomical entity_fin: 'lung': , 'bases': location descriptor_fin: ['peripheral']clinical findings_fin: 'peripheral increased density': 'clinical finding': 'peripheral increased density', 'existence': 'pos_dx', 'descriptive_term': 'peripheral increased', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'early fibrosis': 'clinical finding': 'early fibrosis', 'existence': 'unc_dx', 'descriptive_term': 'early', 'observation': 'fibrosis'anatomical entity_fin: 'esophagus': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 study is limited due to lack of IV contrast. Biapical scarring. Peripheral increased density in the lung bases suggestive of early fibrosis. The esophagus is diffusely dilated throughout its course. 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. Diverticulosis without evidence of diverticulitis. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'extensive diffuse left preseptal swelling': 'clinical finding': 'extensive diffuse left preseptal swelling', 'existence': 'pos_dx', 'descriptive_term': 'extensive diffuse left preseptal', 'observation': 'swell', 'strength_term': 'extensive'anatomical entity_fin: 'contents': imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'postseptal orbital fat stranding': 'clinical finding': 'postseptal orbital fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'postseptal orbital fat', 'observation': 'strand', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'location descriptor_fin: ['right']clinical findings_fin: 'right orbital is unremarkable': 'clinical finding': 'right orbital is unremarkable'anatomical entity_fin: 'walls': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'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: 'external auditory canal': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'probable cerumen': 'clinical finding': 'probable cerumen', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cerumen'clinical findings_fin: 'imaged intracranial structures are grossly unremarkable': 'clinical finding': 'imaged intracranial structures are grossly unremarkable' [/INST] [RESP] There is extensive diffuse left preseptal swelling. There is no evidence of postseptal orbital fat stranding and the left orbital contents appear to be intact. The right orbital is unremarkable. The orbital walls are intact. There is mild scattered paranasal sinus opacification. There is probable cerumen within the left external auditory canal. The imaged intracranial structures are grossly unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'cerebral white matter': clinical findings_fin: 'cerebral white matter hypoattenuation': 'clinical finding': 'cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'cerebral white matter', 'observation': 'hypoattenuation'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'head': clinical findings_fin: 'cta head': 'clinical finding': 'cta head' [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. There appear to be scattered areas of cerebral white matter hypoattenuation. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. CTA HEAD [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': location descriptor_fin: ['anterior', 'bilateral']clinical findings_fin: 'anterior uterine fibroid': 'clinical finding': 'anterior uterine fibroid', 'existence': 'pos_dx', 'descriptive_term': 'anterior uterine', 'observation': 'fibroid', 'physiologic changes': 'clinical finding': 'physiologic changes', 'existence': 'pos_dx', 'descriptive_term': 'physiologic', 'observation': 'change', 'bilateral adnexa': 'clinical finding': 'bilateral adnexa', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'adnexa', 'ovarian cysts': 'clinical finding': 'ovarian cysts', 'existence': 'pos_dx', 'descriptive_term': 'ovarian', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['assessment', 'colon']location descriptor_fin: ['left']clinical findings_fin: 'suboptimal': 'clinical finding': 'suboptimal', 'existence': 'pos_dx', 'observation': 'suboptimal'anatomical entity_fin: 'rectum': location descriptor_fin: ['distal']clinical findings_fin: 'mild mucosal enhancement': 'clinical finding': 'mild mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'enhancement', 'strength_term': 'mild'imaging observation_fin: ['colon']location descriptor_fin: ['right', 'left']clinical findings_fin: 'diffuse submucosal fat deposition': 'clinical finding': 'diffuse submucosal fat deposition', 'existence': 'pos_dx', 'descriptive_term': 'diffuse submucosal fat', 'observation': 'deposition', 'chronic inflammation': 'clinical finding': 'chronic inflammation', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'inflammation', 'temporal_term': 'chronic'anatomical entity_fin: 'transverse colon': clinical findings_fin: 'also focal relative collapse': 'clinical finding': 'also focal relative collapse', 'existence': 'pos_dx', 'descriptive_term': 'also focal relative', 'observation': 'collapse', 'possible submucosal fat deposition': 'clinical finding': 'possible submucosal fat deposition', 'existence': 'pos_dx', 'descriptive_term': 'possible submucosal fat', 'observation': 'deposition'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory change': 'clinical finding': 'inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'anatomical entity_fin: 'bowel': clinical findings_fin: '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' [/INST] [RESP] . Bibasilar atelectasis. 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. Moderate. No evidence of obstruction. Further findings are described below. No significant abnormality noted. No significant abnormality noted. Anterior uterine fibroid with physiologic changes of the uterus and bilateral adnexa, including ovarian cysts. No significant abnormality noted. No significant abnormality noted. Assessment of the left colon is suboptimal secondary to underdistention. There is mild mucosal enhancement within the distal sigmoid and rectum. Diffuse submucosal fat deposition in the right greater than left colon, likely indicative of chronic inflammation. Also focal relative collapse of mid transverse colon on image 75 series 3 with possible submucosal fat deposition. The appendix is well-visualized and is without inflammatory change. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'this has unchanged since prior exam': 'clinical finding': 'this has unchanged since prior exam', 'change_term': 'unchanged'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: 'internal carotid arteries': location descriptor_fin: ['distal']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'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] Examination again demonstrates patchy hypoattenuation in the periventricular subcortical white matter, consistent with small vessel ischemic disease. This has unchanged since prior exam. 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. There is calcification of the distal vertebral and internal carotid arteries. 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: 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'clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': clinical findings_fin: 'diffuse circumferential wall thickening': 'clinical finding': 'diffuse circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse circumferential wall', 'observation': 'thickening'clinical findings_fin: 'mild ascites': 'clinical finding': 'mild ascites', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ascite', 'strength_term': 'mild'clinical findings_fin: 'mild ileus': 'clinical finding': 'mild ileus', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ileus', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This study is limited due to lack of intravenous contrast. Bilateral small pleural effusions, slightly increased in size compared to previous study. Splenomegaly, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Mild. Again noted diffuse circumferential wall thickening involving the entire small bowel loops. Interval development of mild ascites. Interval development of mild ileus. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see discussion 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: clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical', 'observation': 'scarr', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['posterior', 'lateral', 'right', 'upper']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis', 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'location descriptor_fin: ['proximal']clinical findings_fin: 'dilatation of the proximal esophageal segment': 'clinical finding': 'dilatation of the proximal esophageal segment'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: 'multichamber cardiomegaly': 'clinical finding': 'multichamber cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'multichamber', 'observation': 'cardiomegaly'clinical findings_fin: 'coronary artery calcification': 'clinical finding': 'coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'size_fin: ['size': '2.4 x 1.1 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'left adrenal gland': imaging observation_fin: ['enhancing']location descriptor_fin: ['medial']clinical findings_fin: 'ill-defined mass': 'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined'imaging observation_fin: ['fat']clinical findings_fin: 'internal fat is appreciated': 'clinical finding': 'internal fat is appreciated'clinical findings_fin: 'mild intrahepatic biliary ductal dilatation': 'clinical finding': 'mild intrahepatic biliary ductal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'mild intrahepatic biliary ductal', 'observation': 'dilatation', 'strength_term': 'mild' [/INST] [RESP] . Biapical scarring associated with traction bronchiectasis. Similar finding of consolidation with bronchiectasis in the posterior lateral right upper lobe suggesting fibrosis. Motion artifact. Volume loss right upper lobe. Dilatation of the proximal esophageal segment. Small hiatal hernia. Multichamber cardiomegaly. Coronary artery calcification. Degenerative change of the spine. 2.4 x 1.1 cm heterogeneously enhancing ill-defined mass in medial limb of the left adrenal gland. No internal fat is appreciated. Mild intrahepatic biliary ductal dilatation, incompletely included in the field-of-view. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are within normal limits': 'clinical finding': 'ventricles and sulci are within normal limits'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'patchy subcortical and periventricular white matter hypoattenuation': 'clinical finding': 'patchy subcortical and periventricular white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy subcortical and periventricular white matter', 'observation': 'hypoattenuation', 'age indeterminate microvascular ischemic changes': 'clinical finding': 'age indeterminate microvascular ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate microvascular ischemic', 'observation': 'change'anatomical entity_fin: 'fluid': clinical findings_fin: 'extraaxial fluid collections are detected': 'clinical finding': 'extraaxial fluid collections are detected'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no evidence of intracranial hemorrhage. Patchy subcortical and periventricular white matter hypoattenuation compatible with age indeterminate microvascular ischemic changes. No extraaxial fluid collections are detected. 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: clinical findings_fin: 'trace pleural effusions': 'clinical finding': 'trace pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion'anatomical entity_fin: 'parenchyma': artifact_fin: ['motion artifact']clinical findings_fin: 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary', 'respiratory motion artifact': 'clinical finding': 'respiratory motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'respiratory motion', 'observation': 'artifact'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'small pericholecystic fluid': 'clinical finding': 'small pericholecystic fluid', 'existence': 'pos_dx', 'descriptive_term': 'small pericholecystic', 'observation': 'fluid', 'strength_term': 'small'anatomical entity_fin: 'gallbladder': , 'wall': clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification'anatomical entity_fin: 'duodenum': location descriptor_fin: ['right']clinical findings_fin: 'right-sided percutaneous': 'clinical finding': 'right-sided percutaneous', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'percutaneous', 'pigtail': 'clinical finding': 'pigtail', 'existence': 'pos_dx', 'observation': 'pigtail'clinical findings_fin: 'small pneumobilia': 'clinical finding': 'small pneumobilia', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'pneumobilia', 'strength_term': 'small'clinical findings_fin: 'periportal edema': 'clinical finding': 'periportal edema', 'existence': 'pos_dx', 'descriptive_term': 'periportal', 'observation': 'edema'clinical findings_fin: 'new small perihepatic ascites': 'clinical finding': 'new small perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new small perihepatic', 'observation': 'ascite', 'strength_term': 'small', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'stable left adrenal thickening': 'clinical finding': 'stable left adrenal thickening', 'existence': 'pos_dx', 'descriptive_term': 'stable left adrenal', 'observation': 'thickening', '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: 'mild aortobiiliac atherosclerotic calcification': 'clinical finding': 'mild aortobiiliac atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild aortobiiliac atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'object_fin: ['suture']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multilevel spinal degenerative disease': 'clinical finding': 'multilevel spinal degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'multilevel spinal degenerative', 'observation': 'disease'clinical findings_fin: 'new small to moderate pelvic ascites': 'clinical finding': 'new small to moderate pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'new small to moderate pelvic', 'observation': 'ascite', 'strength_term': 'small - moderate', 'temporal_term': 'new' [/INST] [RESP] . Trace pleural effusions, new. Pulmonary parenchyma suboptimal assess secondary to respiratory motion artifact. Prominent gallbladder with wall thickening and increasing small pericholecystic fluid. Again seen punctate calcifications within gallbladder or along wall. Right-sided percutaneous biliary drain, stable in location with pigtail near junction of second and third portions of duodenum. Small pneumobilia. Mild interval increase in periportal edema. New small perihepatic ascites and mild interval increase in degree of diffuse mesenteric induration. No significant abnormality noted. No significant abnormality noted. Stable left adrenal thickening. No significant abnormality noted. Mild aortobiiliac atherosclerotic calcification. Rectal suture material. No significant abnormality noted. No significant abnormality noted. Multilevel spinal degenerative disease. New small to moderate pelvic ascites. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ureters': clinical findings_fin: 'mild prominence of the ureters': 'clinical finding': 'mild prominence of the ureters'clinical findings_fin: 'few small scattered retroperitoneal lymph nodes': 'clinical finding': 'few small scattered retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'few small scattered retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'few'anatomical entity_fin: 'ileum': clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'bowel': clinical findings_fin: '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'anatomical entity_fin: 'inguinal lymph nodes': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral inguinal lymph nodes': 'clinical finding': 'bilateral inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral inguinal lymph', 'observation': 'node'clinical findings_fin: 'near complete resolution': 'clinical finding': 'near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'resolution', 'pelvic abscess': 'clinical finding': 'pelvic abscess', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'abscess'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. Mild prominence of the ureters. Few small scattered retroperitoneal lymph nodes. Postsurgical changes in the ileum. No bowel obstruction. No significant abnormality noted. No significant abnormality noted. PROSTATE/. Cystoprostatectomy. Cystoprostatectomy. Bilateral inguinal lymph nodes, possibly reactive. Please see above. Near complete resolution of the pelvic abscess following drain placement. There is infiltration of the soft tissues in the region. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: 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: '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: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'mild osteophyte-related fibrosis': 'clinical finding': 'mild osteophyte-related fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'mild osteophyte-related', 'observation': 'fibrosis', 'strength_term': 'mild'imaging observation_fin: ['foci']clinical findings_fin: 'scattered foci': 'clinical finding': 'scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'foci', 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'anatomical entity_fin: 'fluid': anatomical entity_fin: 'pericardial recess': , 'fluid': clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'pos_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '28 x 29 mm', 'size_descriptor': 'mass']imaging observation_fin: ['borders']clinical findings_fin: 'hypoattenuating mass': 'clinical finding': 'hypoattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'mass'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'additional lesions': 'clinical finding': 'additional lesions', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'lesion'location descriptor_fin: ['left']clinical findings_fin: 'left and extrahepatic bile ducts': 'clinical finding': 'left and extrahepatic bile ducts', 'existence': 'pos_dx', 'descriptive_term': 'left and extrahepatic bile', 'observation': 'duct', 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'anatomical entity_fin: 'left kidney': , 'fluid': clinical findings_fin: 'hypoattenuating lesion': 'clinical finding': 'hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion', 'cyst': 'clinical finding': 'cyst', 'existence': 'unc_dx', 'observation': 'cyst', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'hypoattenuating left adrenal gland nodule': 'clinical finding': 'hypoattenuating left adrenal gland nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating left adrenal gland', 'observation': 'nodule', 'adenoma': 'clinical finding': 'adenoma', 'existence': 'pos_dx', 'observation': 'adenoma' [/INST] [RESP] . No pleural fluid or pneumothorax. No suspicious pulmonary nodules or masses. Mild osteophyte-related fibrosis in the paramediastinal right lower lobe. Scattered foci of emphysema, mild. Atherosclerotic calcification of the thoracic aorta, moderate. Normal heart size. Physiologic volume of pericardial fluid. Pericardial recess fluid, but no lymphadenopathy. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Hypoattenuating mass at the hepatic dome with ill-defined borders measuring 50 Hounsfield units, 28 x 29 mm in size. Additional lesions are seen in the right hepatic lobe with similar imaging characteristics on this unenhanced scan. The left and extrahepatic bile ducts are prominent. Hypoattenuating lesion interpolar left kidney measure the density of fluid and is statistically most likely a cyst but is incompletely included within the scanning range and incompletely assessed without the benefit of IV contrast. Hypoattenuating left adrenal gland nodule is most consistent with an adenoma. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'extensive multifocal cerebral infarcts': 'clinical finding': 'extensive multifocal cerebral infarcts', 'existence': 'pos_dx', 'descriptive_term': 'extensive multifocal cerebral', 'observation': 'infarct', 'strength_term': 'extensive', 'gyriform hyperattenuation': 'clinical finding': 'gyriform hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'gyriform', 'observation': 'hyperattenuation', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'clinical findings_fin: 'many sulci': 'clinical finding': 'many sulci', 'existence': 'pos_dx', 'descriptive_term': 'many', 'observation': 'sulci', 'quantity_term': 'many'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'unchanged bilateral basal ganglia calcifications': 'clinical finding': 'unchanged bilateral basal ganglia calcifications', 'existence': 'pos_dx', 'descriptive_term': 'unchanged bilateral basal ganglia', 'observation': 'calcification', 'strength_term': 'unchanged', 'change_term': 'unchanged'location descriptor_fin: ['inferior', 'left']clinical findings_fin: 'inferior vermis and left cerebellar hemisphere appear to be hypoplastic': 'clinical finding': 'inferior vermis and left cerebellar hemisphere appear to be hypoplastic'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'sphenoid 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'object_fin: ['tube']anatomical entity_fin: 'optic nerves': clinical findings_fin: 'atrophy': 'clinical finding': 'atrophy', 'existence': 'pos_dx', 'observation': 'atrophy'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] There has been interval evolution of the extensive multifocal cerebral infarcts with increased areas of gyriform hyperattenuation and volume loss. Indeed, the supratentorial ventricles and many sulci are now more prominent. There are unchanged bilateral basal ganglia calcifications. The inferior vermis and left cerebellar hemisphere appear to be hypoplastic. There is no midline shift. There is mild mucosal thickening remaining in the right sphenoid sinus. There is a enteric tube. Atrophy of the optic nerves is better depicted on the prior MRI. The calvarium is intact. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube', 'enteric tubes': 'clinical finding': 'enteric tubes', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'tube'location descriptor_fin: ['left']clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'size_fin: ['size': '30 mm', 'size_descriptor': 'mass']location descriptor_fin: ['right']clinical findings_fin: 'infiltrative and necrotic right supraglottic mass': 'clinical finding': 'infiltrative and necrotic right supraglottic mass', 'existence': 'pos_dx', 'descriptive_term': 'infiltrative and necrotic right supraglottic', 'observation': 'mass'anatomical entity_fin: 'thyrohyoid membrane': 'location descriptor': 'posterior right'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'tumor_1': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor', 'tumor_2': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'imaging observation_fin: ['cord']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'neg_dx', 'observation': 'tumor', 'subglottic extension': 'clinical finding': 'subglottic extension', 'existence': 'neg_dx', 'descriptive_term': 'subglottic', 'observation': 'extension'size_fin: ['size': '12 mm', 'size_descriptor': 'anterior']imaging observation_fin: ['hematoma']location descriptor_fin: ['anterior']clinical findings_fin: 'hyperattenuating nodule': 'clinical finding': 'hyperattenuating nodule', 'existence': 'pos_dx', 'descriptive_term': 'hyperattenuating', 'observation': 'nodule', 'enlarged level 6 lymph node': 'clinical finding': 'enlarged level 6 lymph node', 'existence': 'unc_dx', 'descriptive_term': 'enlarged level 6 lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged', 'hematoma': 'clinical finding': 'hematoma', 'existence': 'unc_dx', 'observation': 'hematoma'anatomical entity_fin: 'neck': clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable'location descriptor_fin: ['right']clinical findings_fin: 'subcentimeter right thyroid nodule': 'clinical finding': 'subcentimeter right thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter right thyroid', 'observation': 'nodule'clinical findings_fin: 'is extensive plaque at the carotid bifurcations': 'clinical finding': 'is extensive plaque at the carotid bifurcations'location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits and imaged intracranial structures are unremarkable': 'clinical finding': 'orbits and imaged intracranial structures are unremarkable'location descriptor_fin: ['bilateral']clinical findings_fin: 'partially-imaged bilateral pleural effusions': 'clinical finding': 'partially-imaged bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'partially-imaged bilateral pleural', 'observation': 'effusion', 'strength_term': 'partially'clinical findings_fin: 'diffuse stranding': 'clinical finding': 'diffuse stranding', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'strand' [/INST] [RESP] There are tracheostomy tube and enteric tubes in position. There is emphysema in the left carotid and retropharyngeal spaces. There is an infiltrative and necrotic right supraglottic mass that measures up to approximately 30 mm. There is extension of tumor into the right pre-epiglottic space and apparent bulging of tumor through the posterior right thyrohyoid membrane. The tumor is not clearly distinguishable from the true vocal cord, but there is no subglottic extension. A hyperattenuating nodule that measures up to 12 mm anterior to the cricoid may represent an enlarged level 6 lymph node or hematoma. Otherwise, there is no evidence of significant lymphadenopathy in the neck. The major salivary glands are unremarkable. There appears to be a subcentimeter right thyroid nodule. There is extensive plaque at the carotid bifurcations. There is a right internal jugular venous catheter. There is multilevel degenerative spondylosis. The orbits and imaged intracranial structures are unremarkable. There are partially-imaged bilateral pleural effusions. There is diffuse stranding of the subcutaneous tissues. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'mild fatty infiltration': 'clinical finding': 'mild fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'mild fatty', 'observation': 'infiltration', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'stomach': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'anatomical entity_fin: 'duodenum': clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'gastric motility': 'clinical finding': 'gastric motility', 'existence': 'unc_dx', 'descriptive_term': 'gastric', 'observation': 'motility', 'diabetes': 'clinical finding': 'diabetes', 'existence': 'unc_dx', 'observation': 'diabetes', 'duodenitis': 'clinical finding': 'duodenitis', 'existence': 'unc_dx', 'observation': 'duodenitis'anatomical entity_fin: 'sigmoid colon': imaging observation_fin: ['fat']clinical findings_fin: 'multiple diverticuli': 'clinical finding': 'multiple diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'diverticuli', 'quantity_term': 'multiple', 'minimal fat stranding': 'clinical finding': 'minimal fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'mild acute diverticulitis': 'clinical finding': 'mild acute diverticulitis', 'existence': 'pos_dx', 'descriptive_term': 'mild acute', 'observation': 'diverticulitis', 'strength_term': 'mild - acute', 'temporal_term': 'acute'clinical findings_fin: 'peridiverticular abscess': 'clinical finding': 'peridiverticular abscess', 'existence': 'neg_dx', 'descriptive_term': 'peridiverticular', 'observation': 'abscess'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Mild fatty infiltration of the liver. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stomach is significantly distended. Duodenum is decompressed. These findings may be secondary to a gastric motility problem such as diabetes or duodenitis. Multiple diverticuli in the sigmoid colon associate with minimal fat stranding and wall thickening consistent with mild acute diverticulitis. No evidence of peridiverticular abscess. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Please see discussion 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: 'sphenoid sinus': 'location descriptor': 'left', 'walls': location descriptor_fin: ['left']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial', 'some thickening': 'clinical finding': 'some thickening', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'thickening', 'quantity_term': 'some', 'chronic sinus inflammatory changes': 'clinical finding': 'chronic sinus inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'chronic sinus inflammatory', 'observation': 'change', 'temporal_term': 'chronic'location descriptor_fin: ['left']procedure_fin: ['biopsy']imaging observation_fin: ['enhancing']clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'focal enhancing lesion': 'clinical finding': 'focal enhancing lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal enhancing', 'observation': 'lesion'anatomical entity_fin: 'lingual tonsil': , 'base': , 'tongue': location descriptor_fin: ['right']clinical findings_fin: 'lingual tonsil': 'clinical finding': 'lingual tonsil', 'existence': 'pos_dx', 'descriptive_term': 'lingual', 'observation': 'tonsil', 'slight asymmetry': 'clinical finding': 'slight asymmetry', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'asymmetry', 'clear definable mass lesion': 'clinical finding': 'clear definable mass lesion', 'existence': 'pos_dx', 'descriptive_term': 'clear definable mass', 'observation': 'lesion'anatomical entity_fin: 'neck': clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'clinical findings_fin: 'bony destruction': 'clinical finding': 'bony destruction', 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'destruction', 'bony metastases': 'clinical finding': 'bony metastases', 'existence': 'unc_dx', 'descriptive_term': 'bony', 'observation': 'metastase'anatomical entity_fin: 'left lung': , 'apex': clinical findings_fin: 'nodular density': 'clinical finding': 'nodular density', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'density', 'high density': 'clinical finding': 'high density', 'existence': 'unc_dx', 'descriptive_term': 'high', 'observation': 'density', 'some calcification': 'clinical finding': 'some calcification', 'existence': 'unc_dx', 'descriptive_term': 'some', 'observation': 'calcification', 'quantity_term': 'some'clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'chest': anatomical entity_fin: 'brain': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'osseous abnormality': 'clinical finding': 'osseous abnormality', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'abnormality'anatomical entity_fin: 'spine': location descriptor_fin: ['posterior']clinical findings_fin: 'some degenerative changes': 'clinical finding': 'some degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'some degenerative', 'observation': 'change', 'quantity_term': 'some', 'posterior osteophytes': 'clinical finding': 'posterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'posterior', 'observation': 'osteophyte' [/INST] [RESP] There is partial opacification of the left sphenoid sinus with some thickening of the walls consistent with chronic sinus inflammatory changes. There are two tiny specks of air within the left tonsillar pillar. Question whether there is been recent biopsy. The tonsillar pillars are somewhat prominent bilaterally but without focal enhancing lesion. There is also prominence of the lingual tonsil at the base the tongue on the right with slight asymmetry, but again without clear definable mass lesion. There is no evidence of pathologic lymphadenopathy within the soft tissues of the neck. No bony destruction seen to suggest bony metastases. At the left lung apex there is a nodular density which is high density suggestive of some calcification. This represent calcified granuloma. Please see the dedicated chest CT for full evaluation of this finding. Postcontrast CT scan the brain demonstrates no evidence of hemorrhage, mass or edema. No abnormal enhancement is seen to suggest the presence of metastatic disease. Bone windows reveal no osseous abnormality. Incidental note is made of some degenerative changes of the cervical spine with posterior osteophytes and bulging disks at multiple levels. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'bibasilar scarring': 'clinical finding': 'bibasilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'scarr', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'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'location descriptor_fin: ['left']non-anatomical substance_fin: ['leads']clinical findings_fin: 'left icd generator': 'clinical finding': 'left icd generator', 'existence': 'pos_dx', 'descriptive_term': 'left icd', 'observation': 'generator'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'several subcentimeter mediastinal lymph nodes': 'clinical finding': 'several subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several subcentimeter mediastinal lymph', 'observation': 'node', 'quantity_term': 'several'anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'calcified subcarinal lymph node': 'clinical finding': 'calcified subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'coronary artery': clinical findings_fin: 'severe coronary artery and vascular calcifications': 'clinical finding': 'severe coronary artery and vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery and vascular', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': '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] . Bibasilar scarring and traction bronchiectasis is nonspecific and is slightly progressed from prior study. A calcified granuloma is again seen in the right middle lobe. Bilateral pleural effusions, right greater than left are present. Left ICD generator and leads are in place. Several subcentimeter mediastinal lymph nodes are noted. A calcified subcarinal lymph node is unchanged. Severe coronary artery and vascular calcifications are seen. The heart size is normal and no pericardial effusion is present. Mild degenerative changes of the thoracic spine. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'anatomical entity_fin: 'trachea': location descriptor_fin: ['proximal']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '2.5 x 2.5 cm', 'size_descriptor': 'aorta', 'size': '1.9 x 1.8 cm', 'size_descriptor': 'aorta']anatomical entity_fin: 'thoracic aorta': , 'descending thoracic aorta': , 'main pulmonary artery': clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'right coronary artery': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreatic duct': , 'common bile duct': , 'pancreas': location descriptor_fin: ['superior']clinical findings_fin: 'pancreas divisum': 'clinical finding': 'pancreas divisum', 'existence': 'unc_dx', 'descriptive_term': 'pancreas', 'observation': 'divisum' [/INST] [RESP] . The lungs are clear without focal consolidation. The trachea and proximal mainstem bronchi are patent. The heart size is normal without a pericardial effusion. The ascending thoracic aorta measures 2.5 x 2.5 cm while the descending thoracic aorta measures 1.9 x 1.8 cm at the level of the main pulmonary artery. There is no evidence for dissection. There is a suggestion of the right coronary artery arising from the non-coronary cusp. However, evaluation of this area is limited due to motion and artifact. No significant abnormality noted. The pancreatic duct drains more superior to the common bile duct suggesting pancreas divisum. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': clinical findings_fin: 'subcentimeter hypodense lesion': 'clinical finding': 'subcentimeter hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hypodense', 'observation': 'lesion', 'likely a simple cyst': 'clinical finding': 'likely a simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'likely a simple', 'observation': 'cyst'size_fin: ['size': '6 x 5 mm', 'size_descriptor': 'lesion']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'liver': clinical findings_fin: 'additional subcentimeter lesion': 'clinical finding': 'additional subcentimeter lesion', 'existence': 'pos_dx', 'descriptive_term': 'additional subcentimeter', 'observation': 'lesion', 'flash filling hemangioma': 'clinical finding': 'flash filling hemangioma', 'existence': 'unc_dx', 'descriptive_term': 'flash filling', 'observation': 'hemangioma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. A subcentimeter hypodense lesion is seen in hepatic segment 6, which measures fluid density and likely a simple cyst, but too small to further characterize. The lesion measures 6 x 5 mm. An additional subcentimeter lesion is seen in the dome of the liver only on arterial phase imaging, which may represent a flash filling hemangioma. 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: 'pulmonary micronodules': 'clinical finding': 'pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'micronodule'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'size_fin: ['size': '2.6 x 2.2 cm', 'size': '2.4 x 1.9 cm']anatomical entity_fin: 'wall': , 'esophagus': location descriptor_fin: ['distal']clinical findings_fin: 'distal esophageal thickening': 'clinical finding': 'distal esophageal thickening', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'thickening'clinical findings_fin: 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement', 'mass': 'clinical finding': 'mass', 'existence': 'unc_dx', 'observation': 'mass'anatomical entity_fin: 'right paraesophageal lymph node': clinical findings_fin: 'right paraesophageal lymph node': 'clinical finding': 'right paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paraesophageal lymph', 'observation': 'node'clinical findings_fin: 'small paraesophageal and ap window lymph nodes': 'clinical finding': 'small paraesophageal and ap window lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small paraesophageal and ap window lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'axillary lymph nodes': imaging observation_fin: ['enhancing']clinical findings_fin: 'small but enhancing axillary lymph nodes': 'clinical finding': 'small but enhancing axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small but enhancing axillary lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'rib': , 'liver': location descriptor_fin: ['right']clinical findings_fin: 'right 11 th rib exostosis': 'clinical finding': 'right 11 th rib exostosis', 'existence': 'pos_dx', 'descriptive_term': 'right 11 th rib', 'observation': 'exostosis', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Pulmonary micronodules similar in size and number. Centrilobular emphysema. Coronary artery calcifications. Distal esophageal thickening with reference measurements from outer wall to outer wall of the esophagus 2.6 x 2.2 cm , previously 2.4 x 1.9 cm. Due to phase of contrast enhancement, I am unable to delineate the exact position of the mass as was measured on the previous exam. Right paraesophageal lymph node at this level is also smaller. Small paraesophageal and AP window lymph nodes continue to decrease in size subjectively. Right chest port. Small but enhancing axillary lymph nodes unchanged. Right 11 th rib exostosis causing mass effect on the liver unchanged. CT ENHANCED UPPER ABDOMEN [/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'size_fin: ['size': '18.4 cm']anatomical entity_fin: 'liver': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'adrenal masses': 'clinical finding': 'adrenal masses', 'existence': 'neg_dx', 'descriptive_term': 'adrenal', 'observation': 'mass', 'other abnormalities': 'clinical finding': 'other abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'large uterine mass': 'clinical finding': 'large uterine mass', 'existence': 'pos_dx', 'descriptive_term': 'large uterine', 'observation': 'mass', 'strength_term': 'large', 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density', 'small calcifications': 'clinical finding': 'small calcifications', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'calcification', 'strength_term': 'small', 'numerous hypodense masses': 'clinical finding': 'numerous hypodense masses', 'existence': 'pos_dx', 'descriptive_term': 'numerous hypodense', 'observation': 'mass', 'quantity_term': 'numerous', 'fibromatosis': 'clinical finding': 'fibromatosis', 'existence': 'pos_dx', 'observation': 'fibromatosis'size_fin: ['size': '10 x 16.2 cm', 'size': '12 cm']clinical findings_fin: 'pelvic mass': 'clinical finding': 'pelvic mass', 'existence': 'pos_dx', 'descriptive_term': 'pelvic', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. The liver is borderline enlarged measuring 18.4 cm craniocaudally. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Specifically, no evidence of adrenal masses or other abnormalities were found. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is a large uterine mass which is heterogeneous in density including cystic components with small calcifications and numerous hypodense masses compatible with fibromatosis. The pelvic mass measures 10 x 16.2 cm in the transaxial plane at image 115/155 and extends craniocaudally for more than 12 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', '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: 'cells': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'alignment is within normal limits': 'clinical finding': 'alignment is within normal limits'anatomical entity_fin: 'vertebral body': clinical findings_fin: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'apex': location descriptor_fin: ['right']clinical findings_fin: 'asymmetric pneumatization': 'clinical finding': 'asymmetric pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'pneumatization'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'visualized lung apices are normal': 'clinical finding': 'visualized lung apices are normal' [/INST] [RESP] . The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Mucosal thickening in the ethmoid air cells but the remaining visualized paranasal sinuses and mastoid air cells are clear. Alignment is within normal limits. Vertebral body heights are maintained. No fracture is identified. Asymmetric pneumatization of the right petrous apex. The visualized lung apices are normal. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'detectable acute posttraumatic intracranial': 'clinical finding': 'detectable acute posttraumatic intracranial', 'existence': 'neg_dx', 'descriptive_term': 'detectable acute posttraumatic', 'observation': 'intracranial', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'scalp': , 'convexity': location descriptor_fin: ['right']clinical findings_fin: 'minimal soft tissue thickening': 'clinical finding': 'minimal soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal soft tissue', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'right paramedian parietal good': 'clinical finding': 'right paramedian parietal good', 'existence': 'pos_dx', 'descriptive_term': 'right paramedian parietal', 'observation': 'good', 'recent trauma': 'clinical finding': 'recent trauma', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'trauma'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'normal pneumatization': 'clinical finding': 'normal pneumatization', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'pneumatization', 'strength_term': 'normal'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'tiny retention cyst': 'clinical finding': 'tiny retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'tiny retention', 'observation': 'cyst', 'strength_term': 'tiny' [/INST] [RESP] Nonenhanced head. There is no detectable acute posttraumatic intracranial or calvarial findings. Minimal soft tissue thickening of the scalp in the high convexity right paramedian parietal good result the patients recent trauma. The cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation remains within normal. Limited images through the orbits are unremarkable. All visualized paranasal sinuses and mastoid air cells demonstrate normal pneumatization. There is however a tiny retention cyst in the left maxillary sinus. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'transverse sinus': 'location descriptor': 'left', 'sigmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'filling defect': 'clinical finding': 'filling defect', 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'anatomical entity_fin: 'vein': location descriptor_fin: ['left']clinical findings_fin: 'opacify': 'clinical finding': 'opacify', 'existence': 'pos_dx', 'observation': 'opacify'anatomical entity_fin: 'transverse sinus': location descriptor_fin: ['left']anatomical entity_fin: 'internal cerebral veins': , 'straight sinus': clinical findings_fin: 'largethe internal cerebral veins , straight sinus and vena galen are all identified': 'clinical finding': 'largethe internal cerebral veins , straight sinus and vena galen are all identified'location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'transverse sinus': 'location descriptor': 'left', 'sigmoid sinus': 'location descriptor': 'left'imaging observation_fin: ['cord']location descriptor_fin: ['left']clinical findings_fin: 'hyperdense': 'clinical finding': 'hyperdense', 'existence': 'pos_dx', 'observation': 'hyperdense'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] Brain. There is a filling defect present within the left transverse sinus distally extending to the left sigmoid sinus. The left jugular vein does opacify at the jugular bulb. Please note that the left transverse sinus appears to be the dominant transverse sinus. The suprasellar drains are largeThe internal cerebral veins, straight sinus and vena Galen are all identified. The CSF spaces are appropriate for the patients stated age with no midline shift. There is a hyperdense cord sign present along the left transverse sinus extends to the left sigmoid sinus. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'right middle lobe consolidation': 'clinical finding': 'right middle lobe consolidation', 'existence': 'pos_dx', 'descriptive_term': 'right middle lobe', 'observation': 'consolidation'clinical findings_fin: 'scattered bronchial wall thickening': 'clinical finding': 'scattered bronchial wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'scattered bronchial wall', 'observation': 'thickening'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'clustered nodular opacities': 'clinical finding': 'clustered nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'clustered nodular', 'observation': 'opacity'anatomical entity_fin: 'lung': clinical findings_fin: 'bibasilar dependent atelectasis': 'clinical finding': 'bibasilar dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'atelectasis', 'new focal lung consolidation': 'clinical finding': 'new focal lung consolidation', 'existence': 'neg_dx', 'descriptive_term': 'new focal lung', 'observation': 'consolidation', 'temporal_term': 'new'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'calcified subcarinal lymph node': 'clinical finding': 'calcified subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'calcified subcarinal lymph', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'imaging observation_fin: ['blood']clinical findings_fin: 'anemia': 'clinical finding': 'anemia', 'existence': 'unc_dx', 'observation': 'anemia'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'procedure_fin: ['cholecystectomy']clinical findings_fin: 'splenic and hepatic calcifications': 'clinical finding': 'splenic and hepatic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'splenic and hepatic', 'observation': 'calcification' [/INST] [RESP] . Redemonstration of right middle lobe consolidation, appearing improved compared to the prior examination. Scattered bronchial wall thickening is not significantly changed. Clustered nodular opacities in the left upper lobe are unchanged. Bibasilar dependent atelectasis without new focal lung consolidation. No pneumothorax or pleural effusion. No significant mediastinal lymphadenopathy. There is a calcified subcarinal lymph node. The heart size is normal without pericardial effusion. Hypoattenuation of the blood pool is suggestive of anemia. Severe. Degenerative changes affect the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. The patient is status post cholecystectomy. Splenic and hepatic calcifications are unchanged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper', 'peripheral']clinical findings_fin: 'upper lobe predominant peripheral honeycombing': 'clinical finding': 'upper lobe predominant peripheral honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'upper lobe predominant peripheral', 'observation': 'honeycombing', 'associated architectural distortion': 'clinical finding': 'associated architectural distortion', 'existence': 'unc_dx', 'descriptive_term': 'associated architectural', 'observation': 'distortion', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'unc_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'significant air trapping': 'clinical finding': 'significant air trapping', 'existence': 'neg_dx', 'descriptive_term': 'significant air', 'observation': 'trapping', 'mosaic attenuation': 'clinical finding': 'mosaic attenuation', 'existence': 'neg_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral nonspecific micronodules': 'clinical finding': 'bilateral nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'bilateral nonspecific', 'observation': 'micronodule'clinical findings_fin: 'extensive mediastinal or hilar lymphadenopathy': 'clinical finding': 'extensive mediastinal or hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive mediastinal or hilar', 'observation': 'lymphadenopathy', 'strength_term': 'extensive'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'gallstones': 'clinical finding': 'gallstones', 'existence': 'neg_dx', 'observation': 'gallstone', 'cholecystitis': 'clinical finding': 'cholecystitis', 'existence': 'neg_dx', 'observation': 'cholecystitis'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'multiple enlarged lymph nodes': 'clinical finding': 'multiple enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Upper lobe predominant peripheral honeycombing is identified with associated architectural distortion or bronchiectasis. No significant air trapping or mosaic attenuation is noted on inspiratory prone and expiratory supine views. Bilateral nonspecific micronodules are noted. Extensive mediastinal or hilar lymphadenopathy is present. Gallstones are noted within the gallbladder with no evidence of cholecystitis although the gallbladder is not fully imaged on this exam. Multiple enlarged lymph nodes are noted in the upper abdomen. 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: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'size_fin: ['size': '1.3-cm', 'size_descriptor': 'number']anatomical entity_fin: 'right hepatic vein': location descriptor_fin: ['anterior']clinical findings_fin: 'small hypodense lesion': 'clinical finding': 'small hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'small hypodense', 'observation': 'lesion', 'strength_term': 'small'clinical findings_fin: 'benign hemangioma': 'clinical finding': 'benign hemangioma', 'existence': 'unc_dx', 'descriptive_term': 'benign', 'observation': 'hemangioma', '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'anatomical entity_fin: 'appendix': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation', 'appendicitis': 'clinical finding': 'appendicitis', 'existence': 'unc_dx', 'observation': 'appendicitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Simple cyst in the left lobe of the liver. Indeterminate small hypodense lesion anterior to the right hepatic vein, but is seen on image number 30, series number 4 measures 1.3-cm. Exact etiology is unknown but this may represent a benign hemangioma. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The appendix is not well-visualized, however, there is no inflammation the right lower quadrant to suggest appendicitis. No significant abnormality noted. No significant abnormality noted. Multiple fibroids 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: 'right frontal lobe': clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'residual': 'clinical finding': 'residual', 'existence': 'pos_dx', 'observation': 'residual'location descriptor_fin: ['midline']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'cortical sulci , ventricular system and all csf cisterns are within normal limits': 'clinical finding': 'cortical sulci , ventricular system and all csf cisterns are within normal limits'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'calvarium , visualized paranasal sinuses and mastoid air cells are unremarkable': 'clinical finding': 'calvarium , visualized paranasal sinuses and mastoid air cells are unremarkable' [/INST] [RESP] Examination again shows encephalomalacia in right frontal lobe which is stable since prior. The attenuation and morphology of the residual brain parenchyma is within normal limits for patients stated age. No evidence of hemorrhage, edema, mass-effect or midline shift is detected. Cortical sulci, ventricular system and all CSF cisterns are within normal limits. Calvarium, visualized 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: imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'apical radiation fibrosis': 'clinical finding': 'apical radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'apical radiation', 'observation': 'fibrosis', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'anatomical entity_fin: 'lung': , 'bases': location descriptor_fin: ['right', 'left']clinical findings_fin: 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'pos_dx', 'observation': 'fibrosis', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'rib': , 'scapula': , 'clavicle': imaging observation_fin: ['apical', 'margins']location descriptor_fin: ['right']clinical findings_fin: 'infiltrative soft tissue mass': 'clinical finding': 'infiltrative soft tissue mass', 'existence': 'pos_dx', 'descriptive_term': 'infiltrative soft tissue', 'observation': 'mass', 'eroded': 'clinical finding': 'eroded', 'existence': 'pos_dx', 'observation': 'erode', 'clear margins': 'clinical finding': 'clear margins', 'existence': 'neg_dx', 'descriptive_term': 'clear', 'observation': 'margin'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] . Right apical radiation fibrosis and volume loss is present. Linear bands of fibrosis with bronchiectasis extending towards the lung bases right greater than left. No suspicious nodules identified. There is no mediastinal or hilar lymphadenopathy. Infiltrative soft tissue mass between the right apical rib cage, the scapula and the clavicle, all of which are mildly eroded this does not have clear margins and so cannot be reproducibly measured. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'paranasal sinus': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'globe': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['prosthesis']anatomical entity_fin: 'cavernous sinus': , 'skull': , 'base': clinical findings_fin: 'normal cavernous sinus and skull base': 'clinical finding': 'normal cavernous sinus and skull base'size_fin: ['size': '2.6 x 2.2 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'hypopharynx': 'location descriptor': 'right', 'hyoid bone': , 'larynx': imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: 'lobulated heterogeneously enhancing mass': 'clinical finding': 'lobulated heterogeneously enhancing mass', 'existence': 'pos_dx', 'descriptive_term': 'lobulated heterogeneously enhancing', 'observation': 'mass', 'change_term': 'lobulated'anatomical entity_fin: 'carotid space': 'location descriptor': 'right', 'common carotid artery': location descriptor_fin: ['right']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mass', 'observation': 'effect'anatomical entity_fin: 'epiglottis': size_fin: ['size': '13 x 9 mm', 'size_descriptor': 'node']anatomical entity_fin: 'posterior cervical triangle lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'borderline enlarged right posterior cervical triangle lymph node': 'clinical finding': 'borderline enlarged right posterior cervical triangle lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged right posterior cervical triangle lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'size_fin: ['size': '1.3 x 3 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'maxilla': location descriptor_fin: ['anterior']clinical findings_fin: 'slightly expansile, lucent lesion': 'clinical finding': 'slightly expansile, lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'slightly expansile lucent', 'observation': 'lesion', 'cortical destruction': 'clinical finding': 'cortical destruction', 'existence': 'pos_dx', 'descriptive_term': 'cortical', 'observation': 'destruction'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'suspicious osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'thorax': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'postradiation changes': 'clinical finding': 'postradiation changes', 'existence': 'pos_dx', 'descriptive_term': 'postradiation', 'observation': 'change' [/INST] [RESP] Visualized paranasal sinus and mastoid air cells are normally pneumatized. Left globe prosthesis. Normal cavernous sinus and skull base. In the right hypopharynx at the level of the hyoid bone, there is a lobulated heterogeneously enhancing mass measuring 2.6 x 2.2 cm that nearly obliterates the peri-epiglottic space and larynx. This mass extends laterally into the right carotid space with mass effect on the common carotid artery. It also extends superiorly to the epiglottis and may be connected to the epiglottis. Borderline enlarged right posterior cervical triangle lymph node measuring 13 x 9 mm. No significant lymphadenopathy. Slightly expansile, lucent lesion in the maxilla anterior to the alveolar ridge measuring 1.3 x 3 cm without cortical destruction. Degenerative changes of the cervical spine but no suspicious osseous lesions. Limited view of the upper thorax demonstrates postsurgical changes from a gastric pull up, not significantly changed. Postradiation changes in the right apex are stable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'suprahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'infrahyoid neck': clinical findings_fin: 'lymphadenopathy_1': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'lymphadenopathy_2': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'size_fin: ['size': '9x17 mm', 'size_descriptor': 'node']anatomical entity_fin: 'hilum': , 'visceral space': , 'thyroid gland': location descriptor_fin: ['right']clinical findings_fin: '9x17 mm lymph node': 'clinical finding': '9x17 mm lymph node', 'existence': 'pos_dx', 'descriptive_term': '9x17 mm lymph', 'observation': 'node', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['posterior']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'cervical vertebral bodies': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact', 'canal stenosis': 'clinical finding': 'canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'canal', 'observation': 'stenosis'anatomical entity_fin: 'c5 vertebral body': location descriptor_fin: ['anterior']clinical findings_fin: 'anterior compression': 'clinical finding': 'anterior compression', 'existence': 'pos_dx', 'descriptive_term': 'anterior', 'observation': 'compression'anatomical entity_fin: 'posterior longitudinal ligament': clinical findings_fin: 'mild ossification': 'clinical finding': 'mild ossification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ossification', 'strength_term': 'mild'size_fin: ['size': '48 x 18 mm', 'size_descriptor': 'dimensions', 'size': '41 mm', 'size_descriptor': 'length']anatomical entity_fin: 'occiput': location descriptor_fin: ['superior', 'inferior']clinical findings_fin: 'lipoma': 'clinical finding': 'lipoma', 'existence': 'pos_dx', 'observation': 'lipoma' [/INST] [RESP] Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. There is a 9x17 mm lymph node present with a fatty hilum located at the right submandibular spaceWithin the visceral space the thyroid gland appears intact. The airway appears patent. The visualized intracranial structures which include the posterior fossa are intact. The visualized portions of the orbits are intact. The paranasal sinuses are clear. The mastoid air cells are clear. The parotid and the submandibular glands appear intact. The visualized lung apices appear clear. The carotid and vertebral vasculature visualized on this exam appears intact. The cervical vertebral bodies in general are intact with no evidence for canal stenosis. There is anterior compression of the C5 vertebral body by approximately 15%. There is a mild ossification of the posterior longitudinal ligament at C3-4 and C4-5. There is a lipoma present along the occiput measuring 48 x 18 mm axial dimensions and 41 mm superior inferior length. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'chest': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['port']clinical findings_fin: 'left chest port-a-cath': 'clinical finding': 'left chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'left chest', 'observation': 'port-a-'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'linear atelectasis': 'clinical finding': 'linear atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'anterior chest': 'location descriptor': 'right', 'axilla': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'abdomen': 'location descriptor': 'left'location descriptor_fin: ['left']procedure_fin: ['gastric banding']clinical findings_fin: 'gastric banding device': 'clinical finding': 'gastric banding device', 'existence': 'pos_dx', 'descriptive_term': 'gastric banding', 'observation': 'device'anatomical entity_fin: 'neck': , 'chest': , 'abdomen': , 'pelvis': clinical findings_fin: 'suspicious fdg avid lesion': 'clinical finding': 'suspicious fdg avid lesion', 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg avid', 'observation': 'lesion', 'tumor': 'clinical finding': 'tumor', 'existence': 'unc_dx', 'observation': 'tumor' [/INST] [RESP] Todays CT portion grossly demonstrates left chest Port-A-Cath with tip in the SVC. Linear atelectasis or scarring in the right middle lobe. Postsurgical changes in the right anterior chest and right axilla. A gastric banding device is seen in the left abdomen. Todays PET examination demonstrates no suspicious FDG avid lesion to indicate tumor activity currently in the neck, chest, abdomen or pelvis. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild emphysema': 'clinical finding': 'mild emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '5 mm', 'size': '10 mm', 'size': '14 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower', 'right']clinical findings_fin: 'benign-appearing left lower lobe nodule': 'clinical finding': 'benign-appearing left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'benign-appearing left lower lobe', 'observation': 'nodule', 'strength_term': 'benign', 'right hilar lymph node': 'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'heart size and pericardium normal': 'clinical finding': 'heart size and pericardium normal'anatomical entity_fin: 'esophagus': clinical findings_fin: 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'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: 'hepatic cyst': 'clinical finding': 'hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': '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'size_fin: ['size': '23 x 37 mm']location descriptor_fin: ['left']clinical findings_fin: 'unchanged left adrenal mass': 'clinical finding': 'unchanged left adrenal mass', 'existence': 'pos_dx', 'descriptive_term': 'unchanged left adrenal', 'observation': 'mass', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'multiple renal cyst like hypodensities': 'clinical finding': 'multiple renal cyst like hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple renal cyst like', 'observation': 'hypodensity', 'quantity_term': 'multiple'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: '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] . Mild emphysema. Stable 5 mm benign-appearing left lower lobe nodule image 84 series Previously described right hilar lymph node less prominent, 10 mm image 42 series 3, previously 14 mm. Heart size and pericardium normal. Patulous esophagus unchanged. Moderate. Degenerative changes affect the thoracic lumbar spine. Absence of enteric contrast material limits sensitivity for abdominal pathology. Hepatic cyst like hypodensities are stable. No significant abnormality noted. Unchanged left adrenal mass 23 x 37 mm, likely benign given its stability. Multiple renal cyst like hypodensities are stable. 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: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'scalp': clinical findings_fin: 'orbits , skull , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'ethmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'left ethmoid sinus': 'clinical finding': 'left ethmoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'left ethmoid', 'observation': 'sinus'location descriptor_fin: ['right'] [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, and scalp soft tissues are grossly unremarkable. There is opacification of a left ethmoid sinus. There is nasal septal deviation to the right. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'orbits': , 'mastoid air cells': clinical findings_fin: 'orbits and mastoid air cells are unremarkable': 'clinical finding': 'orbits and mastoid air cells are unremarkable'location descriptor_fin: ['posterior']clinical findings_fin: 'limited view of intracranial structure shows': 'clinical finding': 'limited view of intracranial structure shows'anatomical entity_fin: 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'newly developed stranding and air-fluid level': 'clinical finding': 'newly developed stranding and air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'newly developed stranding and air-fluid', 'observation': 'level', 'circumferential mild mucosal thickening': 'clinical finding': 'circumferential mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral ostiomeatal complexes': 'clinical finding': 'bilateral ostiomeatal complexes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral ostiomeatal', 'observation': 'complex', 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'cells': location descriptor_fin: ['anterior', 'right']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening', 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'nasal cavity': 'location descriptor': 'right'location descriptor_fin: ['deviated', 'right']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', 'bony spur': 'clinical finding': 'bony spur', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'spur'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': location descriptor_fin: ['lateral']clinical findings_fin: 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal': 'clinical finding': 'cribriform plate , lateral lamellae , fovea ethmoidalis and lamina papyracea appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] The orbits and mastoid air cells are unremarkable. Limited view of intracranial structure shows increased CSF space in the posterior fossa, which may represent large cistern magna. There has newly developed stranding and air-fluid level in bilateral maxillary sinuses with circumferential mild mucosal thickening. Bilateral ostiomeatal complexes are narrowed. Mucosal thickening in anterior ethmoid air cells are more severe on the right and the right frontal-ethmoid recess is occluded. The sphenoid and frontal sinuses are clear. The ethmosphenoid recess is patent. The nasal septum is deviated to the right with a bony spur protruding into the right nasal cavity. The cribriform plate, lateral lamellae, 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: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'mild hypoinflation': 'clinical finding': 'mild hypoinflation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'hypoinflation', 'strength_term': 'mild', 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis', 'minimal scarring': 'clinical finding': 'minimal scarring', 'existence': 'unc_dx', 'descriptive_term': 'minimal', 'observation': 'scarr', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'small stable nodule': 'clinical finding': 'small stable nodule', 'existence': 'unc_dx', 'descriptive_term': 'small stable', 'observation': 'nodule', 'strength_term': 'small - stable', 'change_term': 'stable'clinical findings_fin: 'associated minimal basilar varicose bronchiectasis': 'clinical finding': 'associated minimal basilar varicose bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated minimal basilar varicose', 'observation': 'bronchiectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'mild emphysema': 'clinical finding': 'mild emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'associated new or enlarged nodules': 'clinical finding': 'associated new or enlarged nodules', 'existence': 'neg_dx', 'descriptive_term': 'associated new or enlarged', 'observation': 'nodule', 'strength_term': 'enlarged', 'temporal_term': 'new', 'change_term': 'enlarged', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'unc_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'location descriptor_fin: ['left']procedure_fin: ['mastectomy']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'flowing osteophytes': 'clinical finding': 'flowing osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'flowing', 'observation': 'osteophyte', 'disk preservation': 'clinical finding': 'disk preservation', 'existence': 'pos_dx', 'descriptive_term': 'disk', 'observation': 'preservation'anatomical entity_fin: 'liver': 'location descriptor': 'left', 'lobes': location descriptor_fin: ['right', 'left']clinical findings_fin: 'multiple scattered hypodensities': 'clinical finding': 'multiple scattered hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered', 'observation': 'hypodensity', 'quantity_term': 'multiple'size_fin: ['size': '2.3 x 2.2 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'peripherally remains stable': 'clinical finding': 'peripherally remains stable', 'change_term': 'stable'clinical findings_fin: 'suspected cysts': 'clinical finding': 'suspected cysts', 'existence': 'pos_dx', 'descriptive_term': 'suspected', 'observation': 'cyst'clinical findings_fin: 'new lesions': 'clinical finding': 'new lesions', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'remaining visualized upper abdominal structures': 'clinical finding': 'remaining visualized upper abdominal structures' [/INST] [RESP] . Mild hypoinflation with basilar atelectasis and or or minimal scarring and small stable nodule in the right middle lobe. Associated minimal basilar varicose bronchiectasis and mild emphysema. No associated new or enlarged nodules or masses. No effusions. Borderline cardiac size. No lymphadenopathy. Small hiatal hernia suspected. Status post left mastectomy with postsurgical changes. Pronounced flowing osteophytes with disk preservation suggesting DISH. Multiple scattered hypodensities throughout the visualized portions of the right and left liver lobes. The largest in the left lobe peripherally remains stable measuring up to 2.3 x 2.2 cm. Suspected cysts. No new lesions. Remaining visualized upper abdominal structures unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'hypopharynx': , 'glottis': location descriptor_fin: ['left']clinical findings_fin: 'heterogeneous mass lesion': 'clinical finding': 'heterogeneous mass lesion', 'existence': 'unc_dx', 'descriptive_term': 'heterogeneous mass', 'observation': 'lesion'anatomical entity_fin: 'thyroarytenoid muscle': 'location descriptor': 'left'imaging observation_fin: ['cord']location descriptor_fin: ['medial', 'left']size_fin: ['size': '5 cm', 'size': '3.4 x 3.1 cm']location descriptor_fin: ['caudal']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'imaging observation_fin: ['margins']clinical findings_fin: 'indistinctness': 'clinical finding': 'indistinctness', 'existence': 'pos_dx', 'observation': 'indistinctness', 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'hypopharynx': clinical findings_fin: 'impingement': 'clinical finding': 'impingement', 'existence': 'pos_dx', 'observation': 'impingement'clinical findings_fin: 'definite enhancement': 'clinical finding': 'definite enhancement', 'existence': 'neg_dx', 'descriptive_term': 'definite', 'observation': 'enhancement'imaging observation_fin: ['fat']clinical findings_fin: 'apparent fat density': 'clinical finding': 'apparent fat density', 'existence': 'pos_dx', 'descriptive_term': 'apparent fat', 'observation': 'density', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass', 'liposarcoma': 'clinical finding': 'liposarcoma', 'existence': 'pos_dx', 'observation': 'liposarcoma'anatomical entity_fin: 'neck': clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change', 'foraminal narrowing': 'clinical finding': 'foraminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'foraminal', 'observation': 'narrowing'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']clinical findings_fin: 'atherosclerotic disease': 'clinical finding': 'atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease', 'obvious significant stenoses': 'clinical finding': 'obvious significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'obvious significant', 'observation': 'stenoses'anatomical entity_fin: 'arteries': anatomical entity_fin: 'right lung': , 'apex': , 'pleura': clinical findings_fin: 'linear density': 'clinical finding': 'linear density', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'density', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'clinical findings_fin: 'prior inflammatory disease': 'clinical finding': 'prior inflammatory disease', 'existence': 'unc_dx', 'descriptive_term': 'prior inflammatory', 'observation': 'disease'clinical findings_fin: 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase' [/INST] [RESP] Examination demonstrates heterogeneous mass lesion within the hypopharynx beginning at the level of the vallecula on the left and extending inferiorly to the level of the glottis. There is medial deviation of the left cord and there may be involvement of the left thyroarytenoid muscle. Mass measures approximately 5 cm in cranial caudal dimension and approximately 3.4 x 3.1 cm in axial dimension. It is difficult to give exact measurements due to the indistinctness of the margins of the lesion. There is impingement on the hypopharynx. No definite enhancement is seen. There are areas of apparent fat density within the mass consistent with history of liposarcoma. I see no evidence of bony involvement. There is no evidence of pathologic lymphadenopathy within the neck. Note is made of degenerative changes throughout the cervical spine with foraminal narrowing at multiple levels. Incidental note is made of atherosclerotic disease involving the proximal internal carotid arteries bilaterally but without obvious significant stenoses. It is not a dedicated study of the carotid arteries. At the right lung apex there is linear density which has the appearance of thickening of the pleura. This may represent prior inflammatory disease. Less likely I cannot entirely rule the possibility of metastases. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right', 'upper', 'adjacent']clinical findings_fin: 'right upper lobectomy': 'clinical finding': 'right upper lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'right upper', 'observation': 'lobectomy', 'postoperative': 'clinical finding': 'postoperative', 'existence': 'unc_dx', 'observation': 'postoperative', 'residual disease': 'clinical finding': 'residual disease', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'disease', 'temporal_term': 'residual'location descriptor_fin: ['bilateral', 'peripheral']clinical findings_fin: 'multiple new bilateral peripheral nodules': 'clinical finding': 'multiple new bilateral peripheral nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple new bilateral peripheral', 'observation': 'nodule', 'quantity_term': 'multiple', 'temporal_term': 'new', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'size_fin: ['size': '21 x 17 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: 'these nodules': 'clinical finding': 'these nodules', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'nodule', 'scar': 'clinical finding': 'scar', 'existence': 'pos_dx', 'observation': 'scar'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'clinical findings_fin: 'mild coronary and aortic calcifications': 'clinical finding': 'mild coronary and aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary and aortic', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'size_fin: ['size': '9-mm', 'size': '3-mm']anatomical entity_fin: 'axis': location descriptor_fin: ['right']clinical findings_fin: 'high right paratracheal lymph node': 'clinical finding': 'high right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'high right paratracheal lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'lucent thoracic vertebral body lesion': 'clinical finding': 'lucent thoracic vertebral body lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent thoracic vertebral body', 'observation': 'lesion'anatomical entity_fin: 'rib': location descriptor_fin: ['left', 'displaced']clinical findings_fin: 'chronic rib fractures': 'clinical finding': 'chronic rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'chronic rib', 'observation': 'fracture', 'temporal_term': 'chronic', 'displaced': 'clinical finding': 'displaced', 'existence': 'pos_dx', 'observation': 'displace'anatomical entity_fin: 'spine': clinical findings_fin: 'dish': 'clinical finding': 'dish', 'existence': 'pos_dx', 'observation': 'dish'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'size_fin: ['size': '6.4 x 4 cm', 'size_descriptor': 'metastases']anatomical entity_fin: 'lobes': , 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'multiple hepatic metastases': 'clinical finding': 'multiple hepatic metastases', 'existence': 'pos_dx', 'descriptive_term': 'multiple hepatic', 'observation': 'metastase', 'quantity_term': 'multiple'size_fin: ['size': '2-cm']anatomical entity_fin: 'common bile duct': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'head': procedure_fin: ['cholecystectomy']clinical findings_fin: 'mild intrahepatic biliary ductal dilatation is unchanged': 'clinical finding': 'mild intrahepatic biliary ductal dilatation is unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Right upper lobectomy with minimal nonspecific soft tissue adjacent to the resection site which may be postoperative or could reflect residual disease. Multiple new bilateral peripheral nodules, compatible with metastatic disease. The largest of these nodules in the right lower lobe adjacent to a scar measures 21 x 17 mm. Centrilobular emphysema unchanged. Mild coronary and aortic calcifications. Heart size is normal without pericardial effusion. A high right paratracheal lymph node has enlarged compared to the previous examination, 9-mm in short axis compared to 3-mm previously. Lucent thoracic vertebral body lesion is unchanged. Chronic rib fractures on the left, one of which appears mildly displaced. DISH of the spine. Right chest port. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple hepatic metastases in both lobes, the largest of which measures 6.4 x 4 cm in the right lobe. The common bile duct is incompletely visualized but is dilated measuring 2-cm in in transverse dimension on series 4 image 106. Mild intrahepatic biliary ductal dilatation is unchanged and cholecystectomy has been performed so this may be a chronic finding however the pancreatic head is not included within this scanning range. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'location descriptor_fin: ['left']clinical findings_fin: 'left hilar adenopathy': 'clinical finding': 'left hilar adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left hilar', 'observation': 'adenopathy', 'prior granulomatous infection': 'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'stable non-calcified small mediastinal lymph nodes': 'clinical finding': 'stable non-calcified small mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable non-calcified small mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - small', 'change_term': 'stable - calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small calcified gallstone': 'clinical finding': 'small calcified gallstone', 'existence': 'pos_dx', 'descriptive_term': 'small calcified', 'observation': 'gallstone', 'strength_term': 'small', 'change_term': 'calcified'anatomical entity_fin: 'liver': clinical findings_fin: 'focal liver lesions': 'clinical finding': 'focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion'anatomical entity_fin: 'spleen': clinical findings_fin: 'punctate calcification': 'clinical finding': 'punctate calcification', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous infection': 'clinical finding': 'prior granulomatous infection', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'size_fin: ['size': '17 cm']clinical findings_fin: 'splenomegaly': 'clinical finding': 'splenomegaly', 'existence': 'pos_dx', 'observation': 'splenomegaly'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['staple']anatomical entity_fin: 'mesenteric lymph nodes': clinical findings_fin: 'scattered small mesenteric lymph nodes': 'clinical finding': 'scattered small mesenteric lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small mesenteric lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'bowel': , 'mesentery': clinical findings_fin: 'very widemouth ventral hernia': 'clinical finding': 'very widemouth ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'very widemouth ventral', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '7.5 x 5.9 cm', 'size_descriptor': 'prostate']anatomical entity_fin: 'prostate': clinical findings_fin: 'markedly enlarged': 'clinical finding': 'markedly enlarged', 'existence': 'pos_dx', 'descriptive_term': 'markedly', 'observation': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild centrilobular emphysema. Calcified mediastinal and left hilar adenopathy consistent with prior granulomatous infection. There are also stable non-calcified small mediastinal lymph nodes. No significant abnormality noted. Small calcified gallstone. No focal liver lesions. Punctate calcification in the spleen from prior granulomatous infection. Splenomegaly measuring 17 cm in craniocaudal dimension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Staple line from partial gastrectomy. Scattered small mesenteric lymph nodes. Very widemouth ventral hernia containing bowel and mesentery, grossly stable. No significant abnormality noted. Markedly enlarged prostate, 7.5 x 5.9 cm. 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: 'nonspecific micronodules': 'clinical finding': 'nonspecific micronodules', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule'clinical findings_fin: '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'size_fin: ['size': '3.7 cm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'unchanged ectasia': 'clinical finding': 'unchanged ectasia', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'ectasia', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'clinical findings_fin: 'severe coronary artery calcification': 'clinical finding': 'severe coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'liver': clinical findings_fin: 'cystlike hypodensity': 'clinical finding': 'cystlike hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'cystlike', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'atherosclerosis': 'clinical finding': 'atherosclerosis', 'existence': 'pos_dx', 'observation': 'atherosclerosis' [/INST] [RESP] . Nonspecific micronodules slightly more prominent since 3/10/10. No pleural effusion. No mediastinal or hilar lymphadenopathy. Unchanged ectasia of the ascending aorta at 3.7 cm. Severe coronary artery calcification. Degenerative changes of the spine. Cystlike hypodensity within the 7 segment of the liver is unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerosis of the aorta and its tributaries. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left frontal lobe': clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'remote infarct': 'clinical finding': 'remote infarct', 'existence': 'pos_dx', 'descriptive_term': 'remote', 'observation': 'infarct'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'focal lesion': 'clinical finding': 'focal lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'lesion', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'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: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'ventricles and sulci retain normal size configuration': 'clinical finding': 'ventricles and sulci retain normal size configuration'location descriptor_fin: ['midline']clinical findings_fin: 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'clinical findings_fin: 'calvarium has normal mineralization': 'clinical finding': 'calvarium has normal mineralization'anatomical entity_fin: 'paranasal sinuses': , 'sphenoid sinus': 'location descriptor': 'left', 'mucus': location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear', 'small left sphenoid sinus mucus retention cyst': 'clinical finding': 'small left sphenoid sinus mucus retention cyst', 'existence': 'unc_dx', 'descriptive_term': 'small left sphenoid sinus mucus retention', 'observation': 'cyst', 'strength_term': 'small', 'polyp': 'clinical finding': 'polyp', 'existence': 'unc_dx', 'observation': 'polyp'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable' [/INST] [RESP] There is a geographic area of encephalomalacia in the left frontal lobe consistent with remote infarct and unchanged relative to December 2009. Outside this region, attenuation of the brain parenchyma is normal with no evidence of focal lesion or mass. There is no CT evidence of acute territorial ischemia. There is no acute intracranial hemorrhage or extra-axial collection. Ventricles and sulci retain normal size configuration. There is no midline shift or basal cistern effacement. Calvarium has normal mineralization. Paranasal sinuses are clear apart from a small left sphenoid sinus mucus retention cyst or polyp. Orbital contents are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'interval postsurgical changes': 'clinical finding': 'interval postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'interval postsurgical', 'observation': 'change'imaging observation_fin: ['blood products']location descriptor_fin: ['left']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus', 'blood products': 'clinical finding': 'blood products', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'site'imaging observation_fin: ['hematoma']location descriptor_fin: ['left']procedure_fin: ['embolization']clinical findings_fin: 'frontal-parietal parenchymal hematoma': 'clinical finding': 'frontal-parietal parenchymal hematoma', 'existence': 'pos_dx', 'descriptive_term': 'frontal-parietal parenchymal', 'observation': 'hematoma', 'arteriovenous malformation': 'clinical finding': 'arteriovenous malformation', 'existence': 'pos_dx', 'descriptive_term': 'arteriovenous', 'observation': 'malformation'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', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'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 has been interval postsurgical changes status post left parietal craniotomy. There is small amount of pneumocephalus and blood products at the surgical site and left frontal region. There are embolization materials within the left frontal-parietal parenchymal hematoma, consistent with embolization of an arteriovenous malformation. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, midline shift. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cecal': 'clinical finding': 'cecal', 'existence': 'pos_dx', 'observation': 'cecal', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'pericecal inflammation': 'clinical finding': 'pericecal inflammation', 'existence': 'pos_dx', 'descriptive_term': 'pericecal', 'observation': 'inflammation'anatomical entity_fin: 'appendix': clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'clinical findings_fin: 'few scattered cecal diverticula': 'clinical finding': 'few scattered cecal diverticula', 'existence': 'pos_dx', 'descriptive_term': 'few scattered cecal', 'observation': 'diverticula', 'quantity_term': 'few'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cecal': 'clinical finding': 'cecal', 'existence': 'pos_dx', 'observation': 'cecal', 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'pericecal inflammation': 'clinical finding': 'pericecal inflammation', 'existence': 'pos_dx', 'descriptive_term': 'pericecal', 'observation': 'inflammation'anatomical entity_fin: 'appendix': clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'clinical findings_fin: 'few scattered cecal diverticula': 'clinical finding': 'few scattered cecal diverticula', 'existence': 'pos_dx', 'descriptive_term': 'few scattered cecal', 'observation': 'diverticula', 'quantity_term': 'few'anatomical entity_fin: 'fluid': anatomical entity_fin: 'spine': clinical findings_fin: 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral renal cysts. No hydronephrosis or nephrolithiasis. No significant abnormality noted. Cecal thickening with pericecal inflammation. The appendix is normal in caliber and contains gas. There are few scattered cecal diverticula. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Cecal thickening with pericecal inflammation. The appendix is normal in caliber and contains gas. There are few scattered cecal diverticula. No pericolonic fluid collections. Scoliosis of the thoracolumbar spine. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['apical']clinical findings_fin: 'mild apical paraseptal emphysema': 'clinical finding': 'mild apical paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild apical paraseptal', 'observation': 'emphysema', 'strength_term': 'mild'size_fin: ['size': '15 x 12 mm', 'size_descriptor': 'opacity']anatomical entity_fin: 'azygoesophageal recess': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'ill-defined 15 x 12 mm opacity': 'clinical finding': 'ill-defined 15 x 12 mm opacity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined 15 x 12 mm', 'observation': 'opacity', 'strength_term': 'ill-defined'anatomical entity_fin: 'lungs': clinical findings_fin: 'elsewhere , the lungs are unremarkable': 'clinical finding': 'elsewhere , the lungs are unremarkable'clinical findings_fin: 'calcified lymph nodes': 'clinical finding': 'calcified lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': , 'pericardium': clinical findings_fin: 'nonspecific localized thickening': 'clinical finding': 'nonspecific localized thickening', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific localized', 'observation': 'thickening'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'mild hypertrophic degenerative abnormalities': 'clinical finding': 'mild hypertrophic degenerative abnormalities', 'existence': 'pos_dx', 'descriptive_term': 'mild hypertrophic degenerative', 'observation': 'abnormality', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'low dose technique': 'clinical finding': 'low dose technique'anatomical entity_fin: 'abdominal': 'location descriptor': 'upper'location descriptor_fin: ['upper']object_fin: ['surgical clip']clinical findings_fin: 'upper abdominal calcified granuloma': 'clinical finding': 'upper abdominal calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'upper abdominal calcified', 'observation': 'granuloma', 'change_term': 'calcified', 'surgical clip': 'clinical finding': 'surgical clip', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'clip' [/INST] [RESP] . Mild apical paraseptal emphysema. Ill-defined 15 x 12 mm opacity in the right azygoesophageal recess image 178 series 5 has an appearance of being post inflammatory but should be followed on subsequent examinations. Elsewhere, the lungs are unremarkable. Calcified lymph nodes from healed granulomatous disease, but no lymphadenopathy identified. Heart size normal, the pericardium show a nonspecific localized thickening anteriorly. None. Mild hypertrophic degenerative abnormalities affect the lower thoracic spine. Low dose technique markedly limits sensitivity for abdominal pathology. Upper abdominal calcified granuloma or surgical clip. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'mastoid air cells': , 'scalp': clinical findings_fin: 'orbits , skull , mastoid air cells , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , mastoid air cells , and scalp soft tissues are grossly unremarkable'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partially imaged probable retention cyst': 'clinical finding': 'partially imaged probable retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged probable retention', 'observation': 'cyst', 'strength_term': 'partially' [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration. There is a partially empty sella. There is no midline shift or herniation. The orbits, skull, mastoid air cells, and scalp soft tissues are grossly unremarkable. There is a partially imaged probable retention cyst in the right maxillary sinus. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'frontal bone': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification', 'disturbance': 'clinical finding': 'disturbance', 'existence': 'neg_dx', 'observation': 'disturbance'clinical findings_fin: 'dystrophic': 'clinical finding': 'dystrophic', 'existence': 'unc_dx', 'observation': 'dystrophic', 'old sebaceous cyst': 'clinical finding': 'old sebaceous cyst', 'existence': 'unc_dx', 'descriptive_term': 'old sebaceous', 'observation': 'cyst', 'temporal_term': 'old'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': , 'cells': location descriptor_fin: ['left']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear', 'some mild mucosal thickening': 'clinical finding': 'some mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'some mild mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'quantity_term': 'some'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] There is a small round focus of calcification overlying the left frontal bone, with no disturbance to the outer table of the calvarium. This may be dystrophic or related to an old sebaceous cyst. The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the paranasal sinuses are clear with the exception of some mild mucosal thickening of the left ethmoid air cells. 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: 'chest': , 'abdomen': , 'pelvis': location descriptor_fin: ['subsegmental']clinical findings_fin: 'bibasilar streaky opacities': 'clinical finding': 'bibasilar streaky opacities', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar streaky', 'observation': 'opacity', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'location descriptor_fin: ['left']clinical findings_fin: 'minimal fdg uptake': 'clinical finding': 'minimal fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'minimal fdg', 'observation': 'uptake', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'left cervical lymph node': 'clinical finding': 'left cervical lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left cervical lymph', 'observation': 'node'anatomical entity_fin: 'neck': 'location descriptor': 'left posterior'location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'minimal fdg uptake': 'clinical finding': 'minimal fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'minimal fdg', 'observation': 'uptake', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'head': , 'neck': , 'chest': , 'abdomen': , 'pelvis': imaging observation_fin: ['foci']clinical findings_fin: 'additional abnormal foci': 'clinical finding': 'additional abnormal foci', 'existence': 'neg_dx', 'descriptive_term': 'additional abnormal', 'observation': 'foci', 'fdg uptake': 'clinical finding': 'fdg uptake', 'existence': 'neg_dx', 'descriptive_term': 'fdg', 'observation': 'uptake' [/INST] [RESP] Todays CT portion of the chest, abdomen and pelvis grossly demonstrate bibasilar streaky opacities, which may represent subsegmental atelectasis. Todays PET examination demonstrates minimal FDG uptake in a left cervical lymph node , likely inflammatory in etiology. There is an additional subcutaneous focus of minimal FDG uptake in the left posterior neck, also favored to be inflammatory in etiology. There are no additional abnormal foci of FDG uptake in the imaged head, neck, chest, abdomen and pelvis. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'paraseptal emphysema': 'clinical finding': 'paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'paraseptal', 'observation': 'emphysema'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'liver': clinical findings_fin: 'scattered hypodense lesions': 'clinical finding': 'scattered hypodense lesions', 'existence': 'unc_dx', 'descriptive_term': 'scattered hypodense', 'observation': 'lesion', 'cysts': 'clinical finding': 'cysts', 'existence': 'unc_dx', 'observation': 'cyst'anatomical entity_fin: 'spleen': clinical findings_fin: 'nonspecific subcentimeter hypodense lesions': 'clinical finding': 'nonspecific subcentimeter hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subcentimeter hypodense', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'sacroiliac joints': , 'hips': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'sigmoid colon': imaging observation_fin: ['enhancing', 'fat']clinical findings_fin: 'circumferential wall thickening': 'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening', 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement', 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand'clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'neg_dx', 'observation': 'abscess', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation'clinical findings_fin: 'surrounding sclerosis': 'clinical finding': 'surrounding sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'sclerosis', 'prominent subchondral cysts': 'clinical finding': 'prominent subchondral cysts', 'existence': 'unc_dx', 'descriptive_term': 'prominent subchondral', 'observation': 'cyst', 'strength_term': 'prominent'anatomical entity_fin: 'sacroiliac joints': , 'hips': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'unc_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . Paraseptal emphysema. No pleural effusion. Scattered hypodense lesions in the liver are likely cysts, though most are too small to characterize. Nonspecific subcentimeter hypodense lesions in the spleen, too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of bowel obstruction. Degenerative disease affects both sacroiliac joints and both hips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Circumferential wall thickening and enhancement of the descending and sigmoid colon with multiple enhancing diverticula and surrounding fat stranding favors an inflammatory process, and a neoplastic etiology is less likely. No evidence of abscess, obstruction or perforation. Small lucencies in the iliac bone with surrounding sclerosis are nonspecific, though likely represent prominent subchondral cysts. Degenerative disease affects both sacroiliac joints and both hips. Free fluid in the pelvis is likely reactive. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'anatomical entity_fin: 'coronary arteries': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'multiple unchanged hypoattenuating hepatic lesions': 'clinical finding': 'multiple unchanged hypoattenuating hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple unchanged hypoattenuating hepatic', 'observation': 'lesion', 'strength_term': 'unchanged', 'quantity_term': 'multiple', 'change_term': 'unchanged', 'cysts': 'clinical finding': 'cysts', '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'location descriptor_fin: ['left']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'soft tissue': 'clinical finding': 'soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'soft', 'observation': 'tissue'location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: 'retroperitoneum': object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'size_fin: ['size': '9 x 7 mm', 'size_descriptor': 'node']location descriptor_fin: ['left']clinical findings_fin: 'index left retroperitoneal lymph node': 'clinical finding': 'index left retroperitoneal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'index left retroperitoneal lymph', 'observation': 'node'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered pulmonary micronodules are unchanged. Atherosclerotic calcifications of the coronary arteries. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. Multiple unchanged hypoattenuating hepatic lesions likely represent cysts. No significant abnormality noted. No significant abnormality noted. Surgical clips and soft tissue in the left adrenal bed appear unchanged. Status post left nephrectomy. Surgical clips in the renal bed and retroperitoneum are again noted. Index left retroperitoneal lymph node measures 9 x 7 mm, not significantly changed. The small bowel is normal in caliber. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'ventricles and sulci are normal in size': 'clinical finding': 'ventricles and sulci are normal in size'location descriptor_fin: ['midline']clinical findings_fin: 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'acute cerebral or cerebellar cortical infarction': 'clinical finding': 'acute cerebral or cerebellar cortical infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute cerebral or cerebellar cortical', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'fluid': , 'middle ear cavities': 'location descriptor': 'bilateral', 'mastoid air cells': location descriptor_fin: ['bilateral']clinical findings_fin: 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell' [/INST] [RESP] The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. Incidental note is made of fluid within bilateral middle ear cavities and mastoid air cells. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'imaging observation_fin: ['apical']location descriptor_fin: ['right']clinical findings_fin: 'right apical scarring': 'clinical finding': 'right apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'right apical', 'observation': 'scarr'location descriptor_fin: ['right']clinical findings_fin: 'right-sided calcified pleural plaques': 'clinical finding': 'right-sided calcified pleural plaques', 'existence': 'pos_dx', 'descriptive_term': 'right-sided calcified pleural', 'observation': 'plaque', 'change_term': 'calcified'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'scar-like lesion': 'clinical finding': 'scar-like lesion', 'existence': 'pos_dx', 'descriptive_term': 'scar-like', 'observation': 'lesion', 'internal density': 'clinical finding': 'internal density', 'existence': 'pos_dx', 'descriptive_term': 'internal', 'observation': 'density'size_fin: ['size': '1.3 x 2.5 cm', 'size_descriptor': 'portion']location descriptor_fin: ['central']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'pos_dx', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'probable pneumatocele': 'clinical finding': 'probable pneumatocele', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'pneumatocele'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'slightly thickened, linear scarring': 'clinical finding': 'slightly thickened, linear scarring', 'existence': 'pos_dx', 'descriptive_term': 'slightly thickened linear', 'observation': 'scarr', 'change_term': 'thickened'size_fin: ['size': '0.8 x 2.1 cm']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', 'reference precarinal region node': 'clinical finding': 'reference precarinal region node', 'existence': 'pos_dx', 'descriptive_term': 'reference precarinal region', 'observation': 'node'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly', 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy wires': 'clinical finding': 'median sternotomy wires', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'wire'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Traction bronchiectasis in the anterior right upper lobe. Right apical scarring, unchanged. Right-sided calcified pleural plaques. Scar-like lesion in the right upper lobe posteriorly has increased in internal density since 2007. The central portion of the lesion measures 1.3 x 2.5 cm on series 5 image 102. Probable pneumatocele right lower lobe. Slightly thickened, linear scarring at the same level in the left upper lobe similar in appearance. Small mediastinal lymph nodes unchanged, reference precarinal region node image 34 measures 0.8 x 2.1 cm at the reference level , slight differences may be due to patient positioning. Cardiomegaly and moderate coronary artery calcifications. Median sternotomy wires. CT ENHANCED UPPER ABDOMEN [/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: 'aorta': clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'anatomical entity_fin: 'main pulmonary artery': location descriptor_fin: ['central']clinical findings_fin: 'central filling defect': 'clinical finding': 'central filling defect', 'existence': 'neg_dx', 'descriptive_term': 'central filling', 'observation': 'defect', 'main pulmonary': 'clinical finding': 'main pulmonary', 'existence': 'neg_dx', 'descriptive_term': 'main', 'observation': 'pulmonary', 'central pulmonary emboli': 'clinical finding': 'central pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'central pulmonary', 'observation': 'emboli', 'smaller emboli': 'clinical finding': 'smaller emboli', 'existence': 'unc_dx', 'descriptive_term': 'smaller', 'observation': 'emboli'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': , 'spleen': clinical findings_fin: 'hypodense': 'clinical finding': 'hypodense', 'existence': 'pos_dx', 'observation': 'hypodense', 'diffuse fatty infiltration': 'clinical finding': 'diffuse fatty infiltration', 'existence': 'unc_dx', 'descriptive_term': 'diffuse fatty', 'observation': 'infiltration'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 evidence of aneurysm or dissection within the aorta. No central filling defect is identified in the main pulmonary artery to suggest central pulmonary emboli, bolus is suboptimal for smaller emboli evaluation. No pericardial effusion is seen. No significant abnormality noted. The liver is diffusely hypodense relative to the spleen suggesting diffuse fatty infiltration. 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'focal hepatic lesion': 'clinical finding': 'focal hepatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion', 'significant intrahepatic biliary ductal dilatation': 'clinical finding': 'significant intrahepatic biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'significant intrahepatic 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant enlarged retroperitoneal lymphadenopathy': 'clinical finding': 'significant enlarged retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant enlarged retroperitoneal', 'observation': 'lymphadenopathy', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal in caliber': 'clinical finding': 'appendix is normal in caliber'non-anatomical substance_fin: ['barium']clinical findings_fin: 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'urinary bladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'small pelvic and inguinal lymph nodes': 'clinical finding': 'small pelvic and inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small pelvic and inguinal 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' [/INST] [RESP] . No significant abnormality noted. No focal hepatic lesion or significant intrahepatic biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant enlarged retroperitoneal lymphadenopathy. The small bowel is normal in caliber and course. The appendix is normal in caliber. It contains gas and barium. No significant abnormality noted. No significant abnormality noted. Unremarkable for CT technique. The urinary bladder is incompletely distended. Small pelvic and inguinal lymph nodes. See 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: clinical findings_fin: 'limited intracranial views are unremarkable': 'clinical finding': 'limited intracranial views are unremarkable'anatomical entity_fin: 'masticator space': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'near complete interval resolution': 'clinical finding': 'near complete interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'near complete interval', 'observation': 'resolution', 'previously identified right masticator space abscess': 'clinical finding': 'previously identified right masticator space abscess', 'existence': 'pos_dx', 'descriptive_term': 'previously identified right masticator space', 'observation': 'abscess'anatomical entity_fin: 'cortex': , 'apex': location descriptor_fin: ['right']clinical findings_fin: 'carious disease': 'clinical finding': 'carious disease', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'disease'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'submandibular space': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'prominent bilateral submandibular space lymph nodes': 'clinical finding': 'prominent bilateral submandibular space lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral submandibular space lymph', 'observation': 'node', 'strength_term': 'prominent'location descriptor_fin: ['bilateral']clinical findings_fin: 'prominent bilateral level 2 lymph nodes': 'clinical finding': 'prominent bilateral level 2 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent bilateral level 2 lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': , 'middle ears': location descriptor_fin: ['left']clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['midline']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'imaging observation_fin: ['fat']clinical findings_fin: 'retro-orbital space and intraconal fat are unremarkable': 'clinical finding': 'retro-orbital space and intraconal fat are unremarkable' [/INST] [RESP] Limited intracranial views are unremarkable. Near complete interval resolution of previously identified right masticator space abscess. Redemonstration of loss of normal cortex surrounding the apex of the right third and second maxillary molars compatible with the sequela of carious disease. Mucosal thickening in the right maxillary sinus. Prominent bilateral submandibular space lymph nodes. Prominent bilateral level 2 lymph nodes. The frontal, ethmoid, sphenoid, and left maxillary paranasal sinuses, the mastoid air cells and middle ears are appropriately pneumatized. The infundibulae of the osteomeatal complexes are patent. The nasal septum lies at the midline. The orbits are unremarkable. The retro-orbital space and intraconal fat are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left parotid gland': clinical findings_fin: 'large mass-like soft tissue': 'clinical finding': 'large mass-like soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'large mass-like soft', 'observation': 'tissue', 'strength_term': 'large'anatomical entity_fin: 'right parotid gland': clinical findings_fin: 'multiple small mixed densities': 'clinical finding': 'multiple small mixed densities', 'existence': 'pos_dx', 'descriptive_term': 'multiple small mixed', 'observation': 'density', 'strength_term': 'small', 'quantity_term': 'multiple'anatomical entity_fin: 'lung': 'location descriptor': 'right lower', 'lobe': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'anatomical entity_fin: 'left parotid gland': clinical findings_fin: 'large markedly hypermetabolic mass': 'clinical finding': 'large markedly hypermetabolic mass', 'existence': 'pos_dx', 'descriptive_term': 'large markedly hypermetabolic', 'observation': 'mass', 'strength_term': 'large', 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor', 'lymphoma': 'clinical finding': 'lymphoma', 'existence': 'pos_dx', 'observation': 'lymphoma'location descriptor_fin: ['posterior', 'left']clinical findings_fin: 'punctate hypermetabolic discrete lymph node': 'clinical finding': 'punctate hypermetabolic discrete lymph node', 'existence': 'pos_dx', 'descriptive_term': 'punctate hypermetabolic discrete lymph', 'observation': 'node', 'additional tumor': 'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'anatomical entity_fin: 'right parotid gland': imaging observation_fin: ['foci']clinical findings_fin: 'multiple punctate moderately hypermetabolic foci': 'clinical finding': 'multiple punctate moderately hypermetabolic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple punctate moderately hypermetabolic', 'observation': 'foci', 'strength_term': 'moderately', 'quantity_term': 'multiple', 'additional tumor': 'clinical finding': 'additional tumor', 'existence': 'unc_dx', 'descriptive_term': 'additional', 'observation': 'tumor'clinical findings_fin: 'hiv': 'clinical finding': 'hiv', 'existence': 'unc_dx', 'observation': 'hiv'anatomical entity_fin: 'chest': , 'abdomen': , 'pelvis': clinical findings_fin: 'suspicious fdg-avid lesions': 'clinical finding': 'suspicious fdg-avid lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious fdg-avid', 'observation': 'lesion'location descriptor_fin: ['bilateral']clinical findings_fin: 'concentric bilateral ovarian activity': 'clinical finding': 'concentric bilateral ovarian activity', 'existence': 'pos_dx', 'descriptive_term': 'concentric bilateral ovarian', 'observation': 'activity' [/INST] [RESP] Todays CT portion grossly demonstrates large mass-like soft tissue replacement of the left parotid gland. There are multiple small mixed densities within right parotid gland. There is atelectasis or scarring in right lower lung lobe. Todays PET examination demonstrates majority of the left parotid gland is replaced by a large markedly hypermetabolic mass consistent with tumor such as lymphoma. There is a punctate hypermetabolic discrete lymph node posterior to the left parotid suggestive of additional tumor. Multiple punctate moderately hypermetabolic foci throughout the right parotid gland suspicious for additional tumor involvement. This could also be benign given the patients history of HIV. There are no suspicious FDG-avid lesions in the chest, abdomen, or pelvis. There is concentric bilateral ovarian activity, typically benign in premenopausal women. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant soft tissue swelling': 'clinical finding': 'significant soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'significant soft tissue', 'observation': 'swell'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'chronic fracture': 'clinical finding': 'chronic fracture', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'fracture', 'temporal_term': 'chronic', 'orbital fat': 'clinical finding': 'orbital fat', 'existence': 'pos_dx', 'descriptive_term': 'orbital', 'observation': 'fat', 'defect': 'clinical finding': 'defect', 'existence': 'pos_dx', 'observation': 'defect'anatomical entity_fin: 'nasal bones': 'location descriptor': 'bilateral', 'orbits': , 'paranasal sinuses': , 'zygomatic arches': location descriptor_fin: ['bilateral']clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'mandible': , 'temporomandibular joints': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'scattered trace mucosal thickening': 'clinical finding': 'scattered trace mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered trace mucosal', 'observation': 'thickening'location descriptor_fin: ['left']clinical findings_fin: 'polyp or mucosal retention cyst': 'clinical finding': 'polyp or mucosal retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'polyp or mucosal retention', 'observation': 'cyst'clinical findings_fin: 'limited evaluation of the visualized intracranial structures': 'clinical finding': 'limited evaluation of the visualized intracranial structures' [/INST] [RESP] No significant soft tissue swelling. There are no fractures identified involving the maxillofacial bones. There is a chronic fracture of the left lamina papyracea with a small amount of orbital fat extending into the defect. Bilateral nasal bones, orbits, paranasal sinuses, and zygomatic arches remain intact. Mandible including the temporomandibular joints are intact. Pterygoid plates are intact. There is scattered trace mucosal thickening of the ethmoid sinuses. There is a polyp or mucosal retention cyst within the left maxillary and left sphenoid sinuses. Limited evaluation of the visualized intracranial structures is also unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right occipital lobe': imaging observation_fin: ['sulcus']location descriptor_fin: ['left']clinical findings_fin: 'ill-defined': 'clinical finding': 'ill-defined', 'existence': 'pos_dx', 'observation': 'ill'imaging observation_fin: ['foci']clinical findings_fin: 'new foci': 'clinical finding': 'new foci', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'foci', 'temporal_term': 'new', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'pons': 'location descriptor': 'left'imaging observation_fin: ['foci', 'restricted diffusion']location descriptor_fin: ['left']clinical findings_fin: 'previously noted punctate foci': 'clinical finding': 'previously noted punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'previously noted punctate', 'observation': 'foci', 'restricted diffusion': 'clinical finding': 'restricted diffusion', 'existence': 'pos_dx', 'descriptive_term': 'restricted', 'observation': 'diffusion'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: 'fluid': , 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell'location descriptor_fin: ['left']object_fin: ['nasogastric tube']clinical findings_fin: 'nasogastric tube': 'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube' [/INST] [RESP] Previously demonstrated minimal hyperattenuating material in a left occipital sulcus as well as a right occipital lobe sulcus continues to appear ill-defined and less dense, thus near resolved. There are no new foci of acute hemorrhage. Previously noted punctate foci of restricted diffusion by MRI within the left cerebellar hemisphere and left pons are not evident with noncontrast CT technique. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. Fluid is again noted within paranasal sinuses and mastoid air cells consistent with the patients recent intubated status. A nasogastric tube is in place via the left nares. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.6 x 2.2 cm', 'size_descriptor': 'lobe', 'size': '2.6 x 2.5 cm', 'size_descriptor': 'appearance']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe focal opacity': 'clinical finding': 'right upper lobe focal opacity', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe focal', 'observation': 'opacity'imaging observation_fin: ['angle']clinical findings_fin: 'volume averaging': 'clinical finding': 'volume averaging', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'average'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'lung': imaging observation_fin: ['margin']location descriptor_fin: ['medial', 'right', 'upper']clinical findings_fin: 'small focus': 'clinical finding': 'small focus', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'focus', 'strength_term': 'small', 'more scarlike focus': 'clinical finding': 'more scarlike focus', 'existence': 'pos_dx', 'descriptive_term': 'more scarlike', 'observation': 'focus', 'quantity_term': 'more'clinical findings_fin: 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'right major fissure': clinical findings_fin: 'small loculated fluid collection': 'clinical finding': 'small loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small loculated fluid', 'observation': 'collection', 'strength_term': 'small'location descriptor_fin: ['centrilobular']clinical findings_fin: 'mild to moderate centrilobular emphysematous changes': 'clinical finding': 'mild to moderate centrilobular emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate centrilobular emphysematous', 'observation': 'change', 'strength_term': 'mild - moderate'anatomical entity_fin: 'thyroid gland': 'location descriptor': 'right', 'mediastinum': 'location descriptor': 'upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nonspecific cystic lesion': 'clinical finding': 'nonspecific cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific cystic', 'observation': 'lesion', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pericardium': clinical findings_fin: 'within limits': 'clinical finding': 'within limits', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'limit'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The right upper lobe focal opacity density similar masslike appearance was similar measurements of 2.6 x 2.2 cm , previously 2.6 x 2.5 cm, when measured similarly. The solid component essentially is similar and mild differences in gantry angle prevent identical measurements given volume averaging. The small focus superiorly along the medial margin of the right upper lobe is also unchangedLeft lung remains also similar with the more scarlike focus extending posteriorly. No new suspicious nodules or masses. A small loculated fluid collection along the right major fissure is again observed. Mild to moderate centrilobular emphysematous changes. Nonspecific cystic lesion in the right thyroid gland with extension into the upper mediastinum unchanged, yet again incompletely visualized. No lymphadenopathy. The cardiac and pericardium remain within limits. None. No significant abnormality noted. 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: 'spine': location descriptor_fin: ['anterior']clinical findings_fin: 'bulky or flowing anterior osteophytes': 'clinical finding': 'bulky or flowing anterior osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'bulky or flowing anterior', 'observation': 'osteophyte', 'normal lumbar lordosis': 'clinical finding': 'normal lumbar lordosis', 'existence': 'pos_dx', 'descriptive_term': 'normal lumbar', 'observation': 'lordosis', 'strength_term': 'normal'clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'malalignment': 'clinical finding': 'malalignment', 'existence': 'neg_dx', 'observation': 'malalignment'anatomical entity_fin: 'spinal canal': imaging observation_fin: ['foci']location descriptor_fin: ['distal']clinical findings_fin: 'vacuum disc phenomenon': 'clinical finding': 'vacuum disc phenomenon', 'existence': 'pos_dx', 'descriptive_term': 'vacuum disc', 'observation': 'phenomenon', 'distal intervertebral disc': 'clinical finding': 'distal intervertebral disc', 'existence': 'pos_dx', 'descriptive_term': 'distal intervertebral', 'observation': 'disc', 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci', 'gas': 'clinical finding': 'gas', 'existence': 'pos_dx', 'observation': 'gas'anatomical entity_fin: 'disc': 'location descriptor': 'posterior', 'neuroforaminal': 'location descriptor': 'bilateral'location descriptor_fin: ['posterior', 'bilateral', 'central']clinical findings_fin: 'posterior disc osteophyte': 'clinical finding': 'posterior disc osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'posterior disc', 'observation': 'osteophyte', 'scattered mild bilateral neuroforaminal narrowing': 'clinical finding': 'scattered mild bilateral neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'scattered mild bilateral neuroforaminal', 'observation': 'narrowing', 'strength_term': 'mild', 'mild central canal stenosis': 'clinical finding': 'mild central canal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'mild central canal', 'observation': 'stenosis', 'strength_term': 'mild'anatomical entity_fin: 'disc': , 'ligamentum flavum': , 'facet': , 'foraminal': location descriptor_fin: ['central', 'bilateral']clinical findings_fin: 'disc disease': 'clinical finding': 'disc disease', 'existence': 'pos_dx', 'descriptive_term': 'disc', 'observation': 'disease', 'ligamentum flavum thickening': 'clinical finding': 'ligamentum flavum thickening', 'existence': 'pos_dx', 'descriptive_term': 'ligamentum flavum', 'observation': 'thickening', 'facet disease': 'clinical finding': 'facet disease', 'existence': 'pos_dx', 'descriptive_term': 'facet', 'observation': 'disease', 'at least moderate central and moderate bilateral neural foraminal stenosis': 'clinical finding': 'at least moderate central and moderate bilateral neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'at least moderate central and moderate bilateral neural foraminal', 'observation': 'stenosis', 'strength_term': 'moderate - moderate'anatomical entity_fin: 'canal': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis', 'severe neuroforaminal narrowing': 'clinical finding': 'severe neuroforaminal narrowing', 'existence': 'pos_dx', 'descriptive_term': 'severe neuroforaminal', 'observation': 'narrowing', 'strength_term': 'severe', 'mild central canal stenosis': 'clinical finding': 'mild central canal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'mild central canal', 'observation': 'stenosis', 'strength_term': 'mild'anatomical entity_fin: 'facet': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'severe bilateral facet hypertrophy': 'clinical finding': 'severe bilateral facet hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'severe bilateral facet', 'observation': 'hypertrophy', 'strength_term': 'severe'location descriptor_fin: ['posterior', 'inferior']clinical findings_fin: 'questioned lucency through the posterior aspect of the inferior endplate of l5 seen on radiographs is not evident on the current study': 'clinical finding': 'questioned lucency through the posterior aspect of the inferior endplate of l5 seen on radiographs is not evident on the current study'anatomical entity_fin: 'abdominal': , 'contents': clinical findings_fin: 'visualized intra-abdominal and paraspinal contents are unremarkable': 'clinical finding': 'visualized intra-abdominal and paraspinal contents are unremarkable' [/INST] [RESP] There are bulky or flowing anterior osteophytes throughout the lumbar spine, with a normal lumbar lordosis. There is no acute fracture or malalignment. There is loss of disc height and vacuum disc phenomenon at the distal intervertebral disc levels, with small foci of gas anteriorly within the spinal canal which is related to the vacuum disc. At L1 through L4 there is posterior disc osteophyte formation and scattered mild bilateral neuroforaminal narrowing and mild central canal stenosis at multiple levels. At L4/5, a combination of disc disease, ligamentum flavum thickening, and facet disease causes at least moderate central and moderate bilateral neural foraminal stenosis. There is grade 1 anterolisthesis of L5 over S1, severe neuroforaminal narrowing, and mild central canal stenosis. There is severe bilateral facet hypertrophy. The questioned lucency through the posterior aspect of the inferior endplate of L5 seen on radiographs is not evident on the current study. The visualized intra-abdominal and paraspinal contents are unremarkable. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'intramural air': 'clinical finding': 'intramural air', 'existence': 'neg_dx', 'descriptive_term': 'intramural', 'observation': 'air'anatomical entity_fin: 'bowel': , 'ileum': 'location descriptor': 'proximal', 'pelvic inlet': location descriptor_fin: ['proximal']clinical findings_fin: 'some mildly thickened': 'clinical finding': 'some mildly thickened', 'existence': 'pos_dx', 'descriptive_term': 'some mildly', 'observation': 'thickened', 'strength_term': 'mildly', 'quantity_term': 'some'clinical findings_fin: 'infection': 'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection'anatomical entity_fin: 'abdomen': , 'pelvis': imaging observation_fin: ['fat']clinical findings_fin: 'mesenteric fat stranding': 'clinical finding': 'mesenteric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'mesenteric fat', 'observation': 'strand', 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite', 'some free fluid': 'clinical finding': 'some free fluid', 'existence': 'pos_dx', 'descriptive_term': 'some free', 'observation': 'fluid', 'quantity_term': 'some'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': , 'bowel': , 'lower abdomen': , 'pelvic inlet': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid', 'definite bowel abnormality': 'clinical finding': 'definite bowel abnormality', 'existence': 'neg_dx', 'descriptive_term': 'definite bowel', 'observation': 'abnormality', 'some focally mild thickened': 'clinical finding': 'some focally mild thickened', 'existence': 'pos_dx', 'descriptive_term': 'some focally mild', 'observation': 'thickened', 'strength_term': 'mild', 'quantity_term': 'some'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Surgical clips consistent with prior surgery. No evidence of obstruction, intramural air or free air. Some mildly thickened loops of small bowel probably jejunal or proximal ileum near the pelvic inlet nonspecific. For example see series 4 image 101, 89. Correlate clinically to rule out infection. No mesenteric fat stranding or ascites in the abdomen, although there is some free fluid in the pelvis, see below. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small amount of free fluid in the cul-de-sac bit more than usually physiologic uncertain significance given lack of definite bowel abnormality except for some focally mild thickened loops in the lower abdomen and pelvic inlet. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'nodule': 'clinical finding': 'nodule', 'existence': 'pos_dx', 'observation': 'nodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'nonspecific micronodule': 'clinical finding': 'nonspecific micronodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule', 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'previously noted enlarged right groin lymph node': 'clinical finding': 'previously noted enlarged right groin lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously noted enlarged right groin lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change' [/INST] [RESP] . Nodule in the right lower lobe as seen on image 56 of Series 4 likely represents an intrapulmonary lymph node. Nonspecific micronodule noted in the left upper lobe as seen on image 83 of series No mediastinal or hilar lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Patient is status post resection of the previously noted enlarged right groin lymph node. Postoperative changes are noted in the subcutaneous tissues. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': location descriptor_fin: ['subsegmental']clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'heart': 'location descriptor': 'right', 'pulmonary artery': location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain', 'pulmonary artery enlargement': 'clinical finding': 'pulmonary artery enlargement', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary artery', 'observation': 'enlargement'clinical findings_fin: 'minimal basilar atelectasis': 'clinical finding': 'minimal basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'anatomical entity_fin: 'heart': clinical findings_fin: 'any pericardial effusion': 'clinical finding': 'any pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'any pericardial', 'observation': 'effusion'clinical findings_fin: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'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: ['catheter']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'abdominal': clinical findings_fin: 'moderate thoracic and abdominal aortic calcifications': 'clinical finding': 'moderate thoracic and abdominal aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate thoracic and abdominal aortic', 'observation': 'calcification', 'strength_term': 'moderate'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'kidneys': location descriptor_fin: ['left']clinical findings_fin: 'small atrophic': 'clinical finding': 'small atrophic', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'atrophic', 'strength_term': 'small', 'small left renal cysts': 'clinical finding': 'small left renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'small left renal', 'observation': 'cyst', 'strength_term': 'small' [/INST] [RESP] . Study is adequate for examination the pulmonary arteries to the subsegmental level. No pulmonary embolus is seen. No evidence of right heart strain or pulmonary artery enlargement. Minimal basilar atelectasis and bronchiectasis. The heart is of normal size without any pericardial effusion. Moderate coronary artery calcifications. No mediastinal or hilar lymphadenopathy. Right jugular catheter with tip in SVC. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Moderate thoracic and abdominal aortic calcifications. Patient has history of cholecystectomy, with ductal prominence. Small atrophic kidneys with small left renal cysts. [/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: 'suboptimal opacification': 'clinical finding': 'suboptimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal', 'observation': 'opacification'location descriptor_fin: ['central']clinical findings_fin: 'central filling defect': 'clinical finding': 'central filling defect', 'existence': 'neg_dx', 'descriptive_term': 'central filling', 'observation': 'defect'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'pos_dx', 'observation': 'cardiomegaly'clinical findings_fin: 'axillary or mediastinal lymphadenopathy': 'clinical finding': 'axillary or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lungs': clinical findings_fin: 'patchy ground glass opacity': 'clinical finding': 'patchy ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'patchy ground glass', 'observation': 'opacity'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'right lung': , 'spleen': clinical findings_fin: 'calcified granuloma': 'clinical finding': 'calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified', 'right lung': 'clinical finding': 'right lung', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'lung', 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'location descriptor_fin: ['right']clinical findings_fin: 'probable right renal cyst': 'clinical finding': 'probable right renal cyst', 'existence': 'unc_dx', 'descriptive_term': 'probable right renal', 'observation': 'cyst', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'unc_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement' [/INST] [RESP] Suboptimal opacification of the pulmonary arteries. No central filling defect is evident. Cardiomegaly. No axillary or mediastinal lymphadenopathy. Patchy ground glass opacity is present throughout the lungs, new in comparison with the PET or CT performed 5 days prior. No pleural effusion. Calcified granuloma in the right lung and punctate calcifications in the spleen suggest prior granulomatous disease. Cholecystectomy. Probable right renal cyst is incompletely visualized and cannot be characterized given the phase of contrast enhancement utilized for this examination. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right hemithorax': clinical findings_fin: 'right hemithorax pleural thickening': 'clinical finding': 'right hemithorax pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'right hemithorax pleural', 'observation': 'thickening', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'mesothelioma': 'clinical finding': 'mesothelioma', 'existence': 'pos_dx', 'observation': 'mesothelioma'size_fin: ['size': '9-mm', 'size_descriptor': 'position']size_fin: ['size': '0 mm', 'size_descriptor': 'position']size_fin: ['size': '5-mm', 'size': '6-mm']size_fin: ['size': '4-mm', 'size': '7-mm']location descriptor_fin: ['right']clinical findings_fin: 'small right pleural fluid': 'clinical finding': 'small right pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'fluid', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'diaphragmatic pleural patch': 'clinical finding': 'diaphragmatic pleural patch', 'existence': 'pos_dx', 'descriptive_term': 'diaphragmatic pleural', 'observation': 'patch'anatomical entity_fin: 'esophagus': clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'object_fin: ['surgical clips']clinical findings_fin: 'several calcifications': 'clinical finding': 'several calcifications', 'existence': 'unc_dx', 'descriptive_term': 'several', 'observation': 'calcification', 'quantity_term': 'several', 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'clip'location descriptor_fin: ['contralateral']clinical findings_fin: 'contralateral pleural disease': 'clinical finding': 'contralateral pleural disease', 'existence': 'neg_dx', 'descriptive_term': 'contralateral pleural', 'observation': 'disease'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'pulmonary artery': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'filling defect': 'clinical finding': 'filling defect', 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'location descriptor_fin: ['right']clinical findings_fin: 'right mediastinal lymphadenopathy': 'clinical finding': 'right mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right mediastinal', 'observation': 'lymphadenopathy'size_fin: ['size': '2 x 1.4', 'size_descriptor': '-cm']anatomical entity_fin: 'superior vena cava': location descriptor_fin: ['anterior']clinical findings_fin: 'lymph node conglomerate': 'clinical finding': 'lymph node conglomerate', 'existence': 'pos_dx', 'descriptive_term': 'lymph node', 'observation': 'conglomerate'clinical findings_fin: 'small pericardial fluid collection': 'clinical finding': 'small pericardial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial fluid', 'observation': 'collection', 'strength_term': 'small'anatomical entity_fin: 'flank': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'nonspecific soft': 'clinical finding': 'nonspecific soft', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'soft', 'stranding': 'clinical finding': 'stranding', 'existence': 'pos_dx', 'observation': 'strand'anatomical entity_fin: 'chest wall': anatomical entity_fin: 'spine': clinical findings_fin: 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis', 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral gynecomastia': 'clinical finding': 'bilateral gynecomastia', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'gynecomastia'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Right hemithorax pleural thickening and volume loss consistent provided history of mesothelioma. 3:30 position, 9-mm. 6 oclock position 0 mm. 2.12 oclock position 5-mm, 5 oclock position 6-mm. 3.9 oclock position 4-mm 10 oclock position 7-mm. Small right pleural fluid collection. A diaphragmatic pleural patch is seen on the right. Tumor extends into the azygos esophageal recess, not clearly separable from the esophagus at this level. There are several calcifications or surgical clips seen at this level. No evidence of contralateral pleural disease. Filling defect identified in the left lower lobe pulmonary artery compatible with pulmonary embolism. Dr. 54 p. m. On 3/24/10. Coronary artery calcifications. Right mediastinal lymphadenopathy. Lymph node conglomerate anterior to the superior vena cava measures 2 x 1.4-CM on image 34. Small pericardial fluid collection. Nonspecific soft tissue stranding along the right flank should be monitored on subsequent examinations. At this time, there is no conclusive evidence of extension through the chest wall. Scoliosis and degenerative change of the spine. Bilateral gynecomastia. CT ENHANCED UPPER ABDOMEN [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'salivary glands': , 'myocardium': , 'liver': , 'bowel': , 'bladder': clinical findings_fin: 'normal physiologic radiotracer distribution': 'clinical finding': 'normal physiologic radiotracer distribution', 'existence': 'pos_dx', 'descriptive_term': 'normal physiologic radiotracer', 'observation': 'distribution', 'strength_term': 'normal'anatomical entity_fin: 'retroperitoneum': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'pos_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'not significantly changed compared to prior': 'clinical finding': 'not significantly changed compared to prior', 'change_term': 'changed'anatomical entity_fin: 'diaphysis': location descriptor_fin: ['left']clinical findings_fin: 'osseous metastatic disease': 'clinical finding': 'osseous metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'anatomical entity_fin: 'pelvis': 'location descriptor': 'right', 'femur': 'location descriptor': 'right proximal'location descriptor_fin: ['right', 'proximal']clinical findings_fin: 'is questionable increased activity involving': 'clinical finding': 'is questionable increased activity involving', 'change_term': 'increased' [/INST] [RESP] Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium, liver, bowel and bladder. There is redemonstration of abnormal radiotracer activity in the left retroperitoneum compatible with residual tumor. This is not significantly changed compared to prior. Again seen in the left tibial diaphysis are 2 areas of mildly increased radiotracer activity compatible with osseous metastatic disease which appears similar to the previous exam. There is questionable increased activity involving the right pelvis and right proximal femur which are new compared to previous exam. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'tonsils': clinical findings_fin: 'status post suboccipital craniectomy': 'clinical finding': 'status post suboccipital craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'status post suboccipital', 'observation': 'craniectomy', 'chiari decompression': 'clinical finding': 'chiari decompression', 'existence': 'pos_dx', 'descriptive_term': 'chiari', 'observation': 'decompression'location descriptor_fin: ['midline']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', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'clinical findings_fin: 'cortical sulci are within normal limits': 'clinical finding': 'cortical sulci are within normal limits'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: 'normal limits in size and configuration': 'clinical finding': 'normal limits in size and configuration'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'mucus': location descriptor_fin: ['right']clinical findings_fin: 'right maxillary sinus mucus retention cyst': 'clinical finding': 'right maxillary sinus mucus retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'right maxillary sinus mucus retention', 'observation': 'cyst'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'orbits': clinical findings_fin: 'visualized portions of both orbits': 'clinical finding': 'visualized portions of both orbits' [/INST] [RESP] Status post suboccipital craniectomy for Chiari decompression with low-lying cerebellar tonsils. No acute intracranial hemorrhage, edema, mass, midline shift or hydrocephalus is evident. Cortical sulci are within normal limits. Gray-white matter differentiation is preserved. The ventricles and basal cisterns are within normal limits in size and configuration. Right maxillary sinus mucus retention cyst. Otherwise, visualized paranasal sinuses and mastoid air cells are well-pneumatized. Visualized portions of both orbits are within normal limits. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '20 x 16', 'size_descriptor': 'examination']anatomical entity_fin: 'crista galli': , 'cribriform plates': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: '20 x 16-mm hyperdense mass': 'clinical finding': '20 x 16-mm hyperdense mass', 'existence': 'pos_dx', 'descriptive_term': '20 x 16-mm hyperdense', 'observation': 'mass', 'crista galli': 'clinical finding': 'crista galli', 'existence': 'pos_dx', 'descriptive_term': 'crista', 'observation': 'galli'location descriptor_fin: ['adjacent']clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'cribriform plates': clinical findings_fin: 'erosion': 'clinical finding': 'erosion', 'existence': 'pos_dx', 'observation': 'erosion'anatomical entity_fin: 'left middle frontal gyrus': clinical findings_fin: '2 subcentimeter hyperdense lesions': 'clinical finding': '2 subcentimeter hyperdense lesions', 'existence': 'pos_dx', 'descriptive_term': '2 subcentimeter hyperdense', 'observation': 'lesion'clinical findings_fin: 'associated edema': 'clinical finding': 'associated edema', 'existence': 'neg_dx', 'descriptive_term': 'associated', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'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: '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: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Examination shows a 20 x 16-mm hyperdense mass abutting crista galli and bilateral cribriform plates. There is edema in the adjacent rectus gyri bilaterally. There is opacification of the ethmoid, frontal and sphenoid sinuses. There appears erosion of the cribriform plates. There are 2 subcentimeter hyperdense lesions in the left middle frontal gyrus. There is no associated edema or mass effect. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The 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: 'neck': 'location descriptor': 'right', 'right submandibular gland': location descriptor_fin: ['right']procedure_fin: ['treatment']clinical findings_fin: 'right neck dissection': 'clinical finding': 'right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'right neck', 'observation': 'dissection', 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy', 'measurable tumor': 'clinical finding': 'measurable tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'tumor'size_fin: ['size': '11 x 16 mm', 'size': '9 x 12 mm']location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower level 6 lymph node': 'clinical finding': 'left lower level 6 lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left lower level 6 lymph', 'observation': 'node'size_fin: ['size': '13 x 7 mm', 'size': '14 x 7 mm']location descriptor_fin: ['right']clinical findings_fin: 'other cervical lymph nodes': 'clinical finding': 'other cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'other cervical lymph', 'observation': 'node', '13 x 7 mm right paratracheal lymph node': 'clinical finding': '13 x 7 mm right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': '13 x 7 mm right paratracheal lymph', 'observation': 'node', 'right level ia and ib lymph nodes': 'clinical finding': 'right level ia and ib lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'right level ia and ib lymph', 'observation': 'node'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'remaining salivary glands are unchanged': 'clinical finding': 'remaining salivary glands are unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'opacify': 'clinical finding': 'opacify', 'existence': 'neg_dx', 'observation': 'opacify'location descriptor_fin: ['right']clinical findings_fin: 'diverticulum': 'clinical finding': 'diverticulum', 'existence': 'unc_dx', 'observation': 'diverticulum'size_fin: ['size': '11 x 9 mm', 'size': '10 x 6 mm']anatomical entity_fin: 'lungs': , 'apex': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'multiple subcentimeter nodules': 'clinical finding': 'multiple subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter', 'observation': 'nodule', 'quantity_term': 'multiple'clinical findings_fin: 'mild degenerative spondylosis': 'clinical finding': 'mild degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'spondylosis', 'strength_term': 'mild'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'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'object_fin: ['prosthesis']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'nasal septoplasty': 'clinical finding': 'nasal septoplasty', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septoplasty', 'nasal septal defect': 'clinical finding': 'nasal septal defect', 'existence': 'pos_dx', 'descriptive_term': 'nasal septal', 'observation': 'defect'anatomical entity_fin: 'paranasal sinuses': , 'walls': clinical findings_fin: 'scattered mucosal thickening': 'clinical finding': 'scattered mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'scattered mucosal', 'observation': 'thickening', 'diffuse sclerosis': 'clinical finding': 'diffuse sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'sclerosis'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'persistent polypoid opacities': 'clinical finding': 'persistent polypoid opacities', 'existence': 'pos_dx', 'descriptive_term': 'persistent polypoid', 'observation': 'opacity', 'temporal_term': 'persistent' [/INST] [RESP] . There are post-treatment findings related to right neck dissection, right submandibular gland resection and thyroidectomy, without evidence of measurable tumor. However, there is interval increase in size of a left lower level 6 lymph node, which now measures 11 x 16 mm, previously 9 x 12 mm. Other cervical lymph nodes with are not significantly changed, including a 13 x 7 mm right paratracheal lymph node, previously 14 x 7 mm, and right level Ia and Ib lymph nodes. The remaining salivary glands are unchanged. Much of the right internal jugular vein does not opacify, which is unchanged. There is an unchanged subcentimeter area of air in the right tracheoesophageal groove, which may represent a diverticulum. There are multiple subcentimeter nodules in the partially imaged lungs, the largest of which is in the left apex and measures 11 x 9 mm, previously 10 x 6 mm. There is mild degenerative spondylosis. There is no evidence of intracranial mass or abnormal enhancement. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are postoperative findings related to functional endoscopic sinus surgery and nasal septoplasty with a nasal septal defect and prosthesis. There is scattered mucosal thickening in the paranasal sinuses with diffuse sclerosis of the sinus walls. There are also persistent polypoid opacities in the nasal cavity. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'clinical findings_fin: 'stable benign calcified pulmonary micronodules': 'clinical finding': 'stable benign calcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable benign calcified pulmonary', 'observation': 'micronodule', 'strength_term': 'stable - benign', 'change_term': 'stable - calcified'clinical findings_fin: 'mild bronchial wall thickening': 'clinical finding': 'mild bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild bronchial wall', 'observation': 'thickening', 'strength_term': 'mild', 'bronchitis': 'clinical finding': 'bronchitis', 'existence': 'pos_dx', 'observation': 'bronchiti'clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'chest': clinical findings_fin: 'previously seen interstitial opacities': 'clinical finding': 'previously seen interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'previously seen interstitial', 'observation': 'opacity', 'mild interstitial edema': 'clinical finding': 'mild interstitial edema', 'existence': 'unc_dx', 'descriptive_term': 'mild interstitial', 'observation': 'edema', 'strength_term': 'mild'anatomical entity_fin: 'aorta': clinical findings_fin: 'severe calcification': 'clinical finding': 'severe calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'post surgical change': 'clinical finding': 'post surgical change', 'existence': 'pos_dx', 'descriptive_term': 'post surgical', 'observation': 'change'clinical findings_fin: 'significant mediastinal or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy': 'clinical finding': 'median sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'median', 'observation': 'sternotomy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild centrilobular emphysema. Stable benign calcified pulmonary micronodules. Mild bronchial wall thickening compatible with bronchitis. Mild dependent atelectasis. Previously seen interstitial opacities in the recent chest radiograph may have represented mild interstitial edema that has resolved. Severe calcification of the aorta. Post surgical change within the mediastinum unchanged. No significant mediastinal or hilar lymphadenopathy. Degenerative changes of the thoracic spine. Median sternotomy. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organs': clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['median']clinical findings_fin: 'median sternotomy hardware': 'clinical finding': 'median sternotomy hardware', 'existence': 'pos_dx', 'descriptive_term': 'median sternotomy', 'observation': 'hardware'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['cholecystectomy clips']clinical findings_fin: 'cholecystectomy clips': 'clinical finding': 'cholecystectomy clips', 'existence': 'pos_dx', 'descriptive_term': 'cholecystectomy', 'observation': 'clip'clinical findings_fin: 'scattered splenic granulomata': 'clinical finding': 'scattered splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered splenic', 'observation': 'granulomata'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'exophytic left renal cyst': 'clinical finding': 'exophytic left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'exophytic left renal', 'observation': 'cyst'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['lower']clinical findings_fin: 'lower lumbar fusion hardware': 'clinical finding': 'lower lumbar fusion hardware', 'existence': 'pos_dx', 'descriptive_term': 'lower lumbar fusion', 'observation': 'hardware'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '4 cm', 'size_descriptor': 'density']anatomical entity_fin: 'pelvis': , 'sigmoid colon': , 'bladder': location descriptor_fin: ['adjacent', 'superior']clinical findings_fin: 'linear 4 cm metallic density': 'clinical finding': 'linear 4 cm metallic density', 'existence': 'pos_dx', 'descriptive_term': 'linear 4 cm metallic', 'observation': 'density'object_fin: ['foreign body']clinical findings_fin: 'foreign body': 'clinical finding': 'foreign body', 'existence': 'neg_dx', 'descriptive_term': 'foreign', 'observation': 'body', 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation'clinical findings_fin: 'complication': 'clinical finding': 'complication', 'existence': 'neg_dx', 'observation': 'complication'location descriptor_fin: ['lower']clinical findings_fin: 'lower lumbar fusion hardware': 'clinical finding': 'lower lumbar fusion hardware', 'existence': 'pos_dx', 'descriptive_term': 'lower lumbar fusion', 'observation': 'hardware'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Evaluation of solid organs and lymphadenopathy is limited by lack of IV contrast. No significant abnormality noted. Median sternotomy hardware. No significant abnormality noted. Cholecystectomy clips. Scattered splenic granulomata. No significant abnormality noted. No significant abnormality noted. Exophytic left renal cyst. No hydronephrosis. No significant abnormality noted. Mild. No significant abnormality noted. Lower lumbar fusion hardware is present. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Linear 4 cm metallic density is redemonstrated in the pelvis adjacent to the sigmoid colon and superior to the bladder. No evidence of foreign body reaction or perforation. Scattered sigmoid diverticula without evidence of complication. Lower lumbar fusion hardware is present. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'small filling defect': 'clinical finding': 'small filling defect', 'existence': 'pos_dx', 'descriptive_term': 'small filling', 'observation': 'defect', 'strength_term': 'small', 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism'clinical findings_fin: 'other definite arterial filling defects': 'clinical finding': 'other definite arterial filling defects', 'existence': 'neg_dx', 'descriptive_term': 'other definite arterial filling', 'observation': 'defect'anatomical entity_fin: 'lungs': clinical findings_fin: 'patchy scattered groundglass opacities': 'clinical finding': 'patchy scattered groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy scattered groundglass', 'observation': 'opacity'artifact_fin: ['motion artifact']clinical findings_fin: 'respiratory motion': 'clinical finding': 'respiratory motion', 'existence': 'pos_dx', 'descriptive_term': 'respiratory', 'observation': 'motion'location descriptor_fin: ['right']clinical findings_fin: 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'location descriptor_fin: ['left']clinical findings_fin: 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['adjacent', 'lower']clinical findings_fin: 'adjacent compressive atelectasis': 'clinical finding': 'adjacent compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'adjacent compressive', 'observation': 'atelectasis'clinical findings_fin: 'mediastinal or hilar adenopathy': 'clinical finding': 'mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'adenopathy'anatomical entity_fin: 'upper extremity': 'location descriptor': 'right', 'superior vena cava': location descriptor_fin: ['right']anatomical entity_fin: 'heart': clinical findings_fin: 'heart and pericardial structures are within normal limits': 'clinical finding': 'heart and pericardial structures are within normal limits'anatomical entity_fin: 'interventricular septum': clinical findings_fin: 'flattening': 'clinical finding': 'flattening', 'existence': 'neg_dx', 'observation': 'flattening', 'hepatic reflux': 'clinical finding': 'hepatic reflux', 'existence': 'neg_dx', 'descriptive_term': 'hepatic', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'liver': location descriptor_fin: ['left']clinical findings_fin: 'hypodensities': 'clinical finding': 'hypodensities', 'existence': 'pos_dx', 'observation': 'hypodensity', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'spleen': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged' [/INST] [RESP] . There is a small filling defect within the segmental arterial branches of the right upper lobe, compatible with a pulmonary embolism. No other definite arterial filling defects are identified. There are patchy scattered groundglass opacities throughout the lungs, which is relatively stable when compared with the prior study. Evaluation is slightly limited due to respiratory motion artifact throughout the exam. Interval enlargement of the right pleural effusion, which is now moderate sized. There is also a small left pleural effusion, also increased. There is adjacent compressive atelectasis of the lower lobes. No mediastinal or hilar adenopathy evident. Right upper extremity PICC line terminates in the superior vena cava. The heart and pericardial structures are within normal limits. No flattening of the interventricular septum or hepatic reflux of contrast. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Again noted are hypodensities within the left lobe of the liver, with attenuation characteristics compatible with simple cysts. The partially visualized spleen appears mildly enlarged. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right frontal lobe': imaging observation_fin: ['foci']clinical findings_fin: 'abnormal low density': 'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density', 'right frontal lobe subcortical and deep white matter': 'clinical finding': 'right frontal lobe subcortical and deep white matter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal lobe subcortical and deep white', 'observation': 'matter'anatomical entity_fin: 'right precentral gyrus': 'location descriptor': 'inferior'location descriptor_fin: ['inferior']clinical findings_fin: 'additional focal abnormal low density': 'clinical finding': 'additional focal abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'additional focal abnormal low', 'observation': 'density', 'associated volume loss': 'clinical finding': 'associated volume loss', 'existence': 'unc_dx', 'descriptive_term': 'associated volume', 'observation': 'loss'anatomical entity_fin: 'cerebellum': 'location descriptor': 'posterior left'location descriptor_fin: ['right', 'posterior', 'left']clinical findings_fin: 'additional curvilinear low density': 'clinical finding': 'additional curvilinear low density', 'existence': 'pos_dx', 'descriptive_term': 'additional curvilinear low', 'observation': 'density', 'abnormal low density': 'clinical finding': 'abnormal low density', 'existence': 'unc_dx', 'descriptive_term': 'abnormal low', 'observation': 'density', 'age-indeterminate lacunar infarcts': 'clinical finding': 'age-indeterminate lacunar infarcts', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate lacunar', 'observation': 'infarct'clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'mild-moderate age-related volume loss': 'clinical finding': 'mild-moderate age-related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild-moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'abnormal low density': 'clinical finding': 'abnormal low density', 'existence': 'pos_dx', 'descriptive_term': 'abnormal low', 'observation': 'density', 'underlying mild age-indeterminate small vessel ischemic changes': 'clinical finding': 'underlying mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying mild age-indeterminate small vessel ischemic', 'observation': 'change', 'strength_term': 'mild - small'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'paranasal sinuses': , 'middle ears': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'wall': 'location descriptor': 'posterior'location descriptor_fin: ['anterior', 'right', 'posterior']clinical findings_fin: 'deformity': 'clinical finding': 'deformity', 'existence': 'pos_dx', 'observation': 'deformity', 'previous trauma': 'clinical finding': 'previous trauma', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'trauma', 'temporal_term': 'previous' [/INST] [RESP] There is a group of small foci of abnormal low density in the right frontal lobe subcortical and deep white matter as seen on 4/22. There is additional focal abnormal low density along the inferior right precentral gyrus, although this appears to demonstrate associated volume loss and therefore made for the chronic in nature. There is additional curvilinear low density in the right cerebellum and a faint area of abnormal low density suggested in the posterior left cerebellum, which appear to represent age-indeterminate lacunar infarcts. The ventricles and sulci are prominent, consistent with mild-moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are other minimal patchy areas of abnormal low density in the periventricular and subcortical white matter, consistent with underlying mild age-indeterminate small vessel ischemic changes. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. There is a plate affixed to the anterior aspect of the right maxillary sinus with deformity of the posterior wall likely relating to sequela of previous 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'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'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable bilateral renal cysts': 'clinical finding': 'stable bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'thoracic aorta': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'ectatic distal thoracic aorta again noted': 'clinical finding': 'ectatic distal thoracic aorta again noted'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'ectasia abdominal aorta unchanged': 'clinical finding': 'ectasia abdominal aorta unchanged', 'change_term': 'unchanged'location descriptor_fin: ['left']clinical findings_fin: 'mildly enlarged left periaortic lymph nodes': 'clinical finding': 'mildly enlarged left periaortic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged left periaortic lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['drainage catheter']clinical findings_fin: 'percutaneous drainage catheter': 'clinical finding': 'percutaneous drainage catheter', 'existence': 'neg_dx', 'descriptive_term': 'percutaneous drainage', 'observation': 'catheter'clinical findings_fin: 'residual loculated fluid collection': 'clinical finding': 'residual loculated fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'residual loculated fluid', 'observation': 'collection', 'temporal_term': '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' [/INST] [RESP] . No significant abnormality noted. Status post cholecystectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. Ectatic distal thoracic aorta again noted. Ectasia abdominal aorta unchanged. Mildly enlarged left periaortic lymph nodes unchanged. Severe. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Percutaneous drainage catheter has been removed. No evidence for residual loculated fluid collection. No significant abnormality noted. No significant abnormality noted [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild', 'very small pleural effusions': 'clinical finding': 'very small pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'very small pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'granulomatous disease': 'clinical finding': 'granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'granulomatous', 'observation': 'disease'clinical findings_fin: 'other calcified and noncalcified micronodules': 'clinical finding': 'other calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'other calcified and noncalcified', 'observation': 'micronodule', 'change_term': 'calcified'clinical findings_fin: 'active infection': 'clinical finding': 'active infection', 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'infection', 'strength_term': 'active'anatomical entity_fin: 'origin': , 'brachiocephalic arteries': 'location descriptor': 'right'location descriptor_fin: ['left', 'right']clinical findings_fin: 'left carotid and right brachiocephalic': 'clinical finding': 'left carotid and right brachiocephalic', 'existence': 'pos_dx', 'descriptive_term': 'left carotid and right', 'observation': 'brachiocephalic'location descriptor_fin: ['right']object_fin: ['catheter']clinical findings_fin: 'severe coronary calcifications': 'clinical finding': 'severe coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'esophagus': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'duodenum': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']object_fin: ['tube']clinical findings_fin: 'ng tube extends at least into the proximal duodenum': 'clinical finding': 'ng tube extends at least into the proximal duodenum'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube is present': 'clinical finding': 'gastrostomy tube is present' [/INST] [RESP] . Mild dependent atelectasis is present, with very small pleural effusions. Calcified right lower lobe complex is likely from granulomatous disease in the remote past. There are other calcified and noncalcified micronodules. There is no evidence of active infection. Common origin left carotid and right brachiocephalic arteries. Severe coronary calcifications are present as well as a right jugular catheter terminating in the SVC or RA junction region. An NG tube traverses the esophagus. No significant abnormality noted. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. An NG tube extends at least into the proximal duodenum. A gastrostomy tube is present. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'multiple pulmonary nodules': 'clinical finding': 'multiple pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'size_fin: ['size': '15 mm x 15 mm', 'size': '13 mm x 15 mm']anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'reference right middle lobe nodule': 'clinical finding': 'reference right middle lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference right middle lobe', 'observation': 'nodule'size_fin: ['size': '23 mm x 44 mm', 'size': '23 mm by 39 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower', 'superior']clinical findings_fin: 'left lower lobe superior segment subpleural nodule': 'clinical finding': 'left lower lobe superior segment subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe superior segment subpleural', 'observation': 'nodule', 'strength_term': 'superior'clinical findings_fin: 'several additional nodules': 'clinical finding': 'several additional nodules', 'existence': 'pos_dx', 'descriptive_term': 'several additional', 'observation': 'nodule', 'quantity_term': 'several'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'lobes': 'location descriptor': 'lower', 'middle': 'location descriptor': 'right', 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['left', 'upper', 'lower', 'right']object_fin: ['sutures']clinical findings_fin: 'surgical sutures identified at the left upper and lower lobes , right middle lobe , and right upper lobe': 'clinical finding': 'surgical sutures identified at the left upper and lower lobes , right middle lobe , and right upper lobe'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']clinical findings_fin: 'right chest port-a-cath': 'clinical finding': 'right chest port-a-cath', 'existence': 'pos_dx', 'descriptive_term': 'right chest', 'observation': 'port-a-'clinical findings_fin: 'hilar or mediastinal lymphadenopathy': 'clinical finding': 'hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'hilar or mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': '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] . Multiple pulmonary nodules demonstrating mild interval increase in size since the prior exam. Reference right middle lobe nodule now measures 15 mm x 15 mm , previously measuring 13 mm x 15 mm. Left lower lobe superior segment subpleural nodule now measures 23 mm x 44 mm previously measuring 23 mm by 39 mm. Several additional nodules demonstrate mild interval increased in size. No new nodules identified. No pleural effusion. Surgical sutures identified at the left upper and lower lobes, right middle lobe, and right upper lobe. Right chest Port-A-Cath with its tip in the SVC. No hilar or mediastinal lymphadenopathy identified. Cardiac size is normal without evidence of a pericardial effusion. 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: 'severe centrilobular emphysema': 'clinical finding': 'severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'clinical findings_fin: 'scattered micronodules': 'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'pulmonary or pleural metastases': 'clinical finding': 'pulmonary or pleural metastases', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary or pleural', 'observation': 'metastase'location descriptor_fin: ['distal']clinical findings_fin: 'distal esophageal mass': 'clinical finding': 'distal esophageal mass', 'existence': 'pos_dx', 'descriptive_term': 'distal esophageal', 'observation': 'mass', 'separate eccentric mass': 'clinical finding': 'separate eccentric mass', 'existence': 'unc_dx', 'descriptive_term': 'separate eccentric', 'observation': 'mass'size_fin: ['size': '27 x 26 mm', 'size': '22 x 26 mm']anatomical entity_fin: 'esophagus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'artery': clinical findings_fin: 'artery artery calcifications': 'clinical finding': 'artery artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'artery artery', 'observation': 'calcification'object_fin: ['central venous catheter']clinical findings_fin: 'central venous catheter': 'clinical finding': 'central venous catheter', 'existence': 'pos_dx', 'descriptive_term': 'central venous', 'observation': 'catheter'anatomical entity_fin: 'chest wall': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port']anatomical entity_fin: 'spine': clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'large left renal cyst': 'clinical finding': 'large left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'large left renal', 'observation': 'cyst', 'strength_term': 'large'location descriptor_fin: ['left', 'right']clinical findings_fin: 'several left adrenal nodules': 'clinical finding': 'several left adrenal nodules', 'existence': 'pos_dx', 'descriptive_term': 'several left adrenal', 'observation': 'nodule', 'quantity_term': 'several', 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube': 'clinical finding': 'gastrostomy tube'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Severe centrilobular emphysema. Scattered micronodules in the regions of scarring with calcification are unchanged. No evidence of pulmonary or pleural metastases. The distal esophageal mass is concentric around a small amount of intraluminal air, and so a separate eccentric mass cannot be separately measured. The entire distal esophagus is approximately 27 x 26 mm , probably no different than 4/27/2010 but enlarged compared to 3/2/2010 when it was approximately 22 x 26 mm in total size. No significantly enlarged mediastinal or hilar lymph nodes. Artery artery calcifications. Central venous catheter extending to the SVC. Right chest wall port, extending through the jugular. DJD thoracic spine. Cholelithiasis. No significant abnormality noted. Large left renal cyst. Several left adrenal nodules and calcification in the right adrenal are unchanged. No significant abnormality noted. No significant abnormality noted. Gastrostomy tube. 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: 'todays ct portion of the neck demonstrates no significant pathology': 'clinical finding': 'todays ct portion of the neck demonstrates no significant pathology'anatomical entity_fin: 'chest': , 'abdomen': , 'pelvis': anatomical entity_fin: 'right external iliac lymphatic chain': location descriptor_fin: ['right']clinical findings_fin: 'interval near complete resolution': 'clinical finding': 'interval near complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval near complete', 'observation': 'resolution', 'hypermetabolic lymph nodes': 'clinical finding': 'hypermetabolic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hypermetabolic lymph', 'observation': 'node'location descriptor_fin: ['right']clinical findings_fin: 'mild fdg uptake': 'clinical finding': 'mild fdg uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild fdg', 'observation': 'uptake', 'strength_term': 'mild', 'decreasing lymph nodes': 'clinical finding': 'decreasing lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'decreasing lymph', 'observation': 'node', 'residual tumor': 'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'anatomical entity_fin: 'left adrenal gland': clinical findings_fin: 'interval increased metabolic activity': 'clinical finding': 'interval increased metabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'interval increased metabolic', 'observation': 'activity', 'strength_term': 'increased', 'change_term': 'increased', 'normal-sized': 'clinical finding': 'normal-sized', 'existence': 'pos_dx', 'observation': 'normal'location descriptor_fin: ['left']clinical findings_fin: 'new normal-sized hypermetabolic lymph node': 'clinical finding': 'new normal-sized hypermetabolic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'new normal-sized hypermetabolic lymph', 'observation': 'node', 'strength_term': 'normal', 'temporal_term': 'new'anatomical entity_fin: 'prostate': , 'gland': clinical findings_fin: 'diffuse and stable mild fdg uptake': 'clinical finding': 'diffuse and stable mild fdg uptake', 'existence': 'unc_dx', 'descriptive_term': 'diffuse and stable mild fdg', 'observation': 'uptake', 'strength_term': 'stable - mild', 'change_term': 'stable', 'bph': 'clinical finding': 'bph', 'existence': 'unc_dx', 'observation': 'bph', 'prostatitis': 'clinical finding': 'prostatitis', 'existence': 'unc_dx', 'observation': 'prostatitis'anatomical entity_fin: 'liver': , 'spleen': , 'kidneys': , 'intestines': , 'bladder': clinical findings_fin: 'physiological activity is a seen in the liver , spleen , kidneys , intestines and bladder': 'clinical finding': 'physiological activity is a seen in the liver , spleen , kidneys , intestines and bladder' [/INST] [RESP] Todays CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abdomen, and pelvis. Todays PET examination demonstrates interval near complete resolution of hypermetabolic lymph nodes in the right inguinal region and right external iliac lymphatic chain. Mild FDG uptake in the decreasing lymph nodes in the right inguinal region with SUV max of 2.9 which may represent residual tumor. There is interval increased metabolic activity of the normal-sized left adrenal gland with the SUV max of 4.8. There is a new normal-sized hypermetabolic lymph node in the left inguinal region with SUV max of 2.9. Diffuse and stable mild FDG uptake in the prostate gland is most likely due to BPH or prostatitis. Physiological activity is a seen in the liver, spleen, kidneys, intestines and bladder. [/RESP]</s>
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'hepatic contour': 'clinical finding': 'hepatic contour', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'contour', 'nodular': 'clinical finding': 'nodular', 'existence': 'pos_dx', 'observation': 'nodular'anatomical entity_fin: 'liver': clinical findings_fin: 'otherwise unremarkable for unenhanced technique': 'clinical finding': 'otherwise unremarkable for unenhanced technique'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys are normal in morphology': 'clinical finding': 'kidneys are normal in morphology'clinical findings_fin: 'focal calcifications': 'clinical finding': 'focal calcifications', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'calcification'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'left kidney': clinical findings_fin: 'hyperdense focus': 'clinical finding': 'hyperdense focus', 'existence': 'pos_dx', 'descriptive_term': 'hyperdense', 'observation': 'focus', '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'procedure_fin: ['hysterectomy']anatomical entity_fin: 'bladder': location descriptor_fin: ['distal']clinical findings_fin: 'distal ureteral': 'clinical finding': 'distal ureteral', 'existence': 'neg_dx', 'descriptive_term': 'distal', 'observation': 'ureteral'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Lung bases are clear. Hepatic contour is mildly nodular. The liver is otherwise unremarkable for unenhanced technique. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Kidneys are normal in morphology. No focal calcifications. No hydronephrosis. Hyperdense focus in the left kidney likely represents a cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post hysterectomy. No distal ureteral or bladder calculi. No pelvic lymphadenopathy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s>

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