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<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.5 cm', 'size_descriptor': 'portion']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper', 'chest': location descriptor_fin: ['left', 'upper']clinical findings_fin: 'approximately 1.5 cm left upper lobe nodule': 'clinical finding': 'approximately 1.5 cm left upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'approximately 1 5 cm left upper lobe', 'observation': 'nodule'clinical findings_fin: 'moderate centrilobular emphysema': 'clinical finding': 'moderate centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate centrilobular', 'observation': 'emphysema', 'strength_term': 'moderate'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'clinical findings_fin: 'extensive atherosclerotic disease': 'clinical finding': 'extensive atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'disease', 'strength_term': 'extensive', 'severe coronary artery calcifications': 'clinical finding': 'severe coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary artery', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'abdominal': clinical findings_fin: 'abdominal aortic aneurysm': 'clinical finding': 'abdominal aortic aneurysm', 'existence': 'neg_dx', 'descriptive_term': 'abdominal aortic', 'observation': 'aneurysm'anatomical entity_fin: 'shoulder': 'location descriptor': 'left'location descriptor_fin: ['left']procedure_fin: ['arthroplasty']clinical findings_fin: 'left shoulder total arthroplasty noted': 'clinical finding': 'left shoulder total arthroplasty noted'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'marked hypermetabolic activity': 'clinical finding': 'marked hypermetabolic activity', 'existence': 'pos_dx', 'descriptive_term': 'marked hypermetabolic', 'observation': 'activity', 'left upper lobe nodule': 'clinical finding': 'left upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'nodule', 'carcinoma': 'clinical finding': 'carcinoma', 'existence': 'unc_dx', 'observation': 'carcinoma'anatomical entity_fin: 'thorax': 'location descriptor': 'contralateral', 'mediastinum': location descriptor_fin: ['contralateral']clinical findings_fin: 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'musculature': clinical findings_fin: 'mild diffuse uptake': 'clinical finding': 'mild diffuse uptake', 'existence': 'pos_dx', 'descriptive_term': 'mild diffuse', 'observation': 'uptake', 'strength_term': 'mild' [/INST] [RESP] Todays CT portion grossly demonstrates the approximately 1.5 cm left upper lobe nodule, similar to the prior diagnostic chest CT. Moderate centrilobular emphysema is noted. No lymphadenopathy is identified by size criteria. Extensive atherosclerotic disease is noted, with severe coronary artery calcifications. No abdominal aortic aneurysm. Left shoulder total arthroplasty noted. Todays PET examination demonstrates marked hypermetabolic activity in the left upper lobe nodule, with a maximum SUV of 11.1, highly suspicious for carcinoma. No suspicious FDG avidity is identified in the contralateral thorax, mediastinum, hila, or extra-thoracic soft tissues to suggest metastatic disease. Mild diffuse uptake in the musculature is suggestive of non-fasting state or recent exercise. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'clinical findings_fin: 'ground glass opacity': 'clinical finding': 'ground glass opacity', 'existence': 'pos_dx', 'descriptive_term': 'ground glass', 'observation': 'opacity', 'pulmonary edema': 'clinical finding': 'pulmonary edema', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'edema'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['left', 'upper', 'lower', 'right']clinical findings_fin: 'multifocal patchy opacities': 'clinical finding': 'multifocal patchy opacities', 'existence': 'pos_dx', 'descriptive_term': 'multifocal patchy', 'observation': 'opacity', 'higher attenuation': 'clinical finding': 'higher attenuation', 'existence': 'pos_dx', 'descriptive_term': 'higher', 'observation': 'attenuation', 'multifocal infection': 'clinical finding': 'multifocal infection', 'existence': 'unc_dx', 'descriptive_term': 'multifocal', 'observation': 'infection'clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage'clinical findings_fin: 'small pleural effusions': 'clinical finding': 'small pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'small pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'linear atelectasis': 'clinical finding': 'linear atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'size_fin: ['size': '1.5 x 0.9 cm']clinical findings_fin: 'enlarged paratracheal lymph node': 'clinical finding': 'enlarged paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged paratracheal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'poorly defined enlarged mediastinal lymph nodes': 'clinical finding': 'poorly defined enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'poorly defined enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'coarse calcifications': 'clinical finding': 'coarse calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'calcification', 'chronic pancreatitis': 'clinical finding': 'chronic pancreatitis', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'pancreatitis', 'temporal_term': 'chronic' [/INST] [RESP] . Technically adequate study with no evidence of PE. Multifocal areas of ground glass opacity are suggestive of pulmonary edema. Additionally, there are multifocal patchy opacities of higher attenuation in the left upper lobe, left lower lobe, and right lower lobe which raise the question of multifocal infection. However, parenchymal hemorrhage can also have this appearance. Small pleural effusions. Linear atelectasis at the left lung base. Enlarged paratracheal lymph node is seen on image 34 of series 5 measures 1.5 x 0.9 cm. Poorly defined enlarged mediastinal lymph nodes are also noted. Mild cardiomegaly. No significant abnormality noted. Coarse calcifications in the pancreas are compatible with chronic pancreatitis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'main pulmonary arteries': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'embolus': 'clinical finding': 'embolus', 'existence': 'pos_dx', 'observation': 'embolus'size_fin: ['size': '3.2 cm']anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'basilar atelectasis': 'clinical finding': 'basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'atelectasis', 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'clinical findings_fin: 'few scattered micronodules': 'clinical finding': 'few scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered', 'observation': 'micronodule', 'quantity_term': 'few'clinical findings_fin: 'subtle mosaic attenuation': 'clinical finding': 'subtle mosaic attenuation', 'existence': 'unc_dx', 'descriptive_term': 'subtle mosaic', 'observation': 'attenuation', 'strength_term': 'subtle', 'small vessels disease': 'clinical finding': 'small vessels disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessels', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'diaphragm': clinical findings_fin: 'diffuse calcification': 'clinical finding': 'diffuse calcification', 'existence': 'unc_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification', 'previous pleurodesis': 'clinical finding': 'previous pleurodesis', 'existence': 'unc_dx', 'descriptive_term': 'previous', 'observation': 'pleurodesis', 'temporal_term': 'previous', 'hemothorax': 'clinical finding': 'hemothorax', 'existence': 'unc_dx', 'observation': 'hemothorax', 'empyema': 'clinical finding': 'empyema', 'existence': 'unc_dx', 'observation': 'empyema'anatomical entity_fin: 'right ventricle': , 'interventricular septum': , 'hepatic veins': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'straightened': 'clinical finding': 'straightened', 'existence': 'pos_dx', 'observation': 'straighten', 'mild reflux': 'clinical finding': 'mild reflux', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'reflux', 'strength_term': 'mild', 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'strain'anatomical entity_fin: 'fluid': clinical findings_fin: 'small amount pericardial fluid is seen': 'clinical finding': 'small amount pericardial fluid is seen'clinical findings_fin: 'aortic and coronary artery calcifications': 'clinical finding': 'aortic and coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'aortic and coronary artery', 'observation': 'calcification'location descriptor_fin: ['right']clinical findings_fin: 'right thyroid enlargement with heterogeneous attenuation and substernal extension': 'clinical finding': 'right thyroid enlargement with heterogeneous attenuation and substernal extension'anatomical entity_fin: 'esophagus': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'thoracic vertebral body': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'mild compression': 'clinical finding': 'mild compression', 'existence': 'unc_dx', 'descriptive_term': 'mild', 'observation': 'compression', 'strength_term': 'mild', 'osteoporosis': 'clinical finding': 'osteoporosis', 'existence': 'unc_dx', 'observation': 'osteoporosis', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma'anatomical entity_fin: 'renal collecting system': clinical findings_fin: 'high density': 'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density', 'renal calculi': 'clinical finding': 'renal calculi', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'calculi' [/INST] [RESP] . This examination is adequate for the evaluation pulmonary embolus. Large amount of embolus is visualized within the right and left main pulmonary arteries, with extension into all segmental branches. The main pulmonary artery is mildly enlarged to 3.2 cm. Basilar atelectasis without focal consolidation. A few scattered micronodules are present. Subtle mosaic attenuation may be due to small vessels disease. No pleural effusion. Diffuse calcification of the diaphragm could be due to previous pleurodesis, hemothorax, or empyema. Enlarged right ventricle with straightened interventricular septum and mild reflux into the hepatic veins is consistent with right heart strain. A small amount pericardial fluid is seen. Aortic and coronary artery calcifications are present. Right thyroid enlargement with heterogeneous attenuation and substernal extension. Esophagus is abnormally thickened. Degenerative changes in the thoracic spine. Loss of height of an upper thoracic vertebral body may represent mild compression due to osteoporosis or hemangioma. High density within the renal collecting system likely due to renal calculi. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute ischemic or hemorrhagic lesion': 'clinical finding': 'acute ischemic or hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute ischemic or hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'multifocal nonspecific small vessel ischemic disease': 'clinical finding': 'multifocal nonspecific small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'multifocal nonspecific small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'frontal lobes': location descriptor_fin: ['left', 'bilateral', 'right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'chronic ischemic infarct': 'clinical finding': 'chronic ischemic infarct', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic', 'observation': 'infarct', 'temporal_term': 'chronic', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'anatomical entity_fin: 'left lateral ventricle': clinical findings_fin: 'ex focal changes': 'clinical finding': 'ex focal changes', 'existence': 'pos_dx', 'descriptive_term': 'ex focal', 'observation': 'change', 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] No evidence of acute ischemic or hemorrhagic lesion on the scan. Multifocal nonspecific small vessel ischemic disease, no change since prior scan. Encephalomalacia on the left insular, bilateral thalami left periventricular white matter right parietal and frontal lobes indicate chronic ischemic infarct, no change since prior scan. Prominent ventricular system with ex focal changes of the left lateral ventricle, no change since prior scan. 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: 'multiple, scattered micronodules': 'clinical finding': 'multiple, scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered', 'observation': 'micronodule', 'quantity_term': 'multiple'clinical findings_fin: 'new nodules': 'clinical finding': 'new nodules', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'lingula': , 'middle': , 'lobe': clinical findings_fin: 'patchy opacities': 'clinical finding': 'patchy opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'opacity', 'scar': 'clinical finding': 'scar', 'existence': 'unc_dx', 'observation': 'scar', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'basilar linear opacity': 'clinical finding': 'basilar linear opacity', 'existence': 'pos_dx', 'descriptive_term': 'basilar linear', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'multiple small lymph nodes': 'clinical finding': 'multiple small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple small lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'multiple', 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'rib': location descriptor_fin: ['right', 'lateral']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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'right kidney': location descriptor_fin: ['posterior']clinical findings_fin: 'exophytic lesion': 'clinical finding': 'exophytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'exophytic', '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'anatomical entity_fin: 'iliac wing': 'location descriptor': 'posterior', 'sacroiliac joint': location descriptor_fin: ['anterior', 'left', 'posterior', 'adjacent']clinical findings_fin: 'sclerotic lesion': 'clinical finding': 'sclerotic lesion', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Multiple, scattered micronodules unchanged. No new nodules or masses identified. Patchy opacities in the lingula and middle lobe secondary to scar or atelectasis, unchanged. Basilar linear opacity compatible with scarring. No pleural effusion. Multiple small lymph nodes without significant mediastinal lymphadenopathy. Partial right eighth rib resection and right lateral laminectomy of T7 and T8 with multiple surgical clips, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter, too small to characterize, exophytic lesion of the posterior aspect of the midpole of the right kidney. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Sclerotic lesion in the anterior left iliac wing and lucency in the posterior iliac wing adjacent to the sacroiliac joint, unchanged. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.0 cm x 1.8 cm', 'size_descriptor': 'mass']anatomical entity_fin: 'neck': 'location descriptor': 'right', 'rim': 'location descriptor': 'peripheral'location descriptor_fin: ['right', 'peripheral']clinical findings_fin: 'irregular slightly multi-loculated necrotic appearing hypodense mass': 'clinical finding': 'irregular slightly multi-loculated necrotic appearing hypodense mass', 'existence': 'pos_dx', 'descriptive_term': 'irregular slightly multi-loculated necrotic appearing hypodense', 'observation': 'mass'location descriptor_fin: ['adjacent']clinical findings_fin: 'subtle adjacent fatty infiltration': 'clinical finding': 'subtle adjacent fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'subtle adjacent fatty', 'observation': 'infiltration', 'strength_term': 'subtle'anatomical entity_fin: 'fluid': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'multiple other enlarged lymph nodes': 'clinical finding': 'multiple other enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple other enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged', 'posterior cervical triangle': 'clinical finding': 'posterior cervical triangle', 'existence': 'pos_dx', 'descriptive_term': 'posterior cervical', 'observation': 'triangle'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , piriform sinuses , and vocal cords are normal'anatomical entity_fin: 'thyroid glands': clinical findings_fin: 'parotid , submandibular , and thyroid glands are unremarkable': 'clinical finding': 'parotid , submandibular , and thyroid glands are unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'osseous': clinical findings_fin: 'pseudosubluxation of c2 on c3 is noted , otherwise the osseous structures are unremarkable': 'clinical finding': 'pseudosubluxation of c2 on c3 is noted , otherwise the osseous structures are unremarkable'anatomical entity_fin: 'middle ear': 'location descriptor': 'right', 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right middle ear effusion': 'clinical finding': 'right middle ear effusion', 'existence': 'pos_dx', 'descriptive_term': 'right middle ear', 'observation': 'effusion', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification', 'otitis media': 'clinical finding': 'otitis media', 'existence': 'unc_dx', 'descriptive_term': 'otitis', 'observation': 'media'anatomical entity_fin: 'lung': , 'apices': , 'mediastinum': clinical findings_fin: 'limited views of the lung apices and mediastinum': 'clinical finding': 'limited views of the lung apices and mediastinum' [/INST] [RESP] In the right neck, an irregular slightly multi-loculated necrotic appearing hypodense mass with peripheral rim enancement measures 2.0 cm x 1.8 cm. There is subtle adjacent fatty infiltration of the surrounding soft tissues. The mass measures slightly higher than fluid density. Multiple other enlarged lymph nodes in the jugular chain and posterior cervical triangle are identified extending down to the right supraclavicular fossa. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are unremarkable or patent. The epiglottis, vallecula, piriform sinuses, and vocal cords are normal. The parotid, submandibular, and thyroid glands are unremarkable. The carotid arteries and jugular veins are patent. Pseudosubluxation of C2 on C3 is noted, otherwise the osseous structures are unremarkable. Right middle ear effusion with opacification of the right mastoid air cells is noted, and may represent otitis media. Limited views of the lung apices and mediastinum are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left', 'medial']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'left medial temporal lesion': 'clinical finding': 'left medial temporal lesion', 'existence': 'pos_dx', 'descriptive_term': 'left medial temporal', 'observation': 'lesion'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left anterior'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'again seen is a resection cavity': 'clinical finding': 'again seen is a resection cavity'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left medial'location descriptor_fin: ['left', 'medial']clinical findings_fin: 'parenchymal hemorrhage': 'clinical finding': 'parenchymal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal', 'observation': 'hemorrhage'anatomical entity_fin: 'temporal lobe': 'location descriptor': 'left anterior'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'anatomical entity_fin: 'convexity': location descriptor_fin: ['left']clinical findings_fin: 'small extra-axial air and fluid collection': 'clinical finding': 'small extra-axial air and fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small extra-axial air and fluid', 'observation': 'collection', 'strength_term': 'small', 'mild local mass effect': 'clinical finding': 'mild local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild local mass', 'observation': 'effect', 'strength_term': 'mild'location descriptor_fin: ['midline']clinical findings_fin: 'uncal herniation': 'clinical finding': 'uncal herniation', 'existence': 'neg_dx', 'descriptive_term': 'uncal', 'observation': 'herniation'location descriptor_fin: ['left']clinical findings_fin: 'effacement': 'clinical finding': 'effacement', 'existence': 'pos_dx', 'observation': 'effacement' [/INST] [RESP] There has been slight evolution of postsurgical changes related to left frontotemporal craniotomy with cranioplasty for resection of left medial temporal lesion. Again seen is a resection cavity involving the left anterior temporal lobe. There is small amount of parenchymal hemorrhage in the left medial temporal lobe with slight evolution but without significant enlargement since prior study. There is interval increase in hypoattenuation in the left anterior temporal lobe surrounding the resection cavity consistent with edema. Small extra-axial air and fluid collection along the left frontotemporal convexity is again seen with mild local mass effect. There is no significant midline shift or uncal herniation. There is effacement of the left cerebral hemispheric sulci which is slightly increased in the interval. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '6 x 5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'index right upper lobe nodule': 'clinical finding': 'index right upper lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'index right upper lobe', 'observation': 'nodule'clinical findings_fin: 'other punctate nodules': 'clinical finding': 'other punctate nodules', 'existence': 'pos_dx', 'descriptive_term': 'other punctate', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['lymphadenectomy']location descriptor_fin: ['left']procedure_fin: ['nephrectomy']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': , 'gland': 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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Index right upper lobe nodule measures 6 x 5 mm on image number 26, series number 5, smaller compared to previous study. Other punctate nodules are stable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post lymphadenectomy. Status post left nephrectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Enlarged prostate gland. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '4-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['posterior', 'right', 'upper']clinical findings_fin: '4-mm partially calcified nodule': 'clinical finding': '4-mm partially calcified nodule', 'existence': 'pos_dx', 'descriptive_term': '4-mm partially calcified', 'observation': 'nodule', 'strength_term': 'partially', 'change_term': 'calcified'size_fin: ['size': '10 x 7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['posterior', 'left', 'lower']clinical findings_fin: 'subpleural nodule': 'clinical finding': 'subpleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'nonspecific calcified micronodule': 'clinical finding': 'nonspecific calcified micronodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific calcified', 'observation': 'micronodule', 'change_term': 'calcified'imaging observation_fin: ['angle']location descriptor_fin: ['right']clinical findings_fin: 'mild pleural thickening': 'clinical finding': 'mild pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild pleural', 'observation': 'thickening', 'strength_term': 'mild', 'dystrophic calcifications': 'clinical finding': 'dystrophic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'dystrophic', 'observation': 'calcification'anatomical entity_fin: 'heart': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'marked coronary calcifications': 'clinical finding': 'marked coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'marked coronary', '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'anatomical entity_fin: 'sternum': clinical findings_fin: 'lytic lesion': 'clinical finding': 'lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'anatomical entity_fin: 'spine': clinical findings_fin: 'marked degenerative changes': 'clinical finding': 'marked degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'marked degenerative', 'observation': 'change'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'kidneys': clinical findings_fin: 'multiple large, homogeneous masses': 'clinical finding': 'multiple large, homogeneous masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple large homogeneous', 'observation': 'mass', 'strength_term': 'large', 'quantity_term': 'multiple', 'likely cysts': 'clinical finding': 'likely cysts', 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst' [/INST] [RESP] . 4-mm partially calcified nodule in the posterior segment of the right upper lobe. Subpleural nodule in the posterior basilar segment of the left lower lobe , measuring 10 x 7 mm. Nonspecific calcified micronodule in the right lower lobe. Mild pleural thickening at the right costophrenic angle with dystrophic calcifications, likely chronic. Heart is not enlarged. No pericardial effusion. Marked coronary calcifications. No mediastinal or hilar lymphadenopathy. Lytic lesion in the mid sternum. Marked degenerative changes of the thoracic spine. No axillary lymphadenopathy. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Multiple large, homogeneous masses arising from the kidneys bilaterally, likely cysts. [/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: 'basal ganglia': 'location descriptor': 'right', 'corona radiata': , 'frontal lobe': location descriptor_fin: ['right']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'anatomical entity_fin: 'right lateral ventricle': anatomical entity_fin: 'pons': imaging observation_fin: ['foci']clinical findings_fin: 'punctate foci': 'clinical finding': 'punctate foci', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'foci', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'left middle cerebral artery': imaging observation_fin: ['dense vessel']clinical findings_fin: 'is a possible dense vessel sign involving': 'clinical finding': 'is a possible dense vessel sign involving'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'orbits': , 'skull': , 'paranasal sinuses': , 'scalp': clinical findings_fin: 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable': 'clinical finding': 'orbits , skull , paranasal sinuses , and scalp soft tissues are grossly unremarkable' [/INST] [RESP] There is no evidence of intracranial hemorrhage or mass. There is encephalomalacia in the right basal ganglia, corona radiata, and frontal lobe. There is slight ex vacuo dilatation of the right lateral ventricle. There are also punctate foci of hypoattenuation in the pons bilaterally. There is a possible dense vessel sign involving the left middle cerebral artery. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, and scalp soft tissues are grossly unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: [/INST] [RESP] NON ANGIOGRAPHIC [/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: 'parenchyma': , 'fluid': clinical findings_fin: 'bilaterally the parenchyma appears normal': 'clinical finding': 'bilaterally the parenchyma appears normal'anatomical entity_fin: 'kidneys': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'appendix': clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'inflammatory', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'psoas muscle': , 'veins': , 'pelvis': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pelvic calcifications': 'clinical finding': 'bilateral pelvic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pelvic', 'observation': 'calcification'anatomical entity_fin: 'ureterovesical junction': , 'ureter': location descriptor_fin: ['left']clinical findings_fin: 'larger left calcification': 'clinical finding': 'larger left calcification', 'existence': 'pos_dx', 'descriptive_term': 'larger left', 'observation': 'calcification'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. Bilaterally the parenchyma appears normal and there are no perinephric fluid collections. No stones are seen within the kidneys. There is no evidence for hydronephrosis or hydroureter. No significant abnormality noted. None. The appendix is visualized without any dilatation or inflammatory changes. 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. Bilateral pelvic calcifications along the psoas muscle in the vicinity of the gonadal veins are seen and again within the pelvis. There is a larger left calcification that is located near the ureterovesical junction but appears outside of the ureter. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild polypoid mucosal thickening': 'clinical finding': 'mild polypoid mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild polypoid mucosal', 'observation': 'thickening', 'strength_term': 'mild'clinical findings_fin: 'concha bullosa': 'clinical finding': 'concha bullosa', 'existence': 'pos_dx', 'descriptive_term': 'concha', 'observation': 'bullosa'anatomical entity_fin: 'walls': , 'internal carotid arteries': 'location descriptor': 'bilateral', 'sphenoid sinus': location descriptor_fin: ['bilateral']clinical findings_fin: 'thin': 'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin', 'absent': 'clinical finding': 'absent', 'existence': 'unc_dx', 'observation': 'absent'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right'location descriptor_fin: ['anterior', 'posterior', 'right']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intersphenoid septum is normal': 'clinical finding': 'intersphenoid septum is normal'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': clinical findings_fin: 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal': 'clinical finding': 'cribriform plate , fovea ethmoidalis and lamina papyraceae appear normal'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] There is mild polypoid mucosal thickening in the left maxillary sinus. Concha bullosa are noted. There is leftward nasal septal deviation. The bony walls separating the bilateral internal carotid arteries from the sphenoid sinus are very thin or absent. The frontal sinuses, frontal-ethmoid recesses, anterior or posterior ethmoids, sphenoid sinuses, and right maxillary sinus are well developed and clear. The osteomeatal complexes are normal with intact uncinate processes and patent infundibuli. The intersphenoid septum is normal. The cribriform plate, fovea ethmoidalis and lamina papyraceae appear normal. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '8 x 8 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'right frontal lobe': imaging observation_fin: ['enhancing']clinical findings_fin: '8 x 8 mm round intrinsically hyperdense and enhancing nodule': 'clinical finding': '8 x 8 mm round intrinsically hyperdense and enhancing nodule', 'existence': 'pos_dx', 'descriptive_term': '8 x 8 mm round intrinsically hyperdense and enhancing', 'observation': 'nodule', 'hemorrhagic metastasis': 'clinical finding': 'hemorrhagic metastasis', 'existence': 'pos_dx', 'descriptive_term': 'hemorrhagic', 'observation': 'metastasis'clinical findings_fin: 'moderate surrounding edema': 'clinical finding': 'moderate surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'moderate surrounding', 'observation': 'edema', 'strength_term': 'moderate'size_fin: ['size': '10 x 9 mm', 'size_descriptor': 'focus']anatomical entity_fin: 'left frontal lobe': imaging observation_fin: ['enhancing']clinical findings_fin: 'second 10 x 9 mm enhancing focus': 'clinical finding': 'second 10 x 9 mm enhancing focus', 'existence': 'pos_dx', 'descriptive_term': 'second 10 x 9 mm enhancing', 'observation': 'focus', 'moderate surrounding edema': 'clinical finding': 'moderate surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'moderate surrounding', 'observation': 'edema', 'strength_term': 'moderate'imaging observation_fin: ['blood']clinical findings_fin: 'this lesion': 'clinical finding': 'this lesion', 'existence': 'neg_dx', 'descriptive_term': 'this', 'observation': 'lesion', 'blood product': 'clinical finding': 'blood product', 'existence': 'neg_dx', 'descriptive_term': 'blood', 'observation': 'product'anatomical entity_fin: 'brain': clinical findings_fin: 'additional lesions': 'clinical finding': 'additional lesions', 'existence': 'neg_dx', 'descriptive_term': 'additional', 'observation': 'lesion'clinical findings_fin: 'local mass effect': 'clinical finding': 'local mass effect', 'existence': 'pos_dx', 'descriptive_term': 'local mass', 'observation': 'effect', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'pos_dx', 'observation': 'metastasis', 'significant or generalized mass effect': 'clinical finding': 'significant or generalized mass effect', 'existence': 'neg_dx', 'descriptive_term': 'significant or generalized mass', 'observation': 'effect'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid collections are seen': 'clinical finding': 'abnormal extra-axial fluid collections are seen'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'concerning osseous lesions': 'clinical finding': 'concerning osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'concerning osseous', 'observation': 'lesion'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] An 8 x 8 mm round intrinsically hyperdense and enhancing nodule is present within the right frontal lobe compatible with a hemorrhagic metastasis. Moderate surrounding edema is observed. A second 10 x 9 mm enhancing focus is present within the left frontal lobe, again with moderate surrounding edema. This lesion does not seem to contain a significant amount of blood product. No definite evidence of additional lesions is seen elsewhere in the brain. There is local mass effect at the sites of metastasis, but no significant or generalized mass effect is demonstrated. No abnormal extra-axial fluid collections are seen. The ventricular system is patent and within normal limits for size. No concerning osseous lesions are seen. The paranasal sinuses are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['port']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: ['breast implants']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral breast implants': 'clinical finding': 'bilateral breast implants', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'implant'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'probable renal cysts': 'clinical finding': 'probable renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'probable renal', 'observation': 'cyst'clinical findings_fin: 'small shotty nonpathologic-sized retroperitoneal nodes': 'clinical finding': 'small shotty nonpathologic-sized retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small shotty nonpathologic-sized retroperitoneal', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'previously seen omental disease': 'clinical finding': 'previously seen omental disease', 'existence': 'neg_dx', 'descriptive_term': 'previously seen omental', 'observation': 'disease'clinical findings_fin: 'measurable implants': 'clinical finding': 'measurable implants', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'implant'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'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'clinical findings_fin: 'previously seen adnexal lesions': 'clinical finding': 'previously seen adnexal lesions', 'existence': 'pos_dx', 'descriptive_term': 'previously seen adnexal', 'observation': 'lesion'clinical findings_fin: 'tah': 'clinical finding': 'tah', 'existence': 'unc_dx', 'observation': 'tah', 'bso': 'clinical finding': 'bso', 'existence': 'unc_dx', 'observation': 'bso'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite'clinical findings_fin: 'measurable carcinomatosis': 'clinical finding': 'measurable carcinomatosis', 'existence': 'neg_dx', 'descriptive_term': 'measurable', 'observation': 'carcinomatosis'object_fin: ['suture']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' [/INST] [RESP] . No significant abnormality noted. Port-A-Cath tip at cavoatrial junction. None. Port-A-Cath right chest wall. Bilateral breast implants. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Probable renal cysts unchanged. Small shotty nonpathologic-sized retroperitoneal nodes, unchanged. None. Previously seen omental disease is no longer present. There are no measurable implants. No ascites. Postsurgical changes anterior abdominal wall. No significant abnormality noted. Previously seen adnexal lesions of presumably been resected. Status post TAH or BSO. No significant abnormality noted. No significant abnormality noted. No evidence of ascites. No measurable carcinomatosis. Rectal suture line. Surgical clips. 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'location descriptor_fin: ['bilateral']clinical findings_fin: 'new small bilateral pleural effusions': 'clinical finding': 'new small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new', 'underlying atelectasis': 'clinical finding': 'underlying atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'atelectasis'anatomical entity_fin: 'lung': clinical findings_fin: 'lung nodules': 'clinical finding': 'lung nodules', 'existence': 'neg_dx', 'descriptive_term': 'lung', 'observation': 'nodule', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'clinical findings_fin: 'heavy coronary artery calcifications': 'clinical finding': 'heavy coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'heavy coronary artery', 'observation': 'calcification', 'strength_term': 'heavy'clinical findings_fin: 'unchanged pericardial effusion': 'clinical finding': 'unchanged pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'unchanged pericardial', 'observation': 'effusion', 'strength_term': 'unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'neck': clinical findings_fin: 'neck mass': 'clinical finding': 'neck mass', 'existence': 'pos_dx', 'descriptive_term': 'neck', 'observation': 'mass'anatomical entity_fin: 'neck': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild emphysema. New small bilateral pleural effusions with underlying atelectasis. No lung nodules suspicious for metastatic disease. Heavy coronary artery calcifications. Unchanged pericardial effusion. Neck mass. Please see dedicated neck CT. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '22 x 33 mm', 'size': '29 x 40 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'reference right upper lobe mass': 'clinical finding': 'reference right upper lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right upper lobe', 'observation': 'mass'imaging observation_fin: ['apical']location descriptor_fin: ['superior']clinical findings_fin: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity', 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: 'surrounding traction bronchiectasis': 'clinical finding': 'surrounding traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'surrounding traction', 'observation': 'bronchiectasis', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss', 'septal thickening': 'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening', 'lesion': 'clinical finding': 'lesion', 'existence': 'unc_dx', 'observation': 'lesion'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'right upper lobe volume loss': 'clinical finding': 'right upper lobe volume loss', 'existence': 'pos_dx', 'descriptive_term': 'right upper lobe volume', 'observation': 'loss'anatomical entity_fin: 'airway': , 'posterior segmental bronchus': , 'origin': location descriptor_fin: ['subsegmental']clinical findings_fin: 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper lobe micronodule': 'clinical finding': 'left upper lobe micronodule', 'existence': 'pos_dx', 'descriptive_term': 'left upper lobe', 'observation': 'micronodule'clinical findings_fin: 'few scattered calcified and noncalcified micronodules': 'clinical finding': 'few scattered calcified and noncalcified micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered calcified and noncalcified', 'observation': 'micronodule', 'quantity_term': 'few', 'change_term': 'calcified'size_fin: ['size': '10 x 7 mm']location descriptor_fin: ['right']clinical findings_fin: 'reference low right paratracheal node': 'clinical finding': 'reference low right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'reference low right paratracheal', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'pericardium': clinical findings_fin: 'poorly defined nodularity': 'clinical finding': 'poorly defined nodularity', 'existence': 'neg_dx', 'descriptive_term': 'poorly defined', 'observation': 'nodularity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']clinical findings_fin: 'right renal cyst': 'clinical finding': 'right renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'right renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Reference right upper lobe mass decreased to 22 x 33 mm , previously 29 x 40 mm. There is nodularity with branching spicules to the apical pleural surface located immediately superior to this mass, as previously noted. Interval development of surrounding traction bronchiectasis, volume loss and septal thickening, most suggestive of radiation reaction surrounding the lesion and in the superior segment of the right lower lobe. Right upper lobe volume loss progressed. Subsegmental branch airway from the posterior segmental bronchus is occluded after a short distance from its origin. The left upper lobe micronodule stable in size. A few scattered calcified and noncalcified micronodules are unchanged. Reference low right paratracheal node stable in size, 10 x 7 mm, not pathologically enlarged. Poorly defined nodularity along the pericardium anteriorly is no longer identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Right renal cyst midpole region. 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 upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular and scarlike opacity': 'clinical finding': 'nodular and scarlike opacity', 'existence': 'pos_dx', 'descriptive_term': 'nodular and scarlike', 'observation': 'opacity'anatomical entity_fin: 'right major fissure': location descriptor_fin: ['lateral']clinical findings_fin: 'nodular opacity': 'clinical finding': 'nodular opacity', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'opacity'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'bud opacity': 'clinical finding': 'bud opacity', 'existence': 'pos_dx', 'descriptive_term': 'bud', 'observation': 'opacity'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'focal consolidation': 'clinical finding': 'focal consolidation', 'existence': 'neg_dx', 'descriptive_term': 'focal', 'observation': 'consolidation'clinical findings_fin: 'lymph node': 'clinical finding': 'lymph node', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node', 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'anatomical entity_fin: 'pretracheal lymph nodes': clinical findings_fin: 'small pretracheal lymph nodes': 'clinical finding': 'small pretracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small pretracheal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'grossly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'grossly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'grossly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'axilla': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clip']clinical findings_fin: 'surgical clip': 'clinical finding': 'surgical clip', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'anatomical entity_fin: 'axillary lymph nodes': clinical findings_fin: 'pathologically enlarged axillary lymph nodes': 'clinical finding': 'pathologically enlarged axillary lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged axillary lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'chest wall': clinical findings_fin: 'chest wall lesions': 'clinical finding': 'chest wall lesions', 'existence': 'neg_dx', 'descriptive_term': 'chest wall', 'observation': 'lesion'clinical findings_fin: 'destructive bone lesions': 'clinical finding': 'destructive bone lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive bone', 'observation': 'lesion'anatomical entity_fin: 'upper abdomen': clinical findings_fin: 'incomplete views of the upper abdomen are limited by the noncontrast protocol used': 'clinical finding': 'incomplete views of the upper abdomen are limited by the noncontrast protocol used'clinical findings_fin: 'previously described subcentimeter round hypodense lesions': 'clinical finding': 'previously described subcentimeter round hypodense lesions', 'existence': 'neg_dx', 'descriptive_term': 'previously described subcentimeter round hypodense', 'observation': 'lesion'clinical findings_fin: 'one hypodense subcentimeter lesion': 'clinical finding': 'one hypodense subcentimeter lesion', 'existence': 'pos_dx', 'descriptive_term': 'one hypodense subcentimeter', 'observation': 'lesion' [/INST] [RESP] . The previously described cluster of nodular and scarlike opacity in the right upper lobe appears stable. Likewise, the nodular opacity at the lateral aspect of the right major fissure is unchanged. Ill-defined nodular and tree in bud opacity in the left lower lobe is stable in appearance. No pleural effusions or focal consolidation are seen. Evaluation of lymph node pathology is limited without intravenous contrast. Within this limitation, small pretracheal lymph nodes appear similar in size. No grossly enlarged mediastinal or hilar lymph nodes are evident. The heart size is within normal limits, with no evidence of pericardial effusion. A surgical clip is again seen in the right axilla. No pathologically enlarged axillary lymph nodes are seen. No chest wall lesions are evident. No destructive bone lesions are seen. Incomplete views of the upper abdomen are limited by the noncontrast protocol used for the exam. Within this limitation, the previously described subcentimeter round hypodense lesions are not well visualized now. One hypodense subcentimeter lesion in the dome is too small to characterize on image 51/65. [/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']clinical findings_fin: 'mild left parietal scalp swelling': 'clinical finding': 'mild left parietal scalp swelling', 'existence': 'pos_dx', 'descriptive_term': 'mild left parietal scalp', 'observation': 'swell', 'strength_term': 'mild'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is mild left parietal scalp swelling. No fracture is seen. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'mesentery': clinical findings_fin: 'multiple hyperdense or calcified omental and mesentery nodes': 'clinical finding': 'multiple hyperdense or calcified omental and mesentery nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple hyperdense or calcified omental and mesentery', 'observation': 'node', 'quantity_term': 'multiple', 'change_term': 'calcified', 'peritoneal carcinomatosis': 'clinical finding': 'peritoneal carcinomatosis', 'existence': 'pos_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'anatomical entity_fin: 'quadrant': 'location descriptor': 'left lower', 'gallbladder': , 'cecum': location descriptor_fin: ['left', 'upper', 'lower']clinical findings_fin: 'they are noted around the left upper quadrant , near the gallbladder and cecum as well as in the left lower quadrant': 'clinical finding': 'they are noted around the left upper quadrant , near the gallbladder and cecum as well as in the left lower quadrant'clinical findings_fin: 'not significantly changed in size and number': 'clinical finding': 'not significantly changed in size and number', 'change_term': 'changed'anatomical entity_fin: 'quadrant': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'left upper quadrant ostomy , stable': 'clinical finding': 'left upper quadrant ostomy , stable', 'change_term': 'stable'anatomical entity_fin: 'anterior abdominal wall': clinical findings_fin: 'multiple calcified anterior abdominal wall masses': 'clinical finding': 'multiple calcified anterior abdominal wall masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple calcified anterior abdominal wall', 'observation': 'mass', 'quantity_term': 'multiple', 'change_term': 'calcified'clinical findings_fin: 'overall stable to minimally increased': 'clinical finding': 'overall stable to minimally increased', 'change_term': 'stable - increased'size_fin: ['size': '1.3 by 1.2 cm', 'size_descriptor': 'nodule', 'size': '1 x 1.1 cm', 'size_descriptor': 'number']clinical findings_fin: 'index metastatic subcutaneous nodule': 'clinical finding': 'index metastatic subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'index metastatic subcutaneous', 'observation': 'nodule', 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'punctate calcified nodules': 'clinical finding': 'punctate calcified nodules', 'existence': 'pos_dx', 'descriptive_term': 'punctate calcified', 'observation': 'nodule', 'change_term': 'calcified', 'peritoneal carcinomatosis': 'clinical finding': 'peritoneal carcinomatosis', 'existence': 'unc_dx', 'descriptive_term': 'peritoneal', 'observation': 'carcinomatosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. 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. Again noted multiple hyperdense or calcified omental and mesentery nodes consistent with peritoneal carcinomatosis. They are noted around the left upper quadrant, near the gallbladder and cecum as well as in the left lower quadrant. There not significantly changed in size and number. Left upper quadrant ostomy, stable. There are multiple calcified anterior abdominal wall masses involving the rectus muscles and subcutaneous tissues. There overall stable to minimally increased in size. An index metastatic subcutaneous nodule now measures 1.3 by 1.2 cm in image number 163, series number Previously it was measuring 1 x 1.1 cm on image number 165, series number No significant abnormality noted. Not well visualized. No significant abnormality noted. No significant abnormality noted. Punctate calcified nodules suggestive of peritoneal carcinomatosis described 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: 'brain': clinical findings_fin: 'cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance': 'clinical finding': 'cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance'location descriptor_fin: ['midline']clinical findings_fin: 'maintained': 'clinical finding': 'maintained', 'existence': 'pos_dx', 'observation': 'maintain'anatomical entity_fin: 'fluid': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'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: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'tonsil': clinical findings_fin: 'cerebellar tonsil herniation': 'clinical finding': 'cerebellar tonsil herniation', 'existence': 'neg_dx', 'descriptive_term': 'cerebellar tonsil', 'observation': 'herniation'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] The cerebral and cerebellar hemispheres and the brain stem are unremarkable in appearance. The ventricles are normal in volume and the midline is maintained. No abnormal extra axial fluid collections, mass, or intracranial hemorrhage. The gray-white matter differentiation is preserved. The calvaria and skull base are radiographically normal. No cerebellar tonsil herniation is appreciated. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'demineralized': 'clinical finding': 'demineralized', 'existence': 'pos_dx', 'observation': 'demineralized', 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'unc_dx', 'observation': 'osteomyelitis'anatomical entity_fin: 'sacrum': , 'coccyx': imaging observation_fin: ['ulcer']location descriptor_fin: ['superficial']clinical findings_fin: 'large soft tissue defect': 'clinical finding': 'large soft tissue defect', 'existence': 'pos_dx', 'descriptive_term': 'large soft tissue', 'observation': 'defect', 'strength_term': 'large', 'patients known decubitus ulcer': 'clinical finding': 'patients known decubitus ulcer', 'existence': 'pos_dx', 'descriptive_term': 'patients known decubitus', 'observation': 'ulcer'clinical findings_fin: 'soft tissue defect': 'clinical finding': 'soft tissue defect', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'defect'clinical findings_fin: 'periosteal reaction': 'clinical finding': 'periosteal reaction', 'existence': 'neg_dx', 'descriptive_term': 'periosteal', 'observation': 'reaction', 'osseous destruction': 'clinical finding': 'osseous destruction', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'destruction', 'osteomyelitis': 'clinical finding': 'osteomyelitis', 'existence': 'unc_dx', 'observation': 'osteomyelitis'anatomical entity_fin: 'spine': , 'sacroiliac joints': , 'hips': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'significant degenerative changes': 'clinical finding': 'significant degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'significant degenerative', 'observation': 'change' [/INST] [RESP] The bones are demineralized a limiting sensitivity for osteomyelitis. A large soft tissue defect is seen superficial to the sacrum and coccyx which is compatible with the patients known decubitus ulcer. The soft tissue defect does not appear to reach the underlying bone on this CT examination. There is also no evidence of periosteal reaction or osseous destruction to suggest osteomyelitis. Significant degenerative changes affect the lumbar spine, sacroiliac joints and bilateral hips. [/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: 'spine': , 'foramina': , 'spinal canal': , 'spinal cord': location descriptor_fin: ['right']clinical findings_fin: 'significant compression': 'clinical finding': 'significant compression', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'compression'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'adjacent']clinical findings_fin: 'partial atelectasis': 'clinical finding': 'partial atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'atelectasis', 'strength_term': 'partial', 'smaller right pleural effusion': 'clinical finding': 'smaller right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'smaller right pleural', 'observation': 'effusion'size_fin: ['size': '19 by 13']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: '19 by 13-mm nodule': 'clinical finding': '19 by 13-mm nodule', 'existence': 'pos_dx', 'descriptive_term': '19 by 13-mm', 'observation': 'nodule'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'multiple nodular densities': 'clinical finding': 'multiple nodular densities', 'existence': 'pos_dx', 'descriptive_term': 'multiple nodular', 'observation': 'density', 'quantity_term': 'multiple'clinical findings_fin: 'also are larger than before': 'clinical finding': 'also are larger than before'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. There is undulation on the right pleural surface posteriorly extending medially toward the spine and through the neural foramina into the spinal canal without significant compression of the spinal cord, more than previous the study. In addition, there is a partial atelectasis in the right lower lobe adjacent to a smaller right pleural effusion. There is a 19 by 13-mm nodule in the left upper lobe, larger than previous the study. Multiple nodular densities are noted at the left lung base. These also are larger than before. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'lower', 'upper', 'left']clinical findings_fin: 'segmental pulmonary emboli': 'clinical finding': 'segmental pulmonary emboli', 'existence': 'pos_dx', 'descriptive_term': 'segmental pulmonary', 'observation': 'emboli'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is within normal limits': 'clinical finding': 'main pulmonary artery is within normal limits'anatomical entity_fin: 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'anatomical entity_fin: 'airways': location descriptor_fin: ['peripheral']clinical findings_fin: 'multifocal peripheral, basilar predominant groundglass opacities': 'clinical finding': 'multifocal peripheral, basilar predominant groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'multifocal peripheral basilar predominant groundglass', 'observation': 'opacity', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'clinical findings_fin: 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'neg_dx', 'observation': 'honeycombing'anatomical entity_fin: 'base': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'subpleural masslike opacity': 'clinical finding': 'subpleural masslike opacity', 'existence': 'pos_dx', 'descriptive_term': 'subpleural masslike', 'observation': 'opacity'clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified'anatomical entity_fin: 'airways': clinical findings_fin: 'mild pulmonary interstitial emphysema': 'clinical finding': 'mild pulmonary interstitial emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild pulmonary interstitial', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'neck': clinical findings_fin: 'moderate pneumomediastinum': 'clinical finding': 'moderate pneumomediastinum', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'pneumomediastinum', 'strength_term': 'moderate'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'calcified mediastinal lymph nodes': 'clinical finding': 'calcified mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal lymph', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'anatomical entity_fin: 'retrocrural lymph nodes': clinical findings_fin: 'significant axillary, internal mammary or retrocrural lymph nodes': 'clinical finding': 'significant axillary, internal mammary or retrocrural lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significant axillary internal mammary or retrocrural lymph', 'observation': 'node'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'spleen': clinical findings_fin: 'scattered calcifications': 'clinical finding': 'scattered calcifications', 'existence': 'unc_dx', 'descriptive_term': 'scattered', 'observation': 'calcification', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease' [/INST] [RESP] . Right lower lobe, right upper lobe, and left lower lobe segmental pulmonary emboli are present. The main pulmonary artery is within normal limits. There is no definite evidence of right heart strain. Multifocal peripheral, basilar predominant groundglass opacities, consolidation, and basal dilatation of the airways. There is no evidence of honeycombing. Subpleural masslike opacity at the right base. Calcified granulomas. Mild pulmonary interstitial emphysema along the airways. Moderate pneumomediastinum extending into the neck and inferiorly to the level of the GE junction. Calcified mediastinal lymph nodes are present likely secondary to prior granulomatous disease. None. No significant axillary, internal mammary or retrocrural lymph nodes are present. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Scattered calcifications in the spleen are likely secondary to prior granulomatous disease. [/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', 'prior ct. emphysema': 'clinical finding': 'prior ct. emphysema', 'existence': 'pos_dx', 'descriptive_term': 'prior ct ', 'observation': 'emphysema'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hypodense lesions': 'clinical finding': 'multiple hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypodense', 'observation': 'lesion', 'quantity_term': 'multiple', 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'clinical findings_fin: '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'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 moderate hydronephrosis': 'clinical finding': 'bilateral moderate hydronephrosis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral moderate', 'observation': 'hydronephrosis', 'strength_term': 'moderate'anatomical entity_fin: 'left kidney': clinical findings_fin: 'punctate stones': 'clinical finding': 'punctate stones', 'existence': 'pos_dx', 'descriptive_term': 'punctate', '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'anatomical entity_fin: 'pelvic bones': , 'vertebral bodies': clinical findings_fin: 'extensive bone metastases': 'clinical finding': 'extensive bone metastases', 'existence': 'pos_dx', 'descriptive_term': 'extensive bone', 'observation': 'metastase', 'strength_term': 'extensive'clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'anatomical entity_fin: 'prostate': , 'gland': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'bladder': object_fin: ['catheter']clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': location descriptor_fin: ['bilateral']clinical findings_fin: 'ascites': 'clinical finding': 'ascites', 'existence': 'pos_dx', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] The study is significantly limited due to lack of IV contrast. Bilateral small pleural effusions, new from prior CT. Emphysema unchanged. Multiple hypodense lesions in the liver are unchanged from previous study and they cannot be optimally characterized due to lack of IV contrast. Given this limitation, due to the are significantly low attenuation the likely represent cysts. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral moderate hydronephrosis. Punctate stones in the left kidney are unchanged. No significant abnormality noted. No significant abnormality noted. Extensive bone metastases involving the pelvic bones and thoracolumbar vertebral bodies are unchanged. Small amount of ascites, new from previous study. Prostate gland is enlarged. Bladder and is decompressed by a Foley catheter. No significant abnormality noted. No significant abnormality noted. Small amount of fluid containing ascites in bilateral inguinal regions. 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'imaging observation_fin: ['foci']clinical findings_fin: 'scattered nonspecific low attenuation foci': 'clinical finding': 'scattered nonspecific low attenuation foci', 'existence': 'pos_dx', 'descriptive_term': 'scattered nonspecific low attenuation', 'observation': 'foci', 'chronic ischemic small disease': 'clinical finding': 'chronic ischemic small disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic small', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. Scattered nonspecific low attenuation foci are seen in the deep and periventricular white matter suggestive of chronic ischemic small disease. The gray-white matter differentiation is preserved. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild basilar atelectasis': 'clinical finding': 'mild basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild basilar', 'observation': 'atelectasis', 'strength_term': 'mild'size_fin: ['size': '5.2 x 3.2 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': , 'liver': clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'minimal change': 'clinical finding': 'minimal change', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'imaging observation_fin: ['colon']clinical findings_fin: 'metastatic colon cancer': 'clinical finding': 'metastatic colon cancer', 'existence': 'unc_dx', 'descriptive_term': 'metastatic colon', 'observation': 'cancer'clinical findings_fin: 'malignancy': 'clinical finding': 'malignancy', 'existence': 'unc_dx', 'observation': 'malignancy'imaging modality_fin: ['ultrasound']clinical findings_fin: 'lesion': 'clinical finding': 'lesion', 'existence': 'unc_dx', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pancreas': clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity', 'lipoma': 'clinical finding': 'lipoma', 'existence': 'unc_dx', 'observation': 'lipoma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'multiple bilateral renal hypodensities': 'clinical finding': 'multiple bilateral renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral renal', 'observation': 'hypodensity', 'quantity_term': 'multiple', 'simple cysts': 'clinical finding': 'simple cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'imaging observation_fin: ['colon']location descriptor_fin: ['right']anatomical entity_fin: 'esophagus': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'small hernia': 'clinical finding': 'small hernia', 'existence': 'unc_dx', 'descriptive_term': 'small', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'multiple diverticuli': 'clinical finding': 'multiple diverticuli', 'existence': 'neg_dx', 'descriptive_term': 'multiple', 'observation': 'diverticuli', 'quantity_term': 'multiple', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation'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: 'celiac artery': clinical findings_fin: 'aneurysmal dilation': 'clinical finding': 'aneurysmal dilation', 'existence': 'pos_dx', 'descriptive_term': 'aneurysmal', 'observation': 'dilation'clinical findings_fin: 'segmental arterial mediolysis': 'clinical finding': 'segmental arterial mediolysis', 'existence': 'unc_dx', 'descriptive_term': 'segmental arterial', 'observation': 'mediolysis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['colon']location descriptor_fin: ['right']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'common iliac artery': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'ectatic': 'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic' [/INST] [RESP] . Mild basilar atelectasis. A hypodense lesion in the caudate lobe of the liver measures 5.2 x 3.2 cm with minimal change on the arterial, portal venous, and delayed sequences. Though nonspecific, a benign etiology is favored and the characteristics would be unusual for metastatic colon cancer. However, malignancy cannot be definitively excluded on this study. Comparison with the prior CT from 2004 would be of greatest value in showing stability. Alternatively, an ultrasound or MRI could help further characterize the lesion. No significant abnormality noted. Hypodensity in the pancreas may represent a lipoma. No significant abnormality noted. Multiple bilateral renal hypodensities likely represent simple cysts. Atherosclerotic calcification of the aorta. Status post partial resection of the right colon. The esophagus appears thickened, though this may represent a small hernia. This can be further evaluated with upper endoscopy or a barium esophagram if clinically indicated. Multiple diverticuli are noted without evidence of inflammation. Mild degenerative changes of the thoracolumbar spine. Aneurysmal dilation of the celiac artery is noted. A diagnosis of segmental arterial mediolysis may be considered. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Status post partial resection of the right colon. No significant abnormality noted. The right common iliac artery appears slightly ectatic. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent', 'mild or moderate age-related volume loss': 'clinical finding': 'mild or moderate age-related volume loss', 'existence': 'pos_dx', 'descriptive_term': 'mild or moderate age-related volume', 'observation': 'loss', 'strength_term': 'mild - moderate'anatomical entity_fin: 'right lateral ventricle': , 'normal variant': location descriptor_fin: ['left']clinical findings_fin: 'right lateral ventricle slightly larger than the left, likely a normal variant': 'clinical finding': 'right lateral ventricle slightly larger than the left, likely a normal variant', 'existence': 'pos_dx', 'descriptive_term': 'right lateral ventricle slightly larger than the left likely a normal', 'observation': 'variant', 'strength_term': 'normal'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', 'mild age-indeterminate small vessel ischemic changes': 'clinical finding': 'mild age-indeterminate small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': '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'clinical findings_fin: 'venous structure': 'clinical finding': 'venous structure', 'existence': 'pos_dx', 'descriptive_term': 'venous', 'observation': 'structure' [/INST] [RESP] The ventricles and sulci are prominent, consistent with mild or moderate age-related volume loss. Right lateral ventricle slightly larger than the left, likely a normal variant. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with 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. Prominent lucencies in the calvarium are due to venous structure. [/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: 'frontotemporal craniectomy': 'clinical finding': 'frontotemporal craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'frontotemporal', 'observation': 'craniectomy', 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'clinical findings_fin: 'not significantly changed from prior': 'clinical finding': 'not significantly changed from prior', 'change_term': 'changed'clinical findings_fin: 'paraventricular hypodensities': 'clinical finding': 'paraventricular hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'paraventricular', 'observation': 'hypodensity', 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'hypodensity': 'clinical finding': 'hypodensity', 'existence': 'pos_dx', 'observation': 'hypodensity'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'inflammatory changes': 'clinical finding': 'inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'inflammatory', 'observation': 'change' [/INST] [RESP] Note is again made of a frontotemporal craniectomy with an area of encephalomalacia involving the right frontal lobe which does not appear significant change from prior. There is prominence of the ventricular system which is not significantly changed from prior. Paraventricular hypodensities again noted again without significant change. There is also hypodensity in the left parietal white matter which was seen on the prior study. There is no evidence of intracranial hemorrhage. Note is made of inflammatory changes involving the visualized portions of the maxillary and ethmoid sinuses bilaterally. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion'anatomical entity_fin: 'fluid': , 'superior mediastinum': , 'left subclavian artery': , 'brachiocephalic vein': imaging observation_fin: ['fat']location descriptor_fin: ['left']clinical findings_fin: 'fluid and fat stranding': 'clinical finding': 'fluid and fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fluid and fat', 'observation': 'strand', 'brachiocephalic': 'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'clinical findings_fin: 'definite soft tissue mass': 'clinical finding': 'definite soft tissue mass', 'existence': 'neg_dx', 'descriptive_term': 'definite soft tissue', 'observation': 'mass'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'fluid': , 'chest wall': 'location descriptor': 'anterior left'imaging observation_fin: ['fat']location descriptor_fin: ['left', 'superior', 'anterior']clinical findings_fin: 'fluid and fat stranding': 'clinical finding': 'fluid and fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fluid and fat', 'observation': 'strand'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'spleen': location descriptor_fin: ['anterior']clinical findings_fin: 'trace ascites': 'clinical finding': 'trace ascites', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite' [/INST] [RESP] . Trace bilateral pleural effusions. Fluid and fat stranding extending into the superior mediastinum, surrounding the left common coronary, left subclavian artery, and brachiocephalic vein. No definite soft tissue mass. No mediastinal or hilar lymphadenopathy. The heart size is normal. No pericardial effusion. Fluid and fat stranding in the left supraclavicular region and along the superior anterior left chest wall. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Trace ascites, best seen anterior to spleen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: object_fin: ['tracheostomy tube', 'tube']anatomical entity_fin: 'neck': 'location descriptor': 'left', 'parapharyngeal space': 'location descriptor': 'left', 'submandibular space': , 'parotid space': , 'masticator space': , 'floor': , 'mouth': , 'temporomandibular joint': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'two new surgical drains': 'clinical finding': 'two new surgical drains', 'existence': 'pos_dx', 'descriptive_term': 'two new surgical', 'observation': 'drain', 'temporal_term': 'new', 'transpatial fluid collection': 'clinical finding': 'transpatial fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'transpatial fluid', 'observation': 'collection', 'interval resolution': 'clinical finding': 'interval resolution', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'resolution', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'pos_dx', 'observation': 'subluxation'clinical findings_fin: 'abscess': 'clinical finding': 'abscess', 'existence': 'pos_dx', 'observation': 'abscess'anatomical entity_fin: 'neck': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'persistent diffuse skin thickening': 'clinical finding': 'persistent diffuse skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'persistent diffuse skin', 'observation': 'thickening', 'temporal_term': 'persistent', 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'clinical findings_fin: 'frank destruction': 'clinical finding': 'frank destruction', 'existence': 'neg_dx', 'descriptive_term': 'frank', 'observation': 'destruction'location descriptor_fin: ['left']clinical findings_fin: 'lucency within the left mandibular ramus is unchanged': 'clinical finding': 'lucency within the left mandibular ramus is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'diffuse mucosal thickening': 'clinical finding': 'diffuse mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'diffuse mucosal', 'observation': 'thickening', 'nonspecific fluid levels': 'clinical finding': 'nonspecific fluid levels', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific fluid', 'observation': 'level'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'nonopacification': 'clinical finding': 'nonopacification', 'existence': 'pos_dx', 'observation': 'nonopacification'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'thyroid and major salivary glands are unchanged': 'clinical finding': 'thyroid and major salivary glands are unchanged', 'change_term': 'unchanged'clinical findings_fin: 'unchanged cervical spondylosis': 'clinical finding': 'unchanged cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'unchanged cervical', 'observation': 'spondylosis', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'mild dependent atelectasis': 'clinical finding': 'mild dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild dependent', 'observation': 'atelectasis', 'strength_term': 'mild' [/INST] [RESP] There is interval placement of a tracheostomy tube and a nasoenteric tube. Two new surgical drains have been placed in the left neck with slight overall decrease in size of the transpatial fluid collection involving the left parapharyngeal space, submandibular space, parotid space, masticator space, retropharyngeal space and floor of mouth with interval resolution of subluxation of the left temporomandibular joint. However, the retropharyngeal component of the abscess has increased in size. There is persistent diffuse skin thickening and edema superficially and in the deep left neck spaces. There is no frank destruction of the underlying osseous structures. Lucency within the left mandibular ramus is unchanged. There is diffuse mucosal thickening of the paranasal sinuses as well as nonspecific fluid levels in the maxillary sinuses. There remains nonopacification of a portion of the left internal jugular vein. The thyroid and major salivary glands are unchanged. There is unchanged cervical spondylosis. The imaged intracranial structures are unremarkable. The imaged portions of the lungs demonstrate mild dependent atelectasis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'bronchus': , 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'airways': location descriptor_fin: ['right', 'upper', 'lower']clinical findings_fin: 'mosaic perfusion pattern': 'clinical finding': 'mosaic perfusion pattern', 'existence': 'pos_dx', 'descriptive_term': 'mosaic perfusion', 'observation': 'pattern', 'small airways disease': 'clinical finding': 'small airways disease', 'existence': 'unc_dx', 'descriptive_term': 'small airways', 'observation': 'disease', 'strength_term': 'small', 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'superior', 'lower']clinical findings_fin: 'moderate left pleural effusion': 'clinical finding': 'moderate left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate left pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'focal nodular opacities': 'clinical finding': 'focal nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'focal nodular', 'observation': 'opacity', 'infection': 'clinical finding': 'infection', 'existence': 'pos_dx', 'observation': 'infection', 'possibly aspiration': 'clinical finding': 'possibly aspiration', 'existence': 'pos_dx', 'descriptive_term': 'possibly', 'observation': 'aspiration'location descriptor_fin: ['right']clinical findings_fin: 'minimal right pleural effusion': 'clinical finding': 'minimal right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'minimal right pleural', 'observation': 'effusion', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'anatomical entity_fin: 'subcarinal lymph nodes': clinical findings_fin: 'mildly enlarged subcarinal lymph nodes': 'clinical finding': 'mildly enlarged subcarinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged subcarinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'very small pericardial effusion': 'clinical finding': 'very small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'very small pericardial', 'observation': 'effusion', 'strength_term': 'small'object_fin: ['catheter']imaging observation_fin: ['blood']clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'anemia': 'clinical finding': 'anemia', 'existence': 'unc_dx', 'observation': 'anemia'anatomical entity_fin: 'rib': location descriptor_fin: ['right']clinical findings_fin: 'sclerotic focus': 'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'multiple large hepatic hypoattenuating lesions': 'clinical finding': 'multiple large hepatic hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple large hepatic hypoattenuating', 'observation': 'lesion', 'strength_term': 'large', 'quantity_term': 'multiple', 'hemangiomas': 'clinical finding': 'hemangiomas', 'existence': 'pos_dx', 'observation': 'hemangiomas' [/INST] [RESP] . Variant bronchial anatomy on the right with a tracheal bronchus supplying the right upper lobe. Mosaic perfusion pattern in the right upper and right lower lobe, which can be seen in small airways disease and pulmonary hypertension. Moderate left pleural effusion, with focal nodular opacities in the superior segment of the left lower lobe compatible with infection and possibly aspiration. Minimal right pleural effusion with dependent atelectasis. Mildly enlarged subcarinal lymph nodes, unchanged, likely reactive. Very small pericardial effusion, not significantly changed. Catheter tip in the SVC. Low attenuation of the blood pool suggestive of anemia. Moderate. Sclerotic focus in the right ninth rib, unchanged. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Multiple large hepatic hypoattenuating lesions, incompletely characterized on this nonenhanced scan but unchanged and previously diagnosed as hemangiomas. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'abdominal': , 'organs': non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'note that evaluation of the abdominal solid visceral organs is limited without administration of iv or oral contrast': 'clinical finding': 'note that evaluation of the abdominal solid visceral organs is limited without administration of iv or oral contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': , 'gallbladder': clinical findings_fin: 'liver and gallbladder are unremarkable': 'clinical finding': 'liver and gallbladder are unremarkable'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'kidneys are unremarkable': 'clinical finding': 'kidneys are unremarkable'clinical findings_fin: 'intrarenal calculi': 'clinical finding': 'intrarenal calculi', 'existence': 'neg_dx', 'descriptive_term': 'intrarenal', 'observation': 'calculi'anatomical entity_fin: 'ureters': , 'urinary bladder': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'decompressed': 'clinical finding': 'decompressed', 'existence': 'pos_dx', 'observation': 'decompressed'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'clinical findings_fin: 'pericolonic inflammation': 'clinical finding': 'pericolonic inflammation', 'existence': 'neg_dx', 'descriptive_term': 'pericolonic', 'observation': 'inflammation'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is visualized and appears': 'clinical finding': 'appendix is visualized and appears'clinical findings_fin: 'acute appendicitis': 'clinical finding': 'acute appendicitis', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'appendicitis', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'fluid': clinical findings_fin: 'intraperitoneal free air': 'clinical finding': 'intraperitoneal free air', 'existence': 'neg_dx', 'descriptive_term': 'intraperitoneal free', 'observation': 'air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Please note that evaluation of the abdominal solid visceral organs is limited without administration of IV or oral contrast. No significant abnormality noted. The liver and gallbladder are unremarkable. There is no biliary ductal dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. The kidneys are unremarkable. There are no intrarenal calculi. No stones are visualized in the ureters or the urinary bladder. There is no hydronephrosis. There is no retroperitoneal lymphadenopathy. Mild. The large and small bowel are decompressed. There is no evidence of bowel obstruction. There is no pericolonic inflammation. The appendix is visualized and appears normal. There is no acute appendicitis. There is no intraperitoneal free air or fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 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: 'chest': location descriptor_fin: ['left']clinical findings_fin: 'hepatic cyst': 'clinical finding': 'hepatic cyst', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']clinical findings_fin: 'stable bilateral renal cysts': 'clinical finding': 'stable bilateral renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'stable bilateral renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'widespread sclerotic metastatic lesions': 'clinical finding': 'widespread sclerotic metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'widespread sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'widespread'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': clinical findings_fin: 'atrophic': 'clinical finding': 'atrophic', 'existence': 'unc_dx', 'observation': 'atrophic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'widespread sclerotic metastatic lesions': 'clinical finding': 'widespread sclerotic metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'widespread sclerotic metastatic', 'observation': 'lesion', 'strength_term': 'widespread'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Please see separate chest CT report. Stable subcentimeter left hepatic cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable bilateral renal cysts. No significant abnormality noted. Moderate. No significant abnormality noted. Widespread sclerotic metastatic lesions unchanged. No significant abnormality noted. Uterus absent or atrophic. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Widespread sclerotic metastatic lesions 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: 'cerebral white matter': clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'anatomical entity_fin: 'brain': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'vertebral artery': clinical findings_fin: 'mild calcification': 'clinical finding': 'mild calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'calcification', 'strength_term': 'mild' [/INST] [RESP] There is patchy hypoattenuation in the cerebral white matter. There is a focus of hypoattenuation in the left basal ganglia. The ventricles, sulci, and cisterns are symmetric and prominent, representing brain volume loss. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. There is mild calcification of the intracranial vertebral artery. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'new left pleural effusion': 'clinical finding': 'new left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'new left pleural', 'observation': 'effusion', 'temporal_term': 'new'clinical findings_fin: 'biliary stent': 'clinical finding': 'biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'biliary', 'observation': 'stent'anatomical entity_fin: 'lobes': clinical findings_fin: 'pneumobilia': 'clinical finding': 'pneumobilia', 'existence': 'pos_dx', 'observation': 'pneumobilia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'body': , 'head': clinical findings_fin: 'asymmetric atrophy': 'clinical finding': 'asymmetric atrophy', 'existence': 'pos_dx', 'descriptive_term': 'asymmetric', 'observation': 'atrophy', 'tail': 'clinical finding': 'tail', 'existence': 'pos_dx', 'observation': 'tail'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['gastric resection']anatomical entity_fin: 'lumen': clinical findings_fin: 'gastric stent': 'clinical finding': 'gastric stent', 'existence': 'pos_dx', 'descriptive_term': 'gastric', 'observation': 'stent', 'stent': 'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'location descriptor_fin: ['adjacent']clinical findings_fin: 'free intraperitoneal gas': 'clinical finding': 'free intraperitoneal gas', 'existence': 'pos_dx', 'descriptive_term': 'free intraperitoneal', 'observation': 'gas', 'stent': 'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: ['gastric resection']anatomical entity_fin: 'lumen': clinical findings_fin: 'gastric stent': 'clinical finding': 'gastric stent', 'existence': 'pos_dx', 'descriptive_term': 'gastric', 'observation': 'stent', 'stent': 'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'location descriptor_fin: ['adjacent']clinical findings_fin: 'free intraperitoneal gas': 'clinical finding': 'free intraperitoneal gas', 'existence': 'pos_dx', 'descriptive_term': 'free intraperitoneal', 'observation': 'gas', 'stent': 'clinical finding': 'stent', 'existence': 'pos_dx', 'observation': 'stent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . New left pleural effusion. There is a biliary stent in place which appears unchanged in position. Small amount of pneumobilia involving both lobes. No significant abnormality noted. Asymmetric atrophy of the body and tail compared to the head. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate. Post partial gastric resection. There is now a gastric stent in place which appears acutely angled with out visualization of the stent lumen. There is a small amount of free intraperitoneal gas adjacent to the stent as noted on image 25/162. This was not present on the prior exam. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Post partial gastric resection. There is now a gastric stent in place which appears acutely angled with out visualization of the stent lumen. There is a small amount of free intraperitoneal gas adjacent to the stent as noted on image 25/162. This was not present on the prior exam. 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: 'poor opacification': 'clinical finding': 'poor opacification', 'existence': 'pos_dx', 'descriptive_term': 'poor', 'observation': 'opacification'clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'main pulmonary artery': 'location descriptor': 'right', 'lobe': 'location descriptor': 'lower', 'pulmonary artery': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'large pulmonary embolus': 'clinical finding': 'large pulmonary embolus', 'existence': 'pos_dx', 'descriptive_term': 'large pulmonary', 'observation': 'embolus', 'strength_term': 'large', 'right main pulmonary': 'clinical finding': 'right main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right main', 'observation': 'pulmonary', 'lower lobe pulmonary': 'clinical finding': 'lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe', 'observation': 'pulmonary'anatomical entity_fin: 'pulmonary artery': , 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right heart strain': 'clinical finding': 'right heart strain', 'existence': 'neg_dx', 'descriptive_term': 'right heart', 'observation': 'strain'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'airspace': , 'pleura': location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe airspace opacity': 'clinical finding': 'left lower lobe airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe airspace', 'observation': 'opacity'clinical findings_fin: 'definite pulmonary embolus': 'clinical finding': 'definite pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'definite pulmonary', 'observation': 'embolus', 'pulmonary hemorrhage': 'clinical finding': 'pulmonary hemorrhage', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'hemorrhage', 'infarct': 'clinical finding': 'infarct', 'existence': 'unc_dx', 'observation': 'infarct'clinical findings_fin: 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'pleura': imaging observation_fin: ['angle']location descriptor_fin: ['right', 'lower', 'posterior']clinical findings_fin: 'scattered small right lower lobe air space opacities': 'clinical finding': 'scattered small right lower lobe air space opacities', 'existence': 'pos_dx', 'descriptive_term': 'scattered small right lower lobe air space', 'observation': 'opacity', 'strength_term': 'small'clinical findings_fin: 'pulmonary infarcts': 'clinical finding': 'pulmonary infarcts', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'infarct', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'trace pleural effusions': 'clinical finding': 'trace pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'trace pleural', 'observation': 'effusion', 'associated mild compressive atelectasis': 'clinical finding': 'associated mild compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated mild compressive', 'observation': 'atelectasis', 'strength_term': 'mild'anatomical entity_fin: 'aorta': , 'coronary arteries': anatomical entity_fin: 'apex': 'location descriptor': 'left'location descriptor_fin: ['superior', 'left']object_fin: ['surgical clip']clinical findings_fin: 'surgical clip': 'clinical finding': 'surgical clip', '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'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hypoattenuating lesions': 'clinical finding': 'multiple hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating', 'observation': 'lesion', 'quantity_term': 'multiple'clinical findings_fin: 'hepatic cysts': 'clinical finding': 'hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'cyst', 'neoplasm': 'clinical finding': 'neoplasm', 'existence': 'unc_dx', 'observation': 'neoplasm', 'abscess': 'clinical finding': 'abscess', 'existence': 'unc_dx', 'observation': 'abscess'anatomical entity_fin: 'right adrenal gland': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged' [/INST] [RESP] . This examination is limited due to poor opacification. Evaluation for pulmonary embolus can only be performed to the lobar level. A large pulmonary embolus is noted in the right main pulmonary artery extending beyond its branch point into the lower lobe pulmonary artery and possibly into segmental branches. The pulmonary artery diameter is within normal limits, and there is no evidence of right heart strain. A left lower lobe airspace opacity is identified that extends to the pleura. While no definite pulmonary embolus is identified in this distribution, the possibility of pulmonary hemorrhage or infarct remains. Aspiration or infection and atelectasis are also considerations given the distribution. Scattered small right lower lobe air space opacities with extension to the pleura are also noted in the posterior costophrenic angle. The differential includes pulmonary infarcts, aspiration or atelectasis. Trace pleural effusions with associated mild compressive atelectasis. Atherosclerotic calcifications in the aorta and coronary arteries. Surgical clip in the soft tissues just superior to the left apex. No significant abnormality noted. Multiple hypoattenuating lesions are identified throughout the liver and are incompletely evaluated. The differential diagnosis includes hepatic cysts, neoplasm or abscess. Enlarged right adrenal gland. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'anatomical entity_fin: 'scalp': clinical findings_fin: 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings': 'clinical finding': 'is no detectable acute posttraumatic intracranial , calvarial or soft tissues of the scalp findings'anatomical entity_fin: 'cerebral cortex': clinical findings_fin: 'gray -- white matter differentiation': 'clinical finding': 'gray -- white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white matter', 'observation': 'differentiation'anatomical entity_fin: 'scalp': clinical findings_fin: 'unremarkable calvarium and soft tissues': 'clinical finding': 'unremarkable calvarium and soft tissues'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': , 'paranasal sinuses': clinical findings_fin: 'unremarkable mastoid air cells': 'clinical finding': 'unremarkable mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'unremarkable mastoid air', 'observation': 'cell', 'strength_term': 'unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'unremarkable images through the orbits': 'clinical finding': 'unremarkable images through the orbits' [/INST] [RESP] Nonenhanced head. There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation. Unremarkable calvarium and soft tissues of the scalp. Unremarkable mastoid air cells, middle ear cavities and visualized paranasal sinuses. Unremarkable images through the orbits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '2.1 x 1.4 cm', 'size': '2.4 x 1.8 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'substantial change': 'clinical finding': 'substantial change', 'existence': 'neg_dx', 'descriptive_term': 'substantial', 'observation': 'change', 'nodule': 'clinical finding': 'nodule', 'existence': 'neg_dx', 'observation': 'nodule'anatomical entity_fin: 'lungs': location descriptor_fin: ['medial', 'left', 'right']clinical findings_fin: 'probable radiation related changes': 'clinical finding': 'probable radiation related changes', 'existence': 'pos_dx', 'descriptive_term': 'probable radiation related', 'observation': 'change'imaging observation_fin: ['reticulation']location descriptor_fin: ['right', 'lower']clinical findings_fin: 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'reticulation': 'clinical finding': 'reticulation', 'existence': 'pos_dx', 'observation': 'reticulation', 'groundglass abnormality': 'clinical finding': 'groundglass abnormality', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'abnormality', 'chronic right pulmonary arterial occlusion': 'clinical finding': 'chronic right pulmonary arterial occlusion', 'existence': 'unc_dx', 'descriptive_term': 'chronic right pulmonary arterial', 'observation': 'occlusion', 'temporal_term': 'chronic'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'object_fin: ['port', 'catheter']clinical findings_fin: 'newly apparent thrombus': 'clinical finding': 'newly apparent thrombus', 'existence': 'pos_dx', 'descriptive_term': 'newly apparent', 'observation': 'thrombus'anatomical entity_fin: 'right pulmonary artery': , 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'large chronic filling defect': 'clinical finding': 'large chronic filling defect', 'existence': 'neg_dx', 'descriptive_term': 'large chronic filling', 'observation': 'defect', 'strength_term': 'large', 'temporal_term': 'chronic', 'right pulmonary': 'clinical finding': 'right pulmonary', 'existence': 'neg_dx', 'descriptive_term': 'right', 'observation': 'pulmonary', 'right lower lobe pulmonary': 'clinical finding': 'right lower lobe pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'pulmonary'size_fin: ['size': '9 mm', 'size_descriptor': 'axis']anatomical entity_fin: 'axis': clinical findings_fin: 'low paratracheal lymph node': 'clinical finding': 'low paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'low 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: 'abdomen': , 'pelvis': [/INST] [RESP] . No substantial change in nodule in the superior segment left lower lobe currently measuring 2.1 x 1.4 cm compared to 2.4 x 1.8 cm on previous study. Probable radiation related changes in the medial aspect of the lungs, left greater than right. Architectural distortion, reticulation, groundglass abnormality within the right lower, not substantially different compared to previous study, likely related to chronic right pulmonary arterial occlusion. Smoking related lung disease, not substantially different. Newly apparent thrombus is noted along the mid aspect of the port catheter within the SVC. No substantial difference in large chronic filling defect within the right pulmonary artery extending into the right lower lobe pulmonary arterial branches. Low paratracheal lymph node measuring 9 mm short axis is not substantially different compared to previous study. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Please see same day CT abdomen or pelvis interpretation. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'neck': imaging observation_fin: ['angle']location descriptor_fin: ['anterior']imaging observation_fin: ['angle']location descriptor_fin: ['center']clinical findings_fin: '56 degreescoronal center-edge angle': 'clinical finding': '56 degreescoronal center-edge angle', 'existence': 'pos_dx', 'descriptive_term': '56 degreescoronal center-edge', 'observation': 'angle'anatomical entity_fin: 'femoral neck': imaging observation_fin: ['angle']clinical findings_fin: '0 degreesacetabular version': 'clinical finding': '0 degreesacetabular version', 'existence': 'pos_dx', 'descriptive_term': '0 degreesacetabular', 'observation': 'version'size_fin: ['size': '11 mm', 'size_descriptor': 'base']anatomical entity_fin: 'base': , 'rim': size_fin: ['size': '8 mm'] [/INST] [RESP] . CAM location. Anterior femoral head or neck junction at the 3 oclock positionAlpha angle. 56 degreesCoronal center-edge angle. 31 degreesSagittal center-edge angle. 61 degrees as measured on the direct sagittal images. 43 degrees as measured on the false profile projections. Femoral neck-shaft angle. 136 degreesAcetabular version. 0 degreesAcetabular version. 13 degreesAcetabular version. 14 degreesFemoral version angle. -6 degreesMcKibbin index. 8 degreesAIIS width. 11 mmDistal base of AIIS to acetabular rim. Approximately 8 mm. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'apices': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'architectural distortions': 'clinical finding': 'architectural distortions', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'intralobular septal thickening': 'clinical finding': 'intralobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'intralobular septal', 'observation': 'thickening'clinical findings_fin: 'previously seen patchy subpleural and peribronchovascular consolidation': 'clinical finding': 'previously seen patchy subpleural and peribronchovascular consolidation', 'existence': 'pos_dx', 'descriptive_term': 'previously seen patchy subpleural and peribronchovascular', 'observation': 'consolidation', 'bandlike biapical opacities': 'clinical finding': 'bandlike biapical opacities', 'existence': 'neg_dx', 'descriptive_term': 'bandlike biapical', 'observation': 'opacity'clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation'location descriptor_fin: ['left', 'right']clinical findings_fin: 'perihilar groundglass opacities': 'clinical finding': 'perihilar groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'perihilar groundglass', 'observation': 'opacity'imaging observation_fin: ['reticulation']location descriptor_fin: ['right']clinical findings_fin: 'extensive right-sided subpleural reticulation': 'clinical finding': 'extensive right-sided subpleural reticulation', 'existence': 'unc_dx', 'descriptive_term': 'extensive right-sided subpleural', 'observation': 'reticulation', 'strength_term': 'extensive', 'thickening': 'clinical finding': 'thickening', 'existence': 'unc_dx', 'observation': 'thickening', 'subpleural edema': 'clinical finding': 'subpleural edema', 'existence': 'unc_dx', 'descriptive_term': 'subpleural', 'observation': 'edema'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'main pulmonary arteries': clinical findings_fin: 'main pulmonary': 'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'pulmonary arterial hypertension': 'clinical finding': 'pulmonary arterial hypertension', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'extensive mottled': 'clinical finding': 'extensive mottled', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'mottled', 'strength_term': 'extensive'anatomical entity_fin: 'body': 'location descriptor': 'left', 't11 vertebral body': location descriptor_fin: ['left', 'posterior']clinical findings_fin: 'peripherally sclerotic centrally lucent lesion': 'clinical finding': 'peripherally sclerotic centrally lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'peripherally sclerotic centrally lucent', 'observation': 'lesion'anatomical entity_fin: 'musculature': clinical findings_fin: 'symmetric calcifications': 'clinical finding': 'symmetric calcifications', 'existence': 'pos_dx', 'descriptive_term': 'symmetric', 'observation': 'calcification', 'myositis': 'clinical finding': 'myositis', 'existence': 'unc_dx', 'observation': 'myositis'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] . There is redemonstration of architectural distortions including traction bronchiectasis and intralobular septal thickening with slight sparing of the bilateral apices, appearing similar to the prior examination. Previously seen patchy subpleural and peribronchovascular consolidation appears slightly improved compared to the prior examination, with bandlike biapical opacities not significantly changed. No new areas of consolidation are evident. Perihilar groundglass opacities, left greater than right appear similar to the prior examination. Extensive right-sided subpleural reticulation or thickening is also not significantly changed in the prior exam, which likely reflects a component of subpleural edema. There is no pleural effusion or pneumothorax. No significant lymphadenopathy noted. The main pulmonary arteries is enlarged, a nonspecific finding, but one can be seen in the setting of pulmonary arterial hypertension. The heart size is normal and there is no pericardial effusion. Mild. Extensive mottled appearance of the osseous structures appears similar to the prior examination. Peripherally sclerotic centrally lucent lesion in the left body and posterior elements of the T11 vertebral body appears similar to the prior examination. There are symmetric calcifications of the subscapularis, teres minor and latissimus dorsi musculature suggestive of myositis. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'tarsometatarsal joint': , 'metatarsal': , 'base': location descriptor_fin: ['distal', 'medial']clinical findings_fin: 'a small exostosis': 'clinical finding': 'a small exostosis', 'existence': 'pos_dx', 'descriptive_term': 'a small', 'observation': 'exostosis', 'strength_term': 'small'anatomical entity_fin: 'metatarsal': , 'base': location descriptor_fin: ['superior', 'lateral']clinical findings_fin: 'this exostosis': 'clinical finding': 'this exostosis', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'exostosis'anatomical entity_fin: 'metatarsal': , 'joint': clinical findings_fin: 'tarsal or metatarsal joint dislocation': 'clinical finding': 'tarsal or metatarsal joint dislocation', 'existence': 'neg_dx', 'descriptive_term': 'tarsal or metatarsal joint', 'observation': 'dislocation', 'subluxation': 'clinical finding': 'subluxation', 'existence': 'neg_dx', 'observation': 'subluxation'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'soft tissues are normal': 'clinical finding': 'soft tissues are normal' [/INST] [RESP] Slightly distal to the first tarsometatarsal joint there is a a small exostosis arising from the medial aspect of the second metatarsal base. This exostosis extends medially, projecting over the superior or lateral aspect of the first metatarsal base. No tarsal or metatarsal joint dislocation or subluxation. Joint spaces are maintained. No fracture is evident. The soft tissues are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['adjacent']clinical findings_fin: 'small bibasilar peribronchiolar nodular opacities': 'clinical finding': 'small bibasilar peribronchiolar nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'small bibasilar peribronchiolar nodular', 'observation': 'opacity', 'strength_term': 'small', 'adjacent septal and pleural thickening': 'clinical finding': 'adjacent septal and pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'adjacent septal and pleural', 'observation': 'thickening'location descriptor_fin: ['right']clinical findings_fin: 'basilar pleural thickening': 'clinical finding': 'basilar pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'basilar pleural', 'observation': 'thickening'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small bibasilar peribronchiolar nodular opacities with adjacent septal and pleural thickening. Right basilar pleural thickening is noted as well. No suspicious nodules or masses identified. No mediastinal or hilar lymphadenopathy. Heart size normal without pericardial effusion. 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: 'pelvis': , 'iliac wing': 'location descriptor': 'right', 'acetabulum': location descriptor_fin: ['right']clinical findings_fin: 'large mass': 'clinical finding': 'large mass', 'existence': 'unc_dx', 'descriptive_term': 'large', 'observation': 'mass', 'strength_term': 'large'size_fin: ['size': '19 cm', 'size': '15 x 14 cm']imaging observation_fin: ['fat']location descriptor_fin: ['external']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'bowel': clinical findings_fin: 'visualized': 'clinical finding': 'visualized', 'existence': 'pos_dx', 'observation': 'visualized', 'scattered sigmoid diverticula': 'clinical finding': 'scattered sigmoid diverticula', 'existence': 'pos_dx', 'descriptive_term': 'scattered sigmoid', 'observation': 'diverticula'anatomical entity_fin: 'inguinal lymph nodes': clinical findings_fin: 'small inguinal lymph nodes': 'clinical finding': 'small inguinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small inguinal lymph', 'observation': 'node', 'strength_term': 'small', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'neg_dx', 'observation': 'enlarged'anatomical entity_fin: 'pelvis': clinical findings_fin: 'remainder of the pelvis is grossly unremarkable': 'clinical finding': 'remainder of the pelvis is grossly unremarkable' [/INST] [RESP] CT of the pelvis demonstrates a large mass destroying most of the right iliac wing and acetabulum. It measures 19 cm in craniocaudal dimension and 15 x 14 cm in transverse dimension. It displaces the external iliac vessels medially but there is still a fat plane between the mass and vessels. Visualized bowel is unremarkable with the exception of scattered sigmoid diverticula. Small inguinal lymph nodes are seen bilaterally, none of which are pathologically enlarged a CT criteria. The remainder of the pelvis is grossly unremarkable. [/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: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'vasogenic edema': 'clinical finding': 'vasogenic edema', 'existence': 'pos_dx', 'descriptive_term': 'vasogenic', 'observation': 'edema'location descriptor_fin: ['left']clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: 'shunt catheter': 'clinical finding': 'shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'shunt', 'observation': 'catheter', 'significant change': 'clinical finding': 'significant change', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'change'anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['proximal']object_fin: ['catheter']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'pos_dx', 'observation': 'pneumocephalus', 'shunt revision': 'clinical finding': 'shunt revision', 'existence': 'pos_dx', 'descriptive_term': 'shunt', 'observation': 'revision' [/INST] [RESP] A the ventricles remain enlarged with vasogenic edema involving the right frontal lobe. Porencephalic cavity in the left parietal region is without significant change. Position of the shunt catheter entering the right frontal region and extending to the right frontal horn does not appear significant change. There is air in the subcutaneous tissue over the right frontal lobe is also small and pneumocephalus from the proximal aspect of the catheter consistent with shunt revision. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lungs': clinical findings_fin: 'severe emphysematous changes': 'clinical finding': 'severe emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'severe emphysematous', 'observation': 'change', 'strength_term': 'severe'anatomical entity_fin: 'hilum': 'location descriptor': 'left'location descriptor_fin: ['left']procedure_fin: ['treatment']clinical findings_fin: 'traction bronchiectasis': 'clinical finding': 'traction bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis', 'architectural distortion': 'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion', 'radiation fibrosis': 'clinical finding': 'radiation fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'radiation', 'observation': 'fibrosis', 'post treatment changes': 'clinical finding': 'post treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'post treatment', 'observation': 'change'location descriptor_fin: ['posterior']clinical findings_fin: 'posterior pleural thickening': 'clinical finding': 'posterior pleural thickening', 'existence': 'pos_dx', 'descriptive_term': 'posterior pleural', 'observation': 'thickening'clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'new masses': 'clinical finding': 'new masses', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new', 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule'clinical findings_fin: 'calcified mediastinal nodes': 'clinical finding': 'calcified mediastinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified mediastinal', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal adenopathy': 'clinical finding': 'mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'adenopathy'clinical findings_fin: 'new hilar': 'clinical finding': 'new hilar', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hilar', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'lobe': 'location descriptor': 'right', 'liver': location descriptor_fin: ['right']clinical findings_fin: 'hepatic hypodensity': 'clinical finding': 'hepatic hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'hepatic', 'observation': 'hypodensity'anatomical entity_fin: 'lobes': , 'liver': clinical findings_fin: 'additional hyperdense lesions': 'clinical finding': 'additional hyperdense lesions', 'existence': 'pos_dx', 'descriptive_term': 'additional hyperdense', 'observation': 'lesion', 'flash filling hemangiomas': 'clinical finding': 'flash filling hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'flash filling', 'observation': 'hemangiomas'clinical findings_fin: 'splenic granulomas': 'clinical finding': 'splenic granulomas', 'existence': 'pos_dx', 'descriptive_term': 'splenic', 'observation': 'granuloma'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Severe emphysematous changes of the lungs, not significantly changed. Traction bronchiectasis and architectural distortion of the left hilum compatible with radiation fibrosis and post treatment changes also appears unchanged. Posterior pleural thickening at this level is also stable. Calcified granulomas compatible with prior granulomatous disease. No new masses or nodules identified. Calcified mediastinal nodes. Heart size normal without evidence of pericardial effusion. No mediastinal adenopathy. No new hilar pathology identified. No significant abnormality noted. Hepatic hypodensity in the right lobe of the liver too small to accurately characterize appears unchanged. Additional hyperdense lesions in both lobes of the liver are also grossly unchanged and likely represent flash filling hemangiomas. Splenic granulomas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atherosclerotic calcifications of the aorta and its branches. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper', 'centrilobular']clinical findings_fin: 'moderate upper lobe predominant centrilobular and paraseptal emphysema': 'clinical finding': 'moderate upper lobe predominant centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'moderate upper lobe predominant centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'moderate'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'imaging observation_fin: ['reticulation']location descriptor_fin: ['peripheral', 'left', 'lower']clinical findings_fin: 'peripheral and basilar predominant reticulation': 'clinical finding': 'peripheral and basilar predominant reticulation', 'existence': 'pos_dx', 'descriptive_term': 'peripheral and basilar predominant', 'observation': 'reticulation', 'honeycombing': 'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'clinical findings_fin: 'combined pulmonary fibrosis': 'clinical finding': 'combined pulmonary fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'combined pulmonary', 'observation': 'fibrosis', 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'size_fin: ['size': '7 x 7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'back': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe pulmonary nodule': 'clinical finding': 'right lower lobe pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe pulmonary', 'observation': 'nodule'clinical findings_fin: 'additional scattered pulmonary micronodules': 'clinical finding': 'additional scattered pulmonary micronodules', 'existence': 'neg_dx', 'descriptive_term': 'additional scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'acute findings are identified': 'clinical finding': 'acute findings are identified'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'small subcentimeter hypodensities': 'clinical finding': 'small subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small subcentimeter', 'observation': 'hypodensity', 'strength_term': 'small'size_fin: ['size': '5 mm', 'size': '7 mm']anatomical entity_fin: 'right upper paratracheal lymph node': , 'axis': clinical findings_fin: 'reference right upper paratracheal lymph node': 'clinical finding': 'reference right upper paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'reference right upper paratracheal lymph', 'observation': 'node'size_fin: ['size': '11 mm']anatomical entity_fin: 'axis': location descriptor_fin: ['left']clinical findings_fin: 'left infrahilar lymph node': 'clinical finding': 'left infrahilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left infrahilar lymph', 'observation': 'node'anatomical entity_fin: 'heart': clinical findings_fin: 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'clinical findings_fin: 'mild coronary artery calcifications': 'clinical finding': 'mild coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'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_fin: ['left']clinical findings_fin: 'hypoattenuating focus': 'clinical finding': 'hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'focus', 'most likely a cyst': 'clinical finding': 'most likely a cyst', 'existence': 'pos_dx', 'descriptive_term': 'most likely a', 'observation': 'cyst', 'quantity_term': 'most'location descriptor_fin: ['left']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic disease of the abdominal aorta': 'clinical finding': 'atherosclerotic disease of the abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic disease of the abdominal', 'observation': 'aorta' [/INST] [RESP] . Moderate upper lobe predominant centrilobular and paraseptal emphysema, unchanged. Peripheral and basilar predominant reticulation with honeycombing, particularly in the left lower lobe, not significantly changed. Findings are compatible combined pulmonary fibrosis and emphysema. Right lower lobe pulmonary nodule measures 7 x 7 mm and not significantly changed in size dating back to 2008 CT, making it most likely benign. Additional scattered pulmonary micronodules are not significantly changed. No acute findings are identified. Small subcentimeter hypodensities in the thyroid gland, unchanged. Reference right upper paratracheal lymph node measures 5 mm in short axis as compared to 7 mm previously. Left infrahilar lymph node measures 11 mm in short axis , unchanged. Normal heart size without significant pericardial effusion. Mild coronary artery calcifications. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Hypoattenuating focus in the left hepatic lobe measures water attenuation, most likely a cyst and unchanged. Left adrenal thickening, unchanged. Calcified atherosclerotic disease of the abdominal aorta. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['adjacent']clinical findings_fin: 'borderline paracardial lymph node': 'clinical finding': 'borderline paracardial lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline paracardial lymph', 'observation': 'node', 'strength_term': 'borderline'anatomical entity_fin: 'thoracic vertebral body': clinical findings_fin: 'sclerotic focus': 'clinical finding': 'sclerotic focus', 'existence': 'pos_dx', 'descriptive_term': 'sclerotic', 'observation': 'focus'anatomical entity_fin: 'ducts': , 'common bile duct': , 'duodenum': location descriptor_fin: ['right', 'left']clinical findings_fin: 'biliary stents': 'clinical finding': 'biliary stents', 'existence': 'pos_dx', 'descriptive_term': 'biliary', 'observation': 'stent'clinical findings_fin: 'significant intrahepatic biliary ductal dilatation': 'clinical finding': 'significant intrahepatic biliary ductal dilatation'anatomical entity_fin: 'gallbladder': , 'lumen': clinical findings_fin: 'gallbladder wall thickening': 'clinical finding': 'gallbladder wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'gallbladder wall', 'observation': 'thickening'clinical findings_fin: 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'unc_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'clinical findings_fin: 'findings may be related to recent procedure and clinical correlation is suggested': 'clinical finding': 'findings may be related to recent procedure and clinical correlation is suggested'anatomical entity_fin: 'hilum': clinical findings_fin: 'previously described lesion': 'clinical finding': 'previously described lesion', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'lesion', 'cholangiocarcinoma': 'clinical finding': 'cholangiocarcinoma', 'existence': 'unc_dx', 'observation': 'cholangiocarcinoma'size_fin: ['size': '2.5 x 1.7 cm', 'size_descriptor': 'node']anatomical entity_fin: 'porta hepatis': clinical findings_fin: 'lymph node': 'clinical finding': 'lymph node', 'existence': 'pos_dx', 'descriptive_term': 'lymph', 'observation': 'node'anatomical entity_fin: 'head': clinical findings_fin: 'soft tissue nodule': 'clinical finding': 'soft tissue nodule', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'nodule', 'lymph node': 'clinical finding': 'lymph node', 'existence': 'unc_dx', 'descriptive_term': 'lymph', 'observation': 'node' [/INST] [RESP] . No significant abnormality noted. Borderline paracardial lymph node adjacent to the suprahepatic IVC on image 72/121. Sclerotic focus in a mid thoracic vertebral body is likely degenerative in nature. Biliary stents identified extending from right and left biliary ducts through the common bile duct into the region of the duodenum. No significant intrahepatic biliary ductal dilatation. Gallbladder wall thickening with a small collection of nondependent air in the lumen of the gallbladder. Possible small amount of pericholecystic fluid. These findings may be related to recent procedure and clinical correlation is suggested. Previously described lesion near the hepatic hilum suspicious for cholangiocarcinoma is not well appreciated on current exam. Please refer to recent MRI of 2/13/2008 for further details. Lymph node at the porta hepatis measuring 2.5 x 1.7 cm on image 94/121 is relatively unchanged. Soft tissue nodule in the area of the pancreatic head on image 97/121 likely represents a lymph node. [/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'anatomical entity_fin: 'convexities': location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia'clinical findings_fin: 'remaining gray-white matter': 'clinical finding': 'remaining gray-white matter', 'existence': 'pos_dx', 'descriptive_term': 'remaining gray-white', 'observation': 'matter'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'abnormal contrast enhancement': 'clinical finding': 'abnormal contrast enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal contrast', 'observation': 'enhancement'anatomical entity_fin: 'internal carotid arteries': , 'vertebral arteries': location descriptor_fin: ['bilateral', 'distal']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'anatomical entity_fin: 'internal carotid arteries': , 'middle cerebral arteries': location descriptor_fin: ['anterior', 'bilateral']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'location descriptor_fin: ['right', 'left']clinical findings_fin: 'smaller': 'clinical finding': 'smaller', 'existence': 'pos_dx', 'observation': 'small', 'unchanged': 'clinical finding': 'unchanged', 'existence': 'pos_dx', 'observation': 'unchanged'anatomical entity_fin: 'anterior cerebral arteries': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['right']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['left']clinical findings_fin: 'left a1 segment appears normal': 'clinical finding': 'left a1 segment appears normal'anatomical entity_fin: 'posterior cerebral arteries': , 'vasculature': location descriptor_fin: ['posterior', 'inferior', 'anterior', 'superior', 'distal']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'anatomical entity_fin: 'anterior communicating artery': , 'posterior communicating arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'occlusive thrombus': 'clinical finding': 'occlusive thrombus', 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'vascular malformation': 'clinical finding': 'vascular malformation', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: 'normal superficial and deep intracranial venous drainage': 'clinical finding': 'normal superficial and deep intracranial venous drainage' [/INST] [RESP] . The ventricles, sulci, and cisterns are symmetric and unremarkable. Focus of encephalomalacia involving the right frontal and posterior parietal high convexities not significantly changed compared to the previous examination. Differentiation of the remaining gray-white matter structures are within normal limits. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. Normal contrast opacification through the bilateral distal common internal carotid arteries, and vertebral arteries. Normal contrast opacification through anterior circulation including the bilateral petrous or cavernous/supraclinoid internal carotid arteries, middle cerebral arteries. The right cavernous carotid segment appears slightly smaller than the left however remains unchanged compared to previous examination on 1/25/2010. The anterior cerebral arteries are patent. The right A1 segment is hypoplastic but patent and unchanged compared to the previous examination. Left A1 segment appears normal. Normal contrast opacification through the posterior circulation including the vertebral-basilar, posterior-inferior cerebellar, anterior-inferior cerebellar, superior cerebellar, and posterior cerebral arteries , and distal intracranial vasculature. Normal contrast opacification through a complete circle-of-Willis with a patent anterior communicating artery and bilateral posterior communicating arteries. No evidence of occlusive thrombus, dissection, or vascular malformation. Normal superficial and deep intracranial venous drainage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '4.7 x 4.8 cm', 'size': '2.4 x 2.6 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'interval progression': 'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression'anatomical entity_fin: 'bronchus': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'clinical findings_fin: 'scattered calcified granulomata': 'clinical finding': 'scattered calcified granulomata', 'existence': 'neg_dx', 'descriptive_term': 'scattered calcified', 'observation': 'granulomata', 'change_term': 'calcified', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'location descriptor_fin: ['right']clinical findings_fin: 'right hilar': 'clinical finding': 'right hilar', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'hilar', 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'size_fin: ['size': '2.8 x 2.3 cm', 'size': '2.0 x 1.1 cm']clinical findings_fin: 'reference node': 'clinical finding': 'reference node', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'node'size_fin: ['size': '2.1 x 1.6 cm', 'size': '0.8 x 0.5 cm']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal node': 'clinical finding': 'right paratracheal node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal', 'observation': 'node'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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'stable left renal cyst': 'clinical finding': 'stable left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'stable left renal', 'observation': 'cyst', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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']clinical findings_fin: 'g-tube stable': 'clinical finding': 'g-tube stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Interval progression of the large right upper lobe currently measuring 4.7 x 4.8 cm from a prior measurement of 2.4 x 2.6 cm. The mass continues to compress and questionably invades the right mainstem bronchus whose diameter it now measures under a half centimeter. Scattered calcified granulomata and no effusions. Tracheostomy tube. Right hilar fullness with enlarged lymph nodes. Reference node and precarinal position currently measures 2.8 x 2.3 cm for a prior measurement of one 2.0 x 1.1 cm. Right paratracheal node currently measures 2.1 x 1.6 cm from a prior measurement of 0.8 x 0.5 cm. Paragraph the cardiac and pericardium are within limits. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. G-tube stable. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left', 'neck': 'location descriptor': 'right', 'subcutaneous fat': location descriptor_fin: ['left', 'right']object_fin: ['clips']procedure_fin: ['laryngectomy']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'tracheostomy': 'clinical finding': 'tracheostomy', 'existence': 'pos_dx', 'observation': 'tracheostomy', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'unc_dx', 'descriptive_term': 'skin', 'observation': 'thickening', 'subcutaneous fat infiltration': 'clinical finding': 'subcutaneous fat infiltration', 'existence': 'unc_dx', 'descriptive_term': 'subcutaneous fat', 'observation': 'infiltration'size_fin: ['size': '34 mm by 18 mm', 'size_descriptor': 'fullness']anatomical entity_fin: 'neck': 'location descriptor': 'right', 'right submandibular gland': location descriptor_fin: ['right', 'adjacent']clinical findings_fin: 'poorly marginated soft tissue fullness': 'clinical finding': 'poorly marginated soft tissue fullness', 'existence': 'pos_dx', 'descriptive_term': 'poorly marginated soft tissue', 'observation': 'fullness'clinical findings_fin: 'new soft tissue masses': 'clinical finding': 'new soft tissue masses', 'existence': 'neg_dx', 'descriptive_term': 'new soft tissue', 'observation': 'mass', 'temporal_term': 'new'clinical findings_fin: 'new clinically significant lymphadenopathy': 'clinical finding': 'new clinically significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'new clinically significant', 'observation': 'lymphadenopathy', 'temporal_term': 'new'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'occlusion': 'clinical finding': 'occlusion', 'existence': 'pos_dx', 'observation': 'occlusion', 'patency': 'clinical finding': 'patency', 'existence': 'pos_dx', 'observation': 'patency'clinical findings_fin: 'atherosclerotic disease': 'clinical finding': 'atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'disease'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'salivary glands are unchanged in appearance': 'clinical finding': 'salivary glands are unchanged in appearance', 'change_term': 'unchanged'anatomical entity_fin: 'contents': clinical findings_fin: 'visualized intracranial contents are unremarkable': 'clinical finding': 'visualized intracranial contents are unremarkable'anatomical entity_fin: 'cell': , 'cells': location descriptor_fin: ['right', 'left']clinical findings_fin: 'right maxillary and right ethmoid air cell opacification': 'clinical finding': 'right maxillary and right ethmoid air cell opacification', 'existence': 'pos_dx', 'descriptive_term': 'right maxillary and right ethmoid air cell', 'observation': 'opacification', 'partial clouding': 'clinical finding': 'partial clouding', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'cloud', 'strength_term': 'partial'anatomical entity_fin: 'contents': clinical findings_fin: 'intraorbital contents are unremarkable': 'clinical finding': 'intraorbital contents are unremarkable'anatomical entity_fin: 'cervical vertebral body': clinical findings_fin: 'lytic or blastic cervical vertebral body lesions': 'clinical finding': 'lytic or blastic cervical vertebral body lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic cervical vertebral body', 'observation': 'lesion'anatomical entity_fin: 'thecal sac': location descriptor_fin: ['posterior']clinical findings_fin: 'posterior disk osteophyte': 'clinical finding': 'posterior disk osteophyte', 'existence': 'pos_dx', 'descriptive_term': 'posterior disk', 'observation': 'osteophyte', 'partial effacement': 'clinical finding': 'partial effacement', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'effacement', 'strength_term': 'partial'anatomical entity_fin: 'foraminal': clinical findings_fin: 'multilevel neural foraminal stenosis': 'clinical finding': 'multilevel neural foraminal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel neural foraminal', 'observation': 'stenosis'clinical findings_fin: 'these degenerative changes': 'clinical finding': 'these degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'these degenerative', 'observation': 'change'anatomical entity_fin: 'contents': [/INST] [RESP] Reduced are postoperative changes including total laryngectomy, tracheostomy, isthmus and left lobe thyroid resection, multiple clips along both sides of neck, and skin thickening or subcutaneous fat infiltration over the right neck are again noted. As the history of previously, there is a poorly marginated soft tissue fullness noted along the right neck adjacent to the right submandibular gland, again measuring 34 mm by 18 mm. No new soft tissue masses are evident. No evidence of new clinically significant lymphadenopathy. Redemonstration of occlusion of the right internal jugular vein with patency of the left internal jugular vein. Atherosclerotic disease of the common carotids and bifurcation. Salivary glands are unchanged in appearance. Visualized intracranial contents are unremarkable. Right maxillary and right ethmoid air cell opacification is again noted with partial clouding of the left ethmoid air cells. Intraorbital contents are unremarkable. No lytic or blastic cervical vertebral body lesions are seen. Posterior disk osteophyte complexes are noted at C3/C4, C4-C5 and C5-C6 leading to partial effacement of the ventral thecal sac. Multilevel neural foraminal stenosis is also present from C3/C4 down through C6/C7. These degenerative changes are stable in appearance. Please see separate CT dictation for discussion of thoracic contents. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'dominant lung lesion': 'clinical finding': 'dominant lung lesion', 'existence': 'neg_dx', 'descriptive_term': 'dominant lung', 'observation': 'lesion'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']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'clinical findings_fin: 'mediastinal lymphadenopathy': 'clinical finding': 'mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'clinical findings_fin: 'suspicious hepatic lesions': 'clinical finding': 'suspicious hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious hepatic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hilum': clinical findings_fin: 'splenule': 'clinical finding': 'splenule', 'existence': 'pos_dx', 'observation': 'splenule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['right']procedure_fin: ['nephrectomy', 'adrenalectomy']anatomical entity_fin: 'left kidney': clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'pos_dx', 'observation': 'hydronephrosis'anatomical entity_fin: 'pole': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'pos_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'retroperitoneal lymphadenopathy': 'clinical finding': 'retroperitoneal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'retroperitoneal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'imaging observation_fin: ['colon']clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'neg_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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 dominant lung lesion has developed. The pleural spaces are clear. The central airways are patent. Heart size is normal without a pericardial effusion. No mediastinal lymphadenopathy. No significant abnormality noted. Liver is normal in morphology and diffusely hypoattenuating compatible with fatty infiltration. No suspicious hepatic lesions. No significant abnormality noted. Splenule at the hilum. No significant abnormality noted. No significant abnormality noted. Status post right nephrectomy and adrenalectomy. Left kidney enhances homogeneously without hydronephrosis. Simple cyst at the upper pole, unchanged. No retroperitoneal lymphadenopathy. Small bowel is normal in caliber. Colon is not distended. 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: size_fin: ['size': '10 x 6 mm', 'size': '12 x 8 mm']location descriptor_fin: ['lateral', 'right']clinical findings_fin: 'reference nodule': 'clinical finding': 'reference nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'nodule'size_fin: ['size': '5 x 4 mm', 'size': '12 x 7 mm']location descriptor_fin: ['right']clinical findings_fin: 'right level 2 cystic or necrotic lymph node': 'clinical finding': 'right level 2 cystic or necrotic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right level 2 cystic or necrotic lymph', 'observation': 'node'clinical findings_fin: 'new cervical lymphadenopathy': 'clinical finding': 'new cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'new cervical', 'observation': 'lymphadenopathy', 'temporal_term': 'new'anatomical entity_fin: 'neck': 'location descriptor': 'right'imaging observation_fin: ['reticulation']location descriptor_fin: ['right']clinical findings_fin: 'posttreatment changes': 'clinical finding': 'posttreatment changes', 'existence': 'pos_dx', 'descriptive_term': 'posttreatment', 'observation': 'change', 'subcutaneous thickening': 'clinical finding': 'subcutaneous thickening', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'thickening'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland is unremarkable': 'clinical finding': 'thyroid gland is unremarkable'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'arteries': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'occluded': 'clinical finding': 'occluded', 'existence': 'pos_dx', 'observation': 'occlude'anatomical entity_fin: 'vein': location descriptor_fin: ['left']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'spine': clinical findings_fin: 'suspicious osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'contents': location descriptor_fin: ['midline']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'minimal bilateral maxillary sinus disease': 'clinical finding': 'minimal bilateral maxillary sinus disease', 'existence': 'pos_dx', 'descriptive_term': 'minimal bilateral maxillary sinus', 'observation': 'disease', 'strength_term': 'minimal', 'quantity_term': 'minimal' [/INST] [RESP] Reference nodule, lateral to the right sternocleidomastoid measures 10 x 6 mm previously 12 x 8 mm. Right level 2 cystic or necrotic lymph node has decreased significantly in size, now measuring 5 x 4 mm previously 12 x 7 mm. No new cervical lymphadenopathy. Posttreatment changes are again noted in the right neck with subcutaneous thickening and reticulation. The airway appears patent. The thyroid gland is unremarkable. The visualized lung apices are clear. The carotid arteries are patent. The right internal jugular vein is partially occluded appearing similar to prior study. The left jugular vein is patent. The cervical spine is unremarkable, with no suspicious osseous lesions. The visualized intracranial contents are unremarkable without mass, mass effect, midline shift, or abnormal enhancement. Minimal bilateral maxillary sinus disease is 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', 'age-appropriate volume loss': 'clinical finding': 'age-appropriate volume loss', 'existence': 'pos_dx', 'descriptive_term': 'age-appropriate volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'convexity': , 'right frontal lobe': location descriptor_fin: ['right']clinical findings_fin: 'chronic ischemic small vessel disease': 'clinical finding': 'chronic ischemic small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'chronic ischemic small vessel', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic', 'possibly chronic infarct': 'clinical finding': 'possibly chronic infarct', 'existence': 'unc_dx', 'descriptive_term': 'possibly chronic', 'observation': 'infarct', 'temporal_term': 'chronic'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: 'frontal sinus': 'location descriptor': 'left', 'cells': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'prominent nonspecific mucosal thickening': 'clinical finding': 'prominent nonspecific mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'prominent nonspecific mucosal', 'observation': 'thickening', 'strength_term': 'prominent'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and prominent compatible with age-appropriate volume loss. The gray-white matter differentiation is preserved. Patchy nonspecific low attenuation is seen particularly in the bifrontal periventricular white matter as well as a region extending into the right frontal centrum semiovale and subcortical white matter suggestive of chronic ischemic small vessel disease and possibly chronic infarct extending into the high convexity right frontal lobe. There is no mass effect, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. Prominent nonspecific mucosal thickening opacifies the left frontal sinus, frontal-ethmoid recess, and anterior ethmoidal air cells. The mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolism': 'clinical finding': 'pulmonary embolism', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolism', 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'clinical findings_fin: 'biapical scarring': 'clinical finding': 'biapical scarring', 'existence': 'unc_dx', 'descriptive_term': 'biapical', 'observation': 'scarr'imaging observation_fin: ['foci']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral, scattered foci': 'clinical finding': 'bilateral, scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'bilateral scattered', 'observation': 'foci', 'bud type opacities': 'clinical finding': 'bud type opacities', 'existence': 'pos_dx', 'descriptive_term': 'bud type', 'observation': 'opacity', 'patchy foci': 'clinical finding': 'patchy foci', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'foci', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'significant change': 'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change', 'mildly enlarged mediastinal lymph nodes': 'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'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'object_fin: ['tracheostomy tube']clinical findings_fin: 'tracheostomy tube': 'clinical finding': 'tracheostomy tube', 'existence': 'pos_dx', 'descriptive_term': 'tracheostomy', 'observation': 'tube'anatomical entity_fin: 'axillary lymph node': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'previously noted large left axillary lymph node': 'clinical finding': 'previously noted large left axillary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously noted large left axillary lymph', 'observation': 'node', 'strength_term': 'large'anatomical entity_fin: 'axilla': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clips']procedure_fin: ['lymph node dissection']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'lymph node dissection': 'clinical finding': 'lymph node dissection', 'existence': 'pos_dx', 'descriptive_term': 'lymph node', 'observation': 'dissection'anatomical entity_fin: 'skin': , 'anterior chest': 'location descriptor': 'medial left'imaging observation_fin: ['foci']location descriptor_fin: ['medial', 'left']object_fin: ['sutures']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci', 'pectoralis flap': 'clinical finding': 'pectoralis flap', 'existence': 'pos_dx', 'descriptive_term': 'pectoralis', 'observation': 'flap'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative change': 'clinical finding': 'mild degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'object_fin: ['tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'gastrostomy tube is partially visualized': 'clinical finding': 'gastrostomy tube is partially visualized'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] . Diagnostic quality examination for pulmonary embolism -- no evidence of PE. Biapical scarring probably related to radiation reaction. Bilateral, scattered foci of tree in bud type opacities with patchy foci of consolidation compatible with aspiration. No pleural effusion. No significant change in mildly enlarged mediastinal lymph nodes. Heart size is normal, no pericardial effusion. Moderate coronary artery calcifications. Tracheostomy tube in place. Previously noted large left axillary lymph node is slightly smaller. Surgical clips in the right axilla compatible with lymph node dissection. Multiple skin sutures seen along the medial left anterior chest, with small amount of subcutaneous soft tissue thickening and foci of air compatible with pectoralis flap. Mild degenerative change involving the thoracic spine. Gastrostomy tube is partially visualized. Atherosclerotic calcifications of the aorta. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'nodular density': 'clinical finding': 'nodular density', 'existence': 'pos_dx', 'descriptive_term': 'nodular', 'observation': 'density', 'small lymph node': 'clinical finding': 'small lymph node', 'existence': 'unc_dx', 'descriptive_term': 'small lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass', 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'size_fin: ['size': '1.6 x 1.5 cm']location descriptor_fin: ['right']clinical findings_fin: 'borderline enlarged right hilar lymph node': 'clinical finding': 'borderline enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'borderline enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': location descriptor_fin: ['posterior']clinical findings_fin: 'borderline nodes': 'clinical finding': 'borderline nodes', 'existence': 'pos_dx', 'descriptive_term': 'borderline', 'observation': 'node', 'strength_term': 'borderline'size_fin: ['size': '1.3 x 0.9 cm', 'size_descriptor': 'node']clinical findings_fin: 'node': 'clinical finding': 'node', 'existence': 'pos_dx', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic lymphadenopathy': 'clinical finding': 'pelvic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pelvic', 'observation': 'lymphadenopathy'location descriptor_fin: ['external']clinical findings_fin: 'nonenlarged external iliac nodes': 'clinical finding': 'nonenlarged external iliac nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonenlarged external iliac', 'observation': 'node'size_fin: ['size': '1.1 x 0.7 cm', 'size_descriptor': 'node']clinical findings_fin: 'small node': 'clinical finding': 'small node', 'existence': 'pos_dx', 'descriptive_term': 'small', '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] . Nodular density seen in the right upper lung is most likely a small lymph node. No suspicious nodules, masses, or pleural effusion. Borderline enlarged right hilar lymph node is seen on series 3, image 46, measuring 1.6 x 1.5 cm. Heart size normal without pericardial effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Borderline nodes are seen posterior to the pancreatic head. For reference, a node measures 1.3 x 0.9 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. Nonenlarged external iliac nodes. For example, on series 3, image 196, a small node measures 1.1 x 0.7 cm. 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: 'normal lumbar alignment': 'clinical finding': 'normal lumbar alignment'clinical findings_fin: 'lumbar spinal fracture': 'clinical finding': 'lumbar spinal fracture', 'existence': 'neg_dx', 'descriptive_term': 'lumbar spinal', 'observation': 'fracture', 'dislocation': 'clinical finding': 'dislocation', 'existence': 'neg_dx', 'observation': 'dislocation'clinical findings_fin: 'paraspinal structures appear normal': 'clinical finding': 'paraspinal structures appear normal'clinical findings_fin: 'pars defect': 'clinical finding': 'pars defect', 'existence': 'neg_dx', 'descriptive_term': 'pars', 'observation': 'defect'anatomical entity_fin: 'l2 vertebral body': location descriptor_fin: ['superior']clinical findings_fin: 'schmorls node': 'clinical finding': 'schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'schmorls', 'observation': 'node'anatomical entity_fin: 'l3 vertebral body': imaging observation_fin: ['fat']clinical findings_fin: 'fat-deposit': 'clinical finding': 'fat-deposit', 'existence': 'pos_dx', 'observation': 'fat', 'coarse trabecular': 'clinical finding': 'coarse trabecular', 'existence': 'pos_dx', 'descriptive_term': 'coarse', 'observation': 'trabecular', 'hemangioma': 'clinical finding': 'hemangioma', 'existence': 'unc_dx', 'observation': 'hemangioma' [/INST] [RESP] Normal lumbar alignment. No lumbar spinal fracture or dislocation. The paraspinal structures appear normal. No pars defect is noted. A Schmorls node is noted affecting the superior endplate of the L2 vertebral body. There is a fat-deposit in the L3 vertebral body with coarse trabecular pattern likely represents a hemangioma. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental basal atelectasis': 'clinical finding': 'subsegmental basal atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental basal', 'observation': 'atelectasis'anatomical entity_fin: 'chest': 'location descriptor': 'left'location descriptor_fin: ['left', 'right']object_fin: ['port']clinical findings_fin: 'right atrial juncture': 'clinical finding': 'right atrial juncture', 'existence': 'unc_dx', 'descriptive_term': 'right atrial', 'observation': 'juncture'size_fin: ['size': '42-mm', 'size_descriptor': 'ectasia']anatomical entity_fin: 'ascending aorta': clinical findings_fin: 'ectasia': 'clinical finding': 'ectasia', 'existence': 'pos_dx', 'observation': 'ectasia', 'ascending aorta': 'clinical finding': 'ascending aorta', 'existence': 'pos_dx', 'descriptive_term': 'ascending', 'observation': 'aorta'size_fin: ['size': '2.6-cm', 'size': '2.7-cm']location descriptor_fin: ['distal']clinical findings_fin: 'minimal circumferential wall thickening': 'clinical finding': 'minimal circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal circumferential wall', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'chest': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['port']clinical findings_fin: 'skeletal metastases': 'clinical finding': 'skeletal metastases', 'existence': 'neg_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'anatomical entity_fin: 'upper abdomen': [/INST] [RESP] . Subsegmental basal atelectasis. Left chest port tip at the SVC or right atrial juncture. Ectasia of the ascending aorta, 42-mm in maximal AP dimension on image 45, unchanged. Minimal circumferential wall thickening of the distal esophageal segment, difficult to measure in the AP dimension but 2.6-cm transversely on image 75, previously 2.7-cm. Left chest port. No skeletal metastases are identified. CT ENHANCED UPPER ABDOMEN [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': clinical findings_fin: 'focal lung opacity': 'clinical finding': 'focal lung opacity', 'existence': 'neg_dx', 'descriptive_term': 'focal lung', 'observation': 'opacity'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'liver': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'neg_dx', 'observation': 'distended'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: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'renal cortical enhancement': 'clinical finding': 'renal cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'renal cortical', 'observation': 'enhancement'clinical findings_fin: 'pelvicaliceal dilatation': 'clinical finding': 'pelvicaliceal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'pelvicaliceal', 'observation': 'dilatation'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'duodenojejunal junction': clinical findings_fin: 'normally positioned': 'clinical finding': 'normally positioned', 'existence': 'pos_dx', 'descriptive_term': 'normally', 'observation': 'position'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'fluid': clinical findings_fin: 'free peritoneal air or fluid is seen': 'clinical finding': 'free peritoneal air or fluid is seen'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': 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'object_fin: ['foreign body']clinical findings_fin: 'high-density material': 'clinical finding': 'high-density material', 'existence': 'pos_dx', 'descriptive_term': 'high-density', 'observation': 'material', 'small foreign body ingestion': 'clinical finding': 'small foreign body ingestion', 'existence': 'unc_dx', 'descriptive_term': 'small foreign body', 'observation': 'ingestion', 'strength_term': 'small'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No focal lung opacity is present. No pneumothorax is identified. The liver is intact. No biliary ductal dilatation is seen. The gallbladder is not distended. The spleen is normal in appearance. The pancreas is intact. No significant abnormality noted. Renal cortical enhancement is normal. No pelvicaliceal dilatation is present. No significant abnormality noted. The duodenojejunal junction is normally positioned. No fracture is identified. No free peritoneal air or fluid is seen. No significant abnormality noted. The bladder is distended and normal in appearance. No significant abnormality noted. Two areas of high-density material are seen in the rectosigmoid and are most likely due to small foreign body ingestion. No fracture is identified. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'kidneys': clinical findings_fin: 'increased': 'clinical finding': 'increased', 'existence': 'pos_dx', 'observation': 'increase', 'innumerable cysts': 'clinical finding': 'innumerable cysts', 'existence': 'pos_dx', 'descriptive_term': 'innumerable', 'observation': 'cyst', 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'clinical findings_fin: 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst', 'peripheral calcifications': 'clinical finding': 'peripheral calcifications', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast', 'these lesions': 'clinical finding': 'these lesions', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'calcified uterine fibroids': 'clinical finding': 'calcified uterine fibroids', 'change_term': 'calcified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This study is limited due to lack of intravenous contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Both kidneys are increased in size with innumerable cysts of various size and density. Some of the cysts demonstrate peripheral calcifications. Lack of intravenous contrast limits optimal evaluation and characterization of these lesions. No significant abnormality noted. Mild. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Calcified uterine fibroids. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['bilateral']clinical findings_fin: 'disorder of the gray': 'clinical finding': 'disorder of the gray', 'existence': 'pos_dx', 'descriptive_term': 'disorder of the', 'observation': 'gray', 'band heterotopia': 'clinical finding': 'band heterotopia', 'existence': 'pos_dx', 'descriptive_term': 'band', 'observation': 'heterotopia'location descriptor_fin: ['midline']clinical findings_fin: 'detectable intracranial hemorrhage': 'clinical finding': 'detectable intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'detectable intracranial', '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', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'bodies': , 'lateral ventricles': , 'brain': clinical findings_fin: 'poor': 'clinical finding': 'poor', 'existence': 'unc_dx', 'observation': 'poor'anatomical entity_fin: 'corpus callosum': clinical findings_fin: 'corpus callosum appears unremarkable': 'clinical finding': 'corpus callosum appears unremarkable'anatomical entity_fin: 'optic chiasm': clinical findings_fin: 'optic chiasm is grossly unremarkable': 'clinical finding': 'optic chiasm is grossly unremarkable'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': , 'paranasal sinuses': clinical findings_fin: 'calvarium , mastoid air cells , middle ear cavities and paranasal sinuses are unremarkable': 'clinical finding': 'calvarium , mastoid air cells , middle ear cavities and paranasal sinuses are unremarkable' [/INST] [RESP] Nonenhanced head. Examination demonstrates significant migratory disorder of the gray matter in the form of band heterotopia in a uniform bilateral fashion. Further evaluation with an MRI examination is highly recommended. There is no detectable intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. There is however mild enlargement of the bodies of lateral ventricles which is likely secondary to poor development of brain. The corpus callosum appears unremarkable. The optic chiasm is grossly unremarkable. Limited images through the orbits are unremarkable. Calvarium, mastoid air cells, middle ear cavities and paranasal sinuses are unremarkable. Findings were discussed with the referring clinical physician Dr, Leah Lewis at the time of review of the study aerated only. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: 'centrilobular and severe paraseptal emphysema': 'clinical finding': 'centrilobular and severe paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular and severe paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'anatomical entity_fin: 'apex': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'thin walled cavity in the right apex is again noted': 'clinical finding': 'thin walled cavity in the right apex is again noted'size_fin: ['size': '17 x 9 mm', 'size_descriptor': 'component']imaging observation_fin: ['margin']location descriptor_fin: ['inferior']clinical findings_fin: 'remains a large solid nodular component along the inferior margin that measures': 'clinical finding': 'remains a large solid nodular component along the inferior margin that measures'imaging observation_fin: ['margins']location descriptor_fin: ['anterior']clinical findings_fin: 'associated anterior linear density': 'clinical finding': 'associated anterior linear density', 'existence': 'pos_dx', 'descriptive_term': 'associated anterior linear', 'observation': 'density'anatomical entity_fin: 'wall': 'location descriptor': 'anterior medial', 'mediastinum': location descriptor_fin: ['adjacent', 'anterior', 'medial']clinical findings_fin: 'previously mentioned opacity': 'clinical finding': 'previously mentioned opacity', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned', 'observation': 'opacity'size_fin: ['size': '4 mm', 'size_descriptor': 'thickening']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'new thickening': 'clinical finding': 'new thickening', 'existence': 'pos_dx', 'descriptive_term': 'new', 'observation': 'thickening', 'temporal_term': 'new', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'anatomical entity_fin: 'left lung': , 'base': clinical findings_fin: 'scarring in the left lung base is unchanged': 'clinical finding': 'scarring in the left lung base is unchanged', 'change_term': 'unchanged'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: 'normal cardiac size': 'clinical finding': 'normal cardiac size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant 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] . Centrilobular and severe paraseptal emphysema. Thin walled cavity in the right apex is again noted. There remains a large solid nodular component along the inferior margin that measures 17 x 9 mm. There is also an associated anterior linear density with somewhat nodular margins that is new since the prior study. The previously mentioned opacity adjacent to the anterior medial wall that extended towards the mediastinum has resolved. New thickening in the left upper lobe along a cystic cavity that measures up to 4 mm could represent a new focus of infection. Scarring in the left lung base is unchanged. No mediastinal or hilar lymphadenopathy. Normal cardiac size. No pericardial effusion. No significant abnormality noted. 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: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left renal hypodense lesions': 'clinical finding': 'left renal hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'left renal hypodense', 'observation': 'lesion', 'simple cyst': 'clinical finding': 'simple cyst', 'existence': 'neg_dx', 'descriptive_term': 'simple', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel is normal': 'clinical finding': 'small bowel is normal'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix appears normal': 'clinical finding': 'appendix appears normal'clinical findings_fin: 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'abdominal': clinical findings_fin: 'perforation': 'clinical finding': 'perforation', 'existence': 'neg_dx', 'observation': 'perforation', 'intra-abdominal free air': 'clinical finding': 'intra-abdominal free air', 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal free', 'observation': 'air'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': location descriptor_fin: ['superior', 'central']clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement', 'central hypoattenuation': 'clinical finding': 'central hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'central', 'observation': 'hypoattenuation'anatomical entity_fin: 'right ovary': clinical findings_fin: 'likely physiological changes': 'clinical finding': 'likely physiological changes', 'existence': 'pos_dx', 'descriptive_term': 'likely physiological', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal hypodense lesions, the largest of which is unchanged from prior exam and does not meet criteria for simple cyst, incompletely characterized on single phase imaging. No significant abnormality noted. None. The small bowel is normal in caliber. The appendix appears normal. There is no evidence of diverticulitis. No evidence of perforation or intra-abdominal free air. Mild degenerative changes of the spine. No significant abnormality noted. There is a nonspecific focus of enhancement in the superior portion of the uterus with central hypoattenuation. Likely physiological changes of the right ovary. No significant abnormality noted. No significant abnormality noted. Scattered colonic diverticula 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: anatomical entity_fin: 'right occipital lobe': clinical findings_fin: 'intraparenchymal hemorrhage': 'clinical finding': 'intraparenchymal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'intraparenchymal', 'observation': 'hemorrhage', 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'right lateral ventricle': location descriptor_fin: ['midline']clinical findings_fin: 'mild associated mass effect': 'clinical finding': 'mild associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'mild associated mass', 'observation': 'effect', 'strength_term': 'mild'clinical findings_fin: 'periventricular and subcortical white matter hypoattenuation': 'clinical finding': 'periventricular and subcortical white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular and subcortical white matter', 'observation': 'hypoattenuation', 'small vessel ischemic disease': 'clinical finding': 'small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable' [/INST] [RESP] Redemonstrated is a hyperdense focus of intraparenchymal hemorrhage within the right occipital lobe at the gray white matter junction, without significant interval change. There is mild associated mass effect on the occipital horn of the right lateral ventricle, without midline shift, similar to prior exam. Periventricular and subcortical white matter hypoattenuation nonspecific, but likely represent small vessel ischemic disease indeterminate age, unchanged. Osseous structures are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear. The orbits are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'vasculature': , 'organs': clinical findings_fin: 'intravenous contrast': 'clinical finding': 'intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'cirrhotic morphology': 'clinical finding': 'cirrhotic morphology'clinical findings_fin: 'tips stent': 'clinical finding': 'tips stent', 'existence': 'pos_dx', 'descriptive_term': 'tips', 'observation': 'stent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'head': imaging observation_fin: ['fat']clinical findings_fin: 'minimal peripancreatic fat stranding': 'clinical finding': 'minimal peripancreatic fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal peripancreatic fat', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'drainable fluid collection': 'clinical finding': 'drainable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'drainable fluid', 'observation': 'collection'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis'clinical findings_fin: 'nonspecific scattered mesenteric and peripancreatic lymph nodes': 'clinical finding': 'nonspecific scattered mesenteric and peripancreatic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific scattered mesenteric and peripancreatic lymph', 'observation': 'node'procedure_fin: ['gastric bypass']clinical findings_fin: 'surgical changes': 'clinical finding': 'surgical changes', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'change'anatomical entity_fin: 'duodenum': clinical findings_fin: 'hyperdense material within the excluded duodenum': 'clinical finding': 'hyperdense material within the excluded duodenum'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction', 'ascites': 'clinical finding': 'ascites', 'existence': 'neg_dx', 'observation': 'ascite', 'hernia': 'clinical finding': 'hernia', 'existence': 'neg_dx', 'observation': 'hernia', 'drainable fluid collection': 'clinical finding': 'drainable fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'drainable fluid', 'observation': 'collection'clinical findings_fin: 'mild colonic diverticulosis': 'clinical finding': 'mild colonic diverticulosis', 'existence': 'pos_dx', 'descriptive_term': 'mild colonic', 'observation': 'diverticulosis', 'strength_term': 'mild', 'acute diverticulitis': 'clinical finding': 'acute diverticulitis', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'diverticulitis', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['intrauterine device']clinical findings_fin: 'not at the expected level of the uterine fundus': 'clinical finding': 'not at the expected level of the uterine fundus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 lack of intravenous contrast limits evaluation of the vasculature and solid parenchymal organs. No significant abnormality noted. Cirrhotic morphology. TIPS stent in place. No significant abnormality noted. Minimal peripancreatic fat stranding of the pancreatic head. No drainable fluid collection. No significant abnormality noted. No hydronephrosis or nephrolithiasis. Nonspecific scattered mesenteric and peripancreatic lymph nodes. None. Surgical changes from gastric bypass. Hyperdense material within the excluded duodenum is nonspecific. No bowel obstruction, ascites, hernia, or drainable fluid collection. Mild colonic diverticulosis without evidence for acute diverticulitis. No significant abnormality noted. No significant abnormality noted. Intrauterine device in place above the cervix although not at the expected level of the uterine fundus. No significant abnormality noted. No significant abnormality noted. As above. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy', 'solid organ': 'clinical finding': 'solid organ', 'existence': 'unc_dx', 'descriptive_term': 'solid', 'observation': 'organ'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'micronodule': 'clinical finding': 'micronodule', 'existence': 'pos_dx', 'observation': 'micronodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'thin-walled cyst': 'clinical finding': 'thin-walled cyst', 'existence': 'pos_dx', 'descriptive_term': 'thin-walled', 'observation': 'cyst'anatomical entity_fin: 'lung': , 'bases': clinical findings_fin: 'minimal nonspecific air trapping': 'clinical finding': 'minimal nonspecific air trapping', 'existence': 'pos_dx', 'descriptive_term': 'minimal nonspecific air', 'observation': 'trapping', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'expiratory phase': 'clinical finding': 'expiratory phase', 'existence': 'pos_dx', 'descriptive_term': 'expiratory', 'observation': 'phase'clinical findings_fin: 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'neg_dx', 'observation': 'fibrosis', 'active infection': 'clinical finding': 'active infection', 'existence': 'neg_dx', 'descriptive_term': 'active', 'observation': 'infection', 'strength_term': 'active'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'neg_dx', 'descriptive_term': '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' [/INST] [RESP] Lack of IV contrast limits evaluation for lymphadenopathy and solid organ pathology. Micronodule in the left upper lobe, unchanged and most likely postinflammatory. Thin-walled cyst in the right lower lobe, unchanged. Minimal nonspecific air trapping in the lung bases on expiratory phase imaging. No evidence of fibrosis or active infection. No lymphadenopathy. Normal heart size. No pericardial effusion. Hypodense lesion in the left lobe of the thyroid is not imaged on todays study. 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', 'adjacent']object_fin: ['sutures']clinical findings_fin: 'right lower lobe nodule': 'clinical finding': 'right lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'anatomical entity_fin: 'lung': clinical findings_fin: 'other lung nodules': 'clinical finding': 'other lung nodules', 'existence': 'neg_dx', 'descriptive_term': 'other lung', 'observation': 'nodule'location descriptor_fin: ['central']clinical findings_fin: 'central line again noted': 'clinical finding': 'central line again noted'anatomical entity_fin: 'endplates': clinical findings_fin: 'irregularity of the endplates of t8 is unchanged': 'clinical finding': 'irregularity of the endplates of t8 is unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Reidentification of right lower lobe nodule adjacent to the surgical sutures slightly improved in size. No other lung nodules are present. Central line again noted. Irregularity of the endplates of T8 is unchanged. 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: 'small subdural fluid collection': 'clinical finding': 'small subdural fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'small subdural fluid', 'observation': 'collection', 'strength_term': 'small'clinical findings_fin: 'new hemorrhage': 'clinical finding': 'new hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'hemorrhage', 'temporal_term': 'new'anatomical entity_fin: 'temporal bone': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'nondisplaced fracture': 'clinical finding': 'nondisplaced fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced', 'observation': 'fracture' [/INST] [RESP] There is redemonstration of a small subdural fluid collection overlying the left frontoparietal region which is unchanged in size in comparison to the prior study. There is no evidence of new hemorrhage. A bone windows reveal a nondisplaced fracture of the squamous portion of the left temporal bone [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'temporal bones': 'location descriptor': 'left', 'tympanic membranes': location descriptor_fin: ['right', 'left', 'bilateral', 'inferior']object_fin: ['tube']clinical findings_fin: 'bilateral myringotomy': 'clinical finding': 'bilateral myringotomy', 'existence': 'pos_dx', 'descriptive_term': 'bilateral', 'observation': 'myringotomy'anatomical entity_fin: 'external auditory canals': clinical findings_fin: 'is normal appearance of the external auditory canals including its cartilaginous and bony portions': 'clinical finding': 'is normal appearance of the external auditory canals including its cartilaginous and bony portions'anatomical entity_fin: 'middle ear cavity': , 'middle ear': clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'pos_dx', 'observation': 'aerate', 'middle ear ossicles': 'clinical finding': 'middle ear ossicles', 'existence': 'pos_dx', 'descriptive_term': 'middle ear', 'observation': 'ossicle'anatomical entity_fin: 'vestibule': location descriptor_fin: ['left']clinical findings_fin: 'slight bulbous': 'clinical finding': 'slight bulbous', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'bulbous'anatomical entity_fin: 'inner ear': , 'cochlea': , 'vestibule': , 'semicircular canals': , 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'remaining inner ear structures including the cochlea , vestibule , semicircular canals , internal auditory canal and facial nerve canal are unremarkable in appearance': 'clinical finding': 'remaining inner ear structures including the cochlea , vestibule , semicircular canals , internal auditory canal and facial nerve canal are unremarkable in appearance'anatomical entity_fin: 'vestibular aqueducts': clinical findings_fin: 'well visualized and show': 'clinical finding': 'well visualized and show'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized', 'opacification': 'clinical finding': 'opacification', 'existence': 'neg_dx', 'observation': 'opacification', 'erosions': 'clinical finding': 'erosions', 'existence': 'neg_dx', 'observation': 'erosion'anatomical entity_fin: 'carotid canal': , 'jugular fossa': imaging observation_fin: ['angle']clinical findings_fin: 'carotid canal , jugular fossa and sinus angle are unremarkable': 'clinical finding': 'carotid canal , jugular fossa and sinus angle are unremarkable' [/INST] [RESP] Views of both right and left temporal bones show bilateral myringotomy tube placements along the inferior aspect of the tympanic membranes. There is normal appearance of the external auditory canals including its cartilaginous and bony portions. The middle ear cavity is well aerated with normal appearance of the middle ear ossicles. A slight bulbous appearance of the vestibule on the left. The remaining inner ear structures including the cochlea, vestibule, semicircular canals, internal auditory canal and facial nerve canal are unremarkable in appearance. The vestibular aqueducts are well visualized and show no evidence of enlargement. The mastoid air cells are incompletely pneumatized and are unremarkable with no opacification or erosions. The carotid canal, jugular fossa and sinus angle are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild stenosis': 'clinical finding': 'mild stenosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'stenosis', 'strength_term': 'mild'clinical findings_fin: 'moderate to severe stenosis': 'clinical finding': 'moderate to severe stenosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate to severe', 'observation': 'stenosis', 'strength_term': 'moderate - severe'anatomical entity_fin: 'left vertebral artery': , 'normal variant': clinical findings_fin: 'hypoplastic': 'clinical finding': 'hypoplastic', 'existence': 'pos_dx', 'observation': 'hypoplastic', 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'clinical findings_fin: 'ectatic': 'clinical finding': 'ectatic', 'existence': 'pos_dx', 'observation': 'ectatic'clinical findings_fin: 'stenosis': 'clinical finding': 'stenosis', 'existence': 'neg_dx', 'observation': 'stenosis', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection'clinical findings_fin: 'stenotic': 'clinical finding': 'stenotic', 'existence': 'pos_dx', 'observation': 'stenotic'clinical findings_fin: 'intracranial atherosclerosis': 'clinical finding': 'intracranial atherosclerosis', 'existence': 'pos_dx', 'descriptive_term': 'intracranial', 'observation': 'atherosclerosis', 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'ethmoid sinus': location descriptor_fin: ['right']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'old right basal ganglia infarct': 'clinical finding': 'old right basal ganglia infarct', 'existence': 'pos_dx', 'descriptive_term': 'old right basal ganglia', 'observation': 'infarct', 'temporal_term': 'old'clinical findings_fin: 'microvascular disease': 'clinical finding': 'microvascular disease', 'existence': 'pos_dx', 'descriptive_term': 'microvascular', 'observation': 'disease'clinical findings_fin: 'scattered submental and deep cervical chain lymph nodes': 'clinical finding': 'scattered submental and deep cervical chain lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered submental and deep cervical chain lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'ventricles are normal volume': 'clinical finding': 'ventricles are normal volume'anatomical entity_fin: 'fluid': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'acute infarction': 'clinical finding': 'acute infarction', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'infarction', 'strength_term': 'acute', 'temporal_term': 'acute', 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are radiographically normal': 'clinical finding': 'calvaria and skull base are radiographically normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] . Calcified and soft plaque causing mild stenosis at the carotid bifurcation. Calcified and soft plaque causing moderate to severe stenosis at the carotid bifurcation. Hypoplastic left vertebral artery, a normal variant. Mildly ectatic. No evidence of stenosis, obstruction or dissection. The mid basilar is stenotic. Diffuse intracranial atherosclerosis most notably in the supraclinoid carotids, which are narrowed and calcified. Head. Opacification of the right frontal and ethmoid sinus. Old right basal ganglia infarct. Hypoattenuated periventricular and centrum semiovale white matter, compatible with microvascular disease. Scattered submental and deep cervical chain lymph nodes, none of which are pathologically enlarged. The ventricles are normal volume. No abnormal extra axial fluid collections, mass, acute infarction or intracranial hemorrhage. The calvaria and skull base are radiographically normal. The mastoid air cells are normally pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lumbosacral': 'location descriptor': 'posterior', 'spinal rods': 'location descriptor': 'bilateral'location descriptor_fin: ['posterior', 'bilateral']clinical findings_fin: 'posterior lumbosacral fusion': 'clinical finding': 'posterior lumbosacral fusion', 'existence': 'pos_dx', 'descriptive_term': 'posterior lumbosacral', 'observation': 'fusion', 'bilateral pedicle screws': 'clinical finding': 'bilateral pedicle screws', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pedicle', 'observation': 'screw'location descriptor_fin: ['left']clinical findings_fin: 'left hemilaminectomy': 'clinical finding': 'left hemilaminectomy', 'existence': 'pos_dx', 'descriptive_term': 'left', 'observation': 'hemilaminectomy', 'partial facetectomy': 'clinical finding': 'partial facetectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'facetectomy', 'strength_term': 'partial'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'subcutaneous emphysema': 'clinical finding': 'subcutaneous emphysema', 'existence': 'pos_dx', 'descriptive_term': 'subcutaneous', 'observation': 'emphysema', 'recent procedure': 'clinical finding': 'recent procedure', 'existence': 'pos_dx', 'descriptive_term': 'recent', 'observation': 'procedure'anatomical entity_fin: 'renal collecting system': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'small hyperdensity': 'clinical finding': 'small hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'hyperdensity', 'strength_term': 'small', 'small renal stone': 'clinical finding': 'small renal stone', 'existence': 'unc_dx', 'descriptive_term': 'small renal', 'observation': 'stone', 'strength_term': 'small'clinical findings_fin: 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'location descriptor_fin: ['superior']clinical findings_fin: 'prominent schmorls node': 'clinical finding': 'prominent schmorls node', 'existence': 'pos_dx', 'descriptive_term': 'prominent schmorls', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'bladder': object_fin: ['balloon']clinical findings_fin: 'note is made of a foley balloon in place within the bladder': 'clinical finding': 'note is made of a foley balloon in place within the bladder' [/INST] [RESP] There has been posterior lumbosacral fusion including bilateral pedicle screws at L4, L5, S1 as well as paired bilateral spinal rods. There has also been L4/5 and L5/1 discectomy with placement of spacers. There also appears to be left hemilaminectomy and partial facetectomy at L4 and L5. Hardware is intact. There is no lucency about the screws. Subcutaneous emphysema suggests recent procedure. A small hyperdensity in the left renal collecting system suggests a small renal stone. There is grade 1 anterolisthesis L4 on L5. A prominent Schmorls node is present involving the superior endplate of L2. Note is made of a Foley balloon in place within the bladder. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'clinical findings_fin: 'gray-white differentiation is maintained': 'clinical finding': 'gray-white differentiation is maintained', 'change_term': 'maintained'clinical findings_fin: 'global parenchymal volume loss': 'clinical finding': 'global parenchymal volume loss', 'existence': 'pos_dx', 'descriptive_term': 'global parenchymal 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': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'lens': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral'] [/INST] [RESP] No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss. Sulci and ventricles are within normal limits for patients advanced age without evidence of hydrocephalus. No extra-axial collections. There are scattered areas of hypoattenuation in the periventricular and subcortical white matter which are nonspecific but favored to represent chronic small vessel ischemic changes. The visualized portions of the paranasal sinuses are clear. Mastoid air cells are clear. Calvarium is intact. Bilateral lens implants. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'cerebral and cerebellar hemispheres are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres are normal in attenuation and morphology'location descriptor_fin: ['midline']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', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'theventricles are normal in volume and symmetric': 'clinical finding': 'theventricles are normal in volume and symmetric'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'bonedensity of the calvarium is radiographically normal': 'clinical finding': 'bonedensity of the calvarium is radiographically normal'anatomical entity_fin: 'skull': , 'base': , 'cavernous sinus': clinical findings_fin: 'imaging through skull base and cavernous sinus is unremarkable': 'clinical finding': 'imaging through skull base and cavernous sinus is unremarkable'clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'thyroidectomy': 'clinical finding': 'thyroidectomy', 'existence': 'pos_dx', 'observation': 'thyroidectomy'clinical findings_fin: 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'location descriptor_fin: ['right']clinical findings_fin: 'paralyzed': 'clinical finding': 'paralyzed', 'existence': 'pos_dx', 'observation': 'paralyze'anatomical entity_fin: 'internal jugular vein': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left internal jugular vein is not visualized': 'clinical finding': 'left internal jugular vein is not visualized'clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy'anatomical entity_fin: 'airway': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'superior mediastinum': location descriptor_fin: ['left']clinical findings_fin: 'confluent supraclavicular, necrotic adenopathy': 'clinical finding': 'confluent supraclavicular, necrotic adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'confluent supraclavicular necrotic', 'observation': 'adenopathy'anatomical entity_fin: 'lung': , 'apices': clinical findings_fin: 'increasedright pleural effusion': 'clinical finding': 'increasedright pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'increasedright pleural', 'observation': 'effusion'clinical findings_fin: 'biapical pleural irregularity': 'clinical finding': 'biapical pleural irregularity', 'existence': 'pos_dx', 'descriptive_term': 'biapical pleural', 'observation': 'irregularity' [/INST] [RESP] The cerebral and cerebellar hemispheres are normal in attenuation and morphology. Thereis no intracranial hemorrhage, mass, edema, midline shift or abnormal enhancement. Theventricles are normal in volume and symmetric. The visualized paranasal sinuses and mastoid air cells are normally pneumatized. The bonedensity of the calvarium is radiographically normal. Imaging through skull base and cavernous sinus is unremarkable. There is a redemonstration of postoperative change of thyroidectomy. No abnormal enhancement, or mass is identified within the surgical bed. The right vocal cordparamedian in location and likely paralyzed. The left internal jugular vein is not visualized. No evidence of pathologic lymphadenopathy is seen. The airway is patent. Theosseous structures are intact. Cluster of confluent supraclavicular, necrotic adenopathy noted on the left that extendsinto the superior mediastinum approximately unchanged compared to previous. In the lung apices, increasedright pleural effusion. Biapical pleural irregularity appears similar to prior [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'imaging observation_fin: ['wedge']location descriptor_fin: ['left', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'suspicious intrapulmonary nodules': 'clinical finding': 'suspicious intrapulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious intrapulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'left hemithorax': clinical findings_fin: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion', 'two small pleural focal soft tissue masses': 'clinical finding': 'two small pleural focal soft tissue masses', 'existence': 'neg_dx', 'descriptive_term': 'two small pleural focal soft tissue', 'observation': 'mass', 'strength_term': 'small'clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'anatomical entity_fin: 'fluid': , 'mediastinum': , 'thymus': clinical findings_fin: 'minimal fluid density is observed in nature mediastinum and bed': 'clinical finding': 'minimal fluid density is observed in nature mediastinum and bed'clinical findings_fin: 'postsurgical scarring': 'clinical finding': 'postsurgical scarring', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'scarr', 'change': 'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'pericardium': clinical findings_fin: 'mild coronary calcifications': 'clinical finding': 'mild coronary calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary', 'observation': 'calcification', 'strength_term': 'mild'clinical findings_fin: 'moderate hiatal hernia': 'clinical finding': 'moderate hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'moderate hiatal', 'observation': 'hernia', 'strength_term': 'moderate'clinical findings_fin: 'mild scattered degenerative changes': 'clinical finding': 'mild scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered degenerative', 'observation': 'change', 'strength_term': 'mild', 'additional new suspicious lytic or blastic lesions': 'clinical finding': 'additional new suspicious lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'additional new suspicious lytic or blastic', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'minimal scattered degenerative changes': 'clinical finding': 'minimal scattered degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal scattered degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Left upper lobe paramediastinal wedge resection with postsurgical changes in suturing. No suspicious intrapulmonary nodules or masses. No effusions, however two small pleural focal soft tissue masses are observed in the left hemithorax. The appearance is nonspecific and smoothly marginated however in light of the patients history and surgery on this side, postsurgical changes as well as metastatic disease cannot be excluded. Minimal fluid density is observed in nature mediastinum and bed of the thymus. Postsurgical scarring and change similar to prior studies. No lymphadenopathy. The cardiac and pericardium other than mild coronary calcifications appear similar. Moderate hiatal hernia. Mild scattered degenerative changes without additional new suspicious lytic or blastic lesions. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Minimal scattered degenerative changes. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['right']clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative'anatomical entity_fin: 'neck': clinical findings_fin: 'measurable mass lesions': 'clinical finding': 'measurable mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'measurable mass', 'observation': 'lesion', 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unremarkable': 'clinical finding': 'thyroid gland appears unremarkable'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'remaining salivary glands are unchanged': 'clinical finding': 'remaining salivary glands are unchanged', 'change_term': 'unchanged'clinical findings_fin: 'atherosclerotic plaque': 'clinical finding': 'atherosclerotic plaque', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'plaque'clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partial opacification': 'clinical finding': 'partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'opacification', 'strength_term': 'partial'clinical findings_fin: 'biapical pulmonary scarring': 'clinical finding': 'biapical pulmonary scarring', 'existence': 'pos_dx', 'descriptive_term': 'biapical pulmonary', 'observation': 'scarr'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'retention cyst': 'clinical finding': 'retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'retention', 'observation': 'cyst' [/INST] [RESP] There are postoperative findings related to right parotidectomy. There is no evidence of measurable mass lesions or significant lymphadenopathy in the neck based on size criteria. The thyroid gland appears unremarkable. The remaining salivary glands are unchanged. There is atherosclerotic plaque at the carotid bifurcations. There is multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. There is partial opacification of right mastoid air cells. There is biapical pulmonary scarring. There is 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: 'right thalamus': imaging observation_fin: ['foci']location descriptor_fin: ['right']clinical findings_fin: 'multiple scattered foci': 'clinical finding': 'multiple scattered foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple scattered', 'observation': 'foci', 'quantity_term': 'multiple', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'right thalamus': 'clinical finding': 'right thalamus', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'thalamus', 'ischemia': 'clinical finding': 'ischemia', 'existence': 'unc_dx', 'observation': 'ischemia', 'infarction': 'clinical finding': 'infarction', 'existence': 'unc_dx', 'observation': 'infarction'clinical findings_fin: 'these lesions': 'clinical finding': 'these lesions', 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion', 'ischemia': 'clinical finding': 'ischemia', 'existence': 'pos_dx', 'observation': 'ischemia'clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'neg_dx', 'observation': 'hemorrhagic'location descriptor_fin: ['midline']clinical findings_fin: 'significant mass-effect': 'clinical finding': 'significant mass-effect', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'mass', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'clinical findings_fin: 'ventricles are unchanged in size or shape without interval dilatation': 'clinical finding': 'ventricles are unchanged in size or shape without interval dilatation', 'change_term': 'unchanged'clinical findings_fin: 'new parenchymal lesions': 'clinical finding': 'new parenchymal lesions', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'lesion', 'temporal_term': 'new'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild', 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'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] Redemonstrated are multiple scattered foci of hypoattenuation in the right cerebral and cerebellar hemisphere as well as the vermis and right thalamus, consistent with ischemia or infarction. As before, these lesions correlate well to areas of ischemia seen on the recent MRI. There is no evidence of hemorrhagic transformation. There is also no significant mass-effect, midline shift or basal cistern effacement. The ventricles are unchanged in size or shape without interval dilatation. No evidence of new parenchymal lesions. Mild mucosal thickening is seen in the left frontal sinus with opacification of the frontoethmoid recess. Otherwise, the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'cerebral hemispheres': clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'unc_dx', 'descriptive_term': 'low', 'observation': 'attenuation', 'mild small vessel disease': 'clinical finding': 'mild small vessel disease', 'existence': 'unc_dx', 'descriptive_term': 'mild small vessel', 'observation': 'disease', 'strength_term': 'mild - small'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'anatomical entity_fin: 'brain': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'diffuse moderate brain volume loss': 'clinical finding': 'diffuse moderate brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse moderate brain volume', 'observation': 'loss', 'strength_term': 'moderate'anatomical entity_fin: 'brain': clinical findings_fin: 'interval progression': 'clinical finding': 'interval progression', 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'progression', 'brain volume loss': 'clinical finding': 'brain volume loss', 'existence': 'pos_dx', 'descriptive_term': 'brain volume', 'observation': 'loss'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'lytic or erosive changes': 'clinical finding': 'lytic or erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'lytic or erosive', 'observation': 'change'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] Examination shows no evidence of acute intracranial hemorrhage. There is questionable subtle areas of low attenuation within the deep white matter of both cerebral hemispheres consistent with mild small vessel disease. There is no mass effect and no midline shift. There is preservation of the gray-white matter differentiation. The ventricles are mild to moderately dilated with moderate prominence of cortical sulci consistent with diffuse moderate brain volume loss. There has been interval progression of brain volume loss when compared to the previous study. Bone windows show no evidence of a fracture with no lytic or erosive changes involving the calvarium or skull base. The visualized paranasal sinuses are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower', 'diaphragm': , 'liver': location descriptor_fin: ['right', 'lower', 'superior']clinical findings_fin: 'irregular right lower lobe mass': 'clinical finding': 'irregular right lower lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'irregular right lower lobe', 'observation': 'mass'clinical findings_fin: 'other pulmonary nodules': 'clinical finding': 'other pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'other pulmonary', 'observation': 'nodule', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'size_fin: ['size': '15 x 15 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'irregular nodule': 'clinical finding': 'irregular nodule', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'nodule'size_fin: ['size': '10 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'well circumscribed nodule': 'clinical finding': 'well circumscribed nodule', 'existence': 'pos_dx', 'descriptive_term': 'well circumscribed', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'densely calcified nodule': 'clinical finding': 'densely calcified nodule', 'existence': 'pos_dx', 'descriptive_term': 'densely calcified', 'observation': 'nodule', 'change_term': 'calcified', 'granuloma': 'clinical finding': 'granuloma', 'existence': 'unc_dx', 'observation': 'granuloma'clinical findings_fin: 'calcified nodes': 'clinical finding': 'calcified nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified', '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'clinical findings_fin: 'severe coronary calcification': 'clinical finding': 'severe coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe coronary', 'observation': 'calcification', 'strength_term': 'severe'anatomical entity_fin: 'rib': location descriptor_fin: ['right']clinical findings_fin: 'healing': 'clinical finding': 'healing', 'existence': 'pos_dx', 'observation': 'heal', 'rib fractures': 'clinical finding': 'rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'rib', 'observation': 'fracture'anatomical entity_fin: 'rib': location descriptor_fin: ['right']clinical findings_fin: 'are sclerosis': 'clinical finding': 'are sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'are', 'observation': 'sclerosis'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'lucency': 'clinical finding': 'lucency', 'existence': 'pos_dx', 'observation': 'lucency', 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'unc_dx', 'descriptive_term': 'degenerative', 'observation': 'disease', 'angiomas': 'clinical finding': 'angiomas', 'existence': 'unc_dx', 'observation': 'angiomas', 'underlying osseous metastases': 'clinical finding': 'underlying osseous metastases', 'existence': 'unc_dx', 'descriptive_term': 'underlying osseous', 'observation': 'metastase'follow-up_fin: follow-up recommendedanatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'stomach': object_fin: ['balloon', 'tube']procedure_fin: ['gastrostomy']clinical findings_fin: 'few scattered subcentimeter nonspecific hepatic hypodensities': 'clinical finding': 'few scattered subcentimeter nonspecific hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'few scattered subcentimeter nonspecific hepatic', 'observation': 'hypodensity', 'quantity_term': 'few'anatomical entity_fin: 'spleen': clinical findings_fin: 'calcified granulomas': 'clinical finding': 'calcified granulomas', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'granuloma', 'change_term': 'calcified' [/INST] [RESP] . Irregular right lower lobe mass abutting the diaphragm and appears to traverse the diaphragm, involving the superior aspect the liver. This is best demonstrated on coronal image 57/117. Other pulmonary nodules are present suggestive of metastases. For continued reference an irregular nodule in the left lower lobe measures 15 x 15 mm on image 77/118. A well circumscribed nodule in the right lower lobe measures 10 mm on image 73/118. A densely calcified nodule in the right upper lobe periphery is likely a granuloma. Calcified nodes consistent with healed granulomatous disease. Severe coronary calcification. Healing rib fractures on the right. Nonspecific are sclerosis involving the right eighth rib. Multiple areas of lucency involving the lower thoracic spine, the majority of these appear to be related to degenerative disease or angiomas a continued follow-up is recommended to exclude underlying osseous metastases. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Balloon retaining gastrostomy tube in stomach. A few scattered subcentimeter nonspecific hepatic hypodensities are too small to characterize. Calcified granulomas involving spleen. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'new small bilateral pleural effusions': 'clinical finding': 'new small bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'new small bilateral pleural', 'observation': 'effusion', 'strength_term': 'small', 'temporal_term': 'new'location descriptor_fin: ['subsegmental']clinical findings_fin: 'mild streaky basilar opacities': 'clinical finding': 'mild streaky basilar opacities', 'existence': 'pos_dx', 'descriptive_term': 'mild streaky basilar', 'observation': 'opacity', 'strength_term': 'mild', 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'significant mediastinal lymphadenopathy': 'clinical finding': 'significant mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'vertebra': clinical findings_fin: 'skeletal metastases': 'clinical finding': 'skeletal metastases', 'existence': 'pos_dx', 'descriptive_term': 'skeletal', 'observation': 'metastase'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple small hypodense lesions': 'clinical finding': 'multiple small hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple small hypodense', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'multiple', 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'calcified gallstones': 'clinical finding': 'calcified gallstones', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'gallstone', 'change_term': 'calcified'size_fin: ['size': '16 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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . New small bilateral pleural effusions. Mild streaky basilar opacities suggestive of subsegmental atelectasis. No significant mediastinal lymphadenopathy. Diffuse skeletal metastases with loss of height of a midthoracic vertebra, unchanged. The sensitivity is limited by lack of intravenous contrast material. Multiple small hypodense lesions described previously in the liver are poorly visualized on the current scan due to lack of contrast material, though they are probably still present. Calcified gallstones in the gallbladder. Splenomegaly with a vertical length of 16 cm, slightly increased from previous. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute pulmonary embolism': 'clinical finding': 'acute pulmonary embolism', 'existence': 'neg_dx', 'descriptive_term': 'acute pulmonary', 'observation': 'embolism', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery enlargement': 'clinical finding': 'main pulmonary artery enlargement', 'existence': 'neg_dx', 'descriptive_term': 'main pulmonary artery', 'observation': 'enlargement'location descriptor_fin: ['right']clinical findings_fin: 'right atrial and ventricular enlargement': 'clinical finding': 'right atrial and ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'right atrial and ventricular', 'observation': 'enlargement'location descriptor_fin: ['centrilobular']clinical findings_fin: 'marked centrilobular predominant emphysema': 'clinical finding': 'marked centrilobular predominant emphysema', 'existence': 'pos_dx', 'descriptive_term': 'marked centrilobular predominant', 'observation': 'emphysema'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', 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr'location descriptor_fin: ['right']clinical findings_fin: 'trace right pleural effusion': 'clinical finding': 'trace right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'effusion'location descriptor_fin: ['peripheral']clinical findings_fin: 'scattered peripheral and subpleural predominant subcentimeter nodules': 'clinical finding': 'scattered peripheral and subpleural predominant subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered peripheral and subpleural predominant subcentimeter', 'observation': 'nodule'size_fin: ['size': '7 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe nodule': 'clinical finding': 'left lower lobe nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'nodule'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild tracheal and bilateral bronchial debris': 'clinical finding': 'mild tracheal and bilateral bronchial debris', 'existence': 'pos_dx', 'descriptive_term': 'mild tracheal and bilateral bronchial', 'observation': 'debris', 'strength_term': 'mild'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'atherosclerotic calcifications of the thoracic aorta': 'clinical finding': 'atherosclerotic calcifications of the thoracic aorta', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic calcifications of the thoracic', 'observation': 'aorta'clinical findings_fin: 'hypodense nodule': 'clinical finding': 'hypodense nodule', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'nodule'size_fin: ['size': '20 mm', 'size_descriptor': 'node']location descriptor_fin: ['right']clinical findings_fin: 'enlarged right hilar lymph node': 'clinical finding': 'enlarged right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal nodularity': 'clinical finding': 'left adrenal nodularity', 'existence': 'pos_dx', 'descriptive_term': 'left adrenal', 'observation': 'nodularity'anatomical entity_fin: 'descending thoracic aorta': 'location descriptor': 'distal', 'stomach': location descriptor_fin: ['anterior', 'distal']clinical findings_fin: 'moderate to large hiatal hernia': 'clinical finding': 'moderate to large hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'moderate to large hiatal', 'observation': 'hernia', 'strength_term': 'moderate - large', 'hernia': 'clinical finding': 'hernia', 'existence': 'pos_dx', 'observation': 'hernia', 'collapsed': 'clinical finding': 'collapsed', 'existence': 'unc_dx', 'observation': 'collapse' [/INST] [RESP] . No acute pulmonary embolism. No main pulmonary artery enlargement. Right atrial and ventricular enlargement. Marked centrilobular predominant emphysema. Mild bronchial wall thickening as well as bibasilar atelectasis or scarring. Trace right pleural effusion. Scattered peripheral and subpleural predominant subcentimeter nodules. For reference, a left lower lobe nodule measures 7 mm. Mild tracheal and bilateral bronchial debris noted. Mild atherosclerotic calcifications of the thoracic aorta. Hypodense nodule within the thyroid isthmus. Enlarged right hilar lymph node measuring 20 mm, increased from prior. Moderate. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Left adrenal nodularity. Moderate to large hiatal hernia with redundancy of the hernia anterior to the distal descending thoracic aorta, which may represent a collapsed stomach. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'tonsil': clinical findings_fin: 'mild cerebellar tonsil ectopia': 'clinical finding': 'mild cerebellar tonsil ectopia', 'existence': 'pos_dx', 'descriptive_term': 'mild cerebellar tonsil', 'observation': 'ectopia', 'strength_term': 'mild' [/INST] [RESP] The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. There appears mild cerebellar tonsil ectopia. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': , 'scalp': non-anatomical substance_fin: ['leads']clinical findings_fin: 'obscured': 'clinical finding': 'obscured', 'existence': 'pos_dx', 'observation': 'obscure', 'artifact': 'clinical finding': 'artifact', 'existence': 'pos_dx', 'observation': 'artifact', 'wires': 'clinical finding': 'wires', 'existence': 'pos_dx', 'observation': 'wire'anatomical entity_fin: 'brain': location descriptor_fin: ['lower']clinical findings_fin: 'lower aspect of the brain is visualized': 'clinical finding': 'lower aspect of the brain is visualized'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'right', 'insula': , 'thalamus': location descriptor_fin: ['right']clinical findings_fin: 'tumoral cysts': 'clinical finding': 'tumoral cysts', 'existence': 'pos_dx', 'descriptive_term': 'tumoral', 'observation': 'cyst'clinical findings_fin: 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'location descriptor_fin: ['midline', 'left']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'unc_dx', 'observation': 'hydrocephalus' [/INST] [RESP] Most of the brain is obscured by artifact from numerous scalp leads and wires. Only the lower aspect of the brain is visualized. As such, tumoral cysts are redemonstrated involving the right basal ganglia, insula and thalamus. In comparison to the prior MRI, there has been no significant interval change in the size of the visualized cystic components. Mass effect with midline shift to the left also appears approximately similar to prior. The lateral ventricles are not adequately visualized to comment on hydrocephalus. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left lateral ventricle': , 'body': location descriptor_fin: ['right', 'posterior']object_fin: ['ventriculoperitoneal shunt', 'catheter']object_fin: ['catheter']clinical findings_fin: 'kinking': 'clinical finding': 'kinking', 'existence': 'neg_dx', 'observation': 'kinking', 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity'size_fin: ['size': '2-mm', 'size': '1.6 cm']location descriptor_fin: ['left']clinical findings_fin: 'less than 2 - mm': 'clinical finding': 'less than 2 - mm'clinical findings_fin: 'restoration': 'clinical finding': 'restoration', 'existence': 'pos_dx', 'observation': 'restoration'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'fluid': 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'location descriptor_fin: ['posterior', 'peripheral', 'left']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change', 'some residual mass': 'clinical finding': 'some residual mass', 'existence': 'pos_dx', 'descriptive_term': 'some residual', 'observation': 'mass', 'quantity_term': 'some', 'temporal_term': 'residual', 'peripheral calcification': 'clinical finding': 'peripheral calcification', 'existence': 'pos_dx', 'descriptive_term': 'peripheral', 'observation': 'calcification'anatomical entity_fin: 'right frontal lobe': location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: 'right frontal shunt catheter tract': 'clinical finding': 'right frontal shunt catheter tract', 'existence': 'pos_dx', 'descriptive_term': 'right frontal shunt catheter', 'observation': 'tract'anatomical entity_fin: 'basal ganglia': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'not well seen on ct': 'clinical finding': 'not well seen on ct'clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution', 'previously seen hyperdensity': 'clinical finding': 'previously seen hyperdensity', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'hyperdensity'clinical findings_fin: 'new parenchymal lesion': 'clinical finding': 'new parenchymal lesion', 'existence': 'neg_dx', 'descriptive_term': 'new parenchymal', 'observation': 'lesion', 'temporal_term': 'new', 'intra-axial mass': 'clinical finding': 'intra-axial mass', 'existence': 'neg_dx', 'descriptive_term': 'intra-axial', 'observation': 'mass'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'contents': clinical findings_fin: 'orbital contents are unremarkable': 'clinical finding': 'orbital contents are unremarkable'anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: 'right parietal scalp plexiform neurofibroma': 'clinical finding': 'right parietal scalp plexiform neurofibroma', 'existence': 'unc_dx', 'descriptive_term': 'right parietal scalp plexiform', 'observation': 'neurofibroma'location descriptor_fin: ['right']procedure_fin: ['ventriculostomy']clinical findings_fin: 'some scarring': 'clinical finding': 'some scarring', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'scarr', 'quantity_term': 'some'anatomical entity_fin: 'muscles of mastication': 'location descriptor': 'right', 'back': location descriptor_fin: ['right']clinical findings_fin: 'mastication': 'clinical finding': 'mastication', 'existence': 'pos_dx', 'observation': 'mastication', 'fatty atrophy': 'clinical finding': 'fatty atrophy', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'atrophy' [/INST] [RESP] There is redemonstration of a right posterior approach ventriculoperitoneal shunt catheter terminating in the left lateral ventricle body. There is no kinking or discontinuity of the visualized catheter or reservoir system. There has been interval decrease in size of the ventricles with less than 2-mm dimension of the left frontal horn compared to over 1.6 cm previously. As a result, there is restoration of the cerebral sulci. The basal cisterns remain patent. There are no abnormal fluid collections or evidence of acute intracranial hemorrhage. Posterior fossa is again notable for changes from prior suboccipital craniotomy and evidence of some residual mass with peripheral calcification in the left cerebellar hemisphere. Right frontal shunt catheter tract is noted in the right frontal lobe region. Previously MRI characterized region of left basal ganglia signal increase is not well seen on CT. There has been resolution of previously seen hyperdensity in the region of the tectum of uncertain significance. There is no new parenchymal lesion or intra-axial mass. Paranasal sinuses and mastoid air cells are clear. Orbital contents are unremarkable. Scalp is notable for what is likely a right parietal scalp plexiform neurofibroma, unchanged. There is also some scarring at site of prior right frontal approach ventriculostomy. Right muscles of mastication have fatty atrophy but this is a chronic finding dating back to 2006. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'lower lobe reticulonodular interstitial disease': 'clinical finding': 'lower lobe reticulonodular interstitial disease', 'existence': 'pos_dx', 'descriptive_term': 'lower lobe reticulonodular interstitial', 'observation': 'disease', 'bronchiectasis': 'clinical finding': 'bronchiectasis', 'existence': 'pos_dx', 'observation': 'bronchiectasis'location descriptor_fin: ['left']clinical findings_fin: 'left basilar honeycombing': 'clinical finding': 'left basilar honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'honeycombing'anatomical entity_fin: 'liver': clinical findings_fin: 'liver is normal in morphology': 'clinical finding': 'liver is normal in morphology'clinical findings_fin: 'focal hepatic lesions': 'clinical finding': 'focal hepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal hepatic', 'observation': 'lesion'anatomical entity_fin: 'portal veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'parenchyma': imaging observation_fin: ['infiltrate']clinical findings_fin: 'innumerable hypodense lesions': 'clinical finding': 'innumerable hypodense lesions', 'existence': 'pos_dx', 'descriptive_term': 'innumerable hypodense', 'observation': 'lesion'anatomical entity_fin: 'spleen': 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'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'subtle patchy cortical enhancement': 'clinical finding': 'subtle patchy cortical enhancement', 'existence': 'pos_dx', 'descriptive_term': 'subtle patchy cortical', 'observation': 'enhancement', 'strength_term': 'subtle', 'small cortical lesions': 'clinical finding': 'small cortical lesions', 'existence': 'unc_dx', 'descriptive_term': 'small cortical', 'observation': 'lesion', 'strength_term': 'small'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'size_fin: ['size': '1.5 x 0.9 cm', 'size_descriptor': 'node']anatomical entity_fin: 'mesenteric lymph node': , 'upper abdomen': clinical findings_fin: 'mesenteric lymph node': 'clinical finding': 'mesenteric lymph node', 'existence': 'pos_dx', 'descriptive_term': 'mesenteric lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.7 x 1.4 cm', 'size_descriptor': 'node']anatomical entity_fin: 'inguinal lymph node': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'enlarged right inguinal lymph node': 'clinical finding': 'enlarged right inguinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged right inguinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Lower lobe reticulonodular interstitial disease with areas of bronchiectasis. There are scattered areas of left basilar honeycombing. Liver is normal in morphology. No focal hepatic lesions. Hepatic and portal veins are patent. Innumerable hypodense lesions infiltrate the splenic parenchyma. The spleen mildly enlarged. No significant abnormality noted. No significant abnormality noted. Subtle patchy cortical enhancement of the renal parenchyma possibly from small cortical lesions. No hydronephrosis. No significant abnormality noted. Mesenteric lymph node in the upper abdomen measures 1.5 x 0.9 cm. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. Enlarged right inguinal lymph node measuring 1.7 x 1.4 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'multiple endobronchial and peribronchial pulmonary nodules': 'clinical finding': 'multiple endobronchial and peribronchial pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple endobronchial and peribronchial pulmonary', 'observation': 'nodule', 'quantity_term': 'multiple'clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'pos_dx', 'observation': 'lesion'size_fin: ['size': '16 x 8 mm', 'size': '3 x 7 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'largest lesion': 'clinical finding': 'largest lesion', 'existence': 'pos_dx', 'descriptive_term': 'largest', 'observation': 'lesion'clinical findings_fin: 'multiple new pleural nodules': 'clinical finding': 'multiple new pleural nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple new pleural', 'observation': 'nodule', 'quantity_term': 'multiple', 'temporal_term': 'new', 'pleural metastases': 'clinical finding': 'pleural metastases', 'existence': 'unc_dx', 'descriptive_term': 'pleural', 'observation': 'metastase'clinical findings_fin: 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'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: 'moderate coronary artery calcifications': 'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'heart': clinical findings_fin: 'normal heart size': 'clinical finding': 'normal heart size'anatomical entity_fin: 'fluid': clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'capsule': imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: 'focal hypoattenuation': 'clinical finding': 'focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'hypoattenuation', 'perfusion abnormality': 'clinical finding': 'perfusion abnormality', 'existence': 'unc_dx', 'descriptive_term': 'perfusion', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'cachectic': 'clinical finding': 'cachectic', 'existence': 'pos_dx', 'observation': 'cachectic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Multiple endobronchial and peribronchial pulmonary nodules, several which have increased in size compared to previous examination of 10/8/12. Compared to the exam of 3/17/12, most of the lesions are new. For reference, the largest lesion in the right upper lobe measures 16 x 8 mm , previously 3 x 7 mm on 3/17/12. In addition, multiple new pleural nodules are identified, suspicious for pleural metastases. No pleural fluid. Mild centrilobular emphysema. Moderate coronary artery calcifications. Normal heart size. No pericardial fluid. No lymphadenopathy. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Focal hypoattenuation along the falciform ligament may reflect perfusion abnormality as it does not appear to displace adjacent vessels or the hepatic capsule, not visible previously. Continued monitoring is suggested. Cholecystectomy clips. 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. Patient appears cachectic. 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 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: 'abnormal attenuation': 'clinical finding': 'abnormal attenuation', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'attenuation'clinical findings_fin: 'extraaxial fluid collection': 'clinical finding': 'extraaxial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'extraaxial fluid', 'observation': 'collection'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'mucosal retention cysts': 'clinical finding': 'mucosal retention cysts', 'existence': 'pos_dx', 'descriptive_term': 'mucosal retention', 'observation': 'cyst'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 intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There are mucosal retention cysts in the left maxillary sinus. The remainder of the visualized portions of the paranasal sinuses and mastoids or middle ears are grossly clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'associated compressive atelectasis': 'clinical finding': 'associated compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'associated compressive', 'observation': 'atelectasis'clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple hypoattenuating ill-defined liver lesions': 'clinical finding': 'multiple hypoattenuating ill-defined liver lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple hypoattenuating ill-defined liver', 'observation': 'lesion', 'strength_term': 'ill-defined', '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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_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 subcentimeter retroperitoneal nodes': 'clinical finding': 'multiple subcentimeter retroperitoneal nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter retroperitoneal', 'observation': 'node', 'quantity_term': 'multiple'imaging observation_fin: ['colon']clinical findings_fin: 'multiple diverticuli': 'clinical finding': 'multiple diverticuli', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'diverticuli', 'quantity_term': 'multiple', 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'moderate abdominal ascites': 'clinical finding': 'moderate abdominal ascites', 'existence': 'pos_dx', 'descriptive_term': 'moderate abdominal', 'observation': 'ascite', 'strength_term': 'moderate'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: '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'imaging observation_fin: ['fat']clinical findings_fin: 'soft tissue fat stranding': 'clinical finding': 'soft tissue fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue fat', 'observation': 'strand', 'anasarca': 'clinical finding': 'anasarca', 'existence': 'pos_dx', 'observation': 'anasarca'clinical findings_fin: 'other significant abnormality': 'clinical finding': 'other significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other significant', 'observation': 'abnormality' [/INST] [RESP] . There are bilateral pleural effusions with associated compressive atelectasis. There is mild cardiomegaly. There are multiple hypoattenuating ill-defined liver lesions, which are stable when compared to the prior study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple subcentimeter retroperitoneal nodes are noted. Multiple diverticuli are seen within the colon, consistent with diverticulosis. There is no evidence of obstruction or free air. No significant abnormality noted. Moderate abdominal ascites. No significant abnormality noted. No significant abnormality noted. No pelvic lymphadenopathy noted. No significant abnormality noted. Diffuse soft tissue fat stranding, consistent with anasarca. No other significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered micronodules': 'clinical finding': 'scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered', 'observation': 'micronodule'size_fin: ['size': '1.4 x 0.9 cm', 'size': '1.6 x 0.9 cm']location descriptor_fin: ['right']clinical findings_fin: 'right hilar lymph node': 'clinical finding': 'right hilar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right hilar lymph', 'observation': 'node'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'scattered subcentimeter mediastinal lymph nodes': 'clinical finding': 'scattered subcentimeter mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter mediastinal lymph', 'observation': 'node'clinical findings_fin: 'calcified peritracheal lymph nodes': 'clinical finding': 'calcified peritracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified peritracheal lymph', 'observation': 'node', 'change_term': 'calcified'clinical findings_fin: 'coronary artery calcifications': 'clinical finding': 'coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'coronary artery', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'scattered subcentimeter hypodensities': 'clinical finding': 'scattered subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'hypodensity'clinical findings_fin: 'granulomata': 'clinical finding': 'granulomata', 'existence': 'pos_dx', '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'anatomical entity_fin: 'kidneys': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'subcentimeter hypodensities': 'clinical finding': 'subcentimeter hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'hypodensity'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['soft tissue density', 'colon']clinical findings_fin: 'ill-defined soft tissue density': 'clinical finding': 'ill-defined soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined soft tissue', 'observation': 'density', 'strength_term': 'ill-defined'anatomical entity_fin: 'bladder': , 'wall': , 'presacral space': imaging observation_fin: ['fat']location descriptor_fin: ['adjacent']clinical findings_fin: 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand', 'post radiation changes': 'clinical finding': 'post radiation changes', 'existence': 'pos_dx', 'descriptive_term': 'post radiation', 'observation': 'change'clinical findings_fin: 'diverticulosis': 'clinical finding': 'diverticulosis', 'existence': 'pos_dx', 'observation': 'diverticulosis', 'inflammation': 'clinical finding': 'inflammation', 'existence': 'neg_dx', 'observation': 'inflammation'clinical findings_fin: 'bone demineralization': 'clinical finding': 'bone demineralization', 'existence': 'pos_dx', 'descriptive_term': 'bone', 'observation': 'demineralization', 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': , 'wall': clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'mild surrounding inflammation': 'clinical finding': 'mild surrounding inflammation', 'existence': 'pos_dx', 'descriptive_term': 'mild surrounding', 'observation': 'inflammation', 'strength_term': 'mild'clinical findings_fin: 'slightly enlarged pelvic nodes': 'clinical finding': 'slightly enlarged pelvic nodes', 'existence': 'pos_dx', 'descriptive_term': 'slightly enlarged pelvic', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered micronodules appear stable. Right hilar lymph node is stable measuring 1.4 x 0.9 cm compared to 1.6 x 0.9 cm on the prior. Scattered subcentimeter mediastinal lymph nodes. Calcified peritracheal lymph nodes. Coronary artery calcifications. No significant abnormality noted. Scattered subcentimeter hypodensities in the liver are too small to characterize. Granulomata. No significant abnormality noted. No significant abnormality noted. Subcentimeter hypodensities in bilateral kidneys are too small to characterize. No significant abnormality noted. Ill-defined soft tissue density in the rectosigmoid colon appears stable to slightly smaller. Interval development of fat stranding is seen adjacent to the bladder wall and within the presacral space, compatible with post radiation changes. Diverticulosis without inflammation. Bone demineralization and degenerative changes. No significant abnormality noted. No significant abnormality noted. The bladder wall is thickened with mild surrounding inflammation. Slightly enlarged pelvic nodes, stable. See above. Degenerative changes. 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 embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'anatomical entity_fin: 'lungs': clinical findings_fin: 'metastatic lesions': 'clinical finding': 'metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'size_fin: ['size': '2.8 x 4.0 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'right major fissure': clinical findings_fin: 'right major fissure reference lesion': 'clinical finding': 'right major fissure reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'right major fissure reference', 'observation': 'lesion'size_fin: ['size': '5.4 x 4.7 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe reference lesion': 'clinical finding': 'right lower lobe reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe reference', 'observation': 'lesion'anatomical entity_fin: 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '2.3 x 2.3 cm', 'size_descriptor': 'node']anatomical entity_fin: 'subcarinal lymph node': clinical findings_fin: 'subcarinal lymph node': 'clinical finding': 'subcarinal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'subcarinal lymph', 'observation': 'node'anatomical entity_fin: 'pulmonary artery': clinical findings_fin: 'several pulmonary metastatic lesions': 'clinical finding': 'several pulmonary metastatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'several pulmonary metastatic', 'observation': 'lesion', 'quantity_term': 'several', 'pulmonary': 'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['anterior', 'right', 'upper']clinical findings_fin: 'tumor': 'clinical finding': 'tumor', 'existence': 'pos_dx', 'observation': 'tumor'anatomical entity_fin: 'chest': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['port', 'catheter']anatomical entity_fin: 'liver': clinical findings_fin: 'subcentimeter nonspecific hypodensity': 'clinical finding': 'subcentimeter nonspecific hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter nonspecific', 'observation': 'hypodensity' [/INST] [RESP] . Technically adequate exam. No evidence of pulmonary embolus. Metastatic lesions in both lungs are grossly stable. Right major fissure reference lesion measures 2.8 x 4.0 cm on axial image 16/155, unchanged. Right lower lobe reference lesion measures 5.4 x 4.7 cm on axial image 88/155, unchanged. Enlarged, heterogeneous right thyroid lobe, unchanged. Subcarinal lymph node measures 2.3 x 2.3 cm on axial image 119/310, unchanged. Several pulmonary metastatic lesions are in close association with pulmonary artery branches. In particular, the branch to the anterior right upper lobe is encased and attenuated by tumor, but this has not significantly changed from the prior examination. Right chest port catheter, tip in the SVC. Subcentimeter nonspecific hypodensity in segment 4a of the liver, unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['left']clinical findings_fin: 'slightly hyperdense left mca': 'clinical finding': 'slightly hyperdense left mca', 'existence': 'pos_dx', 'descriptive_term': 'slightly hyperdense left', 'observation': 'mca', 'hyperdense mca sign': 'clinical finding': 'hyperdense mca sign', 'existence': 'unc_dx', 'descriptive_term': 'hyperdense mca', 'observation': 'sign'clinical findings_fin: 'definite parenchymal hypoattenuation': 'clinical finding': 'definite parenchymal hypoattenuation', 'existence': 'neg_dx', 'descriptive_term': 'definite parenchymal', 'observation': 'hypoattenuation', 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'neg_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation', 'acute territorial infarct': 'clinical finding': 'acute territorial infarct', 'existence': 'neg_dx', 'descriptive_term': 'acute territorial', 'observation': 'infarct', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'periventricular patchy hypoattenuation': 'clinical finding': 'periventricular patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'periventricular patchy', 'observation': 'hypoattenuation', 'age indeterminate small vessel ischemic disease': 'clinical finding': 'age indeterminate small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'age indeterminate small vessel ischemic', 'observation': 'disease', 'strength_term': 'small'location descriptor_fin: ['left']clinical findings_fin: 'chronic left cerebellar infarct': 'clinical finding': 'chronic left cerebellar infarct', 'existence': 'pos_dx', 'descriptive_term': 'chronic left cerebellar', 'observation': 'infarct', 'temporal_term': 'chronic'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', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'diffuse volume loss': 'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss' [/INST] [RESP] Slightly hyperdense left MCA is concerning for a hyperdense MCA sign. No definite parenchymal hypoattenuation or loss of gray-white matter differentiation to suggest an acute territorial infarct. Periventricular patchy hypoattenuation is most consistent with age indeterminate small vessel ischemic disease. Chronic left cerebellar infarct. No intra- or extra-axial fluid collection, basal cistern effacement, or midline shift. Diffuse volume loss is 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: 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'solid organ': , 'liver': clinical findings_fin: 'solid organ injury': 'clinical finding': 'solid organ injury', 'existence': 'neg_dx', 'descriptive_term': 'solid organ', 'observation': 'injury'anatomical entity_fin: 'solid organ': , 'spleen': clinical findings_fin: 'solid organ injury': 'clinical finding': 'solid organ injury', 'existence': 'neg_dx', 'descriptive_term': 'solid organ', 'observation': 'injury'anatomical entity_fin: 'solid organ': , 'pancreas': clinical findings_fin: 'solid organ injury': 'clinical finding': 'solid organ injury', 'existence': 'neg_dx', 'descriptive_term': 'solid organ', 'observation': 'injury'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'duodenal injury': 'clinical finding': 'duodenal injury', 'existence': 'neg_dx', 'descriptive_term': 'duodenal', 'observation': 'injury'clinical findings_fin: 'fracture': 'clinical finding': 'fracture', 'existence': 'neg_dx', 'observation': 'fracture', 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell'anatomical entity_fin: 'abdominal': clinical findings_fin: 'intra-abdominal free fluid': 'clinical finding': 'intra-abdominal free fluid', 'existence': 'neg_dx', 'descriptive_term': 'intra-abdominal free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'pelvic free fluid': 'clinical finding': 'pelvic free fluid', 'existence': 'neg_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid' [/INST] [RESP] . No significant abnormality noted. No effusions or hemorrhage are seen. No evidence of solid organ injury to the liver. No evidence of solid organ injury to the spleen. No evidence of solid organ injury to the pancreas. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of duodenal injury. No fracture or soft tissue swelling is seen. No intra-abdominal free fluid. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No pelvic free fluid. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'subcentimeter abnormalities': 'clinical finding': 'subcentimeter abnormalities', 'existence': 'unc_dx', 'descriptive_term': 'subcentimeter', 'observation': 'abnormality'imaging observation_fin: ['apical']location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral apical fibrosis': 'clinical finding': 'bilateral apical fibrosis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral apical', 'observation': 'fibrosis'anatomical entity_fin: 'lung': clinical findings_fin: 'bronchiolitis': 'clinical finding': 'bronchiolitis', 'existence': 'pos_dx', 'observation': 'bronchiolitis'anatomical entity_fin: 'lingula': imaging observation_fin: ['wedge']object_fin: ['suture']procedure_fin: ['biopsy']size_fin: ['size': '5 x 6 mm', 'size': '11 x 6 mm']location descriptor_fin: ['right', 'left']clinical findings_fin: 'solid, poorly defined pulmonary nodules': 'clinical finding': 'solid, poorly defined pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'solid poorly defined pulmonary', 'observation': 'nodule'clinical findings_fin: 'post inflammatory lesions': 'clinical finding': 'post inflammatory lesions', 'existence': 'unc_dx', 'descriptive_term': 'post inflammatory', 'observation': 'lesion', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease', 'resolution': 'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'follow-up_fin: follow-up recommendedanatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'cystic bronchiectasis': 'clinical finding': 'cystic bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'bronchiectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr', 'post infectious lesions': 'clinical finding': 'post infectious lesions', 'existence': 'pos_dx', 'descriptive_term': 'post infectious', 'observation': 'lesion'clinical findings_fin: 'normal cardiac size': 'clinical finding': 'normal cardiac size'size_fin: ['size': '9-mm', 'size': '6-mm']anatomical entity_fin: 'thoracic inlet': location descriptor_fin: ['right', 'superior']clinical findings_fin: 'small right paratracheal chain lymph nodes': 'clinical finding': 'small right paratracheal chain lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small right paratracheal chain lymph', 'observation': 'node', 'strength_term': 'small', 'index lesion': 'clinical finding': 'index lesion', 'existence': 'pos_dx', 'descriptive_term': 'index', 'observation': 'lesion'size_fin: ['size': '10-mm', 'size_descriptor': 'lymphadenopathy']anatomical entity_fin: 'axis': imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'mild high left axillary lymphadenopathy': 'clinical finding': 'mild high left axillary lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'mild high left axillary', 'observation': 'lymphadenopathy', 'strength_term': 'mild', 'enhancing lymph node': 'clinical finding': 'enhancing lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enhancing lymph', 'observation': 'node'anatomical entity_fin: 'axilla': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'shotty small lymph nodes': 'clinical finding': 'shotty small lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'shotty small lymph', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'neck': location descriptor_fin: ['left']clinical findings_fin: 'necrotic tumor': 'clinical finding': 'necrotic tumor', 'existence': 'pos_dx', 'descriptive_term': 'necrotic', 'observation': 'tumor'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'punctate hepatic lesion': 'clinical finding': 'punctate hepatic lesion', 'existence': 'pos_dx', 'descriptive_term': 'punctate hepatic', 'observation': 'lesion'clinical findings_fin: 'conclusive metastases': 'clinical finding': 'conclusive metastases', 'existence': 'neg_dx', 'descriptive_term': 'conclusive', 'observation': 'metastase' [/INST] [RESP] Motion artifact due to great image quality, limiting sensitivity for the detection of subcentimeter abnormalities. Bilateral apical fibrosis. Diffuse bronchiolitis pattern throughout the lung fields bilaterally. Suture line in the lingula from wedge resection or biopsy. Scattered solid, poorly defined pulmonary nodules bilaterally measuring up to 5 x 6 mm on the right and 11 x 6 mm on the left. Although post inflammatory lesions are favored, short-term follow-up will be required to exclude metastatic disease and assess for resolution. Within the left upper lobe there are several clusters of cystic bronchiectasis associated with scarring, favoring post infectious lesions. Correlation with any remote outside CTs if they can be obtained and submitted by the referring clinical service would be of use to confirm stability. Normal cardiac size. Small right paratracheal chain lymph nodes with index lesion measuring 9-mm just above the thoracic inlet and 6-mm in the superior zone. Mild high left axillary lymphadenopathy with an enhancing lymph node measuring 10-mm in short axis. Shotty small lymph nodes are seen in the left axilla, infra-clavicular region and supraclavicular regions on the left, and left subpectoral region, abnormal in multiplicity but not in size. Necrotic tumor in the low left neck, please refer to separately reported neck CT for details. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Punctate hepatic lesion too small to be accurately characterized. No conclusive metastases are appreciated. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: imaging observation_fin: ['foci']clinical findings_fin: 'foci': 'clinical finding': 'foci', 'existence': 'pos_dx', 'observation': 'foci', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'vasculature': location descriptor_fin: ['anterior', 'posterior', 'distal']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal'anatomical entity_fin: 'anterior communicating artery': , 'posterior communicating arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'normal contrast opacification': 'clinical finding': 'normal contrast opacification', 'existence': 'pos_dx', 'descriptive_term': 'normal contrast', 'observation': 'opacification', 'strength_term': 'normal', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis', 'occlusive thrombus': 'clinical finding': 'occlusive thrombus', 'existence': 'neg_dx', 'descriptive_term': 'occlusive', 'observation': 'thrombus', 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'vascular malformation': 'clinical finding': 'vascular malformation', 'existence': 'neg_dx', 'descriptive_term': 'vascular', 'observation': 'malformation'location descriptor_fin: ['superficial']procedure_fin: ['drainage']clinical findings_fin: 'is normal superficial and deep intracranial venous drainage': 'clinical finding': 'is normal superficial and deep intracranial venous drainage' [/INST] [RESP] NONCONTRAST CT HEADExamination again shows foci of hypoattenuation in the periventricular and deep white matter, which appear similar to that on the 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. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEADThere is normal contrast opacification through anterior circulation , posterior circulation , and distal intracranial vasculature. There is normal contrast opacification through a complete circle-of-Willis with a patent anterior communicating artery and bilateral posterior communicating arteries. No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted. There is normal superficial and deep intracranial venous drainage. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobar arteries': clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'unc_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'location descriptor_fin: ['central']clinical findings_fin: 'central filling defects': 'clinical finding': 'central filling defects', 'existence': 'neg_dx', 'descriptive_term': 'central filling', 'observation': 'defect', 'large pulmonary embolus': 'clinical finding': 'large pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'large pulmonary', 'observation': 'embolus', 'strength_term': 'large'anatomical entity_fin: 'lobes': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'mild paraseptal and centrilobular emphysema': 'clinical finding': 'mild paraseptal and centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild paraseptal and centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'interventricular septum': , 'hepatic veins': location descriptor_fin: ['right']clinical findings_fin: 'right ventricular enlargement': 'clinical finding': 'right ventricular enlargement', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular', 'observation': 'enlargement', 'reflux': 'clinical finding': 'reflux', 'existence': 'pos_dx', 'observation': 'reflux', 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'right heart failure': 'clinical finding': 'right heart failure', 'existence': 'pos_dx', 'descriptive_term': 'right heart', 'observation': 'failure'clinical findings_fin: 'moderate cardiomegaly small pericardial effusion': 'clinical finding': 'moderate cardiomegaly small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate cardiomegaly small pericardial', 'observation': 'effusion', 'strength_term': 'moderate - small'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'pulmonary hypertension': 'clinical finding': 'pulmonary hypertension', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'hypertension'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . The technical quality of the study is limited diagnostically secondary to poor cardiac function. Given this limitation, examination for pulmonary embolus can only be evaluated to the level of the lobar arteries. No central filling defects to suggest a large pulmonary embolus. Mild paraseptal and centrilobular emphysema, predominantly at the upper lobes. Right ventricular enlargement with straightening of the interventricular septum and reflux of contrast into the IVC or hepatic veins is compatible with right heart failure. Moderate cardiomegaly small pericardial effusion. Enlargement of the main pulmonary artery, compatible with pulmonary hypertension. No mediastinal or hilar lymphadenopathy. No significant abnormality noted. Limited secondary to the phase of contrast administration. Otherwise, no significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['left']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change'location descriptor_fin: ['midline']clinical findings_fin: 'detectable intracranial hemorrhage': 'clinical finding': 'detectable intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'detectable intracranial', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', '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: 'small residual pneumocephalus': 'clinical finding': 'small residual pneumocephalus', 'existence': 'pos_dx', 'descriptive_term': 'small residual', 'observation': 'pneumocephalus', 'strength_term': 'small', 'temporal_term': 'residual', 'surgical intervention': 'clinical finding': 'surgical intervention', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'intervention'anatomical entity_fin: 'scalp': clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'surgical site': 'clinical finding': 'surgical site', 'existence': 'unc_dx', 'descriptive_term': 'surgical', 'observation': 'site' [/INST] [RESP] Nonenhanced head. The examination demonstrates postoperative changes of a left parietal craniotomy. There is no detectable intracranial hemorrhage, edema, mass effect or midline shift. Small residual pneumocephalus in the frontal region secondary to surgical intervention. Expected postoperative changes of soft tissues of the scalp at the surgical site. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'left hemithorax': location descriptor_fin: ['left']clinical findings_fin: 'stable postsurgical changes': 'clinical finding': 'stable postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'stable postsurgical', 'observation': 'change', 'strength_term': 'stable', 'change_term': 'stable', 'associated left hemithorax volume loss': 'clinical finding': 'associated left hemithorax volume loss', 'existence': 'pos_dx', 'descriptive_term': 'associated left hemithorax volume', 'observation': 'loss'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'chronic scarring': 'clinical finding': 'chronic scarring', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'scarr', 'temporal_term': 'chronic', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'significant mediastinal, or hilar lymphadenopathy': 'clinical finding': 'significant mediastinal, or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: '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: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'moderate degenerative changes': 'clinical finding': 'moderate degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate degenerative', 'observation': 'change', 'strength_term': 'moderate'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'subcentimeter left renal hypodensity': 'clinical finding': 'subcentimeter left renal hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left renal', 'observation': 'hypodensity', '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'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Stable postsurgical changes of left pneumonectomy with associated left hemithorax volume loss. Chronic scarring and atelectasis in the right middle lobe is unchanged. No new suspicious pulmonary nodules or masses. No significant mediastinal, or hilar lymphadenopathy. Moderate coronary artery calcifications noted. Cardiac size is normal without pericardial effusion. Moderate degenerative changes noted in the thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Subcentimeter left renal hypodensity is unchanged and likely represents a cyst. No significant abnormality noted. Atherosclerotic calcification of the abdominal aorta and its branches. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Postoperative changes in the lumbar spine are stable. 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 lung': clinical findings_fin: 'significantly decreased right lung mass': 'clinical finding': 'significantly decreased right lung mass', 'existence': 'pos_dx', 'descriptive_term': 'significantly decreased right lung', 'observation': 'mass', 'strength_term': 'decreased', 'change_term': 'decreased'location descriptor_fin: ['right']clinical findings_fin: 'moderate right pleural effusion': 'clinical finding': 'moderate right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure'anatomical entity_fin: 'right upper lobe bronchus': , 'bronchus': clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing', 'surrounding tumor': 'clinical finding': 'surrounding tumor', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'tumor'size_fin: ['size': '38 mm x 26 mm', 'size': '78 x 68 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'reference right lower lobe mass': 'clinical finding': 'reference right lower lobe mass', 'existence': 'pos_dx', 'descriptive_term': 'reference right lower lobe', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'abscess or necrotic tumor': 'clinical finding': 'abscess or necrotic tumor', 'existence': 'unc_dx', 'descriptive_term': 'abscess or necrotic', 'observation': 'tumor', 'right paratracheal, subcarinal, and hilar lymphadenopathy': 'clinical finding': 'right paratracheal, subcarinal, and hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal subcarinal and hilar', 'observation': 'lymphadenopathy'size_fin: ['size': '20 mm x 24 mm', 'size_descriptor': 'lesion', 'size': '34 x 31 mm', 'size_descriptor': 'series']clinical findings_fin: 'reference lesion': 'clinical finding': 'reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'clinical findings_fin: 'mild coronary artery calcification': 'clinical finding': 'mild coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild coronary artery', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'sternum': 'location descriptor': 'proximal', 'rib': location descriptor_fin: ['proximal']clinical findings_fin: 'lytic lesion': 'clinical finding': 'lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'lytic', 'observation': 'lesion', 'multiple previously described rib lesions': 'clinical finding': 'multiple previously described rib lesions', 'existence': 'pos_dx', 'descriptive_term': 'multiple previously described rib', 'observation': 'lesion', 'quantity_term': 'multiple'size_fin: ['size': '18 x 10 mm', 'size': '22 x 13 mm']anatomical entity_fin: 'adrenal gland': location descriptor_fin: ['left']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'pos_dx', 'observation': 'calcification'clinical findings_fin: 'small renal hypodensities': 'clinical finding': 'small renal hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'small renal', 'observation': 'hypodensity', 'strength_term': 'small', 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst' [/INST] [RESP] . Significantly decreased right lung mass with accompanying reexpansion of the right lung. Moderate right pleural effusion and atelectasis or consolidation tracking along the fissures. There remains narrowing of the right upper lobe bronchus as well as the bronchus intermedius with surrounding tumor. Reference right lower lobe mass image 46 series 3 measures 38 mm x 26 mm and previously measured 78 x 68 mm. Right lower lobe cavity likely which may represent abscess or necrotic tumor image 45 series Significantly decreased right paratracheal, subcarinal, and hilar lymphadenopathy. Reference lesion image 42 series 3 measures 20 mm x 24 mm and previously measured 34 x 31 mm. Mild coronary artery calcification. Lytic lesion in the proximal sternum and multiple previously described rib lesions. Enlarged left adrenal adrenal gland appears decreased in size now measuring 18 x 10 mm image 91 series 3 and previously measuring 22 x 13 mm. Calcification of the abdominal aorta and its branches. Small renal hypodensities likely represent cysts. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'multifocal bilateral scarlike opacities': 'clinical finding': 'multifocal bilateral scarlike opacities', 'existence': 'pos_dx', 'descriptive_term': 'multifocal bilateral scarlike', 'observation': 'opacity'clinical findings_fin: 'likely postinflammatory nodules': 'clinical finding': 'likely postinflammatory nodules', 'existence': 'pos_dx', 'descriptive_term': 'likely postinflammatory', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'postop change': 'clinical finding': 'postop change', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change'clinical findings_fin: 'new pulmonary nodules': 'clinical finding': 'new pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new pulmonary', 'observation': 'nodule', 'temporal_term': 'new'clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'pos_dx', 'observation': 'aspiration'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'ectatic aortic arch': 'clinical finding': 'ectatic aortic arch'clinical findings_fin: 'coronary calcification': 'clinical finding': 'coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'coronary', 'observation': 'calcification'anatomical entity_fin: 'rib': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral healing rib fractures': 'clinical finding': 'bilateral healing rib fractures', 'existence': 'pos_dx', 'descriptive_term': 'bilateral healing rib', 'observation': 'fracture', 'strength_term': 'healing', 'change_term': 'healing'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'location descriptor_fin: ['right']clinical findings_fin: 'presumed right renal cyst': 'clinical finding': 'presumed right renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'presumed right renal', 'observation': 'cyst' [/INST] [RESP] . Multifocal bilateral scarlike opacities are stable. Scattered punctate, likely postinflammatory nodules, stable. Postop change right upper lobe. No new pulmonary nodules. Emphysema. Debris in central airways compatible with aspiration. Atherosclerotic calcification of the aorta and its branches. Ectatic aortic arch. Coronary calcification. Bilateral healing rib fractures. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Presumed right renal cyst stable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'clinical findings_fin: 'new suspicious pulmonary nodules': 'clinical finding': 'new suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'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: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'gastric interposition': 'clinical finding': 'gastric interposition', 'existence': 'pos_dx', 'descriptive_term': 'gastric', 'observation': 'interposition'size_fin: ['size': '8 mm', 'size': '6 mm']anatomical entity_fin: 'trachea': 'location descriptor': 'superior right'location descriptor_fin: ['superior', 'right']clinical findings_fin: 'previously described soft tissue thickening': 'clinical finding': 'previously described soft tissue thickening', 'existence': 'pos_dx', 'descriptive_term': 'previously described soft tissue', 'observation': 'thickening'anatomical entity_fin: 'osseous': , 'thoracic': clinical findings_fin: 'fused t8/t9 hemivertebral congenital osseous anomaly': 'clinical finding': 'fused t8/t9 hemivertebral congenital osseous anomaly', 'existence': 'pos_dx', 'descriptive_term': 'fused t8/t9 hemivertebral congenital osseous', 'observation': 'anomaly', 'thoracic dextroscoliosis': 'clinical finding': 'thoracic dextroscoliosis', 'existence': 'pos_dx', 'descriptive_term': 'thoracic', 'observation': 'dextroscoliosis'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'procedure_fin: ['cholecystectomy']anatomical entity_fin: 'common bile duct': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'stable distal common bile duct dilatation': 'clinical finding': 'stable distal common bile duct dilatation', 'existence': 'pos_dx', 'descriptive_term': 'stable distal common bile duct', 'observation': 'dilatation', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'small retroperitoneal lymph nodes': 'clinical finding': 'small retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small retroperitoneal lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'anatomical entity_fin: 'l3 vertebral body': clinical findings_fin: 'punctate sclerotic': 'clinical finding': 'punctate sclerotic', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'sclerotic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Scattered pulmonary micronodules are unchanged. No new suspicious pulmonary nodules. No mediastinal or hilar lymphadenopathy. Postsurgical changes compatible with gastric interposition. Previously described soft tissue thickening along the superior right trachea is increased measuring 8 mm , previously 6 mm. Fused T8/T9 hemivertebral congenital osseous anomaly causing thoracic dextroscoliosis. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post cholecystectomy. Stable distal common bile duct dilatation. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small retroperitoneal lymph nodes. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. Scoliosis, unchanged. Punctate sclerotic focus in L3 vertebral body, 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: 'thigh': 'location descriptor': 'left'imaging observation_fin: ['reticulation']location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'extensive soft tissue reticulation': 'clinical finding': 'extensive soft tissue reticulation', 'existence': 'pos_dx', 'descriptive_term': 'extensive soft tissue', 'observation': 'reticulation', 'strength_term': 'extensive', 'skin thickening': 'clinical finding': 'skin thickening', 'existence': 'pos_dx', 'descriptive_term': 'skin', 'observation': 'thickening'anatomical entity_fin: 'left rectus femoris': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '4.9 x 4.1 cm', 'size_descriptor': 'density']anatomical entity_fin: 'fluid': , 'left rectus femoris': imaging observation_fin: ['soft tissue density', 'foci', 'margins']location descriptor_fin: ['anterior']clinical findings_fin: 'heterogeneous soft tissue density': 'clinical finding': 'heterogeneous soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous soft tissue', 'observation': 'density', 'internal fluid density': 'clinical finding': 'internal fluid density', 'existence': 'pos_dx', 'descriptive_term': 'internal fluid', 'observation': 'density', 'aforementioned enlarged': 'clinical finding': 'aforementioned enlarged', 'existence': 'pos_dx', 'descriptive_term': 'aforementioned', 'observation': 'enlarged'anatomical entity_fin: 'femoral artery': 'location descriptor': 'left', 'vein': imaging observation_fin: ['fat', 'margin']location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'fat planes': 'clinical finding': 'fat planes', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'plane'imaging observation_fin: ['fat']clinical findings_fin: 'extensive fat stranding': 'clinical finding': 'extensive fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'extensive fat', 'observation': 'strand', 'strength_term': 'extensive'imaging observation_fin: ['hematoma']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'unc_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'associated seroma or hematoma': 'clinical finding': 'associated seroma or hematoma', 'existence': 'unc_dx', 'descriptive_term': 'associated seroma or', 'observation': 'hematoma', 'residual or recurrent tumor': 'clinical finding': 'residual or recurrent tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual or recurrent', 'observation': 'tumor', 'temporal_term': 'residual'clinical findings_fin: 'suspicious osseous lesions': 'clinical finding': 'suspicious osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'suspicious osseous', 'observation': 'lesion'anatomical entity_fin: 'inferior pubic ramus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'is a benign - appearing bone island in the left inferior pubic ramus': 'clinical finding': 'is a benign - appearing bone island in the left inferior pubic ramus' [/INST] [RESP] Note is made of extensive soft tissue reticulation and skin thickening about the anterior aspect of the left thigh. The left rectus femoris muscle appears enlarged. Additionally there appears to be heterogeneous soft tissue density with foci of internal fluid density along the anterior margins of the aforementioned enlarged left rectus femoris muscle, measuring approximately 4.9 x 4.1 cm. This also encases or obliterates the fat planes along the anterior margin of the left femoral artery and vein. There is extensive fat stranding in the surrounding area. While these findings may represent postsurgical changes with associated seroma or hematoma formation, the possibility of residual or recurrent tumor cannot be excluded by this examination. No suspicious osseous lesions are identified. There is a benign-appearing bone island in the left inferior pubic ramus. [/RESP]</s> |
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