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<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'bibasilar dependent opacities': 'clinical finding': 'bibasilar dependent opacities', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar dependent', 'observation': 'opacity', 'most likely atelectasis': 'clinical finding': 'most likely atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'most likely', 'observation': 'atelectasis', 'quantity_term': 'most'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'carina': object_fin: ['tube']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'lumen': , 'body': object_fin: ['tube']clinical findings_fin: 'ng tube with tip coiled in lumen of gastric body': 'clinical finding': 'ng tube with tip coiled in lumen of gastric body', 'change_term': 'coiled'anatomical entity_fin: 'stomach': , 'fluid': clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'fluid'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': , 'lumen': object_fin: ['catheter', 'balloon']clinical findings_fin: 'foley catheter is noted with balloon tip in the bladder lumen': 'clinical finding': 'foley catheter is noted with balloon tip in the bladder lumen'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bibasilar dependent opacities in the lower lobes, most likely atelectasis. No evidence of pleural effusion or pneumothorax. ET tube tip is at the level of the the carina. 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. NG tube with tip coiled in lumen of gastric body. The stomach is markedly distended with air and fluid. No significant abnormality noted. No evidence of free fluid. No significant abnormality noted. Foley catheter is noted with balloon tip in the bladder lumen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'ethmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'subcentimeter left ethmoid sinus osteoma': 'clinical finding': 'subcentimeter left ethmoid sinus osteoma', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter left ethmoid sinus', 'observation': 'osteoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable' [/INST] [RESP] There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a subcentimeter left ethmoid sinus osteoma. The imaged paranasal sinuses and mastoid air cells are otherwise clear. The skull and extracranial soft tissues are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'minimal emphysematous changes': 'clinical finding': 'minimal emphysematous changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal emphysematous', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '1.4 x 1.1 cm', 'size_descriptor': 'stone']anatomical entity_fin: 'renal pelvis': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: '1.4 x 1.1 cm nonobstructing stone': 'clinical finding': '1.4 x 1.1 cm nonobstructing stone', 'existence': 'pos_dx', 'descriptive_term': '1 4 x 1 1 cm nonobstructing', 'observation': 'stone'size_fin: ['size': '0.7 x 1.2 cm', 'size_descriptor': 'stone']anatomical entity_fin: 'renal pelvis': 'location descriptor': 'lower right'location descriptor_fin: ['lower', 'right']clinical findings_fin: 'stone': 'clinical finding': 'stone', 'existence': 'pos_dx', 'observation': 'stone'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral renal cysts': 'clinical finding': 'bilateral renal cysts', 'existence': 'unc_dx', 'descriptive_term': 'bilateral renal', 'observation': 'cyst', 'probable cysts': 'clinical finding': 'probable cysts', 'existence': 'pos_dx', 'descriptive_term': 'probable', 'observation': 'cyst'anatomical entity_fin: 'abdominal aorta': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'mild ectasia': 'clinical finding': 'mild ectasia', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'ectasia', 'strength_term': 'mild', 'mildly calcified distal abdominal aorta': 'clinical finding': 'mildly calcified distal abdominal aorta', 'existence': 'pos_dx', 'descriptive_term': 'mildly calcified distal abdominal', 'observation': 'aorta', 'strength_term': 'mildly', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'hip joints': location descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'bilateral degenerative changes': 'clinical finding': 'bilateral degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral degenerative', 'observation': 'change'imaging observation_fin: ['fat']clinical findings_fin: 'small fat-containing umbilical hernia': 'clinical finding': 'small fat-containing umbilical hernia', 'existence': 'pos_dx', 'descriptive_term': 'small fat-containing umbilical', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Dependent atelectasis and scarring. Minimal emphysematous changes. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 1.4 x 1.1 cm nonobstructing stone in the left renal pelvis with Hounsfield unit measurement of 700. A stone in the lower right renal pelvis measures 0.7 x 1.2 cm with Hounsfield unit of 1303. Bilateral renal cysts and probable cysts. Mild ectasia of the mildly calcified distal abdominal aorta. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral degenerative changes of both hip joints, worse on the left. Small Fat-containing umbilical hernia. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'right lower lobe nodules': 'clinical finding': 'right lower lobe nodules', 'existence': 'pos_dx', 'descriptive_term': 'right lower lobe', 'observation': 'nodule'anatomical entity_fin: 'lobe': 'location descriptor': 'lower', 'upper lung zones': location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: 'small micronodule': 'clinical finding': 'small micronodule', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'micronodule', 'strength_term': 'small', 'severe centrilobular emphysema': 'clinical finding': 'severe centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular', 'observation': 'emphysema', 'strength_term': 'severe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'stable compression deformities': 'clinical finding': 'stable compression deformities', 'existence': 'pos_dx', 'descriptive_term': 'stable compression', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['left']clinical findings_fin: 'stable left adrenal nodule': 'clinical finding': 'stable left adrenal nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable left adrenal', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable' [/INST] [RESP] . There has been interval clearing of the right lower lobe nodules identified on the prior examination. Small micronodule is noted in the superior segment of left lobe lower lobe and is stable Severe centrilobular emphysema is identified in the upper lung zones. No significant abnormality noted. Stable compression deformities within the thoracic spine. Stable left adrenal nodule. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior', 'right']clinical findings_fin: 'acute fracture': 'clinical finding': 'acute fracture', 'existence': 'pos_dx', 'descriptive_term': 'acute', 'observation': 'fracture', 'strength_term': 'acute', 'temporal_term': 'acute', 'mid to posterior right lamina papyracea': 'clinical finding': 'mid to posterior right lamina papyracea', 'existence': 'pos_dx', 'descriptive_term': 'mid to posterior right lamina', 'observation': 'papyracea'imaging observation_fin: ['fat']location descriptor_fin: ['right', 'medial']clinical findings_fin: 'associated herniation': 'clinical finding': 'associated herniation', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'herniation', 'right medial extraconal fat': 'clinical finding': 'right medial extraconal fat', 'existence': 'pos_dx', 'descriptive_term': 'right medial extraconal', 'observation': 'fat'anatomical entity_fin: 'medial rectus muscle': location descriptor_fin: ['right', 'medial']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'medial bowing': 'clinical finding': 'medial bowing', 'existence': 'pos_dx', 'descriptive_term': 'medial', 'observation': 'bowing', 'fracture': 'clinical finding': 'fracture', 'existence': 'pos_dx', 'observation': 'fracture'clinical findings_fin: 'definite muscular entrapment': 'clinical finding': 'definite muscular entrapment', 'existence': 'neg_dx', 'descriptive_term': 'definite muscular', 'observation': 'entrapment'size_fin: ['size': '1.7 cm', 'size_descriptor': 'cc']clinical findings_fin: 'overall bony defect': 'clinical finding': 'overall bony defect', 'existence': 'pos_dx', 'descriptive_term': 'overall bony', 'observation': 'defect'anatomical entity_fin: 'floor': location descriptor_fin: ['medial', 'right', 'adjacent']clinical findings_fin: 'small bony fragment along the medial aspect of the right orbital floor may be minimally angulated superiorly': 'clinical finding': 'small bony fragment along the medial aspect of the right orbital floor may be minimally angulated superiorly'imaging observation_fin: ['foci']location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'prominent associated right predominantly lateral preseptal periorbital soft tissue swelling': 'clinical finding': 'prominent associated right predominantly lateral preseptal periorbital soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'prominent associated right predominantly lateral preseptal periorbital soft tissue', 'observation': 'swell', 'strength_term': 'prominent', 'minimal foci': 'clinical finding': 'minimal foci', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'foci', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'right pre-maxillary subcutaneous emphysema': 'clinical finding': 'right pre-maxillary subcutaneous emphysema', 'existence': 'pos_dx', 'descriptive_term': 'right pre-maxillary subcutaneous', 'observation': 'emphysema'anatomical entity_fin: 'cells': location descriptor_fin: ['right', 'left', 'anterior']clinical findings_fin: 'mild scattered opacification': 'clinical finding': 'mild scattered opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered', 'observation': 'opacification', 'strength_term': 'mild'clinical findings_fin: 'mild mucosal thickening': 'clinical finding': 'mild mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal', 'observation': 'thickening', 'strength_term': 'mild'anatomical entity_fin: 'globes': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'extraocular muscles': , 'optic nerves': clinical findings_fin: 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'anatomical entity_fin: 'orbits': clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'anterior clinoid process': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'incidental note is made of aeration of the left anterior clinoid process': 'clinical finding': 'incidental note is made of aeration of the left anterior clinoid process' [/INST] [RESP] There is an acute fracture of the mid to posterior right lamina papyracea. There is associated herniation of right medial extraconal fat. The right medial rectus muscle is thickened, with medial bowing of its midportion towards the fracture. There is no definite muscular entrapment at this time. The overall bony defect measures approximately 1.7 cm CC. A small bony fragment along the medial aspect of the right orbital floor may be minimally angulated superiorly, with an adjacent focus of air. There is prominent associated right predominantly lateral preseptal periorbital soft tissue swelling as well as minimal foci of right pre-maxillary subcutaneous emphysema. There is mild scattered opacification of right greater than left anterior ethmoid air cells. Mild mucosal thickening is present along the frontoethmoidal recesses. The globes are intact. The extraocular muscles and optic nerves are otherwise normal in size and density. No mass is seen in the orbits within the limitations of this noncontrast exam. Incidental note is made of aeration of the left anterior clinoid process. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'pe': 'clinical finding': 'pe', 'existence': 'neg_dx', 'observation': 'pe'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Diagnostic exam to the lobar pulmonary arteries. No PE to this level. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right parotid gland': , 'subcutaneous fat': clinical findings_fin: 'diffuse swelling': 'clinical finding': 'diffuse swelling', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'swell', 'right parotid gland': 'clinical finding': 'right parotid gland', 'existence': 'unc_dx', 'descriptive_term': 'right parotid', 'observation': 'gland', 'associated overlying subcutaneous fat stranding': 'clinical finding': 'associated overlying subcutaneous fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'associated overlying subcutaneous fat', 'observation': 'strand'imaging observation_fin: ['fat']location descriptor_fin: ['right', 'left']clinical findings_fin: 'multilevel cervical lymphadenopathy': 'clinical finding': 'multilevel cervical lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'multilevel cervical', 'observation': 'lymphadenopathy', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand'anatomical entity_fin: 'left submandibular gland': imaging observation_fin: ['fat']clinical findings_fin: 'slight stranding': 'clinical finding': 'slight stranding', 'existence': 'unc_dx', 'descriptive_term': 'slight', 'observation': 'strand'anatomical entity_fin: 'left parotid glands': location descriptor_fin: ['right']clinical findings_fin: 'radioattenuating calculi': 'clinical finding': 'radioattenuating calculi', 'existence': 'neg_dx', 'descriptive_term': 'radioattenuating', 'observation': 'calculi', 'ductal dilatation': 'clinical finding': 'ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'ductal', 'observation': 'dilatation'anatomical entity_fin: 'thyroid gland': clinical findings_fin: 'thyroid gland appears unremarkable': 'clinical finding': 'thyroid gland appears unremarkable'anatomical entity_fin: 'left retromandibular vein': clinical findings_fin: 'punctate focus intravascular gas': 'clinical finding': 'punctate focus intravascular gas', 'existence': 'pos_dx', 'descriptive_term': 'punctate focus intravascular', 'observation': 'gas'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'imaging observation_fin: ['reversal']clinical findings_fin: 'usual cervical lordosis': 'clinical finding': 'usual cervical lordosis', 'existence': 'pos_dx', 'descriptive_term': 'usual cervical', 'observation': 'lordosis'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lungs': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] There is diffuse swelling or the right parotid gland with associated overlying subcutaneous fat stranding. There is multilevel cervical lymphadenopathy, right greater than left, with associated mild surrounding fat stranding on the right side. There also appears to be asymmetric diffuse prominence of the left submandibular gland, perhaps with slight stranding of the surrounding fat. The right submandibular and left parotid glands are unremarkable and there is no evidence of radioattenuating calculi or ductal dilatation. The thyroid gland appears unremarkable. There is a punctate focus intravascular gas in the left retromandibular vein. The major cervical vessels are patent. There is reversal of the usual cervical lordosis. The osseous structures are otherwise intact. The airways are patent. There paranasal sinuses are clear. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right cerebral hemisphere': clinical findings_fin: 'extensive encephalomalacia': 'clinical finding': 'extensive encephalomalacia', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'encephalomalacia', 'strength_term': 'extensive'location descriptor_fin: ['right', 'midline']clinical findings_fin: 'large ex vacuo right midline shift is not significantly changed': 'clinical finding': 'large ex vacuo right midline shift is not significantly changed', 'change_term': 'changed'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral parietal approach ventricular catheters': 'clinical finding': 'bilateral parietal approach ventricular catheters', 'existence': 'pos_dx', 'descriptive_term': 'bilateral parietal approach ventricular', 'observation': 'catheter', 'extensive postoperative changes': 'clinical finding': 'extensive postoperative changes', 'existence': 'unc_dx', 'descriptive_term': 'extensive postoperative', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'left lateral ventricle': , 'third ventricle': clinical findings_fin: 'increased prominence of the frontal horn of the left lateral ventricle and of the third ventricle is noted': 'clinical finding': 'increased prominence of the frontal horn of the left lateral ventricle and of the third ventricle is noted', 'change_term': 'increased'anatomical entity_fin: 'epidural space': , 'frontal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'pneumocephalus': 'clinical finding': 'pneumocephalus', 'existence': 'neg_dx', 'observation': 'pneumocephalus', 'minimal residual': 'clinical finding': 'minimal residual', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'residual', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'previous surgical site': 'clinical finding': 'previous surgical site', 'existence': 'pos_dx', 'descriptive_term': 'previous surgical', 'observation': 'site', 'temporal_term': 'previous'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] Extensive encephalomalacia of the right cerebral hemisphere is redemonstrated. Large ex vacuo right midline shift is not significantly changed. Bilateral parietal approach ventricular catheters are present though exact location of termination cannot be confirmed due to extensive postoperative changes, however appear unchanged from prior study. Increased prominence of the frontal horn of the left lateral ventricle and of the third ventricle is noted. Pneumocephalus is almost completely resolved, with minimal residual air in the epidural space of the right frontal bone at previous surgical site. No intracranial hemorrhage is identified. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'bowel': , 'solid organs': clinical findings_fin: 'lesions': 'clinical finding': 'lesions', 'existence': 'neg_dx', 'observation': 'lesion', 'oral or intravenous contrast': 'clinical finding': 'oral or intravenous contrast', 'existence': 'neg_dx', 'descriptive_term': 'oral or intravenous', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['fat']clinical findings_fin: 'nephrolithiasis': 'clinical finding': 'nephrolithiasis', 'existence': 'neg_dx', 'observation': 'nephrolithiasis', 'perinephric fat stranding': 'clinical finding': 'perinephric fat stranding', 'existence': 'neg_dx', 'descriptive_term': 'perinephric fat', 'observation': 'strand', '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'clinical findings_fin: 'small sliding type hiatal hernia': 'clinical finding': 'small sliding type hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small sliding type hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ovaries': clinical findings_fin: 'plump ovaries normal for age': 'clinical finding': 'plump ovaries normal for age'object_fin: ['balloon']clinical findings_fin: 'probably normal for age': 'clinical finding': 'probably normal for age'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'few scattered colonic diverticula': 'clinical finding': 'few scattered colonic diverticula', 'existence': 'pos_dx', 'descriptive_term': 'few scattered colonic', 'observation': 'diverticula', 'quantity_term': 'few'clinical findings_fin: 'diverticulitis': 'clinical finding': 'diverticulitis', 'existence': 'neg_dx', 'observation': 'diverticulitis'anatomical entity_fin: 'fluid': clinical findings_fin: 'free or loculated intraperitoneal fluid': 'clinical finding': 'free or loculated intraperitoneal 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' [/INST] [RESP] Exam is not sensitive detecting lesions in the bowel solid organs due to lack of oral or intravenous contrast. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No evidence of nephrolithiasis, perinephric fat stranding, hydronephrosis or hydroureter. No significant abnormality noted. Small sliding type hiatal hernia. No significant abnormality noted. No significant abnormality noted. Plump ovaries normal for age. Phleboliths. Balloon Dimitri canal probably normal for age. No significant abnormality noted. No significant abnormality noted. A few scattered colonic diverticula. No evidence of diverticulitis. No free or loculated intraperitoneal fluid. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'clinical findings_fin: 'ventricles and basal cisterns are normal in size and configuration': 'clinical finding': 'ventricles and basal cisterns are normal in size and configuration'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'calvaria and skull base are unremarkable': 'clinical finding': 'calvaria and skull base are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'cells': clinical findings_fin: 'paranasal sinuses and mastoid are cells are unremarkable': 'clinical finding': 'paranasal sinuses and mastoid are cells are unremarkable' [/INST] [RESP] There is no evidence of intracranial hemorrhage, mass, or edema. The ventricles and basal cisterns are normal in size and configuration. The calvaria and skull base are unremarkable. The paranasal sinuses and mastoid are cells are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'small subpleural scar': 'clinical finding': 'small subpleural scar', 'existence': 'pos_dx', 'descriptive_term': 'small subpleural', 'observation': 'scar', 'strength_term': 'small', 'several micronodules': 'clinical finding': 'several micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'micronodule', 'quantity_term': 'several'anatomical entity_fin: 'hilum': 'location descriptor': 'inferior right'location descriptor_fin: ['inferior', 'right', 'lower']object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip', 'previous lower lobectomy': 'clinical finding': 'previous lower lobectomy', 'existence': 'pos_dx', 'descriptive_term': 'previous lower', 'observation': 'lobectomy', 'temporal_term': 'previous'clinical findings_fin: 'suspicious nodules': 'clinical finding': 'suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'clinical findings_fin: 'moderate coronary artery calcification': 'clinical finding': 'moderate coronary artery calcification', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': '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: 'multiple small hypodensities': 'clinical finding': 'multiple small hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'multiple small', 'observation': 'hypodensity', 'strength_term': 'small', 'quantity_term': 'multiple', 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast', 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Small subpleural scar is an several micronodules are present, and probably unchanged although the quality of the previous CT scan is insufficient for reliable comparison. Surgical clips in the inferior right hilum suggestive of previous lower lobectomy. No suspicious nodules. No significant lymphadenopathy. Moderate coronary artery calcification. Degenerative disease in the spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Multiple small hypodensities consistent with cysts. No significant abnormality noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for GI pathology. No gross abnormalities noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'pos_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'clinical findings_fin: 'scattered calcified and noncalcified pulmonary micronodule': 'clinical finding': 'scattered calcified and noncalcified pulmonary micronodule', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'chest': location descriptor_fin: ['right']clinical findings_fin: 'mild right basilar scarring': 'clinical finding': 'mild right basilar scarring', 'existence': 'pos_dx', 'descriptive_term': 'mild right basilar', 'observation': 'scarr', 'strength_term': 'mild', 'associated mosaic attenuation': 'clinical finding': 'associated mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'associated mosaic', 'observation': 'attenuation'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'groundglass nodule': 'clinical finding': 'groundglass nodule', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', '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'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy'anatomical entity_fin: 'cell': , 'vertebral body': 'location descriptor': 'central'imaging observation_fin: ['sickle']location descriptor_fin: ['central']clinical findings_fin: 'sickle cell disease': 'clinical finding': 'sickle cell disease', 'existence': 'pos_dx', 'descriptive_term': 'sickle cell', 'observation': 'disease', 'central vertebral body endplate depressions': 'clinical finding': 'central vertebral body endplate depressions', 'existence': 'pos_dx', 'descriptive_term': 'central vertebral body endplate', 'observation': 'depression', 'extensive osseous sclerosis': 'clinical finding': 'extensive osseous sclerosis', 'existence': 'unc_dx', 'descriptive_term': 'extensive osseous', 'observation': 'sclerosis', 'strength_term': 'extensive'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'extensive splenic parenchymal calcifications': 'clinical finding': 'extensive splenic parenchymal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'extensive splenic parenchymal', 'observation': 'calcification', 'strength_term': 'extensive', 'infarction': 'clinical finding': 'infarction', 'existence': 'pos_dx', 'observation': 'infarction'clinical findings_fin: 'symmetric homogeneous bandlike renal medullary high density': 'clinical finding': 'symmetric homogeneous bandlike renal medullary high density', 'existence': 'pos_dx', 'descriptive_term': 'symmetric homogeneous bandlike renal medullary high', 'observation': 'density', 'medullary nephrocalcinosis': 'clinical finding': 'medullary nephrocalcinosis', 'existence': 'pos_dx', 'descriptive_term': 'medullary', 'observation': 'nephrocalcinosis' [/INST] [RESP] . Technically adequate examination. No evidence pulmonary embolus. Scattered calcified and noncalcified pulmonary micronodule suggest prior granulomatous disease. There is no pleural effusion or pneumothorax. There is mild right basilar scarring and associated mosaic attenuation, which may reflect sequelae of prior acute chest syndrome. Groundglass nodule in the right middle lobe is nonspecific but likely postinfectious or postinflammatory in etiology. No significant lymphadenopathy noted. The heart size is normal as is the caliber of the great vessels. There is no pericardial effusion. None. No significant lymphadenopathy noted. Osseous sequelae of sickle cell disease, including central vertebral body endplate depressions and extensive osseous sclerosis or mottling. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Extensive splenic parenchymal calcifications compatible with infarction. Symmetric homogeneous bandlike renal medullary high density suggests medullary nephrocalcinosis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'skull': , 'base': , 'brain': , 'parenchyma': clinical findings_fin: 'metastatic lesion': 'clinical finding': 'metastatic lesion', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'lesion'anatomical entity_fin: 'neck': clinical findings_fin: 'discrete mass': 'clinical finding': 'discrete mass', 'existence': 'pos_dx', 'descriptive_term': 'discrete', 'observation': 'mass'anatomical entity_fin: 'right submandibular gland': clinical findings_fin: 'atrophy': 'clinical finding': 'atrophy', 'existence': 'unc_dx', 'observation': 'atrophy'anatomical entity_fin: 'left submandibular gland': clinical findings_fin: 'density': 'clinical finding': 'density', 'existence': 'pos_dx', 'observation': 'density'clinical findings_fin: 'pathologic lymphadenopathy': 'clinical finding': 'pathologic lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'lymphadenopathy', 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'unc_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'oral cavity': , 'nasopharynx': , 'hypopharynx': , 'larynx': , 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'asymmetry': 'clinical finding': 'asymmetry', 'existence': 'pos_dx', 'observation': 'asymmetry', 'soft tissue abnormality': 'clinical finding': 'soft tissue abnormality', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'abnormality'anatomical entity_fin: 'epiglottis': imaging observation_fin: ['cords']clinical findings_fin: 'epiglottis , vallecula , and vocal cords are normal': 'clinical finding': 'epiglottis , vallecula , and vocal cords are normal'anatomical entity_fin: 'lobe': imaging observation_fin: ['enhancing']location descriptor_fin: ['right']clinical findings_fin: 'large mild heterogenous enhancing nodule': 'clinical finding': 'large mild heterogenous enhancing nodule', 'existence': 'pos_dx', 'descriptive_term': 'large mild heterogenous enhancing', 'observation': 'nodule', 'strength_term': 'large - mild', 'focal calcification': 'clinical finding': 'focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'calcification'anatomical entity_fin: 'lobe': location descriptor_fin: ['left']clinical findings_fin: 'left thyroid lobe is normal': 'clinical finding': 'left thyroid lobe is normal'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'parotid glands are unremarkable': 'clinical finding': 'parotid glands are unremarkable'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'lung': 'location descriptor': 'right upper'location descriptor_fin: ['bilateral', 'right', 'upper']clinical findings_fin: 'subtle ground glass opacities': 'clinical finding': 'subtle ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'subtle ground glass', 'observation': 'opacity', 'strength_term': 'subtle', 'calcified nodule': 'clinical finding': 'calcified nodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'nodule', 'change_term': 'calcified'clinical findings_fin: 'lytic lesion': 'clinical finding': 'lytic lesion', 'existence': 'neg_dx', 'descriptive_term': 'lytic', 'observation': 'lesion'location descriptor_fin: ['central']clinical findings_fin: 'central canal stenosis': 'clinical finding': 'central canal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central canal', 'observation': 'stenosis' [/INST] [RESP] The skull base, cavernous sinuses, and limited view of the brain parenchyma is negative for metastatic lesion. Views of soft tissue neck is negative for discrete mass. The right submandibular gland is not visualized, which may be atrophy. The left submandibular gland is normal in density. No pathologic lymphadenopathy is appreciated based on the size criteria for lymphadenopathy. The oral cavity, oro or nasopharynx, hypopharynx, larynx and subglottic airways are patent. There is asymmetry of the piriform sinus with no evidence of soft tissue abnormality. The epiglottis, vallecula, and vocal cords are normal. There is a large mild heterogenous enhancing nodule in the right thyroid lobe with focal calcification. The left thyroid lobe is normal. The parotid glands are unremarkable. The carotid arteries and jugular veins are patent. Subtle ground glass opacities in bilateral spices and a calcified nodule in the right upper lung are seen. There is straightening of the cervical alignment with no evidence of lytic lesion in the vertebral elements. There is no evidence of central canal stenosis. [/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'size_fin: ['size': '25 cm', 'size_descriptor': 'liver']anatomical entity_fin: 'liver': clinical findings_fin: 'hepatomegaly': 'clinical finding': 'hepatomegaly', 'existence': 'pos_dx', 'observation': 'hepatomegaly'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '3-mm', 'size_descriptor': 'stone']anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'left kidney': location descriptor_fin: ['lower']clinical findings_fin: '3-mm stone': 'clinical finding': '3-mm stone', 'existence': 'pos_dx', 'descriptive_term': '3-mm', 'observation': 'stone'anatomical entity_fin: 'renal pelvis': 'location descriptor': 'left', 'bladder': location descriptor_fin: ['left']clinical findings_fin: 'left double j stent': 'clinical finding': 'left double j stent', 'existence': 'pos_dx', 'descriptive_term': 'left double j', 'observation': 'stent', 'quantity_term': 'double'location descriptor_fin: ['left']clinical findings_fin: 'left hydronephrosis': 'clinical finding': 'left hydronephrosis', 'existence': 'neg_dx', 'descriptive_term': 'left', 'observation': 'hydronephrosis'anatomical entity_fin: 'left ureter': , 'bladder': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'anatomical entity_fin: 'right kidney': , 'right ureter': clinical findings_fin: 'stones': 'clinical finding': 'stones', 'existence': 'neg_dx', 'observation': 'stone'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'gastric surgery redemonstrated': 'clinical finding': 'gastric surgery redemonstrated'clinical findings_fin: 'gastric partitioning': 'clinical finding': 'gastric partitioning', 'existence': 'pos_dx', 'descriptive_term': 'gastric', 'observation': 'partitioning'anatomical entity_fin: 'bowel': , 'omentum': , 'umbilicus': location descriptor_fin: ['midline']clinical findings_fin: 'nonobstructive broad-based ventral hernia': 'clinical finding': 'nonobstructive broad-based ventral hernia', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructive broad-based ventral', 'observation': 'hernia'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] This examination is limited by the absence of oral and intravenous contrast. No significant abnormality noted. Hepatomegaly, liver measuring 25 cm. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 3-mm stone in the lower pole the left kidney. Left double J stent extends from the left renal pelvis to the bladder. Left hydronephrosis has improved. No stones in the left ureter or bladder. No stones in the right kidney or right ureter. No significant abnormality noted. Gastric surgery redemonstrated. Appears to be a gastric partitioning. Nonobstructive broad-based ventral hernia containing bowel and omentum in the midline just above the umbilicus. No significant abnormality noted. No significant abnormality noted. Unremarkable. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary mass': 'clinical finding': 'pulmonary mass', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'mass', 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'clinical findings_fin: 'pleural or pericardial effusions': 'clinical finding': 'pleural or pericardial effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural or pericardial', 'observation': 'effusion'clinical findings_fin: 'several hypodense hepatic lesions': 'clinical finding': 'several hypodense hepatic lesions', 'existence': 'pos_dx', 'descriptive_term': 'several hypodense hepatic', 'observation': 'lesion', 'quantity_term': 'several', 'simple hepatic cysts': 'clinical finding': 'simple hepatic cysts', 'existence': 'pos_dx', 'descriptive_term': 'simple hepatic', 'observation': 'cyst'clinical findings_fin: 'biliary ductal dilatation': 'clinical finding': 'biliary ductal dilatation', 'existence': 'neg_dx', 'descriptive_term': 'biliary ductal', 'observation': 'dilatation'anatomical entity_fin: 'vasculature': clinical findings_fin: 'patent hepatic vasculature': 'clinical finding': 'patent hepatic vasculature', 'change_term': 'patent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'renal collecting system': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'punctate left renal collecting system nonobstructive calculus': 'clinical finding': 'punctate left renal collecting system nonobstructive calculus', 'existence': 'pos_dx', 'descriptive_term': 'punctate left renal collecting system nonobstructive', 'observation': 'calculus'anatomical entity_fin: 'pole': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'two subcentimeter right lower pole hypodensities': 'clinical finding': 'two subcentimeter right lower pole hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter right lower pole', 'observation': 'hypodensity', 'simple renal cysts': 'clinical finding': 'simple renal cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple renal', 'observation': 'cyst'anatomical entity_fin: 'kidneys': location descriptor_fin: ['bilateral']clinical findings_fin: 'brisk symmetric bilateral excretion': 'clinical finding': 'brisk symmetric bilateral excretion', 'existence': 'pos_dx', 'descriptive_term': 'brisk symmetric bilateral', 'observation': 'excretion'anatomical entity_fin: 'ureters': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'discrete lesion': 'clinical finding': 'discrete lesion', 'existence': 'neg_dx', 'descriptive_term': 'discrete', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No pulmonary mass or suspicious pulmonary nodules. No pleural or pericardial effusions. Several hypodense hepatic lesions, some of which are too small to characterize and others are consistent with simple hepatic cysts. Normal hepatic morphology without biliary ductal dilatation. Patent hepatic vasculature. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Punctate left renal collecting system nonobstructive calculus. Two subcentimeter right lower pole hypodensities are too small to characterize, however are likely simple renal cysts. The kidneys enhance symmetrically and demonstrate brisk symmetric bilateral excretion. The bilateral ureters are well opacified without a discrete lesion identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']procedure_fin: ['ileostomy']clinical findings_fin: 'small bowel resection and right lower quadrant ileostomy': 'clinical finding': 'small bowel resection and right lower quadrant ileostomy'anatomical entity_fin: 'upper abdomen': 'location descriptor': 'right', 'right kidney': location descriptor_fin: ['right', 'anterior']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'ileum': 'location descriptor': 'distal'imaging observation_fin: ['hyperenhancement']location descriptor_fin: ['distal']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened', 'mucosal hyperenhancement': 'clinical finding': 'mucosal hyperenhancement', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'hyperenhancement', 'mucosal edema': 'clinical finding': 'mucosal edema', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'edema'anatomical entity_fin: 'ileum': , 'abdominal': , 'wall': clinical findings_fin: 'second transition point is present at the tunneled segment of the ileum through the abdominal wall': 'clinical finding': 'second transition point is present at the tunneled segment of the ileum through the abdominal wall'size_fin: ['size': '4-cm']location descriptor_fin: ['proximal']clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'perihepatic ascites': 'clinical finding': 'perihepatic ascites', 'existence': 'pos_dx', 'descriptive_term': 'perihepatic', 'observation': 'ascite'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'free pelvic ascites': 'clinical finding': 'free pelvic ascites', 'existence': 'pos_dx', 'descriptive_term': 'free pelvic', 'observation': 'ascite' [/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. Status post small bowel resection and right lower quadrant ileostomy. The jejunal loops are normal in caliber however, there is a transition point in the right upper abdomen anterior to the right kidney to dilated ileal loops. The distal ileum is thickened with mucosal hyperenhancement and mucosal edema. A second transition point is present at the tunneled segment of the ileum through the abdominal wall. The ileal loops proximal to this are dilated up to 4-cm. Representing an obstruction. No significant abnormality noted. Small amount of perihepatic ascites. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Moderate amount of free pelvic ascites [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'clinical findings_fin: 'suspicious hilar or mediastinal lymphadenopathy': 'clinical finding': 'suspicious hilar or mediastinal lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'suspicious hilar or mediastinal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'azygoesophageal recess': clinical findings_fin: 'prominent azygoesophageal recess lymph node': 'clinical finding': 'prominent azygoesophageal recess lymph node', 'existence': 'pos_dx', 'descriptive_term': 'prominent azygoesophageal recess lymph', 'observation': 'node', 'strength_term': 'prominent'anatomical entity_fin: 'left interlobar lymph node': , 'lobe': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'left interlobar lymph node': 'clinical finding': 'left interlobar lymph node', 'existence': 'pos_dx', 'descriptive_term': 'left interlobar lymph', 'observation': 'node', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'lower lobe aspiration': 'clinical finding': 'lower lobe aspiration', 'existence': 'unc_dx', 'descriptive_term': 'lower lobe', 'observation': 'aspiration'location descriptor_fin: ['right']clinical findings_fin: 'right pericardial sleeve cyst': 'clinical finding': 'right pericardial sleeve cyst', 'existence': 'pos_dx', 'descriptive_term': 'right pericardial sleeve', 'observation': 'cyst'clinical findings_fin: 'normal cardiac size': 'clinical finding': 'normal cardiac size'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'stable hypodense lesion': 'clinical finding': 'stable hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'stable hypodense', 'observation': 'lesion', 'strength_term': 'stable', 'change_term': 'stable', 'cyst': 'clinical finding': 'cyst', 'existence': 'pos_dx', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'scattered descending aortic calcifications': 'clinical finding': 'scattered descending aortic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'scattered descending aortic', 'observation': 'calcification'clinical findings_fin: 'gi': 'clinical finding': 'gi', 'existence': 'unc_dx', 'observation': 'gi'clinical findings_fin: 'gross abnormalities': 'clinical finding': 'gross abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'gross', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'other bony abnormalities': 'clinical finding': 'other bony abnormalities', 'existence': 'neg_dx', 'descriptive_term': 'other bony', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No suspicious pulmonary nodules or masses. No pleural effusion. No suspicious hilar or mediastinal lymphadenopathy. Prominent azygoesophageal recess lymph node unchanged and can be monitored. Left interlobar lymph node mildly enlarged but likely reactive given prevalence of lower lobe aspiration in this patient population. Right pericardial sleeve cyst. Normal cardiac size. None. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable hypodense lesion in the left kidney is consistent with cyst. No significant abnormality noted. Scattered descending aortic calcifications. Absence of enteric contrast material limits sensitivity for GI pathology. No gross abnormalities noted. Degenerative changes of the spine most evident at T10-T11. No other bony abnormalities 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: 'diffuse confluent low attenuations': 'clinical finding': 'diffuse confluent low attenuations', 'existence': 'pos_dx', 'descriptive_term': 'diffuse confluent low', 'observation': 'attenuation', 'diffuse hypoxic injury': 'clinical finding': 'diffuse hypoxic injury', 'existence': 'pos_dx', 'descriptive_term': 'diffuse hypoxic', 'observation': 'injury'clinical findings_fin: 'acute hemorrhagic lesion': 'clinical finding': 'acute hemorrhagic lesion', 'existence': 'neg_dx', 'descriptive_term': 'acute hemorrhagic', 'observation': 'lesion', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'small': 'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small', 'tight': 'clinical finding': 'tight', 'existence': 'pos_dx', 'observation': 'tight'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'fluid': location descriptor_fin: ['bilateral']anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Redemonstration of diffuse confluent low attenuations on both supra and infratentorial brain parenchyme indicating diffuse hypoxic injury. There is no evidence of acute hemorrhagic lesion on this scan. The ventricles are small and sulci and cisterns appear to be tight, unchanged since prior scan. The osseous structures are unremarkable. The fluid collections in bilateral maxillary sinuses. 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: 'unchanged scattered micronodules': 'clinical finding': 'unchanged scattered micronodules', 'existence': 'pos_dx', 'descriptive_term': 'unchanged scattered', 'observation': 'micronodule', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'prior granulomatous infections': 'clinical finding': 'prior granulomatous infections', 'existence': 'unc_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'infection'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', 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'stable minimally enlarged mediastinal lymph nodes': 'clinical finding': 'stable minimally enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable minimally enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'stable - enlarged', 'change_term': 'stable - enlarged'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'osseous metastatic disease': 'clinical finding': 'osseous metastatic disease', 'existence': 'neg_dx', 'descriptive_term': 'osseous metastatic', 'observation': 'disease'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Unchanged scattered micronodules some of which are calcified, likely represent prior granulomatous infections. No evidence of new nodules, masses or pleural effusions. The heart size is normal without pericardial effusion. Stable minimally enlarged mediastinal lymph nodes. No axillary lymphadenopathy. No evidence of osseous metastatic disease. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'breast': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral breast prostheses': 'clinical finding': 'bilateral breast prostheses', 'existence': 'pos_dx', 'descriptive_term': 'bilateral breast', 'observation': 'prosthes'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'distention': 'clinical finding': 'distention', 'existence': 'pos_dx', 'observation': 'distention'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'nonobstructing, punctate bilateral nephrolithiasis': 'clinical finding': 'nonobstructing, punctate bilateral nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'nonobstructing punctate bilateral', 'observation': 'nephrolithiasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'procedure_fin: ['gastric bypass']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'non-anatomical substance_fin: ['oral contrast']clinical findings_fin: 'extravasation': 'clinical finding': 'extravasation', 'existence': 'neg_dx', 'observation': 'extravasation', 'anastomotic leak': 'clinical finding': 'anastomotic leak', 'existence': 'neg_dx', 'descriptive_term': 'anastomotic', 'observation': 'leak'anatomical entity_fin: 'bowel': clinical findings_fin: 'small bowel obstruction': 'clinical finding': 'small bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'small bowel', 'observation': 'obstruction', 'strength_term': 'small'anatomical entity_fin: 'sigmoid colon': clinical findings_fin: 'mild wall thickening': 'clinical finding': 'mild wall thickening', 'existence': 'unc_dx', 'descriptive_term': 'mild wall', 'observation': 'thickening', 'strength_term': 'mild', 'significant surrounding inflammatory changes': 'clinical finding': 'significant surrounding inflammatory changes', 'existence': 'neg_dx', 'descriptive_term': 'significant surrounding inflammatory', 'observation': 'change', 'distension': 'clinical finding': 'distension', 'existence': 'unc_dx', 'observation': 'distension'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'sacroiliac joint': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'partial fusion': 'clinical finding': 'partial fusion', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'fusion', 'strength_term': 'partial'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bilateral breast prostheses are noted. Prominence of the intra and extrahepatic biliary ductal system is unchanged as well as distention of the gallbladder. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is nonobstructing, punctate bilateral nephrolithiasis. No significant abnormality noted. None. There are postsurgical changes related to a gastric bypass surgery. There is no extravasation of oral contrast to suggest an anastomotic leak. There is no evidence of a small bowel obstruction. There is questionable mild wall thickening of the descending and sigmoid colon without significant surrounding inflammatory changes this alternatively could represent lack of distension. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. There is partial fusion of the right sacroiliac joint. 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'size_fin: ['size': '2.6 x 1.3 cm', 'size_descriptor': 'mass']clinical findings_fin: 'ill-defined mass': 'clinical finding': 'ill-defined mass', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'mass', 'strength_term': 'ill-defined', 'cholangiocarcinoma': 'clinical finding': 'cholangiocarcinoma', 'existence': 'unc_dx', 'observation': 'cholangiocarcinoma'clinical findings_fin: 'intra-and extrahepatic biliary dilatation': 'clinical finding': 'intra-and extrahepatic biliary dilatation', 'existence': 'pos_dx', 'descriptive_term': 'intra-and extrahepatic biliary', 'observation': 'dilatation'anatomical entity_fin: 'left hepatic ducts': location descriptor_fin: ['right']clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass'anatomical entity_fin: 'intrahepatic biliary tree': location descriptor_fin: ['left']clinical findings_fin: 'irregular beaded': 'clinical finding': 'irregular beaded', 'existence': 'pos_dx', 'descriptive_term': 'irregular', 'observation': 'bead'anatomical entity_fin: 'liver': clinical findings_fin: 'focal liver lesions': 'clinical finding': 'focal liver lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal liver', 'observation': 'lesion', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 simple appearing renal cysts': 'clinical finding': 'bilateral simple appearing renal cysts', 'existence': 'pos_dx', 'descriptive_term': 'bilateral simple appearing renal', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'subcentimeter subcutaneous soft tissue nodule': 'clinical finding': 'subcentimeter subcutaneous soft tissue nodule', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter subcutaneous soft tissue', 'observation': 'nodule'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Ill-defined mass at the Klatskin point measuring 2.6 x 1.3 cm suspicious for cholangiocarcinoma. Intra-and extrahepatic biliary dilatation. The mass invades the right and left hepatic ducts. Irregular beaded appearance of the intrahepatic biliary tree most prominent on the left side. No focal liver lesions to suggest metastases. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral simple appearing renal cysts. No significant abnormality noted. No significant abnormality noted. Subcentimeter subcutaneous soft tissue nodule on image number 78, series number 11. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'apices': clinical findings_fin: 'stable subpleural reticulonodular densities': 'clinical finding': 'stable subpleural reticulonodular densities', 'existence': 'pos_dx', 'descriptive_term': 'stable subpleural reticulonodular', 'observation': 'density', 'strength_term': 'stable', 'change_term': 'stable', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'centrilobular emphysema': 'clinical finding': 'centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'centrilobular', 'observation': 'emphysema'size_fin: ['size': '19 mm', 'size_descriptor': 'trachea']anatomical entity_fin: 'trachea': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated', 'tracheobronchomalacia': 'clinical finding': 'tracheobronchomalacia', 'existence': 'unc_dx', 'observation': 'tracheobronchomalacia'size_fin: ['size': '4 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'previously reference pleural nodule': 'clinical finding': 'previously reference pleural nodule', 'existence': 'pos_dx', 'descriptive_term': 'previously reference pleural', 'observation': 'nodule'anatomical entity_fin: 'right lung': clinical findings_fin: 'multiple smooth nodules': 'clinical finding': 'multiple smooth nodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple smooth', 'observation': 'nodule', 'quantity_term': 'multiple', 'major fissure': 'clinical finding': 'major fissure', 'existence': 'pos_dx', 'descriptive_term': 'major', 'observation': 'fissure', 'stable, likely intrapulmonary lymph nodes': 'clinical finding': 'stable, likely intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable likely intrapulmonary lymph', 'observation': 'node', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['lateral', 'right', 'lower']clinical findings_fin: 'subpleural micronodule': 'clinical finding': 'subpleural micronodule', 'existence': 'pos_dx', 'descriptive_term': 'subpleural', 'observation': 'micronodule'clinical findings_fin: 'new suspicious pulmonary nodule': 'clinical finding': 'new suspicious pulmonary nodule', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size remains normal': 'clinical finding': 'heart size remains normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'rib': 'location descriptor': 'right lateral'location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'stable right lateral rib deformity': 'clinical finding': 'stable right lateral rib deformity', 'existence': 'pos_dx', 'descriptive_term': 'stable right lateral rib', 'observation': 'deformity', 'strength_term': 'stable', 'change_term': 'stable', 'callus': 'clinical finding': 'callus', 'existence': 'pos_dx', 'observation': 'callus', 'prior fracture': 'clinical finding': 'prior fracture', 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'fracture'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis' [/INST] [RESP] . Stable subpleural reticulonodular densities and scarring in the apices. Centrilobular emphysema. Exhalation images were not obtained on this exam however, the trachea remains dilated at 19 mm in AP dimension reinforcing the diagnosis of tracheobronchomalacia. Previously reference pleural nodule at the right upper lobe is stable at 4 mm. Multiple smooth nodules at the major fissure of the right lung are stable, likely intrapulmonary lymph nodes. A subpleural micronodule lateral basal segment right lower lobe is likely postinflammatory and stable. No new suspicious pulmonary nodule. The pleural spaces remain clear. Heart size remains normal. No pericardial effusion. No mediastinal or hilar lymphadenopathy. Stable right lateral rib deformity from callus a prior fracture. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Cholelithiasis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'spine': location descriptor_fin: ['upper', 'lower']clinical findings_fin: 'hardware': 'clinical finding': 'hardware', 'existence': 'pos_dx', 'observation': 'hardware'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'chest wall': , 'pleura': imaging observation_fin: ['border']location descriptor_fin: ['right', 'upper', 'superolateral']clinical findings_fin: 'multiple peri-bronchovascular groundglass opacities': 'clinical finding': 'multiple peri-bronchovascular groundglass opacities', 'existence': 'pos_dx', 'descriptive_term': 'multiple peri-bronchovascular groundglass', 'observation': 'opacity', 'quantity_term': 'multiple', 'alveolar or lobular opacities': 'clinical finding': 'alveolar or lobular opacities', 'existence': 'pos_dx', 'descriptive_term': 'alveolar or lobular', 'observation': 'opacity'anatomical entity_fin: 'lung': location descriptor_fin: ['adjacent']clinical findings_fin: 'sharp margination': 'clinical finding': 'sharp margination', 'existence': 'pos_dx', 'descriptive_term': 'sharp', 'observation': 'margination'anatomical entity_fin: 'airways': 'location descriptor': 'subsegmental', 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['subsegmental', 'right', 'upper']clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris'anatomical entity_fin: 'apex': 'location descriptor': 'left'imaging observation_fin: ['foci']location descriptor_fin: ['left']clinical findings_fin: 'additional foci': 'clinical finding': 'additional foci', 'existence': 'pos_dx', 'descriptive_term': 'additional', 'observation': 'foci'clinical findings_fin: 'multiple micronodules': 'clinical finding': 'multiple micronodules', 'existence': 'pos_dx', 'descriptive_term': 'multiple', 'observation': 'micronodule', 'quantity_term': 'multiple', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'size_fin: ['size': '4 mm']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower lobe solid nodule': 'clinical finding': 'left lower lobe solid nodule', 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe solid', 'observation': 'nodule'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'clustered paratracheal lymph nodes': 'clinical finding': 'clustered paratracheal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'clustered paratracheal lymph', 'observation': 'node'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'right subclavian artery': , 'normal variant': clinical findings_fin: 'retroesophageal course': 'clinical finding': 'retroesophageal course', 'existence': 'pos_dx', 'descriptive_term': 'retroesophageal', 'observation': 'course', 'normal variant': 'clinical finding': 'normal variant', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variant', 'strength_term': 'normal'clinical findings_fin: 'mild degenerative disk disease': 'clinical finding': 'mild degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative disk', 'observation': 'disease', 'strength_term': 'mild'anatomical entity_fin: 'epidural space': clinical findings_fin: 'spinal stimulator device is noted , with along the dorsal aspect of the epidural space , with its cranial tip': 'clinical finding': 'spinal stimulator device is noted , with along the dorsal aspect of the epidural space , with its cranial tip'clinical findings_fin: 'mild dextroscoliosis': 'clinical finding': 'mild dextroscoliosis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'dextroscoliosis', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] Scout view demonstrates hardware components of a spinal stimulator, as well as orthopedic fixation within the upper cervical spine and lower lumbar spine. Within the right upper lobe are multiple peri-bronchovascular groundglass opacities which appear to consolidate along the superolateral border into the alveolar or lobular opacities, extending to the chest wall pleura of the right upper lobe. Sharp margination with the adjacent uninvolved lung is noted. Additionally, there is debris within segmental and subsegmental airways of the right upper lobe. Additional foci are noted in the left apex. Multiple micronodules are noted, some of which are calcified compatible with prior granulomatous disease. A left lower lobe solid nodule is noted measuring 4 mm. Clustered paratracheal lymph nodes are present in the mediastinum. Cardiac size normal without pericardial effusion present. Aberrant right subclavian artery with retroesophageal course, a normal variant. Mild degenerative disk disease affects the vertebral column. Spinal stimulator device is noted, with along the dorsal aspect of the epidural space, with its cranial tip situated along the midthoracic vertebral level. Mild dextroscoliosis present. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['bilateral', 'right', 'left', 'lower']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis', 'collapse': 'clinical finding': 'collapse', 'existence': 'unc_dx', 'observation': 'collapse'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': object_fin: ['pigtail catheter']clinical findings_fin: 'percutaneous pigtail catheter': 'clinical finding': 'percutaneous pigtail catheter', 'existence': 'pos_dx', 'descriptive_term': 'percutaneous pigtail', 'observation': 'catheter'object_fin: ['drainage catheter']clinical findings_fin: 'new percutaneous drainage catheter': 'clinical finding': 'new percutaneous drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'new percutaneous drainage', 'observation': 'catheter', 'temporal_term': 'new'clinical findings_fin: 'internal biliary stent': 'clinical finding': 'internal biliary stent', 'existence': 'pos_dx', 'descriptive_term': 'internal biliary', 'observation': 'stent'anatomical entity_fin: 'spleen': clinical findings_fin: 'well circumscribed hypoattenuating focus': 'clinical finding': 'well circumscribed hypoattenuating focus', 'existence': 'pos_dx', 'descriptive_term': 'well circumscribed hypoattenuating', 'observation': 'focus', 'infarct': 'clinical finding': 'infarct', 'existence': 'unc_dx', 'observation': 'infarct'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': 'location descriptor': 'lower', 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['lower', 'right']object_fin: ['drainage catheter']clinical findings_fin: 'lower abdominal or pelvic fluid collection': 'clinical finding': 'lower abdominal or pelvic fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'lower abdominal or pelvic fluid', 'observation': 'collection', 'drainage catheter': 'clinical finding': 'drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'drainage', 'observation': 'catheter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': , 'quadrant': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower']object_fin: ['drainage catheter']clinical findings_fin: 'abdominal or pelvic free fluid': 'clinical finding': 'abdominal or pelvic free fluid', 'existence': 'pos_dx', 'descriptive_term': 'abdominal or pelvic free', 'observation': 'fluid', 'drainage catheter': 'clinical finding': 'drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'drainage', 'observation': 'catheter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bilateral pleural effusions, increased on the right and slightly decreased on the left, with compressive atelectasis or collapse of the right lower lobe. No significant abnormality noted. No significant abnormality noted. Previously identified complex perihepatic fluid is redemonstrated in substantially improved since prior study with interval exchange of percutaneous pigtail catheter. A new percutaneous drainage catheter in the surgical bed is noted. Internal biliary stent re-identified. Well circumscribed hypoattenuating focus in the spleen likely represents an infarct. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Lower abdominal or pelvic fluid collection has substantially decreased in size with interval placement of a drainage catheter in the right lower quadrant. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Substantial decrease in abdominal or pelvic free fluid with interval placement of a drainage catheter in the right lower quadrant. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['adjacent', 'right']clinical findings_fin: 'stable micronodules': 'clinical finding': 'stable micronodules', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'micronodule', 'strength_term': 'stable', 'change_term': 'stable', 'right fissures': 'clinical finding': 'right fissures', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'fissure', 'possibly scarring or intrapulmonary node': 'clinical finding': 'possibly scarring or intrapulmonary node', 'existence': 'pos_dx', 'descriptive_term': 'possibly scarring or intrapulmonary', 'observation': 'node'location descriptor_fin: ['right']clinical findings_fin: 'new suspicious pulmonary nodule stable right basilar and lingular scarring': 'clinical finding': 'new suspicious pulmonary nodule stable right basilar and lingular scarring', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious pulmonary nodule stable right basilar and lingular', 'observation': 'scarr', 'strength_term': 'stable', 'temporal_term': 'new', 'change_term': 'stable'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: 'pleural effusion': 'clinical finding': 'pleural effusion', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'procedure_fin: ['esophagectomy']clinical findings_fin: 'postoperative changes': 'clinical finding': 'postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change'clinical findings_fin: 'significantly enlarged mediastinal or hilar lymph nodes': 'clinical finding': 'significantly enlarged mediastinal or hilar lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'significantly enlarged mediastinal or hilar lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'heart': clinical findings_fin: 'significant pericardial effusion': 'clinical finding': 'significant pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'significant 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'anatomical entity_fin: 'pancreatic duct': clinical findings_fin: 'stable mildly prominent pancreatic duct': 'clinical finding': 'stable mildly prominent pancreatic duct', 'existence': 'pos_dx', 'descriptive_term': 'stable mildly prominent pancreatic', 'observation': 'duct', 'strength_term': 'stable - mildly - prominent', 'change_term': 'stable'clinical findings_fin: 'focal pancreatic lesion': 'clinical finding': 'focal pancreatic lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal pancreatic', 'observation': 'lesion'imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'stable small enhancing left retroperitoneal lymph nodes': 'clinical finding': 'stable small enhancing left retroperitoneal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'stable small enhancing left retroperitoneal lymph', 'observation': 'node', 'strength_term': 'stable - small', '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: 'arterial atherosclerotic disease': 'clinical finding': 'arterial atherosclerotic disease', 'existence': 'pos_dx', 'descriptive_term': 'arterial atherosclerotic', 'observation': 'disease', 'aortic aneurysmal dilatation': 'clinical finding': 'aortic aneurysmal dilatation', 'existence': 'pos_dx', 'descriptive_term': 'aortic aneurysmal', 'observation': 'dilatation' [/INST] [RESP] . Stable micronodules adjacent to the right fissures, possibly scarring or intrapulmonary node. No new suspicious pulmonary nodule Stable right basilar and lingular scarring. Mild centrilobular emphysema. No pleural effusion. Postoperative changes of an esophagectomy with gastric pull up. No significantly enlarged mediastinal or hilar lymph nodes. Heart size normal no significant pericardial effusion. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Stable mildly prominent pancreatic duct. No focal pancreatic lesion. Stable small enhancing left retroperitoneal lymph nodes. No significant abnormality noted. No significant abnormality noted. Arterial atherosclerotic disease aortic aneurysmal dilatation. [/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 left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'lung': 'location descriptor': 'posterior'location descriptor_fin: ['posterior']clinical findings_fin: 'moderate dependent atelectasis': 'clinical finding': 'moderate dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'moderate dependent', 'observation': 'atelectasis', 'strength_term': 'moderate'anatomical entity_fin: 'middle': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'right middle and lingular scarring': 'clinical finding': 'right middle and lingular scarring', 'existence': 'unc_dx', 'descriptive_term': 'right middle and lingular', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'clinical findings_fin: 'several small cardiophrenic lymph nodes': 'clinical finding': 'several small cardiophrenic lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'several small cardiophrenic lymph', 'observation': 'node', 'strength_term': 'small', 'quantity_term': 'several'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'moderate ascites': 'clinical finding': 'moderate ascites', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'ascite', 'strength_term': 'moderate'anatomical entity_fin: 'fluid': clinical findings_fin: 'loculated perihepatic fluid is unchanged': 'clinical finding': 'loculated perihepatic fluid is unchanged', 'change_term': 'unchanged' [/INST] [RESP] . Nondiagnostic exam despite two separate attempts and adjustment in timing. Small left pleural effusion. Moderate dependent atelectasis of the posterior lung fields. Right middle and lingular scarring or atelectasis. No suspicious pulmonary nodules or masses. No mediastinal or hilar lymphadenopathy. Several small cardiophrenic lymph nodes are unchanged. Cardiac size normal with no pericardial effusion. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Moderate ascites. Loculated perihepatic fluid is unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'body': 'location descriptor': 'posterior', 'left lateral ventricle': location descriptor_fin: ['right', 'posterior']object_fin: ['catheter']procedure_fin: ['ventriculostomy']clinical findings_fin: 'is a stable right parietal approach ventriculostomy catheter with tip along the posterior body of the left lateral ventricle': 'clinical finding': 'is a stable right parietal approach ventriculostomy catheter with tip along the posterior body of the left lateral ventricle', 'change_term': 'stable'clinical findings_fin: 'ventricles are stable to minimally larger compared to 2/10/2016': 'clinical finding': 'ventricles are stable to minimally larger compared to 2/10/2016', 'change_term': 'stable'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'anatomical entity_fin: 'tonsils': clinical findings_fin: 'low': 'clinical finding': 'low', 'existence': 'pos_dx', 'observation': 'low'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' [/INST] [RESP] There is a stable right parietal approach ventriculostomy catheter with tip along the posterior body of the left lateral ventricle. The ventricles are stable to minimally larger compared to 2/10/2016. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. Cerebellar tonsils are borderline low in position similar to prior. There is no extraaxial fluid collection. 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: 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: 'lobe': 'location descriptor': 'right upper', 'lung': 'location descriptor': 'posterior', 'bases': location descriptor_fin: ['posterior', 'right', 'upper', 'left']clinical findings_fin: 'multi-focal groundglass': 'clinical finding': 'multi-focal groundglass', 'existence': 'pos_dx', 'descriptive_term': 'multi-focal', 'observation': 'groundglass', 'interstitial opacity': 'clinical finding': 'interstitial opacity', 'existence': 'pos_dx', 'descriptive_term': 'interstitial', 'observation': 'opacity'clinical findings_fin: 'more confluent consolidation': 'clinical finding': 'more confluent consolidation', 'existence': 'pos_dx', 'descriptive_term': 'more confluent', 'observation': 'consolidation', 'quantity_term': 'more'clinical findings_fin: 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'location descriptor_fin: ['left']clinical findings_fin: 'trace left pleural effusion': 'clinical finding': 'trace left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace left pleural', 'observation': 'effusion'clinical findings_fin: 'few scattered subcentimeter nodular opacities': 'clinical finding': 'few scattered subcentimeter nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'few scattered subcentimeter nodular', 'observation': 'opacity', 'quantity_term': 'few', 'surrounding pulmonary opacity': 'clinical finding': 'surrounding pulmonary opacity', 'existence': 'unc_dx', 'descriptive_term': 'surrounding pulmonary', 'observation': 'opacity'clinical findings_fin: 'dense coronary calcification': 'clinical finding': 'dense coronary calcification', 'existence': 'pos_dx', 'descriptive_term': 'dense coronary', 'observation': 'calcification'anatomical entity_fin: 'stomach': object_fin: ['dobbhoff tube']clinical findings_fin: 'dobbhoff tube': 'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'location descriptor_fin: ['left']clinical findings_fin: 'densely calcified left hilar lymph nodes': 'clinical finding': 'densely calcified left hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'densely calcified left hilar lymph', 'observation': 'node', 'change_term': 'calcified', 'healed granulomatous disease': 'clinical finding': 'healed granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'healed granulomatous', 'observation': 'disease', 'strength_term': 'healed', 'change_term': 'healed'clinical findings_fin: 'scattered subcentimeter nodes': 'clinical finding': 'scattered subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter', 'observation': 'node'clinical findings_fin: 'l1 compression fracture': 'clinical finding': 'l1 compression fracture', 'existence': 'pos_dx', 'descriptive_term': 'l1 compression', 'observation': 'fracture'clinical findings_fin: 'multifocal degenerative disease': 'clinical finding': 'multifocal degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'multifocal degenerative', 'observation': 'disease'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'stomach': object_fin: ['dobbhoff tube']clinical findings_fin: 'dobbhoff tube': 'clinical finding': 'dobbhoff tube', 'existence': 'pos_dx', 'descriptive_term': 'dobbhoff', 'observation': 'tube'clinical findings_fin: 'trace ascites': 'clinical finding': 'trace ascites', 'existence': 'pos_dx', 'descriptive_term': 'trace', 'observation': 'ascite'location descriptor_fin: ['left']clinical findings_fin: 'left ureteral stent': 'clinical finding': 'left ureteral stent', 'existence': 'pos_dx', 'descriptive_term': 'left ureteral', 'observation': 'stent' [/INST] [RESP] . Small amount of debris seen in central airways consistent with aspiration. Multi-focal groundglass and interstitial opacity in the posterior aspect of the right upper lobe and both posterior lung bases, right greater than left. Some areas demonstrate more confluent consolidation. While this finding is nonspecific the appearance and distribution are suggestive of aspiration. Trace left pleural effusion. A few scattered subcentimeter nodular opacities are noted but are difficult to separate from the surrounding pulmonary opacity. Dense coronary calcification. Dobbhoff tube tip in stomach. Densely calcified left hilar lymph nodes consistent with healed granulomatous disease. Scattered subcentimeter nodes elsewhere. L1 compression fracture. Multifocal degenerative disease. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Dobbhoff tube tip in stomach. Trace ascites. Portion of left ureteral stent partially visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: 'severe centrilobular and paraseptal emphysema': 'clinical finding': 'severe centrilobular and paraseptal emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe centrilobular and paraseptal', 'observation': 'emphysema', 'strength_term': 'severe'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper', 'airways': 'location descriptor': 'distal'location descriptor_fin: ['left', 'upper', 'distal']clinical findings_fin: 'impacted': 'clinical finding': 'impacted', 'existence': 'pos_dx', 'observation': 'impacted', 'presumed tumor': 'clinical finding': 'presumed tumor', 'existence': 'pos_dx', 'descriptive_term': 'presumed', 'observation': 'tumor'anatomical entity_fin: 'left upper lobe bronchus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'abrupt narrowing': 'clinical finding': 'abrupt narrowing', 'existence': 'pos_dx', 'descriptive_term': 'abrupt', 'observation': 'narrowing', 'strength_term': 'abrupt', 'extrinsic compression': 'clinical finding': 'extrinsic compression', 'existence': 'pos_dx', 'descriptive_term': 'extrinsic', 'observation': 'compression', 'necrotic mass': 'clinical finding': 'necrotic mass', 'existence': 'pos_dx', 'descriptive_term': 'necrotic', 'observation': 'mass'clinical findings_fin: 'pleural fluid': 'clinical finding': 'pleural fluid', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'fluid'size_fin: ['size': '6-mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['posterior', 'left', 'upper']clinical findings_fin: '6-mm posterior left upper lobe parenchymal nodule': 'clinical finding': '6-mm posterior left upper lobe parenchymal nodule', 'existence': 'pos_dx', 'descriptive_term': '6-mm posterior left upper lobe parenchymal', 'observation': 'nodule'anatomical entity_fin: 'airways': , 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['adjacent', 'left', 'upper']clinical findings_fin: 'additional smaller nodules': 'clinical finding': 'additional smaller nodules', 'existence': 'pos_dx', 'descriptive_term': 'additional smaller', 'observation': 'nodule'location descriptor_fin: ['contralateral']clinical findings_fin: 'contralateral suspicious nodules': 'clinical finding': 'contralateral suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'contralateral suspicious', 'observation': 'nodule'size_fin: ['size': '3.8-cm', 'size': '3.6-cm']location descriptor_fin: ['left', 'caudal']clinical findings_fin: 'heterogeneous left hilar mass': 'clinical finding': 'heterogeneous left hilar mass', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous left hilar', 'observation': 'mass'anatomical entity_fin: 'left upper lobe bronchus': , 'main pulmonary artery': 'location descriptor': 'distal left'location descriptor_fin: ['distal', 'left', 'proximal']clinical findings_fin: 'distal left main pulmonary artery and its proximal branches': 'clinical finding': 'distal left main pulmonary artery and its proximal branches'size_fin: ['size': '3-cm', 'size_descriptor': 'node']anatomical entity_fin: 'axis': clinical findings_fin: 'enlarged subaortic lymph node': 'clinical finding': 'enlarged subaortic lymph node', 'existence': 'pos_dx', 'descriptive_term': 'enlarged subaortic lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'location descriptor_fin: ['left', 'lower']clinical findings_fin: 'left lower paratracheal lymphadenopathy': 'clinical finding': 'left lower paratracheal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'left lower paratracheal', 'observation': 'lymphadenopathy'anatomical entity_fin: 'lobar lymph nodes': imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'small but abnormally enhancing left interlobar and lobar lymph nodes': 'clinical finding': 'small but abnormally enhancing left interlobar and lobar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'small but abnormally enhancing left interlobar and lobar lymph', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'bilaterally is nonspecific in appearance': 'clinical finding': 'bilaterally is nonspecific in appearance'imaging observation_fin: ['falciform ligament']location descriptor_fin: ['adjacent']clinical findings_fin: 'perfusion artifact': 'clinical finding': 'perfusion artifact', 'existence': 'unc_dx', 'descriptive_term': 'perfusion', 'observation': 'artifact' [/INST] [RESP] . Severe centrilobular and paraseptal emphysema. Left upper lobe distal airways are partially impacted with presumed tumor, several to the distal segmental level. There is abrupt narrowing of the distal left upper lobe bronchus due to extrinsic compression by a necrotic mass. No pleural fluid. 6-mm posterior left upper lobe parenchymal nodule is unchanged. Additional smaller nodules appear to be within or adjacent to the smaller airways of the left upper lobe. No contralateral suspicious nodules. Heterogeneous left hilar mass measures 3.8-cm in transverse dimension and 3.6-cm in cranial caudal length. This surrounds approximately two thirds of the left upper lobe bronchus and is inseparable from the distal left main pulmonary artery and its proximal branches. An enlarged subaortic lymph node measures 3-cm in short axis. Left lower paratracheal lymphadenopathy is seen. Small but abnormally enhancing left interlobar and lobar lymph nodes are noted. No significant abnormality noted. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Nodularity of adrenal glands bilaterally is nonspecific in appearance. Hypoattenuation adjacent to the falciform ligament is probably a perfusion artifact based on its location. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'location descriptor_fin: ['midline']clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'mass or mass effect': 'clinical finding': 'mass or mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass or mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'parenchymal enhancement': 'clinical finding': 'parenchymal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'parenchymal', 'observation': 'enhancement'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'frontal sinus': 'location descriptor': 'left', 'paranasal sinuses': , 'mastoid air cells': location descriptor_fin: ['left']clinical findings_fin: 'small mucous retention cyst': 'clinical finding': 'small mucous retention cyst', 'existence': 'pos_dx', 'descriptive_term': 'small mucous retention', 'observation': 'cyst', 'strength_term': 'small', 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage, mass or mass effect, edema or midline shift is noted. Parenchymal enhancement is within normal limits. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. With the exception of a small mucous retention cyst in the left frontal sinus, the visualized paranasal sinuses and mastoid air cells are normally pneumatized. The bones of the calvarium are intact. NECK CT [/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: 'right frontal lobe': , 'right insula': clinical findings_fin: 'progressive hypoattenuation': 'clinical finding': 'progressive hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'progressive', 'observation': 'hypoattenuation', 'right insula': 'clinical finding': 'right insula', 'existence': 'pos_dx', 'descriptive_term': 'right', 'observation': 'insula', 'age-indeterminate infarction': 'clinical finding': 'age-indeterminate infarction', 'existence': 'unc_dx', 'descriptive_term': 'age-indeterminate', 'observation': 'infarction'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: 'extensive periventricular and deep white matter hypoattenuation': 'clinical finding': 'extensive periventricular and deep white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'extensive periventricular and deep white matter', 'observation': 'hypoattenuation', 'strength_term': 'extensive', 'superimposed chronic small vessel ischemic disease': 'clinical finding': 'superimposed chronic small vessel ischemic disease', 'existence': 'unc_dx', 'descriptive_term': 'superimposed chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic', 'small infarcts': 'clinical finding': 'small infarcts', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'infarct', 'strength_term': 'small'location descriptor_fin: ['right']clinical findings_fin: 'chronic right thalamic lacunar infarct': 'clinical finding': 'chronic right thalamic lacunar infarct', 'existence': 'pos_dx', 'descriptive_term': 'chronic right thalamic lacunar', 'observation': 'infarct', 'temporal_term': 'chronic'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'note is made of an empty sella , unchanged': 'clinical finding': 'note is made of an empty sella , unchanged', 'change_term': 'unchanged'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: 'internal carotid arteries': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification' [/INST] [RESP] No acute intracranial hemorrhage. Progressive hypoattenuation in the right frontal lobe and right insula likely represents age-indeterminate infarction, but is new since the prior CT study. There is no mass effect or midline shift. Extensive periventricular and deep white matter hypoattenuation is unchanged and likely represents superimposed chronic small vessel ischemic disease and small infarcts. Chronic right thalamic lacunar infarct is unchanged. The ventricles, sulci, and cisterns are symmetric and unremarkable. Note is made of an empty sella, unchanged. The osseous structures are unremarkable. The visualized paranasal sinuses and mastoid air cells are clear. Atherosclerotic calcifications of the internal carotid arteries is noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'parenchymal edema': 'clinical finding': 'parenchymal edema', 'existence': 'neg_dx', 'descriptive_term': 'parenchymal', 'observation': 'edema', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'gray-white differentiation': 'clinical finding': 'gray-white differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white', 'observation': 'differentiation'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'clinical findings_fin: 'ventricular size and morphology are within normal limits': 'clinical finding': 'ventricular size and morphology are within normal limits'anatomical entity_fin: 'skull': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] No evidence of parenchymal edema or mass effect is seen. The gray-white differentiation is preserved. No acute intracranial hemorrhage or any abnormal extra-axial fluid collections are seen. Ventricular size and morphology are within normal limits. The osseous structures of the skull are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'location descriptor_fin: ['midline']clinical findings_fin: 'any acute intracranial hemorrhage': 'clinical finding': 'any acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'any acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus'anatomical entity_fin: 'brain': clinical findings_fin: 'gray -- white matter': 'clinical finding': 'gray -- white matter', 'existence': 'pos_dx', 'descriptive_term': 'gray -- white', 'observation': 'matter', 'within normal': 'clinical finding': 'within normal', 'existence': 'pos_dx', 'descriptive_term': 'within', 'observation': 'normal'clinical findings_fin: 'early ischemic strokes': 'clinical finding': 'early ischemic strokes', 'existence': 'pos_dx', 'descriptive_term': 'early ischemic', 'observation': 'stroke'follow-up_fin: follow-up recommendedclinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact'anatomical entity_fin: 'orbits': clinical findings_fin: 'limited images through the orbits': 'clinical finding': 'limited images through the orbits'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': , 'paranasal sinuses': clinical findings_fin: 'mastoid': 'clinical finding': 'mastoid', 'existence': 'pos_dx', 'observation': 'mastoid'anatomical entity_fin: 'nasal bone': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'old healed right nasal bone fracture': 'clinical finding': 'old healed right nasal bone fracture', 'existence': 'unc_dx', 'descriptive_term': 'old healed right nasal bone', 'observation': 'fracture', 'strength_term': 'healed', 'temporal_term': 'old', 'change_term': 'healed' [/INST] [RESP] Nonenhanced head. There is no evidence of any acute intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. The cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation of the brain is within normal. CT is insensitive for detection of early ischemic strokes. If clinical concern persists consider follow-up with an MRI examination. Calvarium is intact. Limited images through the orbits are unremarkable. Mastoid air cells, middle ear cavities and all visualized paranasal sinuses are unremarkable. There is suggestion of an old healed right nasal bone fracture. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary arteries': clinical findings_fin: 'suboptimal opacification': 'clinical finding': 'suboptimal opacification', 'existence': 'pos_dx', 'descriptive_term': 'suboptimal', 'observation': 'opacification'clinical findings_fin: 'pulmonary emboli': 'clinical finding': 'pulmonary emboli', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'emboli'clinical findings_fin: 'minimal dependent atelectasis': 'clinical finding': 'minimal dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal dependent', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['right', 'lower']clinical findings_fin: 'few micronodules': 'clinical finding': 'few micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few', 'observation': 'micronodule', 'quantity_term': 'few'anatomical entity_fin: 'origin': , 'common carotid arteries': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'brachiocephalic': 'clinical finding': 'brachiocephalic', 'existence': 'pos_dx', 'observation': 'brachiocephalic'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: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'non-anatomical substance_fin: ['saline']clinical findings_fin: 'saline implants': 'clinical finding': 'saline implants', 'existence': 'pos_dx', 'descriptive_term': 'saline', 'observation': 'implant'anatomical entity_fin: 'spine': clinical findings_fin: 'minimal degenerative changes': 'clinical finding': 'minimal degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'minimal degenerative', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'liver': clinical findings_fin: 'several small, scattered low-density lesions': 'clinical finding': 'several small, scattered low-density lesions', 'existence': 'pos_dx', 'descriptive_term': 'several small scattered low-density', 'observation': 'lesion', 'strength_term': 'small', 'quantity_term': 'several', 'cysts': 'clinical finding': 'cysts', 'existence': 'pos_dx', 'observation': 'cyst' [/INST] [RESP] . Suboptimal opacification of the pulmonary arteries. No evidence of pulmonary emboli to the segmental level. Minimal dependent atelectasis. Few micronodules in the right middle and lower lobes, nonspecific but most likely post inflammatory. Common origin of the brachiocephalic and left common carotid arteries. No lymphadenopathy. Normal heart size. Small pericardial effusion. Saline implants. Minimal degenerative changes of the spine. Several small, scattered low-density lesions in the liver, some of which are cysts and others too small to characterize but also most likely benign. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'ventricles are unchanged in size and configuration': 'clinical finding': 'ventricles are unchanged in size and configuration', 'change_term': 'unchanged'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': , 'scalp': clinical findings_fin: 'skull and scalp soft tissues are unremarkable': 'clinical finding': 'skull and scalp soft tissues are unremarkable'clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'total thyroidectomy': 'clinical finding': 'total thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'total', 'observation': 'thyroidectomy'size_fin: ['size': '23 x 33 mm', 'size': '23 x 33 mm']location descriptor_fin: ['right']clinical findings_fin: 'unchanged infiltrative hyperattenuating mass': 'clinical finding': 'unchanged infiltrative hyperattenuating mass', 'existence': 'pos_dx', 'descriptive_term': 'unchanged infiltrative hyperattenuating', 'observation': 'mass', 'strength_term': 'unchanged', 'change_term': 'unchanged'size_fin: ['size': '12 x 20 mm', 'size': '12 x 20 mm']location descriptor_fin: ['right']clinical findings_fin: 'right paratracheal lymph node': 'clinical finding': 'right paratracheal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'right paratracheal lymph', 'observation': 'node'anatomical entity_fin: 'lungs': clinical findings_fin: 'several nodules': 'clinical finding': 'several nodules', 'existence': 'pos_dx', 'descriptive_term': 'several', 'observation': 'nodule', 'quantity_term': 'several'anatomical entity_fin: 'left scapula': clinical findings_fin: 'partially imaged lytic lesion': 'clinical finding': 'partially imaged lytic lesion', 'existence': 'pos_dx', 'descriptive_term': 'partially imaged lytic', 'observation': 'lesion', 'strength_term': 'partially', 'fragmentation': 'clinical finding': 'fragmentation', 'existence': 'pos_dx', 'observation': 'fragmentation'anatomical entity_fin: 'manubrium': , 'clavicles': clinical findings_fin: 'irregularity of the manubrium and clavicles is unchanged': 'clinical finding': 'irregularity of the manubrium and clavicles is unchanged', 'change_term': 'unchanged'anatomical entity_fin: 'major salivary glands': clinical findings_fin: 'major salivary glands are unremarkable': 'clinical finding': 'major salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'multilevel degenerative spondylosis': 'clinical finding': 'multilevel degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'spondylosis', 'mild spinal canal stenosis': 'clinical finding': 'mild spinal canal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'mild spinal canal', 'observation': 'stenosis', 'strength_term': 'mild'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent' [/INST] [RESP] . There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. The paranasal sinuses and mastoid air cells are clear. The skull and scalp soft tissues are unremarkable. There are postoperative findings related to total thyroidectomy. There is an unchanged infiltrative hyperattenuating mass in the right thyroidectomy bed, which measures up to 23 x 33 mm, previously 23 x 33 mm. There is also a right paratracheal lymph node that measures 12 x 20 mm, previously 12 x 20 mm. There area several nodules within the partially imaged lungs. There is a partially imaged lytic lesion in the left scapula with fragmentation. Irregularity of the manubrium and clavicles is unchanged. The major salivary glands are unremarkable. The major cervical vessels are patent. There is multilevel degenerative spondylosis, which is most pronounced at C6-7, where there appears to be mild spinal canal stenosis. The airways are patent. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'low attenuation': 'clinical finding': 'low attenuation', 'existence': 'pos_dx', 'descriptive_term': 'low', 'observation': 'attenuation'location descriptor_fin: ['bilateral']clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'anatomical entity_fin: 'skull': , 'base': , 'scalp': clinical findings_fin: 'calvarium , skull base and soft tissues of the scalp are normal': 'clinical finding': 'calvarium , skull base and soft tissues of the scalp are normal' [/INST] [RESP] There is no evidence of acute intracranial hemorrhage. The area of low attenuation in the right posterior temporal region is unchanged, nonspecific in etiology. Again, MRI is suggested for further evaluation. Bilateral temporal horns are prominent, though slightly decreased since prior exam. Calvarium, skull base and soft tissues of the scalp are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'medtronic sinus': 'clinical finding': 'medtronic sinus', 'existence': 'pos_dx', 'descriptive_term': 'medtronic', 'observation': 'sinus'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left', 'ethmoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'diffuse postoperative changes': 'clinical finding': 'diffuse postoperative changes', 'existence': 'pos_dx', 'descriptive_term': 'diffuse postoperative', 'observation': 'change', 'left nasal passage': 'clinical finding': 'left nasal passage', 'existence': 'pos_dx', 'descriptive_term': 'left nasal', 'observation': 'passage'anatomical entity_fin: 'cribriform plate': , 'fovea ethmoidalis': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'large bony defect': 'clinical finding': 'large bony defect', 'existence': 'pos_dx', 'descriptive_term': 'large bony', 'observation': 'defect', 'strength_term': 'large'size_fin: ['size': '10.5-mm', 'size': '10.5-mm']anatomical entity_fin: 'axis': clinical findings_fin: 'postop change': 'clinical finding': 'postop change', 'existence': 'unc_dx', 'descriptive_term': 'postop', 'observation': 'change'location descriptor_fin: ['left']clinical findings_fin: 'left lamina papyracea': 'clinical finding': 'left lamina papyracea', 'existence': 'unc_dx', 'descriptive_term': 'left lamina', 'observation': 'papyracea'size_fin: ['size': '4 mm', 'size_descriptor': 'band']anatomical entity_fin: 'cribriform plate': imaging observation_fin: ['soft tissue density']clinical findings_fin: 'soft tissue density': 'clinical finding': 'soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'density', 'bony defect': 'clinical finding': 'bony defect', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'defect', 'postoperative scarring': 'clinical finding': 'postoperative scarring', 'existence': 'unc_dx', 'descriptive_term': 'postoperative', 'observation': 'scarr'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'right', 'ostiomeatal unit': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'very minimal mucosal thickening': 'clinical finding': 'very minimal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'very minimal mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'disease': 'clinical finding': 'disease', 'existence': 'neg_dx', 'observation': 'disease'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'minimal residual mucosal thickening': 'clinical finding': 'minimal residual mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal residual mucosal', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'residual'anatomical entity_fin: 'nasal cavity': location descriptor_fin: ['left']clinical findings_fin: 'postop changes': 'clinical finding': 'postop changes', 'existence': 'pos_dx', 'descriptive_term': 'postop', 'observation': 'change', 'nasal passage': 'clinical finding': 'nasal passage', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'passage'anatomical entity_fin: 'mastoid air cells': , 'middle ear cavities': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'neg_dx', 'observation': 'pneumatized'anatomical entity_fin: 'maxilla': clinical findings_fin: 'multiple dental implants': 'clinical finding': 'multiple dental implants', 'existence': 'pos_dx', 'descriptive_term': 'multiple dental', 'observation': 'implant', 'quantity_term': 'multiple'clinical findings_fin: 'any instrumentation complication': 'clinical finding': 'any instrumentation complication', 'existence': 'neg_dx', 'descriptive_term': 'any instrumentation', 'observation': 'complication'anatomical entity_fin: 'gland': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['posterior', 'left'] [/INST] [RESP] Medtronic sinus. Examination demonstrates diffuse postoperative changes of left maxillary sinus and left nasal passage as well as left ethmoid sinus. There is a large bony defect at the site of cribriform plate and with extension in to the left fovea ethmoidalis. It measures at least 10.5-mm in transverse axis and 10.5-mm in AP axis. This is also believed to represent a postop change. Also note is made of partial absence of left lamina papyracea likely as result of prior surgical intervention. This finding was present on prior head CT from Anniston Hospital dated 10 -- 2 -- 2012. Please correlate with patients past history. Band of soft tissue density measuring approximately 4 mm in size traverses the bony defect at the level of cribriform plate and may represent postoperative scarring. Very minimal mucosal thickening of the right maxillary sinus however with patent right ostiomeatal unit is noted. Left maxillary sinus demonstrate no evidence of disease. Minimal residual mucosal thickening in the left anterior ethmoids. Postop changes in the nasal passage on the left and unremarkable images through the nasal cavity otherwise. The mastoid air cells and middle ear cavities are well pneumatized and unremarkable. Very limited view of the alveolar ridge of the maxilla demonstrate multiple dental implants. No definitive evidence of any instrumentation complication present. The most posterior dental gland on the left projects minimally into the left maxillary sinus. The clinical significance of this finding is not certain. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['anterior', 'left', 'upper']clinical findings_fin: 'previously seen anterior left upper lobe opacities': 'clinical finding': 'previously seen anterior left upper lobe opacities', 'existence': 'pos_dx', 'descriptive_term': 'previously seen anterior left upper lobe', 'observation': 'opacity'imaging observation_fin: ['foci']location descriptor_fin: ['left', 'right']clinical findings_fin: 'basilar opacities': 'clinical finding': 'basilar opacities', 'existence': 'pos_dx', 'descriptive_term': 'basilar', 'observation': 'opacity', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection', 'organizing pneumonia': 'clinical finding': 'organizing pneumonia', 'existence': 'unc_dx', 'descriptive_term': 'organizing', 'observation': 'pneumonia'anatomical entity_fin: 'lobe': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'micronodular opacities': 'clinical finding': 'micronodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'micronodular', 'observation': 'opacity', 'abnormalities': 'clinical finding': 'abnormalities', 'existence': 'unc_dx', 'observation': 'abnormality', 'endobronchial debris': 'clinical finding': 'endobronchial debris', 'existence': 'unc_dx', 'descriptive_term': 'endobronchial', 'observation': 'debris'location descriptor_fin: ['right']clinical findings_fin: 'trace right pleural fluid': 'clinical finding': 'trace right pleural fluid', 'existence': 'pos_dx', 'descriptive_term': 'trace right pleural', 'observation': 'fluid'location descriptor_fin: ['peripheral', 'left']object_fin: ['catheter']clinical findings_fin: 'mild cardiomegaly': 'clinical finding': 'mild cardiomegaly', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'cardiomegaly', 'strength_term': 'mild'anatomical entity_fin: 'fluid': clinical findings_fin: 'small volume of pericardial fluid': 'clinical finding': 'small volume of pericardial fluid'imaging observation_fin: ['blood']clinical findings_fin: 'low attenuation blood': 'clinical finding': 'low attenuation blood', 'existence': 'pos_dx', 'descriptive_term': 'low attenuation', 'observation': 'blood', 'anemia': 'clinical finding': 'anemia', 'existence': 'unc_dx', 'observation': 'anemia'anatomical entity_fin: 'fluid': , 'esophagus': location descriptor_fin: ['right']clinical findings_fin: 'calcified right hilar region lymph node': 'clinical finding': 'calcified right hilar region lymph node', 'existence': 'neg_dx', 'descriptive_term': 'calcified right hilar region lymph', 'observation': 'node', 'change_term': 'calcified', 'otherwise no lymphadenopathy': 'clinical finding': 'otherwise no lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'otherwise no', 'observation': 'lymphadenopathy', 'quantity_term': 'no'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: 'hepatosplenomegaly': 'clinical finding': 'hepatosplenomegaly', 'existence': 'pos_dx', 'observation': 'hepatosplenomegaly'anatomical entity_fin: 'spleen': clinical findings_fin: 'granulomas': 'clinical finding': 'granulomas', 'existence': 'pos_dx', 'observation': 'granuloma' [/INST] [RESP] . Interval improvement in previously seen anterior left upper lobe opacities. Basilar opacities unchanged in distribution, suggestive of scarring or atelectasis on the left and foci of resolving infection or organizing pneumonia on the right. Micronodular opacities in the right upper lobe most likely related to abnormalities elsewhere in the lobe nearby and may reflect endobronchial debris. Trace right pleural fluid collection. Peripheral catheter from the left terminates in the SVC. Mild cardiomegaly. Small volume of pericardial fluid, similar to previous. Low attenuation blood pool suggestive of anemia. Fluid in the esophagus. Calcified right hilar region lymph node, but otherwise no lymphadenopathy. None visible. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Limited scanning range. Hepatosplenomegaly. Granulomas in the spleen. [/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: ['right']object_fin: ['catheter']procedure_fin: ['nephroureterostomy']clinical findings_fin: 'seen right nephroureterostomy catheter has been removed': 'clinical finding': 'seen right nephroureterostomy catheter has been removed'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis', 'hydroureter': 'clinical finding': 'hydroureter', 'existence': 'neg_dx', 'observation': 'hydroureter'clinical findings_fin: 'focal renal lesions': 'clinical finding': 'focal renal lesions', 'existence': 'neg_dx', 'descriptive_term': 'focal renal', 'observation': 'lesion'clinical findings_fin: 'surgical previously seen aortocaval node': 'clinical finding': 'surgical previously seen aortocaval node', 'existence': 'pos_dx', 'descriptive_term': 'surgical previously seen aortocaval', 'observation': 'node'anatomical entity_fin: 'aorta': , 'bowel': imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left']clinical findings_fin: 'new soft tissue density': 'clinical finding': 'new soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'new soft tissue', 'observation': 'density', 'temporal_term': 'new'size_fin: ['size': '2 x 1.1 cm']location descriptor_fin: ['left']clinical findings_fin: 'new left para-aortic component is measured on series 4 image 54 as 2 x 1.1 cm': 'clinical finding': 'new left para-aortic component is measured on series 4 image 54 as 2 x 1.1 cm'anatomical entity_fin: 'duodenum': , 'jejunum': non-anatomical substance_fin: ['oral contrast']follow-up_fin: follow-up recommendedclinical findings_fin: 'residual or recurrent lymphadenopathy': 'clinical finding': 'residual or recurrent lymphadenopathy', 'existence': 'unc_dx', 'descriptive_term': 'residual or recurrent', 'observation': 'lymphadenopathy', 'temporal_term': 'residual'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['catheter']procedure_fin: ['nephroureterostomy']clinical findings_fin: 'seen nephroureterostomy catheter has been removed': 'clinical finding': 'seen nephroureterostomy catheter has been removed'imaging observation_fin: ['obturator']location descriptor_fin: ['right', 'external', 'bilateral']clinical findings_fin: 'small inguinal nodes': 'clinical finding': 'small inguinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'small inguinal', 'observation': 'node', 'strength_term': 'small'clinical findings_fin: 'only the inguinal nodes': 'clinical finding': 'only the inguinal nodes', 'existence': 'pos_dx', 'descriptive_term': 'only the inguinal', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Previously seen right nephroureterostomy catheter has been removed. There is no evidence of hydronephrosis or hydroureter. No focal renal lesions. Surgical previously seen aortocaval node is resected. There is new soft tissue density to the left of the aorta, inseparable bowel which may be distorted secondary to the surgery. The new left para-aortic component is measured on series 4 image 54 as 2 x 1.1 cm. Follow-up CT should include excellent oral contrast in the duodenum and jejunum for better delineation. If there is a need to better clarify residual or recurrent lymphadenopathy, an MRI is another option. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. PROSTATE/. No significant abnormality noted. Previously seen nephroureterostomy catheter has been removed. Small right external iliac, small bilateral obturator and small inguinal nodes. Only the inguinal nodes is slightly more prominent than on the prior exam. No significant abnormality noted. Postsurgical changes anterior abdominal wall. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'round window': 'location descriptor': 'left'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['left', 'adjacent']clinical findings_fin: 'very small soft tissue density': 'clinical finding': 'very small soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'very small soft tissue', 'observation': 'density', 'strength_term': 'small', 'adjacent osseous erosion': 'clinical finding': 'adjacent osseous erosion', 'existence': 'neg_dx', 'descriptive_term': 'adjacent osseous', 'observation': 'erosion'anatomical entity_fin: 'external auditory canals': 'location descriptor': 'bilateral', 'middle ear cavities': , 'mastoid air cells': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'external auditory canals': , 'middle ear cavities': clinical findings_fin: 'congenital atresia': 'clinical finding': 'congenital atresia', 'existence': 'neg_dx', 'descriptive_term': 'congenital', 'observation': 'atresia', 'middle ear cavities': 'clinical finding': 'middle ear cavities', 'existence': 'neg_dx', 'descriptive_term': 'middle ear', 'observation': 'cavity'clinical findings_fin: 'ossicles': 'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'clinical findings_fin: 'erosive changes': 'clinical finding': 'erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'erosive', 'observation': 'change'anatomical entity_fin: 'middle ear cavity': clinical findings_fin: 'soft tissue masses': 'clinical finding': 'soft tissue masses', 'existence': 'neg_dx', 'descriptive_term': 'soft tissue', 'observation': 'mass'anatomical entity_fin: 'roofs': clinical findings_fin: 'attic': 'clinical finding': 'attic', 'existence': 'pos_dx', 'observation': 'attic', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'oval window': , 'round window': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'nerves': clinical findings_fin: 'positional anomalies': 'clinical finding': 'positional anomalies', 'existence': 'neg_dx', 'descriptive_term': 'positional', 'observation': 'anomaly'anatomical entity_fin: 'inner ear': clinical findings_fin: 'congenital inner ear anomalies': 'clinical finding': 'congenital inner ear anomalies', 'existence': 'neg_dx', 'descriptive_term': 'congenital inner ear', 'observation': 'anomaly'anatomical entity_fin: 'cochlea': , 'vestibules': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'anatomical entity_fin: 'semicircular canals': clinical findings_fin: 'dehiscences': 'clinical finding': 'dehiscences', 'existence': 'neg_dx', 'observation': 'dehiscence', 'fenestrations': 'clinical finding': 'fenestrations', 'existence': 'neg_dx', 'observation': 'fenestration'anatomical entity_fin: 'vestibular aqueducts': , 'internal auditory canals': clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] There is a very small soft tissue density within the left round window niche without adjacent osseous erosion. Otherwise the bilateral external auditory canals, middle ear cavities and mastoid air cells are completely clear. There is no evidence for congenital atresia of the external auditory canals or middle ear cavities. The scuta and ossicles are intact bilaterally. No erosive changes are identified. Other than the findings mentioned above, there are no soft tissue masses identified within either middle ear cavity. The roofs of the attic are intact on both sides. The oval window niches bilaterally as well as right round window niche are patent bilaterally. The course of the seventh nerves are well defined bilaterally without positional anomalies identified on either side. The inner ear structures are normal in appearance and symmetric bilaterally without congenital inner ear anomalies identified on either side. The cochlea and vestibules are patent bilaterally. There are no dehiscences or fenestrations of the semicircular canals on either side. The cochlear and vestibular aqueducts and internal auditory canals are symmetric bilaterally. The carotid and jugular plates are intact on both sides. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left lobe hemangiomas': 'clinical finding': 'left lobe hemangiomas', 'existence': 'pos_dx', 'descriptive_term': 'left lobe', 'observation': 'hemangiomas'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'small scarred': 'clinical finding': 'small scarred', 'existence': 'pos_dx', 'descriptive_term': 'small', 'observation': 'scarred', 'strength_term': 'small', 'pyelonephritis': 'clinical finding': 'pyelonephritis', 'existence': 'unc_dx', 'observation': 'pyelonephritis'anatomical entity_fin: 'pole': 'location descriptor': 'lower', 'left kidney': location descriptor_fin: ['upper', 'lower']clinical findings_fin: 'focal caliectasis': 'clinical finding': 'focal caliectasis', 'existence': 'pos_dx', 'descriptive_term': 'focal', 'observation': 'caliectasis'anatomical entity_fin: 'right kidney': , 'parenchyma': imaging observation_fin: ['wedge']clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged', 'doubtful wedge-shaped hypodensities': 'clinical finding': 'doubtful wedge-shaped hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'doubtful wedge-shaped', 'observation': 'hypodensity'clinical findings_fin: 'persistent pyelonephritis': 'clinical finding': 'persistent pyelonephritis', 'existence': 'unc_dx', 'descriptive_term': 'persistent', 'observation': 'pyelonephritis', 'temporal_term': 'persistent'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': size_fin: ['size': '2.1-cm', 'size_descriptor': 'cyst']anatomical entity_fin: 'ovaries': location descriptor_fin: ['left']clinical findings_fin: '2.1-cm left ovarian cyst': 'clinical finding': '2.1-cm left ovarian cyst', 'existence': 'pos_dx', 'descriptive_term': '2 1-cm left ovarian', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'small free fluid': 'clinical finding': 'small free fluid', 'existence': 'pos_dx', 'descriptive_term': 'small free', 'observation': 'fluid', 'strength_term': 'small' [/INST] [RESP] . Unremarkable. Left lobe hemangiomas are unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Again noted is a small scarred left kidney with multiple ill-defined hypodense areas likely representing pyelonephritis. Focal caliectasis is noted in the upper pole and lower pole of the left kidney. Right kidney is again enlarged with doubtful wedge-shaped hypodensities throughout the parenchyma. These findings are unchanged from previous CT and likely represent persistent pyelonephritis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Fibroids in the uterus. Ovaries are unremarkable except for a 2.1-cm left ovarian cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Small free fluid in pelvis. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pulmonary vein': 'location descriptor': 'left inferior'location descriptor_fin: ['left', 'inferior']anatomical entity_fin: 'liver': clinical findings_fin: 'liver is unremarkable for unenhanced technique': 'clinical finding': 'liver is unremarkable for unenhanced technique'procedure_fin: ['cholecystectomy']clinical findings_fin: 'scattered splenic granulomata': 'clinical finding': 'scattered splenic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'scattered splenic', 'observation': 'granulomata'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'upper abdomen': 'location descriptor': 'left', 'jejunum': location descriptor_fin: ['left']clinical findings_fin: 'focally dilated': 'clinical finding': 'focally dilated', 'existence': 'pos_dx', 'descriptive_term': 'focally', 'observation': 'dilated'clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'localized ileus': 'clinical finding': 'localized ileus', 'existence': 'unc_dx', 'descriptive_term': 'localized', 'observation': 'ileus', 'adhesions': 'clinical finding': 'adhesions', 'existence': 'unc_dx', 'observation': 'adhesion'anatomical entity_fin: 'abdomen': 'location descriptor': 'anterior', 'wall': location descriptor_fin: ['anterior']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'scarring': 'clinical finding': 'scarring', 'existence': 'pos_dx', 'observation': 'scarr'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Anomalous course of the left inferior pulmonary vein. Liver is unremarkable for unenhanced technique. Status post cholecystectomy. No extrahepatic biliary ductal dilatation. Scattered splenic granulomata. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. None. Focally dilated loop of small bowel in the left upper abdomen involving the jejunum. Contrast freely passes through this segment and is likely due to localized ileus or adhesions. Postsurgical changes and scarring and anterior abdomen wall. No significant abnormality noted. Absent or atrophic. No significant abnormality noted. No significant abnormality noted. Please see above. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['superior', 'right', 'lower']clinical findings_fin: 'ill-defined opacity': 'clinical finding': 'ill-defined opacity', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined', 'observation': 'opacity', 'strength_term': 'ill-defined'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'anterior abdominal wall': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'left anterior abdominal wall soft tissue defect': 'clinical finding': 'left anterior abdominal wall soft tissue defect', 'existence': 'pos_dx', 'descriptive_term': 'left anterior abdominal wall soft tissue', 'observation': 'defect', 'ostomy': 'clinical finding': 'ostomy', 'existence': 'unc_dx', 'observation': 'ostomy'anatomical entity_fin: 'bowel': clinical findings_fin: 'free intraperitoneal air': 'clinical finding': 'free intraperitoneal air', 'existence': 'neg_dx', 'descriptive_term': 'free intraperitoneal', 'observation': 'air', 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'feces': imaging observation_fin: ['colon']anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix appears normal': 'clinical finding': 'appendix appears normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'distended': 'clinical finding': 'distended', 'existence': 'pos_dx', 'observation': 'distended', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'anus': object_fin: ['tube']clinical findings_fin: 'tube is present in the anus': 'clinical finding': 'tube is present in the anus'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Ill-defined opacity within the superior right lower lobe is partially visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left anterior abdominal wall soft tissue defect represents an ostomy site. No free intraperitoneal air or bowel obstruction is seen. Feces partially fills the entire colon. The appendix appears normal. No significant abnormality noted. Significantly distended without wall thickening. No significant abnormality noted. A tube is present in the anus. 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'imaging observation_fin: ['infiltrates']clinical findings_fin: 'nodules': 'clinical finding': 'nodules', 'existence': 'neg_dx', 'observation': 'nodule', 'infiltrates': 'clinical finding': 'infiltrates', 'existence': 'neg_dx', 'observation': 'infiltrate', 'effusions': 'clinical finding': 'effusions', 'existence': 'neg_dx', 'observation': 'effusion'anatomical entity_fin: 'axilla': clinical findings_fin: 'significant mediastinal adenopathy': 'clinical finding': 'significant mediastinal adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'adenopathy', 'extensive adenopathy': 'clinical finding': 'extensive adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'adenopathy', 'strength_term': 'extensive'size_fin: ['size': '3.7 x 3.4 cm']location descriptor_fin: ['left']clinical findings_fin: 'marked left axillary adenopathy': 'clinical finding': 'marked left axillary adenopathy', 'existence': 'pos_dx', 'descriptive_term': 'marked left axillary', 'observation': 'adenopathy', 'moderately enlarged lymph nodes': 'clinical finding': 'moderately enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'moderately enlarged lymph', 'observation': 'node', 'strength_term': 'moderately - enlarged', 'change_term': 'enlarged', 'one large lymph node mass': 'clinical finding': 'one large lymph node mass', 'existence': 'pos_dx', 'descriptive_term': 'one large lymph node', 'observation': 'mass', 'strength_term': 'large'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spleen': location descriptor_fin: ['upper']clinical findings_fin: 'focal mass lesion': 'clinical finding': 'focal mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'focal mass', '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: '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 nodules, infiltrates or effusions seen. No significant mediastinal adenopathy seen however, is there is extensive adenopathy described in the axilla section below. Marked left axillary adenopathy with clusters of moderately enlarged lymph nodes and one large lymph node mass measuring 3.7 x 3.4 cm. No significant abnormality noted. Spleen is upper limits of normal in size, homogeneous in appearance without focal mass lesion seen. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No lymphadenopathy identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'third ventricle': 'location descriptor': 'posterior'location descriptor_fin: ['right', 'posterior']object_fin: ['shunt catheter']clinical findings_fin: 'right frontal approach shunt catheter': 'clinical finding': 'right frontal approach shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'right frontal approach shunt', 'observation': 'catheter'object_fin: ['shunt catheter']clinical findings_fin: 'visible kinking': 'clinical finding': 'visible kinking', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'kinking', 'discontinuity': 'clinical finding': 'discontinuity', 'existence': 'neg_dx', 'observation': 'discontinuity', 'shunt catheter': 'clinical finding': 'shunt catheter', 'existence': 'neg_dx', 'descriptive_term': 'shunt', 'observation': 'catheter', 'reservoir system': 'clinical finding': 'reservoir system', 'existence': 'neg_dx', 'descriptive_term': 'reservoir', 'observation': 'system'size_fin: ['size': '5 mm', 'size': '7 mm', 'size': '13-mm', 'size': '15 mm']anatomical entity_fin: 'third ventricle': location descriptor_fin: ['left']clinical findings_fin: 'improvement , prominence of the extra-axial collections is stable': 'clinical finding': 'improvement , prominence of the extra-axial collections is stable', 'change_term': 'stable'anatomical entity_fin: 'subarachnoid spaces': clinical findings_fin: 'thin chronic subdural hematomas': 'clinical finding': 'thin chronic subdural hematomas', 'existence': 'pos_dx', 'descriptive_term': 'thin chronic subdural', 'observation': 'hematoma', 'temporal_term': 'chronic'clinical findings_fin: 'acute intracranial hemorrhage': 'clinical finding': 'acute intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'mild periventricular and deep white matter hypodensity': 'clinical finding': 'mild periventricular and deep white matter hypodensity', 'existence': 'pos_dx', 'descriptive_term': 'mild periventricular and deep white matter', 'observation': 'hypodensity', 'strength_term': 'mild'clinical findings_fin: 'chronic small vessel ischemic disease': 'clinical finding': 'chronic small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'clinical findings_fin: 'new minimal hypodensity': 'clinical finding': 'new minimal hypodensity', 'existence': 'neg_dx', 'descriptive_term': 'new minimal', 'observation': 'hypodensity', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'temporal_term': 'new', 'mass lesion': 'clinical finding': 'mass lesion', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'location descriptor_fin: ['midline']clinical findings_fin: 'mass-effect': 'clinical finding': 'mass-effect', 'existence': 'neg_dx', 'observation': 'mass', 'basal cistern effacement': 'clinical finding': 'basal cistern effacement', 'existence': 'neg_dx', 'descriptive_term': 'basal cistern', 'observation': 'effacement'clinical findings_fin: 'mild intracranial vascular calcification': 'clinical finding': 'mild intracranial vascular calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild intracranial vascular', 'observation': 'calcification', 'strength_term': 'mild'anatomical entity_fin: 'sphenoid sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'persistent partial opacification': 'clinical finding': 'persistent partial opacification', 'existence': 'pos_dx', 'descriptive_term': 'persistent partial', 'observation': 'opacification', 'strength_term': 'partial', 'temporal_term': 'persistent', 'left sphenoid sinus': 'clinical finding': 'left sphenoid sinus', 'existence': 'pos_dx', 'descriptive_term': 'left sphenoid', 'observation': 'sinus'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 as visualized': 'clinical finding': 'orbital contents are unremarkable as visualized' [/INST] [RESP] There is redemonstration of a right frontal approach shunt catheter terminating in the posterior third ventricle or pre-pontine cistern. No visible kinking or discontinuity of the shunt catheter or reservoir system. As the prior examination, there has been slight decrease in size of the ventricles. The left temporal horn now measures 5 mm, previously 7 mm, and the third ventricle measures 13-mm across compared to 15 mm previously. Despite this improvement, prominence of the extra-axial collections is stable. Specifically, there are thin chronic subdural hematomas overlying prominent subarachnoid spaces, stable. No acute intracranial hemorrhage or new extra-axial collection. There is a brain parenchyma is notable for mild periventricular and deep white matter hypodensity. A findings are unchanged from prior study and consistent with chronic small vessel ischemic disease. No new minimal hypodensity or mass lesion. No mass-effect, midline shift, or basal cistern effacement. Mild intracranial vascular calcification. Persistent partial opacification of left sphenoid sinus. Paranasal sinuses and mastoid air cells are otherwise clear. Orbital contents are unremarkable as visualized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'pleural spaces are normal': 'clinical finding': 'pleural spaces are normal'anatomical entity_fin: 'lobe': 'location descriptor': 'bilateral lower'location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'bilateral lower lobe discoid atelectasis': 'clinical finding': 'bilateral lower lobe discoid atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe discoid', 'observation': 'atelectasis'size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['lateral', 'left', 'lower']clinical findings_fin: 'solid elongated 5 mm pulmonary nodule': 'clinical finding': 'solid elongated 5 mm pulmonary nodule', 'existence': 'pos_dx', 'descriptive_term': 'solid elongated 5 mm pulmonary', 'observation': 'nodule'location descriptor_fin: ['right']clinical findings_fin: 'previously seen abnormal right suprahilar opacity': 'clinical finding': 'previously seen abnormal right suprahilar opacity', 'existence': 'neg_dx', 'descriptive_term': 'previously seen abnormal right suprahilar', 'observation': 'opacity'location descriptor_fin: ['right']clinical findings_fin: 'right hilar or perihilar lesions': 'clinical finding': 'right hilar or perihilar lesions', 'existence': 'neg_dx', 'descriptive_term': 'right hilar or perihilar', 'observation': 'lesion'anatomical entity_fin: 'thoracic aorta': , 'main pulmonary artery': clinical findings_fin: 'supra aortic branches , thoracic aorta and the main pulmonary artery is normal in caliber': 'clinical finding': 'supra aortic branches , thoracic aorta and the main pulmonary artery is normal in caliber'anatomical entity_fin: 'heart': clinical findings_fin: 'heart is normal in size': 'clinical finding': 'heart is normal in size'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'location descriptor_fin: ['left']clinical findings_fin: 'calcified left thyroid nodule': 'clinical finding': 'calcified left thyroid nodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified left thyroid', 'observation': 'nodule', 'change_term': 'calcified'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'osseous lesions': 'clinical finding': 'osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'osseous', 'observation': 'lesion'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'moderate hepatic steatosis': 'clinical finding': 'moderate hepatic steatosis', 'existence': 'pos_dx', 'descriptive_term': 'moderate hepatic', 'observation': 'steatosis', 'strength_term': 'moderate'anatomical entity_fin: 'adrenal glands': clinical findings_fin: 'adrenal glands are normal': 'clinical finding': 'adrenal glands are normal' [/INST] [RESP] . The pleural spaces are normal. Bilateral lower lobe discoid atelectasis. There is a solid elongated 5 mm pulmonary nodule in the lateral segment of the left lower lobe. The previously seen abnormal right suprahilar opacity is not visualized. Specifically, there is no evidence of right hilar or perihilar lesions. The supra aortic branches, thoracic aorta and the main pulmonary artery is normal in caliber. The heart is normal in size. No pericardial effusion. No mediastinal or hilar lymphadenopathy. The central airways are patent. Calcified left thyroid nodule. Mild. No axillary lymphadenopathy. No osseous lesions are present. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. There is moderate hepatic steatosis. Both adrenal glands are normal. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'vein': , 'right lung': location descriptor_fin: ['superior']clinical findings_fin: 'is a prominent vein which extends': 'clinical finding': 'is a prominent vein which extends'clinical findings_fin: 'minimal basilar atelectasis': 'clinical finding': 'minimal basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar', 'observation': 'atelectasis', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'uterus': imaging observation_fin: ['enhancing']clinical findings_fin: 'heterogeneous enhancing lobulated appearance of the uterus': 'clinical finding': 'heterogeneous enhancing lobulated appearance of the uterus', 'change_term': 'lobulated'anatomical entity_fin: 'fluid': imaging observation_fin: ['enhancing']location descriptor_fin: ['left']clinical findings_fin: 'left adnexal peripherally enhancing fluid density collections are also a nonspecific ct finding': 'clinical finding': 'left adnexal peripherally enhancing fluid density collections are also a nonspecific ct finding'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bladder': clinical findings_fin: 'bladder diverticulum': 'clinical finding': 'bladder diverticulum', 'existence': 'neg_dx', 'descriptive_term': 'bladder', 'observation': 'diverticulum'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'moderate free fluid': 'clinical finding': 'moderate free fluid', 'existence': 'pos_dx', 'descriptive_term': 'moderate free', 'observation': 'fluid', 'strength_term': 'moderate'location descriptor_fin: ['right']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] . There is a prominent vein which extends from the most superior image of this examination in the right lung and drains into the suprahepatic IVC. Minimal basilar atelectasis. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Heterogeneous enhancing lobulated appearance of the uterus is nonspecific. Left adnexal peripherally enhancing fluid density collections are also a nonspecific CT finding. No significant abnormality noted. Specifically, no evidence of bladder diverticulum. No significant abnormality noted. Moderate free fluid in the pelvis could be physiologic or related to the recent surgery. Postoperative changes in the right inguinal soft tissues compatible with recent surgery. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lingular artery': 'location descriptor': 'subsegmental', 'left lower lobe artery': 'location descriptor': 'subsegmental'location descriptor_fin: ['subsegmental']clinical findings_fin: 'filling defects': 'clinical finding': 'filling defects', 'existence': 'pos_dx', 'descriptive_term': 'filling', 'observation': 'defect'anatomical entity_fin: 'airways': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'neg_dx', 'observation': 'patent'clinical findings_fin: 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'location descriptor_fin: ['left', 'right']clinical findings_fin: 'small left pleural effusion': 'clinical finding': 'small left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small', 'right pleural effusion': 'clinical finding': 'right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'right pleural', 'observation': 'effusion'anatomical entity_fin: 'airspace': , 'lung': , 'bases': location descriptor_fin: ['left', 'right']clinical findings_fin: 'patchy airspace opacities': 'clinical finding': 'patchy airspace opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy airspace', 'observation': 'opacity', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'pos_dx', 'observation': 'atelectasis', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'unc_dx', 'observation': 'consolidation'anatomical entity_fin: 'airspace': , 'lingula': clinical findings_fin: 'focal airspace opacity': 'clinical finding': 'focal airspace opacity', 'existence': 'pos_dx', 'descriptive_term': 'focal airspace', 'observation': 'opacity', 'infarct': 'clinical finding': 'infarct', 'existence': 'unc_dx', 'observation': 'infarct', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'unc_dx', 'observation': 'hemorrhage'anatomical entity_fin: 'middle': 'location descriptor': 'right', 'lobe': location descriptor_fin: ['right']clinical findings_fin: 'linear atelectasis': 'clinical finding': 'linear atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'atelectasis'anatomical entity_fin: 'heart': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'slight right heart strain': 'clinical finding': 'slight right heart strain', 'existence': 'unc_dx', 'descriptive_term': 'slight right heart', 'observation': 'strain'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: '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: 'significant axillary, cardiophrenic, internal mammary, or retrocrural lymphadenopathy': 'clinical finding': 'significant axillary, cardiophrenic, internal mammary, or retrocrural lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant axillary cardiophrenic internal mammary or retrocrural', 'observation': 'lymphadenopathy'clinical findings_fin: 'osseous structures are within normal limits': 'clinical finding': 'osseous structures are within normal limits'clinical findings_fin: 'bmi is increased': 'clinical finding': 'bmi is increased', 'change_term': 'increased'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . There are filling defects in subsegmental lingular artery and subsegmental left lower lobe artery. The central airways are patent. No pneumothorax. Small left pleural effusion and trace right pleural effusion. Patchy airspace opacities are seen in the dependent lung bases bilaterally, left greater than right compatible with atelectasis or consolidation. Focal airspace opacity in the lingula may represent infarct or hemorrhage. Linear atelectasis in the right middle lobe. There is mild straightening of the intraventricular septum that may reflect slight right heart strain although this is equivocal. The heart size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopathy. No significant axillary, cardiophrenic, internal mammary, or retrocrural lymphadenopathy. The osseous structures are within normal limits. BMI is increased. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'dependent atelectasis': 'clinical finding': 'dependent atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'dependent', 'observation': 'atelectasis'size_fin: ['size': '5 mm', 'size_descriptor': 'micronodules']clinical findings_fin: 'few scattered pulmonary micronodules': 'clinical finding': 'few scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'few scattered pulmonary', 'observation': 'micronodule', 'quantity_term': 'few'clinical findings_fin: 'some micronodules': 'clinical finding': 'some micronodules', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'micronodule', 'quantity_term': 'some', 'fissures': 'clinical finding': 'fissures', 'existence': 'pos_dx', 'observation': 'fissure', 'most likely intrapulmonary lymph nodes': 'clinical finding': 'most likely intrapulmonary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'most likely intrapulmonary lymph', 'observation': 'node', 'quantity_term': 'most'size_fin: ['size': '13 x 11 mm', 'size_descriptor': 'node']location descriptor_fin: ['superior']clinical findings_fin: 'superior mediastinal paraesophageal lymph node': 'clinical finding': 'superior mediastinal paraesophageal lymph node', 'existence': 'pos_dx', 'descriptive_term': 'superior mediastinal paraesophageal lymph', 'observation': 'node', 'strength_term': 'superior', 'metastases': 'clinical finding': 'metastases', 'existence': 'unc_dx', 'observation': 'metastase'size_fin: ['size': '32 x 21 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'location descriptor_fin: ['right']clinical findings_fin: 'hilar lymph nodes': 'clinical finding': 'hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'hilar lymph', 'observation': 'node'anatomical entity_fin: 'aortic arch': 'location descriptor': 'right', 'left subclavian artery': location descriptor_fin: ['right']clinical findings_fin: 'right aortic arch with aberrant left subclavian artery , benign anatomic variant': 'clinical finding': 'right aortic arch with aberrant left subclavian artery , benign anatomic variant'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'small hiatal hernia': 'clinical finding': 'small hiatal hernia', 'existence': 'pos_dx', 'descriptive_term': 'small hiatal', 'observation': 'hernia', 'strength_term': 'small'clinical findings_fin: 'nonspecific subcentimeter hepatic hypodensities': 'clinical finding': 'nonspecific subcentimeter hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific subcentimeter hepatic', 'observation': 'hypodensity', 'most likely benign cysts': 'clinical finding': 'most likely benign cysts', 'existence': 'pos_dx', 'descriptive_term': 'most likely benign', 'observation': 'cyst', 'strength_term': 'benign', 'quantity_term': 'most' [/INST] [RESP] . Dependent atelectasis. A few scattered pulmonary micronodules, some of which are calcified, measuring up to 5 mm. Some micronodules along the fissures are most likely intrapulmonary lymph nodes. Superior mediastinal paraesophageal lymph node measures 13 x 11 mm , indeterminate but possibly due to metastases. Enlarged right hilar lymph node measuring 32 x 21 mm. Other right hilar lymph nodes are partially calcified. Right aortic arch with aberrant left subclavian artery, benign anatomic variant. Degenerative changes of the thoracic spine. Small hiatal hernia. Nonspecific subcentimeter hepatic hypodensities, most likely benign cysts. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'postoperative and posttreatment': 'clinical finding': 'postoperative and posttreatment', 'existence': 'pos_dx', 'descriptive_term': 'postoperative and', 'observation': 'posttreatment'clinical findings_fin: 'any recurrent mucosal tumor': 'clinical finding': 'any recurrent mucosal tumor', 'existence': 'neg_dx', 'descriptive_term': 'any recurrent mucosal', 'observation': 'tumor'location descriptor_fin: ['left']clinical findings_fin: 'aerated': 'clinical finding': 'aerated', 'existence': 'neg_dx', 'observation': 'aerate'anatomical entity_fin: 'neck': clinical findings_fin: 'pathologic adenopathy': 'clinical finding': 'pathologic adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'pathologic', 'observation': 'adenopathy'anatomical entity_fin: 'left submandibular gland': , 'salivary glands': clinical findings_fin: 'altered': 'clinical finding': 'altered', 'existence': 'pos_dx', 'observation': 'alter', 'postsurgical change': 'clinical finding': 'postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'clinical findings_fin: 'destructive osseous lesions': 'clinical finding': 'destructive osseous lesions', 'existence': 'neg_dx', 'descriptive_term': 'destructive osseous', 'observation': 'lesion'clinical findings_fin: 'multilevel cervical spondylosis': 'clinical finding': 'multilevel cervical spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'multilevel cervical', 'observation': 'spondylosis' [/INST] [RESP] Postoperative and posttreatment findings are redemonstrated. No evidence of any recurrent mucosal tumor is seen. The left piriform sinus is better aerated than on the prior examination. No pathologic adenopathy is detected by size criteria in the neck. The left submandibular gland is altered by postsurgical change but elsewhere the salivary glands and the thyroid are within normal limits. The cervical vessels enhance normally. No destructive osseous lesions are seen. Multilevel cervical spondylosis is unchanged. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'neck': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: 'interval postsurgical change': 'clinical finding': 'interval postsurgical change', 'existence': 'pos_dx', 'descriptive_term': 'interval postsurgical', 'observation': 'change', 'selective right neck dissection': 'clinical finding': 'selective right neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'selective right neck', 'observation': 'dissection', 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple', 'previously measured right level 1b lymph node': 'clinical finding': 'previously measured right level 1b lymph node', 'existence': 'pos_dx', 'descriptive_term': 'previously measured right level 1b lymph', 'observation': 'node'anatomical entity_fin: 'tonsil': 'location descriptor': 'right', 'neck': location descriptor_fin: ['right']clinical findings_fin: 'measurable residual right tonsil tumor': 'clinical finding': 'measurable residual right tonsil tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable residual right tonsil', 'observation': 'tumor', 'temporal_term': 'residual', 'other discrete neck mass': 'clinical finding': 'other discrete neck mass', 'existence': 'neg_dx', 'descriptive_term': 'other discrete neck', 'observation': 'mass'clinical findings_fin: 'residual lymphadenopathy': 'clinical finding': 'residual lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'residual', 'observation': 'lymphadenopathy', 'temporal_term': 'residual'anatomical entity_fin: 'neck': location descriptor_fin: ['anterior']clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'pos_dx', 'observation': 'edema'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: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'mild degenerative': 'clinical finding': 'mild degenerative', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'degenerative', 'strength_term': 'mild', 'grade 1 anterolisthesis': 'clinical finding': 'grade 1 anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'grade 1', 'observation': 'anterolisthesis'anatomical entity_fin: 'spine': , 'facet': clinical findings_fin: 'moderate multilevel degenerative changes': 'clinical finding': 'moderate multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'moderate multilevel degenerative', 'observation': 'change', 'strength_term': 'moderate', 'uncovertebral hypertrophy': 'clinical finding': 'uncovertebral hypertrophy', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'hypertrophy', 'disc osteophyte complexes': 'clinical finding': 'disc osteophyte complexes', 'existence': 'pos_dx', 'descriptive_term': 'disc osteophyte', 'observation': 'complex', 'resultant multilevel neural foraminal stenoses': 'clinical finding': 'resultant multilevel neural foraminal stenoses', 'existence': 'pos_dx', 'descriptive_term': 'resultant multilevel neural foraminal', 'observation': 'stenoses'anatomical entity_fin: 'spinal canal': clinical findings_fin: 'high-grade spinal canal': 'clinical finding': 'high-grade spinal canal', 'existence': 'neg_dx', 'descriptive_term': 'high-grade spinal', 'observation': 'canal', 'neural foraminal stenosis': 'clinical finding': 'neural foraminal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'neural foraminal', 'observation': 'stenosis'anatomical entity_fin: 'airways': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'chest': [/INST] [RESP] There are interval postsurgical change related to selective right neck dissection with multiple surgical clips and removal of the previously measured right level 1B lymph node. There is no measurable residual right tonsil tumor or other discrete neck mass. No residual lymphadenopathy is evident. Edema in the anterior subcutaneous soft tissues of the neck have increased since 5/13/2016. The thyroid and major salivary glands are unchanged. The major cervical vessels are patent. Mild degenerative grade 1 anterolisthesis of C4 on C5 is redemonstrated. Moderate multilevel degenerative changes are again noted throughout the cervical spine including uncovertebral hypertrophy, facet arthropathy, and disc osteophyte complexes with resultant multilevel neural foraminal stenoses. There is no high-grade spinal canal or neural foraminal stenosis. The airways are patent. The imaged intracranial structures are unremarkable. Please refer to CT of the chest report from the same date for any intrathoracic findings. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lung': location descriptor_fin: ['left']clinical findings_fin: 'asymmetrical lung volume loss': 'clinical finding': 'asymmetrical lung volume loss', 'existence': 'pos_dx', 'descriptive_term': 'asymmetrical lung volume', 'observation': 'loss'anatomical entity_fin: 'left lung': , 'base': , 'apex': clinical findings_fin: 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity', 'new coarse interstitial abnormality': 'clinical finding': 'new coarse interstitial abnormality', 'existence': 'pos_dx', 'descriptive_term': 'new coarse interstitial', 'observation': 'abnormality', 'temporal_term': 'new', 'fibrosis': 'clinical finding': 'fibrosis', 'existence': 'unc_dx', 'observation': 'fibrosis'clinical findings_fin: 'slight progression': 'clinical finding': 'slight progression', 'existence': 'pos_dx', 'descriptive_term': 'slight', 'observation': 'progression', 'mild cylindrical bronchiectasis': 'clinical finding': 'mild cylindrical bronchiectasis', 'existence': 'pos_dx', 'descriptive_term': 'mild cylindrical', 'observation': 'bronchiectasis', 'strength_term': 'mild'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'multiple borderline enlarged mediastinal lymph nodes': 'clinical finding': 'multiple borderline enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple borderline enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'borderline - enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged', '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: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': anatomical entity_fin: 'gastroesophageal junction': object_fin: ['surgical clips']clinical findings_fin: 'surgical clips': 'clinical finding': 'surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'surgical', 'observation': 'clip'procedure_fin: ['cholecystectomy']location descriptor_fin: ['left']clinical findings_fin: 'probable left renal cyst': 'clinical finding': 'probable left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'probable left renal', 'observation': 'cyst' [/INST] [RESP] Evaluation of the solid organs is limited due to lack of intravenous contrast. Asymmetrical lung volume loss is noted, greater in the left. On the current study, there are large areas of groundglass opacity in the left lung base and periphery as well as new coarse interstitial abnormality in the left lung apex that is suggestive of fibrosis. Slight progression of mild cylindrical bronchiectasis is also noted. Multiple borderline enlarged mediastinal lymph nodes are unchanged from prior study, with no significant mediastinal or hilar lymphadenopathy. No cardiomegaly or pericardial effusion. Multilevel degenerative disk disease in the thoracic spine. Surgical clips about the gastroesophageal junction. Status post cholecystectomy. Probable left renal cyst is unchanged in appearance from prior study. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'intracranial mass': 'clinical finding': 'intracranial mass', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'mass', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'hydrocephalus': 'clinical finding': 'hydrocephalus', 'existence': 'neg_dx', 'observation': 'hydrocephalus', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement'clinical findings_fin: 'ventricles and basal cisterns are stable in size and configuration': 'clinical finding': 'ventricles and basal cisterns are stable in size and configuration', 'change_term': 'stable'location descriptor_fin: ['midline']clinical findings_fin: 'herniation': 'clinical finding': 'herniation', 'existence': 'neg_dx', 'observation': 'herniation'anatomical entity_fin: 'paranasal sinus': clinical findings_fin: 'mild scattered paranasal sinus opacification': 'clinical finding': 'mild scattered paranasal sinus opacification', 'existence': 'pos_dx', 'descriptive_term': 'mild scattered paranasal sinus', 'observation': 'opacification', 'strength_term': 'mild'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'skull': clinical findings_fin: 'skull and extracranial soft tissues are unremarkable': 'clinical finding': 'skull and extracranial soft tissues are unremarkable'location descriptor_fin: ['right']clinical findings_fin: 'posttreatment': 'clinical finding': 'posttreatment', 'existence': 'pos_dx', 'observation': 'posttreatment'anatomical entity_fin: 'esophagus': clinical findings_fin: 'neo-esophagus': 'clinical finding': 'neo-esophagus', 'existence': 'neg_dx', 'observation': 'neo-esophagus'clinical findings_fin: 'significant lymphadenopathy': 'clinical finding': 'significant lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'lymphadenopathy', 'mass lesions': 'clinical finding': 'mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'lesion'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'hypopharynx': clinical findings_fin: 'nasopharynx , oropharynx and hypopharynx are also unremarkable': 'clinical finding': 'nasopharynx , oropharynx and hypopharynx are also unremarkable'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'thyroid , submandibular , and parotid glands are unremarkable': 'clinical finding': 'thyroid , submandibular , and parotid glands are unremarkable'anatomical entity_fin: 'vein': location descriptor_fin: ['right']clinical findings_fin: 'bulbous': 'clinical finding': 'bulbous', 'existence': 'pos_dx', 'observation': 'bulbous'anatomical entity_fin: 'subclavian veins': location descriptor_fin: ['left']clinical findings_fin: 'focal filling defect': 'clinical finding': 'focal filling defect', 'existence': 'pos_dx', 'descriptive_term': 'focal filling', 'observation': 'defect', 'thrombus': 'clinical finding': 'thrombus', 'existence': 'unc_dx', 'observation': 'thrombus'location descriptor_fin: ['left']clinical findings_fin: 'partially calcified nonocclusive thrombus': 'clinical finding': 'partially calcified nonocclusive thrombus', 'existence': 'pos_dx', 'descriptive_term': 'partially calcified nonocclusive', 'observation': 'thrombus', 'strength_term': 'partially', 'change_term': 'calcified'clinical findings_fin: 'degenerative spondylosis': 'clinical finding': 'degenerative spondylosis', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'spondylosis', 'lytic or blastic lesions': 'clinical finding': 'lytic or blastic lesions', 'existence': 'neg_dx', 'descriptive_term': 'lytic or blastic', 'observation': 'lesion'clinical findings_fin: 'carious ada': 'clinical finding': 'carious ada', 'existence': 'pos_dx', 'descriptive_term': 'carious', 'observation': 'ada' [/INST] [RESP] . There is no intracranial mass, edema, hemorrhage, hydrocephalus, or focus of abnormal enhancement. The ventricles and basal cisterns are stable in size and configuration. There is no midline shift or herniation. There is mild scattered paranasal sinus opacification. The mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. There are posttreatment findings related including those related to the gastric pull-up procedure as well as a right-sided PICC line. The neo-esophagus is unremarkable. There is no significant lymphadenopathy or mass lesions. The nasopharynx, oropharynx and hypopharynx are also unremarkable. The thyroid, submandibular, and parotid glands are unremarkable. The right jugular vein is bulbous. There is a focal filling defect at the confluence of the left internal jugular and subclavian veins that most likely represents thrombus. There is partially calcified nonocclusive thrombus at the left carotid bifurcation. There is degenerative spondylosis, but no lytic or blastic lesions. There are carious ADA 15 and 16. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'nasopharyngeal mucosal thickening': 'clinical finding': 'nasopharyngeal mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'nasopharyngeal mucosal', 'observation': 'thickening', 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'anatomical entity_fin: 'gland': location descriptor_fin: ['right']clinical findings_fin: 'gland fatty replacement': 'clinical finding': 'gland fatty replacement', 'existence': 'pos_dx', 'descriptive_term': 'gland fatty', 'observation': 'replacement'anatomical entity_fin: 'infundibulum': clinical findings_fin: 'prominent': 'clinical finding': 'prominent', 'existence': 'pos_dx', 'observation': 'prominent'clinical findings_fin: 'finding is stable since 2003': 'clinical finding': 'finding is stable since 2003', 'change_term': 'stable'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits are unremarkable': 'clinical finding': 'orbits are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy'anatomical entity_fin: 'arteries': , 'veins': clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable' [/INST] [RESP] Nasopharyngeal mucosal thickening and enhancement appears similar to prior considering differences in technique. Right carotid submitted to the gland fatty replacement. The basilar tip appears mildly prominent, which may be due to a vascular infundibulum. This finding is stable since 2003. The orbits are unremarkable. The paranasal sinuses and mastoid air cells are clear. No lymphadenopathy is noted. The carotid arteries and jugular veins are patent. The osseous structures are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'walls': location descriptor_fin: ['midline']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change', 'midline fractures': 'clinical finding': 'midline fractures', 'existence': 'pos_dx', 'descriptive_term': 'midline', 'observation': 'fracture', 'nasal reconstruction': 'clinical finding': 'nasal reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'reconstruction', 'reconstruction': 'clinical finding': 'reconstruction', 'existence': 'pos_dx', 'observation': 'reconstruction'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'sclerotic': 'clinical finding': 'sclerotic', 'existence': 'pos_dx', 'observation': 'sclerotic'anatomical entity_fin: 'palate': , 'cribriform plate': location descriptor_fin: ['left']clinical findings_fin: 'defects': 'clinical finding': 'defects', 'existence': 'pos_dx', 'observation': 'defect'clinical findings_fin: 'nasal passages': 'clinical finding': 'nasal passages', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'passage', 'obstructed': 'clinical finding': 'obstructed', 'existence': 'pos_dx', 'observation': 'obstruct'anatomical entity_fin: 'nasal cavity': clinical findings_fin: 'nonspecific soft tissue': 'clinical finding': 'nonspecific soft tissue', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft', 'observation': 'tissue'imaging observation_fin: ['soft tissue density']clinical findings_fin: 'nonspecific soft tissue density': 'clinical finding': 'nonspecific soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific soft tissue', 'observation': 'density'anatomical entity_fin: 'mastoid air cells': 'location descriptor': 'bilateral', 'middle': location descriptor_fin: ['bilateral']clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear'anatomical entity_fin: 'fluid': anatomical entity_fin: 'brain': , 'nasopharynx': clinical findings_fin: 'visualized brain , and nasopharynx': 'clinical finding': 'visualized brain , and nasopharynx' [/INST] [RESP] Postsurgical changes of resection of the midline fractures with nasal reconstruction and reconstruction of the orbital walls is again seen. The remaining maxillofacial bones and skull base appear sclerotic. Defects are seen in the left hard palate and cribriform plate. The nasal passages appear completely obstructed. Nonspecific soft tissue is seen surrounding the nasal cavity. Nonspecific soft tissue density is also seen in the inferomedial extraconal space bilaterally. Bilateral mastoid air cells and middle air cavities are clear. There are no air-fluid levels. The visualized brain, and nasopharynx are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'bilateral pleural effusions': 'clinical finding': 'bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'bilateral pleural', 'observation': 'effusion', 'underlying compressive atelectasis': 'clinical finding': 'underlying compressive atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'underlying compressive', 'observation': 'atelectasis'clinical findings_fin: 'scattered subcentimeter hypodense nodules': 'clinical finding': 'scattered subcentimeter hypodense nodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered subcentimeter hypodense', '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'location descriptor_fin: ['left']procedure_fin: ['nephrectomy']anatomical entity_fin: 'right kidney': clinical findings_fin: 'right kidney is unremarkable': 'clinical finding': 'right kidney is unremarkable'object_fin: ['filter']clinical findings_fin: 'ivc filter': 'clinical finding': 'ivc filter'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'sigmoid colon': , 'rectum': clinical findings_fin: 'circumferential wall thickening': 'clinical finding': 'circumferential wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'circumferential wall', 'observation': 'thickening', 'surrounding free fluid': 'clinical finding': 'surrounding free fluid', 'existence': 'pos_dx', 'descriptive_term': 'surrounding free', 'observation': 'fluid', 'colitis': 'clinical finding': 'colitis', 'existence': 'unc_dx', 'observation': 'colitis', 'proctitis': 'clinical finding': 'proctitis', 'existence': 'unc_dx', 'observation': 'proctitis'clinical findings_fin: 'pneumatosis': 'clinical finding': 'pneumatosis', 'existence': 'neg_dx', 'observation': 'pneumatosis', 'free air': 'clinical finding': 'free air', 'existence': 'neg_dx', 'descriptive_term': 'free', 'observation': 'air'anatomical entity_fin: 'l1 vertebral body': , 'bony': clinical findings_fin: 'lucent lesion': 'clinical finding': 'lucent lesion', 'existence': 'pos_dx', 'descriptive_term': 'lucent', 'observation': 'lesion', 'partially collapsed': 'clinical finding': 'partially collapsed', 'existence': 'pos_dx', 'descriptive_term': 'partially', 'observation': 'collapse', 'strength_term': 'partially', 'bony metastasis': 'clinical finding': 'bony metastasis', 'existence': 'pos_dx', 'descriptive_term': 'bony', 'observation': 'metastasis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bilateral pleural effusions, left greater than right, with underlying compressive atelectasis. Scattered subcentimeter hypodense nodules, too small to characterize. These should be followed to assess stability over time. Surgically absent. No significant abnormality noted. No significant abnormality noted. Status post left nephrectomy. The right kidney is unremarkable. IVC filter. No significant abnormality noted. No significant abnormality noted. Ascites. Status post gastrectomy. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Circumferential wall thickening of the sigmoid colon and rectum with surrounding free fluid compatible with colitis or proctitis. No evidence of pneumatosis or free air. Lucent lesion in a partially collapsed L1 vertebral body compatible with bony metastasis. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'cells': location descriptor_fin: ['right', 'left']clinical findings_fin: 'near complete opacification': 'clinical finding': 'near complete opacification', 'existence': 'pos_dx', 'descriptive_term': 'near complete', 'observation': 'opacification'clinical findings_fin: 'frontal and sphenoid sinuses': 'clinical finding': 'frontal and sphenoid sinuses', 'existence': 'neg_dx', 'descriptive_term': 'frontal and sphenoid', 'observation': 'sinus'anatomical entity_fin: 'ostiomeatal units': 'location descriptor': 'left'location descriptor_fin: ['right', 'left']clinical findings_fin: 'right and left ostiomeatal units are completely opacified': 'clinical finding': 'right and left ostiomeatal units are completely opacified', 'change_term': 'opacified'clinical findings_fin: 'sniff': 'clinical finding': 'sniff', 'existence': 'neg_dx', 'observation': 'sniff'anatomical entity_fin: 'fluid': clinical findings_fin: 'bony erosive changes': 'clinical finding': 'bony erosive changes', 'existence': 'neg_dx', 'descriptive_term': 'bony erosive', 'observation': 'change'anatomical entity_fin: 'orbits': clinical findings_fin: 'visualized orbits and intracranial content': 'clinical finding': 'visualized orbits and intracranial content' [/INST] [RESP] Examination shows near complete opacification involving both right and left maxillary sinuses and ethmoid air cells. The frontal and sphenoid sinuses are not developed at this time. The both right and left ostiomeatal units are completely opacified. There is no sniff nasal septal deviation. There are no air-fluid levels. No bony erosive changes are seen. The visualized orbits and intracranial content are unremarkable. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'postoperative': 'clinical finding': 'postoperative', 'existence': 'pos_dx', 'observation': 'postoperative', 'partial thyroidectomy': 'clinical finding': 'partial thyroidectomy', 'existence': 'pos_dx', 'descriptive_term': 'partial', 'observation': 'thyroidectomy', 'strength_term': 'partial'size_fin: ['size': '4.3 cm', 'size': '8.3 cm']anatomical entity_fin: 'lobe': , 'thoracic inlet': location descriptor_fin: ['left']clinical findings_fin: 'enlarged, mildly heterogeneous residual': 'clinical finding': 'enlarged, mildly heterogeneous residual', 'existence': 'pos_dx', 'descriptive_term': 'enlarged mildly heterogeneous', 'observation': 'residual', 'strength_term': 'enlarged - mildly', 'change_term': 'enlarged', 'significant interval change': 'clinical finding': 'significant interval change', 'existence': 'pos_dx', 'descriptive_term': 'significant interval', 'observation': 'change'anatomical entity_fin: 'trachea': location descriptor_fin: ['deviated', 'right']clinical findings_fin: 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'anatomical entity_fin: 'salivary glands': clinical findings_fin: 'salivary glands are unremarkable': 'clinical finding': 'salivary glands are unremarkable'clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'anatomical entity_fin: 'vasculature': location descriptor_fin: ['left']clinical findings_fin: 'mild atherosclerotic changes': 'clinical finding': 'mild atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'clinical findings_fin: 'imaged intracranial structures are unremarkable': 'clinical finding': 'imaged intracranial structures are unremarkable'anatomical entity_fin: 'lung': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'pos_dx', 'observation': 'clear' [/INST] [RESP] There are postoperative findings related to partial thyroidectomy. Again seen is an enlarged, mildly heterogeneous residual left thyroid lobe measuring up to approximately 4.3 cm in the AP dimension and 8.3 cm craniocaudally with extension to the level of the thoracic inlet, without significant interval change. The trachea is deviated slightly to the right but remains patent. There is no evidence of significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical vessels are patent. Retropharyngeal course of the left carotid vasculature with mild atherosclerotic changes are noted. Multilevel degenerative changes of the visualized cervical spine are also noted. The imaged intracranial structures are unremarkable. The imaged portions of the lung are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['posterior']clinical findings_fin: 'calcified and hypertrophic posterior elements': 'clinical finding': 'calcified and hypertrophic posterior elements', 'existence': 'pos_dx', 'descriptive_term': 'calcified and hypertrophic posterior', 'observation': 'element', 'change_term': 'calcified'procedure_fin: ['myelography']clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'pos_dx', 'observation': 'contrast', 'these hypertrophic changes': 'clinical finding': 'these hypertrophic changes', 'existence': 'neg_dx', 'descriptive_term': 'these hypertrophic', 'observation': 'change'anatomical entity_fin: 'ligamentum flavum': , 'cord': imaging observation_fin: ['cord']clinical findings_fin: 'heavy calcification': 'clinical finding': 'heavy calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy', 'observation': 'calcification', 'strength_term': 'heavy', 'ventral hypertrophic spur': 'clinical finding': 'ventral hypertrophic spur', 'existence': 'pos_dx', 'descriptive_term': 'ventral hypertrophic', 'observation': 'spur'imaging observation_fin: ['cord']clinical findings_fin: 'caliber of the cord , however , is appropriate': 'clinical finding': 'caliber of the cord , however , is appropriate'imaging observation_fin: ['cord']clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'spinal canal': 'location descriptor': 'central'location descriptor_fin: ['central']clinical findings_fin: 'contrast': 'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'size_fin: ['size': '7.8 mm']clinical findings_fin: 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'pos_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis'anatomical entity_fin: 'ligamentum': , 'flavum': clinical findings_fin: 'heavy calcification': 'clinical finding': 'heavy calcification', 'existence': 'pos_dx', 'descriptive_term': 'heavy', 'observation': 'calcification', 'strength_term': 'heavy'imaging observation_fin: ['cord']clinical findings_fin: 'cord caliber is normal': 'clinical finding': 'cord caliber is normal'clinical findings_fin: 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'central spinal stenosis': 'clinical finding': 'central spinal stenosis', 'existence': 'neg_dx', 'descriptive_term': 'central spinal', 'observation': 'stenosis'anatomical entity_fin: 'spine': clinical findings_fin: 'lumbar spine': 'clinical finding': 'lumbar spine' [/INST] [RESP] Calcified and hypertrophic posterior elements are evident at multiple levels. At T4/5, where a hangup of contrast was noted on plain film myelography, these hypertrophic changes do not appear any more severe than at multiple additional levels. At T10-11, heavy calcification of the ligamentum flavum and a ventral hypertrophic spur cause indentation of the cord. The caliber of the cord, however, is appropriate. No cord expansion or definite evidence of edema. No contrast is seen along the ventral aspect of the central spinal canal at this level. A central spinal stenosis of 7.8 mm is noted. At T12-1, heavy calcification of the ligamentum of flavum is evident. The cord caliber is normal. No evidence of mass effect or deviation. No evidence of central spinal stenosis at the remaining thoracic levels. LUMBAR SPINE [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'parenchyma': clinical findings_fin: 'diffuse hypoattenuation': 'clinical finding': 'diffuse hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'hypoattenuation', 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'clinical findings_fin: 'subcentimeter hepatic hypoattenuations': 'clinical finding': 'subcentimeter hepatic hypoattenuations', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter hepatic', 'observation': 'hypoattenuation'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis'clinical findings_fin: 'accessory splenule': 'clinical finding': 'accessory splenule', 'existence': 'pos_dx', 'descriptive_term': 'accessory', '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'imaging observation_fin: ['foci']clinical findings_fin: 'renal hypoattenuating foci': 'clinical finding': 'renal hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'renal hypoattenuating', 'observation': 'foci', 'likely cysts': 'clinical finding': 'likely cysts', 'existence': 'pos_dx', 'descriptive_term': 'likely', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'prostate': imaging observation_fin: ['foci']clinical findings_fin: 'multiple metallic foci': 'clinical finding': 'multiple metallic foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple metallic', 'observation': 'foci', 'quantity_term': 'multiple'anatomical entity_fin: 'bladder': clinical findings_fin: 'nondistended': 'clinical finding': 'nondistended', 'existence': 'pos_dx', 'observation': 'nondistend', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'wall', 'observation': 'thickening'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . No significant abnormality noted. Diffuse hypoattenuation of the hepatic parenchyma again suggests fatty infiltration. Subcentimeter hepatic hypoattenuations are unchanged. Cholelithiasis. Accessory splenule. No significant abnormality noted. No significant abnormality noted. Renal hypoattenuating foci, likely cysts, unchanged. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Atrophic prostate, containing multiple metallic foci. The bladder is partially nondistended, with apparent bladder wall thickening. No significant abnormality noted. No significant abnormality noted. Degenerative changes in the lumbar spine. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'pulmonary embolus': 'clinical finding': 'pulmonary embolus', 'existence': 'neg_dx', 'descriptive_term': 'pulmonary', 'observation': 'embolus'size_fin: ['size': '16 x 9 mm', 'size_descriptor': 'opacity']anatomical entity_fin: 'lobe': 'location descriptor': 'left lower', 'left major fissure': location descriptor_fin: ['superior', 'left', 'lower']clinical findings_fin: '16 x 9 mm retractile nodular opacity': 'clinical finding': '16 x 9 mm retractile nodular opacity', 'existence': 'pos_dx', 'descriptive_term': '16 x 9 mm retractile nodular', 'observation': 'opacity', 'scar': 'clinical finding': 'scar', 'existence': 'pos_dx', 'observation': 'scar'follow-up_fin: follow-up recommendedlocation descriptor_fin: ['bilateral', 'left']clinical findings_fin: 'bilateral scarlike opacities': 'clinical finding': 'bilateral scarlike opacities', 'existence': 'pos_dx', 'descriptive_term': 'bilateral scarlike', 'observation': 'opacity', 'left basilar atelectasis': 'clinical finding': 'left basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'left basilar', 'observation': 'atelectasis'anatomical entity_fin: 'lobe': 'location descriptor': 'right lower'location descriptor_fin: ['right', 'lower', 'subsegmental']clinical findings_fin: 'nonspecific micronodule': 'clinical finding': 'nonspecific micronodule', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific', 'observation': 'micronodule', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'unc_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'anterior chest wall': 'location descriptor': 'left'location descriptor_fin: ['left']object_fin: ['bullet']clinical findings_fin: 'bullet fragment is noted in the soft tissue of the left anterior chest wall': 'clinical finding': 'bullet fragment is noted in the soft tissue of the left anterior chest wall'anatomical entity_fin: 'abdominal': , 'wall': location descriptor_fin: ['anterior']clinical findings_fin: 'soft tissue laceration': 'clinical finding': 'soft tissue laceration', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'laceration'anatomical entity_fin: 'wall': imaging observation_fin: ['fat']location descriptor_fin: ['superior']clinical findings_fin: 'thickening': 'clinical finding': 'thickening', 'existence': 'pos_dx', 'observation': 'thickening', 'surrounding fat stranding': 'clinical finding': 'surrounding fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'surrounding fat', 'observation': 'strand', 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid', 'free air': 'clinical finding': 'free air', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'air', 'apparent fluid collection': 'clinical finding': 'apparent fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'apparent fluid', 'observation': 'collection', 'subdiaphragmatic abscess': 'clinical finding': 'subdiaphragmatic abscess', 'existence': 'unc_dx', 'descriptive_term': 'subdiaphragmatic', 'observation': 'abscess'anatomical entity_fin: 'abdomen': anatomical entity_fin: 'upper abdomen': , 'pole': 'location descriptor': 'upper', 'left kidney': location descriptor_fin: ['upper']clinical findings_fin: 'hypodense lesion': 'clinical finding': 'hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypodense', 'observation': 'lesion', 'infarct': 'clinical finding': 'infarct', 'existence': 'pos_dx', 'observation': 'infarct'anatomical entity_fin: 'abdominal': anatomical entity_fin: 'abdominal quadrant': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']object_fin: ['bullet']clinical findings_fin: 'several scattered punctate metalic densities': 'clinical finding': 'several scattered punctate metalic densities', 'existence': 'pos_dx', 'descriptive_term': 'several scattered punctate metalic', 'observation': 'density', 'quantity_term': 'several'procedure_fin: ['splenectomy'] [/INST] [RESP] . No evidence of pulmonary embolus. 16 x 9 mm retractile nodular opacity is noted in the superior segment of the left lower lobe extending from the subpleural surface to the left major fissure , most compatible with a scar in this young patient. However, CXR follow-up with is recommended. Bilateral scarlike opacities with left basilar atelectasis. A nonspecific micronodule is noted in the right lower lobe at the subsegmental level of vascular bifurcation, may represent an intrapulmonary lymph node. No significant abnormality noted. A bullet fragment is noted in the soft tissue of the left anterior chest wall. Soft tissue laceration is seen in the anterior mid abdominal wall. Thickening of the superior gastric wall with surrounding fat stranding, small amount of free fluid, free air and apparent fluid collection may represent an subdiaphragmatic abscess. CT of the abdomen with IV/p. o. Contrast is recommended. Limited evaluation of the upper abdomen reveals a hypodense lesion in the upper pole of the left kidney, compatible with with an infarct. Please refer to the abdominal CT scan for further evaluation. Several scattered punctate metalic densities are seen in the left upper abdominal quadrant and may represent small bullet fragments. Status post splenectomy. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'nasal bone': clinical findings_fin: 'nondisplaced nasal bone fracture': 'clinical finding': 'nondisplaced nasal bone fracture', 'existence': 'pos_dx', 'descriptive_term': 'nondisplaced nasal bone', 'observation': 'fracture'clinical findings_fin: 'other fractures': 'clinical finding': 'other fractures', 'existence': 'neg_dx', 'descriptive_term': 'other', 'observation': 'fracture'location descriptor_fin: ['left']clinical findings_fin: 'soft tissue swelling': 'clinical finding': 'soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'soft tissue', 'observation': 'swell', 'zygoma': 'clinical finding': 'zygoma', 'existence': 'pos_dx', 'observation': 'zygoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'spine': clinical findings_fin: 'significant degenerative changes': 'clinical finding': 'significant degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'significant degenerative', 'observation': 'change'anatomical entity_fin: 'c4 vertebral bodies': clinical findings_fin: 'fusion': 'clinical finding': 'fusion', 'existence': 'pos_dx', 'observation': 'fusion' [/INST] [RESP] Nondisplaced nasal bone fracture. No other fractures are identified. Soft tissue swelling over the left periorbital region and zygoma. The paranasal sinuses and mastoid air cells are normally pneumatized. Significant degenerative changes of the cervical spine. There is fusion of the C3 and C4 vertebral bodies. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'left', 'right']clinical findings_fin: 'moderate-large bilateral pleural effusions': 'clinical finding': 'moderate-large bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'moderate-large bilateral pleural', 'observation': 'effusion', 'strength_term': 'moderate - large'clinical findings_fin: 'nonspecific bibasilar opacities': 'clinical finding': 'nonspecific bibasilar opacities', 'existence': 'unc_dx', 'descriptive_term': 'nonspecific bibasilar', 'observation': 'opacity', 'compressive atelectasis': 'clinical finding': 'compressive atelectasis', 'existence': 'unc_dx', 'descriptive_term': 'compressive', 'observation': 'atelectasis', 'scarring': 'clinical finding': 'scarring', 'existence': 'unc_dx', 'observation': 'scarr', 'superimposed infection': 'clinical finding': 'superimposed infection', 'existence': 'unc_dx', 'descriptive_term': 'superimposed', 'observation': 'infection', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration'clinical findings_fin: 'associated groundglass opacity': 'clinical finding': 'associated groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'associated groundglass', 'observation': 'opacity'size_fin: ['size': '5 mm', 'size_descriptor': 'nodule']clinical findings_fin: 'new roughly 5 mm nodule': 'clinical finding': 'new roughly 5 mm nodule', 'existence': 'pos_dx', 'descriptive_term': 'new roughly 5 mm', 'observation': 'nodule', 'temporal_term': 'new', 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation'clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'neg_dx', 'observation': 'change', 'previously mentioned small nodular opacities': 'clinical finding': 'previously mentioned small nodular opacities', 'existence': 'pos_dx', 'descriptive_term': 'previously mentioned small nodular', 'observation': 'opacity', 'strength_term': 'small'clinical findings_fin: 'new moderate pericardial effusion': 'clinical finding': 'new moderate pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'new moderate pericardial', 'observation': 'effusion', 'strength_term': 'moderate', 'temporal_term': 'new'anatomical entity_fin: 'lung': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'changes': 'clinical finding': 'changes', 'existence': 'pos_dx', 'observation': 'change'clinical findings_fin: 'scattered small subcentimeter nodes': 'clinical finding': 'scattered small subcentimeter nodes', 'existence': 'pos_dx', 'descriptive_term': 'scattered small subcentimeter', 'observation': 'node', 'strength_term': 'small'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative change': 'clinical finding': 'degenerative change', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'clinical findings_fin: 'post sternotomy': 'clinical finding': 'post sternotomy', 'existence': 'pos_dx', 'descriptive_term': 'post', 'observation': 'sternotomy', 'slightly more callus formation': 'clinical finding': 'slightly more callus formation', 'existence': 'pos_dx', 'descriptive_term': 'slightly more callus', 'observation': 'formation', 'quantity_term': 'more'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] . Moderate-large bilateral pleural effusions, left greater than right. Nonspecific bibasilar opacities which are likely due to compressive atelectasis and scarring though superimposed infection or aspiration cannot be excluded. There is a small amount of associated groundglass opacity. A new roughly 5 mm nodule is amidst the consolidation. No change in previously mentioned small nodular opacities. New moderate pericardial effusion. Changes of bilateral lung transplant. Scattered small subcentimeter nodes are unchanged. Mild. Degenerative change involving spine. Status post sternotomy with slightly more callus formation on current study. 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: size_fin: ['size': '1.1 x 1.0 cm', 'size': '0.9 x 0.9 cm']imaging observation_fin: ['apical']location descriptor_fin: ['left']clinical findings_fin: 'reference left apical nodule': 'clinical finding': 'reference left apical nodule', 'existence': 'pos_dx', 'descriptive_term': 'reference left apical', 'observation': 'nodule', 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'size_fin: ['size': '2.9 cm', 'size_descriptor': 'nodule']anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'groundglass nodule': 'clinical finding': 'groundglass nodule', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'nodule'clinical findings_fin: 'severe emphysema': 'clinical finding': 'severe emphysema', 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'emphysema', 'strength_term': 'severe'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'postsurgical changes': 'clinical finding': 'postsurgical changes', 'existence': 'pos_dx', 'descriptive_term': 'postsurgical', 'observation': 'change'anatomical entity_fin: 'lobe': 'location descriptor': 'right upper'location descriptor_fin: ['right', 'upper']clinical findings_fin: 'stable right upper lobe ground glass nodule': 'clinical finding': 'stable right upper lobe ground glass nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable right upper lobe ground glass', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'thoracic aorta': , 'coronary arteries': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant mediastinal or hilar adenopathy': 'clinical finding': 'significant mediastinal or hilar adenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal or hilar', 'observation': 'adenopathy'size_fin: ['size': '1.0 x 1.2 cm', 'size': '1.0 x 1.1 cm']clinical findings_fin: 'stable subcutaneous nodule': 'clinical finding': 'stable subcutaneous nodule', 'existence': 'pos_dx', 'descriptive_term': 'stable subcutaneous', 'observation': 'nodule', 'strength_term': 'stable', 'change_term': 'stable'clinical findings_fin: 'sebaceous cyst': 'clinical finding': 'sebaceous cyst', 'existence': 'unc_dx', 'descriptive_term': 'sebaceous', 'observation': 'cyst'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'stable hepatic hypodensities': 'clinical finding': 'stable hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'stable hepatic', 'observation': 'hypodensity', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'abdominal aorta': clinical findings_fin: 'extensive atherosclerotic calcification': 'clinical finding': 'extensive atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive atherosclerotic', 'observation': 'calcification', 'strength_term': 'extensive' [/INST] [RESP] . Reference left apical nodule is enlarged measuring 1.1 x 1.0 cm, previously 0.9 x 0.9 cm. A groundglass nodule in the left upper lobe has increased in size measuring 2.9 cm. Severe emphysema. Postsurgical changes in the right upper lobe. Stable right upper lobe ground glass nodule. No pleural effusions. Atherosclerotic calcification is seen in the thoracic aorta and coronary arteries. No significant mediastinal or hilar adenopathy. Stable subcutaneous nodule in the presternal region measuring 1.0 x 1.2 cm not significant changed from prior measurement of 1.0 x 1.1 cm. This likely represents a sebaceous cyst given its stability. Absence of IV and enteric contrast material markedly limits sensitivity for abdominal pathology. Stable hepatic hypodensities which are incompletely evaluated on this noncontrast examination. Extensive atherosclerotic calcification in the visualized abdominal aorta and its branches. [/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: 'several hepatic hypodensities': 'clinical finding': 'several hepatic hypodensities', 'existence': 'pos_dx', 'descriptive_term': 'several hepatic', 'observation': 'hypodensity', 'quantity_term': 'several'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'bowel': , 'fluid': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction', 'wall thickening': 'clinical finding': 'wall thickening', 'existence': 'neg_dx', 'descriptive_term': 'wall', 'observation': 'thickening', 'mesenteric stranding': 'clinical finding': 'mesenteric stranding', 'existence': 'unc_dx', 'descriptive_term': 'mesenteric', 'observation': 'strand'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '4.4-cm', 'size_descriptor': 'lesion']location descriptor_fin: ['right']clinical findings_fin: '4.4-cm cystic-appearing right adnexal lesion': 'clinical finding': '4.4-cm cystic-appearing right adnexal lesion', 'existence': 'pos_dx', 'descriptive_term': '4 4-cm cystic-appearing right adnexal', 'observation': 'lesion', 'visible septations': 'clinical finding': 'visible septations', 'existence': 'neg_dx', 'descriptive_term': 'visible', 'observation': 'septation'size_fin: ['size': '2.8 cm', 'size_descriptor': 'lesion']location descriptor_fin: ['left']clinical findings_fin: '2.8 cm cystic-appearing left adnexal hypodense lesion': 'clinical finding': '2.8 cm cystic-appearing left adnexal hypodense lesion', 'existence': 'pos_dx', 'descriptive_term': '2 8 cm cystic-appearing left adnexal hypodense', 'observation': 'lesion', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'unc_dx', 'observation': 'hemorrhage'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '7 mm', 'size_descriptor': 'appendix']anatomical entity_fin: 'appendix': location descriptor_fin: ['proximal', 'distal']clinical findings_fin: 'appendix measures 7 mm across with proximal stool in distal air': 'clinical finding': 'appendix measures 7 mm across with proximal stool in distal air'clinical findings_fin: 'minimal associated mesenteric stranding': 'clinical finding': 'minimal associated mesenteric stranding', 'existence': 'pos_dx', 'descriptive_term': 'minimal associated mesenteric', 'observation': 'strand', 'strength_term': 'minimal', 'quantity_term': 'minimal'anatomical entity_fin: 'bowel': clinical findings_fin: 'obstruction': 'clinical finding': 'obstruction', 'existence': 'pos_dx', 'observation': 'obstruction'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': 'pos_dx', 'descriptive_term': 'pelvic free', 'observation': 'fluid' [/INST] [RESP] . No significant abnormality noted. Several hepatic hypodensities, which are too small to characterize. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Normal caliber loops of bowel without obstruction, wall thickening, associated fluid collections, or mesenteric stranding. No significant abnormality noted. 4.4-cm cystic-appearing right adnexal lesion without visible septations. 2.8 cm cystic-appearing left adnexal hypodense lesion, with internal density suggestive of hemorrhage. No significant abnormality noted. No significant abnormality noted. The appendix measures 7 mm across with proximal stool in distal air. There is minimal associated mesenteric stranding. Otherwise normal caliber loops of the bowel without obstruction. No significant abnormality noted. Small amount of pelvic free fluid. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'coronary artery': , 'circumflex coronary arteries': 'location descriptor': 'left'location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'valsalva': 'clinical finding': 'valsalva', 'existence': 'pos_dx', 'observation': 'valsalva'location descriptor_fin: ['left']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'coronary artery': location descriptor_fin: ['left', 'anterior']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'circumflex coronary artery': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'anatomical entity_fin: 'right coronary artery': location descriptor_fin: ['right']anatomical entity_fin: 'coronary artery': , 'posterior descending artery': anatomical entity_fin: 'right coronary artery': clinical findings_fin: 'significant stenoses': 'clinical finding': 'significant stenoses', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenoses'location descriptor_fin: ['left']clinical findings_fin: 'left ventricular late diastolic volume': 'clinical finding': 'left ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'left ventricular late diastolic', 'observation': 'volume'location descriptor_fin: ['right']clinical findings_fin: 'right ventricular late diastolic volume': 'clinical finding': 'right ventricular late diastolic volume', 'existence': 'pos_dx', 'descriptive_term': 'right ventricular late diastolic', 'observation': 'volume'location descriptor_fin: ['left']clinical findings_fin: 'left atrial volume': 'clinical finding': 'left atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'left atrial', 'observation': 'volume'anatomical entity_fin: 'pulmonary veins': , 'left atrium': clinical findings_fin: 'are four distinct pulmonary veins which drain': 'clinical finding': 'are four distinct pulmonary veins which drain'anatomical entity_fin: 'left atrial appendage': clinical findings_fin: 'left atrial appendage thrombus': 'clinical finding': 'left atrial appendage thrombus', 'existence': 'neg_dx', 'descriptive_term': 'left atrial appendage', 'observation': 'thrombus'location descriptor_fin: ['right']clinical findings_fin: 'right atrial volume': 'clinical finding': 'right atrial volume', 'existence': 'pos_dx', 'descriptive_term': 'right atrial', 'observation': 'volume'location descriptor_fin: ['superior', 'inferior']clinical findings_fin: 'superior and inferior vena cavae are grossly normal': 'clinical finding': 'superior and inferior vena cavae are grossly normal'anatomical entity_fin: 'coronary sinus': clinical findings_fin: 'coronary sinus is normal in size': 'clinical finding': 'coronary sinus is normal in size'anatomical entity_fin: 'mitral valves': clinical findings_fin: 'calcification': 'clinical finding': 'calcification', 'existence': 'neg_dx', 'observation': 'calcification'anatomical entity_fin: 'thoracic aorta': clinical findings_fin: 'dissection': 'clinical finding': 'dissection', 'existence': 'neg_dx', 'observation': 'dissection', 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'aortic arch is not seen': 'clinical finding': 'aortic arch is not seen'anatomical entity_fin: 'main pulmonary artery': clinical findings_fin: 'main pulmonary artery is normal in size': 'clinical finding': 'main pulmonary artery is normal in size'anatomical entity_fin: 'pericardium': , 'heart': location descriptor_fin: ['anterior']clinical findings_fin: 'thickened': 'clinical finding': 'thickened', 'existence': 'pos_dx', 'observation': 'thickened' [/INST] [RESP] . The left main coronary artery arises normally from the left sinus of valsalva and bifurcates into the left anterior descending and left circumflex coronary arteries. There are no significant stenoses present in the left main. The left anterior descending coronary artery courses normally in the anterior interventricular groove, supplying the diagonal and septal branches. There are no significant stenoses in the LAD. The left circumflex coronary artery courses normally in the left AV groove. It gives rise to the obtuse marginal branches. There are no significant stenoses in the LCx. The right coronary artery is large and arises normally from the right sinus of valsalva. It is the dominant coronary artery supplying a posterior descending artery and a posterolateral branch. There are no significant stenoses in the right coronary artery. The left ventricular late diastolic volume is normal. Visually the right ventricular late diastolic volume is within normal limits. Visually, the left atrial volume appears to be normal in size. There are four distinct pulmonary veins which drain normally into the left atrium. There is no evidence of left atrial appendage thrombus. The right atrial volume appears to be normal in size. The superior and inferior vena cavae are grossly normal. The coronary sinus is normal in size. There is no calcification on the aortic or mitral valves. The visualized portions of the thoracic aorta demonstrate no evidence of dissection or aneurysm. The aortic arch is not seen. The main pulmonary artery is normal in size. The basal pericardium is thickened along the anterior surface of the heart. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': , 'neck': clinical findings_fin: 'non contrast': 'clinical finding': 'non contrast', 'existence': 'pos_dx', 'descriptive_term': 'non', 'observation': 'contrast'anatomical entity_fin: 'neck': clinical findings_fin: 'lymphadenopathy': 'clinical finding': 'lymphadenopathy', 'existence': 'neg_dx', 'observation': 'lymphadenopathy', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'nasopharynx': , 'oropharynx': , 'hypopharynx': clinical findings_fin: 'limitation , the nasopharynx , oropharynx , and hypopharynx appear grossly unremarkable': 'clinical finding': 'limitation , the nasopharynx , oropharynx , and hypopharynx appear grossly unremarkable'anatomical entity_fin: 'spine': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'anatomical entity_fin: 'chest': , 'lobe': 'location descriptor': 'right upper'imaging observation_fin: ['apical']location descriptor_fin: ['right', 'upper']clinical findings_fin: 'apical scarring': 'clinical finding': 'apical scarring', 'existence': 'pos_dx', 'descriptive_term': 'apical', 'observation': 'scarr', 'small focal opacity': 'clinical finding': 'small focal opacity', 'existence': 'pos_dx', 'descriptive_term': 'small focal', 'observation': 'opacity', 'strength_term': 'small'anatomical entity_fin: 'chest': clinical findings_fin: 'limited view of the intracranial structure': 'clinical finding': 'limited view of the intracranial structure'anatomical entity_fin: 'nasal bone': clinical findings_fin: 'chronic nasal bone fracture': 'clinical finding': 'chronic nasal bone fracture', 'existence': 'pos_dx', 'descriptive_term': 'chronic nasal bone', 'observation': 'fracture', 'temporal_term': 'chronic'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'mild congestive or inflammatory changes': 'clinical finding': 'mild congestive or inflammatory changes', 'existence': 'pos_dx', 'descriptive_term': 'mild congestive or inflammatory', 'observation': 'change', 'strength_term': 'mild', 'mastoid air cells': 'clinical finding': 'mastoid air cells', 'existence': 'pos_dx', 'descriptive_term': 'mastoid air', 'observation': 'cell' [/INST] [RESP] Non contrast CT is less sensitive in evaluating head and neck soft tissue anatomy. No lymphadenopathy or mass is noted in the neck. Within this limitation, the nasopharynx, oropharynx, and hypopharynx appear grossly unremarkable. Redemonstration of multilevel degenerative changes of the cervical spine. Limited view of the chest demonstrates apical scarring and a small focal opacity in the right upper lobe. Please see CT chest on 1/24/10 for further details. Limited view of the intracranial structure is unremarkable. There is redemonstration of chronic nasal bone fracture. Mild congestive or inflammatory changes in the paranasal sinuses and mastoid air cells are unchanged. [/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': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'fluid collection': 'clinical finding': 'fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'fluid', 'observation': 'collection', 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'contrast enhancement': 'clinical finding': 'contrast enhancement', 'existence': 'pos_dx', 'descriptive_term': 'contrast', 'observation': 'enhancement'anatomical entity_fin: 'skull': , 'base': location descriptor_fin: ['right']clinical findings_fin: 'right parietal burr hole': 'clinical finding': 'right parietal burr hole', 'existence': 'pos_dx', 'descriptive_term': 'right parietal burr', 'observation': 'hole', 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact'anatomical entity_fin: 'medial rectus muscle': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'previously seen enlargement': 'clinical finding': 'previously seen enlargement', 'existence': 'pos_dx', 'descriptive_term': 'previously seen', 'observation': 'enlargement'clinical findings_fin: 'lenses': 'clinical finding': 'lenses', 'existence': 'pos_dx', 'observation': 'lense'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. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra- or extra-axial fluid collection or acute hemorrhage, or abnormal contrast enhancement. With the exception of a right parietal burr hole, the bones of the calvarium and skull base are intact. The previously seen enlargement of the right medial rectus muscle has significant improved. The lenses are thin. 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'anatomical entity_fin: 'liver': location descriptor_fin: ['anterior', 'upper']clinical findings_fin: 'greater arterial perfusion': 'clinical finding': 'greater arterial perfusion', 'existence': 'unc_dx', 'descriptive_term': 'greater arterial', 'observation': 'perfusion', 'change_term': 'greater'anatomical entity_fin: 'portal vein': clinical findings_fin: 'h. shape': 'clinical finding': 'h. shape', 'existence': 'pos_dx', 'descriptive_term': 'h ', 'observation': 'shape', 'normal variation': 'clinical finding': 'normal variation', 'existence': 'pos_dx', 'descriptive_term': 'normal', 'observation': 'variation', 'strength_term': 'normal'clinical findings_fin: 'intrahepatic lesions': 'clinical finding': 'intrahepatic lesions', 'existence': 'neg_dx', 'descriptive_term': 'intrahepatic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'accessory spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': , 'cortex': location descriptor_fin: ['posterior', 'left', 'right']clinical findings_fin: 'cortical low density lesion': 'clinical finding': 'cortical low density lesion', 'existence': 'pos_dx', 'descriptive_term': 'cortical low density', 'observation': 'lesion', 'high density': 'clinical finding': 'high density', 'existence': 'pos_dx', 'descriptive_term': 'high', 'observation': 'density'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'ascending colon': clinical findings_fin: 'ascending colon is filled with fecal material': 'clinical finding': 'ascending colon is filled with fecal material', 'change_term': 'filled'anatomical entity_fin: 'cecum': , 'ascending colon': , 'bowel': clinical findings_fin: 'typhlitis': 'clinical finding': 'typhlitis', 'existence': 'neg_dx', 'observation': 'typhlitis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. In the anterior aspect of the upper portion of the liver enhances more than the rest of the liver probably due to greater arterial perfusion. There is no intra-or extrahepatic biliary dilatation. There is an H. Shape main portal vein, a normal variation. There are no intrahepatic lesions. No significant abnormality noted. There is an accessory spleen. No significant abnormality noted. No significant abnormality noted. A cortical low density lesion in the image a 61/174 involving the left kidney and a smaller one in image 67/174 in the posterior aspect of the left renal cortex and presence of a high density, a renal stone in image 65/174 on the right and image 58/174 on the left side. No significant abnormality noted. The ascending colon is filled with fecal material. There is no evidence of typhlitis involving the cecum, and ascending colon are any portion of the large bowel. 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: 'basal ganglia': 'location descriptor': 'right', 'lateral ventricles': location descriptor_fin: ['right']clinical findings_fin: 'hemorrhagic': 'clinical finding': 'hemorrhagic', 'existence': 'pos_dx', 'observation': 'hemorrhagic', 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'mild dilation': 'clinical finding': 'mild dilation', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'dilation', 'strength_term': 'mild'location descriptor_fin: ['midline']clinical findings_fin: 'slight leftward midline shift': 'clinical finding': 'slight leftward midline shift', 'existence': 'pos_dx', 'descriptive_term': 'slight leftward midline', 'observation': 'shift'anatomical entity_fin: 'brain': , 'head': imaging observation_fin: ['foci']clinical findings_fin: 'small ischemic foci': 'clinical finding': 'small ischemic foci', 'existence': 'neg_dx', 'descriptive_term': 'small ischemic', 'observation': 'foci', 'strength_term': 'small'anatomical entity_fin: 'fluid': clinical findings_fin: 'subdural hematomas': 'clinical finding': 'subdural hematomas', 'existence': 'neg_dx', 'descriptive_term': 'subdural', 'observation': 'hematoma'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear' [/INST] [RESP] Redemonstration of hemorrhagic conversion of the area of hypoattenuation in the right basal ganglia with extension into the ventricles and mild dilation of the lateral ventricles. Redemonstration of slight leftward midline shift. Small ischemic foci identified on previous brain MRI are not well identified with noncontrast head CT technique. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'alveolus': clinical findings_fin: 'numerous dental caries': 'clinical finding': 'numerous dental caries', 'existence': 'pos_dx', 'descriptive_term': 'numerous dental', 'observation': 'cary', 'quantity_term': 'numerous', 'extensive patchy sclerosis': 'clinical finding': 'extensive patchy sclerosis', 'existence': 'pos_dx', 'descriptive_term': 'extensive patchy', 'observation': 'sclerosis', 'strength_term': 'extensive'anatomical entity_fin: 'paranasal sinus': , 'maxillary sinus': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'scattered paranasal sinus opacification': 'clinical finding': 'scattered paranasal sinus opacification', 'existence': 'pos_dx', 'descriptive_term': 'scattered paranasal sinus', 'observation': 'opacification'anatomical entity_fin: 'middle': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral', 'left', 'inferior']clinical findings_fin: 'deficient': 'clinical finding': 'deficient', 'existence': 'pos_dx', 'observation': 'deficient'location descriptor_fin: ['deviated', 'right']clinical findings_fin: 'nasal septum': 'clinical finding': 'nasal septum', 'existence': 'pos_dx', 'descriptive_term': 'nasal', 'observation': 'septum', 'deviated': 'clinical finding': 'deviated', 'existence': 'pos_dx', 'observation': 'deviated'anatomical entity_fin: 'orbits': clinical findings_fin: 'orbits appear to be unremarkable': 'clinical finding': 'orbits appear to be unremarkable'location descriptor_fin: ['bilateral']clinical findings_fin: 'punctate calcifications': 'clinical finding': 'punctate calcifications', 'existence': 'pos_dx', 'descriptive_term': 'punctate', 'observation': 'calcification', 'bilateral parotid tails': 'clinical finding': 'bilateral parotid tails', 'existence': 'pos_dx', 'descriptive_term': 'bilateral parotid', 'observation': 'tail'anatomical entity_fin: 'parotid gland': clinical findings_fin: 'heterogeneous': 'clinical finding': 'heterogeneous', 'existence': 'pos_dx', 'observation': 'heterogeneous', 'nodularity': 'clinical finding': 'nodularity', 'existence': 'pos_dx', 'observation': 'nodularity', 'fatty infiltration': 'clinical finding': 'fatty infiltration', 'existence': 'pos_dx', 'descriptive_term': 'fatty', 'observation': 'infiltration'anatomical entity_fin: 'brain': clinical findings_fin: 'diffuse volume loss': 'clinical finding': 'diffuse volume loss', 'existence': 'pos_dx', 'descriptive_term': 'diffuse volume', 'observation': 'loss'anatomical entity_fin: 'right corona radiata': , 'cerebral white matter': clinical findings_fin: 'encephalomalacia': 'clinical finding': 'encephalomalacia', 'existence': 'pos_dx', 'observation': 'encephalomalacia', 'patchy cerebral white matter hypoattenuation': 'clinical finding': 'patchy cerebral white matter hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy cerebral white matter', 'observation': 'hypoattenuation'clinical findings_fin: 'intracranial vascular calcifications': 'clinical finding': 'intracranial vascular calcifications', 'existence': 'pos_dx', 'descriptive_term': 'intracranial vascular', 'observation': 'calcification' [/INST] [RESP] There are numerous dental caries and extensive patchy sclerosis of the mandibular alveolus. There is scattered paranasal sinus opacification, including bubbly secretions in the left maxillary sinus. The bilateral middle and left inferior turbinate are deficient. The nasal septum is deviated to the right. The orbits appear to be unremarkable. There are punctate calcifications in the bilateral parotid tails. The parotid gland is otherwise diffusely heterogeneous with areas of nodularity and fatty infiltration. There is diffuse volume loss of the imaged brain. There is a small focus of encephalomalacia in the right corona radiata and a background of patchy cerebral white matter hypoattenuation. There are also intracranial vascular calcifications. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'external auditory canal': clinical findings_fin: 'external auditory canal is normal': 'clinical finding': 'external auditory canal is normal'anatomical entity_fin: 'middle ear': clinical findings_fin: 'ossicles': 'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'anatomical entity_fin: 'semicircular canals': , 'cochlea': , 'vestibular aqueduct': clinical findings_fin: 'semicircular canals , cochlea and vestibular aqueduct are normal': 'clinical finding': 'semicircular canals , cochlea and vestibular aqueduct are normal'anatomical entity_fin: 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'internal auditory canal and facial nerve canal are normal': 'clinical finding': 'internal auditory canal and facial nerve canal are normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized'anatomical entity_fin: 'external auditory canal': clinical findings_fin: 'external auditory canal is normal': 'clinical finding': 'external auditory canal is normal'anatomical entity_fin: 'middle ear': clinical findings_fin: 'ossicles': 'clinical finding': 'ossicles', 'existence': 'pos_dx', 'observation': 'ossicle'anatomical entity_fin: 'semicircular canals': , 'cochlea': , 'vestibular aqueduct': clinical findings_fin: 'semicircular canals , cochlea and vestibular aqueduct are normal': 'clinical finding': 'semicircular canals , cochlea and vestibular aqueduct are normal'anatomical entity_fin: 'internal auditory canal': , 'facial nerve': clinical findings_fin: 'internal auditory canal and facial nerve canal are normal': 'clinical finding': 'internal auditory canal and facial nerve canal are normal'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'pneumatized': 'clinical finding': 'pneumatized', 'existence': 'pos_dx', 'observation': 'pneumatized' [/INST] [RESP] . The external auditory canal is normal. Middle ear structures including ossicles are normal. The semicircular canals, cochlea and vestibular aqueduct are normal. The internal auditory canal and facial nerve canal are normal. Mastoid air cells are well pneumatized. External auditory canal is normal. Middle ear structures including ossicles are normal. The semicircular canals, cochlea and vestibular aqueduct are normal. The internal auditory canal and facial nerve canal are normal. Mastoid air cells are well pneumatized. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'normal limits for the patients stated age': 'clinical finding': 'normal limits for the patients stated age'location descriptor_fin: ['midline']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'neg_dx', 'observation': 'hemorrhage', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'abnormal enhancement': 'clinical finding': 'abnormal enhancement', 'existence': 'neg_dx', 'descriptive_term': 'abnormal', 'observation': 'enhancement', 'metastasis': 'clinical finding': 'metastasis', 'existence': 'unc_dx', 'observation': 'metastasis'anatomical entity_fin: 'neck': 'location descriptor': 'anterior', 'floor': , 'mouth': location descriptor_fin: ['anterior']procedure_fin: ['treatment']clinical findings_fin: 'extensive post treatment changes': 'clinical finding': 'extensive post treatment changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive post treatment', 'observation': 'change', 'strength_term': 'extensive'anatomical entity_fin: 'neck': 'location descriptor': 'anterior'location descriptor_fin: ['anterior']clinical findings_fin: 'anterior neck dissection': 'clinical finding': 'anterior neck dissection', 'existence': 'pos_dx', 'descriptive_term': 'anterior neck', 'observation': 'dissection', 'flap reconstruction': 'clinical finding': 'flap reconstruction', 'existence': 'pos_dx', 'descriptive_term': 'flap', 'observation': 'reconstruction'clinical findings_fin: 'tracheostomy': 'clinical finding': 'tracheostomy', 'existence': 'pos_dx', 'observation': 'tracheostomy'anatomical entity_fin: 'larynx': , 'hypopharynx': , 'neck': 'location descriptor': 'anterior'imaging observation_fin: ['fat']location descriptor_fin: ['anterior']clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow', 'mucosal edema': 'clinical finding': 'mucosal edema', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'edema', 'fat stranding': 'clinical finding': 'fat stranding', 'existence': 'pos_dx', 'descriptive_term': 'fat', 'observation': 'strand', 'radiation changes': 'clinical finding': 'radiation changes', 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'change'anatomical entity_fin: 'floor': , 'mouth': , 'carotid space': 'location descriptor': 'right'location descriptor_fin: ['right']object_fin: ['surgical clips']clinical findings_fin: 'multiple surgical clips': 'clinical finding': 'multiple surgical clips', 'existence': 'pos_dx', 'descriptive_term': 'multiple surgical', 'observation': 'clip', 'quantity_term': 'multiple'anatomical entity_fin: 'submandibular glands': clinical findings_fin: 'submandibular glands have been surgically removed': 'clinical finding': 'submandibular glands have been surgically removed'anatomical entity_fin: 'parotid glands': clinical findings_fin: 'thyroid and parotid glands are preserved and appear': 'clinical finding': 'thyroid and parotid glands are preserved and appear', 'change_term': 'preserved'clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'neck': imaging observation_fin: ['enhancing']clinical findings_fin: 'enhancing mass': 'clinical finding': 'enhancing mass', 'existence': 'neg_dx', 'descriptive_term': 'enhancing', 'observation': 'mass', 'enlarged lymph nodes': 'clinical finding': 'enlarged lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'spine': clinical findings_fin: 'cervical spine appears within normal limits': 'clinical finding': 'cervical spine appears within normal limits' [/INST] [RESP] . The attenuation and morphology of the brain parenchyma is within normal limits for the patients stated age. No evidence of hemorrhage, edema, mass effect, midline shift or abnormal enhancement to suggest metastasis. Again seen are extensive post treatment changes in the anterior neck, especially in the floor of the mouth. There is evidence of an anterior neck dissection with flap reconstruction. A tracheostomy is in place. The larynx and hypopharynx appear narrowed secondary to mucosal edema and fat stranding in the anterior neck and facial soft tissues, which have increased when compared to the prior examination and are likely due to radiation changes. There are multiple surgical clips in the floor of the mouth and the right carotid space. The submandibular glands have been surgically removed. The thyroid and parotid glands are preserved and appear within normal limits. There are calcifications at the carotid bifurcations bilaterally. No evidence of an enhancing mass within the neck or enlarged lymph nodes. The cervical spine appears within normal limits. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: artifact_fin: ['motion artifact']clinical findings_fin: 'significant motion artifact': 'clinical finding': 'significant motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'significant motion', 'observation': 'artifact'clinical findings_fin: 'scattered pulmonary micronodules': 'clinical finding': 'scattered pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered pulmonary', 'observation': 'micronodule'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'anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'mild focal reticular and ground glass opacities': 'clinical finding': 'mild focal reticular and ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'mild focal reticular and ground glass', 'observation': 'opacity', 'strength_term': 'mild', 'aspiration and or or inflammatory change': 'clinical finding': 'aspiration and or or inflammatory change', 'existence': 'unc_dx', 'descriptive_term': 'aspiration and or or inflammatory', 'observation': 'change'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'anatomical entity_fin: 'aorta': clinical findings_fin: 'mild atherosclerotic calcifications': 'clinical finding': 'mild atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'calcification', 'strength_term': 'mild'artifact_fin: ['motion artifact']clinical findings_fin: 'mild tracheal wall thickening': 'clinical finding': 'mild tracheal wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild tracheal wall', 'observation': 'thickening', 'strength_term': 'mild', 'nodularity': 'clinical finding': 'nodularity', 'existence': 'unc_dx', 'observation': 'nodularity', 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'membrane': location descriptor_fin: ['posterior']clinical findings_fin: 'posterior tracheal membrane is probably spared': 'clinical finding': 'posterior tracheal membrane is probably spared'anatomical entity_fin: 'lobe': 'location descriptor': 'lower', 'airways': location descriptor_fin: ['right', 'lower']clinical findings_fin: 'calcified right hilar and lower lobe peribronchial lymph nodes': 'clinical finding': 'calcified right hilar and lower lobe peribronchial lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified right hilar and lower lobe peribronchial lymph', 'observation': 'node', 'change_term': 'calcified', 'prior granulomatous disease': 'clinical finding': 'prior granulomatous disease', 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'clinical findings_fin: 'broncholith': 'clinical finding': 'broncholith', 'existence': 'neg_dx', 'observation': 'broncholith'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly', 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'multiple splenic granulomas': 'clinical finding': 'multiple splenic granulomas', 'existence': 'pos_dx', 'descriptive_term': 'multiple splenic', 'observation': 'granuloma', 'quantity_term': 'multiple'size_fin: ['size': '21 mm', 'size_descriptor': 'contour']anatomical entity_fin: 'left ureter': location descriptor_fin: ['left']clinical findings_fin: 'nodular and irregular left renal contour': 'clinical finding': 'nodular and irregular left renal contour', 'existence': 'pos_dx', 'descriptive_term': 'nodular and irregular left renal', 'observation': 'contour', 'dilatation': 'clinical finding': 'dilatation', 'existence': 'pos_dx', 'observation': 'dilatation'anatomical entity_fin: 'kidneys': clinical findings_fin: 'nonspecific apparent soft tissue stranding': 'clinical finding': 'nonspecific apparent soft tissue stranding', 'existence': 'pos_dx', 'descriptive_term': 'nonspecific apparent soft tissue', 'observation': 'strand' [/INST] [RESP] Significant motion artifact. Scattered pulmonary micronodules, some of which are calcified. No suspicious nodules or masses identified. Mild focal reticular and ground glass opacities at the right lung base suggestive of aspiration and or or inflammatory change. No pleural effusions. Mild atherosclerotic calcifications of the aorta and its corresponding branches. Mild tracheal wall thickening or nodularity, poorly characterized because of motion artifact. The posterior tracheal membrane is probably spared. Calcified right hilar and lower lobe peribronchial lymph nodes consistent with prior granulomatous disease, a few ofwhich appear to come into close approximation to the airways. No specific evidence of broncholith. No cardiomegaly or pericardial effusion. Mild. Degenerative changes of thoracic spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Multiple splenic granulomas. Incompletely evaluated nodular and irregular left renal contour with dilatation of left ureter measuring up to 21 mm. Nonspecific apparent soft tissue stranding surrounding both kidneys which may be age-related however acute pathology cannot be excluded. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['posterior', 'lower']clinical findings_fin: 'bibasilar atelectasis': 'clinical finding': 'bibasilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'bibasilar', 'observation': 'atelectasis'anatomical entity_fin: 'lingula': location descriptor_fin: ['subsegmental']clinical findings_fin: 'subsegmental atelectasis': 'clinical finding': 'subsegmental atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'subsegmental', 'observation': 'atelectasis'clinical findings_fin: 'suspicious pulmonary nodules': 'clinical finding': 'suspicious pulmonary nodules', 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule', 'masses': 'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'clinical findings_fin: 'pleural effusions': 'clinical finding': 'pleural effusions', 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion', 'pneumothorax': 'clinical finding': 'pneumothorax', 'existence': 'neg_dx', 'observation': 'pneumothorax'anatomical entity_fin: 'heart': clinical findings_fin: 'pericardial effusion': 'clinical finding': 'pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'esophagus': , 'fluid': clinical findings_fin: 'debris': 'clinical finding': 'debris', 'existence': 'pos_dx', 'observation': 'debris', 'air-fluid level': 'clinical finding': 'air-fluid level', 'existence': 'pos_dx', 'descriptive_term': 'air-fluid', 'observation': 'level'clinical findings_fin: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'pos_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Bibasilar atelectasis affecting the posterior segments of the lower lobes. Additional area of subsegmental atelectasis in the lingula. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax. Normal heart size without pericardial effusion. No mediastinal or hilar lymphadenopathy. Patulous esophagus with debris and air-fluid level in the mid thoracic esophagus. No axillary lymphadenopathy. 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'size_fin: ['size': '3.6 x 3.5 cm', 'size_descriptor': 'accounting', 'size': '3.8 x 3.9 cm', 'size_descriptor': 'lesion']imaging observation_fin: ['enhancing']clinical findings_fin: 'heterogeneously enhancing splenic lesion': 'clinical finding': 'heterogeneously enhancing splenic lesion', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneously enhancing splenic', 'observation': 'lesion'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '15 x 11.7 cm', 'size': '14.5 by 11.9 cm']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: 'nodularity': 'clinical finding': 'nodularity', 'existence': 'neg_dx', 'observation': 'nodularity', 'septations': 'clinical finding': 'septations', 'existence': 'neg_dx', 'observation': 'septation', 'solid components': 'clinical finding': 'solid components', 'existence': 'neg_dx', 'descriptive_term': 'solid', 'observation': 'component'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['bilateral']object_fin: ['clips']procedure_fin: ['ligation']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Accounting for differences in technique, the heterogeneously enhancing splenic lesion is stable to slightly decreased in size measuring approximately 3.6 x 3.5 cm , compared to 3.8 x 3.9 cm previously. No significant abnormality noted. No significant abnormality noted. Stable left renal cyst, measuring 15 x 11.7 cm compared to 14.5 by 11.9 cm previously using comparable measurements. Again, no nodularity, septations or solid components are identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Bilateral tubal ligation clips. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'brainstem': clinical findings_fin: 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology': 'clinical finding': 'cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'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', 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'anatomical entity_fin: 'fluid': clinical findings_fin: 'abnormal extra-axial fluid is present': 'clinical finding': 'abnormal extra-axial fluid is present'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric'anatomical entity_fin: 'cells': location descriptor_fin: ['left']clinical findings_fin: 'mild mucosal inflammatory change': 'clinical finding': 'mild mucosal inflammatory change', 'existence': 'pos_dx', 'descriptive_term': 'mild mucosal inflammatory', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'skull': , 'base': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage is seen. There is no evidence of mass, mass effect or midline shift. No abnormal extra-axial fluid is present. The ventricles and basal cisterns are symmetric and normal in size. Mild mucosal inflammatory change is present within the left ethmoid air cells. The bones of the calvarium and skull base are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'head': clinical findings_fin: 'nonenhanced head': 'clinical finding': 'nonenhanced head'clinical findings_fin: 'acute nonhemorrhagic stroke': 'clinical finding': 'acute nonhemorrhagic stroke', 'existence': 'unc_dx', 'descriptive_term': 'acute nonhemorrhagic', 'observation': 'stroke', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'mild to moderate age indeterminant small vessel ischemic disease': 'clinical finding': 'mild to moderate age indeterminant small vessel ischemic disease', 'existence': 'pos_dx', 'descriptive_term': 'mild to moderate age indeterminant small vessel ischemic', 'observation': 'disease', 'strength_term': 'mild - moderate - small', 'mild progression': 'clinical finding': 'mild progression', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'progression', 'strength_term': 'mild'anatomical entity_fin: 'right frontal lobe': , 'head': clinical findings_fin: 'small chronic ischemic stroke': 'clinical finding': 'small chronic ischemic stroke', 'existence': 'pos_dx', 'descriptive_term': 'small chronic ischemic', 'observation': 'stroke', 'strength_term': 'small', 'temporal_term': 'chronic'location descriptor_fin: ['right', 'posterior']clinical findings_fin: 'stable small right cerebellar stroke': 'clinical finding': 'stable small right cerebellar stroke', 'existence': 'pos_dx', 'descriptive_term': 'stable small right cerebellar', 'observation': 'stroke', 'strength_term': 'stable - small', 'change_term': 'stable'clinical findings_fin: 'mild large vessel calcification': 'clinical finding': 'mild large vessel calcification', 'existence': 'pos_dx', 'descriptive_term': 'mild large vessel', 'observation': 'calcification', 'strength_term': 'mild - large' [/INST] [RESP] Nonenhanced head. There is no acute intracranial findings, CT however is insensitive for the early detection of an acute nonhemorrhagic stroke. There is evidence of mild to moderate age indeterminant small vessel ischemic disease with mild progression since prior study. There is also a small chronic ischemic stroke in the right frontal lobe since prior head CT from 2012. Stable small right cerebellar stroke since prior and unremarkable images through posterior fossa otherwise. Mild large vessel calcification of the carotids are noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'anatomical entity_fin: 'bowel': clinical findings_fin: 'bowel obstruction': 'clinical finding': 'bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'bowel', 'observation': 'obstruction'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is normal': 'clinical finding': 'appendix is normal'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '6 x 3.6 cm']location descriptor_fin: ['right']clinical findings_fin: 'right adnexal cystic lesion': 'clinical finding': 'right adnexal cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'right adnexal cystic', 'observation': 'lesion'anatomical entity_fin: 'right ovary': clinical findings_fin: 'right ovary is not clearly visualized': 'clinical finding': 'right ovary is not clearly visualized'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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. None. The lack of enteric contrast limits evaluation of the GI tract. No bowel obstruction. The appendix is normal. No significant abnormality noted. No significant abnormality noted. Intrauterine device is noted. A right adnexal cystic lesion measuring 6 x 3.6 cm is noted. A right ovary is not clearly visualized separate from this structure. 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: 'neck': procedure_fin: ['treatment']clinical findings_fin: 'post-treatment effects': 'clinical finding': 'post-treatment effects', 'existence': 'pos_dx', 'descriptive_term': 'post-treatment', 'observation': 'effect', 'pharyngeal edema': 'clinical finding': 'pharyngeal edema', 'existence': 'pos_dx', 'descriptive_term': 'pharyngeal', 'observation': 'edema', 'prominent mucosal enhancement': 'clinical finding': 'prominent mucosal enhancement', 'existence': 'pos_dx', 'descriptive_term': 'prominent mucosal', 'observation': 'enhancement', 'strength_term': 'prominent', 'measurable laryngeal tumor': 'clinical finding': 'measurable laryngeal tumor', 'existence': 'neg_dx', 'descriptive_term': 'measurable laryngeal', 'observation': 'tumor'clinical findings_fin: 'significant cervical lymphadenopathy': 'clinical finding': 'significant cervical lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant cervical', 'observation': 'lymphadenopathy'location descriptor_fin: ['midline']clinical findings_fin: 'thin unchanged linear hyperattenuation': 'clinical finding': 'thin unchanged linear hyperattenuation', 'existence': 'pos_dx', 'descriptive_term': 'thin unchanged linear', 'observation': 'hyperattenuation', 'strength_term': 'unchanged', 'change_term': 'unchanged', 'undescended': 'clinical finding': 'undescended', 'existence': 'unc_dx', 'observation': 'undescend'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'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'bilateral'location descriptor_fin: ['bilateral']clinical findings_fin: 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'location descriptor_fin: ['right']object_fin: ['catheter']imaging observation_fin: ['foci']clinical findings_fin: 'several unchanged subcentimeter sclerotic foci': 'clinical finding': 'several unchanged subcentimeter sclerotic foci', 'existence': 'pos_dx', 'descriptive_term': 'several unchanged subcentimeter sclerotic', 'observation': 'foci', 'strength_term': 'unchanged', 'quantity_term': 'several', 'change_term': 'unchanged', 'enostoses': 'clinical finding': 'enostoses', 'existence': 'unc_dx', 'observation': 'enostose'anatomical entity_fin: 'cheek': 'location descriptor': 'left'location descriptor_fin: ['left']clinical findings_fin: 'cystic lesion': 'clinical finding': 'cystic lesion', 'existence': 'pos_dx', 'descriptive_term': 'cystic', 'observation': 'lesion', 'epidermal inclusion cyst': 'clinical finding': 'epidermal inclusion cyst', 'existence': 'unc_dx', 'descriptive_term': 'epidermal inclusion', 'observation': 'cyst'anatomical entity_fin: 'orbits': clinical findings_fin: 'imaged intracranial structures and orbits': 'clinical finding': 'imaged intracranial structures and orbits'anatomical entity_fin: 'left lung': , 'apex': clinical findings_fin: 'spiculated lesion': 'clinical finding': 'spiculated lesion', 'existence': 'pos_dx', 'descriptive_term': 'spiculated', 'observation': 'lesion' [/INST] [RESP] There are post-treatment effects in the neck, including pharyngeal edema and prominent mucosal enhancement, but no evidence of measurable laryngeal tumor. There is no evidence of significant cervical lymphadenopathy based on size criteria. Thin unchanged linear hyperattenuation near the midline in the strap muscles likely represents undescended thyroid tissue. The thyroid and major salivary glands are unchanged. There is a retropharyngeal course of the bilateral internal carotid arteries. The major cervical vessels are patent. There is a right internal jugular venous catheter. There are several unchanged subcentimeter sclerotic foci within the jaws, which may represent enostoses or a sequela of a chronic inflammatory process, for example. There is a cystic lesion in the left cheek that likely represents an epidermal inclusion cyst. The imaged intracranial structures and orbits are unremarkable. There is interval increase size of a spiculated lesion in the left lung apex. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'aortic arch': , 'arteries': , 'vertebral arteries': clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'anatomical entity_fin: 'aortic arch': clinical findings_fin: 'stenosis': 'clinical finding': 'stenosis', 'existence': 'neg_dx', 'observation': 'stenosis'clinical findings_fin: 'nascet': 'clinical finding': 'nascet', 'existence': 'unc_dx', 'observation': 'nascet', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'proximal', 'vertebral arteries': location descriptor_fin: ['proximal']clinical findings_fin: 'calcified atherosclerotic plaque': 'clinical finding': 'calcified atherosclerotic plaque', 'existence': 'pos_dx', 'descriptive_term': 'calcified atherosclerotic', 'observation': 'plaque', 'change_term': 'calcified', 'mild narrowing': 'clinical finding': 'mild narrowing', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'narrowing', 'strength_term': 'mild', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'anatomical entity_fin: 'cervical spine': , 'neural foramina': clinical findings_fin: 'multilevel degenerative changes': 'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change', 'uncovertebral osteophytes': 'clinical finding': 'uncovertebral osteophytes', 'existence': 'pos_dx', 'descriptive_term': 'uncovertebral', 'observation': 'osteophyte', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'vertebral arteries': clinical findings_fin: 'obscured': 'clinical finding': 'obscured', 'existence': 'unc_dx', 'observation': 'obscure', 'artifact': 'clinical finding': 'artifact', 'existence': 'pos_dx', 'observation': 'artifact'anatomical entity_fin: 'internal carotid arteries': 'location descriptor': 'distal', 'vertebral arteries': 'location descriptor': 'distal', 'middle': 'location descriptor': 'proximal anterior', 'posterior cerebral arteries': location descriptor_fin: ['distal', 'proximal', 'anterior']clinical findings_fin: 'opacification': 'clinical finding': 'opacification', 'existence': 'pos_dx', 'observation': 'opacification'clinical findings_fin: 'intracranial aneurysms': 'clinical finding': 'intracranial aneurysms', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'aneurysm'location descriptor_fin: ['right']clinical findings_fin: 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'location descriptor_fin: ['right', 'left']clinical findings_fin: 'larger': 'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'anatomical entity_fin: 'origin': , 'posterior cerebral arteries': anatomical entity_fin: 'right vertebral artery': , 'artery': location descriptor_fin: ['left']clinical findings_fin: 'larger': 'clinical finding': 'larger', 'existence': 'pos_dx', 'observation': 'large'anatomical entity_fin: 'basilar artery': clinical findings_fin: 'small': 'clinical finding': 'small', 'existence': 'pos_dx', 'observation': 'small'size_fin: ['size': '1.2 mm', 'size': '2.2 mm']anatomical entity_fin: 'basilar artery': anatomical entity_fin: 'superior cerebellar arteries': clinical findings_fin: 'narrows': 'clinical finding': 'narrows', 'existence': 'pos_dx', 'observation': 'narrow'anatomical entity_fin: 'anterior communicating artery': , 'posterior communicating arteries': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'pos_dx', 'observation': 'intact' [/INST] [RESP] Neck. There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. There is calcified atherosclerotic plaque present at the carotid bifurcation with mild narrowing of the proximal internal carotid arteries There is no significant stenosis along the course of the vertebral arteries. There are multilevel degenerative changes present in the cervical spine with uncovertebral osteophytes present at C3-4, C4-5, C5-6 and C6-7 with narrowing of the neural foramina. The course of vertebral arteries is partially obscured by artifact. Brain. There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No intracranial aneurysms are appreciated. There is narrowing of the right M1 segment by approximately 40%. The right A1 segment is larger than the left A1 segment. There is a fetal origin of the posterior cerebral arteries. The right vertebral artery is larger than the left surgical artery. The basilar artery is small. Approximately the diameter of the basilar artery is 1.2 mm in diameter and more distally it reaches a diameter of 2.2 mm. Just below the level of the superior cerebellar arteries and narrows to under a millimeter in size. The anterior communicating artery and the posterior communicating arteries are identified and are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['midline']clinical findings_fin: 'midline shift': 'clinical finding': 'midline shift', 'existence': 'neg_dx', 'descriptive_term': 'midline', 'observation': 'shift'clinical findings_fin: 'abnormal mass lesions': 'clinical finding': 'abnormal mass lesions', 'existence': 'neg_dx', 'descriptive_term': 'abnormal mass', 'observation': 'lesion'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema'anatomical entity_fin: 'scalp': location descriptor_fin: ['right']clinical findings_fin: 'some soft tissue swelling': 'clinical finding': 'some soft tissue swelling', 'existence': 'pos_dx', 'descriptive_term': 'some soft tissue', 'observation': 'swell', 'quantity_term': 'some'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] The CSF spaces are appropriate for the patients stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. Some soft tissue swelling is present along the right parietal scalp which was also present on the prior exam and is unchanged. The visualized portions of the paranasal sinuses are clear. The visualized portions of the mastoid air cells are clear. The visualized portions of the orbits are intact. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'solid organ': clinical findings_fin: 'iv contrast': 'clinical finding': 'iv contrast', 'existence': 'neg_dx', 'descriptive_term': 'iv', 'observation': 'contrast'location descriptor_fin: ['bilateral']clinical findings_fin: 'mild bilateral pleural effusions': 'clinical finding': 'mild bilateral pleural effusions', 'existence': 'pos_dx', 'descriptive_term': 'mild bilateral pleural', 'observation': 'effusion', 'strength_term': 'mild', 'septal thickening': 'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'anatomical entity_fin: 'liver': procedure_fin: ['hepaticojejunostomy']anatomical entity_fin: 'liver': , 'bowel': location descriptor_fin: ['left', 'right']clinical findings_fin: 'percutaneous': 'clinical finding': 'percutaneous', 'existence': 'pos_dx', 'observation': 'percutaneous'clinical findings_fin: 'unchanged splenomegaly': 'clinical finding': 'unchanged splenomegaly', 'existence': 'pos_dx', 'descriptive_term': 'unchanged', 'observation': 'splenomegaly', 'strength_term': 'unchanged', 'change_term': 'unchanged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'stomach': 'location descriptor': 'proximal'location descriptor_fin: ['proximal']object_fin: ['nasogastric tube']clinical findings_fin: 'nasogastric tube': 'clinical finding': 'nasogastric tube', 'existence': 'pos_dx', 'descriptive_term': 'nasogastric', 'observation': 'tube'size_fin: ['size': '2.5 cm', 'size_descriptor': 'bowel']anatomical entity_fin: 'bowel': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'moderate ascites': 'clinical finding': 'moderate ascites', 'existence': 'pos_dx', 'descriptive_term': 'moderate', 'observation': 'ascite', 'strength_term': 'moderate'clinical findings_fin: 'mild anasarca': 'clinical finding': 'mild anasarca', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anasarca', 'strength_term': 'mild'clinical findings_fin: 'adnexa are not clearly identified': 'clinical finding': 'adnexa are not clearly identified'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 detection of solid organ pathology. Mild bilateral pleural effusions with septal thickening. Patient is status post liver transplant with a hepaticojejunostomy. A percutaneous biliary drain tracks through the liver from left to the right and ends within the small bowel. Unchanged splenomegaly. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. A nasogastric tube is in place within the proximal stomach. Small bowel is mildly dilated at 2.5 cm but no discrete transition point is identified. No significant abnormality noted. Moderate ascites. Mild anasarca. The adnexa are not clearly identified. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'liver': clinical findings_fin: 'enhancement': 'clinical finding': 'enhancement', 'existence': 'pos_dx', 'observation': 'enhancement'imaging observation_fin: ['enhancing']clinical findings_fin: 'arterially enhancing lesion': 'clinical finding': 'arterially enhancing lesion', 'existence': 'neg_dx', 'descriptive_term': 'arterially enhancing', 'observation': 'lesion'clinical findings_fin: 'cholelithiasis': 'clinical finding': 'cholelithiasis', 'existence': 'pos_dx', 'observation': 'cholelithiasis', 'pericholecystic fluid': 'clinical finding': 'pericholecystic fluid', 'existence': 'neg_dx', 'descriptive_term': 'pericholecystic', 'observation': 'fluid'anatomical entity_fin: 'spleen': clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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-sided nephrolithiasis': 'clinical finding': 'right-sided nephrolithiasis', 'existence': 'pos_dx', 'descriptive_term': 'right-sided', 'observation': 'nephrolithiasis', 'obstruction': 'clinical finding': 'obstruction', 'existence': 'neg_dx', 'observation': 'obstruction'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcification': 'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'anatomical entity_fin: 'fluid': , 'esophagus': 'location descriptor': 'distal'location descriptor_fin: ['distal']clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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. Borderline liver size. Two faint areas of enhancement on arterial weighted images only are too indistinct for measurement but may be followed if indicated. No definite evidence of an arterially enhancing lesion. Cholelithiasis without evidence of pericholecystic fluid or ductal dilatation. Borderline size of the spleen. No significant abnormality noted. No significant abnormality noted. Right-sided nephrolithiasis without evidence of obstruction. Atherosclerotic calcification of the aorta. Fluid in the distal esophagus. 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: 'cerebral white matter': clinical findings_fin: 'patchy hypoattenuation': 'clinical finding': 'patchy hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'hypoattenuation'clinical findings_fin: 'symmetric': 'clinical finding': 'symmetric', 'existence': 'pos_dx', 'observation': 'symmetric', 'volume loss': 'clinical finding': 'volume loss', 'existence': 'pos_dx', 'descriptive_term': 'volume', 'observation': 'loss'clinical findings_fin: 'gray-white matter differentiation': 'clinical finding': 'gray-white matter differentiation', 'existence': 'pos_dx', 'descriptive_term': 'gray-white matter', 'observation': 'differentiation'location descriptor_fin: ['midline']clinical findings_fin: 'mass effect': 'clinical finding': 'mass effect', 'existence': 'neg_dx', 'descriptive_term': 'mass', 'observation': 'effect', 'edema': 'clinical finding': 'edema', 'existence': 'neg_dx', 'observation': 'edema', 'intra- or extra-axial fluid collection': 'clinical finding': 'intra- or extra-axial fluid collection', 'existence': 'neg_dx', 'descriptive_term': 'intra- or extra-axial fluid', 'observation': 'collection', 'acute hemorrhage': 'clinical finding': 'acute hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'clinical findings_fin: 'osseous structures are unremarkable': 'clinical finding': 'osseous structures are unremarkable'anatomical entity_fin: 'paranasal sinuses': , 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'clinical findings_fin: 'vacular calcification': 'clinical finding': 'vacular calcification', 'existence': 'pos_dx', 'descriptive_term': 'vacular', 'observation': 'calcification' [/INST] [RESP] There is patchy hypoattenuation in the cerebral white matter. The ventricles, sulci, and cisterns are symmetric and prominent, representing 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. Vacular calcification. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral']clinical findings_fin: 'numerous bilateral pulmonary nodules': 'clinical finding': 'numerous bilateral pulmonary nodules', 'existence': 'pos_dx', 'descriptive_term': 'numerous bilateral pulmonary', 'observation': 'nodule', 'quantity_term': 'numerous', 'some basilar atelectasis': 'clinical finding': 'some basilar atelectasis', 'existence': 'pos_dx', 'descriptive_term': 'some basilar', 'observation': 'atelectasis', 'quantity_term': 'some', 'metastases': 'clinical finding': 'metastases', 'existence': 'pos_dx', 'observation': 'metastase'clinical findings_fin: 'bulky bilobar hypodense hepatic masses': 'clinical finding': 'bulky bilobar hypodense hepatic masses', 'existence': 'pos_dx', 'descriptive_term': 'bulky bilobar hypodense hepatic', 'observation': 'mass', 'metastatic': 'clinical finding': 'metastatic', 'existence': 'pos_dx', 'observation': 'metastatic'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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': '19 x 15 mm', 'size_descriptor': 'node']clinical findings_fin: '19 x 15 mm cardiophrenic lymph node': 'clinical finding': '19 x 15 mm cardiophrenic lymph node', 'existence': 'pos_dx', 'descriptive_term': '19 x 15 mm cardiophrenic lymph', 'observation': 'node'anatomical entity_fin: 'abdominal aorta': 'location descriptor': 'inferior'location descriptor_fin: ['inferior']clinical findings_fin: 'calcifications': 'clinical finding': 'calcifications', 'existence': 'pos_dx', 'observation': 'calcification'anatomical entity_fin: 'appendix': clinical findings_fin: 'appendix is visualized and appears': 'clinical finding': 'appendix is visualized and appears'anatomical entity_fin: 'bowel': clinical findings_fin: 'other bowel obstruction': 'clinical finding': 'other bowel obstruction', 'existence': 'neg_dx', 'descriptive_term': 'other bowel', 'observation': 'obstruction', 'abnormalities': 'clinical finding': 'abnormalities', 'existence': 'neg_dx', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'object_fin: ['catheter']clinical findings_fin: 'complications': 'clinical finding': 'complications', 'existence': 'pos_dx', 'observation': 'complication'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'spine': location descriptor_fin: ['lower']clinical findings_fin: 'degenerative changes': 'clinical finding': 'degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'change' [/INST] [RESP] . Numerous bilateral pulmonary nodules with some basilar atelectasis, likely representing metastases. Bulky bilobar hypodense hepatic masses , consistent with a metastatic process. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. 19 x 15 mm cardiophrenic lymph node. Calcifications of the inferior abdominal aorta. The appendix is visualized and appears unremarkable. No other bowel obstruction or abnormalities noted. No significant abnormality noted. Foley catheter in place without complications. No significant abnormality noted. No significant abnormality noted. Degenerative changes affect the lower lumbar spine. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': , 'occipital lobe': location descriptor_fin: ['left', 'right']clinical findings_fin: 'further evolutionary change': 'clinical finding': 'further evolutionary change', 'existence': 'pos_dx', 'descriptive_term': 'further evolutionary', 'observation': 'change', 'infarctions': 'clinical finding': 'infarctions', 'existence': 'pos_dx', 'observation': 'infarction'location descriptor_fin: ['right']clinical findings_fin: 'hypoattenuation': 'clinical finding': 'hypoattenuation', 'existence': 'pos_dx', 'observation': 'hypoattenuation', 'old infarction': 'clinical finding': 'old infarction', 'existence': 'unc_dx', 'descriptive_term': 'old', 'observation': 'infarction', 'temporal_term': 'old', 'small vessel ischemic change': 'clinical finding': 'small vessel ischemic change', 'existence': 'unc_dx', 'descriptive_term': 'small vessel ischemic', 'observation': 'change', 'strength_term': 'small'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage', 'new infarction': 'clinical finding': 'new infarction', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'infarction', 'temporal_term': 'new'anatomical entity_fin: 'basal ganglia': clinical findings_fin: 'basal ganglia calcification': 'clinical finding': 'basal ganglia calcification', 'existence': 'pos_dx', 'descriptive_term': 'basal ganglia', 'observation': 'calcification'anatomical entity_fin: 'neck': , 'head': location descriptor_fin: ['distal']clinical findings_fin: 'mild atherosclerotic plaques': 'clinical finding': 'mild atherosclerotic plaques', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'plaque', 'strength_term': 'mild', 'significant stenosis': 'clinical finding': 'significant stenosis', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'stenosis'anatomical entity_fin: 'internal carotid artery': clinical findings_fin: 'mild atherosclerotic changes': 'clinical finding': 'mild atherosclerotic changes', 'existence': 'pos_dx', 'descriptive_term': 'mild atherosclerotic', 'observation': 'change', 'strength_term': 'mild', 'narrowing': 'clinical finding': 'narrowing', 'existence': 'pos_dx', 'observation': 'narrowing'anatomical entity_fin: 'arteries': , 'left middle cerebral artery': 'location descriptor': 'distal', 'right posterior cerebral artery': location descriptor_fin: ['distal']clinical findings_fin: 'attenuation': 'clinical finding': 'attenuation', 'existence': 'pos_dx', 'observation': 'attenuation'anatomical entity_fin: 'middle': , 'posterior cerebral arteries': location descriptor_fin: ['anterior']clinical findings_fin: 'rest of the anterior , middle and posterior cerebral arteries appear unremarkable': 'clinical finding': 'rest of the anterior , middle and posterior cerebral arteries appear unremarkable'clinical findings_fin: 'aneurysm': 'clinical finding': 'aneurysm', 'existence': 'neg_dx', 'observation': 'aneurysm'anatomical entity_fin: 'spine': clinical findings_fin: 'degenerative disease': 'clinical finding': 'degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'degenerative', 'observation': 'disease'anatomical entity_fin: 'lungs': clinical findings_fin: 'emphysema': 'clinical finding': 'emphysema', 'existence': 'pos_dx', 'observation': 'emphysema'location descriptor_fin: ['left']clinical findings_fin: 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion' [/INST] [RESP] Brain. There is further evolutionary change of the infarctions involving the left temporoparietal lobe, and right parietal occipital lobe. A small area of hypoattenuation in the right frontal white matter is unchanged, and may represent old infarction or small vessel ischemic change. There is no evidence of intracranial hemorrhage or new infarction. Basal ganglia calcification is again present. Neck and Head. There are mild atherosclerotic plaques at the carotid bifurcations bilaterally, but no significant stenosis greater than 30% of distal luminal diameter is identified. Mild atherosclerotic changes and narrowing at the cavernous segment of the internal carotid artery is also noted bilaterally. For the intracranial arteries, there is attenuation of the sylvian branch of the distal left middle cerebral artery, and also in the distal branch of the right posterior cerebral artery. The rest of the anterior, middle and posterior cerebral arteries appear unremarkable. No aneurysm is identified. Degenerative disease is seen in the cervical spine. There is emphysema in the lungs. There is left pleural effusion. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'lobe': 'location descriptor': 'left lower'location descriptor_fin: ['right', 'upper', 'left', 'lower']clinical findings_fin: 'complete resolution': 'clinical finding': 'complete resolution', 'existence': 'pos_dx', 'descriptive_term': 'complete', 'observation': 'resolution', 'groundglass opacity': 'clinical finding': 'groundglass opacity', 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'clinical findings_fin: 'increased interlobular septal thickening': 'clinical finding': 'increased interlobular septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'increased interlobular septal', 'observation': 'thickening', 'strength_term': 'increased', 'change_term': 'increased', 'sarcoidosis': 'clinical finding': 'sarcoidosis', 'existence': 'pos_dx', 'observation': 'sarcoidosis'location descriptor_fin: ['right']clinical findings_fin: 'worsening right-sided pleural effusion': 'clinical finding': 'worsening right-sided pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'worsening right-sided pleural', 'observation': 'effusion', 'strength_term': 'worsening', 'change_term': 'worsening', 'loculated fluid collection': 'clinical finding': 'loculated fluid collection', 'existence': 'pos_dx', 'descriptive_term': 'loculated fluid', 'observation': 'collection', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure'anatomical entity_fin: 'lobes': 'location descriptor': 'lower'location descriptor_fin: ['lower']clinical findings_fin: 'resolution': 'clinical finding': 'resolution', 'existence': 'pos_dx', 'observation': 'resolution', 'subcentimeter nodules': 'clinical finding': 'subcentimeter nodules', 'existence': 'pos_dx', 'descriptive_term': 'subcentimeter', 'observation': 'nodule'clinical findings_fin: 'multiple enlarged lymph nodes': 'clinical finding': 'multiple enlarged lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple enlarged lymph', 'observation': 'node', 'strength_term': 'enlarged', 'quantity_term': 'multiple', 'change_term': 'enlarged'anatomical entity_fin: 'mediastinum': clinical findings_fin: 'calcified nodes': 'clinical finding': 'calcified nodes', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'node', 'change_term': 'calcified'anatomical entity_fin: 'lung': 'location descriptor': 'bilateral lower', 'airways': location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: 'stable narrowing': 'clinical finding': 'stable narrowing', 'existence': 'pos_dx', 'descriptive_term': 'stable', 'observation': 'narrowing', 'strength_term': 'stable', 'change_term': 'stable'anatomical entity_fin: 'fluid': clinical findings_fin: 'increased pericardial fluid': 'clinical finding': 'increased pericardial fluid', 'change_term': 'increased'clinical findings_fin: 'cardiomegaly': 'clinical finding': 'cardiomegaly', 'existence': 'neg_dx', 'observation': 'cardiomegaly'anatomical entity_fin: 'retrocrural lymph nodes': clinical findings_fin: 'enlarged cardiophrenic and retrocrural lymph nodes': 'clinical finding': 'enlarged cardiophrenic and retrocrural lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'enlarged cardiophrenic and retrocrural lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'axillary lymph nodes': location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral, slightly enlarged axillary lymph nodes': 'clinical finding': 'bilateral, slightly enlarged axillary lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral slightly enlarged axillary 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' [/INST] [RESP] . Mild centrilobular emphysema. Complete resolution of the groundglass opacity in the right upper lobe and left lower lobe. Increased interlobular septal thickening consistent with patients history of sarcoidosis. Worsening right-sided pleural effusion with loculated fluid collection in the minor fissure. Resolution of subcentimeter nodules previously noted in the lower lobes. Multiple enlarged lymph nodes in the prevascular space. Calcified nodes in the mediastinum. Stable narrowing of bilateral lower lung field airways as seen on image 45/106. Increased pericardial fluid. No cardiomegaly. Enlarged cardiophrenic and retrocrural lymph nodes. Bilateral, slightly enlarged axillary lymph nodes. Given the limitations of an unenhanced study, no significant abnormality was noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '1.6-cm']clinical findings_fin: 'os acetabulum': 'clinical finding': 'os acetabulum', 'existence': 'pos_dx', 'descriptive_term': 'os', 'observation': 'acetabulum'anatomical entity_fin: 'hip': 'location descriptor': 'contralateral right'location descriptor_fin: ['contralateral', 'right']clinical findings_fin: 'cam deformity': 'clinical finding': 'cam deformity', 'existence': 'pos_dx', 'descriptive_term': 'cam', 'observation': 'deformity', 'smaller os acetabulum': 'clinical finding': 'smaller os acetabulum', 'existence': 'pos_dx', 'descriptive_term': 'smaller os', 'observation': 'acetabulum'imaging observation_fin: ['angle']clinical findings_fin: 'alpha angle': 'clinical finding': 'alpha angle'anatomical entity_fin: 'femoral neck': imaging observation_fin: ['angle']clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'clinical findings_fin: 'os acetabulum': 'clinical finding': 'os acetabulum', 'existence': 'pos_dx', 'descriptive_term': 'os', 'observation': 'acetabulum'clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'clinical findings_fin: 'acetabular version': 'clinical finding': 'acetabular version', 'existence': 'pos_dx', 'descriptive_term': 'acetabular', 'observation': 'version'clinical findings_fin: 'aiis width': 'clinical finding': 'aiis width'size_fin: ['size': '1.4 cm']clinical findings_fin: '1.4 cm': 'clinical finding': '1.4 cm'anatomical entity_fin: 'base': 'location descriptor': 'distal', 'rim': location descriptor_fin: ['distal']clinical findings_fin: 'aiis': 'clinical finding': 'aiis', 'existence': 'pos_dx', 'observation': 'aiis'size_fin: ['size': '1.3 cm']clinical findings_fin: '1.3 cm': 'clinical finding': '1.3 cm' [/INST] [RESP] Elongated 1.6-cm maximum transaxial dimension os acetabulum is noted. Contralateral right hip also demonstrates a CAM deformity and smaller os acetabulum. CAM location. Two oclock position. Alpha angle. 73 degrees. Coronal center-edge angle. 37 degrees, correcting the image by 3 degrees of rotation. Sagittal center-edge angle. 73 degrees. Femoral neck-shaft angle. 135 degrees. Acetabular version. Acetabular version was calculated using zero degrees of correction. These were measured including the os acetabulum. One oclock acetabular version is -10 degrees. Acetabular version. -12 degrees. Acetabular version. 13 degreesFemoral version angle. Positive 10 degrees. McKibbin index. 23 degrees. AIIS width. 1.4 cm. Type 1A. Distal base of AIIS to acetabular rim. 1.3 cm [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '7-mm', 'size_descriptor': 'nodule']clinical findings_fin: '7-mm nodule': 'clinical finding': '7-mm nodule', 'existence': 'pos_dx', 'descriptive_term': '7-mm', 'observation': 'nodule', 'minor fissure': 'clinical finding': 'minor fissure', 'existence': 'pos_dx', 'descriptive_term': 'minor', 'observation': 'fissure', 'intrapulmonary lymph node': 'clinical finding': 'intrapulmonary lymph node', 'existence': 'pos_dx', 'descriptive_term': 'intrapulmonary lymph', 'observation': 'node'anatomical entity_fin: 'liver': anatomical entity_fin: 'portal vein': clinical findings_fin: 'narrowed': 'clinical finding': 'narrowed', 'existence': 'pos_dx', 'observation': 'narrow', 'patent': 'clinical finding': 'patent', 'existence': 'pos_dx', 'observation': 'patent'size_fin: ['size': '2.4 cm', 'size': '2.3 cm']anatomical entity_fin: 'common bile duct': clinical findings_fin: 'enlarged': 'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'clinical findings_fin: 'multiple perisplenic collateral vessels': 'clinical finding': 'multiple perisplenic collateral vessels', 'existence': 'pos_dx', 'descriptive_term': 'multiple perisplenic collateral', 'observation': 'vessel', 'quantity_term': 'multiple'size_fin: ['size': '2.1 x 1.8 cm', 'size': '2.1 x 1.8 cm']clinical findings_fin: 'segment two lesion': 'clinical finding': 'segment two lesion', 'existence': 'pos_dx', 'descriptive_term': 'segment two', 'observation': 'lesion', 'enhancement': 'clinical finding': 'enhancement', 'existence': 'neg_dx', 'observation': 'enhancement'imaging observation_fin: ['enhancing']clinical findings_fin: 'arterially enhancing lesion': 'clinical finding': 'arterially enhancing lesion', 'existence': 'neg_dx', 'descriptive_term': 'arterially enhancing', 'observation': 'lesion'imaging observation_fin: ['enhancing']clinical findings_fin: 'new suspicious enhancing lesions': 'clinical finding': 'new suspicious enhancing lesions', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious enhancing', 'observation': 'lesion', 'temporal_term': 'new'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'location descriptor_fin: ['left']clinical findings_fin: 'left renal cyst': 'clinical finding': 'left renal cyst', 'existence': 'pos_dx', 'descriptive_term': 'left renal', 'observation': 'cyst'clinical findings_fin: 'mildly enlarged periportal node': 'clinical finding': 'mildly enlarged periportal node', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged periportal', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'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', 'scoliosis': 'clinical finding': 'scoliosis', 'existence': 'pos_dx', 'observation': 'scoliosis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . 7-mm nodule along the minor fissure has the appearance of an intrapulmonary lymph node. Cirrhotic liver morphology. Portal vein is narrowed but appears patent. The common bile duct is massively enlarged to the ampulla measuring up to 2.4 cm , previously 2.3 cm. Multiple perisplenic collateral vessels are noted. Segment two lesion without enhancement status post RFA measuring 2.1 x 1.8 cm , previously 2.1 x 1.8 cm. Segment two and segment 5 arterially enhancing lesion identified on the prior MRI are not seen on this study. No new suspicious enhancing lesions. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left renal cyst is unchanged. Mildly enlarged periportal node is stable. No significant abnormality noted. Mild degenerative changes and scoliosis of the spine. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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: 'cortex': imaging observation_fin: ['heterogeneous enhancement']clinical findings_fin: 'heterogeneous enhancement': 'clinical finding': 'heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'enhancement'clinical findings_fin: 'recent pyelonephritis': 'clinical finding': 'recent pyelonephritis', 'existence': 'unc_dx', 'descriptive_term': 'recent', 'observation': 'pyelonephritis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'fractures': 'clinical finding': 'fractures', 'existence': 'neg_dx', 'observation': 'fracture'anatomical entity_fin: 'pelvis': artifact_fin: ['motion artifact']clinical findings_fin: 'motion artifact': 'clinical finding': 'motion artifact', 'existence': 'pos_dx', 'descriptive_term': 'motion', 'observation': 'artifact'anatomical entity_fin: 'subcutaneous fat': , 'flank': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'increased attenuation': 'clinical finding': 'increased attenuation', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'attenuation', 'strength_term': 'increased', 'change_term': 'increased', 'bruising': 'clinical finding': 'bruising', 'existence': 'unc_dx', 'observation': 'bruising'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'size_fin: ['size': '2.2 x 1.0 cm', 'size_descriptor': 'structure']anatomical entity_fin: 'axial plane': location descriptor_fin: ['right']clinical findings_fin: 'cystic': 'clinical finding': 'cystic', 'existence': 'pos_dx', 'observation': 'cystic', 'physiologic ovarian cyst': 'clinical finding': 'physiologic ovarian cyst', 'existence': 'unc_dx', 'descriptive_term': 'physiologic ovarian', 'observation': 'cyst'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'pelvis': clinical findings_fin: 'free fluid': 'clinical finding': 'free fluid', 'existence': 'pos_dx', 'descriptive_term': 'free', 'observation': 'fluid' [/INST] [RESP] . No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Several radial areas of heterogeneous enhancement are noted in the renal cortex bilaterally. These likely relate to the reported history of recent pyelonephritis. No significant abnormality noted. No significant abnormality noted. No fractures are evident. Motion artifact is present in the pelvis. Increased attenuation is noted in the subcutaneous fat overlying the right flank -- this likely reflects bruising. No significant abnormality noted. A cystic structure in the right adnexa measuring 2.2 x 1.0 cm in the axial plane is likely a physiologic ovarian cyst. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. See above. A small amount of free fluid is evident in the pelvis [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'right lung': , 'base': clinical findings_fin: 'scarlike opacity': 'clinical finding': 'scarlike opacity', 'existence': 'pos_dx', 'descriptive_term': 'scarlike', 'observation': 'opacity'clinical findings_fin: 'numerous bilobar hypoattenuating lesions': 'clinical finding': 'numerous bilobar hypoattenuating lesions', 'existence': 'pos_dx', 'descriptive_term': 'numerous bilobar hypoattenuating', 'observation': 'lesion', 'quantity_term': 'numerous', 'metastatic disease': 'clinical finding': 'metastatic disease', 'existence': 'pos_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'size_fin: ['size': '7.5 x 4.8 cm', 'size_descriptor': 'lesion']anatomical entity_fin: 'lobe': 'location descriptor': 'right'location descriptor_fin: ['right']clinical findings_fin: 'reference lesion': 'clinical finding': 'reference lesion', 'existence': 'pos_dx', 'descriptive_term': 'reference', 'observation': 'lesion'anatomical entity_fin: 'porta hepatis': clinical findings_fin: 'multiple necrotic porta hepatis nodes': 'clinical finding': 'multiple necrotic porta hepatis nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple necrotic porta hepatis', 'observation': 'node', 'quantity_term': 'multiple'anatomical entity_fin: 'gallbladder': clinical findings_fin: 'collapsed': 'clinical finding': 'collapsed', 'existence': 'pos_dx', 'observation': 'collapse'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'left kidney': clinical findings_fin: 'hypoattenuating lesion': 'clinical finding': 'hypoattenuating lesion', 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating', 'observation': 'lesion', 'renal cyst': 'clinical finding': 'renal cyst', 'existence': 'unc_dx', 'descriptive_term': 'renal', 'observation': 'cyst'anatomical entity_fin: 'aorta': clinical findings_fin: 'atherosclerotic calcifications': 'clinical finding': 'atherosclerotic calcifications', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'anatomical entity_fin: 'fluid': , 'abdominal': clinical findings_fin: 'intra-abdominal abscess': 'clinical finding': 'intra-abdominal abscess', 'existence': 'unc_dx', 'descriptive_term': 'intra-abdominal', 'observation': 'abscess'anatomical entity_fin: 'uterus': clinical findings_fin: 'uterus is not visualized': 'clinical finding': 'uterus is not visualized'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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] . Scarlike opacity in the right lung base. Numerous bilobar hypoattenuating lesions compatible with metastatic disease. Reference lesion in the right lobe measures 7.5 x 4.8 cm. Multiple necrotic porta hepatis nodes are present. The gallbladder is collapsed. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Hypoattenuating lesion in the left kidney likely represents a renal cyst. Atherosclerotic calcifications of the aorta. No significant abnormality noted. No significant abnormality noted. No focal fluid collections to suggest intra-abdominal abscess. The uterus is not visualized. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'mediastinal or hilar lymphadenopathy': 'clinical finding': 'mediastinal or hilar lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'anatomical entity_fin: 'rib': clinical findings_fin: 'bony metastasis': 'clinical finding': 'bony metastasis', 'existence': 'neg_dx', 'descriptive_term': 'bony', 'observation': 'metastasis', 'rib fractures': 'clinical finding': 'rib fractures', 'existence': 'neg_dx', 'descriptive_term': 'rib', 'observation': 'fracture'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 mediastinal or hilar lymphadenopathy. No evidence of bony metastasis or rib fractures. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'several stable scattered subcentimeter micronodules': 'clinical finding': 'several stable scattered subcentimeter micronodules', 'existence': 'pos_dx', 'descriptive_term': 'several stable scattered subcentimeter', 'observation': 'micronodule', 'strength_term': 'stable', 'quantity_term': 'several', 'change_term': 'stable'clinical findings_fin: 'new suspicious nodules': 'clinical finding': 'new suspicious nodules', 'existence': 'neg_dx', 'descriptive_term': 'new suspicious', 'observation': 'nodule', 'temporal_term': 'new'anatomical entity_fin: 'pleural spaces': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'lingula': , 'mediastinum': 'location descriptor': 'anterior left'location descriptor_fin: ['anterior', 'left']clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'pos_dx', 'observation': 'consolidation', 'prior inflammation': 'clinical finding': 'prior inflammation', 'existence': 'unc_dx', 'descriptive_term': 'prior', 'observation': 'inflammation'anatomical entity_fin: 'heart': clinical findings_fin: 'heart size is normal': 'clinical finding': 'heart size is normal'anatomical entity_fin: 'pericardium': clinical findings_fin: 'pericardium is normal in thickness': 'clinical finding': 'pericardium is normal in thickness'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: 'axillary lymphadenopathy': 'clinical finding': 'axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative changes': 'clinical finding': 'mild degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'change', 'strength_term': 'mild'anatomical entity_fin: 'abdominal': clinical findings_fin: 'enteric contrast': 'clinical finding': 'enteric contrast', 'existence': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Several stable scattered subcentimeter micronodules are unchanged. No new suspicious nodules. The pleural spaces remain clear. Stable focus of consolidation in the lingula that abuts the anterior left mediastinum and possibly sequela of prior inflammation. Heart size is normal. Pericardium is normal in thickness. No mediastinal or hilar lymphadenopathy. No axillary lymphadenopathy. Mild degenerative changes in the mid thoracic spine. Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: 'lobe': 'location descriptor': 'upper'location descriptor_fin: ['upper']clinical findings_fin: 'patchy upper lobe predominant ground glass opacities': 'clinical finding': 'patchy upper lobe predominant ground glass opacities', 'existence': 'pos_dx', 'descriptive_term': 'patchy upper lobe predominant ground glass', 'observation': 'opacity', 'atypical edema': 'clinical finding': 'atypical edema', 'existence': 'unc_dx', 'descriptive_term': 'atypical', 'observation': 'edema', 'aspiration': 'clinical finding': 'aspiration', 'existence': 'unc_dx', 'observation': 'aspiration', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'anatomical entity_fin: 'left lung': , 'base': location descriptor_fin: ['right', 'left']clinical findings_fin: 'small right pleural effusion': 'clinical finding': 'small right pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'small right pleural', 'observation': 'effusion', 'strength_term': 'small', 'left pleural effusion': 'clinical finding': 'left pleural effusion', 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion', 'associated consolidation': 'clinical finding': 'associated consolidation', 'existence': 'unc_dx', 'descriptive_term': 'associated', 'observation': 'consolidation', 'atelectasis': 'clinical finding': 'atelectasis', 'existence': 'unc_dx', 'observation': 'atelectasis', 'infection': 'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'clinical findings_fin: 'increased pleural density': 'clinical finding': 'increased pleural density', 'existence': 'pos_dx', 'descriptive_term': 'increased pleural', 'observation': 'density', 'strength_term': 'increased', 'change_term': 'increased', 'empyema': 'clinical finding': 'empyema', 'existence': 'unc_dx', 'observation': 'empyema'anatomical entity_fin: 'pleural space': 'location descriptor': 'lateral left'location descriptor_fin: ['inferior', 'lateral', 'left']object_fin: ['catheter']clinical findings_fin: 'ventriculopleural catheter tip is seen in the inferior lateral left pleural space': 'clinical finding': 'ventriculopleural catheter tip is seen in the inferior lateral left pleural space'anatomical entity_fin: 'heart': clinical findings_fin: 'trace pericardial effusion': 'clinical finding': 'trace pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'trace pericardial', 'observation': 'effusion'clinical findings_fin: 'new mediastinal and possible hilar lymphadenopathy': 'clinical finding': 'new mediastinal and possible hilar lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'new mediastinal and possible hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'new'imaging observation_fin: ['soft tissue density']location descriptor_fin: ['anterior']clinical findings_fin: 'ill-defined anterior mediastinal soft tissue density': 'clinical finding': 'ill-defined anterior mediastinal soft tissue density', 'existence': 'pos_dx', 'descriptive_term': 'ill-defined anterior mediastinal soft tissue', 'observation': 'density', 'strength_term': 'ill-defined', 'tissue': 'clinical finding': 'tissue', 'existence': 'pos_dx', 'observation': 'tissue'clinical findings_fin: 'visible coronary artery calcifications': 'clinical finding': 'visible coronary artery calcifications', 'existence': 'neg_dx', 'descriptive_term': 'visible coronary artery', 'observation': 'calcification'clinical findings_fin: 'significant axillary lymphadenopathy': 'clinical finding': 'significant axillary lymphadenopathy', 'existence': 'neg_dx', 'descriptive_term': 'significant axillary', 'observation': 'lymphadenopathy'anatomical entity_fin: 'spine': clinical findings_fin: 'mild degenerative disease': 'clinical finding': 'mild degenerative disease', 'existence': 'pos_dx', 'descriptive_term': 'mild degenerative', 'observation': 'disease', 'strength_term': 'mild'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] Motion somewhat limits sensitivity. Patchy upper lobe predominant ground glass opacities, which may be secondary to atypical edema, aspiration, or infection. Interval development of small right pleural effusion, and enlargement of left pleural effusion with associated consolidation or atelectasis at the left lung base, concerning for infection. Increased pleural density raises the suspicion of empyema. Ventriculopleural catheter tip is seen in the inferior lateral left pleural space. Heart size is within normal limits, trace pericardial effusion. New mediastinal and possible hilar lymphadenopathy, nonspecific, but likely reactive. Ill-defined anterior mediastinal soft tissue density likely represents residual thymic tissue. No visible coronary artery calcifications. No significant axillary lymphadenopathy. Mild degenerative disease of the spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. No significant abnormality noted. [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: 'mild centrilobular emphysema': 'clinical finding': 'mild centrilobular emphysema', 'existence': 'pos_dx', 'descriptive_term': 'mild centrilobular', 'observation': 'emphysema', 'strength_term': 'mild'anatomical entity_fin: 'mediastinum': , 'superior vena cava': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'necrotic right upper lung mass': 'clinical finding': 'necrotic right upper lung mass', 'existence': 'pos_dx', 'descriptive_term': 'necrotic right upper lung', 'observation': 'mass', 'adenocarcinoma': 'clinical finding': 'adenocarcinoma', 'existence': 'pos_dx', 'observation': 'adenocarcinoma'size_fin: ['size': '7.3 x 5.8 cm']anatomical entity_fin: 'lobe': 'location descriptor': 'right upper', 'right lung': , 'base': location descriptor_fin: ['right', 'upper']clinical findings_fin: 'this mass': 'clinical finding': 'this mass', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'mass', 'streaky linear and interstitial opacities': 'clinical finding': 'streaky linear and interstitial opacities', 'existence': 'pos_dx', 'descriptive_term': 'streaky linear and interstitial', 'observation': 'opacity', 'posttherapy change': 'clinical finding': 'posttherapy change', 'existence': 'pos_dx', 'descriptive_term': 'posttherapy', 'observation': 'change'clinical findings_fin: 'small pericardial effusion': 'clinical finding': 'small pericardial effusion', 'existence': 'pos_dx', 'descriptive_term': 'small pericardial', 'observation': 'effusion', 'strength_term': 'small'anatomical entity_fin: 'superior vena cava': location descriptor_fin: ['adjacent']clinical findings_fin: 'near-total occlusion': 'clinical finding': 'near-total occlusion', 'existence': 'pos_dx', 'descriptive_term': 'near-total', 'observation': 'occlusion', 'superior vena': 'clinical finding': 'superior vena', 'existence': 'pos_dx', 'descriptive_term': 'superior', 'observation': 'vena', 'strength_term': 'superior', 'mass': 'clinical finding': 'mass', 'existence': 'pos_dx', 'observation': 'mass', 'adjacent mass': 'clinical finding': 'adjacent mass', 'existence': 'pos_dx', 'descriptive_term': 'adjacent', 'observation': 'mass'location descriptor_fin: ['adjacent', 'right', 'upper']clinical findings_fin: 'precarinal lymphadenopathy': 'clinical finding': 'precarinal lymphadenopathy', 'existence': 'pos_dx', 'descriptive_term': 'precarinal', 'observation': 'lymphadenopathy', 'adjacent necrotic right upper lung mass': 'clinical finding': 'adjacent necrotic right upper lung mass', 'existence': 'pos_dx', 'descriptive_term': 'adjacent necrotic right upper lung', 'observation': 'mass'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'imaging observation_fin: ['foci']clinical findings_fin: 'multiple subcentimeter hypoattenuating foci': 'clinical finding': 'multiple subcentimeter hypoattenuating foci', 'existence': 'pos_dx', 'descriptive_term': 'multiple subcentimeter hypoattenuating', 'observation': 'foci', 'quantity_term': 'multiple', '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'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality' [/INST] [RESP] . Mild centrilobular emphysema. Necrotic right upper lung mass abutting the mediastinum and nearly occluding the superior vena cava is compatible with patients history of adenocarcinoma. This mass is slightly decreased in size now measuring 7.3 x 5.8 cm on image 33/156 series 3 Streaky linear and interstitial opacities in the right upper lobe and right lung base likely represent posttherapy change. Small pericardial effusion. Near-total occlusion of the superior vena cava due to mass effect from adjacent mass. Precarinal lymphadenopathy is inseparable from adjacent necrotic right upper lung mass. No significant abnormality noted. Multiple subcentimeter hypoattenuating foci are too small to fully characterize but likely represent cysts. 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: 'respiratory tract': clinical findings_fin: 'minimal perihilar bronchial wall thickening': 'clinical finding': 'minimal perihilar bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'minimal perihilar bronchial wall', 'observation': 'thickening', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'asthma': 'clinical finding': 'asthma', 'existence': 'pos_dx', 'observation': 'asthma', 'chronic arthritis': 'clinical finding': 'chronic arthritis', 'existence': 'unc_dx', 'descriptive_term': 'chronic', 'observation': 'arthritis', 'temporal_term': 'chronic', 'viral respiratory tract infection': 'clinical finding': 'viral respiratory tract infection', 'existence': 'unc_dx', 'descriptive_term': 'viral respiratory tract', 'observation': 'infection'clinical findings_fin: 'minimal basilar dependent change': 'clinical finding': 'minimal basilar dependent change', 'existence': 'pos_dx', 'descriptive_term': 'minimal basilar dependent', 'observation': 'change', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'consolidation': 'clinical finding': 'consolidation', 'existence': 'neg_dx', 'observation': 'consolidation', 'mass': 'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'anatomical entity_fin: 'lobe': 'location descriptor': 'left upper'location descriptor_fin: ['left', 'upper']clinical findings_fin: 'punctate calcified granuloma': 'clinical finding': 'punctate calcified granuloma', 'existence': 'pos_dx', 'descriptive_term': 'punctate calcified', 'observation': 'granuloma', 'change_term': 'calcified'location descriptor_fin: ['left']clinical findings_fin: 'two subcentimeter hypodense thyroid nodules': 'clinical finding': 'two subcentimeter hypodense thyroid nodules', 'existence': 'pos_dx', 'descriptive_term': 'two subcentimeter hypodense thyroid', 'observation': 'nodule'anatomical entity_fin: 'mediastinal lymph nodes': clinical findings_fin: 'pathologically enlarged mediastinal lymph nodes': 'clinical finding': 'pathologically enlarged mediastinal lymph nodes', 'existence': 'neg_dx', 'descriptive_term': 'pathologically enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'enlarged', 'change_term': 'enlarged'anatomical entity_fin: 'breast': location descriptor_fin: ['left']clinical findings_fin: 'calcified nodule': 'clinical finding': 'calcified nodule', 'existence': 'pos_dx', 'descriptive_term': 'calcified', 'observation': 'nodule', 'change_term': 'calcified', 'calcified fibroadenoma': 'clinical finding': 'calcified fibroadenoma', 'existence': 'unc_dx', 'descriptive_term': 'calcified', 'observation': 'fibroadenoma', 'change_term': 'calcified'anatomical entity_fin: 'liver': clinical findings_fin: 'multiple well circumscribed water attenuation masses': 'clinical finding': 'multiple well circumscribed water attenuation masses', 'existence': 'pos_dx', 'descriptive_term': 'multiple well circumscribed water attenuation', 'observation': 'mass', 'quantity_term': 'multiple', 'simple bile duct cysts': 'clinical finding': 'simple bile duct cysts', 'existence': 'unc_dx', 'descriptive_term': 'simple bile duct', 'observation': 'cyst'anatomical entity_fin: 'aorta': clinical findings_fin: 'minimal atherosclerotic calcification': 'clinical finding': 'minimal atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'minimal atherosclerotic', 'observation': 'calcification', 'strength_term': 'minimal', 'quantity_term': 'minimal'clinical findings_fin: 'mild to degenerative disk disease': 'clinical finding': 'mild to degenerative disk disease', 'existence': 'pos_dx', 'descriptive_term': 'mild to degenerative disk', 'observation': 'disease', 'strength_term': 'mild', 'mild anterolisthesis': 'clinical finding': 'mild anterolisthesis', 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'anterolisthesis', 'strength_term': 'mild' [/INST] [RESP] . Minimal perihilar bronchial wall thickening which is nonspecific but most commonly seen with asthma, chronic arthritis, or viral respiratory tract infection. Minimal basilar dependent change. No evidence of consolidation or mass. Punctate calcified granuloma left upper lobe. Two subcentimeter hypodense thyroid nodules on the left. No pathologically enlarged mediastinal lymph nodes. Calcified nodule left breast presumably a calcified fibroadenoma though dedicated breast imaging is recommended for further evaluation. Multiple well circumscribed water attenuation masses in the liver are presumably simple bile duct cysts. Negative. Negative. Negative. Negative. Minimal atherosclerotic calcification of the aorta. Mild to degenerative disk disease with mild anterolisthesis of L4 on L5. [/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'location descriptor_fin: ['left']clinical findings_fin: 'left adrenal calcifications': 'clinical finding': 'left adrenal calcifications', 'existence': 'unc_dx', 'descriptive_term': 'left adrenal', 'observation': 'calcification'location descriptor_fin: ['bilateral']clinical findings_fin: 'bilateral punctate renal calculi': 'clinical finding': 'bilateral punctate renal calculi', 'existence': 'pos_dx', 'descriptive_term': 'bilateral punctate renal', 'observation': 'calculi'clinical findings_fin: 'hydronephrosis': 'clinical finding': 'hydronephrosis', 'existence': 'neg_dx', 'observation': 'hydronephrosis'clinical findings_fin: 'mild perinephric stranding': 'clinical finding': 'mild perinephric stranding', 'existence': 'pos_dx', 'descriptive_term': 'mild perinephric', 'observation': 'strand', 'strength_term': 'mild', 'recently passed stone': 'clinical finding': 'recently passed stone', 'existence': 'unc_dx', 'descriptive_term': 'recently passed', 'observation': 'stone', 'pyelonephritis': 'clinical finding': 'pyelonephritis', 'existence': 'unc_dx', 'observation': 'pyelonephritis'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'clinical findings_fin: 'significant abnormality': 'clinical finding': 'significant abnormality', 'existence': '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 following observations are made in the limitations of an unenhanced study. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. Left adrenal calcifications of unclear etiology or significance. Correlate clinically. Bilateral punctate renal calculi. No evidence of hydronephrosis. Mild perinephric stranding may reflect a recently passed stone or pyelonephritis. Correlate clinically. No significant abnormality noted. None. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted. No significant abnormality noted [/RESP]</s> |
<s>[INST] Write the finding section for a radiology report based on the following information: size_fin: ['size': '50-mm', 'size_descriptor': 'mass']anatomical entity_fin: 'left thalamus': , 'third ventricle': imaging observation_fin: ['heterogeneous enhancement']location descriptor_fin: ['right']clinical findings_fin: '40 right 50-mm axial dimension mass': 'clinical finding': '40 right 50-mm axial dimension mass', 'existence': 'pos_dx', 'descriptive_term': '40 right 50-mm axial dimension', 'observation': 'mass', 'heterogeneous enhancement': 'clinical finding': 'heterogeneous enhancement', 'existence': 'pos_dx', 'descriptive_term': 'heterogeneous', 'observation': 'enhancement', 'some compression': 'clinical finding': 'some compression', 'existence': 'pos_dx', 'descriptive_term': 'some', 'observation': 'compression', 'quantity_term': 'some'anatomical entity_fin: 'lateral ventricles': clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'neg_dx', 'observation': 'effaced'clinical findings_fin: 'dilated': 'clinical finding': 'dilated', 'existence': 'pos_dx', 'observation': 'dilated'anatomical entity_fin: 'paranasal sinuses': clinical findings_fin: 'mucosal thickening': 'clinical finding': 'mucosal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mucosal', 'observation': 'thickening'anatomical entity_fin: 'mastoid air cells': clinical findings_fin: 'clear': 'clinical finding': 'clear', 'existence': 'neg_dx', 'observation': 'clear'anatomical entity_fin: 'orbits': clinical findings_fin: 'intact': 'clinical finding': 'intact', 'existence': 'neg_dx', 'observation': 'intact' [/INST] [RESP] there is a 40 right 50-mm axial dimension mass in the left thalamus associated with heterogeneous enhancement and some compression on the third ventricle. The lateral ventricles are mildly dilated. The sulci are not effaced. The temporal horns are mildly dilated. The visualized portions of the paranasal sinuses demonstrates a mucosal thickening in the maxillary sinuses. 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: location descriptor_fin: ['right']clinical findings_fin: 'change': 'clinical finding': 'change', 'existence': 'pos_dx', 'observation': 'change', 'mca aneurysm': 'clinical finding': 'mca aneurysm', 'existence': 'pos_dx', 'descriptive_term': 'mca', 'observation': 'aneurysm'anatomical entity_fin: 'brain': , 'parenchyma': clinical findings_fin: 'that streak artifact': 'clinical finding': 'that streak artifact', 'existence': 'unc_dx', 'descriptive_term': 'that streak', 'observation': 'artifact'clinical findings_fin: 'postoperative change': 'clinical finding': 'postoperative change', 'existence': 'pos_dx', 'descriptive_term': 'postoperative', 'observation': 'change', 'post suboccipital craniectomy': 'clinical finding': 'post suboccipital craniectomy', 'existence': 'pos_dx', 'descriptive_term': 'post suboccipital', 'observation': 'craniectomy'location descriptor_fin: ['right']object_fin: ['shunt catheter']clinical findings_fin: 'prior right frontal approach shunt catheter': 'clinical finding': 'prior right frontal approach shunt catheter', 'existence': 'pos_dx', 'descriptive_term': 'prior right frontal approach shunt', 'observation': 'catheter'clinical findings_fin: 'minimal hemorrhage': 'clinical finding': 'minimal hemorrhage', 'existence': 'pos_dx', 'descriptive_term': 'minimal', 'observation': 'hemorrhage', 'strength_term': 'minimal', 'quantity_term': 'minimal', 'shunt tract': 'clinical finding': 'shunt tract', 'existence': 'pos_dx', 'descriptive_term': 'shunt', 'observation': 'tract'anatomical entity_fin: 'right parietal lobe': clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage', 'surrounding edema': 'clinical finding': 'surrounding edema', 'existence': 'pos_dx', 'descriptive_term': 'surrounding', 'observation': 'edema'anatomical entity_fin: 'cerebellum': location descriptor_fin: ['left']clinical findings_fin: 'hemorrhage': 'clinical finding': 'hemorrhage', 'existence': 'pos_dx', 'observation': 'hemorrhage'clinical findings_fin: 'intracranial hemorrhage': 'clinical finding': 'intracranial hemorrhage', 'existence': 'neg_dx', 'descriptive_term': 'intracranial', 'observation': 'hemorrhage'location descriptor_fin: ['right']clinical findings_fin: 'stable right cerebral edema': 'clinical finding': 'stable right cerebral edema', 'existence': 'pos_dx', 'descriptive_term': 'stable right cerebral', 'observation': 'edema', 'strength_term': 'stable', 'change_term': 'stable'location descriptor_fin: ['posterior']clinical findings_fin: 'crowded': 'clinical finding': 'crowded', 'existence': 'pos_dx', 'observation': 'crowded', 'cerebellar edema': 'clinical finding': 'cerebellar edema', 'existence': 'pos_dx', 'descriptive_term': 'cerebellar', 'observation': 'edema'clinical findings_fin: 'stable': 'clinical finding': 'stable', 'existence': 'pos_dx', 'observation': 'stable'location descriptor_fin: ['right', 'lateral']clinical findings_fin: 'effaced': 'clinical finding': 'effaced', 'existence': 'pos_dx', 'observation': 'effaced'location descriptor_fin: ['midline']clinical findings_fin: 'new mass-effect': 'clinical finding': 'new mass-effect', 'existence': 'neg_dx', 'descriptive_term': 'new', 'observation': 'mass', 'temporal_term': 'new' [/INST] [RESP] Postoperative change status post right MCA aneurysm coiling is redemonstrated. Please note that streak artifact significantly obscures a portion of the brain parenchyma. Postoperative change status post suboccipital craniectomy is also redemonstrated appearing similar to the prior examination. The prior right frontal approach shunt catheter has been removed. Minimal hemorrhage is seen along the shunt tract, similar to the prior exam. A focus of hemorrhage with surrounding edema in the right parietal lobe has not significantly changed. Likewise, hemorrhage involving the left aspect of the cerebellum is also stable. No new areas of intracranial hemorrhage are seen. Effacement of the sulci on the right is unchanged indicative of stable right cerebral edema. The posterior fossa also remains crowded likely reflecting cerebellar edema. The ventricular system is stable in size and configuration. The right lateral ventricular atrium is effaced similar to the prior exam. No new mass-effect or midline shift is seen. [/RESP]</s> |
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