report_id
int64
0
30
Input
stringlengths
22
855
Output
stringlengths
93
3.83k
conversations
listlengths
2
2
0
Right total shoulder arthroplasty components in anatomic alignment
{'Sentence-1': {'report_sid': 0.0, 'sentence': 'right total shoulder arthroplasty components in anatomic alignment', 'anatomical entity': {'shoulder': {}}, 'location descriptor': ['right'], 'procedure': ['arthroplasty'], 'clinical findings': {'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}}}
[ { "from": "human", "value": "Right total shoulder arthroplasty components in anatomic alignment" }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 0.0, 'sentence': 'right total shoulder arthroplasty components in anatomic alignment', 'anatomical entity': {'shoulder': {}}, 'location descriptor': ['right'], 'procedure': ['arthroplasty'], 'clinical findings': {'anatomic alignment': {'clinical finding': 'anatomic alignment', 'existence': 'pos_dx', 'descriptive_term': 'anatomic', 'observation': 'alignment'}}}}" } ]
2
Posterior fixation of L4 and L5, appearing similar to the prior exam.
{'Sentence-1': {'report_sid': 1.0, 'sentence': 'posterior fixation of l4 and l5, appearing similar to the prior exam', 'location descriptor': ['posterior'], 'clinical findings': {'posterior fixation of l4 and l5 , appearing similar to the prior exam': {'clinical finding': 'posterior fixation of l4 and l5 , appearing similar to the prior exam'}}}}
[ { "from": "human", "value": "Posterior fixation of L4 and L5, appearing similar to the prior exam." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 1.0, 'sentence': 'posterior fixation of l4 and l5, appearing similar to the prior exam', 'location descriptor': ['posterior'], 'clinical findings': {'posterior fixation of l4 and l5 , appearing similar to the prior exam': {'clinical finding': 'posterior fixation of l4 and l5 , appearing similar to the prior exam'}}}}" } ]
3
No significant colonic polyps or masses identified. OPTIONAL C-. Normal or benign lesions. Continue routine screening. Intermediate polyp. Colonoscopy recommended. Colonic mass, likely malignant.
{'Sentence-1': {'report_sid': 2.0, 'sentence': 'no significant colonic polyps or masses identified', 'clinical findings': {'significant colonic polyps': {'clinical finding': 'significant colonic polyps', 'existence': 'neg_dx', 'descriptive_term': 'significant colonic', 'observation': 'polyps'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}}, 'Sentence-2': {'report_sid': 3.0, 'sentence': 'optional c-'}, 'Sentence-3': {'report_sid': 4.0, 'sentence': 'normal or benign lesions', 'clinical findings': {'normal or benign lesions': {'clinical finding': 'normal or benign lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'normal or benign', 'observation': 'lesion', 'strength_term': 'normal - benign'}}}, 'Sentence-4': {'report_sid': 5.0, 'sentence': 'continue routine screening'}, 'Sentence-5': {'report_sid': 6.0, 'sentence': 'intermediate polyp', 'clinical findings': {'intermediate polyp': {'clinical finding': 'intermediate polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'polyp'}}}, 'Sentence-6': {'report_sid': 7.0, 'sentence': 'colonoscopy recommended'}, 'Sentence-7': {'report_sid': 8.0, 'sentence': 'colonic mass, likely malignant', 'clinical findings': {'colonic mass': {'clinical finding': 'colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'mass'}}}}
[ { "from": "human", "value": "No significant colonic polyps or masses identified. OPTIONAL C-. Normal or benign lesions. Continue routine screening. Intermediate polyp. Colonoscopy recommended. Colonic mass, likely malignant." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 2.0, 'sentence': 'no significant colonic polyps or masses identified', 'clinical findings': {'significant colonic polyps': {'clinical finding': 'significant colonic polyps', 'existence': 'neg_dx', 'descriptive_term': 'significant colonic', 'observation': 'polyps'}, 'masses': {'clinical finding': 'masses', 'existence': 'neg_dx', 'observation': 'mass'}}}, 'Sentence-2': {'report_sid': 3.0, 'sentence': 'optional c-'}, 'Sentence-3': {'report_sid': 4.0, 'sentence': 'normal or benign lesions', 'clinical findings': {'normal or benign lesions': {'clinical finding': 'normal or benign lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'normal or benign', 'observation': 'lesion', 'strength_term': 'normal - benign'}}}, 'Sentence-4': {'report_sid': 5.0, 'sentence': 'continue routine screening'}, 'Sentence-5': {'report_sid': 6.0, 'sentence': 'intermediate polyp', 'clinical findings': {'intermediate polyp': {'clinical finding': 'intermediate polyp', 'cf_snomed': {'polyp': 441456002}, 'existence': 'pos_dx', 'descriptive_term': 'intermediate', 'observation': 'polyp'}}}, 'Sentence-6': {'report_sid': 7.0, 'sentence': 'colonoscopy recommended'}, 'Sentence-7': {'report_sid': 8.0, 'sentence': 'colonic mass, likely malignant', 'clinical findings': {'colonic mass': {'clinical finding': 'colonic mass', 'existence': 'pos_dx', 'descriptive_term': 'colonic', 'observation': 'mass'}}}}" } ]
4
Presurgical planning MRI shows a complex mass in the left cerebellar hemisphere with associated obstructive hydrocephalus and a similar complex mass in the left temporo-occipital region. These lesions may represent radiation necrosis and perhaps vascular malformations with associated hemorrhage.
{'Sentence-1': {'report_sid': 9.0, 'sentence': 'presurgical planning mri shows a complex mass in the left cerebellar hemisphere with associated obstructive hydrocephalus and a similar complex mass in the left temporo-occipital region', 'location descriptor': ['left'], 'clinical findings': {'complex mass': {'clinical finding': 'complex mass', 'existence': 'pos_dx', 'descriptive_term': 'complex', 'observation': 'mass'}, 'associated obstructive hydrocephalus': {'clinical finding': 'associated obstructive hydrocephalus', 'cf_snomed': {'obstructive hydrocephalus': 230746009}, 'existence': 'pos_dx', 'descriptive_term': 'associated obstructive', 'observation': 'hydrocephalus'}, 'similar complex mass': {'clinical finding': 'similar complex mass', 'existence': 'pos_dx', 'descriptive_term': 'similar complex', 'observation': 'mass'}}}, 'Sentence-2': {'report_sid': 10.0, 'sentence': 'these lesions may represent radiation necrosis and perhaps vascular malformations with associated hemorrhage', 'clinical findings': {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'radiation necrosis': {'clinical finding': 'radiation necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'necrosis'}, 'perhaps vascular malformations': {'clinical finding': 'perhaps vascular malformations', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'unc_dx', 'descriptive_term': 'perhaps vascular', 'observation': 'malformation'}, 'associated hemorrhage': {'clinical finding': 'associated hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'associated', 'observation': 'hemorrhage'}}}}
[ { "from": "human", "value": "Presurgical planning MRI shows a complex mass in the left cerebellar hemisphere with associated obstructive hydrocephalus and a similar complex mass in the left temporo-occipital region. These lesions may represent radiation necrosis and perhaps vascular malformations with associated hemorrhage." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 9.0, 'sentence': 'presurgical planning mri shows a complex mass in the left cerebellar hemisphere with associated obstructive hydrocephalus and a similar complex mass in the left temporo-occipital region', 'location descriptor': ['left'], 'clinical findings': {'complex mass': {'clinical finding': 'complex mass', 'existence': 'pos_dx', 'descriptive_term': 'complex', 'observation': 'mass'}, 'associated obstructive hydrocephalus': {'clinical finding': 'associated obstructive hydrocephalus', 'cf_snomed': {'obstructive hydrocephalus': 230746009}, 'existence': 'pos_dx', 'descriptive_term': 'associated obstructive', 'observation': 'hydrocephalus'}, 'similar complex mass': {'clinical finding': 'similar complex mass', 'existence': 'pos_dx', 'descriptive_term': 'similar complex', 'observation': 'mass'}}}, 'Sentence-2': {'report_sid': 10.0, 'sentence': 'these lesions may represent radiation necrosis and perhaps vascular malformations with associated hemorrhage', 'clinical findings': {'these lesions': {'clinical finding': 'these lesions', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'these', 'observation': 'lesion'}, 'radiation necrosis': {'clinical finding': 'radiation necrosis', 'cf_snomed': {'necrosis': 6574001}, 'existence': 'unc_dx', 'descriptive_term': 'radiation', 'observation': 'necrosis'}, 'perhaps vascular malformations': {'clinical finding': 'perhaps vascular malformations', 'cf_snomed': {'vascular malformation': 783806000}, 'existence': 'unc_dx', 'descriptive_term': 'perhaps vascular', 'observation': 'malformation'}, 'associated hemorrhage': {'clinical finding': 'associated hemorrhage', 'cf_snomed': {'hemorrhage': 50960005}, 'existence': 'unc_dx', 'descriptive_term': 'associated', 'observation': 'hemorrhage'}}}}" } ]
5
L5 vertebral compression fracture with edema, 75% loss of height, and 10 mm of retropulsion superimposed upon underlying degenerative changes, contributing to severe spinal canal stenosis with compression of the cauda equina and severe right and moderate left foraminal stenosis at the L4-L5 level. L1 vertebral compression fracture with mild edema, 50% loss of height, and slight retropulsion, but no significant spinal canal stenosis. Multilevel degenerative cervical spondylosis and a congenitally narrow spinal canal, contributing to moderate spinal canal stenosis at C2-C3 to C5-C6 and variable degrees of multilevel foraminal stenosis. Findings discussed with Dr. 35 a by Dr. Wu.
{'Sentence-1': {'report_sid': 11.0, 'sentence': 'l5 vertebral compression fracture with edema, 75% loss of height, and 10 mm of retropulsion superimposed upon underlying degenerative changes, contributing to severe spinal canal stenosis with compression of the cauda equina and severe right and moderate left foraminal stenosis at the l4-l5 level', 'size': [{'size': '10 mm', 'size_descriptor': 'fracture'}], 'anatomical entity': {'vertebral': {}, 'spinal canal': {}, 'cauda equina': {}}, 'location descriptor': ['right', 'left'], 'clinical findings': {'l5 vertebral compression fracture': {'clinical finding': 'l5 vertebral compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'l5 vertebral compression', 'observation': 'fracture'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'underlying degenerative changes': {'clinical finding': 'underlying degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying degenerative', 'observation': 'change'}, 'severe spinal canal stenosis': {'clinical finding': 'severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal canal', 'observation': 'stenosis', 'strength_term': 'severe'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'left foraminal stenosis': {'clinical finding': 'left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'left foraminal', 'observation': 'stenosis'}}}, 'Sentence-2': {'report_sid': 12.0, 'sentence': 'l1 vertebral compression fracture with mild edema, 50% loss of height, and slight retropulsion, but no significant spinal canal stenosis', 'anatomical entity': {'vertebral': {}, 'spinal canal': {}}, 'clinical findings': {'vertebral compression fracture': {'clinical finding': 'vertebral compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral compression', 'observation': 'fracture'}, 'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}}, 'Sentence-3': {'report_sid': 13.0, 'sentence': 'multilevel degenerative cervical spondylosis and a congenitally narrow spinal canal, contributing to moderate spinal canal stenosis at c2-c3 to c5-c6 and variable degrees of multilevel foraminal stenosis', 'anatomical entity': {'cervical': {}, 'spinal canal': {}}, 'clinical findings': {'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}, 'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'multilevel foraminal stenosis': {'clinical finding': 'multilevel foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel foraminal', 'observation': 'stenosis'}}}, 'Sentence-4': {'report_sid': 14.0, 'sentence': 'findings discussed with dr. 35 a by dr. wu'}}
[ { "from": "human", "value": "L5 vertebral compression fracture with edema, 75% loss of height, and 10 mm of retropulsion superimposed upon underlying degenerative changes, contributing to severe spinal canal stenosis with compression of the cauda equina and severe right and moderate left foraminal stenosis at the L4-L5 level. L1 vertebral compression fracture with mild edema, 50% loss of height, and slight retropulsion, but no significant spinal canal stenosis. Multilevel degenerative cervical spondylosis and a congenitally narrow spinal canal, contributing to moderate spinal canal stenosis at C2-C3 to C5-C6 and variable degrees of multilevel foraminal stenosis. Findings discussed with Dr. 35 a by Dr. Wu." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 11.0, 'sentence': 'l5 vertebral compression fracture with edema, 75% loss of height, and 10 mm of retropulsion superimposed upon underlying degenerative changes, contributing to severe spinal canal stenosis with compression of the cauda equina and severe right and moderate left foraminal stenosis at the l4-l5 level', 'size': [{'size': '10 mm', 'size_descriptor': 'fracture'}], 'anatomical entity': {'vertebral': {}, 'spinal canal': {}, 'cauda equina': {}}, 'location descriptor': ['right', 'left'], 'clinical findings': {'l5 vertebral compression fracture': {'clinical finding': 'l5 vertebral compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'l5 vertebral compression', 'observation': 'fracture'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'observation': 'edema'}, 'underlying degenerative changes': {'clinical finding': 'underlying degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'underlying degenerative', 'observation': 'change'}, 'severe spinal canal stenosis': {'clinical finding': 'severe spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'severe spinal canal', 'observation': 'stenosis', 'strength_term': 'severe'}, 'compression': {'clinical finding': 'compression', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'observation': 'compression'}, 'left foraminal stenosis': {'clinical finding': 'left foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'left foraminal', 'observation': 'stenosis'}}}, 'Sentence-2': {'report_sid': 12.0, 'sentence': 'l1 vertebral compression fracture with mild edema, 50% loss of height, and slight retropulsion, but no significant spinal canal stenosis', 'anatomical entity': {'vertebral': {}, 'spinal canal': {}}, 'clinical findings': {'vertebral compression fracture': {'clinical finding': 'vertebral compression fracture', 'cf_snomed': {'compression fracture': 443395009}, 'existence': 'pos_dx', 'descriptive_term': 'vertebral compression', 'observation': 'fracture'}, 'mild edema': {'clinical finding': 'mild edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'edema', 'strength_term': 'mild'}, 'significant spinal canal stenosis': {'clinical finding': 'significant spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'neg_dx', 'descriptive_term': 'significant spinal canal', 'observation': 'stenosis'}}}, 'Sentence-3': {'report_sid': 13.0, 'sentence': 'multilevel degenerative cervical spondylosis and a congenitally narrow spinal canal, contributing to moderate spinal canal stenosis at c2-c3 to c5-c6 and variable degrees of multilevel foraminal stenosis', 'anatomical entity': {'cervical': {}, 'spinal canal': {}}, 'clinical findings': {'multilevel degenerative cervical spondylosis': {'clinical finding': 'multilevel degenerative cervical spondylosis', 'cf_snomed': {'cervical spondylosis': 387800004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative cervical', 'observation': 'spondylosis'}, 'moderate spinal canal stenosis': {'clinical finding': 'moderate spinal canal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'moderate spinal canal', 'observation': 'stenosis', 'strength_term': 'moderate'}, 'multilevel foraminal stenosis': {'clinical finding': 'multilevel foraminal stenosis', 'cf_snomed': {'stenosis': 415582006}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel foraminal', 'observation': 'stenosis'}}}, 'Sentence-4': {'report_sid': 14.0, 'sentence': 'findings discussed with dr. 35 a by dr. wu'}}" } ]
6
Postoperative findings with evidence of recurrent tumor in the left masticator, parapharyngeal, and pharyngeal mucosal spaces, with associated left mandible, posterior maxillary sinus wall, and central skull base erosion and extension into the left middle cranial fossa and overlying skin of the face. Prominent left level 6 lymph nodes may represent metastatic disease, but are nonspecific.
{'Sentence-1': {'report_sid': 15.0, 'sentence': 'postoperative findings with evidence of recurrent tumor in the left masticator, parapharyngeal, and pharyngeal mucosal spaces, with associated left mandible, posterior maxillary sinus wall, and central skull base erosion and extension into the left middle cranial fossa and overlying skin of the face', 'anatomical entity': {'mandible': {'location descriptor': 'left'}, 'maxillary sinus': {'location descriptor': 'posterior'}, 'wall': {}, 'skull': {'location descriptor': 'central'}, 'base': {}, 'middle': {'location descriptor': 'left'}, 'skin': {}, 'face': {}}, 'location descriptor': ['left', 'posterior', 'central'], 'clinical findings': {'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'pos_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}, 'central skull base erosion': {'clinical finding': 'central skull base erosion', 'existence': 'pos_dx', 'descriptive_term': 'central skull base', 'observation': 'erosion'}}}, 'Sentence-2': {'report_sid': 16.0, 'sentence': 'prominent left level 6 lymph nodes may represent metastatic disease, but are nonspecific', 'location descriptor': ['left'], 'clinical findings': {'prominent left level 6 lymph nodes': {'clinical finding': 'prominent left level 6 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left level 6 lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}}}
[ { "from": "human", "value": "Postoperative findings with evidence of recurrent tumor in the left masticator, parapharyngeal, and pharyngeal mucosal spaces, with associated left mandible, posterior maxillary sinus wall, and central skull base erosion and extension into the left middle cranial fossa and overlying skin of the face. Prominent left level 6 lymph nodes may represent metastatic disease, but are nonspecific." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 15.0, 'sentence': 'postoperative findings with evidence of recurrent tumor in the left masticator, parapharyngeal, and pharyngeal mucosal spaces, with associated left mandible, posterior maxillary sinus wall, and central skull base erosion and extension into the left middle cranial fossa and overlying skin of the face', 'anatomical entity': {'mandible': {'location descriptor': 'left'}, 'maxillary sinus': {'location descriptor': 'posterior'}, 'wall': {}, 'skull': {'location descriptor': 'central'}, 'base': {}, 'middle': {'location descriptor': 'left'}, 'skin': {}, 'face': {}}, 'location descriptor': ['left', 'posterior', 'central'], 'clinical findings': {'recurrent tumor': {'clinical finding': 'recurrent tumor', 'cf_snomed': {'recurrent tumor': 25173007}, 'existence': 'pos_dx', 'descriptive_term': 'recurrent', 'observation': 'tumor'}, 'central skull base erosion': {'clinical finding': 'central skull base erosion', 'existence': 'pos_dx', 'descriptive_term': 'central skull base', 'observation': 'erosion'}}}, 'Sentence-2': {'report_sid': 16.0, 'sentence': 'prominent left level 6 lymph nodes may represent metastatic disease, but are nonspecific', 'location descriptor': ['left'], 'clinical findings': {'prominent left level 6 lymph nodes': {'clinical finding': 'prominent left level 6 lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent left level 6 lymph', 'observation': 'node', 'strength_term': 'prominent'}, 'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}}}" } ]
7
No evidence of metastatic disease.
{'Sentence-1': {'report_sid': 17.0, 'sentence': 'no evidence of metastatic disease', 'clinical findings': {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}}}
[ { "from": "human", "value": "No evidence of metastatic disease." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 17.0, 'sentence': 'no evidence of metastatic disease', 'clinical findings': {'metastatic disease': {'clinical finding': 'metastatic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'neg_dx', 'descriptive_term': 'metastatic', 'observation': 'disease'}}}}" } ]
8
Left lower lobe pneumonia.
{'Sentence-1': {'report_sid': 18.0, 'sentence': 'left lower lobe pneumonia', 'anatomical entity': {'lobe': {'location descriptor': 'left lower'}}, 'location descriptor': ['left', 'lower'], 'clinical findings': {'left lower lobe pneumonia': {'clinical finding': 'left lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pneumonia'}}}}
[ { "from": "human", "value": "Left lower lobe pneumonia." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 18.0, 'sentence': 'left lower lobe pneumonia', 'anatomical entity': {'lobe': {'location descriptor': 'left lower'}}, 'location descriptor': ['left', 'lower'], 'clinical findings': {'left lower lobe pneumonia': {'clinical finding': 'left lower lobe pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'left lower lobe', 'observation': 'pneumonia'}}}}" } ]
9
No evidence of acute ischemia or other definite acute intracranial abnormality. Chronic small vessel ischemic disease.
{'Sentence-1': {'report_sid': 19.0, 'sentence': 'no evidence of acute ischemia or other definite acute intracranial abnormality', 'clinical findings': {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'other definite acute intracranial abnormality': {'clinical finding': 'other definite acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other definite acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 20.0, 'sentence': 'chronic small vessel ischemic disease', 'clinical findings': {'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}}}
[ { "from": "human", "value": "No evidence of acute ischemia or other definite acute intracranial abnormality. Chronic small vessel ischemic disease." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 19.0, 'sentence': 'no evidence of acute ischemia or other definite acute intracranial abnormality', 'clinical findings': {'acute ischemia': {'clinical finding': 'acute ischemia', 'cf_snomed': {'ischemia': 52674009}, 'existence': 'neg_dx', 'descriptive_term': 'acute', 'observation': 'ischemia', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'other definite acute intracranial abnormality': {'clinical finding': 'other definite acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'other definite acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 20.0, 'sentence': 'chronic small vessel ischemic disease', 'clinical findings': {'chronic small vessel ischemic disease': {'clinical finding': 'chronic small vessel ischemic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic small vessel ischemic', 'observation': 'disease', 'strength_term': 'small', 'temporal_term': 'chronic'}}}}" } ]
10
No acute chest syndrome.
{'Sentence-1': {'report_sid': 21.0, 'sentence': 'no acute chest syndrome', 'anatomical entity': {'chest': {}}, 'clinical findings': {'acute chest syndrome': {'clinical finding': 'acute chest syndrome', 'cf_snomed': {'acute chest syndrome': 372146004}}}}}
[ { "from": "human", "value": "No acute chest syndrome." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 21.0, 'sentence': 'no acute chest syndrome', 'anatomical entity': {'chest': {}}, 'clinical findings': {'acute chest syndrome': {'clinical finding': 'acute chest syndrome', 'cf_snomed': {'acute chest syndrome': 372146004}}}}}" } ]
11
Enteric tube as above.
{'Sentence-1': {'report_sid': 22.0, 'sentence': 'enteric tube as above', 'object': ['tube']}}
[ { "from": "human", "value": "Enteric tube as above." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 22.0, 'sentence': 'enteric tube as above', 'object': ['tube']}}" } ]
12
Repositioning of enteric tube recommended.
{'Sentence-1': {'report_sid': 23.0, 'sentence': 'repositioning of enteric tube recommended', 'object': ['tube'], 'clinical findings': {'repositioning of enteric tube recommended': {'clinical finding': 'repositioning of enteric tube recommended'}}}}
[ { "from": "human", "value": "Repositioning of enteric tube recommended." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 23.0, 'sentence': 'repositioning of enteric tube recommended', 'object': ['tube'], 'clinical findings': {'repositioning of enteric tube recommended': {'clinical finding': 'repositioning of enteric tube recommended'}}}}" } ]
13
Redemonstration of a large coil mass situated at the basilar tip. Interval retraction of the right frontal approach ventriculostomy catheter, the tip of which now sits in the right frontal horn. Slight interval decrease in the conspicuity of subarachnoid and intraventricular blood products. The caliber of the ventricular system has also improved.
{'Sentence-1': {'report_sid': 24.0, 'sentence': 'redemonstration of a large coil mass situated at the basilar tip', 'object': ['coil'], 'clinical findings': {'large coil mass': {'clinical finding': 'large coil mass', 'existence': 'pos_dx', 'descriptive_term': 'large coil', 'observation': 'mass', 'strength_term': 'large'}}}, 'Sentence-2': {'report_sid': 25.0, 'sentence': 'interval retraction of the right frontal approach ventriculostomy catheter, the tip of which now sits in the right frontal horn', 'location descriptor': ['right'], 'object': ['catheter'], 'procedure': ['ventriculostomy'], 'clinical findings': {'interval retraction': {'clinical finding': 'interval retraction', 'cf_snomed': {'retraction': 37794007}, 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'retraction'}}}, 'Sentence-3': {'report_sid': 26.0, 'sentence': 'slight interval decrease in the conspicuity of subarachnoid and intraventricular blood products', 'imaging observation': ['blood products'], 'clinical findings': {'subarachnoid and intraventricular blood products': {'clinical finding': 'subarachnoid and intraventricular blood products', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid and intraventricular blood', 'observation': 'product'}}}, 'Sentence-4': {'report_sid': 27.0, 'sentence': 'the caliber of the ventricular system has also improved'}}
[ { "from": "human", "value": "Redemonstration of a large coil mass situated at the basilar tip. Interval retraction of the right frontal approach ventriculostomy catheter, the tip of which now sits in the right frontal horn. Slight interval decrease in the conspicuity of subarachnoid and intraventricular blood products. The caliber of the ventricular system has also improved." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 24.0, 'sentence': 'redemonstration of a large coil mass situated at the basilar tip', 'object': ['coil'], 'clinical findings': {'large coil mass': {'clinical finding': 'large coil mass', 'existence': 'pos_dx', 'descriptive_term': 'large coil', 'observation': 'mass', 'strength_term': 'large'}}}, 'Sentence-2': {'report_sid': 25.0, 'sentence': 'interval retraction of the right frontal approach ventriculostomy catheter, the tip of which now sits in the right frontal horn', 'location descriptor': ['right'], 'object': ['catheter'], 'procedure': ['ventriculostomy'], 'clinical findings': {'interval retraction': {'clinical finding': 'interval retraction', 'cf_snomed': {'retraction': 37794007}, 'existence': 'pos_dx', 'descriptive_term': 'interval', 'observation': 'retraction'}}}, 'Sentence-3': {'report_sid': 26.0, 'sentence': 'slight interval decrease in the conspicuity of subarachnoid and intraventricular blood products', 'imaging observation': ['blood products'], 'clinical findings': {'subarachnoid and intraventricular blood products': {'clinical finding': 'subarachnoid and intraventricular blood products', 'existence': 'pos_dx', 'descriptive_term': 'subarachnoid and intraventricular blood', 'observation': 'product'}}}, 'Sentence-4': {'report_sid': 27.0, 'sentence': 'the caliber of the ventricular system has also improved'}}" } ]
14
No significant change in the size of bilateral subdural collections. Generalized mass effect with a midline shift to the left is also approximately unchanged.
{'Sentence-1': {'report_sid': 28.0, 'sentence': 'no significant change in the size of bilateral subdural collections', 'location descriptor': ['bilateral'], 'clinical findings': {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'bilateral subdural': {'clinical finding': 'bilateral subdural', 'existence': 'neg_dx', 'descriptive_term': 'bilateral', 'observation': 'subdural'}}}, 'Sentence-2': {'report_sid': 29.0, 'sentence': 'generalized mass effect with a midline shift to the left is also approximately unchanged', 'location descriptor': ['midline', 'left'], 'clinical findings': {'generalized mass effect': {'clinical finding': 'generalized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'generalized mass', 'observation': 'effect'}}}}
[ { "from": "human", "value": "No significant change in the size of bilateral subdural collections. Generalized mass effect with a midline shift to the left is also approximately unchanged." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 28.0, 'sentence': 'no significant change in the size of bilateral subdural collections', 'location descriptor': ['bilateral'], 'clinical findings': {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'bilateral subdural': {'clinical finding': 'bilateral subdural', 'existence': 'neg_dx', 'descriptive_term': 'bilateral', 'observation': 'subdural'}}}, 'Sentence-2': {'report_sid': 29.0, 'sentence': 'generalized mass effect with a midline shift to the left is also approximately unchanged', 'location descriptor': ['midline', 'left'], 'clinical findings': {'generalized mass effect': {'clinical finding': 'generalized mass effect', 'existence': 'pos_dx', 'descriptive_term': 'generalized mass', 'observation': 'effect'}}}}" } ]
15
No acute intracranial hemorrhage.
{'Sentence-1': {'report_sid': 30.0, 'sentence': 'no acute intracranial hemorrhage', 'clinical findings': {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}}}
[ { "from": "human", "value": "No acute intracranial hemorrhage." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 30.0, 'sentence': 'no acute intracranial hemorrhage', 'clinical findings': {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}}}" } ]
16
No acute intracranial hemorrhage. Very subtle focal hypoattenuation in the low right precentral gyrus, may be artifactual. However, the possibility of a developing or resolving ischemic lesion cannot be excluded, given clinical history. MRI of the brain may be considered if clinical concern warrants.
{'Sentence-1': {'report_sid': 31.0, 'sentence': 'no acute intracranial hemorrhage', 'clinical findings': {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 32.0, 'sentence': 'very subtle focal hypoattenuation in the low right precentral gyrus, may be artifactual', 'anatomical entity': {'right precentral gyrus': {}}, 'clinical findings': {'very subtle focal hypoattenuation': {'clinical finding': 'very subtle focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'very subtle focal', 'observation': 'hypoattenuation', 'strength_term': 'subtle'}, 'artifactual': {'clinical finding': 'artifactual', 'existence': 'unc_dx', 'observation': 'artifactual'}}}, 'Sentence-3': {'report_sid': 33.0, 'sentence': 'however, the possibility of a developing or resolving ischemic lesion cannot be excluded, given clinical history', 'clinical findings': {'developing or resolving ischemic lesion': {'clinical finding': 'developing or resolving ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'developing or resolving ischemic', 'observation': 'lesion', 'strength_term': 'developing - resolving', 'change_term': 'developing'}}}, 'Sentence-4': {'report_sid': 34.0, 'sentence': 'mri of the brain may be considered if clinical concern warrants', 'anatomical entity': {'brain': {}}, 'clinical findings': {'mri of the brain may be considered if clinical concern warrants': {'clinical finding': 'mri of the brain may be considered if clinical concern warrants'}}}}
[ { "from": "human", "value": "No acute intracranial hemorrhage. Very subtle focal hypoattenuation in the low right precentral gyrus, may be artifactual. However, the possibility of a developing or resolving ischemic lesion cannot be excluded, given clinical history. MRI of the brain may be considered if clinical concern warrants." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 31.0, 'sentence': 'no acute intracranial hemorrhage', 'clinical findings': {'acute intracranial hemorrhage': {'clinical finding': 'acute intracranial hemorrhage', 'cf_snomed': {'intracranial hemorrhage': 1386000}, 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'hemorrhage', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 32.0, 'sentence': 'very subtle focal hypoattenuation in the low right precentral gyrus, may be artifactual', 'anatomical entity': {'right precentral gyrus': {}}, 'clinical findings': {'very subtle focal hypoattenuation': {'clinical finding': 'very subtle focal hypoattenuation', 'existence': 'pos_dx', 'descriptive_term': 'very subtle focal', 'observation': 'hypoattenuation', 'strength_term': 'subtle'}, 'artifactual': {'clinical finding': 'artifactual', 'existence': 'unc_dx', 'observation': 'artifactual'}}}, 'Sentence-3': {'report_sid': 33.0, 'sentence': 'however, the possibility of a developing or resolving ischemic lesion cannot be excluded, given clinical history', 'clinical findings': {'developing or resolving ischemic lesion': {'clinical finding': 'developing or resolving ischemic lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'unc_dx', 'descriptive_term': 'developing or resolving ischemic', 'observation': 'lesion', 'strength_term': 'developing - resolving', 'change_term': 'developing'}}}, 'Sentence-4': {'report_sid': 34.0, 'sentence': 'mri of the brain may be considered if clinical concern warrants', 'anatomical entity': {'brain': {}}, 'clinical findings': {'mri of the brain may be considered if clinical concern warrants': {'clinical finding': 'mri of the brain may be considered if clinical concern warrants'}}}}" } ]
17
Expected findings status post evacuation of a right-sided subdural hematoma. The quantity of blood product is reduced, along with associated mass effect. There is some acute blood product along the drainage catheter tract for which continued follow-up is recommended.
{'Sentence-1': {'report_sid': 35.0, 'sentence': 'expected findings status post evacuation of a right-sided subdural hematoma', 'location descriptor': ['right'], 'clinical findings': {'right-sided subdural hematoma': {'clinical finding': 'right-sided subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'right-sided subdural', 'observation': 'hematoma'}}}, 'Sentence-2': {'report_sid': 36.0, 'sentence': 'the quantity of blood product is reduced, along with associated mass effect', 'imaging observation': ['blood'], 'clinical findings': {'blood product': {'clinical finding': 'blood product', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}}, 'Sentence-3': {'report_sid': 37.0, 'sentence': 'there is some acute blood product along the drainage catheter tract for which continued follow-up is recommended', 'imaging observation': ['blood'], 'object': ['drainage catheter'], 'clinical findings': {'some acute blood product': {'clinical finding': 'some acute blood product', 'existence': 'pos_dx', 'descriptive_term': 'some acute blood', 'observation': 'product', 'strength_term': 'acute', 'quantity_term': 'some', 'temporal_term': 'acute'}, 'drainage catheter': {'clinical finding': 'drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'drainage', 'observation': 'catheter'}}, 'follow-up': 'follow-up recommended'}}
[ { "from": "human", "value": "Expected findings status post evacuation of a right-sided subdural hematoma. The quantity of blood product is reduced, along with associated mass effect. There is some acute blood product along the drainage catheter tract for which continued follow-up is recommended." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 35.0, 'sentence': 'expected findings status post evacuation of a right-sided subdural hematoma', 'location descriptor': ['right'], 'clinical findings': {'right-sided subdural hematoma': {'clinical finding': 'right-sided subdural hematoma', 'cf_snomed': {'subdural hematoma': 95453001}, 'existence': 'unc_dx', 'descriptive_term': 'right-sided subdural', 'observation': 'hematoma'}}}, 'Sentence-2': {'report_sid': 36.0, 'sentence': 'the quantity of blood product is reduced, along with associated mass effect', 'imaging observation': ['blood'], 'clinical findings': {'blood product': {'clinical finding': 'blood product', 'existence': 'pos_dx', 'descriptive_term': 'blood', 'observation': 'product'}, 'associated mass effect': {'clinical finding': 'associated mass effect', 'existence': 'pos_dx', 'descriptive_term': 'associated mass', 'observation': 'effect'}}}, 'Sentence-3': {'report_sid': 37.0, 'sentence': 'there is some acute blood product along the drainage catheter tract for which continued follow-up is recommended', 'imaging observation': ['blood'], 'object': ['drainage catheter'], 'clinical findings': {'some acute blood product': {'clinical finding': 'some acute blood product', 'existence': 'pos_dx', 'descriptive_term': 'some acute blood', 'observation': 'product', 'strength_term': 'acute', 'quantity_term': 'some', 'temporal_term': 'acute'}, 'drainage catheter': {'clinical finding': 'drainage catheter', 'existence': 'pos_dx', 'descriptive_term': 'drainage', 'observation': 'catheter'}}, 'follow-up': 'follow-up recommended'}}" } ]
18
No acute intracranial abnormality. Dental caries and periapical lucency of the posterior maxillary molars. Please correlate with dental examination. Multiple bilateral cervical lymph nodes, largest measuring up to 1.1 cm on the right, likely reactive.
{'Sentence-1': {'report_sid': 38.0, 'sentence': 'no acute intracranial abnormality', 'clinical findings': {'acute intracranial abnormality': {'clinical finding': 'acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 39.0, 'sentence': 'dental caries and periapical lucency of the posterior maxillary molars', 'location descriptor': ['posterior']}, 'Sentence-3': {'report_sid': 40.0, 'sentence': 'please correlate with dental examination'}, 'Sentence-4': {'report_sid': 41.0, 'sentence': 'multiple bilateral cervical lymph nodes, largest measuring up to 1.1 cm on the right, likely reactive', 'size': [{'size': '1.1 cm', 'size_descriptor': 'nodes'}], 'location descriptor': ['bilateral', 'right'], 'clinical findings': {'multiple bilateral cervical lymph nodes': {'clinical finding': 'multiple bilateral cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral cervical lymph', 'observation': 'node', 'quantity_term': 'multiple'}}}}
[ { "from": "human", "value": "No acute intracranial abnormality. Dental caries and periapical lucency of the posterior maxillary molars. Please correlate with dental examination. Multiple bilateral cervical lymph nodes, largest measuring up to 1.1 cm on the right, likely reactive." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 38.0, 'sentence': 'no acute intracranial abnormality', 'clinical findings': {'acute intracranial abnormality': {'clinical finding': 'acute intracranial abnormality', 'existence': 'neg_dx', 'descriptive_term': 'acute intracranial', 'observation': 'abnormality', 'strength_term': 'acute', 'temporal_term': 'acute'}}}, 'Sentence-2': {'report_sid': 39.0, 'sentence': 'dental caries and periapical lucency of the posterior maxillary molars', 'location descriptor': ['posterior']}, 'Sentence-3': {'report_sid': 40.0, 'sentence': 'please correlate with dental examination'}, 'Sentence-4': {'report_sid': 41.0, 'sentence': 'multiple bilateral cervical lymph nodes, largest measuring up to 1.1 cm on the right, likely reactive', 'size': [{'size': '1.1 cm', 'size_descriptor': 'nodes'}], 'location descriptor': ['bilateral', 'right'], 'clinical findings': {'multiple bilateral cervical lymph nodes': {'clinical finding': 'multiple bilateral cervical lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'multiple bilateral cervical lymph', 'observation': 'node', 'quantity_term': 'multiple'}}}}" } ]
19
Syringohydromyelia of the cervical spinal cord extending from C2 through C6 is approximately unchanged relative to the prior examination. Also unchanged is linear enhancement which extends through the middle of this syringohydromyelia. The enhancing tissue may represent residual tumor, granulation or a combination of both. The cord becomes very thin between C7 and T1. At T2, there is a loculated cystic component within the cord which, although not convincingly changed relative to the prior examination from 2013, has increased in size from older studies. The margins of this cyst, and particularly the inferior margin, do enhance. Fatty marrow replacement compatible with radiation therapy is seen from C2 through T7. Marrow signal is otherwise unremarkable. Scattered disk herniations and degenerative findings as above. Atrophy of the right kidney.
{'Sentence-1': {'report_sid': 42.0, 'sentence': 'syringohydromyelia of the cervical spinal cord extending from c2 through c6 is approximately unchanged relative to the prior examination', 'anatomical entity': {'spinal cord': {}}, 'clinical findings': {'syringohydromyelia': {'clinical finding': 'syringohydromyelia', 'existence': 'pos_dx', 'observation': 'syringohydromyelia'}}}, 'Sentence-2': {'report_sid': 43.0, 'sentence': 'also unchanged is linear enhancement which extends through the middle of this syringohydromyelia', 'anatomical entity': {'middle': {}}, 'imaging observation': ['linear enhancement'], 'clinical findings': {'linear enhancement': {'clinical finding': 'linear enhancement', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'enhancement'}, 'this syringohydromyelia': {'clinical finding': 'this syringohydromyelia', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'syringohydromyelia'}}}, 'Sentence-3': {'report_sid': 44.0, 'sentence': 'the enhancing tissue may represent residual tumor, granulation or a combination of both', 'imaging observation': ['enhancing'], 'clinical findings': {'enhancing tissue': {'clinical finding': 'enhancing tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'tissue'}, 'residual tumor': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'granulation': {'clinical finding': 'granulation', 'existence': 'unc_dx', 'observation': 'granulation'}}}, 'Sentence-4': {'report_sid': 45.0, 'sentence': 'the cord becomes very thin between c7 and t1', 'anatomical entity': {'cord': {}}, 'imaging observation': ['cord'], 'clinical findings': {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}}, 'Sentence-5': {'report_sid': 46.0, 'sentence': 'at t2, there is a loculated cystic component within the cord which, although not convincingly changed relative to the prior examination from 2013, has increased in size from older studies', 'anatomical entity': {'cord': {}}, 'imaging observation': ['cord'], 'clinical findings': {'loculated cystic': {'clinical finding': 'loculated cystic', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'cystic'}}}, 'Sentence-6': {'report_sid': 47.0, 'sentence': 'the margins of this cyst, and particularly the inferior margin, do enhance', 'imaging observation': ['margins', 'margin'], 'location descriptor': ['inferior'], 'clinical findings': {'this cyst': {'clinical finding': 'this cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'cyst'}}}, 'Sentence-7': {'report_sid': 48.0, 'sentence': 'fatty marrow replacement compatible with radiation therapy is seen from c2 through t7', 'clinical findings': {'fatty marrow replacement': {'clinical finding': 'fatty marrow replacement', 'existence': 'pos_dx', 'descriptive_term': 'fatty marrow', 'observation': 'replacement'}}}, 'Sentence-8': {'report_sid': 49.0, 'sentence': 'marrow signal is otherwise unremarkable', 'clinical findings': {'marrow signal is otherwise unremarkable': {'clinical finding': 'marrow signal is otherwise unremarkable'}}}, 'Sentence-9': {'report_sid': 50.0, 'sentence': 'scattered disk herniations and degenerative findings as above', 'clinical findings': {'scattered disk herniations': {'clinical finding': 'scattered disk herniations', 'existence': 'pos_dx', 'descriptive_term': 'scattered disk', 'observation': 'herniation'}}}, 'Sentence-10': {'report_sid': 51.0, 'sentence': 'atrophy of the right kidney', 'anatomical entity': {'right kidney': {}}, 'clinical findings': {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}}}}
[ { "from": "human", "value": "Syringohydromyelia of the cervical spinal cord extending from C2 through C6 is approximately unchanged relative to the prior examination. Also unchanged is linear enhancement which extends through the middle of this syringohydromyelia. The enhancing tissue may represent residual tumor, granulation or a combination of both. The cord becomes very thin between C7 and T1. At T2, there is a loculated cystic component within the cord which, although not convincingly changed relative to the prior examination from 2013, has increased in size from older studies. The margins of this cyst, and particularly the inferior margin, do enhance. Fatty marrow replacement compatible with radiation therapy is seen from C2 through T7. Marrow signal is otherwise unremarkable. Scattered disk herniations and degenerative findings as above. Atrophy of the right kidney." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 42.0, 'sentence': 'syringohydromyelia of the cervical spinal cord extending from c2 through c6 is approximately unchanged relative to the prior examination', 'anatomical entity': {'spinal cord': {}}, 'clinical findings': {'syringohydromyelia': {'clinical finding': 'syringohydromyelia', 'existence': 'pos_dx', 'observation': 'syringohydromyelia'}}}, 'Sentence-2': {'report_sid': 43.0, 'sentence': 'also unchanged is linear enhancement which extends through the middle of this syringohydromyelia', 'anatomical entity': {'middle': {}}, 'imaging observation': ['linear enhancement'], 'clinical findings': {'linear enhancement': {'clinical finding': 'linear enhancement', 'existence': 'pos_dx', 'descriptive_term': 'linear', 'observation': 'enhancement'}, 'this syringohydromyelia': {'clinical finding': 'this syringohydromyelia', 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'syringohydromyelia'}}}, 'Sentence-3': {'report_sid': 44.0, 'sentence': 'the enhancing tissue may represent residual tumor, granulation or a combination of both', 'imaging observation': ['enhancing'], 'clinical findings': {'enhancing tissue': {'clinical finding': 'enhancing tissue', 'existence': 'pos_dx', 'descriptive_term': 'enhancing', 'observation': 'tissue'}, 'residual tumor': {'clinical finding': 'residual tumor', 'existence': 'unc_dx', 'descriptive_term': 'residual', 'observation': 'tumor', 'temporal_term': 'residual'}, 'granulation': {'clinical finding': 'granulation', 'existence': 'unc_dx', 'observation': 'granulation'}}}, 'Sentence-4': {'report_sid': 45.0, 'sentence': 'the cord becomes very thin between c7 and t1', 'anatomical entity': {'cord': {}}, 'imaging observation': ['cord'], 'clinical findings': {'thin': {'clinical finding': 'thin', 'existence': 'pos_dx', 'observation': 'thin'}}}, 'Sentence-5': {'report_sid': 46.0, 'sentence': 'at t2, there is a loculated cystic component within the cord which, although not convincingly changed relative to the prior examination from 2013, has increased in size from older studies', 'anatomical entity': {'cord': {}}, 'imaging observation': ['cord'], 'clinical findings': {'loculated cystic': {'clinical finding': 'loculated cystic', 'existence': 'pos_dx', 'descriptive_term': 'loculated', 'observation': 'cystic'}}}, 'Sentence-6': {'report_sid': 47.0, 'sentence': 'the margins of this cyst, and particularly the inferior margin, do enhance', 'imaging observation': ['margins', 'margin'], 'location descriptor': ['inferior'], 'clinical findings': {'this cyst': {'clinical finding': 'this cyst', 'cf_snomed': {'cyst': 441457006}, 'existence': 'pos_dx', 'descriptive_term': 'this', 'observation': 'cyst'}}}, 'Sentence-7': {'report_sid': 48.0, 'sentence': 'fatty marrow replacement compatible with radiation therapy is seen from c2 through t7', 'clinical findings': {'fatty marrow replacement': {'clinical finding': 'fatty marrow replacement', 'existence': 'pos_dx', 'descriptive_term': 'fatty marrow', 'observation': 'replacement'}}}, 'Sentence-8': {'report_sid': 49.0, 'sentence': 'marrow signal is otherwise unremarkable', 'clinical findings': {'marrow signal is otherwise unremarkable': {'clinical finding': 'marrow signal is otherwise unremarkable'}}}, 'Sentence-9': {'report_sid': 50.0, 'sentence': 'scattered disk herniations and degenerative findings as above', 'clinical findings': {'scattered disk herniations': {'clinical finding': 'scattered disk herniations', 'existence': 'pos_dx', 'descriptive_term': 'scattered disk', 'observation': 'herniation'}}}, 'Sentence-10': {'report_sid': 51.0, 'sentence': 'atrophy of the right kidney', 'anatomical entity': {'right kidney': {}}, 'clinical findings': {'atrophy': {'clinical finding': 'atrophy', 'cf_snomed': {'atrophy': 13331008}, 'existence': 'pos_dx', 'observation': 'atrophy'}}}}" } ]
20
No acute chest syndrome.
{'Sentence-1': {'report_sid': 52.0, 'sentence': 'no acute chest syndrome', 'anatomical entity': {'chest': {}}, 'clinical findings': {'acute chest syndrome': {'clinical finding': 'acute chest syndrome', 'cf_snomed': {'acute chest syndrome': 372146004}}}}}
[ { "from": "human", "value": "No acute chest syndrome." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 52.0, 'sentence': 'no acute chest syndrome', 'anatomical entity': {'chest': {}}, 'clinical findings': {'acute chest syndrome': {'clinical finding': 'acute chest syndrome', 'cf_snomed': {'acute chest syndrome': 372146004}}}}}" } ]
21
No evidence of pneumoperitoneum.
{'Sentence-1': {'report_sid': 53.0, 'sentence': 'no evidence of pneumoperitoneum', 'clinical findings': {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}}}
[ { "from": "human", "value": "No evidence of pneumoperitoneum." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 53.0, 'sentence': 'no evidence of pneumoperitoneum', 'clinical findings': {'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}}}" } ]
22
Unremarkable exam. Normal appendix. If there is continued clinical concern for pelvic or gynecologic pathology, further evaluation with dedicated pelvic sonography recommended.
{'Sentence-1': {'report_sid': 54.0, 'sentence': 'unremarkable exam'}, 'Sentence-2': {'report_sid': 55.0, 'sentence': 'normal appendix', 'anatomical entity': {'appendix': {}}, 'clinical findings': {'normal appendix': {'clinical finding': 'normal appendix'}}}, 'Sentence-3': {'report_sid': 56.0, 'sentence': 'if there is continued clinical concern for pelvic or gynecologic pathology, further evaluation with dedicated pelvic sonography recommended', 'clinical findings': {'continued clinical concern for pelvic or gynecologic pathology': {'clinical finding': 'continued clinical concern for pelvic or gynecologic pathology'}}}}
[ { "from": "human", "value": "Unremarkable exam. Normal appendix. If there is continued clinical concern for pelvic or gynecologic pathology, further evaluation with dedicated pelvic sonography recommended." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 54.0, 'sentence': 'unremarkable exam'}, 'Sentence-2': {'report_sid': 55.0, 'sentence': 'normal appendix', 'anatomical entity': {'appendix': {}}, 'clinical findings': {'normal appendix': {'clinical finding': 'normal appendix'}}}, 'Sentence-3': {'report_sid': 56.0, 'sentence': 'if there is continued clinical concern for pelvic or gynecologic pathology, further evaluation with dedicated pelvic sonography recommended', 'clinical findings': {'continued clinical concern for pelvic or gynecologic pathology': {'clinical finding': 'continued clinical concern for pelvic or gynecologic pathology'}}}}" } ]
23
Extensive chronic small vessel ischemic changes with superimposed lesion in the right corona radiata, which may represent a late subacute, resolving infarct. Moderate age related parenchymal volume loss.
{'Sentence-1': {'report_sid': 57.0, 'sentence': 'extensive chronic small vessel ischemic changes with superimposed lesion in the right corona radiata, which may represent a late subacute, resolving infarct', 'anatomical entity': {'right corona radiata': {}}, 'clinical findings': {'extensive chronic small vessel ischemic changes': {'clinical finding': 'extensive chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'extensive - small', 'temporal_term': 'chronic'}, 'superimposed lesion': {'clinical finding': 'superimposed lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'lesion'}, 'late subacute, resolving infarct': {'clinical finding': 'late subacute, resolving infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'late subacute resolving', 'observation': 'infarct', 'strength_term': 'resolving'}}}, 'Sentence-2': {'report_sid': 58.0, 'sentence': 'moderate age related parenchymal volume loss', 'clinical findings': {'moderate age related parenchymal volume loss': {'clinical finding': 'moderate age related parenchymal volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age related parenchymal volume', 'observation': 'loss', 'strength_term': 'moderate'}}}}
[ { "from": "human", "value": "Extensive chronic small vessel ischemic changes with superimposed lesion in the right corona radiata, which may represent a late subacute, resolving infarct. Moderate age related parenchymal volume loss." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 57.0, 'sentence': 'extensive chronic small vessel ischemic changes with superimposed lesion in the right corona radiata, which may represent a late subacute, resolving infarct', 'anatomical entity': {'right corona radiata': {}}, 'clinical findings': {'extensive chronic small vessel ischemic changes': {'clinical finding': 'extensive chronic small vessel ischemic changes', 'existence': 'pos_dx', 'descriptive_term': 'extensive chronic small vessel ischemic', 'observation': 'change', 'strength_term': 'extensive - small', 'temporal_term': 'chronic'}, 'superimposed lesion': {'clinical finding': 'superimposed lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'superimposed', 'observation': 'lesion'}, 'late subacute, resolving infarct': {'clinical finding': 'late subacute, resolving infarct', 'cf_snomed': {'infarct': 55641003}, 'existence': 'unc_dx', 'descriptive_term': 'late subacute resolving', 'observation': 'infarct', 'strength_term': 'resolving'}}}, 'Sentence-2': {'report_sid': 58.0, 'sentence': 'moderate age related parenchymal volume loss', 'clinical findings': {'moderate age related parenchymal volume loss': {'clinical finding': 'moderate age related parenchymal volume loss', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'descriptive_term': 'moderate age related parenchymal volume', 'observation': 'loss', 'strength_term': 'moderate'}}}}" } ]
24
Distal bowel obstruction without pneumoperitoneum.
{'Sentence-1': {'report_sid': 59.0, 'sentence': 'distal bowel obstruction without pneumoperitoneum', 'anatomical entity': {'bowel': {'location descriptor': 'distal'}}, 'location descriptor': ['distal'], 'clinical findings': {'distal bowel obstruction': {'clinical finding': 'distal bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'distal bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}}}
[ { "from": "human", "value": "Distal bowel obstruction without pneumoperitoneum." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 59.0, 'sentence': 'distal bowel obstruction without pneumoperitoneum', 'anatomical entity': {'bowel': {'location descriptor': 'distal'}}, 'location descriptor': ['distal'], 'clinical findings': {'distal bowel obstruction': {'clinical finding': 'distal bowel obstruction', 'cf_snomed': {'obstruction': 26036001}, 'existence': 'pos_dx', 'descriptive_term': 'distal bowel', 'observation': 'obstruction'}, 'pneumoperitoneum': {'clinical finding': 'pneumoperitoneum', 'cf_snomed': {'pneumoperitoneum': 17204006}, 'existence': 'neg_dx', 'observation': 'pneumoperitoneum'}}}}" } ]
25
Paucity of bowel gas within the abdomen unchanged.
{'Sentence-1': {'report_sid': 60.0, 'sentence': 'paucity of bowel gas within the abdomen unchanged', 'anatomical entity': {'bowel': {}, 'abdomen': {}}, 'clinical findings': {'bowel gas': {'clinical finding': 'bowel gas', 'existence': 'pos_dx', 'descriptive_term': 'bowel', 'observation': 'gas'}}}}
[ { "from": "human", "value": "Paucity of bowel gas within the abdomen unchanged." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 60.0, 'sentence': 'paucity of bowel gas within the abdomen unchanged', 'anatomical entity': {'bowel': {}, 'abdomen': {}}, 'clinical findings': {'bowel gas': {'clinical finding': 'bowel gas', 'existence': 'pos_dx', 'descriptive_term': 'bowel', 'observation': 'gas'}}}}" } ]
26
Mild interval improvement in extensive paranasal sinus disease.
{'Sentence-1': {'report_sid': 61.0, 'sentence': 'mild interval improvement in extensive paranasal sinus disease', 'anatomical entity': {'paranasal sinus': {}}, 'clinical findings': {'extensive paranasal sinus disease': {'clinical finding': 'extensive paranasal sinus disease', 'cf_snomed': {'sinus': 419351001, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive paranasal sinus', 'observation': 'disease', 'strength_term': 'extensive'}}}}
[ { "from": "human", "value": "Mild interval improvement in extensive paranasal sinus disease." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 61.0, 'sentence': 'mild interval improvement in extensive paranasal sinus disease', 'anatomical entity': {'paranasal sinus': {}}, 'clinical findings': {'extensive paranasal sinus disease': {'clinical finding': 'extensive paranasal sinus disease', 'cf_snomed': {'sinus': 419351001, 'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'extensive paranasal sinus', 'observation': 'disease', 'strength_term': 'extensive'}}}}" } ]
27
Apparent bony irregularity at the distal diaphysis of the right humerus and may be secondary to artifact from the overlying splint or representing true fracture. Repeat radiograph without the overlying splint could be performed if clinically warranted.
{'Sentence-1': {'report_sid': 62.0, 'sentence': 'apparent bony irregularity at the distal diaphysis of the right humerus and may be secondary to artifact from the overlying splint or representing true fracture', 'anatomical entity': {'diaphysis': {'location descriptor': 'distal'}, 'right humerus': {}}, 'location descriptor': ['distal'], 'object': ['splint'], 'clinical findings': {'apparent bony irregularity': {'clinical finding': 'apparent bony irregularity', 'existence': 'pos_dx', 'descriptive_term': 'apparent bony', 'observation': 'irregularity'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'observation': 'artifact'}, 'true fracture': {'clinical finding': 'true fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'true', 'observation': 'fracture'}}}, 'Sentence-2': {'report_sid': 63.0, 'sentence': 'repeat radiograph without the overlying splint could be performed if clinically warranted'}}
[ { "from": "human", "value": "Apparent bony irregularity at the distal diaphysis of the right humerus and may be secondary to artifact from the overlying splint or representing true fracture. Repeat radiograph without the overlying splint could be performed if clinically warranted." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 62.0, 'sentence': 'apparent bony irregularity at the distal diaphysis of the right humerus and may be secondary to artifact from the overlying splint or representing true fracture', 'anatomical entity': {'diaphysis': {'location descriptor': 'distal'}, 'right humerus': {}}, 'location descriptor': ['distal'], 'object': ['splint'], 'clinical findings': {'apparent bony irregularity': {'clinical finding': 'apparent bony irregularity', 'existence': 'pos_dx', 'descriptive_term': 'apparent bony', 'observation': 'irregularity'}, 'artifact': {'clinical finding': 'artifact', 'cf_snomed': {'artifact': 47973001}, 'existence': 'unc_dx', 'observation': 'artifact'}, 'true fracture': {'clinical finding': 'true fracture', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'true', 'observation': 'fracture'}}}, 'Sentence-2': {'report_sid': 63.0, 'sentence': 'repeat radiograph without the overlying splint could be performed if clinically warranted'}}" } ]
28
Segmental thickening of distal transverse colon with mild upstream dilatation visualized, appearance suspicious for acute colitis, correlation with patients clinical history or physical exam and followup to resolution to exclude underlying neoplastic process recommended. Multifocal pneumonia or infectious process as above with small left pleural effusion. Mild scrotal thickening or edema, correlate clinically for underlying cellulitis.
{'Sentence-1': {'report_sid': 64.0, 'sentence': 'segmental thickening of distal transverse colon with mild upstream dilatation visualized, appearance suspicious for acute colitis, correlation with patients clinical history or physical exam and followup to resolution to exclude underlying neoplastic process recommended', 'anatomical entity': {'transverse colon': {'location descriptor': 'distal'}}, 'location descriptor': ['distal'], 'clinical findings': {'segmental thickening': {'clinical finding': 'segmental thickening', 'existence': 'pos_dx', 'descriptive_term': 'segmental', 'observation': 'thickening'}, 'acute colitis': {'clinical finding': 'acute colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'colitis', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'resolution': {'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'}}, 'follow-up': 'follow-up recommended'}, 'Sentence-2': {'report_sid': 65.0, 'sentence': 'multifocal pneumonia or infectious process as above with small left pleural effusion', 'location descriptor': ['left'], 'clinical findings': {'multifocal pneumonia': {'clinical finding': 'multifocal pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal', 'observation': 'pneumonia'}, 'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}}, 'Sentence-3': {'report_sid': 66.0, 'sentence': 'mild scrotal thickening or edema, correlate clinically for underlying cellulitis', 'clinical findings': {'mild scrotal thickening': {'clinical finding': 'mild scrotal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild scrotal', 'observation': 'thickening', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'underlying cellulitis': {'clinical finding': 'underlying cellulitis', 'cf_snomed': {'cellulitis': 128045006}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'cellulitis'}}}}
[ { "from": "human", "value": "Segmental thickening of distal transverse colon with mild upstream dilatation visualized, appearance suspicious for acute colitis, correlation with patients clinical history or physical exam and followup to resolution to exclude underlying neoplastic process recommended. Multifocal pneumonia or infectious process as above with small left pleural effusion. Mild scrotal thickening or edema, correlate clinically for underlying cellulitis." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 64.0, 'sentence': 'segmental thickening of distal transverse colon with mild upstream dilatation visualized, appearance suspicious for acute colitis, correlation with patients clinical history or physical exam and followup to resolution to exclude underlying neoplastic process recommended', 'anatomical entity': {'transverse colon': {'location descriptor': 'distal'}}, 'location descriptor': ['distal'], 'clinical findings': {'segmental thickening': {'clinical finding': 'segmental thickening', 'existence': 'pos_dx', 'descriptive_term': 'segmental', 'observation': 'thickening'}, 'acute colitis': {'clinical finding': 'acute colitis', 'cf_snomed': {'colitis': 64226004}, 'existence': 'unc_dx', 'descriptive_term': 'acute', 'observation': 'colitis', 'strength_term': 'acute', 'temporal_term': 'acute'}, 'resolution': {'clinical finding': 'resolution', 'existence': 'unc_dx', 'observation': 'resolution'}}, 'follow-up': 'follow-up recommended'}, 'Sentence-2': {'report_sid': 65.0, 'sentence': 'multifocal pneumonia or infectious process as above with small left pleural effusion', 'location descriptor': ['left'], 'clinical findings': {'multifocal pneumonia': {'clinical finding': 'multifocal pneumonia', 'cf_snomed': {'pneumonia': 233604007}, 'existence': 'pos_dx', 'descriptive_term': 'multifocal', 'observation': 'pneumonia'}, 'small left pleural effusion': {'clinical finding': 'small left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'small left pleural', 'observation': 'effusion', 'strength_term': 'small'}}}, 'Sentence-3': {'report_sid': 66.0, 'sentence': 'mild scrotal thickening or edema, correlate clinically for underlying cellulitis', 'clinical findings': {'mild scrotal thickening': {'clinical finding': 'mild scrotal thickening', 'existence': 'pos_dx', 'descriptive_term': 'mild scrotal', 'observation': 'thickening', 'strength_term': 'mild'}, 'edema': {'clinical finding': 'edema', 'cf_snomed': {'edema': 267038008}, 'existence': 'unc_dx', 'observation': 'edema'}, 'underlying cellulitis': {'clinical finding': 'underlying cellulitis', 'cf_snomed': {'cellulitis': 128045006}, 'existence': 'pos_dx', 'descriptive_term': 'underlying', 'observation': 'cellulitis'}}}}" } ]
29
Diffuse atelectasis bilaterally not significantly changed.
{'Sentence-1': {'report_sid': 67.0, 'sentence': 'diffuse atelectasis bilaterally not significantly changed', 'clinical findings': {'diffuse atelectasis': {'clinical finding': 'diffuse atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atelectasis'}}}}
[ { "from": "human", "value": "Diffuse atelectasis bilaterally not significantly changed." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 67.0, 'sentence': 'diffuse atelectasis bilaterally not significantly changed', 'clinical findings': {'diffuse atelectasis': {'clinical finding': 'diffuse atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atelectasis'}}}}" } ]
30
Diffuse atelectasis bilaterally increased from prior study.
{'Sentence-1': {'report_sid': 68.0, 'sentence': 'diffuse atelectasis bilaterally increased from prior study', 'clinical findings': {'diffuse atelectasis': {'clinical finding': 'diffuse atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atelectasis'}}}}
[ { "from": "human", "value": "Diffuse atelectasis bilaterally increased from prior study." }, { "from": "gpt", "value": "{'Sentence-1': {'report_sid': 68.0, 'sentence': 'diffuse atelectasis bilaterally increased from prior study', 'clinical findings': {'diffuse atelectasis': {'clinical finding': 'diffuse atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'atelectasis'}}}}" } ]