. Diffuse bilateral lower lobe predominant fibrotic changes, including traction bronchiectasis and architectural distortion,. Dominant finding is groundglass opacity, particularly increased in the left lower lobe. These findings are compatible with worsening interstitial lung disease with an NSIP pattern. Less likely considerations include superimposed drug reaction or infection. Heart size is normal with no pericardial effusion. Prominence of the pulmonary artery size may reflect pulmonary arterial hypertension. Mediastinal and left hilar lymphadenopathy. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy.
anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe predominant fibrotic changes': {'clinical finding': 'bilateral lower lobe predominant fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe predominant fibrotic', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'worsening interstitial lung disease': {'clinical finding': 'worsening interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'pos_dx', 'descriptive_term': 'worsening interstitial lung', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'nsip': {'clinical finding': 'nsip', 'existence': 'pos_dx', 'observation': 'nsip'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left']clinical findings_fin: {'mediastinal and left hilar lymphadenopathy': {'clinical finding': 'mediastinal and left hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and left hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy']
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe predominant fibrotic changes': {'clinical finding': 'bilateral lower lobe predominant fibrotic changes', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe predominant fibrotic', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'architectural distortion': {'clinical finding': 'architectural distortion', 'existence': 'pos_dx', 'descriptive_term': 'architectural', 'observation': 'distortion'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'groundglass opacity': {'clinical finding': 'groundglass opacity', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'groundglass', 'observation': 'opacity'}}clinical findings_fin: {'worsening interstitial lung disease': {'clinical finding': 'worsening interstitial lung disease', 'cf_snomed': {'interstitial lung disease': 233703007}, 'existence': 'pos_dx', 'descriptive_term': 'worsening interstitial lung', 'observation': 'disease', 'strength_term': 'worsening', 'change_term': 'worsening'}, 'nsip': {'clinical finding': 'nsip', 'existence': 'pos_dx', 'observation': 'nsip'}}clinical findings_fin: {'infection': {'clinical finding': 'infection', 'existence': 'unc_dx', 'observation': 'infection'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'pulmonary artery': {}}clinical findings_fin: {'pulmonary': {'clinical finding': 'pulmonary', 'existence': 'pos_dx', 'observation': 'pulmonary'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'pos_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}location descriptor_fin: ['left']clinical findings_fin: {'mediastinal and left hilar lymphadenopathy': {'clinical finding': 'mediastinal and left hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and left hilar', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}procedure_fin: ['cholecystectomy'] [/INST] . Diffuse bilateral lower lobe predominant fibrotic changes, including traction bronchiectasis and architectural distortion,. Dominant finding is groundglass opacity, particularly increased in the left lower lobe. These findings are compatible with worsening interstitial lung disease with an NSIP pattern. Less likely considerations include superimposed drug reaction or infection. Heart size is normal with no pericardial effusion. Prominence of the pulmonary artery size may reflect pulmonary arterial hypertension. Mediastinal and left hilar lymphadenopathy. None. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Status post cholecystectomy. </s>