. Slightly improved mosaic attenuation of the lung parenchyma, which persists on expiration sequence. Mild subpleural reticulation and honeycombing, left greater than right, is also slightly improved. No significant change of traction bronchiectasis or bronchiolectasis. Previously described pneumatocele adjacent to wedge biopsy suture line in the lingula has nearly resolved. No suspicious pulmonary nodule or mass. No significant pleural effusion. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial hypertension. The heart size is mildly enlarged, no significant pericardial effusion. Mild aortic valve calcifications are again seen. Mildly enlarged mediastinal lymph nodes are again seen, not significantly changed, and are likely related to known ILD. Moderate. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Atrophic left kidney, not significantly changed, there is associated attenuation of the renal vasculature.
anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'slightly improved mosaic attenuation': {'clinical finding': 'slightly improved mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'slightly improved mosaic', 'observation': 'attenuation'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild subpleural reticulation': {'clinical finding': 'mild subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural', 'observation': 'reticulation', 'strength_term': 'mild'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'neg_dx', 'observation': 'bronchiolectasis'}}anatomical entity_fin: {'lingula': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['adjacent']object_fin: ['suture']procedure_fin: ['biopsy']clinical findings_fin: {'previously described pneumatocele': {'clinical finding': 'previously described pneumatocele', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'pneumatocele'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'mild aortic valve calcifications': {'clinical finding': 'mild aortic valve calcifications', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortic valve', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'known ild': {'clinical finding': 'known ild', 'existence': 'unc_dx', 'descriptive_term': 'known', 'observation': 'ild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'vasculature': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'associated attenuation': {'clinical finding': 'associated attenuation', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'attenuation'}}
<s>[INST] Write the finding section for a radiology report based on the following information: anatomical entity_fin: {'lung parenchyma': {}}clinical findings_fin: {'slightly improved mosaic attenuation': {'clinical finding': 'slightly improved mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'slightly improved mosaic', 'observation': 'attenuation'}}imaging observation_fin: ['reticulation']location descriptor_fin: ['left', 'right']clinical findings_fin: {'mild subpleural reticulation': {'clinical finding': 'mild subpleural reticulation', 'existence': 'pos_dx', 'descriptive_term': 'mild subpleural', 'observation': 'reticulation', 'strength_term': 'mild'}, 'honeycombing': {'clinical finding': 'honeycombing', 'existence': 'pos_dx', 'observation': 'honeycombing'}}clinical findings_fin: {'significant change': {'clinical finding': 'significant change', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'change'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'neg_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}, 'bronchiolectasis': {'clinical finding': 'bronchiolectasis', 'cf_snomed': {'bronchiolectasis': 29424000}, 'existence': 'neg_dx', 'observation': 'bronchiolectasis'}}anatomical entity_fin: {'lingula': {}}imaging observation_fin: ['wedge']location descriptor_fin: ['adjacent']object_fin: ['suture']procedure_fin: ['biopsy']clinical findings_fin: {'previously described pneumatocele': {'clinical finding': 'previously described pneumatocele', 'existence': 'pos_dx', 'descriptive_term': 'previously described', 'observation': 'pneumatocele'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}, 'mass': {'clinical finding': 'mass', 'existence': 'neg_dx', 'observation': 'mass'}}clinical findings_fin: {'significant pleural effusion': {'clinical finding': 'significant pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'significant pleural', 'observation': 'effusion'}}anatomical entity_fin: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', 'observation': 'pulmonary'}, 'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'pulmonary arterial hypertension': {'clinical finding': 'pulmonary arterial hypertension', 'cf_snomed': {'pulmonary arterial hypertension': 11399002}, 'existence': 'unc_dx', 'descriptive_term': 'pulmonary arterial', 'observation': 'hypertension'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'enlarged': {'clinical finding': 'enlarged', 'existence': 'pos_dx', 'observation': 'enlarged'}, 'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}anatomical entity_fin: {'aortic valve': {}}clinical findings_fin: {'mild aortic valve calcifications': {'clinical finding': 'mild aortic valve calcifications', 'cf_snomed': {'aortic valve calcification': 250978003}, 'existence': 'pos_dx', 'descriptive_term': 'mild aortic valve', 'observation': 'calcification', 'strength_term': 'mild'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'mildly enlarged mediastinal lymph nodes': {'clinical finding': 'mildly enlarged mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mildly enlarged mediastinal lymph', 'observation': 'node', 'strength_term': 'mildly - enlarged', 'change_term': 'enlarged'}, 'known ild': {'clinical finding': 'known ild', 'existence': 'unc_dx', 'descriptive_term': 'known', 'observation': 'ild'}}anatomical entity_fin: {'spine': {}}clinical findings_fin: {'scattered multilevel degenerative changes': {'clinical finding': 'scattered multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'scattered multilevel degenerative', 'observation': 'change'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'left kidney': {}, 'vasculature': {}}clinical findings_fin: {'atrophic': {'clinical finding': 'atrophic', 'existence': 'pos_dx', 'observation': 'atrophic'}, 'associated attenuation': {'clinical finding': 'associated attenuation', 'existence': 'pos_dx', 'descriptive_term': 'associated', 'observation': 'attenuation'}} [/INST] . Slightly improved mosaic attenuation of the lung parenchyma, which persists on expiration sequence. Mild subpleural reticulation and honeycombing, left greater than right, is also slightly improved. No significant change of traction bronchiectasis or bronchiolectasis. Previously described pneumatocele adjacent to wedge biopsy suture line in the lingula has nearly resolved. No suspicious pulmonary nodule or mass. No significant pleural effusion. The main pulmonary artery is mildly enlarged suggestive of pulmonary arterial hypertension. The heart size is mildly enlarged, no significant pericardial effusion. Mild aortic valve calcifications are again seen. Mildly enlarged mediastinal lymph nodes are again seen, not significantly changed, and are likely related to known ILD. Moderate. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Atrophic left kidney, not significantly changed, there is associated attenuation of the renal vasculature. </s>