. Scattered calcified and noncalcified pulmonary micronodules. Bilateral lower lobe bronchial wall thickening, patchy atelectasis or consolidation and scattered tree-in-bud opacities. These findings are seen to a lesser degree in the left upper lobe. Findings compatible with bronchiolitis and chronic aspiration. Diffuse calcification of the cartilage rings of the bronchial tree is an age-related finding. Small amount of mucous plugging in the distal lower lobe airways. No foreign body identified within the respiratory tree. No evidence of pathologic air trapping in expiratory views. No pleural effusions or pneumothorax. Extensive calcification of mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Heart size normal. No pericardial effusion. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Several large rim-calcified gallstones. Severe focal calcification of the splenic artery. Several focal calcifications in the spleen, compatible with prior granulomatous disease.
clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe bronchial wall thickening': {'clinical finding': 'bilateral lower lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe bronchial wall', 'observation': 'thickening'}, 'patchy atelectasis': {'clinical finding': 'patchy atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'findings are seen to a lesser degree in the left upper lobe': {'clinical finding': 'findings are seen to a lesser degree in the left upper lobe'}}clinical findings_fin: {'bronchiolitis': {'clinical finding': 'bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'observation': 'bronchiolitis'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}}anatomical entity_fin: {'bronchial tree': {}}clinical findings_fin: {'diffuse calcification': {'clinical finding': 'diffuse calcification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification'}, 'cartilage rings': {'clinical finding': 'cartilage rings', 'existence': 'pos_dx', 'descriptive_term': 'cartilage', 'observation': 'ring'}, 'age-related': {'clinical finding': 'age-related', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'observation': 'age'}}anatomical entity_fin: {'lobe': {'location descriptor': 'distal lower'}, 'airways': {}}location descriptor_fin: ['distal', 'lower']clinical findings_fin: {'small amount of mucous plugging in the distal lower lobe airways': {'clinical finding': 'small amount of mucous plugging in the distal lower lobe airways'}}object_fin: ['foreign body']clinical findings_fin: {'foreign body': {'clinical finding': 'foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'foreign', 'observation': 'body'}}clinical findings_fin: {'pathologic air trapping': {'clinical finding': 'pathologic air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'pathologic air', 'observation': 'trapping'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'extensive calcification': {'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive'}, 'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rim': {}}clinical findings_fin: {'several large rim-calcified gallstones': {'clinical finding': 'several large rim-calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'several large rim-calcified', 'observation': 'gallstone', 'strength_term': 'large', 'quantity_term': 'several', 'change_term': 'calcified'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'severe focal calcification': {'clinical finding': 'severe focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe focal', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'several focal calcifications': {'clinical finding': 'several focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'several focal', 'observation': 'calcification', 'quantity_term': 'several'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'scattered calcified and noncalcified pulmonary micronodules': {'clinical finding': 'scattered calcified and noncalcified pulmonary micronodules', 'existence': 'pos_dx', 'descriptive_term': 'scattered calcified and noncalcified pulmonary', 'observation': 'micronodule', 'change_term': 'calcified'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}imaging observation_fin: ['tree-in-bud']location descriptor_fin: ['bilateral', 'lower']clinical findings_fin: {'bilateral lower lobe bronchial wall thickening': {'clinical finding': 'bilateral lower lobe bronchial wall thickening', 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe bronchial wall', 'observation': 'thickening'}, 'patchy atelectasis': {'clinical finding': 'patchy atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'descriptive_term': 'patchy', 'observation': 'atelectasis'}, 'consolidation': {'clinical finding': 'consolidation', 'cf_snomed': {'consolidation': 9656002}, 'existence': 'unc_dx', 'observation': 'consolidation'}, 'tree-in-bud opacities': {'clinical finding': 'tree-in-bud opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'tree-in-bud', 'observation': 'opacity'}}anatomical entity_fin: {'lobe': {'location descriptor': 'left upper'}}location descriptor_fin: ['left', 'upper']clinical findings_fin: {'findings are seen to a lesser degree in the left upper lobe': {'clinical finding': 'findings are seen to a lesser degree in the left upper lobe'}}clinical findings_fin: {'bronchiolitis': {'clinical finding': 'bronchiolitis', 'cf_snomed': {'bronchiolitis': 4120002}, 'existence': 'pos_dx', 'observation': 'bronchiolitis'}, 'chronic aspiration': {'clinical finding': 'chronic aspiration', 'existence': 'pos_dx', 'descriptive_term': 'chronic', 'observation': 'aspiration', 'temporal_term': 'chronic'}}anatomical entity_fin: {'bronchial tree': {}}clinical findings_fin: {'diffuse calcification': {'clinical finding': 'diffuse calcification', 'existence': 'pos_dx', 'descriptive_term': 'diffuse', 'observation': 'calcification'}, 'cartilage rings': {'clinical finding': 'cartilage rings', 'existence': 'pos_dx', 'descriptive_term': 'cartilage', 'observation': 'ring'}, 'age-related': {'clinical finding': 'age-related', 'cf_snomed': {'related': 262094002}, 'existence': 'pos_dx', 'observation': 'age'}}anatomical entity_fin: {'lobe': {'location descriptor': 'distal lower'}, 'airways': {}}location descriptor_fin: ['distal', 'lower']clinical findings_fin: {'small amount of mucous plugging in the distal lower lobe airways': {'clinical finding': 'small amount of mucous plugging in the distal lower lobe airways'}}object_fin: ['foreign body']clinical findings_fin: {'foreign body': {'clinical finding': 'foreign body', 'cf_snomed': {'foreign body': 125670008}, 'existence': 'neg_dx', 'descriptive_term': 'foreign', 'observation': 'body'}}clinical findings_fin: {'pathologic air trapping': {'clinical finding': 'pathologic air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'neg_dx', 'descriptive_term': 'pathologic air', 'observation': 'trapping'}}clinical findings_fin: {'pleural effusions': {'clinical finding': 'pleural effusions', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}, 'pneumothorax': {'clinical finding': 'pneumothorax', 'cf_snomed': {'pneumothorax': 36118008}, 'existence': 'neg_dx', 'observation': 'pneumothorax'}}clinical findings_fin: {'extensive calcification': {'clinical finding': 'extensive calcification', 'existence': 'pos_dx', 'descriptive_term': 'extensive', 'observation': 'calcification', 'strength_term': 'extensive'}, 'mediastinal and hilar lymph nodes': {'clinical finding': 'mediastinal and hilar lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'mediastinal and hilar lymph', 'observation': 'node'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}}anatomical entity_fin: {'heart': {}}clinical findings_fin: {'heart size normal': {'clinical finding': 'heart size normal'}}clinical findings_fin: {'pericardial effusion': {'clinical finding': 'pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'neg_dx', 'descriptive_term': 'pericardial', 'observation': 'effusion'}}clinical findings_fin: {'significant abnormality': {'clinical finding': 'significant abnormality', 'existence': 'neg_dx', 'descriptive_term': 'significant', 'observation': 'abnormality'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'rim': {}}clinical findings_fin: {'several large rim-calcified gallstones': {'clinical finding': 'several large rim-calcified gallstones', 'cf_snomed': {'gallstone': 235919008}, 'existence': 'pos_dx', 'descriptive_term': 'several large rim-calcified', 'observation': 'gallstone', 'strength_term': 'large', 'quantity_term': 'several', 'change_term': 'calcified'}}anatomical entity_fin: {'splenic artery': {}}clinical findings_fin: {'severe focal calcification': {'clinical finding': 'severe focal calcification', 'existence': 'pos_dx', 'descriptive_term': 'severe focal', 'observation': 'calcification', 'strength_term': 'severe'}}anatomical entity_fin: {'spleen': {}}clinical findings_fin: {'several focal calcifications': {'clinical finding': 'several focal calcifications', 'existence': 'pos_dx', 'descriptive_term': 'several focal', 'observation': 'calcification', 'quantity_term': 'several'}, 'prior granulomatous disease': {'clinical finding': 'prior granulomatous disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'pos_dx', 'descriptive_term': 'prior granulomatous', 'observation': 'disease'}} [/INST] . Scattered calcified and noncalcified pulmonary micronodules. Bilateral lower lobe bronchial wall thickening, patchy atelectasis or consolidation and scattered tree-in-bud opacities. These findings are seen to a lesser degree in the left upper lobe. Findings compatible with bronchiolitis and chronic aspiration. Diffuse calcification of the cartilage rings of the bronchial tree is an age-related finding. Small amount of mucous plugging in the distal lower lobe airways. No foreign body identified within the respiratory tree. No evidence of pathologic air trapping in expiratory views. No pleural effusions or pneumothorax. Extensive calcification of mediastinal and hilar lymph nodes compatible with prior granulomatous disease. Heart size normal. No pericardial effusion. Moderate. No significant abnormality noted. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Several large rim-calcified gallstones. Severe focal calcification of the splenic artery. Several focal calcifications in the spleen, compatible with prior granulomatous disease. </s>