. Persistent bilateral central bronchial narrowing. No significant interval change in perihilar atelectasis. Interval increase in size of the subsegmental pulmonary arteries in the left lower lobe as well as septal thickening, atelectasis, and mosaic attenuation, suggestive of chronic thromboembolic disease, slightly worsened when compared to prior. However, the assessment of air trapping is again limited as patient is not in full expiration during the expiratory image acquisition. Bilateral lower lobe groundglass opacities, left greater than right and mild bronchiectasis, which persists on prone imaging. Slightly improved moderate right pleural effusion trace left pleural effusion persists. Heart size is upper limits of normal without significant pericardial effusion. The main pulmonary arteries are enlarged measuring 40 mm in diameter, suggestive of pulmonary arterial hypertension, which has worsened since the previous study. There is persistent hilar lymphadenopathy contributing to central airway narrowing. No significant mediastinal lymphadenopathy. Lipomatous hypertrophy of the interatrial septum is again seen. None. Chronic bilateral rib fractures are again seen. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Focal hypoattenuating lesion in the right hepatic lobe is incompletely characterize and the absence of contrast, and in addition to normal differential including hemangioma, hepatic sarcoid may be considered.
location descriptor_fin: ['bilateral', 'central']clinical findings_fin: {'persistent bilateral central bronchial narrowing': {'clinical finding': 'persistent bilateral central bronchial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'persistent bilateral central bronchial', 'observation': 'narrowing', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'perihilar atelectasis': {'clinical finding': 'perihilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'perihilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'subsegmental pulmonary arteries': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}imaging observation_fin: ['assessment']clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower', 'left', 'right']clinical findings_fin: {'bilateral lower lobe groundglass opacities': {'clinical finding': 'bilateral lower lobe groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe groundglass', 'observation': 'opacity'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'slightly improved moderate right pleural effusion': {'clinical finding': 'slightly improved moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'slightly improved moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '40 mm'}]anatomical entity_fin: {'main pulmonary arteries': {}}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: {'airway': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'persistent hilar lymphadenopathy': {'clinical finding': 'persistent hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'persistent'}, 'central airway narrowing': {'clinical finding': 'central airway narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'central airway', 'observation': 'narrowing'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'rib': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic bilateral rib fractures': {'clinical finding': 'chronic bilateral rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic bilateral rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}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: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypoattenuating lesion': {'clinical finding': 'focal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal hypoattenuating', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}, 'hepatic sarcoid': {'clinical finding': 'hepatic sarcoid', 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'sarcoid'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['bilateral', 'central']clinical findings_fin: {'persistent bilateral central bronchial narrowing': {'clinical finding': 'persistent bilateral central bronchial narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'persistent bilateral central bronchial', 'observation': 'narrowing', 'temporal_term': 'persistent'}}clinical findings_fin: {'significant interval change': {'clinical finding': 'significant interval change', 'existence': 'neg_dx', 'descriptive_term': 'significant interval', 'observation': 'change'}, 'perihilar atelectasis': {'clinical finding': 'perihilar atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'neg_dx', 'descriptive_term': 'perihilar', 'observation': 'atelectasis'}}anatomical entity_fin: {'subsegmental pulmonary arteries': {}, 'lobe': {'location descriptor': 'left lower'}}location descriptor_fin: ['left', 'lower']clinical findings_fin: {'septal thickening': {'clinical finding': 'septal thickening', 'existence': 'pos_dx', 'descriptive_term': 'septal', 'observation': 'thickening'}, 'atelectasis': {'clinical finding': 'atelectasis', 'cf_snomed': {'atelectasis': 46621007}, 'existence': 'pos_dx', 'observation': 'atelectasis'}, 'mosaic attenuation': {'clinical finding': 'mosaic attenuation', 'existence': 'pos_dx', 'descriptive_term': 'mosaic', 'observation': 'attenuation'}, 'chronic thromboembolic disease': {'clinical finding': 'chronic thromboembolic disease', 'cf_snomed': {'disease': 64572001}, 'existence': 'unc_dx', 'descriptive_term': 'chronic thromboembolic', 'observation': 'disease', 'temporal_term': 'chronic'}}imaging observation_fin: ['assessment']clinical findings_fin: {'air trapping': {'clinical finding': 'air trapping', 'cf_snomed': {'air trapping': 76171001}, 'existence': 'unc_dx', 'descriptive_term': 'air', 'observation': 'trapping'}}anatomical entity_fin: {'lobe': {'location descriptor': 'bilateral lower'}}location descriptor_fin: ['bilateral', 'lower', 'left', 'right']clinical findings_fin: {'bilateral lower lobe groundglass opacities': {'clinical finding': 'bilateral lower lobe groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'bilateral lower lobe groundglass', 'observation': 'opacity'}, 'mild bronchiectasis': {'clinical finding': 'mild bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'mild', 'observation': 'bronchiectasis', 'strength_term': 'mild'}}location descriptor_fin: ['right', 'left']clinical findings_fin: {'slightly improved moderate right pleural effusion': {'clinical finding': 'slightly improved moderate right pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'slightly improved moderate right pleural', 'observation': 'effusion', 'strength_term': 'moderate'}, 'left pleural effusion': {'clinical finding': 'left pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'pos_dx', 'descriptive_term': 'left pleural', 'observation': 'effusion'}}anatomical entity_fin: {'heart': {}}location descriptor_fin: ['upper']clinical findings_fin: {'significant pericardial effusion': {'clinical finding': 'significant pericardial effusion', 'cf_snomed': {'pericardial effusion': 373945007}, 'existence': 'pos_dx', 'descriptive_term': 'significant pericardial', 'observation': 'effusion'}}size_fin: [{'size': '40 mm'}]anatomical entity_fin: {'main pulmonary arteries': {}}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: {'airway': {'location descriptor': 'central'}}location descriptor_fin: ['central']clinical findings_fin: {'persistent hilar lymphadenopathy': {'clinical finding': 'persistent hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'pos_dx', 'descriptive_term': 'persistent hilar', 'observation': 'lymphadenopathy', 'temporal_term': 'persistent'}, 'central airway narrowing': {'clinical finding': 'central airway narrowing', 'cf_snomed': {'narrowing': 708528005}, 'existence': 'pos_dx', 'descriptive_term': 'central airway', 'observation': 'narrowing'}}clinical findings_fin: {'significant mediastinal lymphadenopathy': {'clinical finding': 'significant mediastinal lymphadenopathy', 'cf_snomed': {'mediastinal lymphadenopathy': 52324001}, 'existence': 'neg_dx', 'descriptive_term': 'significant mediastinal', 'observation': 'lymphadenopathy'}}anatomical entity_fin: {'interatrial septum': {}}clinical findings_fin: {'lipomatous hypertrophy': {'clinical finding': 'lipomatous hypertrophy', 'cf_snomed': {'hypertrophy': 56246009}, 'existence': 'pos_dx', 'descriptive_term': 'lipomatous', 'observation': 'hypertrophy'}}anatomical entity_fin: {'rib': {'location descriptor': 'bilateral'}}location descriptor_fin: ['bilateral']clinical findings_fin: {'chronic bilateral rib fractures': {'clinical finding': 'chronic bilateral rib fractures', 'cf_snomed': {'fracture': 72704001}, 'existence': 'pos_dx', 'descriptive_term': 'chronic bilateral rib', 'observation': 'fracture', 'temporal_term': 'chronic'}}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: {'lobe': {}}location descriptor_fin: ['right']clinical findings_fin: {'focal hypoattenuating lesion': {'clinical finding': 'focal hypoattenuating lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'focal hypoattenuating', 'observation': 'lesion'}, 'contrast': {'clinical finding': 'contrast', 'existence': 'neg_dx', 'observation': 'contrast'}, 'hemangioma': {'clinical finding': 'hemangioma', 'cf_snomed': {'hemangioma': 400210000}, 'existence': 'pos_dx', 'observation': 'hemangioma'}, 'hepatic sarcoid': {'clinical finding': 'hepatic sarcoid', 'existence': 'unc_dx', 'descriptive_term': 'hepatic', 'observation': 'sarcoid'}} [/INST] . Persistent bilateral central bronchial narrowing. No significant interval change in perihilar atelectasis. Interval increase in size of the subsegmental pulmonary arteries in the left lower lobe as well as septal thickening, atelectasis, and mosaic attenuation, suggestive of chronic thromboembolic disease, slightly worsened when compared to prior. However, the assessment of air trapping is again limited as patient is not in full expiration during the expiratory image acquisition. Bilateral lower lobe groundglass opacities, left greater than right and mild bronchiectasis, which persists on prone imaging. Slightly improved moderate right pleural effusion trace left pleural effusion persists. Heart size is upper limits of normal without significant pericardial effusion. The main pulmonary arteries are enlarged measuring 40 mm in diameter, suggestive of pulmonary arterial hypertension, which has worsened since the previous study. There is persistent hilar lymphadenopathy contributing to central airway narrowing. No significant mediastinal lymphadenopathy. Lipomatous hypertrophy of the interatrial septum is again seen. None. Chronic bilateral rib fractures are again seen. Scattered multilevel degenerative changes of the thoracolumbar spine. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Focal hypoattenuating lesion in the right hepatic lobe is incompletely characterize and the absence of contrast, and in addition to normal differential including hemangioma, hepatic sarcoid may be considered. </s>