. Severe emphysema, centrilobular predominant, not significantly changed since the prior CT study. Lingular scarring and possible surgical clips or calcification unchanged. Borderline lower lung zone bronchiectasis. Heterogeneous thyroid enlargement. There is no mediastinal or hilar lymphadenopathy, although there are calcified lymph nodes from prior granulomatous disease. Moderate coronary artery calcifications are present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous splenic and hepatic granulomata, consistent with prior histoplasmosis. Cholelithiasis.
location descriptor_fin: ['centrilobular']clinical findings_fin: {'severe emphysema': {'clinical finding': 'severe emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'emphysema', 'strength_term': 'severe'}}object_fin: ['surgical clips']clinical findings_fin: {'lingular scarring': {'clinical finding': 'lingular scarring', 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'scarr'}, 'possible surgical clips': {'clinical finding': 'possible surgical clips', 'existence': 'unc_dx', 'descriptive_term': 'possible surgical', 'observation': 'clip'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lower lung zone': {}}clinical findings_fin: {'borderline lower lung zone bronchiectasis': {'clinical finding': 'borderline lower lung zone bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'borderline lower lung zone', 'observation': 'bronchiectasis', 'strength_term': 'borderline'}}clinical findings_fin: {'heterogeneous thyroid enlargement': {'clinical finding': 'heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified'}, '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': {}, 'pericardium': {}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'numerous splenic and hepatic granulomata': {'clinical finding': 'numerous splenic and hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'numerous splenic and hepatic', 'observation': 'granulomata', 'quantity_term': 'numerous'}, 'prior histoplasmosis': {'clinical finding': 'prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'histoplasmosis'}}
<s>[INST] Write the finding section for a radiology report based on the following information: location descriptor_fin: ['centrilobular']clinical findings_fin: {'severe emphysema': {'clinical finding': 'severe emphysema', 'cf_snomed': {'emphysema': 49158009}, 'existence': 'pos_dx', 'descriptive_term': 'severe', 'observation': 'emphysema', 'strength_term': 'severe'}}object_fin: ['surgical clips']clinical findings_fin: {'lingular scarring': {'clinical finding': 'lingular scarring', 'existence': 'pos_dx', 'descriptive_term': 'lingular', 'observation': 'scarr'}, 'possible surgical clips': {'clinical finding': 'possible surgical clips', 'existence': 'unc_dx', 'descriptive_term': 'possible surgical', 'observation': 'clip'}, 'calcification': {'clinical finding': 'calcification', 'existence': 'unc_dx', 'observation': 'calcification'}}anatomical entity_fin: {'lower lung zone': {}}clinical findings_fin: {'borderline lower lung zone bronchiectasis': {'clinical finding': 'borderline lower lung zone bronchiectasis', 'cf_snomed': {'bronchiectasis': 12295008}, 'existence': 'pos_dx', 'descriptive_term': 'borderline lower lung zone', 'observation': 'bronchiectasis', 'strength_term': 'borderline'}}clinical findings_fin: {'heterogeneous thyroid enlargement': {'clinical finding': 'heterogeneous thyroid enlargement', 'cf_snomed': {'enlargement': 442021009}}}clinical findings_fin: {'mediastinal or hilar lymphadenopathy': {'clinical finding': 'mediastinal or hilar lymphadenopathy', 'cf_snomed': {'hilar lymphadenopathy': 87500009}, 'existence': 'neg_dx', 'descriptive_term': 'mediastinal or hilar', 'observation': 'lymphadenopathy'}, 'calcified lymph nodes': {'clinical finding': 'calcified lymph nodes', 'cf_snomed': {'calcified lymph nodes': 191394000}, 'existence': 'pos_dx', 'descriptive_term': 'calcified lymph', 'observation': 'node', 'change_term': 'calcified'}, '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': {}, 'pericardium': {}}clinical findings_fin: {'moderate coronary artery calcifications': {'clinical finding': 'moderate coronary artery calcifications', 'existence': 'pos_dx', 'descriptive_term': 'moderate coronary artery', 'observation': 'calcification', 'strength_term': 'moderate'}}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': 'neg_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}clinical findings_fin: {'numerous splenic and hepatic granulomata': {'clinical finding': 'numerous splenic and hepatic granulomata', 'existence': 'pos_dx', 'descriptive_term': 'numerous splenic and hepatic', 'observation': 'granulomata', 'quantity_term': 'numerous'}, 'prior histoplasmosis': {'clinical finding': 'prior histoplasmosis', 'cf_snomed': {'histoplasmosis': 12962009}, 'existence': 'pos_dx', 'descriptive_term': 'prior', 'observation': 'histoplasmosis'}} [/INST] . Severe emphysema, centrilobular predominant, not significantly changed since the prior CT study. Lingular scarring and possible surgical clips or calcification unchanged. Borderline lower lung zone bronchiectasis. Heterogeneous thyroid enlargement. There is no mediastinal or hilar lymphadenopathy, although there are calcified lymph nodes from prior granulomatous disease. Moderate coronary artery calcifications are present, the heart and pericardium otherwise unremarkable. No significant abnormality noted. Absence of enteric contrast material limits sensitivity for abdominal pathology. Numerous splenic and hepatic granulomata, consistent with prior histoplasmosis. Cholelithiasis. </s>