. Basilar predominant subpleural reticular opacities and traction bronchiectasis have progressed since the prior exam. There is increased honeycombing. No significant groundglass opacities or pleural effusion. No suspicious pulmonary nodule. The heart size is normal, there is no pericardial effusion. Enlargement of the main pulmonary artery suggests pulmonary arterial hypertension. There is atherosclerotic calcification of the aorta and its branches. Prominent mediastinal lymph nodes appear similar to the prior study. Moderate. No supraclavicular or axillary lymphadenopathy. Multilevel degenerative changes and interval increase in multilevel compression fractures since the prior study. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Patulous esophagus. Hypoattenuating right renal lesion, unchanged.
clinical findings_fin: {'basilar predominant subpleural reticular opacities': {'clinical finding': 'basilar predominant subpleural reticular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant subpleural reticular', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'increased honeycombing': {'clinical finding': 'increased honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'honeycombing', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant groundglass opacities': {'clinical finding': 'significant groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'significant groundglass', 'observation': 'opacity'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', '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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'prominent mediastinal lymph nodes': {'clinical finding': 'prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'multilevel compression fractures': {'clinical finding': 'multilevel compression fractures', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel compression', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous esophagus': {'clinical finding': 'patulous esophagus'}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating right renal lesion': {'clinical finding': 'hypoattenuating right renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right renal', 'observation': 'lesion'}}
<s>[INST] Write the finding section for a radiology report based on the following information: clinical findings_fin: {'basilar predominant subpleural reticular opacities': {'clinical finding': 'basilar predominant subpleural reticular opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'pos_dx', 'descriptive_term': 'basilar predominant subpleural reticular', 'observation': 'opacity'}, 'traction bronchiectasis': {'clinical finding': 'traction bronchiectasis', 'cf_snomed': {'traction bronchiectasis': 19325002}, 'existence': 'pos_dx', 'descriptive_term': 'traction', 'observation': 'bronchiectasis'}}clinical findings_fin: {'increased honeycombing': {'clinical finding': 'increased honeycombing', 'existence': 'pos_dx', 'descriptive_term': 'increased', 'observation': 'honeycombing', 'strength_term': 'increased', 'change_term': 'increased'}}clinical findings_fin: {'significant groundglass opacities': {'clinical finding': 'significant groundglass opacities', 'cf_snomed': {'opacity': 128305008}, 'existence': 'neg_dx', 'descriptive_term': 'significant groundglass', 'observation': 'opacity'}, 'pleural effusion': {'clinical finding': 'pleural effusion', 'cf_snomed': {'pleural effusion': 60046008}, 'existence': 'neg_dx', 'descriptive_term': 'pleural', 'observation': 'effusion'}}clinical findings_fin: {'suspicious pulmonary nodule': {'clinical finding': 'suspicious pulmonary nodule', 'cf_snomed': {'nodule': 27925004}, 'existence': 'neg_dx', 'descriptive_term': 'suspicious pulmonary', 'observation': 'nodule'}}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: {'main pulmonary artery': {}}clinical findings_fin: {'main pulmonary': {'clinical finding': 'main pulmonary', 'existence': 'pos_dx', 'descriptive_term': 'main', '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'}}anatomical entity_fin: {'aorta': {}}clinical findings_fin: {'atherosclerotic calcification': {'clinical finding': 'atherosclerotic calcification', 'existence': 'pos_dx', 'descriptive_term': 'atherosclerotic', 'observation': 'calcification'}}anatomical entity_fin: {'mediastinal lymph nodes': {}}clinical findings_fin: {'prominent mediastinal lymph nodes': {'clinical finding': 'prominent mediastinal lymph nodes', 'existence': 'pos_dx', 'descriptive_term': 'prominent mediastinal lymph', 'observation': 'node', 'strength_term': 'prominent'}}clinical findings_fin: {'supraclavicular or axillary lymphadenopathy': {'clinical finding': 'supraclavicular or axillary lymphadenopathy', 'cf_snomed': {'axillary lymphadenopathy': 127189005}, 'existence': 'neg_dx', 'descriptive_term': 'supraclavicular or axillary', 'observation': 'lymphadenopathy'}}clinical findings_fin: {'multilevel degenerative changes': {'clinical finding': 'multilevel degenerative changes', 'existence': 'pos_dx', 'descriptive_term': 'multilevel degenerative', 'observation': 'change'}, 'multilevel compression fractures': {'clinical finding': 'multilevel compression fractures', 'cf_snomed': {'compression': 71173004}, 'existence': 'pos_dx', 'descriptive_term': 'multilevel compression', 'observation': 'fracture'}}anatomical entity_fin: {'abdominal': {}}clinical findings_fin: {'enteric contrast': {'clinical finding': 'enteric contrast', 'existence': 'pos_dx', 'descriptive_term': 'enteric', 'observation': 'contrast'}}anatomical entity_fin: {'esophagus': {}}clinical findings_fin: {'patulous esophagus': {'clinical finding': 'patulous esophagus'}}location descriptor_fin: ['right']clinical findings_fin: {'hypoattenuating right renal lesion': {'clinical finding': 'hypoattenuating right renal lesion', 'cf_snomed': {'lesion': 52988006}, 'existence': 'pos_dx', 'descriptive_term': 'hypoattenuating right renal', 'observation': 'lesion'}} [/INST] . Basilar predominant subpleural reticular opacities and traction bronchiectasis have progressed since the prior exam. There is increased honeycombing. No significant groundglass opacities or pleural effusion. No suspicious pulmonary nodule. The heart size is normal, there is no pericardial effusion. Enlargement of the main pulmonary artery suggests pulmonary arterial hypertension. There is atherosclerotic calcification of the aorta and its branches. Prominent mediastinal lymph nodes appear similar to the prior study. Moderate. No supraclavicular or axillary lymphadenopathy. Multilevel degenerative changes and interval increase in multilevel compression fractures since the prior study. Absence of IV and enteric contrast material limits sensitivity for abdominal pathology. Patulous esophagus. Hypoattenuating right renal lesion, unchanged. </s>