diff --git a/.idea/.gitignore b/.idea/.gitignore
new file mode 100644
index 0000000..b58b603
--- /dev/null
+++ b/.idea/.gitignore
@@ -0,0 +1,5 @@
+# Default ignored files
+/shelf/
+/workspace.xml
+# Editor-based HTTP Client requests
+/httpRequests/
diff --git a/.idea/inspectionProfiles/profiles_settings.xml b/.idea/inspectionProfiles/profiles_settings.xml
new file mode 100644
index 0000000..105ce2d
--- /dev/null
+++ b/.idea/inspectionProfiles/profiles_settings.xml
@@ -0,0 +1,6 @@
+<component name="InspectionProjectProfileManager">
+  <settings>
+    <option name="USE_PROJECT_PROFILE" value="false" />
+    <version value="1.0" />
+  </settings>
+</component>
\ No newline at end of file
diff --git a/.idea/misc.xml b/.idea/misc.xml
new file mode 100644
index 0000000..a980e4a
--- /dev/null
+++ b/.idea/misc.xml
@@ -0,0 +1,4 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="ProjectRootManager" version="2" project-jdk-name="~/pftr_processor/.venv" project-jdk-type="Python SDK" />
+</project>
\ No newline at end of file
diff --git a/.idea/modules.xml b/.idea/modules.xml
new file mode 100644
index 0000000..173e673
--- /dev/null
+++ b/.idea/modules.xml
@@ -0,0 +1,8 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="ProjectModuleManager">
+    <modules>
+      <module fileurl="file://$PROJECT_DIR$/.idea/pftr_processor.iml" filepath="$PROJECT_DIR$/.idea/pftr_processor.iml" />
+    </modules>
+  </component>
+</project>
\ No newline at end of file
diff --git a/.idea/pftr_processor.iml b/.idea/pftr_processor.iml
new file mode 100644
index 0000000..09f664d
--- /dev/null
+++ b/.idea/pftr_processor.iml
@@ -0,0 +1,17 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<module type="PYTHON_MODULE" version="4">
+  <component name="NewModuleRootManager">
+    <content url="file://$MODULE_DIR$">
+      <excludeFolder url="file://$MODULE_DIR$/.venv" />
+    </content>
+    <orderEntry type="jdk" jdkName="~/pftr_processor/.venv" jdkType="Python SDK" />
+    <orderEntry type="sourceFolder" forTests="false" />
+  </component>
+  <component name="PackageRequirementsSettings" />
+  <component name="PyDocumentationSettings">
+    <option name="format" value="PLAIN" />
+    <option name="myDocStringFormat" value="Plain" />
+  </component>
+  <component name="ReSTService" />
+  <component name="TestRunnerService" />
+</module>
\ No newline at end of file
diff --git a/.idea/pyLspTools.xml b/.idea/pyLspTools.xml
new file mode 100644
index 0000000..c24f67c
--- /dev/null
+++ b/.idea/pyLspTools.xml
@@ -0,0 +1,29 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="PyToolsState">
+    <option name="tools">
+      <map>
+        <entry key="pyrefly">
+          <value>
+            <ToolEntry />
+          </value>
+        </entry>
+        <entry key="pyright">
+          <value>
+            <ToolEntry />
+          </value>
+        </entry>
+        <entry key="ruff">
+          <value>
+            <ToolEntry />
+          </value>
+        </entry>
+        <entry key="ty">
+          <value>
+            <ToolEntry />
+          </value>
+        </entry>
+      </map>
+    </option>
+  </component>
+</project>
\ No newline at end of file
diff --git a/.idea/vcs.xml b/.idea/vcs.xml
new file mode 100644
index 0000000..8306744
--- /dev/null
+++ b/.idea/vcs.xml
@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8"?>
+<project version="4">
+  <component name="VcsDirectoryMappings">
+    <mapping directory="" vcs="Git" />
+    <mapping directory="$PROJECT_DIR$" vcs="Git" />
+  </component>
+</project>
\ No newline at end of file
diff --git a/app.py b/app.py
index 35833e2..3273cf9 100644
--- a/app.py
+++ b/app.py
@@ -198,6 +198,8 @@ def process_pft_pdf(input_stream: BinaryIO) -> BinaryIO:
                 check_boxes |= {"results_asthma_cb": "/Yes", "refer_pulmo": "/Yes"}
             case "emphysema":
                 check_boxes |= {"results_emphysema": "/Yes", "refer_pulmo": "/Yes"}
+            case _:
+                check_boxes |= {"refer_pulmo": "/Yes"}
 
         form_data = patient_data | check_boxes