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<s>[INST] streaky opacities at the left lung base are consistent with atelectasis. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion and no pneumothorax. no change since <unk>.What are the key findings of this report? [/INST] left basilar atelectasis. </s> |
<s>[INST] as compared to <unk> from support devices remain in standard position. increasing bibasal opacities. moderate right sided effusion and small left effuson have increased. mild interstitial pulmonary edema has slightly improved. no pneumothorax. cardiomediastinal contour contours are stable.What are the key findings of this report? [/INST] worsening bibasal opacities. increase in right moderate and mild left effusions. </s> |
<s>[INST] prominent mediastinal fat is noted. the cardiac silhouette and pulmonary vasculature are largely unremarkable. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s> |
<s>[INST] heart size is normal. atherosclerotic calcifications are noted in the aortic knob. hilar contours are unremarkable. there are subtly increased likely bibasilar peribronchovascular opacities most notable on lateral view which could represent either aspiration or bronchopneumonia. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] subtly increased peribronchovascular opacities, possibly bibasilar but definitely on the left, best seen on lateral view which could represent either aspiration or bronchopneumonia. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected. no free air detected below the hemidiaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified. surgical clips are noted in the right upper abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. rib views can be obtained for further characterization if necessary. </s> |
<s>[INST] small pleural effusion in the posterior of two sulci, best seen on lateral and of indeterminate side. mild left lower lobe atelectasis. no additional focal opacity, pneumothorax or pulmonary edema. heart size, mediastinal contour and hila are normal. no bony abnormality.What are the key findings of this report? [/INST] <num>. small pleural effusion, side indeterminant. <num>. mild left lower lobe atelectasis. no pneumonia. </s> |
<s>[INST] cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] no focal consolidation is seen. the lungs remain relatively hyperinflated. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.. evidence of dish is seen along the spine. no definite sternal fracture is identified, however, please note that ct is more sensitive.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no definite sternal fracture identified, however, please note that ct is more sensitive. </s> |
<s>[INST] no focal consolidation is seen. there is minimal left base atelectasis. there is no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] cardiac silhouette size is normal. the aortic knob is calcified. mediastinal and hilar contours are unchanged, and known bilateral hilar and mediastinal lymphadenopathy is better appreciated on the recent ct of the chest. bilateral calcified pleural plaques are noted with mild superimposed opacities in the lung bases possibly reflective of atelectasis. small bilateral pleural effusions are not substantially changed from the recent chest ct. approximately <num> cm right apical nodule is re- demonstrated, better assessed on the recent ct. no pneumothorax or pulmonary vascular congestion is demonstrated. no acute osseous abnormality is present.What are the key findings of this report? [/INST] <num>. patchy opacities in the lung bases superimposed on a background of calcified pleural plaques may reflect atelectasis. <num>. small bilateral pleural effusions, unchanged. <num>. right apical nodule and bilateral hilar and mediastinal lymphadenopathy are better assessed on recent chest ct. </s> |
<s>[INST] greater consolidation at both lung bases, particularly the right and the left suprahilar lung and a substantial increase in irregular linear and nodular opacities, primarily in the left lower lung should first be considered progression of diffuse infection, but, given the widespread preexisting lung abnormalities and the interval increase in top normal heart size, the asymmetric distribution of new pulmonary edema could give the same appearance. left sided catheter ends in the axilla.What are the key findings of this report? [/INST] likely progression of multifocal lung infection. possible acute chf. left sided catheter ends in the axilla. </s> |
<s>[INST] moderate size left apical pneumothorax is re- demonstrated. mild contralateral shift of the heart is present when compared to the previous radiograph. heart size is normal. the mediastinal and hilar contours are otherwise normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] unchanged moderate size left pneumothorax with minimal rightward shift of the heart suggesting early tension. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there are relatively low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. slight prominence of the interstitial markings is likely due to low lung volumes; however, a component minimal interstitial edema is not excluded.What are the key findings of this report? [/INST] low lung volumes. slight prominence of the markings likely due to low lung volumes; however, a component of minimal interstitial edema not excluded. no focal consolidation. </s> |
<s>[INST] pa and lateral views of the chest provided. compared to prior study from <num> day ago, there is little change in the extent of the neoesophagus dilatation. the lungs are clear, without evidence of pneumonia. pulmonary vasculature is normal.What are the key findings of this report? [/INST] substantial dilatation of the neoesophagus, little change compared to prior study. </s> |
<s>[INST] the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. mild eventration of the right hemidiaphragm is stable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s> |
<s>[INST] there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. there is mild bilateral apical thickening, more prominent on the left.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. mild mid thoracic dextroscoliosis is noted. surgical clips in the right upper quadrant. no free air is seen below the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest provided. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. there is subtle increase in reticular markings in the left lower lobe which may reflect the sequelae of chronic aspiration in the correct clinical setting. cardiomediastinal silhouette appears within normal limits. bony structures are intact. mild scarring projects over the left upper lung.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the lung volume is small. pulmonary edema has improved. bilateral mid to lower lung opacities are unchanged. bilateral atelectasis with pleural effusion are unchanged. severe cardiomegaly and the mediastinum are unchanged. no pneumothorax. the spinal hardware is seen with no evidence of dated dehiscence.What are the key findings of this report? [/INST] improved pulmonary edema. </s> |
<s>[INST] the lungs are clear aside from minimal left lower lobe atelectasis which may be chronic. cardiac size is normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] portable frontal view of the chest demonstrates normal lung volumes. moderate cardiomegaly is noted. pulmonary vascular congestion is noted without frank pulmonary edema. no focal consolidation is seen. there is no pleural effusion or pneumothorax. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] moderate cardiomegaly with pulmonary vascular congestion. </s> |
<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size is enlarged. there are small bilateral pleural effusions. there are bibasilar airspace opacities most consistent with pulmonary edema. there is no pneumothorax.What are the key findings of this report? [/INST] mild pulmonary edema with small bilateral pleural effusions. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. healed right rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest provided. lungs are hyperinflated and lucent compatible with known emphysema. no focal consolidation, large effusion or pneumothorax. no signs of edema or central vascular congestion. bony structures appear intact though somewhat demineralized.What are the key findings of this report? [/INST] emphysema without superimposed acute process. </s> |
<s>[INST] as compared to the prior examination dated <unk>, there has been no relevant interval change. no lobar consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is unchanged in appearance.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are well inflated and grossly clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are within normal limits. there is no pleural effusion or pneumothorax. note is made of focal levoscoliosis centered at t<num>-<num> level with possible vertebral body deformities, unchanged since at least <unk>. this could represent posttraumatic change or, very possibly, may reflect developmental deformities of the vertebral bodies.What are the key findings of this report? [/INST] no evidence of acute pulmonary process. </s> |
<s>[INST] heart size is enlarged. the left pm is in standard position with wires following unchanged the expected course. there is a mild improvement of the consolidation at the right base; also the left base seems better ventilated. the vascular congestion is reducedWhat are the key findings of this report? [/INST] the bases are better ventilated with reduced atelectasis the vascular congestion is reduced </s> |
<s>[INST] pa and lateral views of the chest provided. bilateral percutaneous nephrostomy tubes are in place. safety pins projecting over the upper abdomen are likely external. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion. no esophageal distention is visible. the heart size is top normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] multiple mediastinal clips are again seen along with a manubrial cerclage wire. the heart size remains mildly enlarged. aortic knob is calcified. the mediastinal and hilar contours are unchanged. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is present. minimal atelectasis is noted in the lung bases. degenerative changes of the right ac joint are noted. no acute osseous abnormality seen.What are the key findings of this report? [/INST] lung volumes with minimal bibasilar atelectasis. </s> |
<s>[INST] a single frontal chest radiograph demonstrates endotracheal tube terminating at the level of the carina and could be withdrawn <num>-<num> cm. right-sided central venous catheter terminates in the distal svc. enteric catheter courses below the hemidiaphragm with sideport at the level of the ge junction and thus, could be obtained several cm. left lower lung opacification is nonspecific and differential includes pneumonia or aspiration ; however, degree of left hilar depression suggesting predominant component is atelectasis. no pleural effusion identified. no fracture is identifiedWhat are the key findings of this report? [/INST] endotracheal tube at level of carina and could be withdrawn <num> cm. sideport of enteric catheter at ge junction and could be advanced several cm. left lower lung pneumonia and loss of volume(upon review of osh ct, due to mucoid impaction of lower lobe bronchus) </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] single portable view of the chest. no prior. the lungs are hyperinflated. there is a perihilar distribution of parenchymal opacities. left-sided pleural effusion is seen tracking laterally. there is also subtle blunting of the right lateral costophrenic angle as well. cardiac silhouette is enlarged. atherosclerotic calcification is seen at the arch. median sternotomy wires and mediastinal clips are noted. calcification in the left upper quadrant of the splenic artery. iv line projects over the left neck as well as a surgical clip.What are the key findings of this report? [/INST] findings suggestive of pulmonary edema, although clinical correlation is suggested to exclude possible pneumonia. </s> |
<s>[INST] an endotracheal tube terminates <num> cm above the carina. left axillary clips are constant. the cardiac silhouette remains severely enlarged, particularly the left atrium, as evidenced by splaying of the carina. substantial bilateral pleural effusions are slightly smaller on the right and unchanged on the left. left lower lobe remains collapsed and there is persistent right lung base atelectasis. mild pulmonary edema is unchanged. no pneumothorax.What are the key findings of this report? [/INST] substantial bilateral pleural effusions are slightly smaller on the right and unchanged on the left. mild pulmonary edema and left lower lobe collapse unchanged. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. mild cardiomegaly and prominence of the pulmonary vasculature is stable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. minimal subsegmental atelectasis is noted in the lung bases. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. minimal scarring is seen in the lung apices. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] heterogeneous bilateral mid and lower lung opacities are likely atelectasis, especially given slightly low lung volumes, although infection or aspiration pneumonitis could have a similar appearance. there may be a small left pleural effusion. there is no pneumothorax. heart size is normal. the mediastinal contours are normal. aortic calcifications are seen. multilevel degenerative changes of the thoracic spine are noted.What are the key findings of this report? [/INST] <num>. low lung volumes with minimal bibasilar atelectasis. a concomitant process at the lung bases, such as pneumonia or aspiration pneumonitis cannot be excluded. <num>. possible small left pleural effusion. </s> |
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear aside from minimal right basilar atelectasis. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s> |
<s>[INST] left-sided dual chamber pacemaker device is noted with leads terminating in the right atrium and ventricle. moderate enlargement of the cardiac silhouette is re- demonstrated, a component which may reflect a pericardial effusion. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. there is a continued moderate right pleural effusion, with trace left pleural effusion, not substantially changed in the interval. no pneumothorax is seen. mild atelectasis is noted in lung bases. there are mild degenerative changes noted in the thoracic spine with slight loss of height of a vertebral body at the thoracolumbar junction, unchanged.What are the key findings of this report? [/INST] <num>. moderate enlargement of the cardiac silhouette, not changed from the previous studies, a component which may reflect a moderate size pericardial effusion as seen on the previous ct. <num>. moderate right and small left bilateral pleural effusions, similar to the previous exams. </s> |
<s>[INST] comparison is made to previous study from <unk>. there is normal cardiac silhouette and mediastinum. lungs are clear. bony structures are intact.What are the key findings of this report? [/INST] no signs of acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk> and chest x-ray from <unk>. biapical right greater than left pleural-based thickening is again seen not significantly changed since <unk>. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] chest, pa and lateral. the lungs are clear aside from bibasilar atelectasis. there is mass effect on the trachea from an enlarged thyroid gland. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. mass effect on trachea secondary to thyromegaly. correlate with exam. </s> |
<s>[INST] ap upright and lateral views of the chest provided. no convincing evidence for pneumonia. however, there is mild hilar congestion noted with mild cardiomegaly. the aorta is partially calcified. there is no large effusion or pneumothorax. bony structures appear grossly intact.What are the key findings of this report? [/INST] mild cardiomegaly. mild hilar congestion. no convincing evidence for pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is a large area of right upper lobe opacity worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is not enlarged.What are the key findings of this report? [/INST] right upper lobe pneumonia. </s> |
<s>[INST] patient is somewhat rotated. there is a right retrocardiac opacity that corresponds to opacification along the lower thoracic spine on the lateral view. there are small bilateral pleural effusions. there is no pneumothorax. patchy and linear opacities are seen within the left lung base and are likely due to atelectasis. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] <num>. right retrocardiac opacity, representing either atelectasis or pneumonia. short term followup cxr is recommended for evaluation of interval resolution. <num>. small bilateral pleural effusions. </s> |
<s>[INST] pa and lateral views of the chest. lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the cardiomediastinal silhouettes are stable. no focal consolidation, pleural effusion or evidence of pneumothorax is seen. surgical clips are noted in the upper abdomen. no displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. no free air below the right hemidiaphragm is seen. cardiomediastinal silhouette is normal. bony structures appear intact.What are the key findings of this report? [/INST] no acute intrathoracic process. no free air below the right hemidiaphragm. </s> |
<s>[INST] ap portable upright view of the chest. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process </s> |
<s>[INST] heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest were performed. blunting of the left costophrenic angle, most pronounced posteriorly, is again seen. there is no right pleural effusion. there is no pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are unchanged. a rounded density projecting over the right lower lung is unchanged from <unk>. old right rib fractures are noted. sternotomy wires, mediastinal clips and a valve prosthesis are unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are fully expanded and clear. no pleural effusion, pulmonary edema, or pneumothorax is seen. the heart, mediastinal and pleural surface contours are normal. a density seen projecting over the region of the bifurcation of the left main stem bronchus could represent a vessel or a possible foreign body, not clearly visualized on the lateral view.What are the key findings of this report? [/INST] question of possible radiodense foreign body projecting over the region of the bifurcation of the left main stem bronchus could represent a vessel or a possible foreign body. this may be further evaluated with shallow oblique radiographs. </s> |
<s>[INST] lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] normal chest x-ray. </s> |
<s>[INST] pa and lateral views of the chest were provided. midline sternotomy wires and mediastinal clips are again seen. the heart is moderately enlarged which is unchanged, though there is interval increase in pulmonary edema. there are small bilateral pleural effusions which are increased from prior exam. there is no pneumothorax. clips are seen in the right infraclavicular region. no definite bony abnormalities are seen.What are the key findings of this report? [/INST] cardiomegaly with increased pulmonary edema, and small bilateral pleural effusions. </s> |
<s>[INST] the cardiomediastinal shadow is normal. no pleuropulmonary disease. no sinister bony lesions.What are the key findings of this report? [/INST] essentially normal chest radiograph. no findings suggestive of sarcoidosis. </s> |
<s>[INST] the heart size is normal. the aorta is tortuous. the pulmonary vascularity is not engorged. the hilar contours are stable. hyperinflation is unchanged, suggestive of copd. lungs are clear. no pleural effusion, focal consolidation, or pneumothorax is present. no acute osseous abnormalities are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] lungs are better aerated with mild pulmonary edema substantially improved from <unk>. postoperative mediastinal contours and mild cardiomegaly are stable. no substantial pleural effusion. no pneumonia. semiopaque density adjacent to the right hemidiaphragm is seen to represent subdiaphragmatic fat on previous ct of the abdomen and pelvis.What are the key findings of this report? [/INST] mild pulmonary edema substantially improved from <unk>. no evidence of pneumonia. </s> |
<s>[INST] patient history of alpha <num> antitrypsin deficiency. extensive heterogeneous opacifications of bilateral lungs more severe in the bases consistent with the saccular bronchiectasis seen on prior chest ct. given patient's clinical symptoms, cannot exclude pneumonia, acute or chronic. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged. interval placement of a right chest port seen with tip not well visualized but appears to be in the cavoatrial junction.What are the key findings of this report? [/INST] extensive bilateral lung opacifications consistent with history of saccular bronchiectasis bilaterally seen on previous chest ct in setting of alpha <num> antitrypsin deficiency. cannot exclude superimposed acute or chronic infection or pneumonia. </s> |
<s>[INST] heart size is normal. the aorta remains tortuous and diffusely calcified. mediastinal and hilar contours are otherwise unchanged. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is seen. clips from prior cholecystectomy are noted in the right upper quadrant of the abdomen. asymmetry of the breast shadows is compatible with prior left breast surgery.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. previously seen opacity projecting over the right mid lung is not as well seen as compared to the prior study however, followup ct as recommended per chest ct from <unk>, recommendation remains. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] triangular pleural-based opacity seen on chest ct from <unk>, not as well appreciated on this study. followup chest ct recommendation from that study remains. no new focal consolidation seen. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] two views were obtained of the chest. improved small right and unchanged moderate left pleural effusions are accompanied by basal atelectasis. the lungs are otherwise clear. moderate cardiomegaly is mildly decreased from previous examination with intact sternotomy wires and valvuloplasty ring noted.What are the key findings of this report? [/INST] decrease in size of small right and unchanged moderate left pleural effusion with accompanying bibasilar atelectasis. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. no fracture is identified.What are the key findings of this report? [/INST] no fracture identified. however, if there is continued clinical concern, dedicated rib films can be obtained. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] ap and lateral views of the chest. when compared to previous exam, there has been near complete resolution of the right mid lung hazy opacity. the lungs are now essentially clear. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. near-complete resolution of right mid lung opacity. </s> |
<s>[INST] an ng tube is seen transversing past the diaphragm, but the tip is not within the field of view. a right-sided port-a-cath is present with the tip terminating in the low svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. there is mild hyperexpansion of the lungs which is unchanges from the prior exam. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. ng tube transverses below the diaphragm with the tip out of the field of view. <num>. port-a-cath terminates in the low svc. </s> |
<s>[INST] ap view of the chest provided. the intra-aortic balloon pump is approximately <num> cm below the upper most part of the aortic arch, advancement by <num> cm is recommended. swan-ganz catheter has been retracted, now terminating in the right ventricle. lungs are otherwise clear.What are the key findings of this report? [/INST] <num>. low intra-aortic balloon pump, advancement by <num> cm is recommended. <num>. swan-ganz catheter terminates in the right ventricle. </s> |
<s>[INST] <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. rightward deviation of the upper trachea due to a large dominant left thyroid nodule is unchanged.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] there is increased retrocardiac opacity; however, this may be technical or external in nature given the configuration and its inferior extension to a level below the expected lower margin of the lung into the upper abdomen. elsewhere, the lungs are clear. the cardiac silhouette is enlarged, but stable in configuration given differences in technique. hypertrophic changes are noted in the spine.What are the key findings of this report? [/INST] retrocardiac opacity which is likely artifactual/technical. consider pa and lateral to further characterize. otherwise unremarkable. </s> |
<s>[INST] an endotracheal tube and left subclavian central venous catheter are in appropriate and stable position. there is increased opacification at the bilateral lung bases. on the left, there is increased size as a small-to-moderate left pleural effusion and underlying atelectasis. on the right, there is a focal airspace opacity in right lung base which may represent atelectasis or focal infection. a small right pleural effusion is not significantly changed from <unk>. there is interval increased pulmonary vascular congestion. no pneumothorax is present. the cardiac silhouette remains top normal in size. the mediastinal contours are within normal limits and stable.What are the key findings of this report? [/INST] <num>. interval development of focal opacity in the right lung base may represent atelectasis or infection. <num>. increased small-to-moderate left pleural effusion from <unk>. <num>. increased mild pulmonary vascular congestion from <unk>. </s> |
<s>[INST] lung volumes are low. no pneumothorax. normal post operative appearance with left perihilar opacity suggesting resolving hemorrhage. the left hemidiaphragm is elevated with adjacent atelectasis and possible trace left pleural effusion. the mediastinum and cardiac borders are normal.What are the key findings of this report? [/INST] normal postoperative appearance of the left lung. no pneumothorax. </s> |
<s>[INST] in comparison to the prior study there is no substantial change. the heart is normal size and cardiomediastinal contours stable. lungs remain hyperinflated suggesting underlying emphysema. post treatment changes in the left midlung are overall unchanged given differences in technique. there is no new consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. stable left post treatment changes. emphysema. </s> |
<s>[INST] an endotracheal tube terminates <num> cm above the carina. a nasogastric tube extends to at least the level of the stomach. the cardiac and mediastinal contours are within normal limits. there is no pneumothorax or focal consolidation. a trace left pleural effusion is present.What are the key findings of this report? [/INST] trace left pleural effusion. </s> |
<s>[INST] right ij central venous catheter terminates in mid svc, unchanged. the diffuse airspace opacities have significantly improved, particularly bilateral upper lungs. the bilateral mid to lower lung airspace opacities persist but less severe. no new consolidation. bilateral lower lobe atelectasis is unchanged. bilateral pleural effusion is unchanged, left more than right. no pneumothorax. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] persistent bilateral mid to lower lung opacities. improved bilateral upper lung opacities. </s> |
<s>[INST] pa and lateral views of the chest were reviewed. compared to the most recent prior, there has been a slight interval decrease in the left pleural effusion. lung volumes are low and there is bibasilar atelectasis. the left pleurx catheter enters the left lower chest but cannot be traced to the tip. normal heart and mediastinal surfaces.What are the key findings of this report? [/INST] <num>. interval slight decrease in left pleural effusion. <num>. for more specific evaluation of the pleurx catheter location or changes in the pleural effusion ct scan is recommended. </s> |
<s>[INST] the lungs are well expanded. moderate pulmonary edema is new, with left lower lobe airspace opacity which obscures the left hemidiaphragm. cardiomegaly is moderate to severe. aortic arch calcifications are mild. small bilateral pleural effusions are present. no pneumothorax is detected.What are the key findings of this report? [/INST] moderate chf with small bilateral pleural effusions and probable left basilar atelectasis, but infection is not excluded. </s> |
<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest are provided. there is a small residual right effusion, which is significantly reaccumulated compared with prior exam. there is no left effusion. lungs remain clear. cardiomediastinal silhouette is stable. a tiny density in the left chest wall project over the left mid lung.What are the key findings of this report? [/INST] trace right pleural effusion, not significantly increased from prior. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. there is a moderate new pleural effusion on the right. a small to moderate pleural effusion is new on the left. in each case, there are patchy associated opacities, not specific but compatible with atelectasis. associated infection cannot be excluded, however, although pleural effusions are seen most likely to represent the primary abnormality. there is no pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] substantial bilateral pleural effusions with associated opacities, probably attributable atelectasis; an infectious process is difficult to completely exclude, however. </s> |
<s>[INST] numerous nodular opacities compatible the patient's metastatic disease are again appreciated. in addition, there is worsening pulmonary edema as well as a worsening right lower lobe infiltrate which could represent pneumonia in the correct clinical setting. a right pleural effusion is also increased in size.What are the key findings of this report? [/INST] worsening combination of pleural effusion, pulmonary edema and possibly pneumonia particularly in the right lower lobe. </s> |
<s>[INST] a rounded opacity in the left aortopulmonary window is consistent with the patient's known pseudoaneurysm, and appears unchanged from the prior radiographs. the aorta is dilated and tortuous, also unchanged. the heart size is moderately enlarged, and stable. right basilar atelectasis or scarring is unchanged. there is no new consolidation. the previously identified mild pulmonary edema has resolved. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. grossly unchanged appearance of the dilated tortuous aorta with a known large pseudoaneurysm. <num>. unchanged right basilar atelectasis or scarring. <num>. no pulmonary edema or evidence of pneumonia. </s> |
<s>[INST] <num> views were obtained of the chest. the previously described right upper lobe and lingular nodules continue to decrease in prominence. there is no focal consolidation, pleural effusion or pneumothorax. an equivocal nodule is seen overlying the left upper lobe on the frontal view. the heart is normal in size with normal mediastinal and hilar contours.What are the key findings of this report? [/INST] no acute intrathoracic process. continued decrease in conspicuity of the right upper lobe and lingular nodules. equivocal left upper lobe nodule can be assessed by shallow oblique radiographs on a non-emergent basis. </s> |
<s>[INST] frontal and lateral radiographs of the chest show decreased size of small left pleural effusion from <unk> with persistent atelectasis of the left lung base, improved from the preceding radiograph. there is persistent blunting of the right costophrenic angle with improved aeration in the right lung base consistent with decreased size of small right pleural effusion. the lungs are otherwise well aerated without focal consolidation or pneumothorax. a large air-fluid level is seen in the neoesophagus along its course in the right paramediastinal region in the posterior right hemithorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged from the preceding radiograph. a left pectoral port-a-cath is unchanged in position with the tip terminating in the cavoatrial junction. a wedge compression fracture deformity of the mid thoracic spine is unchanged.What are the key findings of this report? [/INST] <num>. decreased size of small bilateral pleural effusions with improved aeration at both lung bases and persistent mild atelectasis. <num>. large air-fluid level in the neoesophagus. </s> |
<s>[INST] no focal consolidation is seen. retrocardiac opacity with air-fluid level is consistent with the large hiatal hernia. there is slight blunting of the bilateral posterior costophrenic angles may be due to pleural thickening versus very trace pleural effusions. no pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are stable. no pulmonary edema is seen. partially imaged is a right humeral prosthesis.What are the key findings of this report? [/INST] slight blunting of the bilateral posterior costophrenic angles may be due to pleural thickening or very trace pleural effusions. no focal consolidation to suggest pneumonia. hiatal hernia. </s> |
<s>[INST] a frontal upright view of the chest was obtained portably. there is no focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable. heart size is normal. there is no evidence of mediastinal widening. eventration of the right hemidiaphragm is similar to the prior studies. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] no focal consolidation is seen. there is no large pleural effusion or pneumothorax. minimal left base atelectasis is seen. minimal prominence of the interstitial markings bilaterally may be due to minimal interstitial edema. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] minimal interstitial edema. </s> |
<s>[INST] the patient has been extubated. the chest tube appears unchanged in comparison to the prior chest radiograph. there is a persistent large right pneumothorax, now with complete collapse of the remaining right lung, patient status post right upper lobe resection, likely due to mucous plugging as the right main stem bronchus is not visualized. there is shift of the mediastinal structures and heart towards the right. a small amount of subcutaneous air has developed in the interim. the left lung appears clear. no pleural effusion is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. complete collapse of remaining right lung with mediastinal shift, likely due to mucous plugging. <num>. persistent large right pneumothorax. <num>. unchanged orientation of right chest tube. </s> |
<s>[INST] all lines and tubes are appropriate and unchanged in positioning. the bilateral airspace opacities have worsening, especially within right upper lobe, and left lower lobe. the pulmonary vasculature is normal. the cardiomediastinal silhouette is stable. there is no pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. appropriate positioning of all lines and tubes. <num>. worsening bilateral airspace opacities within the right upper lobe, and left lower lobe. </s> |
<s>[INST] bilateral fibrotic changes again seen. calcified pleural plaques are also noted. no new focal consolidation is seen, and the heart is mildly enlarged. calcifications are noted at the aortic knob.What are the key findings of this report? [/INST] no acute cardiopulmonary process, though evaluation is limited secondary to fibrotic changes and pleural plaques. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is stable and the heart size appears top-normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] stable top-normal heart size. no evidence of pneumonia or edema. </s> |
<s>[INST] as compared to chest radiograph dated <unk>, frontal and lateral chest radiographs demonstrate interval removal of enteric tube. the right port-a-cath is seen in unchanged position with its tip in the low superior vena cava. the bilateral lungs are well expanded without new focal consolidations. prior right loculated pleural fluid largely resolved. stable cardiomegaly. there is no pneumothorax.What are the key findings of this report? [/INST] decreased right pleural fluid with well-expanded clear lungs. </s> |
<s>[INST] frontal and lateral chest radiographs again demonstrate multiple sternotomy wires and a right-sided single lead pacer. the cardiomediastinal silhouette is unchanged. pleural effusions, if any, are minimal. there is no pleural effusion focal opacity concerning for pneumonia. also noted is bony destruction at the level of the left shoulder, for which additional views are recommended.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. pleural effusions, if any, are minimal. <num>. bony destruction of the level of the left shoulder. recommend further evaluation with dedicated imaging. these findings were discussed via telephone by dr. <unk> with dr. <unk> at <time> on <unk>. </s> |
<s>[INST] the lungs are hyperexpanded and there is flattening of the hemidiaphragms, not significantly changed compared to <unk>. no focal consolidation concerning for pneumonia. heart size is normal. the mediastinal contours are normal. there are no definite pleural effusions. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. no acute cardiac or pulmonary process. <num>. findings consistent with emphysema. </s> |