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<s>[INST] pa and lateral views of the chest are obtained. lung volumes are low which limits evaluation. there is increased opacity in the right lower lung which could reflect bronchovascular crowding, though the possibility of an early pneumonia cannot be excluded. there is no pleural effusion or pneumothorax. aorta is markedly unfolded. the heart size is normal. bony structures are intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] bronchovascular crowding versus early pneumonia at the right lung base. if needed, a repeat radiograph with more optimized inspiratory effort may be performed to explain pneumonia, otherwise unremarkable. </s> |
<s>[INST] the heart remains moderate to severely enlarged. mediastinal contours are stable. mild pulmonary edema appears similar compared to the prior exam. more focal opacification in the right upper lobe may reflect asymmetric pulmonary edema, though infection cannot be completely excluded. atelectatic changes are also seen in both lung bases. small bilateral pleural effusions are noted. there is no pneumothorax. left mid clavicular fracture is again seen.What are the key findings of this report? [/INST] persistent mild pulmonary edema and bibasilar atelectasis. more focal opacity in the right upper lobe may reflect asymmetric pulmonary edema though infection cannot be excluded. </s> |
<s>[INST] pa and lateral views of the chest provided. the lungs are clear. there is no pneumothorax or pleural effusion. heart size is enlarged. 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] minimal left base atelectasis/scarring is seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable given differences in inspiration. aortic knob calcification is again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. specifically, no finding to suggest pneumothorax. </s> |
<s>[INST] heart size and cardiomediastinal contours are normal. lung volumes are low. diffusely increased interstitial markings are consistent with interval worsening of pulmonary edema, worse on the right. an infectious process cannot be excluded. presumed pleural effusions are not large. no pneumothorax.What are the key findings of this report? [/INST] no pneumothorax. asymmetric pulmonary edema has worsened since the study <num> hr prior. an infectious process cannot be excluded. </s> |
<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. indistinct pulmonary vascular markings are again seen as well as more confluent infrahilar opacity on the right suggesting pulmonary edema. there is a small right-sided pleural effusion. cardiac silhouette is enlarged but unchanged from prior.What are the key findings of this report? [/INST] mild to moderate pulmonary edema worse when compared to previous exam from <unk> taking into account differences in technique. </s> |
<s>[INST] again seen is a right-sided pigtail pleural catheter, unchanged in position. there is persistent near complete collapse of the right lower lobe. a large right pneumothorax is again seen, with a slightly increased basilar component. there is no left pneumothorax. emphysematous changes are seen throughout both lungs. there is no focal consolidation. the cardiomediastinal silhouette is unchanged. dense aortic calcifications are seen. there is a moderate hiatal hernia.What are the key findings of this report? [/INST] <num>. slight increase in size of large right pneumothorax with substantial basilar component. <num>. unchanged near complete right lower lobe collapse. </s> |
<s>[INST] a single portable semi-erect frontal view of the chest was obtained. an endotracheal tube is approximately <num> cm above the carina. the enteric tube is within the stomach. a right central venous (ij) catheter terminates in the right atrium. prominent streaky opacifications in the left and right bases could reflect atelectasis or aspiration. lungs are otherwise clear. there is no large pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. appropriate placement of all support devices. <num>. increased density at both bases may reflect atelectasis or aspiration. </s> |
<s>[INST] lung volumes are low with bibasilar atelectasis and linear segmental atelectasis in the right mid lung. cardiomegaly is stable. pulmonary vascular congestion is increased from <unk>. small bilateral pleural effusions are unchanged.What are the key findings of this report? [/INST] <num>. moderate congestive heart failure increased from <unk>. <num>. small bilateral pleural effusions. <num>. in view of extensive pulmonary changes, it is impossible to exclude super infection. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lung apices are somewhat obscured by overlying hair on the frontal view. projecting over the course of the anterior right fifth rib as well as the right mid lung is a nodular focus, possibly a bone island or nipple shadow. bony structures are unremarkable.What are the key findings of this report? [/INST] <num>. no evidence of acute cardiopulmonary disease. <num>. small nodular focus projecting over the course of the right fifth rib and lung, nipple shadow versus bone island, although a pulmonary nodule is not excluded. </s> |
<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral radiographs were obtained. lung volumes are low. there are bilateral interstitial opacities and more linear bibasilar opacities. the cardiac contours are normal.What are the key findings of this report? [/INST] <num>. bilateral interstitial opacities may reflect mild edema or interstitial lung disease, <num>. bibasilar opacities compatible with atelectasis. findings were discussed with dr <unk> <unk> phone at <unk> on <unk> after discovery at <unk> <unk>. </s> |
<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the heart is mildly enlarged. otherwise, the cardiomediastinal silhouette is unremarkable. multiple healed left rib fractures are noted. there is no pleural effusion, pulmonary edema, pneumothorax or focal consolidation. degenerative changes of the bilateral shoulders are again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. healed left rib fractures. mild cardiomegaly. </s> |
<s>[INST] the patient is status post median sternotomy and mitral valve replacement. heart remains moderately enlarged with left atrial enlargement. there is mild pulmonary edema. mediastinal and hilar contours are unchanged. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] as compared to prior chest radiograph from <unk>, a consolidation involving the posterior segment of the right lower lobe is still present, although decreased in size. the middle and anterior segments are clear. left lung is clear. the cardiomediastinal and hilar contours are stable. there is a small right pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] persistent right lower lobe pneumonia decreased in size from <unk>. recommend repeat radiographs within a week following treatment to document resolution. findings discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> pm, time of discovery. </s> |
<s>[INST] ap portable supine view of the chest. lungs appear clear without focal consolidation, or supine evidence for an effusion or pneumothorax. there is opacity at the left costophrenic angle which could represent atelectasis. please refer to ct torso performed subsequently. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute findings. please refer to subsequent ct torso for further details. </s> |
<s>[INST] a right port-a-cath is unchanged with the tip in the low svc. a left subclavian central venous catheter is unchanged with the tip in the mid svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal, though unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process; specifically, no evidence of pneumonia. </s> |
<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s> |
<s>[INST] frontal and lateral views of the chest. left chest wall single-lead pacing device is again seen. the lungs are clear of focal consolidation, effusion, or overt pulmonary edema. the cardiac silhouette is enlarged but stable in configuration. median sternotomy wires and mediastinal clips are again seen. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] examination is limited secondary to patient's body habitus and positioning. increased interstitial markings throughout the lungs could be in part due to the reasons stated above although superimposed pulmonary edema is suspected. cardiac silhouette is at least mildly enlarged. no acute osseous abnormalities.What are the key findings of this report? [/INST] limited exam with suspected pulmonary edema. </s> |
<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. previously identified right-sided picc line is no longer seen. bilateral left greater than right small pleural effusions persist, not significantly changed. associated left base opacity may represent adjacent atelectasis, although a component of infection is not completely excluded. superiorly, the lungs are clear without evidence of pulmonary vascular congestion. cardiac silhouette is enlarged but stable. dense atherosclerotic calcifications again seen at the arch. severe mid thoracic wedge deformity in the thoracic spine is unchanged.What are the key findings of this report? [/INST] persistent left greater than right pleural effusions when compared to previous exam from <unk>. associated left basilar opacity could represent adjacent atelectasis/scar, although infection is not completely excluded and clinical correlation suggested. </s> |
<s>[INST] lung volumes remain low. bibasilar atelectasis is similar. interval removal of a right chest tube with a small apical pneumothorax. severe cardiomegaly is essentially unchanged. pulmonary edema has resolved. evaluation of right ij central venous catheter placement is limited by overlying radiodense lines. median sternotomy wires are midline.What are the key findings of this report? [/INST] <num>. small left apical pneumothorax. <num>. resolved pulmonary edema. unchanged severe cardiomegaly and bibasilar atelectasis. </s> |
<s>[INST] heart size remains moderately enlarged with dense coronary artery calcifications. mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. mild pulmonary vascular congestion is not substantially changed in the interval without frank pulmonary edema. chain sutures are noted in the right apex. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. multiple clips project over the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] mild pulmonary vascular congestion, similar to the previous examination, without frank pulmonary edema. patchy atelectasis in the lung bases. </s> |
<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] new layering pleural effusions are seen bilaterally, moderate to large on the left with associated volume loss and moderate on the right.there is no focal consolidation, pneumothorax, or pulmonary edema. heart is stably moderately enlarged.What are the key findings of this report? [/INST] new bilateral layering pleural effusions, moderate to large of the left and moderate on the right. </s> |
<s>[INST] pa and lateral views of the chest provided demonstrate clear, well-expanded lungs without focal consolidation, effusion, pneumothorax. mediastinal silhouette is normal. bony structures appear intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] right internal jugular line tip is at the level of lower svc. ng tube passes below the diaphragm . interval increase in the interstitial moderate pulmonary edema. moderate left-sided pleural effusion has not significantly changed. moderate cardiomegaly. no pneumothorax.What are the key findings of this report? [/INST] interval increase in moderate interstitial edema. given for differences in technique moderate pleural effusion has not significantly changed. </s> |
<s>[INST] moderate cardiomegaly is unchanged. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. there is no pulmonary edema. the central pulmonary arteries are enlarged.What are the key findings of this report? [/INST] <num>. no evidence of pulmonary edema. <num>. enlargement of the central pulmonary arteries, suggestive of pulmonary artery hypertension. consider cardiac echo if warranted clinically. </s> |
<s>[INST] right-sided dual chamber pacemaker device is noted with leads terminating in unchanged positions in the right atrium and right ventricle. moderate cardiomegaly is re- demonstrated. the mediastinal and hilar contours are unchanged. there is no pulmonary edema. linear opacities within the left lung base likely reflects subsegmental atelectasis. remainder the lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] there is a small right pleural effusion with overlying atelectasis. right base consolidation is difficult to exclude, appears somewhat similar as compared to <unk> and improved as compared to <unk>. the cardiac and mediastinal silhouettes are stable. left-sided deformities including left-sided rib fractures are again seen. partially imaged is hardware in the left humerus.What are the key findings of this report? [/INST] persistent right lower lobe opacity appears to likely represent atelectasis on prior chest ct from <unk>. recommend continued followup to exclude obstructing lesion. possible right pleural effusion. </s> |
<s>[INST] single lead left-sided aicd is stable in position extending to the expected location of the right ventricle. the cardiac silhouette remains moderately enlarged. aorta is calcified. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. there is no evidence of free air beneath the diaphragms.What are the key findings of this report? [/INST] enlargement of the cardiac silhouette without pulmonary edema. no evidence of free air beneath the diaphragms. </s> |
<s>[INST] pa and lateral radiographs of the chest were acquired. there is a <num>-mm nodular opacity in right mid lung projecting over the <unk> posterior rib, possibly a lung nodule. ill-defined opacity at the right medial lung base, with associated silhouetting of the lower right heart border is not significantly changed compared to prior radiographs from <unk> and is likely related to a prominent epicardial fat pad, as seen on ct from <unk>. no focal consolidations are seen. there is evidence of mild emphysema. there are no pleural effusions. no pneumothorax is seen. the cardiac and mediastinal contours are normal. cervical fusion hardware is not fully assessed. multilevel degenerative changes of the thoracic spine are noted, as before.What are the key findings of this report? [/INST] <num>. no acute cardiac or pulmonary process. <num>. possible <num>-mm right mid lung nodule should be further evaluated with chest ct. findings and recommendation were discussed with dr. <unk> by dr. <unk> at <time> p.m. via telephone on the day of the study. </s> |
<s>[INST] moderate cardiomegaly, unchanged. lung fields are clear. there is no pulmonary edema. there is trace right pleural effusion. no pneumothorax. osseous structures are unremarkable.What are the key findings of this report? [/INST] trace right pleural effusion. no other acute cardiopulmonary abnormality. </s> |
<s>[INST] the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation worrisome for pneumonia. bony spurring is noted at the bilateral ac joints.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral views of the chest provided. hilar congestion is noted with pulmonary edema and pleural effusions, small layering bilaterally. compressive lower lobe atelectasis is noted bilaterally though difficult to exclude a superimposed subtle pneumonia. the heart is within normal limits of size. the mediastinal contour is normal. no acute bony abnormalities. degenerative changes at both shoulders noted.What are the key findings of this report? [/INST] pulmonary vascular congestion and mild pulmonary edema with small bilateral pleural effusions. compressive atelectasis in the lower lungs noted, difficult to exclude a subtle superimposed pneumonia. </s> |
<s>[INST] large, calcific opacity in the right lower lung involving the pleura and parenchyma may reflect remote infection, possibly tuberculosis, or prior hemothorax. superimposed pneumonia cannot be excluded. heart size is at the upper limits of normal and thoracic aorta is enlarged.What are the key findings of this report? [/INST] calcific opacity in the right lower lung may reflect remote infection or hemothorax. recommend ct chest to evaluate for superimposed, acute pneumonia. recommendation(s): ct chest to evaluate for superimposed, acute pneumonia and for better characterization of thoracic aortic enlargement. </s> |
<s>[INST] diffuse micronodular opacities are again seen within the lungs compatible with history of sarcoidosis. there is mild linear density at the right lung base which likely represents scarring. no large effusion is seen. no pneumothorax. cardiomediastinal silhouette is stable. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] stable appearance of the lungs with diffuse tiny nodular opacities compatible with sarcoidosis. mild right basal linear density is likely scarring or atelectasis. </s> |
<s>[INST] there is no change from the prior study from <unk>, with mild vascular engorgement of the pulmonary vasculature, right pleural effusion, also accumulating at the minor fissure, and right atelectasis. the cardiomediastinal silhouette and hila are normal. a ng tube ends in the chest within a gastric pull-up.What are the key findings of this report? [/INST] <num>. no evidnece of pneumonia. <num>. ng tube ends in the gastric pull-up within the chest. <num>. right pleural effusion, unchanged from <unk>. </s> |
<s>[INST] lung volumes are slightly low with vascular crowding but no frank pulmonary edema. there is mild bronchial wall thickening. there is no definite focal airspace opacity to suggest pneumonia. mild cardiomegaly is unchanged. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. mild bronchial wall thickening without definite focal airspace opacity could reflect bronchitis. there is no convincing evidence of pneumonia. <num>. mild cardiomegaly is unchanged. </s> |
<s>[INST] pa and lateral views of the chest. there is right apical and right perihilar scarring. there are no prior studies available for comparison. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] right perihilar and right apical linear opacities are most consistent with scarring. comparison with prior studies would be helpful. </s> |
<s>[INST] single ap upright portable view of the chest was obtained. the patient is status post median sternotomy and cabg. there are bilateral right greater than left perihilar, perihilar opacities which may reflect asymmetric edema although superimposed infectious process is not excluded. given history of hemoptysis by presenting care the patient, underlying pulmonary hemorrhage is also not excluded. obscuration of the right hemidiaphragm and blunting of the right costophrenic angle, most likely due to small pleural effusion with overlying atelectasis. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] possible asymmetric right greater than left, pulmonary edema; superimposed infectious process not excluded. given history of hemoptysis, underlying pulmonary hemorrhage is not excluded. small right pleural effusion. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate normal cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax evident. no osseous abnormality is evident.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the cardiac silhouette size is mildly enlarged. the aorta is tortuous, with atherosclerotic calcifications noted at the aortic knob and unchanged dilatation of the ascending aorta. the pulmonary vasculature is normal. apart from minimal atelectasis at the lung bases, the remainder of the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities identified including no displaced rib fractures.What are the key findings of this report? [/INST] mild bibasilar atelectasis. no fracture identified. if there is continued concern for rib fracture, a dedicated rib series is suggested. </s> |
<s>[INST] ap portable upright view of the chest. overlying ekg leads are present somewhat limiting the evaluation. there is left basal opacity which is concerning for effusion and adjacent consolidation. no signs of edema or congestion. the right lung is clear. the heart is mildly enlarged. the aorta is densely calcified. bony structures are intact.What are the key findings of this report? [/INST] mild cardiomegaly with left basal opacity concerning for effusion and adjacent consolidation. </s> |
<s>[INST] cardiomegaly is mild. there is pulmonary vascular congestion and mild pulmonary edema. there is no pneumothorax probable bilateral tiny pleural effusions. osseous structures are unremarkable. calcifications of the aortic arch are dense. the positioning of a left pacemaker generator and leads are unchanged.What are the key findings of this report? [/INST] mild pulmonary edema are improved from <unk>. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] left lower lobe opacity obscuring the left heart border is seen only on frontal projection and is likely from the epicardial fat pad <unk> is a <unk> effect from ribs. no additional focal opacity, pneumothorax, pulmonary edema <unk> pleural effusion. heart size, mediastinal and hilar contours are normal. no bony abnormality.What are the key findings of this report? [/INST] left lower lobe opacity is likely epicardial fat pad <unk> <unk> effect from ribs, and is less likely to be pneumonia. </s> |
<s>[INST] cardiac silhouette size appears borderline enlarged. tortuosity of the thoracic aorta is again noted with atherosclerotic calcifications seen at the aortic knob. convexity at the ap window and left superior mediastinal contour likely reflects known mediastinal lymphadenopathy, better assessed on the previous ct. lungs are hyperinflated with attenuation of pulmonary vascular markings and bullous changes in the right lung base compatible with emphysema. there has been interval development of a moderate size left pleural effusion. left basilar opacification may reflect compressive atelectasis, but infection cannot be excluded. known lung nodules are better assessed on previous ct. no acute osseous abnormality is demonstrated.What are the key findings of this report? [/INST] <num>. interval development of moderate size left pleural effusion with associated left basilar opacity, likely compressive atelectasis. infection, however, cannot be completely excluded. <num>. mediastinal lymphadenopathy, better assessed on the previous ct. <num>. emphysema. </s> |
<s>[INST] <num> views were obtained of the chest. the lungs are low in volume with basilar atelectasis. there is no pleural effusion, focal consolidation or pneumothorax. the heart is unchanged in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. while study is not tailored to evaluate for rib fractures, no definite displaced fracture is identified.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. if there is persistent concern for rib fracture, dedicated rib films can be obtained. </s> |
<s>[INST] no significant interval change is seen in widespread left-sided opacification consistent with extensive pneumonia. no pneumothorax is identified. a small left pleural effusion may be present. an endotracheal tube is in standard position. a right internal jugular venous catheter tip is in the svc. an esophageal catheter is in place with tip in the stomach and side port at the region of the gastroesophageal junction.What are the key findings of this report? [/INST] <num>. no significant change in widespread left-sided pneumonia. <num>. esophageal catheter with tip in the stomach and side port at the level of the gastroesophageal junction and should be advanced to ensure side port within the stomach. </s> |
<s>[INST] in comparison to earlier same-day chest radiograph, the left ij central venous catheter has been repositioned. the tip now projects over the expected location of the left brachiocephalic vein, no longer coiled into the left subclavian. other lines and support devices are stable, including endotracheal tube, enteric catheter, left chest cardiac device with associated leads, and ekg leads overlying the chest. the there are unchanged extensive bilateral parenchymal opacities, right worse than left. there is an unchanged appearance of a likely large right pleural effusion. difficult to exclude a small left pleural effusion given appearance. no pneumothorax.What are the key findings of this report? [/INST] interval repositioning of left ij central venous catheter, tip now projecting over the left brachiocephalic vein, no longer coiled into the left subclavian vein. otherwise, stable chest radiograph. </s> |
<s>[INST] the patient is somewhat rotated. the lungs remain hyperinflated. biapical pleural thickening is noted. no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged bilateral humeral prostheses noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] cardiac silhouette size is normal. the patient is status post median sternotomy and cabg. mediastinal and hilar contours are normal. the lungs are clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top-normal. the aorta knob remains calcified. mediastinum is not widened. the hilar contours are unremarkable. there is a stable lingula subcentimeter calcified granuloma. no pulmonary edema is seen.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] lung volumes are low. the left lower lung airspace opacity is less prominent. there are no new opacities or consolidations. lung volumes are low. there is no pneumothorax. the heart and mediastinum are magnified by the projection. a moderate hiatal hernia is again noted.What are the key findings of this report? [/INST] decreasing left basilar airspace opacity may be due to resolving aspiration or infection. moderate hiatal hernia. </s> |
<s>[INST] single frontal view of the chest was obtained. the lungs remain relatively hyperinflated with flattening of the diaphragms. the patient is status post median sternotomy and cabg. left base atelectasis/scarring is seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. again seen hyperinflated lungs, may be due to copd. </s> |
<s>[INST] heart size is mildly enlarged with a left ventricular predominance. the aorta is diffusely calcified and tortuous. no mediastinal widening is otherwise noted. pulmonary vasculature is not engorged. hilar contours are normal. linear opacities in both lung bases are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are moderate multilevel degenerative changes seen in the thoracic spine.What are the key findings of this report? [/INST] subsegmental bibasilar atelectasis. </s> |
<s>[INST] the heart is mild to moderately enlarged. pleural effusions are present, small on the right and small to moderate on the left. fissures are mildly thickened which suggests very mild congestive changes. a very mild interstitial abnormality is probably due to mild edema.What are the key findings of this report? [/INST] pleural effusions and mild congestive changes. </s> |
<s>[INST] ap upright and lateral views of the chest provided. cardiomegaly is unchanged with an lv configuration. there is no focal consolidation, effusion, or pneumothorax. the mediastinal contour 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] stable cardiomegaly. otherwise unremarkable. </s> |
<s>[INST] ap portable upright view of the chest. overlying wires are present somewhat limiting assessment. there is a fiducial marker position in the left mid to upper lung likely representing site of recent biopsy. a small left apical pneumothorax is present. no evidence of tension. there is elevation of the left hemidiaphragm with left basal atelectasis. right lung is clear. cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] left apical pneumothorax, small without signs of tension. left basal atelectasis. fiducial marker noted at the site of recent left lung biopsy. </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] lung volumes are slightly low. heart size is top-normal. mediastinal contours are within limits. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. no acute osseous is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the lungs are hyper expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.What are the key findings of this report? [/INST] hyperinflated lungs but no acute cardiopulmonary process. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no typical configurational abnormality is identified. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax grossly unremarkable. there exists no prior chest examination or records available for comparison.What are the key findings of this report? [/INST] chest findings within normal limits. thus, no evidence of acute pulmonary infiltrates in a patient with history of cough and right-sided rhonchi. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. bibasilar opacities are essentially resolved, but with residual linear atelectasis of the lingula and right middle lobe. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] resolution of bibasilar pneumonia, with residual linear atelectasis of the lingula and right middle lobe. </s> |
<s>[INST] a semi upright portable frontal chest radiograph demonstrates a endotracheal tube terminating in the mid thoracic trachea and an enteric tube which terminates just distal to the ge junction. there are low lung volumes, as before. the heart is likely normal in size, allowing for exaggeration due to low lung volumes. bilateral pulmonary opacities are increased compared to the most recent chest radiograph. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. increased bilateral pulmonary opacities, possibly flash pulmonary edema. however, in the right clinical setting, ards or multifocal pneumonia can also be a consideration. <num>. endotracheal tube in appropriate position. enteric tube terminating just distal to the ge junction. on subsequent chest radiograph, this tube is advanced. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. the chest is hyperinflated. the lungs appear clear. there are no pleural effusions or pneumothorax. a gastrostomy tube projects over the left upper quadrant with the tip oriented in a cranial dimension within the gastric fundus.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are clear. there is no effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest. new right lung base patchy opacity silhouettes the right heart border and right hemidiaphragm, compatible with right middle and right lower lobe locations. new left retrocardiac opacity is also noted. bilateral pleural effusions are small. no pneumothorax. the heart is of normal size with normal cardiomediastinal contours. no radiopaque foreign body.What are the key findings of this report? [/INST] new bilateral lower lobe and right middle lobe opacities may reflect atelectasis but coexisting pneumonia should be considered in the appropriate clinical setting. please correlate with clinical symptoms. small bilateral pleural effusions. findings were communicated via phone call by <unk> with <unk> on <unk> at <time> p.m. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. large bore left subclavian catheter terminates in the right atrium. the heart size and cardiomediastinal contours are normal. the 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] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest are obtained. right-sided port-a-cath is seen, distal aspect of the catheter not well appreciated, but likely terminating in the region of the distal svc. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is no overt pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] a right central venous line ends in the region of the right atrium. lung volumes are low. there is no pneumothorax. no free air is seen below hemidiaphragms. the cardiomediastinal silhouette is unremarkable. pulmonary vascular congestion is accompanied by signs of mild volume overload. patchy and linear right basilar opacity adjacent to mildly elevated right hemidiaphragm is probably due to atelectasis. lucency in right upper quadrant of the abdomen corresponds to free intraperitoneal air on ct abdomen of <unk>, in keeping with history of perforated viscus.What are the key findings of this report? [/INST] mild fluid overload. </s> |
<s>[INST] there are relatively low lung volumes and the patient is rotated slightly to the left. given this, no definite focal consolidation is seen. mild left base atelectasis is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable given differences in technique and patient position. an ovoid <num> cm calcified left paratracheal structure may represent a calcified mediastinal lymph node.What are the key findings of this report? [/INST] low lung volumes with left base atelectasis. no definite focal consolidation. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. in the right posterior ninth rib, there is an edge adjacent to the rib. this most likely represents artifact, but if the patient has pain at this site, this may represent a fracture.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. additional edge at the right posterior ninth rib may be artifact. correlate with site of patient's pain to evaluate for fracture. dr. <unk> <unk> findings with dr. <unk> by phone at <time>pm <unk>. </s> |
<s>[INST] the lungs are well expanded and clear. no effusion, pneumothorax, or consolidation is present. the cardiac and mediastinal contours are normal. mild flattening of the diaphragms is unchanged. biapical parenchymal scarring is similar. ivc filter is partially imaged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. findings were discussed with <unk> via telephone after image acquisition at <num> p.m. on <unk>. </s> |
<s>[INST] assessment is mildly limited by patient rotation. heart size is normal. the aorta is tortuous and diffusely calcified. hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are hyperinflated. minimal streaky and patchy opacities are noted at the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted within the thoracic spine. remote right-sided rib fractures are present.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] two 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.What are the key findings of this report? [/INST] no acute intrathoracic process. </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] pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. lung volumes are low with mild bibasilar atelectasis. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] since <unk>, substantial pulmonary edema is mildly improved. bilateral pleural effusions, moderate on the right and small to moderate on the left, persist. moderate bibasilar atelectasis is increased with continued low lung volumes. the heart size is difficult to assess as it is obscured by effusions and volume loss. the pacemaker positioning is unchanged. no pneumothorax.What are the key findings of this report? [/INST] mild improvement of substantial pulmonary edema with persistence of bilateral pleural effusions and compressive atelectasis since <unk>. </s> |
<s>[INST] right internal jugular central venous catheter terminates in the low svc. et tube terminates <num> cm from the carina. an enteric tube has its tip and side port in the stomach. the patient is rotated to the left somewhat limiting evaluation. the left hemidiaphragm is elevated and the heart is shifted to the left. there is apparent left lower lobe collapse. the mediastinum is not well evaluated but not frankly abnormal. there are opacities in the left mid lung. the right lung is clear. there is no pneumothorax. posterior fusion hardware in the lower thoracic upper lumbar spine.What are the key findings of this report? [/INST] <num>. et tube <num> cm from the carina and right internal jugular central venous catheter in the low svc. <num>. left lower lung collapse. endobronchial material or mass in the left lower lobe bronchus seen on outside ct of the chest can be evaluated with bronchoscopy. updated results telephoned by <unk> to <unk> at <time> am, <unk>, <num> minutes after discovery. </s> |
<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] cardiac and mediastinal contours are within normal limits. lung volumes are slightly diminished with patchy opacities at the bases likely reflecting atelectasis, although aspiration should also be considered. several small nodular opacities in the periphery of the right lung likely reflect prior granulomatous infection given their density. clinical correlation would be recommended. no pneumothorax or pulmonary edema. no large effusions. if the patient's symptoms of hemoptysis persist, further imaging with dedicated chest ct may be indicated. </s> |
<s>[INST] portable ap chest radiograph. median sternotomy wires are intact. lung volumes are low with pulmonary vascular engorgement and mild interstitial edema are stable. however, atelectasis in the right lung base is slightly worse. pleural effusions are small. moderate cardiomegaly is unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] stable mild interstitial pulmonary edema. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the lungs are well expanded. subtle opacity in the right mid lung, without a correlate on the lateral view may be an early or developing pneumonia given the provided history. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] subtle opacity in the right mid lung may represent early or developing pneumonia in the appropriate clinical setting. no dense consolidation. </s> |
<s>[INST] the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no acute osseous abnormality.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] the heart is mildly enlarged. there is hilar congestion and mild interstitial edema. the aorta is slightly unfolded and calcified. blunting of the left cp angle could be related to pleural thickening though a small effusion difficult to exclude. there is mild right basal atelectasis. chronic deformity of the left ribs noted. no acute osseous abnormality.What are the key findings of this report? [/INST] cardiomegaly with hilar congestion and mild interstitial edema. possible tiny left pleural effusion. right basal platelike atelectasis. </s> |
<s>[INST] pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] relatively low lung volumes are noted with crowding of the bronchovascular markings. bibasilar opacities are identified. there is no effusion, pneumothorax, or overt pulmonary edema. cardiac silhouette is slightly enlarged but likely accentuated due to lower lung volumes. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] bibasilar opacities may be due to atelectasis although pneumonia would be possible particularly at the right lung base in the proper clinical setting. </s> |
<s>[INST] ap and lateral views of the chest. again seen is elevation of the left hemidiaphragm. the lungs remain clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is stable in configuration. no displaced fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] mild to moderate enlargement of the cardiac silhouette is unchanged. the aorta remains tortuous. mediastinal and hilar contours are otherwise similar. the pulmonary vasculature is not engorged. lungs are hyperinflated. apart from minimal atelectasis in the lung bases and biapical scarring in the lung apices, more pronounced on the right, the lungs are clear.no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] left-sided picc remains in the distal svc <num> cm caudal to the carina. heart size is normal. cardiomediastinal silhouette and hilar contours are unchanged. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] ap portable upright view of the chest. midline sternotomy wires and left subclavian access dialysis catheter again noted. there is a new right ij central venous catheter with its tip in the mid svc. rightward rotation limits assessment. mild basal atelectasis. no large effusion or pneumothorax.What are the key findings of this report? [/INST] right ij central venous catheter positioned appropriately. </s> |
<s>[INST] ap single views were obtained with patient in sitting semi-upright position. comparison is made with the next preceding similar study of <unk>. the heart size remains normal and no configurational abnormalities are identified. the pulmonary vasculature is not congested. relatively low positioned and flattened diaphragms are again identified and indicate copd and emphysematous changes. irregular pulmonary vascular distribution in the periphery is also seen and some linear densities raise the possibility of interstitial fibrosis or scar formations. the previously existing and poorly identified right internal jugular vein approach central venous line has been exchanged to a wider bore catheter that is now identified to reach well into the lower svc. there are now several poorly delineated infiltrates in the left lung both in the upper lung field as well as in perihilar position and on the base. these densities are compatible with multiple aspiration infiltrates in this patient. noteworthy is that on the previous examination some of these densities were already detectable albeit not to the same extent as they exist now. a previously suspected retrocardiac density on the right base has not developed further but cannot be evaluated in detail on this single plain chest examination.What are the key findings of this report? [/INST] multiple parenchymal densities in the left hemithorax compatible with aspiration pneumonitis. </s> |