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<s>[INST] the lungs are clear and well inflated. there is no pleural effusion, pneumothorax or focal airspace consolidation. there is slight prominence and angulation along the right heart border which is stable compared with <unk>. the cardiomediastinal contours are otherwise unremarkable. the hilar structures are unremarkable. the pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute pulmonary process. </s> |
<s>[INST] pa and lateral views of the chest. compared to most recent study, the bibasilar atelectasis has decreased. pulmonary edema has decreased. mitral valve annular calcifications are seen. no consolidation, pleural effusion or pneumothorax. ng tube is seen ending in the stomach with its last side port adjacent to but below the ge junction.What are the key findings of this report? [/INST] <num>. decreased bibasilar atelectasis. <num>. decreased pulmonary edema. <num>. mitral valve annular calcifications. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] top-normal cardiac silhouette size without overt pulmonary edema. no evidence of pneumothorax. </s> |
<s>[INST] ap view of the chest. the patient's aortic dissection is better visualized on concurrent ct from today. there are aortic knob calcifications. there is no focal consolidation, pleural effusion or pneumothorax. there is moderate cardiomegaly that is stable. median sternotomy wires are unchanged.What are the key findings of this report? [/INST] known aortic dissection is better assessed on concurrent ct chest from today. clear lungs. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates well expanded and clear lungs bilaterally. prior seen opacity appreciated on lateral view posterior and inferior to hilar structures appears to be resolved. no new focal consolidation. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. bilateral cervical ribs once again noted.What are the key findings of this report? [/INST] resolution of prior seen opacity. no new focal consolidation. </s> |
<s>[INST] in comparison to the prior exam there is now mild interstitial edema with asymmetric opacity along the right heart border in the right middle lobe. the heart size is stably mildly enlarged. there is increased opacity at the left base consistent with atelectasis.What are the key findings of this report? [/INST] <num>. mild interstitial edema. <num>. atelectasis in the right middle lobe and left lower lobe. </s> |
<s>[INST] loculated hydropneumothoraces are present in the left hemithorax anteromedially, and are overall probably not appreciably changed compared to the prior study allowing for positional differences. the patient is status post left upper lobe resection with expected post-operative volume loss. post-operative small left pleural effusion is similar to the prior study, and a very small right pleural effusion is also unchanged.What are the key findings of this report? [/INST] persistent loculated left hydropneumothoraces status post left upper lobe resection. </s> |
<s>[INST] portable chest radiograph evaluation is somewhat limited by rotation. interval removal of right-sided chest tube with possible interval development of a small right pneumothorax. increased opacification of right upper lobe may reflect degree of associated collapse. there has been notable interval improvement of aeration of the bilateral lung bases with residual atelectasis in the left lung base and small bilateral pleural effusions. stable cardiac enlargement with improved but persistent vascular congestion.What are the key findings of this report? [/INST] interval removal of right-sided chest tube with development of small right apical pneumothorax with new right upper lobe opacification, possibly representing degree of collapse. improved vascular congestion and aeration of lung bases. </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] minimal peribronchial cuffing with mild perihilar opacities and mild cardiomegaly is most consistent with mild pulmonary edema. a rounded <num> cm dense retrocardiac opacity is noted. no pleural effusion or pneumothorax. mediastinal contour is unremarkable. aortic arch calcifications are present.What are the key findings of this report? [/INST] <num>. mild pulmonary edema with mild cardiomegaly. <num>. rounded <num> cm dense retrocardiac opacity may represent a partially calcified lymph node or pulmonary nodule. differential includes focal pneumonia in the appropriate clinical setting. comparison with prior films would be helpful and if not available consider repeat frontal and lateral chest radiograph <num> weeks after resolution of symptoms. </s> |
<s>[INST] no consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary disease. </s> |
<s>[INST] there are bibasilar interstitial markings likely reflecting mild pulmonary edema. the cardiac and mediastinal silhouette is unchanged, and there continues to be elevation of the left hemidiaphragm.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] patient is in a slightly lordotic position. the cardiac silhouette size is normal. the aorta remains mildly tortuous. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no 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] patient is status post median sternotomy. right central venous stent is again demonstrated in unchanged position. cardiac and mediastinal hilar contours are within normal limits. previously seen opacities within both mid lung fields have resolved. there are persistent patchy opacities within the right upper lobe, which may reflect the residua of prior infection or scarring. no new focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vascularity is normal. scarring within the lung apices is re- demonstrated.What are the key findings of this report? [/INST] residual patchy opacities in the right upper lobe may reflect residua of prior infection or scarring. no new focal consolidation. no evidence of congestive heart failure. </s> |
<s>[INST] lung volumes are low which leads to bronchovascular crowding. there may be mild pulmonary vascular congestion exaggerated by supine positioning. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] mild pulmonary vascular congestion. no focal consolidation. </s> |
<s>[INST] the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. spinal fusion hardware is partially visualized. mildly dilated loops of bowel in the imaged upper abdomen are incompletely imaged and not fully evaluated on this chest radiograph examination.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] ap and lateral chest radiographs demonstrate clear hyperinflated lungs. a tortuous aorta is noted. cardiomediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. multi-level degenerative changes are noted throughout the thoracic spine. numerous metallic biliary stents in the right upper quadrant are related to known cholangiocarcinoma.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] there are diffuse <unk> b-lines and interstitial thickening bilaterally, which likely represents an atypical bacterial infection, mycoplasma, or viral infection. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] diffuse interstitial thickening bilaterally, without other signs to suggest pulmonary edema, likely representing an atypical bacterial infection, mycoplasma, or viral infection. </s> |
<s>[INST] compared to prior, there is no significant change. the lungs are well expanded and clear. the heart size is normal. the mediastinal and hilar contours are normal. no pleural abnormalities are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities. </s> |
<s>[INST] severe multichamber cardiomegaly is chronic and appears stable compared to the prior exam. right internal jugular central line terminates in the mid svc. there has been interval improvement of the bibasilar and left upper lung opacities compared to the prior exam. there is no pneumothorax. the left layering pleural effusion appears stable.What are the key findings of this report? [/INST] interval improvement of multifocal opacities compared to the prior exam. no new abnormalities identified to explain patient's worsening leukocytosis and shortness of breath. </s> |
<s>[INST] there bibasilar opacities compatible with moderate pleural effusions with associated atelectasis. superiorly the lungs are clear. cardiac silhouette cannot be assessed. left chest wall dual lead pacing device is identified.What are the key findings of this report? [/INST] moderate bilateral pleural effusions. </s> |
<s>[INST] median sternotomy wires are intact. soft tissue surgical clips project over the mediastinum. prosthetic aortic valve is noted. heart size is normal. mediastinal and hilar contours are normal. there is increased opacity at the right base. there is a stable, small right pleural effusion. there is stable volume loss on the right with a right juxtaphrenic peak. there is stable scarring in the right apex. there is a tiny, residual left pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] slight interval increase in right basilar opacity with a stable small right pleural effusion. </s> |
<s>[INST] lung volumes are low. there are medial right middle lobe and retrocardiac opacities. mild pulmonary vascular congestion appears similar to the prior examination. there is no definite pleural effusion. there is no evidence of a pneumothorax. apparent increase in heart size may be due to patient positioning and low lung volumes. the aortic knob is densely calcified.What are the key findings of this report? [/INST] right middle lobe and retrocardiac opacities may reflect underlying infection or aspiration. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are clear of confluent consolidation. there are small bilateral pleural effusions. there is no evidence of overt pulmonary edema. cardiomediastinal silhouette is stable noting mild cardiomegaly. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] small bilateral effusions. no evidence of overt pulmonary edema. </s> |
<s>[INST] there has been interval removal of the bilateral pleural drains. there has been interval improvement of the small right pleural effusion and resolution of the left pleural effusion. there is mild bibasilar atelectasis. no new focal consolidations are seen. there is no pneumothorax. there is mild cardiomegaly, dating back to at least <unk>. there is no pulmonary edema. the hilar and mediastinal contours are otherwise normal. the median sternotomy wires are intact.What are the key findings of this report? [/INST] <num>. interval improvement of the small right pleural effusion and resolution of the small left pleural effusion. <num>. stable mild bibasilar atelectasis. </s> |
<s>[INST] bedside ap radiograph of the chest demonstrates interval decrease in size of the small left pleural effusion. there is no right-sided pleural effusion. aside from persistent bilateral lower lobe atelectasis, the lungs are clear. there is stable widening of the cardiomediastinal silhouette, consistent with central vascular engorgement. there is no pneumothorax. the right and left internal jugular central venous catheters are unchanged in position, terminating in the mid svc. the tracheostomy tube terminates in the mid trachea. a feeding and suction tube both course into the stomach and inferiorly out of field of view.What are the key findings of this report? [/INST] <num>. interval reduction of small left pleural effusion. <num>. stable bibasilar atelectasis and mild hypervolemia. </s> |
<s>[INST] there has been slight interval improvement of the right small-to-moderate pleural effusion. there is no pneumothorax. no new focal consolidations are seen. the heart size is top normal. the hilar and mediastinal contours are unremarkable. the patient is status post median sternotomy for cabg. again seen is a dual ventricular pacemaker with the leads terminating in the expected locations of the right atrium, right ventricle, and epicardium of the left ventricle. the left lung is clear.What are the key findings of this report? [/INST] slight interval improvement of the right pleural effusion. no pneumothorax. </s> |
<s>[INST] lower lung opacity from moderate posteriorly layering pleural effusion and left lower lung atelectasis reflected by increased retrocardiac density is unchanged. pulmonary vascular congestion has improved. heart size, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] left sided moderate, posteriorly layering pleural effusion and left lower lung atelectasis is unchanged since yesterday. pulmonary vascular congestion has significantly improved. </s> |
<s>[INST] a portable view of the chest demonstrates no focal consolidation to suggest pneumonia. the heart is mildly enlarged. mediastinal and hilar contours are normal. there is no pneumothorax, pulmonary edema, or pleural effusion. the patient is status post median sternotomy.What are the key findings of this report? [/INST] normal chest radiograph. no evidence of pulmonary edema. </s> |
<s>[INST] opacity in the left lung base silhouetting the cardiac apex is consistent with infection. no substantial pleural effusion identified on this upright view. no pneumothorax. heart size and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] left lung base opacity concerning for infection. followup after treatment may be obtained to assess for resolution. </s> |
<s>[INST] there are increased interstitial markings throughout the lungs bilaterally, which is new since prior. there is chronic blunting of the left lateral costophrenic angle, which could be due to pleural thickening/scar. underlying effusion is also possible. the cardiac silhouette is within normal limits. the lungs are hyperinflated. dense atherosclerotic calcifications seen in the aorta. left-sided posterior fifth and sixth rib changes are identified, unchanged. there may be small bilateral effusions.What are the key findings of this report? [/INST] mild pulmonary edema and possible small effusions. otherwise unchanged. </s> |
<s>[INST] pa and lateral views of the chest. there are low lung volumes. there is a left-sided pacemaker which is unchanged in position. no evidence of focal consolidation, pleural effusion or pneumothorax. again seen is an enlarged right paratracheal stripe which may represent patient's known enlarged thyroid. cardiomediastinal and hilar contours are normal. there are unchanged aortic knob calcifications.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the heart size is normal. the hilar and mediastinal contours are unremarkable. there is an opacity at the right lower lobe, without a definite correlate on the lateral radiographs. this is likely secondary to atelectasis, however an acute infection cannot be ruled out. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] new opacity at the right lower lobe likely secondary to atelectasis, however an acute infection cannot be excluded. findings were discussed with dr. <unk> by dr. <unk> by telephone at <num>p on the day of the exam. </s> |
<s>[INST] ap and lateral views of the chest were obtained with patient positioned upright. there is left basilar linear density with volume loss most likely reflecting atelectasis, though an early pneumonia is difficult to exclude in the right clinical setting. no large effusion or pneumothorax is seen. the cardiomediastinal silhouette is notable for an unfolded thoracic aorta with atherosclerotic calcifications. no definite bony abnormalities are seen.What are the key findings of this report? [/INST] vague opacity at the left lung base which likely represents atelectasis, though an early pneumonia not excluded. </s> |
<s>[INST] frontal and lateral views of the chest. when compared to most recent exam from <unk>, there has been improvement in bibasilar opacities which was more prominent on the right than on the left. these, however, were not present in <unk>. superiorly, the lungs are clear. cardiac silhouette is mildly enlarged. dense atherosclerotic calcifications seen in the aorta. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] persistent but improved bibasilar opacities compared to <unk>. these could be in part due to scar or atelectasis given lower lung volumes although underlying infection or aspiration would be difficult to exclude. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. small quantities of subcutaneous emphysema are noted in soft tissues overlying the site of insertion of a chest tube into the left hemithorax. it has been pulled back somewhat but appropriately projects over the mid hemithorax, making a turn beyond the side holemarker. no detectable pneumothorax remains in the left hemithorax. minimal opacification of the left lower lung is probably due to minor atelectasis. the right lung remains clear. there is no definite pleural effusion. left-sided rib fractures are not well characterized.What are the key findings of this report? [/INST] chest tube projecting over the left hemithorax. small quantity of subcutaneous emphysema but no residual pneumothorax identified. </s> |
<s>[INST] sternotomy wires are intact. no interval change in cardiomediastinal silhouette which is mildly enlarged. the lungs are clear with possible small pleural effusions, side indeterminate. no pneumothorax, pneumomediastinum or pneumoperitoneum. mediastinal and hilar contours are normal. opacity in the right main stem bronchus can be retrospectively seen dating back to at least <unk> and may represent possible mucous impaction in the right main stem bronchus.What are the key findings of this report? [/INST] <num>. no pneumomediastinum, pneumoperitoneum or pneumothorax is identified. <num>. possible mucous impaction in the right main stem bronchus. please correlate clinically. </s> |
<s>[INST] despite the history of extubation, an endotracheal tube is present and terminates <num> cm above the carina. an enteric tube ends in the esophagus and would need to be advanced at least <num>cm to move all the sideports into the stomach. a left subclavian catheter tip terminates in the mid superior vena cava. orthopedic hardware and a vascular abdominal stent are noted. the lung volumes are low which results in crowding of the bronchovascular structures. there is prominence of the central vasculature without overt evidence for pulmonary edema. a rounded opacity is seen at the right lung base and is new. there is no pleural effusion or pneumothorax. the cardiac size in normal. apparent widening of the mediastinum is unchanged. dilated air-filled loops of large bowel below the diaphragm. no free air seen on this supine only view.What are the key findings of this report? [/INST] <num>. ett should be pulled back <num>-<num> cm for better positioning. <num>. advancement of the enteric tube by at least <num> cm is recommended for positioning within the stomach. <num>. air-filled loops of dilated bowel, no free air seen on this supine view. <num>. right lower lung rounded opacity which may reflect metastatic disease, pulmonary infarction or atelectasis. this could be further evaluated with cross-sectional imaging or repeat radiograph at full inspiration. these findings were discussed with dr. <unk> by dr. <unk> at <time> am on <unk> the time of discovery. </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] there is a small right apical pneumothorax similar in size compared to prior study from <unk>. no significant atelectasis. no signs of tension. lungs are clear. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the diaphragm.What are the key findings of this report? [/INST] small right apical pneumothorax similar in size compared to prior study, no signs of tension. </s> |
<s>[INST] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the heart remains mildly enlarged, without significant change in the mediastinal and hilar contours. there is a persistent right pleural effusion, largely unchanged, with likely right basilar atelectasis. there is also a streaky left lung base opacity which may be atelectasis, also unchanged. moderate degenerative changes of thoracic spine are demonstrated.What are the key findings of this report? [/INST] <num>. largely unchanged chest radiograph since <unk>, with a similar appearing right pleural effusion. </s> |
<s>[INST] the post pneumonectomy appearance of the right hemithorax is unchanged. airspace opacities at the left base may be due to infection, but it is difficult to discern how much of the left basilar opacification is actually due to layering pleural effusion. there is no left pneumothorax. the cardiomediastinal silhouette cannot be accurately assessed.What are the key findings of this report? [/INST] left basilar airspace disease may be due to pneumonia, but malignancy is difficult to exclude. pa and lateral radiograph may be obtained to assess how much of the left basilar abnormality is due to increasing pleural fluid vs parenchymal disease. </s> |
<s>[INST] there has been interval placement of a left internal jugular central venous catheter which terminates in the mid svc without evidence of pneumothorax. the lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. relative lucency over the upper chest consistent with pulmonary emphysema. re- demonstrated are bibasilar, right greater than left, consolidations worrisome for multifocal pneumonia and/ or aspiration. the right base consolidation appears slightly more consolidated as compared to <num> hr prior. no large pleural effusion is seen. there is no evidence of pneumothorax. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] left internal jugular central venous catheter terminates in the mid svc without evidence of pneumothorax. right greater than left bibasilar consolidations, slightly more consolidative on the right, worrisome for multifocal pneumonia and/ or aspiration. re- demonstrated pulmonary emphysema. . </s> |
<s>[INST] the lungs are clear. cardiac silhouette is normal in size. slight rotation exaggerates the mediastinum, but is probably within normal limits. the hilar contours are normal. there is no pleural effusion, pneumothorax, or pneumonia.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the lung volumes are low, resulting in crowding of the hilar and mediastinal structures. note is made of mild bibasilar atelectasis. there may be a small left pleural effusion. there is no evidence of pneumothorax. note is made of tortuosity of the aorta. an intramedullary metallic rod is visualized within the right proximal humerus, with evidence of sclerosis within the humeral head.What are the key findings of this report? [/INST] low lung volumes. possible small left pleural effusion. </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 lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] there is opacification of the left lower lobe consistent with atelectasis and less likely infection. there is a focal opacity in the left mid lung which most likely represents loculated fluid along the major fissure. mild cardiomegaly is identified and unchanged from the prior study. there is no pulmonary vascular redistribution, edema or pleural effusion seen. there is no pneumothorax.What are the key findings of this report? [/INST] left lower lobe atelectasis and a focal opacity in the left mid lung which most likely represents loculated fluid in the major fissure. </s> |
<s>[INST] pa and lateral chest radiograph demonstrates low lung volumes. eventration of the right hemidiaphragm is noted. no focal opacity convincing for pneumonia is identified. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without an acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s> |
<s>[INST] the patient is status post recent esophagectomy and pull-up procedure. cardiomediastinal contours are stable. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no significant interval change compared to the prior exam. no evidence of pneumothorax. </s> |
<s>[INST] overall, there is a similar appearance of the chest compared to the prior study. large left pleural effusion, with overlying atelectasis and findings compatible with known chronic aspiration are again seen. smaller right pleural effusion and basilar consolidation are similar. superimposed mild vascular congestion is also noted.What are the key findings of this report? [/INST] bilateral pleural effusions, left greater than right, with underlying severe emphysema and mild pulmonary vascular congestion. similar appearance of bilateral opacities likely reflect chronic aspiration versus pneumonia. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] pa and lateral views of the chest are provided. a right chest port-a-cath is seen with tip extending into the low svc region, unchanged. the lungs are clear. no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. bony structures are intact. clips in the right upper quadrant are noted.What are the key findings of this report? [/INST] port-a-cath in appropriate position with tip in the low svc. otherwise normal. </s> |
<s>[INST] heart size is top normal to mildly enlarged. mediastinal silhouette and hilar contours are unremarkable and unchanged since at least <unk>. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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. small mid thoracic anterior osteophyte is unchanged compared to the prior study. no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s> |
<s>[INST] et tube tip lies above the level of the clavicular heads approximately <num> cm above the carina. ng tube tip lies in the region of the ge junction, not clearly beyond it. the cardiomediastinal silhouette is within normal limits. no chf, focal infiltrate, effusion, or pneumothorax is detected.What are the key findings of this report? [/INST] no acute pulmonary process identified. et and ng tubes as described. clinical correlation regarding advancement of both et and ng tubes is requested. </s> |
<s>[INST] the heart is moderately enlarged. the aorta demonstrates diffuse calcifications. there is perihilar haziness and vascular indistinctness compatible with mild to moderate pulmonary edema. small bilateral pleural effusions are present. no pneumothorax is identified. there is minimal scarring within the lung apices. mild degenerative changes are noted within the thoracic spine.What are the key findings of this report? [/INST] mild to moderate pulmonary edema with small bilateral pleural effusions. </s> |
<s>[INST] 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] <num> views of the chest demonstrate clear lungs. 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] lungs are fully expanded. opacity adjacent to the lower right heart border is not localized on the lateral projection and is unchanged compared to prior examinations, likely mediastinal fat. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.What are the key findings of this report? [/INST] normal chest. </s> |
<s>[INST] chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. the lungs are clear. minimal blunting of left costophrenic angle without pleural effusion evident on lateral view suggests pleural scarring. no pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. no cardiomegaly evident. </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] in comparison with chest radiograph from <unk>, there has been interval removal of a swan-ganz catheter. right pic line terminates in the low svc. mild vascular engorgement without cardiac decompensation. no focal consolidation, effusion or pneumothorax. moderate cardiomegaly has continued to improve since <unk>.What are the key findings of this report? [/INST] <num>. mild vascular engorgement without cardiac decompensation. <num>. moderate cardiomegaly has continued to improve since <unk>. </s> |
<s>[INST] heart size is mildly enlarged. there is mild central vascular congestion. there is no pneumothorax or pleural effusion.the lungs are well-expanded and clear without focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] mild central vascular congestion. no pneumonia or pleural effusion. </s> |
<s>[INST] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] right subclavian picc line unchanged in position. status post median sternotomy with stable cardiac and mediastinal contours. interval worsening of opacities in the right upper and lower lung and in the left mid and lower lung. although these findings all may reflect worsening moderate to severe pulmonary edema, diffuse pneumonia should also be considered as the opacities are more confluent. small bilateral layering effusions, left greater than right. no pneumothorax appreciated. residual contrast is again seen within the known intrathoracic stomach as documented on abdominal ct dated <unk>. </s> |
<s>[INST] a pigtail catheter projects over the left hemithorax. the left chest wall dual lead aicd is present. a right chest wall port-a-cath extends to the right atrium. unchanged bilateral pleural effusions with overlying atelectasis. no discernible pneumothorax identified, however attention on follow-up imaging is recommended. the size and appearance of the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] a pigtail catheter projects over the left hemithorax. no significant interval change in the appearance of the lung parenchyma. although no discrete pneumothorax is identified on the current examination, attention on follow-up imaging is recommended. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiomediastinal contours are normal, and no pleural abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] left-sided picc line with its tip oriented superiorly within the azygous vein (confirmed with <unk> ct) and should be withdrawn <num> cm. mediastinal, hilar and cardiac contours are unremarkable. lungs are clear with interval improved aeration of the retrocardiac space. no pleural effusion or pneumothorax evident. stable calcifications identified within the region of the left thyroid lobe and correlated with <unk> chest ct.What are the key findings of this report? [/INST] left picc line is kinked and oriented superiorly within the azygous vein and should be withdrawn <num> cm to terminate in the mid superior vena cava. <unk> discussed these <unk> with dr <unk> at <time> on <unk>. </s> |
<s>[INST] the aortic contour and calcification pattern appears similar compared to prior studies. descending thoracic aortic contour also appears similar to prior studies, but is obscured inferiorly by adjacent lung and pleural abnormalities. cardiac silhouette remains enlarged, and is accompanied by upper zone vascular redistribution. small-to-moderate bilateral pleural effusions are present as well as adjacent basilar atelectasis and/or consolidation, worse on the right than the left. icd pacing device remains in place with leads in the right atrium and right ventricle.What are the key findings of this report? [/INST] no portable chest radiographic findings to suggest aortic dissection, but the sensitivity of this study is low for detecting this diagnosis. if there is clinical suspicion for acute aortic dissection, a ct angiogram would be recommended. </s> |
<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate an area of increased opacification in the right upper lobe, consistent with pneumonia. there are small bilateral pleural effusions. the left lung is clear. there is no pneumothorax. the cardiomediastinal and hilar contours are unchanged. the heart is top-normal in size. right paratracheal opacification is consistent with lymphadenopathy on recent ct.What are the key findings of this report? [/INST] <num>. right upper lobe pneumonia. <num>. small bilateral pleural effusions. </s> |
<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires, aortic valve replacement, and mediastinal clips again noted. there is stable mild cardiomegaly. small bilateral pleural effusions are noted. there is mild prominence of the central hilar vasculature likely indicating mild congestion. no frank edema. no signs of pneumonia. no pneumothorax. a calcific density projecting over the mid neck likely represents prominent laryngeal cartilage calcification. bony structures are intact. surgical anchors in the left humeral head noted. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] mild cardiomegaly, small bilateral pleural effusions and pulmonary vascular congestion. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the heart size is normal. the mediastinal and hilar contours are within normal limits. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. there is no free air under the diaphragms. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] patient is status post median sternotomy cabg. lung volumes are slightly low. heart size is normal. mediastinal and hilar contours are unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. patchy atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is visualized. sclerotic focus in the left glenoid is unchanged.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis, but no focal consolidation. </s> |
<s>[INST] there has been interval removal of a right internal jugular central venous catheter.patient is status post median sternotomy and cabg. the cardiac and mediastinal silhouettes are similar compared to the prior study, with the cardiac silhouette possibly slightly smaller in size as compared to the prior study. mild pulmonary vascular congestion is similar compared to the prior study. small left and possible trace right pleural effusions are re- demonstrated. no new focal consolidation is seen.What are the key findings of this report? [/INST] similar appearance of the chest compared to <num> day prior, with small left and possible trace right pleural effusions and stable mild pulmonary vascular congestion. no new focal consolidation seen. </s> |
<s>[INST] the heart size continues to be moderately enlarged with prominence to the central vascularity. there is increased bilateral lower lobe opacity compatible with volume loss/infiltrate. there is less vascular plethora than on the study from the prior day.What are the key findings of this report? [/INST] bilateral lower lobe opacities/infiltrates that have worsened in the interval. </s> |
<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is a subtle opacity at the left lung base, seen anteriorly on lateral view. there is a mild s-shaped scoliosis of the thoracic lumbar spine.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. there is a focal patchy opacity at the base of the left lung seen only on the frontal view. there is no evidence of pleural effusion or pneumothorax.What are the key findings of this report? [/INST] patchy left lower lobe opacity, which could represent a small/early focus of infection or atelectasis. recommendation(s): recommend followup radiograph in <unk> weeks for further evaluation after treatment. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] a large right pleural effusion is new since <unk>. there is no mediastinal shift. the right-sided port-a-cath tip terminates in the lower svc, unchanged. there is mild left basilar atelectasis, but no effusion. no pneumothorax or focal consolidations concerning for pneumonia.What are the key findings of this report? [/INST] large right pleural effusion is new since <unk>. </s> |
<s>[INST] emphysema is severe. calcific left fibrothorax restricts the volume of the left lung and obscures its structure. there may be a nodule in the right lung at the level of the anterior right fifth rib. a small pneumonia would likely be missed, detectable only by ct scanning. heart size in normal and there is no pulmonary edema.What are the key findings of this report? [/INST] severe emphysema. restrictive calcific left fibrothorax. possible left lung nodule. any small pneumonia unrecognizable. chest ct suggested. </s> |
<s>[INST] ap and lateral chest radiograph is compared to radiograph performed <num> day prior. a right lower lobe opacity is noted, new and might be concerning for interval aspiration. lung volumes are improved. heart size is enlarged though stable. there is no pleural effusion or pneumothorax. chronic changes at the right shoulder are likely secondary to rotator cuff injury.What are the key findings of this report? [/INST] improved lung volumes with severe cardiomegaly. no evidence of overt pulmonary edema. a right lower lobe opacity is noted, new and might be concerning for interval aspiration. </s> |
<s>[INST] once again visualized is the patient's known right multi loculated hydropneumothorax as well as right upper lobe mass. overall, there appears to be an increasing amount of fluid within the loculus compared to the prior radiograph. aorta remains tortuous. the left lung remains relatively clear.What are the key findings of this report? [/INST] increasing fluid within the multiple pockets of the pneumothorax on the right. </s> |
<s>[INST] patient is status post esophagectomy with gastric pull-through. decrease in the size of the neoesophagus and the amount of fluid since <unk>. mediastinal shift to the left, due to left upper lobe lobectomy is stable since <unk>. the right lung is hyperinflated but clear. heart size is normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] <num>. decrease in size and amount of fluid within the neoesophagus (prior esophagectomy with gastric pull-through). <num>. no evidence of pneumonia. </s> |
<s>[INST] improved aeration of the left lower lobe as compared to prior. the remainder of the lungs are hyperexpanded bilaterally, and without additional focal consolidation. bibasilar scarring is noted. small-moderate, bilateral pleural effusions are slightly increased as compared to the prior examination. the cardiomediastinal silhouette remains mildly enlarged without overt pulmonary vascular congestion. unchanged compression deformity of an upper thoracic vertebral body.What are the key findings of this report? [/INST] <num>. small interval increase in degree of now small effusions. <num>. improved aeration of the left lower lobe. no additional focal consolidation is identified. <num>. stable, mild cardiomegaly. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. minor atelectasis is seen including basilar atelectasis without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] no significant interval change. no acute cardiopulmonary process. </s> |
<s>[INST] lung volumes are lower on the current exam with secondary crowding of the bronchovascular markings. there is mild superimposed pulmonary edema. more discrete opacities in the right mid to lower lung as well as in the retrocardiac region are now seen. moderate cardiac enlargement is grossly similar given lower lung volumes. degenerative changes noted at the shoulders. old right lateral rib fractures are seen. surgical clips seen in the right upper quadrant.What are the key findings of this report? [/INST] opacities in the retrocardiac region and right mid to lower lung which could be due to atelectasis given lower lung volumes on the current exam. superimposed infection would be difficult to exclude. cardiomegaly and mild pulmonary edema. </s> |
<s>[INST] there is persistent opacification projecting in the lateral aspect of the right upper lobe demonstrated along the fissure on the lateral view that is mildly improved since <unk>. there is associated overlying pleural abnormality relating to healing rib fractures. there are no new areas of focal opacification. there are no pleural effusions or pneumothorax. the cardiomediastinal and hilar contours are stable demonstrating moderate cardiomegaly and tortuosity of thoracic aorta. a large hiatal hernia is unchanged. pulmonary vascularity is not increased. there are extensive rib fractures of varying ages. in addition there is lytic destruction of several right-sided lower thoracic ribs. there is an old left clavicular fracture. there are multiple wedge compression deformities of the thoracolumbar spine grossly stable since <unk>.What are the key findings of this report? [/INST] <num>. persistent right upper lobe opacification has only mildly improved since <unk>. <num>. multiple rib fractures of varying age and an old left clavicular fracture with lytic destruction of the several right lower thoracic ribs more apparent since <unk>. </s> |
<s>[INST] portable semi supine chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] endotracheal tube has its tip approximately <num> cm above the carina. there are multiple fractured sternal wires as well as plating on both sides suggestive of sternal dehiscence. the heart remains enlarged. diminished lung volumes with crowding of the pulmonary vasculature and patchy bibasilar opacities suggestive of atelectasis. no overt pulmonary edema. small bilateral effusions are better seen on the chest ct of <unk>. no pneumothorax, although the sensitivity to detect pneumothorax is diminished given semi supine technique. </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] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is no evidence of pulmonary edema. subtle bibasilar opacities are consistent with pneumonia, as demonstrated in the images of the lower lungs on the abdomen ct from <unk>. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] bibasilar pneumonia, has not worsened since <unk>. </s> |
<s>[INST] pa and lateral views of the chest were obtained. the lungs are hyperlucent with widened ap diameter of the chest, suggesting underlying copd. there is a large retrocardiac opacity which is slightly increased in size compared with the prior study and likely represents a large hiatal hernia. there is no focal consolidation, effusion, or pneumothorax. no signs of chf. heart size appears stable. mediastinal contour reflects an unfolded thoracic aorta. bony structures are intact though demineralized.What are the key findings of this report? [/INST] no pneumonia or chf. large hiatal hernia. copd. </s> |
<s>[INST] single portable ap chest radiograph demonstrates obscuration of the left diaphragm. additional note is made of slight leftward deviation of the mediastinal structures reflective of volume loss within left hemithorax. a focal consolidation cannot be excluded. underlying left pleural effusion may also be present. heart is enlarged. patient is status post median sternotomy with intact wires. there is no pneumothorax.What are the key findings of this report? [/INST] obscuration of left hemidiaphragm with shift of mediastinal structures to the left consistent with significant volume loss, though a focal underlying consolidation due to infection or aspiration cannot be excluded. underlying left pleural effusion may also be present. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is mild prominence of the hila which may be due to central pulmonary vascular engorgement, underlying lymphadenopathy not entirely excluded.What are the key findings of this report? [/INST] mild prominence of the hila which may be due to central pulmonary vascular engorgement, underlying lymphadenopathy not entirely excluded. no focal consolidation. </s> |
<s>[INST] enteric tube traverses the midline into the left upper quadrant, unchanged. left ij catheter tip projects over the expected region low svc, also unchanged. lung volumes remain low. opacification of the left lower lung reflects a combination of pleural effusion and atelectasis, however superimposed infection cannot be excluded in the appropriate clinical situation, overall unchanged from the prior exam. moderate pulmonary vascular congestion is also overall unchanged. no frank edema. cardiomediastinal silhouette is overall unchanged. no pneumothorax.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] streaky bibasilar opacities are noted related to atelectasis. there is no evidence of pneumonia. there is no pneumothorax. there is no pleural effusion. cardiac silhouette is normal in size.What are the key findings of this report? [/INST] bibasal atelectasis but no evidence of pneumonia. </s> |