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<s>[INST] multiple old right-sided rib deformities are again seen. no definite new focal consolidation is seen. there is basilar and mid lung minor atelectasis/scarring. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear without infiltrate or effusion. the picc line position is unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] no infiltrate </s> |
<s>[INST] the patient remains intubated. the balloon of the endotracheal tube seems somewhat overinflated. an orogastric tube courses into the stomach. a right internal jugular introducer catheter remains. aortic valve prosthesis is also noted. cardiac, mediastinal and hilar contours appear stable. right upper lung opacity has continued to improve. left perihilar opacification shows apparent increased, particularly compared to the right, where aeration has markedly improved. however, it is possible that apparent increase in left perihilar opacification may reflect differences in orientation to some degree. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] marked improvement in aeration in the right lung. apparent increase in left perihilar opacification, although possibly due to differences in orientation. this appearance may be seen with improving pulmonary edema or persistent area of chemical aspiration pneumonitis. developing new area of pneumonia is not excluded. correlation regarding interval circumstances is suggested. short-term follow-up radiographs may be appropriate. possible overinflation of endotracheal tube cuff. </s> |
<s>[INST] there is a tracheostomy tube. consolidation throughout the right lobe is relatively unchanged as is a small right pleural effusion and pleural thickening. the cardiac and mediastinal contours are stable. the left lung is grossly clear. there is no pneumothorax. elevation of the right hemidiaphragm is chronic.What are the key findings of this report? [/INST] no interval change compared to the radiograph performed <num> day ago. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s> |
<s>[INST] again seen is spinal fusion hardware, right-sided port-a-cath with tip terminating in the mid to distal svc, and postsurgical <unk> overlying the mediastinum. the mediastinum is largely obscured by hardware. partially visualized heart appears unchanged in size. lung volumes are low. pleural based mass at the level of the right mid lung as well as extensive bony lesions better appreciated on most recent ct of the chest. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] the mediastinum and lungs are largely obscured by hardware. within these limitations, there is little change. </s> |
<s>[INST] the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear unchanged with similar mild prominent of the main pulmonary artery contour. there is no pleural effusion or pneumothorax. mild prominence of central interstitial opacities appears, if anything, decreased.What are the key findings of this report? [/INST] no evidence of acute disease. similar mild prominence of the aortopulmonary window, possibly due to mild pulmonary artery enlargement. </s> |
<s>[INST] right-sided dual-lumen central venous catheter is again noted. increased lung volumes seen compared to prior. there may be mild superimposed pulmonary vascular congestion without overt edema. the cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.What are the key findings of this report? [/INST] pulmonary vascular congestion without focal consolidation. </s> |
<s>[INST] the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is mildly enlarged. the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] left-sided dual-chamber pacemaker device is again noted with leads terminating in the regions of the right atrium and right ventricle. moderate cardiomegaly persists and mediastinal contour is unchanged. there is crowding of the bronchovascular structures due to low lung volumes without overt pulmonary edema. haziness within the right lung base likely reflects a layering small right pleural effusion. streaky bibasilar opacities likely reflect areas of atelectasis. no pneumothorax is identified.What are the key findings of this report? [/INST] small layering right pleural effusion with bibasilar atelectasis. </s> |
<s>[INST] ap and lateral chest radiographs demonstrate clear lungs bilaterally. no focal consolidation is identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality.What are the key findings of this report? [/INST] no evidence of acute intrathoracic abnormality. </s> |
<s>[INST] pa and lateral views of the chest provided. there is a <num> mm opacity overlying left anterior <num>th rib. there is 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] <num>. <num> mm opacity overlying the left anterior <num>th rib could represent a pulmonary nodule versus end on vessel. non-urgent chest ct is recommended. </s> |
<s>[INST] the cardiac silhouette size is top normal. the aorta remains tortuous. calcifications of the aortic knob are unchanged. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. multilevel degenerative changes are again demonstrated within the thoracic spine with anterior bridging osteophytes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] chronic moderate cardiomegaly, severe enlargment of the pulmonary arteries and pulmonary venous engorgement have increased since <unk>. right infrahilar consolidation has improved a little since <unk>. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. probable small right lower lobe pneumonia improved over <num> days. <num>. chronic moderate cardiomegaly and pulmonary vascular congestion similar to <unk>, worsened since <unk>. </s> |
<s>[INST] there has been interval resolution in previously seen right basilar consolidation. no focal consolidation is seen currently. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] interval resolution of previously seen right lower lung consolidation. no focal consolidation on the current study. </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] there is interval improvement and near resolution of the previously seen bibasilar atelectasis.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is interval removal of the left catheter. right sided catheter again seen. the cardiomediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] improvement and near resolution of bibasilar atelectasis. no pleural effusion or focal consolidation seen. </s> |
<s>[INST] low lung volumes are present. the cardiac silhouette size appears moderately enlarged. the aorta is slightly tortuous. crowding of bronchovascular structures is present with more pronounced right perihilar haziness and vascular indistinctness suggestive of mild asymmetric pulmonary edema. additionally, more focal opacity within the right lung base could reflect atelectasis but infection is not excluded. there appears to be a small left pleural effusion. no pneumothorax is present, however the medial aspects of the lung apices are somewhat obscured by overlying soft tissue structures. no acute osseous abnormalities present.What are the key findings of this report? [/INST] mild asymmetric pulmonary edema, more pronounced on the right, with small left pleural effusion. more focal patchy right basilar opacity could reflect atelectasis or pneumonia. </s> |
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] an aortic stent graft is unchanged in position. the heart is moderately enlarged. there is no focal consolidation. there is mild dependent pulmonary edema vascular congestion and a likely small right pleural effusion. .What are the key findings of this report? [/INST] <num>. retrocardiac opacity, similar in appearance to prior chest radiograph, most consistent with atelectasis or scarring. <num>. mild heart failure. </s> |
<s>[INST] pacemaker and dialysis catheter appear in unchanged position. median sternotomy wires are again noted. pulmonary edema has improved now minimal to mild. there are small bilateral pleural effusions. cardiomegaly is mild and unchanged. note is made of atherosclerotic calcifications at the aortic arch. no focal consolidation identified. there is no pneumothorax.What are the key findings of this report? [/INST] minimal to mild pulmonary edema, improved since prior chest radiograph. small bilateral pleural effusions and mild cardiomegaly. no focal consolidation identified. </s> |
<s>[INST] the lungs are clear without a consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hemidiaphragms. there is a mild dextroscoliosis centered in the mid thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates moderately well inflated and clear lungs. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. few bullae are seen within the right upper lobe. heterogeneous opacity within left lower lobe is most consistent with atelectasis.What are the key findings of this report? [/INST] <num>. right apical bullae. <num>. no definite pneumonia. </s> |
<s>[INST] the heart size is normal. calcification of the aortic knob is present. lungs are well-expanded. there is mild pulmonary edema. opacification of the right hemidiaphragm with hazy opacity likely reflects a layering pleural effusion with underlying atelectasis. developing consolidation is not excluded. there is no large left pleural effusion. there is no pneumothorax. et tube is present in standard position. an enteric tube is present with distal tip not captured but sideholes just distal to the ge junction. a right axillary dual lead pacemaker is present with tips expected positions.What are the key findings of this report? [/INST] support devices in standard positions. increased opacity at the right base likely reflects layering pleural effusion and atelectasis. mild pulmonary edema. </s> |
<s>[INST] very limited view of the chest without obvious pneumothorax or edema. the patient is rotated, limiting evaluation of the cardiomediastinal silhouette, but an enlarged calcified aorta is again noted. right lower lung nodule is obscured. note is made of a large right calcified thyroid nodule.What are the key findings of this report? [/INST] very limited study due to patient rotation without evidence for large pneumothorax. </s> |
<s>[INST] right-sided port-a-cath terminates in the mid svc as before. heart is top-normal in size. mediastinal and hilar contours are within normal limits. lung volumes are low over the lungs are clear without focal consolidation, effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral views of the chest are obtained. the lungs are hyperinflated, consistent with chronic obstructive pulmonary disease/emphysema. there is mild left base atelectasis. no definite focal consolidation is seen. there is a subtle opacity projecting over the lateral right upper lobe between the posterolateral right fifth and sixth ribs. while this could be artifactual, underlying pulmonary nodule cannot be excluded and given history of emphysema, nonurgent chest ct is recommended. the cardiac silhouette is top normal to mildly enlarged. the aorta is calcified and tortuous. there is diffuse osteopenia.What are the key findings of this report? [/INST] <num>. copd/pulmonary emphysema. subtle increased opacity in the lateral right upper hemithorax, while may be artifactual, underlying pulmonary nodule cannot be excluded. given history of emphysema, nonurgent chest ct is recommended. <num>. mild left base atelectasis. </s> |
<s>[INST] pa and lateral views of the chest demonstrate improvement in a left hydro pneumothorax ,with air-fluid level in the left apex, following left upper lobectomy. the fluid component is increasing relative to the aerated component, as expected. there has been interval resolution of the small remaining amount of subcutaneous air. appearance of the right lung is unchanged compared to the prior study.What are the key findings of this report? [/INST] improving left hydro pneumothorax following left upper lobectomy. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] pa and lateral views of the chest were obtained. the right arm picc line tip terminates appropriately at the level of the superior vena cava which does not appear significantly changed from prior exam. lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal silhouette normal. bony structures intact.What are the key findings of this report? [/INST] right arm picc line tip terminates in the superior vena cava which is unchanged from prior exam. </s> |
<s>[INST] the heart size is within normal limits. the mediastinal contours are not widened. a streak of plate-like atelectasis is seen at the left base. there is no large pneumothorax or pleural effusion. no displaced rib fracture is identified. the right humeral head is high riding within the glenohumeral joint, signifying a chronic rotator cuff injury.What are the key findings of this report? [/INST] no evidence of intrathoracic injury; high-riding right humeral head is compatible with chronic rotator cuff injury. </s> |
<s>[INST] tracheostomy tube is in stable position. left subclavian central line terminates in the mid svc. the heart size and cardiomediastinal contours are normal. indistinct pulmonary markings are similar to prior, compatible with mild edema. increased bilateral basilar opacities are compatible with increased small pleural effusions, right greater than left, with adjacent atelectasis. no pneumothorax.What are the key findings of this report? [/INST] stable mild pulmonary edema with increased small bilateral effusions, right greater than left, with adjacent atelectasis. </s> |
<s>[INST] ap portable upright chest radiograph obtained. midline sternotomy wires and mediastinal clips are noted. the heart is moderately enlarged. the lung volumes are low without clear sign of pulmonary edema or pneumonia. a tiny left pleural effusion is noted. the imaged osseous structures are intact. mediastinal contour is normal.What are the key findings of this report? [/INST] moderate cardiomegaly with small left pleural effusion. </s> |
<s>[INST] the lungs are hyperinflated, but clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette is at upper limits of normal in size. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] hyperinflated lungs without superimposed acute cardiopulmonary process. </s> |
<s>[INST] compared to the prior study there is increase in bilateral pleural effusions which are now moderate in size. the heart continues to be moderately enlarged. there is pulmonary vascular redistribution with hazy alveolar infiltrates left greater than right. there is a right central line with tip in the right atrium.What are the key findings of this report? [/INST] worsened pulmonary edema. an underlying infectious infiltrate can't be excluded </s> |
<s>[INST] pa and lateral views of the chest. the lungs are clear of focal opacities concerning for pneumonia. streaky atelectasis noted at the right lung base. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. right lung base atelectasis. </s> |
<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk> and chest ct from <unk>. the lungs are clear of consolidation. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate severe emphysema with distortion of pulmonary architecture. the cardiomediastinal silhouette is unchanged, demonstrating a calcified and tortuous aorta, with a heart which is normal in size. oher than chronic mild bibasilar atelectasis, lungs are clear. again seen are old right lateral rib fractures with associated traumatic pleural thickening. small bilateral pleural effusions are either chronic or recurrent. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. other than chronic mild bibasilar atelectasis, the lungs are clear without evidence of pneumonia. <num>. small bilateral pleural effusions are either chronic or recurrent. </s> |
<s>[INST] the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. the mediastinal silhouette and hilar contours are normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] heart size is normal. the aorta is tortuous an calcified. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the right-sided <unk> shunt is unchanged in position, terminating at the level of the mid svc. retrocardiac opacification has improved, suggesting resolving atelectasis. the lungs are otherwise clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection. a small left pleural effusion is stable.What are the key findings of this report? [/INST] resolving left lower lobe atelectasis. stable small left pleural effusion. </s> |
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] right apical air and fluid persists. there is increased opacification of the right lung field, which may represent pleural fluid and/or consolidation. elevation of the right hemidiaphragm with rightward mediastinal shift is consistent with right-sided volume loss, as seen previously. right perihilar mass and left lung nodules are better seen on recent prior ct. small left pleural effusion persists. aortic calcifications are noted. the right pleural catheter is similarly positioned. stent in the right mainstem bronchus is faintly visible.What are the key findings of this report? [/INST] increased opacification of the right lung field, likely secondary to pleural effusion and/or consolidation. </s> |
<s>[INST] the heart is moderately enlarged, but stable from the prior examination. the aorta is tortuous and calcified. chronic scarring involving the left upper lobe is not changed in appearance and is better characterized on recent ct from <unk>. a left lower lobe opacity is improved from the prior radiographs on <unk> and likely represents a combination of scarring and possible resolving infection in that area. right upper lobe opacities, presumably due to fibrosis, are also not significantly changed. no pleural effusion or pneumothorax. no new focal consolidation is identified.What are the key findings of this report? [/INST] bilateral upper lobe opacities are stable are most consistent with scarring, better characterized on prior ct examinations on <unk> and <unk>. left lower lobe opacity is minimally improved from the prior radiographs on <unk> and likely represents a combination of scarring and improving infection in that area. given the patient's multifocal areas of scarring and opacity, acute infection is difficult to exclude on radiography. given that, no definite new focal consolidation is identified. </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] the left pigtail chest tube is in unchanged position. there is no evidence of pneumothorax. the previously identified reexpansion pulmonary edema has improved. no definite pleural effusion is present. the right lung is essentially clear. there is no consolidation. the cardiomediastinal silhouette is normal. the endotracheal tube is <num> cm from the carina. a dobbhoff tube courses below the diaphragm with a portion of the tube out of the field of view. the tip appears to be in the post-pyloric position.What are the key findings of this report? [/INST] no change in appearance of left pigtail catheter. no pneumothorax or reaccumulation of pleural fluid. </s> |
<s>[INST] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] the feeding tube courses below the diaphragm with the tip not identified. right internal jugular central line has its tip proximal to mid in the svc. prominent hilar contours may represent engorged vessels, although lymphadenopathy cannot be excluded. there has been interval worsening of mild pulmonary edema. linear opacity in the left mid lung likely reflects scarring or subsegmental atelectasis. probable small layering left effusion. no pneumothorax. </s> |
<s>[INST] there has been interval removal of the right picc line. lung volumes are low and retrocardiac opacity likely represents atelectasis in setting of a moderate layering bilateral pleural effusions.right infrahilar opacity likely represents atelectasis, however aspiration cannot be excluded. followup radiographs are recommended.What are the key findings of this report? [/INST] low lung volumes with bibasilar opacities possibly representing atelectasis, or aspiration. followup is recommended. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. single-lead left-sided aicd is again seen with leads extending to the expected position of the right ventricle. the cardiac and mediastinal silhouettes are stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no significant change in comparison with prior study from <unk>. </s> |
<s>[INST] there is no focal consolidation. there is no pleural effusion or pneumothorax. there is minimal bibasilar atelectasis. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] low lung volumes cause bronchovascular crowding. increased reticulonodular interstitial opacities bilaterally likely represent mild to moderate pulmonary edema. retrocardiac opacification is similar to multiple prior studies and likely represents a combination of atelectasis and volume overload. there is no pleural effusion, consolidation, or pneumothorax. mild cardiomegaly is stable. the cardiomediastinal silhouette is unchanged. <num> intact sternotomy wires unchanged. the osseous structures and upper abdomen are unremarkable.What are the key findings of this report? [/INST] low lung volumes cause bronchovascular crowding, allowing for this there is likely mild to moderate pulmonary edema without focal consolidation. </s> |
<s>[INST] a portable upright frontal chest radiograph again demonstrates a right picc terminating in the low svc. lung volumes remain low, with extremely limited visualization of the cardiomediastinal silhouette. there is unchanged mild pulmonary edema and bibasilar atelectasis. no new focal consolidation or large pleural effusion or pneumothorax is identified. the visualized upper abdomen is unremarkable, other than lower abdominal tubes which are incompletely imaged.What are the key findings of this report? [/INST] persistently low lung volumes, with unchanged mild pulmonary edema and atelectasis. no new focal consolidation identified. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. minimal streaky left base opacity has decreased in the interval, likely atelectasis/scarring. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms.What are the key findings of this report? [/INST] minimal left base atelectasis appears slightly improved since the prior study. otherwise, no acute cardiopulmonary process. </s> |
<s>[INST] endotracheal and enteric tubes are stable in position. there has been interval placement of right internal jugular central venous catheter, terminating in the mid svc without evidence of pneumothorax. again, there is mild elevation of the left hemidiaphragm with likely overlying atelectasis. cardiac, mediastinal, and hilar contours are stable.What are the key findings of this report? [/INST] interval placement of right ij catheter terminating in the mid svc without evidence of pneumothorax. </s> |
<s>[INST] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] endotracheal tube continues to have its tip approximately <num> cm above the carina. the nasogastric tube is seen coursing below the diaphragm with the tip not identified. a left internal jugular central line is unchanged in position. overall cardiac and mediastinal contours are stable. there is persistent blunting of the left costophrenic angle and tenting of the right hemidiaphragm suggestive of volume loss in the right lung which is likely postoperative. there continues to be more focal patchy opacity at both bases, although this has somewhat improved since the prior study. findings would be consistent with resolving pulmonary edema with an atypical distribution due to underlying emphysema, less likely improving pneumonia. note that the <num> cm spiculated peripheral right lower lobe mass seen on recent chest ct <unk> is not radiographically apparent. </s> |
<s>[INST] midline sternotomy wires are intact. a prosthetic cardiac valve is again noted. a port-a-cath terminates in the upper svc. linear opacities at the right lung base likely represent atelectasis or scarring from prior thoracic surgery. the previously identified subtle opacity in the rul is no longer seen. there are no new air space consolidations to suggest infection. the cardiomediastinal silhouette appears unchanged with mild cardiomegaly. there is no pleural effusion or pneumothorax present. an old rib fracture of the left seventh rib and partial resection of the right fifth rib is again noted.What are the key findings of this report? [/INST] no focal consolidations to suggest infection. the above results were communicated via telephone by dr. <unk> to dr. <unk> at <time> p.m. on <unk>. </s> |
<s>[INST] vague opacity in the mid-to-upper lung zone, best appreciated on the frontal view was potentially present on the prior study. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are unremarkable.What are the key findings of this report? [/INST] right lung vague opacity. given lack of definite stability, a non-emergent chest ct is recommended for further evaluation. recommendations sent to the ed qa nurses on <unk> at <time> by dr. <unk>. </s> |
<s>[INST] lung volumes remain low. moderate enlargement of the cardiac silhouette persists. widening of the superior mediastinum appears to be due to mediastinal lipomatosis, as seen on the previous mri. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is present. no subdiaphragmatic free air is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no subdiaphragmatic free air. </s> |
<s>[INST] left mid and lower lung field airspace opacities appear almost entirely resolved with a mild residual left lower lobe opacity. the et tube ends <num> cm from the carina, the left subclavian line ends in the right atrium, and the enteric tube lies within the stomach. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] <num>. interval improvement of left mid and lower lung field airspace opacities. <num>. et tube, left subclavian line, and enteric tube are well positioned. </s> |
<s>[INST] mild bibasilar opacities are likely atelectasis. no pneumothorax or pleural effusion is identified. cardiomediastinal and hilar silhouette are normal size. curvilinear dense opacity in the retrosternal region is unchanged and may reflect focal calcified pleural plaques or pericardium.What are the key findings of this report? [/INST] mild bibasilar opacities are likely atelectasis. </s> |
<s>[INST] pa and lateral views of the chest were provided, demonstrating no focal consolidation, effusion or pneumothorax. the heart and mediastinal contours appear 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] the lungs are clear of consolidation. increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is right lateral pleural thickening, similar compared to prior. new blunting of the left lateral and posterior costophrenic angles are compatible with small effusion. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. right chest wall dual lead pacing device is again noted. median sternotomy wires are again noted.What are the key findings of this report? [/INST] new small left pleural effusion. otherwise, no change. </s> |
<s>[INST] unchanged moderate right pneumothorax with a right basilar pleural catheter in place. small layering right pleural effusion. no significant interval change in appearance of the left lung and left pleural effusion. no mediastinal shift.What are the key findings of this report? [/INST] no significant interval change in the moderate right pneumothorax with a right basilar pleural catheter in place. small layering right pleural effusion. </s> |
<s>[INST] the cardiac, mediastinal, and hilar contours are normal. scarring within the lung apices is present. there is no pulmonary edema. focal patchy opacity is noted within the right upper lung field spanning a diameter of approximately <num> cm. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] focal patchy opacity within the right upper lung field. findings could reflect an infectious, inflammatory, or neoplastic process. further assessment with chest ct is suggested. </s> |
<s>[INST] pa and lateral images of the chest. lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. there is a large diaphragmatic hernia, which contains at least stomach and probably bowel, as bowel was seen in this location on prior ct. degenerative changes are seen in the humeral heads bilaterally.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. large diaphragmatic hernia containing stomach and probably bowel, as bowel was seen in this location on prior ct. this puts the patient at risk for complicatiosn of bowel herniation. </s> |
<s>[INST] normal cardiomediastinal and hilar contours. rounded left upper lobe opacity containing focal lucencies may reflect a fat-containing pulmonary nodule, possibly a hamartoma. normal pleural surfaces.What are the key findings of this report? [/INST] rounded left upper lobe opacity concerning for pulmonary nodule. recommend chest ct for further evaluation. no hilar lymphadenopathy. recommendation(s): obtain chest ct for lung nodule evaluation. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the 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] the endotracheal tube ends <num> cm from the carina. the nasogastric tube courses into the stomach and out of the field of view. otherwise there is no significant change as compared to the prior.What are the key findings of this report? [/INST] nasogastric tube ends at expected level of the stomach and out of the field of view. </s> |
<s>[INST] pa and lateral chest radiographs were obtained. there is no focal consolidation, pleural effusion or pneumothorax. linear opacities at the left base are slightly increased since the prior and may represent atelectasis versus scarring. linear opacity at the right base also may be atelectasis/scarring. cardiomediastinal silhouette is normal. bony structures are unremarkable. hyperinflation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. scarring versus atelectasis at the bases. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] right upper lobe opacity is compatible patient's known mass. bilateral pulmonary nodules seen on prior ct were better characterized on yesterday's exam. there are small bilateral effusions. left greater than right hazy parenchymal opacities are also again noted. moderate hiatal hernia is seen. compression deformities in the lower thoracic and upper lumbar region are unchanged. osseous metastases are also better seen on prior ct.What are the key findings of this report? [/INST] no significant change since yesterday's exam. right upper lobe mass again noted. bilateral parenchymal opacities which may be due to pulmonary edema although atypical infection or reaction to chemotherapy are other possible etiologies. </s> |
<s>[INST] in comparison to prior radiographs performed approximately eight hours earlier, there is very minimal improvement in the moderate-to-severe pulmonary edema. probable small bilateral effusions are unchanged. there is no discrete consolidation. there is no pneumothorax. moderate cardiomegaly is stable. the mediastinal contours are unremarkable. mediastinal clips and a prosthetic cardiac valve are unchanged. the sternal wires are intact.What are the key findings of this report? [/INST] very minimal improvement in the moderate-to-severe pulmonary edema. stable small bilateral pleural effusions. </s> |
<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is noted. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. lungs are clear. no pleural effusion or pneumothorax evident.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is possible hyperinflation, which could reflect copd. the patient is at status post sternotomy, with multiple mediastinal clips. there is moderate to moderately severe cardiomegaly, which appears stable compared with the chest x-ray dated <unk>. there is upper zone redistribution, without other evidence of chf. no focal infiltrate or effusion is detected. possible minimal pleural thickening at the base of the left lateral ribcage, unchanged . degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] <num>. stable cardiomegaly, with sternotomy wires present. <num>. upper zone redistribution, without other evidence of chf, unchanged. <num>. no focal infiltrate or effusion. no free air seen beneath the diaphragm. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. ill-defined patchy opacity is noted within the right upper lobe concerning for pneumonia. streaky opacity in the left lung base likely reflects atelectasis. no pleural effusion or pneumothorax is present. the pulmonary vasculature is normal. bilateral <unk> rods are present with s-shaped scoliosis of the thoracolumbar spine demonstrated. no displaced fracture is identified.What are the key findings of this report? [/INST] right upper lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding. </s> |
<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] the tracheostomy tube remains in satisfactory position with the tip approximately <num> cm above the carina. a right subclavian picc line has its tip in the proximal to mid svc. persistent consolidation at the lung bases, right greater than left, worrisome for pneumonia or aspiration. overall cardiac and mediastinal contours are stable. no pneumothorax. the patient is status post left mastectomy with surgical clips in the left axilla consistent with prior lymph node dissection. </s> |
<s>[INST] suboptimal patient positioning and low lung volumes. blunting of the left costophrenic angle may reflect pleural thickeing or small effusion. no localized consolidation. mild cardiomegaly. no pneumothorax. no pulmonaryWhat are the key findings of this report? [/INST] blunting of the left costophrenic angle may reflect pleural thickeing or small effusion. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. aortic knob calcification is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no significant interval change. </s> |
<s>[INST] pa and lateral views of the chest were obtained demonstrating hyperinflated lungs with flattened diaphragms suggesting underlying copd. there is no focal consolidation, effusion, pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] copd without superimposed acute process. </s> |
<s>[INST] right infrahilar and left perihilar opacities are noted with otherwise clear lungs. these findings are concerning for multifocal pneumonia. there is no pleural effusion or pneumothorax. within the limitations of technique cardiac and mediastinal contours are unremarkable.What are the key findings of this report? [/INST] bilateral opacities concerning for pneumonia. follow-up radiographs are suggested to show resolution. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. there are low lung volumes with but no focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no free air is seen under the diaphragms.What are the key findings of this report? [/INST] low lung volumes but no acute cardiopulmonary abnormality. no subdiaphragmatic free air. </s> |
<s>[INST] s-shaped scoliosis is again seen with continued asymmetric elevation of the left hemidiaphragm. there is no pleural effusion or pulmonary edema. peribronchial opacification in the right lung base may be residual from prior pneumonia. the heart is top normal in size, exaggerated by low lung volumes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] compared with prior radiographs on <unk>, there has been interval placement of a tracheostomy. there is no pneumothorax. bibasilar atelectasis and possible pleural effusions are similar to prior. cardiomediastinal silhouette is similar to prior. a right picc line terminates in the mid svc.What are the key findings of this report? [/INST] no pneumothorax status post tracheostomy. </s> |
<s>[INST] a left-sided port-a-cath is seen with tip projecting over the expected location of the mid svc. no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence for acute process. </s> |
<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of confluent consolidation or pulmonary vascular redistribution. there is no pleural effusion. cardiac silhouette is enlarged, slightly less so than when compared to prior. osseous and soft tissue structures are unchanged, noting dystrophic calcifications in the region of left coracoclavicular ligament.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. clips are noted in the left upper quadrant of the abdomen. there is no subdiaphragmatic free air.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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] the lungs are clear. 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] diffuse airspace opacities have increased since the prior radiograph from <unk>. this may be secondary to superimposed edema, however there are no pleural effusions. heart size is stable. no pneumothorax. left picc line terminates in the upper svc.What are the key findings of this report? [/INST] interval progression of bilateral airspace opacities compared to the prior radiograph from <unk> which may signify mild superimposed edema. no new pleural effusion. </s> |
<s>[INST] the chest tube has been removed. there is moderate right apical pneumothorax is slightly larger compared to prior. this is particularly evident medially. again seen is severe volume loss in the right lower lung. there is a small left effusion.What are the key findings of this report? [/INST] increased right pneumothorax. continued right lower lung volume loss </s> |
<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s> |
<s>[INST] a pacer unit projects over the left chest with leads in the right atrium and right ventricle. sternotomy wires and mediastinal clips are unchanged. the heart size is at the upper limits of normal. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob with a mildly tortuous aorta. the previously described pulmonary edema has resolved. pleuroparenchymal scarring, and possible pleural calcification, at the left base is longstanding, but there is no pleural effusion or pneumothorax. degenerative changes are noted in the thoracic spine, primarily in the form of anterior osteophytes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] portable chest film <unk> <time> is submitted.What are the key findings of this report? [/INST] nasogastric tube is seen coursing below the diaphragm. endotracheal tube continues to have its tip at the thoracic inlet. there is increasing opacity at the left upper lobe with shift to the left favoring left upper lobe collapse, although superimposed infection or a central mass cannot be excluded. patchy bibasilar opacities are also seen possibly representing atelectasis, although pneumonia cannot be excluded. there is crowding of the pulmonary vasculature with no overt pulmonary edema. heart is are stable in size given differences in patient positioning. </s> |
<s>[INST] the lungs are clear. there is no consolidation for pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. hypertrophic changes are noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |