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<s>[INST] ap upright and lateral views of the chest provided. left subclavian central venous catheter is again seen with its tip located in the mid svc region. the lung volumes are low with reticulonodular opacities noted diffusely within both lungs which could represent worsening edema versus a superimposed pneumonia. small right pleural effusion persists with loculated fluid along the right major fissure, appearing minimally increased. cardiomediastinal silhouette appears stable. no pneumothorax.What are the key findings of this report? [/INST] pulmonary edema possibly with superimposed pneumonia. small pleural effusion on the right, appears mildly increased. followup to resolution. </s> |
<s>[INST] ap portable upright view of the chest. elevation of the right hemidiaphragm is noted. subpleural reticulation is better assessed on same-day ct exam. lungs are otherwise clear. cardiomediastinal silhouette appears grossly unremarkable. known sternal fracture not visualized.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] there is subtle opacification at the left base, which is not definitively localized on the lateral radiograph, and may represent atelectasis, however an early developing pneumonia is a consideration. otherwise, the lungs are clear. 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] subtle opacification at the left base, possibly representing atelectasis, however an early developing pneumonia is a consideration. </s> |
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the heart is mildly enlarged. there is calcification of the aortic knob and the aorta is mildly tortuous. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. severe compression deformities of multiple thoracic vertebral bodies are again demonstrated and not significantly increased from <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear stable. the aortic arch is partly calcified. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] there has been slight interval decrease in the size of a small left pleural effusion. a left pleural catheter remains in place. no new consolidation or pneumothorax is present. mediastinal contour remains widened likely due to a prominent mediastinal fat pad. aortic arch calcifications are noted. a right-sided internal jugular port-a-cath tip terminates in the right atrium.What are the key findings of this report? [/INST] slight interval decrease in size of small left pleural effusion since <unk>. </s> |
<s>[INST] the heart size is top normal, but stable compared to prior exam. the mediastinal and hilar contours are stable. 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] since the prior radiograph one day prior, there has been re-accumulation of <unk>moderate-sized left pleural effusion. there is increasing interstitial prominence consistent with worsening of moderate pulmonary edema. <unk>small right pleural effusion persists. the aortic arch is enlarged and tortuous, unchanged from the prior exam. the cardiac silhouette is normal. <unk>left picc is in unchanged position, terminating in the low svc near the atriocaval junction. <unk>new right internal jugular hemodialysis catheter is present terminating just beyond the atriocaval junction in the right atrium. there is no pneumothorax.What are the key findings of this report? [/INST] re-accumulation of left pleural effusion and worsening moderate pulmonary edema. stable small right pleural effusion. </s> |
<s>[INST] cardiac silhouette is mildly enlarged but unchanged compared to the previous study. thoracic aorta is tortuous. mediastinal contours are stable. lung volumes are low, but lungs appear clear with no focal consolidation to suggest pneumonia. no pleural effusions. no pneumothorax.What are the key findings of this report? [/INST] no significant changes compared to the previous study. no radiologic evidence of acute pneumonia. </s> |
<s>[INST] compared to prior, the patient is better positioned and the upper lobes appear clear. small left worse than right right pleural effusions and basal atelectasis are stable. severe thoracic kyphosis and compression deformities of the thoracic spine are unchanged. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] <num>. interval resolution of right upper lobe opacity, may represent resolved asymmetric pulmonary edema due to mitral regurgitation. further evaluation with echo is recommended, if clinically indicated. <num>. stable small bilateral pleural effusions with bibasilar atelectasis, left worse than right. recommendation(s): interval resolution of right upper lobe opacity, may represent resolved asymmetric pulmonary edema due to mitral regurgitation. further evaluation with echo is recommended, if clinically indicated. </s> |
<s>[INST] substantial consolidation of the right lower and right middle lobe is likely atelectatic in the post-operative setting; however, infection cannot be excluded. a component of pleural effusion may possibly add to this right lower lung consolidation. the right lung apex and left lung are clear. there is no pneumothorax. the right heart border is partially obscured by the adjacent consolidation; however, the heart size is likely normal with normal mediastinal and hilar contours.What are the key findings of this report? [/INST] right middle lobe and right lower lobe consolidation with a possible component of pleural effusion, which is likely atelectatic in the post-operative setting; however, infection cannot be excluded given the appropriate clinical circumstance. </s> |
<s>[INST] pa and lateral views of the chest provided. the lungs remain hyperinflated. a bleb is again noted projecting anteriorly on the lateral projection. there is no focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is stable. the imaged bony structures appear intact. mild dextroscoliosis of the t-spine noted.What are the key findings of this report? [/INST] no acute findings. </s> |
<s>[INST] pa and lateral chest radiographs were provided. compared to the most recent prior radiograph, there is no significant change. again seen are changes of a right upper lobectomy. chronic pleural abnormality at the right base with some effusion is stable. prominent right hilus is unchanged. there is no focal consolidation or pneumothorax. the bones are intact.What are the key findings of this report? [/INST] no signficant change since the prior study with chronic pleural changes at the right base. </s> |
<s>[INST] patient has known right hilar lymphadenopathy and and right lateral pleural mass. no pleural effusion is seen. no definite new focal consolidation is seen. no pulmonary edema is seen. the cardiac and mediastinal silhouettes are grossly stable. a left-sided aicd is grossly stable in position.What are the key findings of this report? [/INST] known right hilar lymphadenopathy and right lateral pleural mass better assessed on ct. no definite new focal consolidation. no pulmonary edema. </s> |
<s>[INST] there has been interval resolution of the right pleural effusion. linear opacities in the right lower lung are consistent with residual a atelectasis. no left-sided pleural effusion. no pneumothorax. the cardiomediastinal contour is within normal limits.What are the key findings of this report? [/INST] interval resolution of the right pleural effusion with residual a atelectasis the right lung base. </s> |
<s>[INST] subtle lingular opacity could be due to atelectasis versus pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] lingular opacity may be due to atelectasis versus subtle pneumonia. </s> |
<s>[INST] a new right hemodialysis catheter ends in the right atrium just beyond the atriocaval junction. a right internal jugular catheter ends at the atriocaval junction. bilateral moderate pleural effusions are unchanged. the bilateral heterogeneous hazy opacities have slightly worsened from the prior radiograph, suggesting worsening pulmonary edema. there is no pneumothorax. moderate enlargement of the cardiac silhouette is unchanged.What are the key findings of this report? [/INST] <num>. new right internal jugular hemodialysis catheter ends in the right atrium just beyond the atriocaval junction. <num>. worsening mild pulmonary edema. <num>. stable bilateral moderate pleural effusions. </s> |
<s>[INST] normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs </s> |
<s>[INST] there is a <num> mm round opacity overlying the right anterior second rib, which is also seen on the lateral view. 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] <num> mm round opacity in the right upper lobe. recommend chest ct for confirmation and further characterization of this possible pulmonary nodule. </s> |
<s>[INST] single portable view of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is within normal limits. there is no visualized displaced fracture.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s> |
<s>[INST] single portable chest radiograph demonstrates interval increased opacification in the bilateral lungs, particularly in the right lower lung as well as a more faint opacification in the right upper lung and retrocardiac spaces. findings are concerning for multifocal pneumonia. minimal blunting of the right costophrenic angle suggests a small pleural effusion. stable atelectasis also noted in the left lung base. a right-sided port-a-cath tip terminates in the upper superior vena cava. no pneumothorax evident.What are the key findings of this report? [/INST] bilateral opacifications concerning for new multifocal pneumonia. </s> |
<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] right sided port-a-cath unchanged in position. lung volumes are lower with crowding of the pulmonary vasculature. bilateral increasing effusions with associated persisting consolidation in the left lower lobe and more patchy opacity at the right base favoring atelectasis, although superimposed pneumonia cannot be excluded. no evidence of pulmonary edema or pneumothorax. cardiac and mediastinal contours are likely stable given differences in positioning and inspiration between studies. </s> |
<s>[INST] compared with prior radiographs on <unk>, the postoperative cardiomediastinal silhouette has returned to <unk> appearance similar to radiograph on <unk>.the lungs are clear without focal consolidation. there is no vascular congestion or pulmonary edema. no pleural effusion or pneumothorax is seen. median sternotomy wires are stable in position..What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] compared to prior study there is no significant interval change. there is no focal infiltrate or effusion.What are the key findings of this report? [/INST] normal chest. </s> |
<s>[INST] there are focal opacities seen posteriorly on the lateral projection. in review of multiple prior ct torsos, these may correspond to opacity seen in right lower lobe and scarring in the left lower lobe, however infectious process cannot be ruled out. in addition, the opacity seen on ct torso from <unk>, has progressed since <unk> and is concerning for malignancy such as bac. the cardiomediastinal contour is normal. there is a right port-a-cath terminating in the mid svc. osseous structures are notable for marked dextroscoliosis of the spine.What are the key findings of this report? [/INST] recommend pet ct for further evaluation of right lower lobe opacity which has progressed on ct torso from <unk> to <unk>. opacities seen posteriorly on the lateral radiograph may corresond to these findings, however infectious etiology cannot be excluded. these findings were discussed with <unk> by dr. <unk> <unk> telephone at <num>pm. </s> |
<s>[INST] the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] normal chest x-ray. no evidence of pneumomediastinum or other abnormality. </s> |
<s>[INST] the tiny volume of residual air in the left pleural space laterally and anteriorly, in the small, stable volume of loculated left pleural fluid or pleural thickening, reflects recent removal of the left thoracostomy tube. the left hemidiaphragm is more elevated now than it was several days ago, an indication of greater volume loss in the left lower lobe. the right lung and pleural space and visible mediastinal contours and structures are normal.What are the key findings of this report? [/INST] <num>. small amount of thoracostomy related air and residual pleural fluid loculation, unchanged. <num>. mild volume loss at the left lower lobe. </s> |
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. mediastinal hardware and sternal wires appear similar with fractures of the second and fifth sternal wires from the top. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. there is no evidence of pneumonia. the cardiomediastinal border is are normal and the hilar structures are normal. cardiac size is normal.What are the key findings of this report? [/INST] normal chest x-ray without evidence of pneumonia </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the 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] pa and lateral views of the chest provided. intervally placed is a left chest wall port-a-cath with tip residing in the low svc. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. no pulmonary edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. port-a-cath noted in appropriate position. </s> |
<s>[INST] cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending to the level of the mid to low svc. there is vague patchy opacity in the left mid lung which is concerning for an early pneumonia. otherwise, the lungs appear essentially clear. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette appears within normal limits. bony structures are intact.What are the key findings of this report? [/INST] vague left mid lung opacity likely represents early pneumonia. </s> |
<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] left hilar fullness related to prominent pulmonary artery with rotation from scoliosis. bilateral linear scars in the mid left lung and both lower lung regions. cystic structure in the left lower lobe as seen on ct. heart size and mediastinal contour are normal.What are the key findings of this report? [/INST] <num>. left hilar fullness is likely related to prominent pulmonary artery accentuated by slight rotation from mild scoliosis. <num>. cystic structure in left lower lobe as seen on ct on <unk>. <num>. bilateral linear scarring in the left mid lung and both lower lung regions. results were conveyed via telephone to dr. <unk> by dr. <unk> on <unk> at <time> a.m. within <num> minutes of the results. </s> |
<s>[INST] again seen is a small left apical lateral pneumothorax. this is of similar size compared to the study from earlier the same day. the remainder the appearance of the chest is unchangedWhat are the key findings of this report? [/INST] similar appearance to small left apical pneumothorax </s> |
<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. there is mild residual pulmonary vascular congestion, which has improved since previous exam. previously seen right picc and ij venous lines are no longer visualized. there is no confluent consolidation. please note, lateral view is limited secondary to patient's arms being down by his side. cardiac silhouette is enlarged, but stable in configuration. no acute osseous abnormality is detected. posterior cervical and thoracic fixation hardware is partially visualized.What are the key findings of this report? [/INST] improvement in previously seen pulmonary vascular congestion without other superimposed cardiovascular process. </s> |
<s>[INST] single frontal view of the chest. indistinct appearance of the pulmonary vasculature is compatible with mild pulmonary edema. there is bibasilar atelectasis. no substantial pleural effusion. no pneumothorax or focal consolidation. the heart size and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] mild pulmonary edema with bibasilar atelectasis. </s> |
<s>[INST] pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. the heart size is mildly enlarged but unchanged from multiple priors.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lung volumes are low. cardiac silhouette size remains borderline enlarged. rightward deviation of the trachea secondary to a known thyroid goiter is again seen. the aorta remains tortuous. new consolidative opacity is seen within the right lower lobe with adjacent small right pleural effusion. there is minimal atelectasis within the retrocardiac region. scarring within the lung apices is re- demonstrated. there is no pulmonary edema or pneumothorax.What are the key findings of this report? [/INST] right lower lobe consolidative opacity concerning for pneumonia. small right pleural effusion. </s> |
<s>[INST] the lungs are clear without focal consolidation definite effusion or edema. blunting of the left lateral costophrenic angle is compatible with a prominent fat pad seen on prior ct. no acute osseous abnormalities.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. no displaced fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no displaced fractures are identified. if there is continued concern for a rib fracture, consider a dedicated rib series. </s> |
<s>[INST] endotracheal tube tip <num> cm above carina, new since prior exam. enteric tube coiled in the stomach, tip in the distal stomach/ proximal duodenum. shallow inspiration. linear band of atelectasis left lower lobe. minimal elevation right hemidiaphragm, more prominent. atherosclerotic calcification aortic arch. chronic left rib fractures, stable. remainder normal.What are the key findings of this report? [/INST] endotracheal tube tip <num> cm above carina. linear band of atelectasis left lower lobe. </s> |
<s>[INST] right-sided port-a-cath is again seen with catheter terminating at the cavoatrial junction/lower svc. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical clips are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size is normal. there is no pleural effusion, pneumothorax, or lung consolidation. there is bronchial wall thickening.What are the key findings of this report? [/INST] no evidence of pneumonia. bronchial wall thickening, which can be seen in the setting of bronchitis. </s> |
<s>[INST] the heart is of normal size. cardiomediastinal contours are unchanged. lungs are hyperinflated, compatible with emphysema. stable bilateral upper lobe opacities and lucencies are compatible with biapical scarring, traction bronchiectasis, and blebs. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.What are the key findings of this report? [/INST] no acute cardiopulmonary process. stable biapical traction bronchiectasis and blebs. </s> |
<s>[INST] compared with the prior study, lung volumes are lower causing bronchovascular crowding and accentuation of the heart size. there is no focal consolidation, effusion, or pneumothorax. areas of perifissural thickening and atelectasis are similar to the prior study.What are the key findings of this report? [/INST] no new focal consolidation. lung volumes are lower causing a component of bronchovascular crowding. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there are low lung volumes. the cardiac and mediastinal silhouettes are stable. slight prominence of the pulmonary markings may relate to low lung volumes although minimal interstitial edema is not excluded. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] overall, no significant interval change. low lung volumes, which accentuate the bronchovascular markings. slight prominence of the pulmonary markings may be due to low lung volumes although minimal interstitial edema is not excluded. </s> |
<s>[INST] heart is upper limits of normal in size, and the aorta is diffusely tortuous. lungs are clear except for a small linear focus of atelectasis or scarring in the left lower lobe. there are no pleural effusions. bones are diffusely demineralized. associated mild compression deformities in the spine are of indeterminate age.What are the key findings of this report? [/INST] <num>. no radiographic evidence of acute pulmonary abnormality. <num>. apparent osseous demineralization and mild compression deformities in several thoracic vertebral bodies. does the patient have a history of steroid use or other risk factors for bone demineralization? </s> |
<s>[INST] cardiomediastinal and hilar silhouettes are normal. asymmetric opacity of the left lower lobe may be due to atelectasis, but given the clinical history, superimposed infection is considered. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. left basilar opacity may be due to atelectasis, but superimposed infection is also possible given the patient's clinical history. <num>. no evidence of lung hyperinflation. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] there is no notable changed compared to prior. severely enlarged cardiac silhouette is unchanged and can be secondary to cardiomegaly and/or pericardial effusion. wide mediastinum is unchanged. right hemidiaphragm is elevated, similar to prior. tube terminates <num> cm above the carina. mild bibasilar opacity is consistent with atelectasis and/ or pleural effusion. there is persistent pulmonary vascular congestion.What are the key findings of this report? [/INST] no notable change compared to prior. mild bibasilar opacity is consistent with atelectasis and pleural effusion. severely enlarged cardiac silhouette can be secondary to cardiomegaly and/or pericardial effusion. </s> |
<s>[INST] the patient is status post sternotomy and both mitral and aortic valve replacements. moderate cardiomegaly is unchanged. the mediastinal and hilar contours appear stable. there is new mild-to-moderate relative elevation of the right hemidiaphragm which suggests volume loss and a patchy opacity in the right lower lobe has increased and is worrisome for pneumonic consolidation. there is probably also some degree of new opacification in the right middle lobe. a vague opacity is also new in the right suprahilar region in the right upper lobe, potentially an early focus of pneumonia. there is no definite pleural effusion.What are the key findings of this report? [/INST] findings suggest multifocal pneumonia involving the right lung. </s> |
<s>[INST] no focal consolidation, pleural effusion, evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is diffuse increased slight diffuse increased interstitial markings is stable as compared to <unk>.What are the key findings of this report? [/INST] slight diffuse increase in interstitial markings may be due to minimal interstitial edema. </s> |
<s>[INST] ap portable upright view of the chest. lungs appear clear. there is no focal consolidation, effusion, or pneumothorax. moderate aortic calcifications are noted. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. hardware partially imaged in the lumbar spine.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. the cardiac silhouette is top-normal. the aorta is slightly tortuous. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again seen. a tiny calcified granuloma projects over the right lung apex. the left heart border is partially obscured likely due to the presence of a fat pad. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the 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. the osseous structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] a left central venous catheter terminates in the mid svc, unchanged from prior. the cardiomediastinal and hilar contours are within normal limits. there is an opacity at the right lung base which was not seen on <unk>. there is no pneumothorax, fracture or dislocation. a chronic deformity of the right humeral head is better evaluated on radiograph <unk>. sub diaphragmatic calcifications are unchanged. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. an opacity at the right lung base in the appropriate clinical setting is concerning for pneumonia. <num>. chronic deformity of the right humeral head is unchanged. </s> |
<s>[INST] there has been interval placement of a right pleurx catheter with the tip at the right lung base with interval decrease in right pleural effusion and no evidence of pneumothorax. associated right lung base opacity is unchanged. there has been interval increase of asymmetric left perihilar and basal opacities suggestive of asymmetric edema. cardiac silhouette remains stable.What are the key findings of this report? [/INST] placement of right pleurx catheter with interval decrease in right effusion without evidence of pneumothorax. increased left perihilar and basal opacity suggestive of asymmetric edema. </s> |
<s>[INST] lung volumes remain low. an azygos fissure, normal variant, is re- demonstrated in the right upper hemithorax. small left pleural effusion is overall unchanged. blunting of the right costophrenic angle with silhouetting of the lateral aspect of the right hemidiaphragm may reflect a combination of moderate atelectasis and elevated right hemidiaphragm. no definite right pleural effusion, and if present, is minimal/trace. appearance of the heart and mediastinum are unchanged. no frank pulmonary edema or pneumothorax.What are the key findings of this report? [/INST] <num>. unchanged small left pleural effusion. <num>. moderate right lung atelectasis. <num>. no pneumonia. </s> |
<s>[INST] as compared to chest radiograph from <num> day prior, interval worsening of the perihilar opacities with a upper lobe predominance. small left effusion and probable right. moderate cardiomegaly. no pneumothorax. left-sided picc line is <num> cm below the carina and within the right atrium. endotracheal tube is <num> cm from the carina and nasogastric tube is in good position.What are the key findings of this report? [/INST] interval worsening of the perihilar opacities, rapid worsening favors superimposed edema however, worsening infection can also be considered given upper lobe distribution. repeat chest radiographs after dieresis could be considered. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified on these lung-technique films.What are the key findings of this report? [/INST] no acute pulmonary process identified. </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. no pulmonary edema. </s> |
<s>[INST] cardiac size is normal. diffuse tubular branching opacities larger in the upper lobes right greater than left are grossly unchanged. there are no new lung abnormalities. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] findings consistent with chronic changes of cystic fibrosis with impacted bronchiectasis. superimposed infection is possible. </s> |
<s>[INST] low lung volumes without consolidation, pleural effusion, or pneumothorax. the cardiac, hilar and mediastinal contours are normal.What are the key findings of this report? [/INST] low lung volumes without evidence of pneumonia. </s> |
<s>[INST] there is trace left apical pneumothorax. pleural effusion is minimal, if any. there is left lower lobe volume loss. there is no pulmonary edema. mildly enlarged cardiac silhouette is unchanged. the chest tubes and mediastinal drain are in unchanged position. left picc terminates in low svc. right internal jugular vein introducer has been removed. sternotomy wires are intact.What are the key findings of this report? [/INST] trace left apical pneumothorax. </s> |
<s>[INST] compared to the prior radiograph, there is stable moderate cardiomegaly. retrocardiac opacity is essentially unchanged from the prior study, and most likely represents atelectasis. there is no pulmonary edema or pleural effusions. no consolidation concerning for pneumonia. sternal hardware is unchanged. pacemaker wires are in standard position.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the repositioned left picc line terminates in the mid svc. otherwise, no significant interval change when accounting for slight differences in patient position and technique. no pneumothorax. layering small right pleural effusion is overall unchanged. mild moderate cardiomegaly and prominence of the thoracic aorta is overall unchanged. the left costophrenic angle is not visualized.What are the key findings of this report? [/INST] repositioned left picc line ends in the mid svc. otherwise, no significant interval change. </s> |
<s>[INST] .What are the key findings of this report? [/INST] heart size is normal. mediastinum is normal. minimal bibasal linear opacities are present potentially representing areas of atelectasis but infectious process in particular viral or a typical mycoplasma pneumonia cannot be excluded. no pleural effusion or pneumothorax is present. followup of the patient <num> weeks after completion of antibiotic therapy is recommended </s> |
<s>[INST] pa and lateral views of the chest are provided demonstrating clear lungs, though volumes are low on the frontal radiograph. no effusion or pneumothorax. no edema. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s> |
<s>[INST] ap and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is normal. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral chest radiographdemonstrates well expanded lungs with minimal linear atelectasis in the left lower lung. no focal opacity.no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.limited assessment of the osseous structures is grossly unremarkable without displaced rib fracture.What are the key findings of this report? [/INST] <num>. minimal left lower lobe linear atelectasis. <num>. no displaced rib fracture. </s> |
<s>[INST] patient is status post median sternotomy and cabg. left-sided pacemaker device is again noted with leads terminating in the right atrium and right ventricle. endotracheal tube tip is in standard position terminating approximately <num> cm from the carina. lung volumes are low. heart size is accentuated as a result appearing mildly enlarged. aortic knob is calcified. mediastinal contours are grossly unremarkable. there is crowding of bronchovascular structures with mild pulmonary vascular congestion. patchy airspace opacities in the lung bases may reflect atelectasis, however, infection or aspiration cannot be excluded. there is likely a trace right pleural effusion. no pneumothorax is detected. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] low lung volumes with patchy airspace opacities in the lung bases, potentially atelectasis, but infection or aspiration cannot be excluded. probable trace right pleural effusion and mild pulmonary vascular congestion. </s> |
<s>[INST] the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. thickening of the left major fissure is unchanged. median sternotomy wires are intact. mediastinal vascular clips are in expected positions. interval changes to the right ac joint are unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral view of the chest are obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear besides left basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] as compared to the prior examination, there has been minimal interval change. the lungs are essentially clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no radiographic evidence for acute or chronic tuberculosis. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <num> minutes after discovery. </s> |
<s>[INST] the patient is s/p right upper lobectomy, better evaluated in prior chest ct. the lungs are well expanded, without focal opacities. cardiomediastinal and hilar contours are unremarkable. mild cardiomegaly is present. a slight prominence of the aortic knob represents an aortic nipple, likely from a traversing vessel, better seen in prior chest ct. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] mild cardiomegaly. no acute cardiopulmonary process. </s> |
<s>[INST] the et tube terminates <num> cm above the carina with neck flexion. ng tube with the tip and the side hole in the left upper quadrant. right ij in the distal svc. upper lobe vasculature is engorged, but improved since earlier in the day. heterogeneous opacification in the left suprahilar region and at the left base could be atelectasis or even residual edema. first the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] <num>. ett, ng tube, and right ij in appropriate positioning. <num>. patchy opacification of left suprahilar region and left base, likely a combination of edema and atelectasis. </s> |
<s>[INST] the previously seen hilar abnormality is likely tortuous and enlarged pulmonary vasculature, which may be related to underlying pulmonary hypertension. the size of the cardiac silhouette is mildly enlarged. hyperinflation, flattened hemidiaphragms, and parenchymal scarring suggest severe underlying copd. chronic re-distribution of the pulmonary vasculature is noted. there is no consolidation, edema, pleural effusion, or pneumothorax. a fluid level is visible in the left breast and compatible with post-surgical changes from the recent breast surgery.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. severe copd. <num>. previously seen hilar abnormality is likely tortuosity and enlargement of the pulmonary arteries, suggesting pulmonary hypertension. <num>. mild cardiomegaly. <num>. post-surgical changes in the left breast. results were discussed with dr. <unk> at <time> p.m. on <unk> via telephone by dr. <unk>. </s> |
<s>[INST] moderate cardiomegaly is similar compared to the prior exam. the aorta is tortuous with atherosclerotic calcifications noted at the aortic knob. mediastinal and hilar contours are otherwise unchanged. the pulmonary vasculature is normal. patchy opacities are noted in the lung bases, more pronounced on the left, which could reflect areas of atelectasis but aspiration or infection cannot be excluded. no pleural effusion or pneumothorax is clearly demonstrated. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] patchy bibasilar airspace opacities, more pronounced on the left. these may reflect areas of atelectasis but infection or aspiration cannot be excluded. </s> |
<s>[INST] a portable supine frontal chest radiograph demonstrates an endotracheal tube terminating in the mid thoracic trachea and enteric tube terminating in the stomach. heart size is likely normal, exaggerated by technique. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. endotracheal tube terminating <num> cm from the carina. </s> |
<s>[INST] there is an opacity at the right lung base concerning for pneumonia. the cardiac silhouette remains enlarged. there is fullness of the mediastinum, unchanged since prior study. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] new right lung base opacity concerning for pneumonia. cardiomegaly. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the lateral view is suboptimal due to the patient's overlying arm. per the radiology technologist, the patient would not follow commands, could not control head motion, best possible images. left lower lung opacity is similar in appearance and again may reflect combination of atelectasis with possible pleural effusion, although aspiration or infection cannot be excluded on this study. there is slight blunting of the right costophrenic angle and a trace pleural effusion on the right may be present. cardiac and mediastinal silhouettes are stable. no evidence of pneumothorax is seen. the patient's chin overlies the medial lung apices.What are the key findings of this report? [/INST] no significant interval change. persistent left base opacity could represent a combination of atelectasis and pleural effusion, however, consolidation due to aspiration or infection cannot be excluded. possible trace right pleural effusion. </s> |
<s>[INST] portable ap upright chest radiograph was provided. midline sternotomy wires, prosthetic cardiac valves, bilateral pacer pacs are again noted. the heart remains enlarged and there are bilateral pleural effusions which appear small-to-moderate in size. a poorly defined consolidation is noted in the right mid lung which could represent prominent bronchovasculature given patient's rotation to the right. mild pulmonary edema is likely present. calcification in the left upper quadrant corresponds to a known splenic calcification.What are the key findings of this report? [/INST] cardiomegaly, probable mild edema with small-to-moderate bilateral pleural effusions. </s> |
<s>[INST] heart size and mediastinum unremarkable. port-a-cath catheter tip terminates at the level of superior svc. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unremarkable position of the right port-a-cath catheter. </s> |
<s>[INST] lung volumes are low. heart size is top normal. aorta is unfolded. pulmonary vascularity is normal. lungs are clear. no pleural effusion, focal consolidation or pneumothorax is present. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the patient is rotated to the left. diffuse bilateral reticular opacities and bilateral pleural effusions, greater on the right, persist. these may have improved slightly in the interval. there is no pneumothorax. the patient is status post median sternotomy as before. the heart and mediastinal structures are unchanged. a tracheostomy tube and <num> left-sided central venous catheters remain in place.What are the key findings of this report? [/INST] possible slight interval improvement in pulmonary edema. otherwise stable examination. </s> |
<s>[INST] the lungs are markedly hyperinflated with significant elevation of the left hemidiaphragm similar, with overlying atelectasis. streaky linear opacities in the mid and lower right lung are increased from the previous examination but their appearance is more suggestive of a chronic process. there is mild blunting of the posterior right costophrenic angle, which may be due to a small pleural effusion or pleural thickening. cardiac silhouette and mediastinal contours are unchanged.What are the key findings of this report? [/INST] increased mid and lower right lung streaky opacities are more suggestive of a chronic pulmonary process. comparison with any priors since <unk> and continued follow-up. mild blunting of the posterior right costophrenic angle, small pleural effusion vs pleural thickening. </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.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. there is an opacity in the left lower lung obscuring the cardiac border and left hemidiaphragm with persistent mild elevation of the left hemidiaphragm. findings are non=specific and could be seen with atelectasis or consolidative pneumonia. interstitial prominence in the upper zones may be due to coinciding mild congestion, but with little if any change.What are the key findings of this report? [/INST] retrocardiac opacity which is non-specific as to etiology. findings suggesting mild vascular congestion associated with a persistent mild interstitial abnormality. </s> |
<s>[INST] two portable views of the chest are compared to previous exam from <unk>. et tube is seen with tip at the carina, approaching the right main stem bronchus. nasogastric tube seen with tip barely past the ge junction with side port in the distal esophagus and can be advanced. left-sided picc tip at the cavoatrial junction. right ij central line seen in the upper svc. mediastinal chest tubes identified in place. low lung volumes seen on the current exam. the lungs are clear of large confluent consolidation. cardiomediastinal silhouette is within normal limits for technique and low lung volumes. median sternotomy wires are now seen. osseous and soft tissue structures are otherwise unremarkable, noting surgical clips in the right upper quadrant.What are the key findings of this report? [/INST] endotracheal tube tip at the carina, potentially proximal right main stem bronchus and should be retracted. nasogastric tube tip just past the ge junction and can be advanced. findings were discussed with nurse <unk> who answered <unk> for covering physician, <unk>. <unk> at <time> p.m. on <unk>. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] left-sided pectoral pacemaker leads terminate in standard position. chronic interposition of the splenic flexure of the colon beneath the left hemidiaphragm with associated atelectasis is unchanged. mild cardiomegaly is stable. there is no focal consolidation, pleural effusion, or pneumothorax. no rib fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no rib fracture identified. </s> |
<s>[INST] there is an opacity overlying the right lower lobe which has been present since <unk>. otherwise, the lungs are without a new consolidation, effusions, or pneumothorax. sternotomy wires appear intact and aligned. cardiomediastinal silhouette is within normal limits. mild degenerative changes are again visualized throughout the spine. there is no evidence of acute fracture.What are the key findings of this report? [/INST] right lower lobe opacity which has been present since <unk> is again noted and appears more prominent. these findings may be representative of atelectasis; however, pneumonia perhaps due to aspiration must be excluded in the proper clinical setting. these findings were submitted by dr. <unk> to the <unk> qa nurses on <unk>. </s> |