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<s>[INST] there is slight increased opacity at the left lung base when compared to prior exam which is also seen on the lateral view overlying the spine. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. no pneumomediastinum. there is no free intraperitoneal air. no acute osseous abnormalities.What are the key findings of this report? [/INST] faint left basilar opacity potentially atelectasis. otherwise unremarkable exam, no evidence of pneumomediastinum or free intraperitoneal air. </s> |
<s>[INST] lung volumes are low. this accentuates the size of the cardiac silhouette which is likely top normal. the mediastinal contour appears widened, likely due to low lung volumes, with crowding of the bronchovascular structures. there is hazy opacification within both lung bases likely reflective of atelectasis. no pneumothorax is detected. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] low lung volumes limit assessment of the lung bases. bibasilar atelectasis is likely present though infection cannot be excluded. </s> |
<s>[INST] heart size is normal. aortic knob calcifications are again demonstrated. hilar contours are normal. ill-defined patchy opacity is demonstrated within the periphery of the right upper lung field. findings could reflect an infectious or inflammatory process. no pleural effusion or pneumothorax is present. there are mild degenerative changes within the thoracic spine. cervical spinal fusion hardware is again noted.What are the key findings of this report? [/INST] patchy ill-defined opacities within the periphery of the right upper lung field suspicious for an infectious or inflammatory process. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs remain clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified. no free air seen below the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] in comparison to the study from <unk>, lung volumes are decreased and there is increased atelectasis at the lung bases. moderate cardiomegaly, mild pulmonary and interstitial edema are slightly increased. fractures of the right posterior second and third ribs are again seen with the third rib fracture possibly representing a pathologic lesion.What are the key findings of this report? [/INST] <num>. mild pulmonary edema is new from prior examination. </s> |
<s>[INST] the lungs are well expanded and clear. pleural surfaces are normal without pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are normal. limited assessment of the osseous structures demonstrates mid thoracic scoliosis, convex to the right.What are the key findings of this report? [/INST] no acute cardiopulmonary process. specifically, no evidence for pneumonia. </s> |
<s>[INST] lung volumes are slightly low. the cardiac silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s> |
<s>[INST] single ap upright portable view of the chest was obtained. evaluate for right-sided dialysis catheter seen extending deeper into the right atrium. no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. no overt pulmonary edema is seen. the cardiac silhouette is mildly enlarged.What are the key findings of this report? [/INST] mildly enlarged cardiac silhouette without overt pulmonary edema. no definite focal consolidation. </s> |
<s>[INST] there is mild bibasilar atelectasis. the lungs are otherwise clear. the pulmonary vasculature is normal. there is stable enlargement of the cardiomediastinal silhouette. there is no pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. stable cardiomegaly, but no evidence of pulmonary edema. <num>. bibasilar atelectasis. </s> |
<s>[INST] there is an unchanged right middle lobe airspace opacity which is compatible with pneumonia. bibasilar subsegmental atelectasis is unchanged. there are no new consolidations or pleural effusions. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] no significant interval change in right middle lobe airspace opacity which could be compatible with pneumonia in the appropriate clinical setting. stable bibasilar subsegmental atelectasis. </s> |
<s>[INST] pa and lateral views of the chest were obtained. there has been interval removal of the left picc line. an esophageal stent is in place. the lungs are hyperinflated, consistent with emphysema. there is emphysema with reticular opacity in the lungs without definite focal consolidation, effusion, edema, or pneumothorax. a calcified nodular opacity projecting over the left upper lung corresponds with a calcified pleural plaque seen on prior ct. the cardiomediastinal silhouette is normal. there is a prominent anterior osteophyte of the thoracic spine. no other bony abnormality is identified.What are the key findings of this report? [/INST] emphysema, no definite signs of pneumonia. </s> |
<s>[INST] the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. patient is status post sternotomy. no pleural effusions or pneumothoraces.What are the key findings of this report? [/INST] no significant change in chest radiograph and no evidence of intrathoracic disease. </s> |
<s>[INST] persistent cardiomegaly and pulmonary vascular congestion with interval decrease in severity of pulmonary edema with residual mild interstitial edema remaining. within the periphery of the right upper lobe, at the level of the sixth posterior rib level is a poorly-defined <num>-mm diameter nodular opacity which in retrospect is present on older study of <unk>. note is also made of small bilateral pleural effusions.What are the key findings of this report? [/INST] <num>. improving pulmonary edema. <num>. <num> mm peripheral right upper lobe nodular opacity, for which chest ct is recommended in order to differentiate a benign nodule from a slowly growing lung adenocarcinoma. dr. <unk> was telephoned with this recommendation on <unk> at <time> a.m. at time of discovery. </s> |
<s>[INST] lung volumes are low. the patient's chin obscures complete evaluation of the lung apices bilaterally. the heart remains moderately enlarged. dense consolidative opacity in the left lung base likely reflects a combination of atelectasis with a moderate size pleural effusion, though infection cannot be excluded. there is moderate pulmonary edema. small right pleural effusion is also noted. no pneumothorax clearly evident. there are no acute osseous abnormalities. remote left-sided rib fractures are visualized.What are the key findings of this report? [/INST] moderate pulmonary edema with moderate left and small right pleural effusions. retrocardiac consolidative opacity could reflect compressive atelectasis but infection cannot be excluded. </s> |
<s>[INST] single portable view of the chest is compared to previous exam from <unk>. right-sided picc is no longer seen. there are hazy bibasilar opacities in part due to small bilateral pleural effusions with possible underlying atelectasis. there is engorgement of the pulmonary vasculature with indistinct pulmonary vascular markings which is new since prior. cardiac silhouette is enlarged but unchanged. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] small effusions and findings compatible with mild pulmonary edema. </s> |
<s>[INST] there has been interval placement of an endotracheal tube, terminating <num> cm above the level of the carina. enteric tube courses below the level the diaphragm, inferior aspect courses off the inferior edge of the image. the lungs are clear without focal consolidation. no large pleural effusion is seen although a trace right pleural effusion is difficult to exclude. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, inferior aspect not included on the image. </s> |
<s>[INST] pa and lateral views of the chest provided. previously noted picc line is been removed. patient is known to have a large hiatal hernia accounting for retrocardiac opacity partially obscuring the right medial lung base. right lower lobe consolidation is concerning for pneumonia/aspiration. there is persistent nodularity in the left mid lung peripherally with subtle spiculated margins. a prominent bleb is noted at the left lung apex. small bilateral pleural effusions are noted, right greater than left. no pneumothorax. overall cardiomediastinal silhouette appears similar to prior. imaged bony structures are intact.What are the key findings of this report? [/INST] <num>. right lower lobe consolidation is concerning for pneumonia/ aspiration. <num>. small pleural effusions, right greater than left. <num>. large hiatal hernia. <num>. spiculated nodularity in the left mid lung peripherally appears similar to multiple prior exams. nonemergent ct may be considered as neoplasm difficult to exclude. </s> |
<s>[INST] the patient is rotated to the left. right-sided large-bore central venous catheter likely terminates in the right atrium. the patient is status post median sternotomy. there is obscuration of the left hemidiaphragm and left base opacity seen which may be due to atelectasis however, underlying consolidation or small pleural effusion is difficult to entirely excluded. there is mild left mid lung atelectasis/scarring. no pneumothorax is seen. the cardiac silhouette is top-normal. no overt pulmonary edema.What are the key findings of this report? [/INST] the patient is rotated to the left. left base opacity and obscuration of the hemidiaphragm may be due to atelectasis and small pleural effusion, consolidation is difficult to exclude. there is evidence of bowel signature over the inferior left hemithorax, superior to the level of the right hemidiaphragm and the left hemidiaphragm may be elevated or there may be a hiatal hernia. </s> |
<s>[INST] ap upright portable chest radiograph demonstrates interval placement of an endotracheal tube. this appears approximately <num> cm above the level of the carina. bilateral opacities, right greater than left, are perihilar in distribution, not significantly changed. bilateral pleural effusions, left greater than right are noted. cardiac borders are obscured. there is no pneumothorax.What are the key findings of this report? [/INST] endotracheal tube terminates <num> cm above the level of carina. patient appears to be looking down and endotracheal tube is probably appropriately positioned. </s> |
<s>[INST] nasogastric tube tip terminates in the left upper quadrant, in the expected region of the stomach. sternal wires are intact and aligned. aortic and mitral valve replacements are in stable position. dual-chamber pacemaker leads are stable. lung volumes are low. cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] nasogastric tube tip terminating in the left upper quadrant. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. no pulmonary edema is seen. no displaced fracture is identified.What are the key findings of this report? [/INST] top-normal to mildly enlarged cardiac silhouette. clear lungs. no displaced rib fracture seen, however, if clinical concern for acute rib fracture persists, dedicated rib series or ct is more sensitive. </s> |
<s>[INST] there is increased blunting of the costophrenic angles bilaterally with meniscal configuration, concerning for bilateral pleural effusions. the aerated upper lungs demonstrate prominent pulmonary vasculature without evidence for edema. large hiatal hernia is again seen with adjacent compressive atelectasis. there are increased basilar consolidations, likely atelectasis in the setting of effusion. however, pneumonia or aspiration cannot be excluded. the aorta is tortuous and calcified. the cardiac silhouette is obscured and therefore heart size is incompletely evaluated on this study. no pneumothorax is detected. right glenohumeral degenerative changes noted.What are the key findings of this report? [/INST] bilateral pleural effusions, new or increased compared to prior, without evidence for pulmonary edema. bibasilar consolidations most likely represent atelectasis, but aspiration or pneumonia cannot be excluded. findings discussed with dr. <unk> by dr. <unk> by phone at <time> p.m. on <unk> at the time of initial review of the study. </s> |
<s>[INST] the inspiratory lung volumes are decreased with resultant accentuation of the cardiomediastinal silhouette and bronchovascular structures. within this limitation, the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. there is no free air beneath the right hemidiaphragm. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] a single portable frontal view of the chest was performed. opacification is seen in adjacent to the left heart border. the heart size is mildly enlarged. there is no pleural effusion or pneumothorax. the mediastinal structures are normal. small amount of calcifications within the aortic arch. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] left lower lung opacification which may represent atelectasis, although pneumonia cannot be excluded. mild cardiomegaly. </s> |
<s>[INST] there is bibasilar vascular crowding and atelectasis. otherwise, the visualized lung fields are clear. the heart size is within normal limits. the visualized abdomen is unremarkable. there is no pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] compared with the prior exam, there has been interval slight worsening of bilateral diffuse interstitial opacities as well as upper vascular redistribution, concerning for mild pulmonary edema. mild-to-moderate cardiomegaly is not significantly changed from prior. cardiac silhouette is grossly stable given differences in technique and inspiration. there is no pleural effusion or pneumothorax. mediastinal contours are stable with tortuous aorta. a vague amorphous lucency measuring <num> cm in length, up to <num> cm transverse projecting over the cardiac silhouette in the midline, just inferior to the left main bronchus may represent air within a hiatal hernia, a distended esophagus, or may relate to external artifact. not well localized on the lateral view. consider repeat frontal view.What are the key findings of this report? [/INST] findings compatible with mild interstitial edema in the setting of stable moderate cardiomegaly. vague amorphous lucency projecting over the cardiac silhouette in the midline, just inferior to the left main bronchus may represent air within a hiatal hernia, a distended esophagus, or may relate to external artifact. not well localized on the lateral view. consider repeat frontal view. </s> |
<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia, pleural effusions or pneumothorax. there is mild bibasilar atelectasis. the visualized osseous structures are unremarkable. sternal wires appear to be intact without evidence of fracture.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s> |
<s>[INST] pa and lateral images of the chest. the lungs are hyperinflated and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. pacer is seen in the left anterior chest wall with intact leads in appropriate position.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest provided. lung volumes somewhat low. there is no focal consolidation, effusion, or pneumothorax. the heart size appears top-normal. mediastinal contour is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute findings. top-normal heart size. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. the lung volumes remain low. the lungs appear clear. there is no pleural effusion or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] ap portable upright view of the chest. a transesophageal catheter extends into the stomach, and beyond the scope of this examination. a right-sided tunneled line is present. again seen are widespread bilateral pulmonary opacities, worse along the right base, better visualized on the chest ct from <unk>. the overall radiographic appearance is minimally changed since <unk>.What are the key findings of this report? [/INST] multi focal pneumonia, with radiographic appearance minimally changed since <unk>. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] a right picc line terminates in the distal svc. there is mild cardiomegaly. no definite findings suggestive of pneumonia. small bilateral pleural effusions are present. no definite pneumothorax. sternotomy wires are midline.What are the key findings of this report? [/INST] no definite findings suggestive of pneumonia. small bilateral pleural effusions. </s> |
<s>[INST] minor basilar and mid lung atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the aorta is tortuous. the cardiac silhouette is not enlarged. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size is normal. the aorta is mildly tortuous. mild atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. moderate degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] portable chest radiograph demonstrates no definite pneumothorax. atrioventricular pacer leads in standard placement. no pleural effusion or new lung consolidation identified. incidental note of kyphotic spine.What are the key findings of this report? [/INST] no definite pneumothorax identified. no pleural effusion or focal consolidation. </s> |
<s>[INST] there is a moderate to large right apical pneumothorax. the right chest wall port tip ends in the low svc. there is mild pulmonary vascular congestion and mild cardiomegaly. there may be a small left pleural effusion. there is no focal consolidation.What are the key findings of this report? [/INST] <num>. moderate to large right apical pneumothorax. <num>. mild pulmonary vascular congestion. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is minimal bibasilar atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours.What are the key findings of this report? [/INST] no focal consolidation. </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] single frontal portable view of the chest was obtained. allowing for patient rotation with respect to the film, the heart size and cardiomediastinal contours are normal. linear opacity in the left lower lobe is compatible with atelectasis. the lungs are otherwise clear. no pleural effusion or pneumothorax. metallic clips are present in the left upper quadrant. left nephrostomy catheter is incompletely imaged. osseous structures are unremarkable.What are the key findings of this report? [/INST] left lower lung linear opacity, compatible with atelectasis. </s> |
<s>[INST] an et tube has tip extending to <num> cm above the carina. the right picc has tip terminating in the cavo-brachiocephalic junction/upper ivc. the lung volumes are low. there is new consolidation in the left lower lobe, possibly with a trace pleural effusion, suggestive of pneumonia in the given clinical setting. upper lungs are well aerated. the cardiomediastinal silhouette is within normal limits. there is no pneumothorax or pulmonary edema.What are the key findings of this report? [/INST] new left lower lobe consolidation with a small effusion, suggestive of pneumonia in the setting of fever. </s> |
<s>[INST] normal heart size. note is made of pectus deformity which causes apparent obscuration of the right heart border. no focal consolidation, pleural effusion or pneumothorax. surgical clips are seen in the bilateral breasts.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] the patient is status post right upper lobe wedge resection. there is resultant mild elevation of the right hemidiaphragm as well as mild shift of the trachea to the right. the heart size is normal. the hilar and mediastinal contours are stable. no focal consolidations concerning for pneumonia is identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] frontal supine portable radiograph of the chest demonstrates mild enlargement of the cardiac silhouette which is stable given differences in technique. bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumothorax. </s> |
<s>[INST] lung volumes are low, which results in bronchovascular crowding. cardiomediastinal and hilar contours are stable. post median sternotomy and cardiac surgery changes are seen. note is made of fracture of the inferior-most sternal wire, which is new from <unk>. there is no pneumothorax, pleural effusion, or consolidation. no pneumomediastinum.What are the key findings of this report? [/INST] <num>. no pneumomediastinum. <num>. status post median sternotomy with fracture of the inferior most sternal wire. this is new from <unk>. </s> |
<s>[INST] the nasogastric tube is now seen with its tip terminating roughly <num> cm above the level of the carina. a right pleural effusion is noted, better evaluted on the recent ct examination. redemonstrated is a right picc terminating within the proximal right atrium. there is no evidence of consolidation, pneumothorax, or pulmonary edema. the heart size is normal. mediastinal and hilar contours are stable.What are the key findings of this report? [/INST] nasogastric tube now seen terminating approximately <num> cm above the level of the carina. findings were conveyed by dr. <unk> to dr. <unk> <unk> telephone at <time> on <unk>, <unk> min after discovery. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. the lungs are clear. no pleural effusion or pneumothorax is evident.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] moderate left, mostly anterior, pneumothorax is unchanged compared to <unk> study though there is increased subcutaneous air of the left chest wall and shoulder. no mediastinal shift is seen. the cardiac silhouette is normal. the lungs are hyperinflated with flattening of the hemidiaphragms. left upper lung previously fluid-filled cystic abnormality is now evacuated and not present on today's study. the small left pleural effusion is stable. the right lung is clear.What are the key findings of this report? [/INST] stable left apical pneumothorax with increased subcutaneous air of the left chest wall stable. complete involution of previously seen cystic abnormality and stable left pleural effusion. </s> |
<s>[INST] an ng tube is seen coursing over the midline of the chest, with tip and side port below the level of the diaphragm, overlying the gastric fundus. note is made of multiple dilated loops of small bowel in the left mid/upper abdomen, also demonstrated on a abdominal ct obtained earlier the same day. no free air seen beneath the diaphragm. the lungs are hypoinflated with crowding of vasculature and bilateral lower lobe atelectasis. there is mild vascular plethora, likely accentuated by low lung volumes. mild cardiomegaly is likely accentuated due to low lung volumes and patient positioning. the aorta is tortuous. biapical pleural thickening and parenchymal scarring is seen. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. ng tube tip in stomach. dilated small bowel loops noted. <num>. low inspiratory volumes, likely contributing to accentuated cardiomediastinal silhouette, bibasilar atelectasis and upper zone right redistribution. <num>. biapical pleural and parenchymal scarring noted. </s> |
<s>[INST] numerous pulmonary nodules were better assessed on ct. largest in the left mid to lower lung are again noted. no definite new focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] known multiple pulmonary nodules. no definite new focal consolidation. </s> |
<s>[INST] the heart size is normal. the mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] there is a right chest port-a-cath which terminates in the mid svc. the lungs are overall clear without focal consolidation. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no free air under the diaphragm. </s> |
<s>[INST] the lungs are hyperinflated but well aerated without focal consolidation concerning for pneumonia. trace pleural effusions are seen along the posterior sulcus on the lateral view. no pneumothorax is detected. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is mildly enlarged but stable. tortuosity of the thoracic aorta is unchanged with mild calcification at the aortic knob. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] no focal consolidation concerning for pneumonia and no change from <unk>. </s> |
<s>[INST] compared to the study from <num> hr earlier the right pneumothorax is slightly increased and is now moderate in size. there are compressive changes/ infiltrate/ hemorrhage in the right lower lobe. subcutaneous emphysema slightly increased on the right. there are compressive changes at the left base versus an early infiltrateWhat are the key findings of this report? [/INST] increased right pneumothorax status post chest tube to water seal </s> |
<s>[INST] feeding tube tip is not included on the radiograph, is distal to the mid stomach. thoracolumbar curve convex to the right, with degenerative changes. mildly improved left basilar opacity. interstitial prominence in bilateral lungs has improved. improved pulmonary vascularity. normal heart size. there is tiny right pleural effusion or thickening, similar. mild scarring in the lung bases, best seen in the right costophrenic angle is similar.What are the key findings of this report? [/INST] enteric tube tip is distal to the mid stomach, is not included on the radiograph. </s> |
<s>[INST] the patient is status post sternotomy and coronary artery bypass graft surgery. a three-lead pacemaker/icd device appears unchanged. the cardiac, mediastinal and hilar contours are stable. 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] in comparison to the most recent examination, there is no significant change in the left-sided pleural effusion. a left-sided pleurx catheter remains at the left lung base. left basilar opacity is stable. right basilar opacity is improved. again seen is a right sided port-a-cath with the tip terminating in the mid svc. surgical clips are seen in the left chest wall.What are the key findings of this report? [/INST] no significant change in left-sided pleural effusion. </s> |
<s>[INST] compared to the prior study, i doubt significant interval change. heart size is borderline. no chf, focal infiltrate, or effusion is identified.What are the key findings of this report? [/INST] no acute pulmonary process identified. </s> |
<s>[INST] right-sided picc line has been removed. feeding tube has been advanced with the tip just past the gastroesophageal junction. no pneumothorax. bilateral lower lobe nodular opacities are again demonstrated representing enlarged peripheral pulmonary arteries.What are the key findings of this report? [/INST] bilateral lower lobe nodular opacities are again demonstrated representing enlarged peripheral pulmonary arteries. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low. there is minimal bibasilar atelectasis with no evidence of focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] minimal bibasilar atelectasis with no evidence of focal consolidation. </s> |
<s>[INST] endotracheal tube terminates <num> cm from the carina. enteric tube terminates in left upper quadrant. lungs are clear aside from heterogeneous retrocardiac opacification which likely corresponds to atelectasis. cardiomediastinal silhouette is normal. no right pleural effusion. left costophrenic angle is excluded from the field-of-view.What are the key findings of this report? [/INST] satisfactory position of endotracheal and enteric tubes. mild left basilar atelectasis. </s> |
<s>[INST] lung volumes are low. lungs are clear. mediastinal contour, hila, cardiac silhouette are normal. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s> |
<s>[INST] et tube, ng tube and right internal jugular remain in unchanged satisfactory position. compared with most recent prior radiograph, there is worsening with increasing confluence of bilateral diffuse multifocal consolidations as well as a new rounded lucency in the right mid lung, which could represent a developing cavitation.What are the key findings of this report? [/INST] worsening diffuse multifocal consolidations becoming more confluent with a new lucency in the right mid lung, possibly a developing cavitation. </s> |
<s>[INST] pa and lateral chest images demonstrate resolved bilateral pleural effusions. costophrenic angles are well visualized and there is no evidence of current chf exacerbation or pneumonia. cardiomegaly is again noted.What are the key findings of this report? [/INST] resolved chf. cardiomegaly. otherwise, normal chest radiograph. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. bilateral streaky linear perihilar opacities are compatible with reactive airway disease, progressed since <unk> and similar to <unk>. the lungs are otherwise clear. no lobar consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.What are the key findings of this report? [/INST] bilateral streaky perihilar opacities, compatible with reactive airway disease, similar to <unk> though progressed since <unk>. </s> |
<s>[INST] pa and lateral views of the chest. left sided pacemaker leads end in the right atrium and right ventricle in appropriate and unchanged position. cardiomediastinal and hilar contours are stable. there has been increase in pulmonary vascular congestion compared to prior study with mild to moderate interstitial pulmonary edema. retrocardiac opacity may indicate pneumonia in the appropriate clinical setting.What are the key findings of this report? [/INST] mild to moderate interstitial pulmonary edema. retrocardiac opacity may indicate pneumonia in the appropriate clinical setting. recommend reassessment after diuresis. </s> |
<s>[INST] low lung volumes. unchanged mild cardiomegaly. the mediastinal and hilar contours are unremarkable. bibasilar opacities may reflect atelectasis, but infection or aspiration cannot be excluded. there is mild blunting of the costophrenic on the right which may represent a small pleural effusion. no pneumothorax is visualized on this semi-upright radiograph. there are no acute osseous abnormalities. surgical clips are visualized superior to the right clavicle. there is a healed left clavicle fracture.What are the key findings of this report? [/INST] bibasilar airspace opacities, possibly representing atelectasis with aspiration and pneumonia not excluded. small right pleural effusion. </s> |
<s>[INST] the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. calcification projecting over the left heart border, likely corresponding to lad coronary artery stent.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] no focal consolidation is seen. there may be a trace left pleural effusion. prominence of the azygos vein is stable as compared to chest ct from <unk>. a central venous line courses superiorly from the ivc and terminates at the cavoatrial junction/ distal svc. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] possible trace left pleural effusion. central venous line courses superiorly in the ivc and terminates at the cavoatrial junction/ distal svc, possibly somewhat high in position. </s> |
<s>[INST] the et tube and right ij cordis are unchanged. there is increased bilateral hazy alveolar infiltrate right greater than left with ill-defined vasculature and moderate cardiomegaly. there is likely a right effusion layering posteriorlyWhat are the key findings of this report? [/INST] increased pulmonary edema </s> |
<s>[INST] on the lateral view, middle lung opacity is seen, not well appreciated on the frontal view, but which could be due to underlying atelectasis or developing consolidation. no focal consolidation is seen elsewhere. calcified right breast implant is noted. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] subtle opacity projecting over the mid lung on the lateral view, not well appreciated on the frontal view may represent atelectasis, but developing consolidation due to pneumonia is not excluded in the appropriate clinical setting. </s> |
<s>[INST] cardiomediastinal silhouette is normal. thoracic aorta is mildly tortuous. there is no focal consolidation. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] the patient is status post median sternotomy, cabg, and mitral valve replacement. right-sided central venous catheter tip terminates at the junction of the svc and right atrium. left-sided aicd device is noted with single lead terminating in the right ventricle. mild cardiomegaly is unchanged. the mediastinal and hilar contours are similar. there is mild pulmonary vascular congestion, new in the interval. worsening patchy opacity in the right lung base may reflect atelectasis. there are likely trace bilateral pleural effusions. no pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] new mild pulmonary vascular congestion and probable trace bilateral pleural effusions. worsening right basilar patchy opacity, potentially atelectasis. infection, however, is not excluded in the correct clinical setting. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms. plate and screw fixation of the left clavicle is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of free air beneath the diaphragms. </s> |
<s>[INST] there is atelectasis versus early infiltrate at the left lung base. apparent opacification of the left apex is likely due to overlapping structures as there was a similar appearance on the prior radiograph performed <unk>, with no subsequent apical parenchymal abnormalities seen on the subsequent ct dated <unk>. heart size remains mildly enlarged. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities identified. no subdiaphragmatic free air.What are the key findings of this report? [/INST] <num>. atelectasis versus early infiltrate at the left base. <num>. stable mild cardiomegaly. </s> |
<s>[INST] there is increase in size of the cardiac silhouette, now mildly enlarged with small bilateral pleural effusions and new pulmonary edema. no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] congestive heart failure with mild pulmonary edema, cardiomegaly and small pleural effusions </s> |
<s>[INST] extensive bilateral scattered round, cannonball focal opacities throughout both lungs, which do not appear significantly different when compared to the scout film on <unk>. the cardiomediastinal silhouette and hila are unchanged. no pleural effusion or pneumothorax. no acute osseous abnormality.What are the key findings of this report? [/INST] extensive bilateral metastatic pulmonary lesions, not significantly changed <unk> <unk>. </s> |
<s>[INST] there is stable appearance of right lung volume loss with elevation of the right hemidiaphragm status post right upper lobe lobectomy. new increased opacity is seen in the left mid lung. no pleural effusion or pneumothorax. no change in heart size or mediastinal contours.What are the key findings of this report? [/INST] new opacity in the left mid lung concerning for pneumonia. </s> |
<s>[INST] the lung volumes are normal. lungs are clear without evidence of pneumonia, pulmonary edema, or pleural effusions. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] <num>. no acute intrathoracic abnormality. <num>. no signs of pneumoperitoneum. </s> |
<s>[INST] lung volumes are low with bronchovascular crowding. no evidence of focal pneumonia, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened.What are the key findings of this report? [/INST] no focal pneumonia or edema. </s> |
<s>[INST] there is a moderate-to-large hiatal hernia, as before, with an air-fluid level. the cardiac, mediastinal and hilar contours appear stable. similar to prior findings, there are streaky horizontal opacities in both lower lungs, most consistent with minor scarring. there is no pleural effusion or pneumothorax. two compression deformities along the lower thoracic spine, the lower one with vertebroplasty changes, appears stable. below that, posterior fusion hardware is again partly visualized. kyphosis is exaggerated. right-sided rib deformities are unchanged. the bones appear demineralized.What are the key findings of this report? [/INST] hiatal hernia. no evidence of acute disease. </s> |
<s>[INST] the patient is rotated. left lower lobe atelectasis is minimal. right lower lobe opacity could reflect the patient's history of recent pneumonia. the heart is mildly enlarged and accompanied by pulmonary vascular congestion without overt edema. there is prominent pericardial fat. no overt edema, pneumothorax, or pleural effusion. no acute osseous abnormality. aortic knob calcifications are mild.What are the key findings of this report? [/INST] right lower lobe opacity could reflect resolving pneumonia given patient's history of recent pulmonary infection. correlation with outside imaging studies or reports would be helpful in this regard. cardiomegaly and pulmonary vascular congestion without overt pulmonary edema. recommendation(s): chest radiograph in <num> to <num> weeks to ensure resolution. </s> |
<s>[INST] ap upright 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] ap and lateral views of the chest were obtained. the lateral view is severely limited by patient position and inability to move the left arm. frontal view demonstrates relatively low lung volumes with bibasilar atelectasis. an area of scarring in the left upper lobe is again seen, previously described on prior chest ct from <unk>, as calcified tuberculous bronchiectasis. no new opacity concerning for pneumonia is identified. there is no pulmonary edema or pneumothorax. the heart size is stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] mild-to-moderate cardiomegaly and tortuosity of the thoracic aorta appear similar. patchy and linear opacities at the lung bases have worsened, particularly on the left. there are no pleural effusions or pneumothoraces. bones are diffusely demineralized, consistent with the patient's advanced age.What are the key findings of this report? [/INST] worsening patchy and linear bibasilar opacities are probably due to atelectasis, but aspiration and developing infectious pneumonia are also possible. short-term followup radiographs may be helpful in this regard. </s> |
<s>[INST] single portable view of the chest was compared to previous exam from <unk>. right ij and central line and ng tube are no longer seen. there is a left-sided pleural effusion. the lungs elsewhere are clear. peripherally calcified rounded densities seen in the left upper quadrant. there is, however, no evidence of free intraperitoneal air. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] moderate left-sided pleural effusion. no evidence of free intraperitoneal air below the diaphragm. </s> |
<s>[INST] the heart size is normal. thoracic aorta remains mildly tortuous. calcified lesion within the aorticopulmonary window is unchanged. hilar contours are normal, and no pulmonary vascular congestion is present. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. surgical clip is seen within the left upper quadrant of the abdomen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] ap portable upright view of the chest. the lungs are hyperinflated and clear. overlying ekg leads are present. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate prominence of the central pulmonary vasculature without evidence of pulmonary edema. there is mild right basilar atelectasis. the cardiac silhouette is unchanged. note is made of calcified right hilar and mediastinal lymphadenopathy. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] prominence of the central pulmonary vasculature without evidence of pulmonary edema. </s> |
<s>[INST] the patient is somewhat rotated to the left. the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. increased interstitial markings bilaterally suggest pulmonary edema, underlying pulmonary contusion not excluded in the setting of trauma. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable with prominence of the main pulmonary artery. difficult to exclude rib fracture on this study. if there is high clinical concern, chest ct is more sensitive.What are the key findings of this report? [/INST] increased interstitial markings bilaterally suggest pulmonary edema, underlying pulmonary contusion not excluded in the setting of trauma. difficult to exclude rib fracture on this study. if there is high clinical concern, chest ct is more sensitive. </s> |
<s>[INST] a left upper lobe lung nodule is again seen, and minimally increased in size, now measuring <num> mm. there is no effusion or pneumothorax. the cardiac silhouette and mediastinal contours are normal.What are the key findings of this report? [/INST] <num>. no acute chest abnormality. <num>. left upper lobe nodule, essentially unchanged over a <unk>-year period. </s> |
<s>[INST] et tube present, tip approximately <num> cm above the carina. ng tube present, tip extending beneath diaphragm, off film. right ij sheath or other right ij line present, tip over distal svc. doubt pneumothorax. cardiomediastinal silhouette is grossly unchanged. biapical fiberonodular changes in right apical calcified granuloma again noted. equivocal minimal increase in hazy opacity at the right upper zone. no focal consolidation seen in the mid or right lower zones. patchy retrocardiac opacity is noted, but is improved compared with <num> day earlier. no pleural effusions identified. cardiomediastinal silhouette is grossly unchanged. sternotomy wires again noted. doubt chf.What are the key findings of this report? [/INST] <num>. overall appearance is similar compared with <num> day earlier. <num>. equivocal increased hazy opacity at the right lung apex --<unk> to this area on followup films is requested, as there was prominent collapse at the right lung apex on the <unk> radiograph and early findings of right upper lobe atelectasis should be considered. <num>. changes consistent prior granulomatous disease again noted. </s> |
<s>[INST] there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] pa and lateral views of the chest provided. compared to prior study, there is little change. there is no focal consolidation. pulmonary vasculature is normal. there is trace pleural effusion.What are the key findings of this report? [/INST] no acute pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. upper lobe scarring with possible bronchiectasis, best seen on the lateral view, correlate with history of chronic lung disease. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is minor right upper lobe linear atelectasis/scarring. the aorta is tortuous. the cardiac silhouette is not enlarged. note is made of air-distended loops of bowel in the upper abdomen. however, not well assessed.What are the key findings of this report? [/INST] biapical thickening. upper lobe scarring with possible bronchiectasis, best seen on the lateral view, correlate with history of chronic lung disease. </s> |
<s>[INST] there is mild interstitial prominence. no focal consolidation, pleural effusion, or pneumothorax is seen. heart size is mildly enlarged. the aorta is tortuous. there is fullness along the right paratracheal stripe.What are the key findings of this report? [/INST] <num>. interstitial prominence, which could be secondary to mild edema or inflammation/viral infection. <num>. fullness along the right paratracheal stripe, which could represent lymphadenopathy, although commonly this appearance is associated with tortuosity of the great vessels. in the setting of possible infection, this could be reactive, however followup chest radiograph is recommended to see whether the contour convexity persists. findings and recommendations were discussed with <unk> <unk> by <unk> <unk> by telephone at <time> on <unk> at the time of initial review of the study. </s> |