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<s>[INST] pa and lateral views of the chest provided. the lungs are hyperinflated though appear clear. 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] hyperinflated lungs without acute intrathoracic process. </s> |
<s>[INST] ap upright and lateral views of the chest provided demonstrate interval removal of the right ij central venous catheter. midline sternotomy wires and mediastinal clips are again noted. there is small amount of residual pleural fluid tracking along the fissure on the left, likely accounting for the hazy minimal opacity projecting over the left hemithorax. otherwise, the lungs appear clear. heart size is top normal, though this is unchanged. mediastinal contour is unremarkable. chronic deformity and post-surgical changes of the right ac joint noted. otherwise, bony structures appear unremarkable.What are the key findings of this report? [/INST] trace pleural fluid on the left tracking along the fissure, overall improved from prior. otherwise, no acute abnormalities. </s> |
<s>[INST] lungs are well-expanded and clear. left apical pleural thickening may represent sequela of old infection, such as tuberculosis. heart is not enlarged. aorta is mildly tortuous. no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. left apical pleural thickening could be the result of old infection, such as tuberculosis, however comparison with prior studies and inquiry into referable symptoms of chest wall invasion are recommended to assess possible malignancy. recommendation(s): comparison with prior chest radiographs and inquiry into referable symptoms of chest wall invasion are recommended to assess possible malignancy in the left apex. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are slightly hyperinflated but clear of consolidation. there is no pneumothorax or effusion. the cardiomediastinal silhouette is unremarkable. there is no free air below the diaphragm. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] lung volumes are low, resulting in bronchovascular crowding. an ovoid metallic density having the shape of a bullet projects over the right hemidiaphragm. cardiac silhouette is top-normal in size. no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] the heart size is normal. the mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is not engorged. scarring within the lung apices is unchanged. there is no new focal consolidation, pleural effusion or pneumothorax identified. diffuse demineralization of the osseous structures is present with thoracic levoscoliosis again noted. multiple old left-sided rib fractures are again seen. there are multiple anterior wedge compression deformities within the thoracic spine with thoracic kyphosis, unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] heart size is top normal. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. linear opacities in the lung bases likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax is identified. multilevel mild degenerative changes are seen within the thoracic spine.What are the key findings of this report? [/INST] mild bibasilar atelectasis. no evidence of pulmonary vascular congestion. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] an apparent new epidural catheter is present. cardiomediastinal silhouette is probably unchanged allowing for differences in positioning. no chf. the opacity previously seen at the right base has essentially resolved. there is new platelike atelectasis in the right infrahilar region. no right effusion. again seen is opacity at the left base, with retrocardiac opacity. small left effusion is new. a left pigtail catheter remains in place. no pneumothorax is detected on either side. on the right, there is a catheter or other tubing overlying the right upper quadrant of the abdomen versus right lung base. trace subcutaneous air is now seen between the right hemidiaphragm, new compared with the prior film.What are the key findings of this report? [/INST] no pneumothorax is detected. there is trace subdiaphragmatic air on the right, near the new right tunneled pleural catheter. by report, the patient had abdominal surgery <num> day previous and this would be compatible with a small amount of expected intraperitoneal air following abdominal surgery. at this time, i do not see an op note on omr for surgery of <num> day previous. small left pleural effusion is new or increased compared with <unk>. patchy opacity at the left base is slightly different in configuration but overall similar. </s> |
<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] frontal radiograph of the chest again demonstrates a swan-ganz catheter which is far past midline into likely segmental right pulmonary artery. it should be retracted by at least <num>-<num> cm for more appropriate positioning in the proximal pulmonary artery. as compared to prior study, the lung volumes remain low, accentuating the cardiac contour. the heart and mediastinum are unremarkable. diffuse right lung opacities are slightly improved with worsened opacification of the left lung, likely equilibrating pulmonary edema. no pleural abnormality is seen.What are the key findings of this report? [/INST] <num>. malpositioned swan-ganz catheter, which should be retracted by at least <num> cm for more appropriate positioning. <num>. equilibrating pulmonary edema, improved on right right and worse on the left. these findings were relayed to dr. <unk> by dr. <unk>, at <time> a.m., three minutes after discovery. </s> |
<s>[INST] compared with the prior study, mild cardiomegaly and hilar silhouettes are unchanged. lobulated right hemidiaphragm is noted. faint right basilar opacity is likely a combination of atelectasis and pleural fluid. no pneumothorax. note is again made of the calcified left hilar node.What are the key findings of this report? [/INST] <num>. no focal consolidation concerning for pneumonia. no evidence of edema. <num>. right basilar atelectasis. </s> |
<s>[INST] the patient is status post right shoulder hemi arthroplasty. skin <unk> are present. lung volumes are low. there is new right mid lung platelike atelectasis and left lower lobe plate like atelectasis but no definite infiltrate.What are the key findings of this report? [/INST] bilateral volume loss and low lung volumes but no definite infiltrate </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 acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear without consolidation or edema. there is no pneumothorax, pneumomediastinum or pleural effusion. the cardiomediastinal silhouette is normal. dextroscoliosis is unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and slightly lower lung volumes which results in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] low lung volumes. no pneumothorax identified. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced rib fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced rib fracture. if high clinical concern, repeat exam with dedicated rib series and marker on patient's site of pain may be of use. </s> |
<s>[INST] a pleurx catheter terminates in the right basal pleura. there has been interval improvement of a moderate to large right pleural effusion with some residual fluid still present. there is no appreciable pneumothorax. the right upper lobe is now completely collapsed. the known right upper lobe mass now looks more solid, this could be attributed to loculated pleural effusion or hemorrhage in the right upper lobe. the left lung is clear. the cardiomediastinal and hilar contours are within normal limits. a left infusion port tip terminates in the mid to lower svc.What are the key findings of this report? [/INST] <num>. interval improvement of right pleural effusion. <num>. right upper lobe collapse. <num>. change in character of known right upper lobe mass raises the possibility of a loculated pleural effusion or hemorrhage. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> on <time> am. </s> |
<s>[INST] in comparison to prior studies, there has been interval improvement in pulmonary edema and near resolution. bilateral pleural effusions have nearly resolved, however a small right pleural effusion remains. the iabp terminates within <num> cm of the superior aspect of the aortic knob. no focal consolidations or pneumothorax.What are the key findings of this report? [/INST] <num>. the intra-aortic balloon pump terminates approximately <num> cm below the superior aspect of the aortic knob. <num>. near resolution of pulmonary edema. <num>. small right pleural effusion. </s> |
<s>[INST] as compared to radiograph two days prior, there is notable improvement in pulmonary edema, especially evident at the apices. however, bilateral lower lung opacities persist and are concerning for pneumonia. a small right pleural effusion is likely still present but incompletely evaluated on this frontal radiograph. moderate cardiomegaly is unchanged. there is no pneumothorax. tortuosity and calcification of the thoracic aorta is redemonstrated.What are the key findings of this report? [/INST] <num>. improvement in mild pulmonary edema. <num>. bilateral lower lung opacities persist. </s> |
<s>[INST] portable upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] endotracheal tube, nasogastric tube and left internal jugular central line unchanged in position. overall cardiac and mediastinal contours are stable. overall, there continues to be a diffuse bilateral airspace process but it appears to be somewhat improved suggesting resolving edema and/or an improving pneumonia. clinical correlation is advised. there is likely a layering left effusion. no pneumothorax is appreciated. </s> |
<s>[INST] lungs are hyperinflated. there is no focal consolidation to suggest pneumonia. calcified granulomatous nodular opacities are again seen, and are unchanged from prior. there is increased density in the extreme right medial apex, that was present previously, but is more conspicuous on today's exam. pleural thickening in this region is unchanged. cardiomediastinal and hilar contours are unchanged. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. increased radiodensity in the extreme right apex, which may represent scarring, but is more conspicuous compared to prior radiographs, a ct chest can be obtained for further evaluation. <num>. no evidence of pneumonia. </s> |
<s>[INST] there is a large right pleural effusion which is increased compared to the prior study. the left lung is clear. no left pleural effusion is seen. the right-sided cardiac and mediastinal silhouettes are difficult accurately assess due to the large pleural effusion, but the left cardiac silhouette and left-sided mediastinal contours are unremarkable.What are the key findings of this report? [/INST] large right pleural effusion, increased since the prior study. </s> |
<s>[INST] pa and lateral views of the chest <unk> at <time> are submitted.What are the key findings of this report? [/INST] aspirated barium is again seen in the right middle and right lower lobes. there are multiple patchy opacities in the right upper lobe, left upper lobe and left mid and lower lung concerning for multifocal pneumonia or aspiration. status post median sternotomy for cabg with stable postoperative cardiac and mediastinal contours. no pneumothorax. biapical pleural thickening is likely postinflammatory. no pulmonary edema. </s> |
<s>[INST] frontal chest radiograph demonstrates interval removal of right jugular sheath with persistent right central line terminating in the mid to low svc. the cardiomediastinal silhouette has a normal postoperative appearance. there is persistent unchanged bilateral pleural effusions with associated left basilar atelectasis. no pneumothorax.What are the key findings of this report? [/INST] no significant changes since <unk>. </s> |
<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest demonstrate slightly hyperexpanded lungs. airspace opacities are seen in the right lung base, which project over the spine on the lateral view. additional small focus of opacity in the left lung. there is no pleural effusion. no pulmonary edema. hilar and mediastinal silhouettes are unchanged. heart size is normal. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] right lower lobe pneumoina. additional small focus of opacity in the left lung base may be an additional site of infection. repeat chest radiographs are recommended in <unk> weeks following completion of the treatment coarse to assess for resolution. </s> |
<s>[INST] heart size is normal. atherosclerotic calcifications are again noted at the aortic knob. mediastinal hilar contours are unremarkable. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] mild deviation of the trachea to the left is unchanged and related to right thyroid nodules. there is no focal consolidation, pleural effusion, or pneumothorax. left basilar linear opacity likely reflects atelectasis/scarring from prior left lower lobe segmentectomy. the cardiomediastinal silhouette is normal with the exception of aortic tortuosity and arch calcifications. cholecystectomy clips are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there are low lung volumes. there is prominence of the pulmonary vasculature, slightly improved from prior exam. there is increased consolidation at the right lung base which is likely atelectasis, less likely pneumonia. an associated increased small right pleural effusion is seen. no left pleural effusion or pneumothorax is seen. enlargement of the cardiomediastinal silhouette is unchanged from prior exam.What are the key findings of this report? [/INST] <num>. increased opacity at the right lung base with associated increased small right pleural effusion, likely representing atelectasis, less likely pneumonia. <num>. slight interval improvement of pulmonary vasculature congestion. <num>. stable cardiomegaly. </s> |
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. air-filled distended loops of bowel likely colon visualized in the abdomen. no free intraperitoneal air.What are the key findings of this report? [/INST] no acute cardiopulmonary process. moderately distended loops of bowel seen in the abdomen forage clinical correlation suggested. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] ill-defined opacification of the right lung base may represent an early consolidation in the proper clinical setting. there is no pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] possible right lower lobe pneumonia. </s> |
<s>[INST] the lungs are well expanded and clear without evidence of interstitial thickening or nodularity. postoperative mediastinum and cardiac borders are normal. the heart is top-normal in size. no pleural effusion.What are the key findings of this report? [/INST] no evidence of amiodarone toxicity. </s> |
<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest. a left icd device is seen with its tip in the right ventricle. a right-sided chest tube has its tip in the medial right mid hemithorax. subcutaneous emphysema mostly on the right including the right pectoralis muscle as well as the right and left side of the neck is unchanged. small right apical pneumothorax is unchanged. tiny pleural effusions are unchanged. no consolidation. the cardiac, mediastinal, and hilar contours are normal.What are the key findings of this report? [/INST] <num>. unchanged right apical pneumothorax with chest tube in place. <num>. unchanged subcutaneous emphysema. </s> |
<s>[INST] frontal and lateral views of the chest. no prior. the lungs are clear without consolidation, effusion or pneumothorax. 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] single ap portable view of the chest was obtained. subtle perihilar opacities suggest mild vascular engorgement. however, there is subtle patchy opacity over the right upper hemithorax, and underlying infection at this location is not excluded. no large pleural effusion is seen. the cardiac and mediastinal silhouettes are similar with the cardiac silhouette mildly enlarged. no pneumothorax.What are the key findings of this report? [/INST] subtle patchy lateral right upper lung opacity could be due to infection in the appropriate clinical setting. perihilar haziness may be due to mild fluid overload. </s> |
<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] pa and lateral views of the chest were provided. the lungs are clear, though lung volumes are low. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] no definite signs of pneumonia. </s> |
<s>[INST] bilateral patchy pulmonary opacities appear slightly increased as compared to the prior study, particularly in the left lower lobe. patchy opacities involve the mid to lower lungs bilaterally. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. there is gaseous distention of partially imaged bowel.What are the key findings of this report? [/INST] patchy bilateral mid to lower lung opacities appear slightly increased as compared to the prior study, particularly in the left lower lobe, worrisome for worsened multifocal pneumonia, slightly progressed on the left. findings involve bilateral lower lobes and possibly right middle lobe and/or lingula. gaseous distention of partially imaged bowel. </s> |
<s>[INST] portable supine chest radiograph demonstrates an endotracheal tube, its tip which projects approximately <num> cm above the level of the carina. an enteric tube descends the thorax in uncomplicated course, its tip below the level of the diaphragm though out of the field-of-view. lungs demonstrate emphysematous changes and are hyperexpanded. there is no focal consolidation identified. cardiomediastinal and hilar contours are within normal limits. several bilateral chronic appearing rib fractures are noted. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] emphysematous changes. supportive devices appear appropriately positioned. </s> |
<s>[INST] there are low lung volumes. there is opacity in the right lung base medially with obscuration of the right heart border, concerning for pneumonia or aspiration. no other focal opacities. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is moderately enlarged, similar to prior exam.What are the key findings of this report? [/INST] opacity in the medial right lung base with obscuration of the right heart border, concerning for pneumonia or aspiration. </s> |
<s>[INST] lung volumes are low. this accentuates the size of the cardiac silhouette which is top normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. minimal streaky opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. a pectus deformity is noted. no acute osseous abnormalities are otherwise demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. there is no free air below the right hemidiaphragm. a mild scoliotic deformity is unchanged.What are the key findings of this report? [/INST] no acute intrathoracic process, specifically no evidence of pneumonia. </s> |
<s>[INST] increased opacification of the left lung for left lower lobe atelectasis and increased pleural fluid, which determines left apical capping. persists also atelectasis of the right base. heart size is <unk> <unk> assessable for left pleural effusion, but still enlarged. aortosclerosis.What are the key findings of this report? [/INST] new collapse of the left lower lobe with increased pleural effusion, which determines apical component. persists right base atelectasis. cardiomegaly. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are unremarkable. apart from mild atelectasis in the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen, although the left apex is somewhat obscured due to the patient's chin projecting over this region. the pulmonary vascularity is normal. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no radiographic evidence for pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest. again seen is increased opacity at the periphery of the right lung base laterally underlying rib deformities suggestive of prior trauma and underlying scarring which is unchanged. the lungs are otherwise clear and unremarkable. blunting of the posterior costophrenic angle is compatible the prominent extrapleural fat confirmed by prior ct scan. cardiac silhouette is slightly enlarged but stable in configuration. osseous and soft tissue structures are unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] chest pa and lateral radiograph demonstrates unremarkable cardiomediastinal and hilar contours. minimal bibasilar atelectasis is noted, right greater than left. no opacification concerning for pneumonia noted. no pleural effusion or pneumothorax evident. no osseous abnormalities identified.What are the key findings of this report? [/INST] normal chest radiograph. no pneumonia. </s> |
<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are unchanged. moderate pulmonary edema is not substantially changed compared to the prior exam. calcified pleural plaques, more pronounced within the right hemithorax, are re- demonstrated, with continued bibasilar airspace opacification, worse in the right lung base. overall, these findings appear similar compared to the prior exam. small bilateral pleural effusions are noted, and there is persistent chronic consolidation of the left upper lobe. no pneumothorax is demonstrated.What are the key findings of this report? [/INST] no substantial interval change compared to the radiograph obtained approximately <num> hours earlier. </s> |
<s>[INST] endotracheal tube tip <num> cm above carina. enteric tube tip in the proximal stomach. postoperative changes upper abdomen. extensive bilateral pulmonary infiltrates, mildly worsened in the right lower lung.What are the key findings of this report? [/INST] extensive lung infiltrates, mildly worsened in the right lower lung. </s> |
<s>[INST] again visualize or bilateral pleural effusions, small on the right, and moderate on the left. known right upper lobe nodules are not well seen on this study. bilateral apical lateral parenchymal scarring is again noted. the lungs are otherwise clear. cardiac and mediastinal silhouettes are stable. no acute fractures are identified.What are the key findings of this report? [/INST] again noted are bilateral pleural effusions, small on the right, moderate as seen on dedicated chest ct from <unk>. </s> |
<s>[INST] there is re-demonstration of pulmonary vascular congestion without frank interstitial edema. minimal bilateral lower lung atelectasis is again noted. moderate cardiomegaly is not significantly changed. a trace right pleural effusion is unchanged. there is no definite left pleural effusion. mediastinal contours are normal. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. pulmonary vascular congestion without frank interstitial edema. no focal consolidation. <num>. unchanged trace right pleural effusion. no definite left pleural effusion. <num>. unchanged moderate cardiomegaly. </s> |
<s>[INST] chronically increased interstitial markings again seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] tip of the right port-a-cath in terminates in the mid right atrium, unchanged. newly placed enteric tube courses to the body of the stomach. since the prior chest radiograph performed in <unk>, there has been interval development of bilateral small to moderate pleural effusions, left greater than right. dense left retrocardiac opacity likely represents atelectasis. no consolidation in the aerated portions of the lungs. no pneumothorax. heart size is normal.What are the key findings of this report? [/INST] <num>. new left greater than right pleural effusions, small to moderate. <num>. left retrocardiac opacity likely represents atelectasis. </s> |
<s>[INST] single frontal view of the chest was obtained. a tube plus catheter is seen projecting over the right hemithorax. there are bilateral pleural effusions with overlying atelectasis, underlying consolidation is difficult to exclude. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] bilateral pleural effusions with overlying atelectasis. underlying consolidation not excluded. </s> |
<s>[INST] portable ap upright view of the chest is provided. elevation is limited due to underpenetrated technique, though the possibility of pulmonary edema is impossible to exclude given the diffuse increased opacity within the lungs. evaluation for underlying pneumonia is limited. no acute bony abnormalities are seen.What are the key findings of this report? [/INST] limited study with possible pulmonary edema. please note evaluation markedly limited to underpenetrated technique and large body habitus. </s> |
<s>[INST] there is patchy consolidation at the left lung base localizing to the lower lobe on the lateral view. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s> |
<s>[INST] heart size is normal. calcifications are noted at the aortic knob. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs appear hyperexpanded with flattening of the diaphragm. lungs are grossly clear. pleural surfaces are clear without effusion or pneumothorax. bones are diffusely demineralized with mild to moderate anterior wedging of multiple thoracic vertebral bodies.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary abnormality. lungs are hyperexpanded. <num>. multiple mild to moderate anterior wedge compression deformities of the thoracic vertebral bodies, age indeterminate. </s> |
<s>[INST] ap upright frontal and lateral views of the chest were obtained. there are low lung volumes, which accentuate the bronchovascular markings. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is minimal interstitial edema. the cardiac and mediastinal silhouettes are unremarkable. there is persistent elevation of the right hemidiaphragm.What are the key findings of this report? [/INST] low lung volumes, which accentuate the bronchovascular markings. given this, there is minimal interstitial pulmonary edema. </s> |
<s>[INST] heart size is mildly enlarged. the aorta is diffusely calcified. mediastinal and hilar contours are unchanged. the lungs are hyperinflated. pulmonary vasculature is not engorged. scarring is again noted within the lung apices. mildly increased interstitial opacities are noted diffusely, which may reflect chronic changes. no focal consolidation, pleural effusion or pneumothorax is present multiple clips are noted at the gastroesophageal junction. partially seen are screws within the proximal left humerus.What are the key findings of this report? [/INST] no substantial interval change from the prior examination without definite radiographic evidence for pneumonia. </s> |
<s>[INST] one pacemaker lead is in the right atrium and the other is in the right ventricle. mild cardiomegaly. the mediastinal and hilar contours are normal. bibasilar atelectasis is slightly improved since yesterday. no focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] one pacemaker lead is in the right atrium and the other is in the right ventricle. no pneumothorax. </s> |
<s>[INST] <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] single ap portable chest radiograph demonstrates an enlarged heart. low lung volumes result in bronchovascular crowding. no large pleural effusion or pneumothorax is seen. there is no overt pulmonary edema. no acute osseous abnormality is seen.What are the key findings of this report? [/INST] no acute abnormality. stable cardiomegaly without overt pulmonary edema. </s> |
<s>[INST] compared to the prior study and allowing for differences in technique, i doubt significant interval change. on the lateral view, lead tips project anteriorly and posteriorly and could lie in relation to the right and left ventricles. small amount of subcutaneous emphysema is noted about the battery pack, compatible with recent surgery. there is hyperinflation consistent with copd. changes along the right mediastinum are consistent with known neo esophagus. rounded area of increased density in the lower middle mediastinum could also be related to the esophageal surgery. prominence of the pulmonary hila could reflect pulmonary hypertension. there is deformity and pleural thickening along the right chest wall consistent with prior trauma and/or surgery. multiple clips are seen posteriorly in the chest. there is blunting of both costophrenic angles posteriorly consistent with pleural fluid and/or thickening. no pneumothorax is detected.What are the key findings of this report? [/INST] leads extend over the right and left ventricles, respectively. small bilateral effusions. no pneumothorax detected. small amount of subcutaneous emphysema is noted about the battery pack compatible with recent surgery. cardiomediastinal silhouette is enlarged but unchanged. no overt chf. no focal consolidation. </s> |
<s>[INST] the patient is status post coronary artery bypass graft surgery. the heart is mildly enlarged. the lung volumes are low. the mediastinal and hilar contours are stable. a mild interstitial abnormality is similar to the earlier radiographs but more prominent than earlier on the same day, although apparent change may be due to differences in technique. there is minimal loss in several mid thoracic vertebral body heights, not significantly changed, with slightly exaggerated kyphotic curvature.What are the key findings of this report? [/INST] similar mild interstitial abnormality, probably due to vascular congestion, although not necessarily an acute finding. </s> |
<s>[INST] there is a new moderate pleural effusion on the left. there is associated atelectasis at the left base and a small amount of atelectasis at the right base. there are no consolidations. the cardiomediastinal silhouette is normal. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. new moderate left pleural effusion. <num>. bibasilar atelectasis without evidence of pneumonia. results were communicated with the patient's primary care doctor at <time> p.m. on <unk> via telephone by dr. <unk>. </s> |
<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. right lower lobe opacity is worrisome for pneumonia. the left lung is clear. there is no pleural effusion or pneumothorax. minimal biapical pleural thickening is stable. the cardiac and mediastinal silhouettes are stable. the cardiac silhouette is top normal. the aorta is slightly tortuous.What are the key findings of this report? [/INST] right lower lobe pneumonia. recommend followup to resolution. </s> |
<s>[INST] cardiomediastinal silhouette and hilar contours are unremarkable. the heart size and mediastinal width is exaggerated by ap technique and is not significantly changed to prior exam. there is some mild left base atelectasis. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. there is no subdiaphragmatic lucency to suggest pneumoperitoneum.What are the key findings of this report? [/INST] no acute intrathoracic process. no evidence of pneumoperitoneum. </s> |
<s>[INST] frontal and lateral views of the chest demonstrate normal lung volumes despite clear bullae at least in the lung apices. there is no focal consolidation or pleural abnormality. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. remote bilateral rib fractures are seen.What are the key findings of this report? [/INST] no pneumonia. emphysema. </s> |
<s>[INST] the cardiac silhouette is within normal limits. increased anterior posterior diameter of the chest cage is suggestive of copd. increased opacities at the lung bases bilaterally could reflect atelectasis with a probable component of bronchiectasis, however an early infectious process cannot be entirely excluded. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. increased bibasilar opacities likely reflect atelectasis with a possible component of bronchiectasis. an early infectious process, however cannot be entirely excluded in the appropriate clinical setting. <num>. increased anterior posterior diameter of the chest cage is suggestive of copd. findings discussed with <unk> by <unk> via telephone on <unk> at <time> am. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] comparison is made to prior study from <unk>. there is a right-sided central venous catheter with distal lead tip in the mid right atrium. this could be pulled back <num>-<num> cm for more optimal placement. there is an endotracheal tube whose distal tip is <num> cm above the carina at the level of the aortic knob, appropriately sited. the cardiac silhouette is upper limits of normal. there are airspace opacities bilaterally, most confluent in the left mid lung field. this may represent underlying infiltrate. there is also an infiltrate at the right base laterally, which appears stable. there are no signs for overt pulmonary edema. there are no pneumothoraces. the distal tip of the endotracheal tube is not included on the field of view of the study that cuts off the lung bases.What are the key findings of this report? [/INST] <num>. right central venous catheter tip in right atrium and could be pulled back <num>-<num> cm. <num>. bilateral opacities more confluent in the left lung. </s> |
<s>[INST] the lung volume is small. there is bilateral lower lobe atelectasis, left worse than right. the lungs are otherwise clear. small left-sided pleural effusion is new. no pneumothorax. the cardiomediastinal silhouette is unchanged. right clavicle fracture is unchanged.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. small left pleural effusion and bilateral lower lobe atelectasis. </s> |
<s>[INST] as compared to <unk>, mild pulmonary edema has worsened. moderate left-sided pleural effusion with adjacent opacities have not significantly changed. right basal opacity and effusion has slightly improved. moderate cardiomegaly with mitral annular calcifications and extensive calcifications of the aortic arch. mild pulmonary vascular congestion is unchanged.What are the key findings of this report? [/INST] stable moderate left effusion and adjacent opacity. improved right moderate effusion and adjacent likely atelectasis. mild pulmonary vascular congestion unchanged. </s> |
<s>[INST] asymmetric left predominant airspace opacities have resolved. a small to moderate right pneumothorax has increased. the heart and mediastinum are magnified by the projection.What are the key findings of this report? [/INST] increased small to moderate right apical pneumothorax. improved aeration of the left lung likely reflects resolving hemorrhage or edema. </s> |
<s>[INST] an endotracheal tube terminates approximately <num> cm above the carina. diffuse hazy opacity over the right hemithorax with associated blunting of the right costophrenic angle is likely secondary to a small to moderate-sized pleural effusion. retrocardiac and left lung base opacity persists, likely secondary to atelectasis and pleural fluid. there is no pneumothorax.What are the key findings of this report? [/INST] small to moderate right pleural effusion. persistent retrocardiac and left lower lobe opacity likely reflects a combination of atelectasis and pleural fluid. </s> |
<s>[INST] pa and lateral chest radiographs were provided. the right picc has been removed. there is no focal consolidation, pleural effusion, or pneumothorax. no pulmonary edema is present. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest are provided. there are streaky lower lung opacities which appear most compatible with pneumonic consolidation or possibly aspiration. upper lungs appear well aerated. no pleural effusion is seen. the heart and mediastinal contour appears normal. bony structures are intact.What are the key findings of this report? [/INST] lower lung opacities concerning for pneumonia. </s> |
<s>[INST] single portable view of the chest. there is chronic opacity at the left costophrenic angle known to at least be in part due to rounded atelectasis with possible superimposed effusion, and has not significantly changed. the remainder of the lungs are grossly clear. cardiomediastinal silhouette is stable. old healed mid left clavicular fracture is again seen.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s> |
<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is a <num> cm rounded opacity projecting over the left lower hemithorax, between the posterior left <unk> and <num>th ribs, stable since at least <unk>, and likely represents nipple shadow. similar finding is seen at the same level on the right. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] portable single frontal chest radiograph was obtained. there is a focal opacity overlying the left lung base, concerning for pneumonia. the heart size remains mildly enlarged with mild pulmonary vascular congestion. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. focal opacity overlying the left lung base concerning for pneumonia. <num>. mild cardiomegaly with pulmonary vascular congestion. </s> |
<s>[INST] a right pectoral mediport terminates in the low svc. a new bandlike opacity at the right base may be due to atelectasis or aspiration. the patient is status post esophagectomy with gastric pull-through. the cardiomediastinal silhouette is stable. there is also a stable trace right pleural effusion.What are the key findings of this report? [/INST] new atelectasis or aspiration. stable trace right pleural effusion. </s> |
<s>[INST] endotracheal tube is in standard position terminating <num> cm from the carina. enteric tube courses below the left hemidiaphragm, into the stomach and off the inferior borders of the film. lung volumes are low. cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. crowding of the bronchovascular structures is present without overt pulmonary edema. patchy opacities in the lung bases may reflect areas of atelectasis though aspiration or infection is not excluded, particularly in the retrocardiac region. no large pleural effusion or pneumothorax is identified on this supine exam. no displaced fractures are noted.What are the key findings of this report? [/INST] <num>. standard positioning of the endotracheal and enteric tubes. <num>. low lung volumes with probable bibasilar atelectasis. aspiration or infection at the lung bases is not completely excluded. </s> |
<s>[INST] the lungs are clear and minimally hyperinflated. there is minimal basilar atelectasis. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of chest were viewed. given low lung volumes, the cardiac <unk> are within normal limits. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there are no focal consolidations. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there has been interval improvement in the left effusion, now small and improvement in the right effusion, also small. bilateral opacities have diminished consistent with improving pulmonary edema. et tube, ng tube, feeding tube, right subclavian catheter are in unchanged satisfactory position. the cardiomediastinal silhouette is unchanged. no pneumothorax.What are the key findings of this report? [/INST] improvement in bilateral pleural effusions, now small and decrease in bilateral opacities, consistent with improving pulmonary edema. no pneumothorax. </s> |
<s>[INST] as compared to <unk>, the lung volumes remain low. known displaced right rib fractures. unchanged position of the right pigtail catheter. unchanged extent of a small right hemopneumothorax. the cardiac silhouette and the left lung, including the small retrocardiac atelectasis and small pleural effusion, remain unchanged.What are the key findings of this report? [/INST] stable right-sided small hemopneumothorax. </s> |
<s>[INST] the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is top-normal in size. the mediastinum is not widened. no acute osseous abnormality.What are the key findings of this report? [/INST] <num>. no pneumonia. <num>. top-normal heart size. </s> |
<s>[INST] lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap and lateral views of the chest. there is a moderate to large right-sided pleural effusion. there is also moderate left pleural effusion as well. there is no pneumothorax. cardiomediastinal silhouette is difficult to assess. superiorly the lungs are clear.What are the key findings of this report? [/INST] moderate to large right and moderate left pleural effusion. probable underlying atelectasis noting infection is not excluded. </s> |
<s>[INST] the tracheostomy tube appears in relatively horizontal orientation, unchanged from prior examination. however, complete assessment is difficult in this single view. a right picc line terminates in the region of the right subclavian vein. feeding tube projects below the contours of the diaphragm, the tip is not included in this examination. there is diffuse mediastinal widening, consistent with known thyroid mass, unchanged from prior examinations. cardiac silhouette is stable. widespread pulmonary metastases are again demonstrated. right lower lung opacity is slightly increased, likely related to a combination of atelectasis and pleural fluid. the left lung is clear.What are the key findings of this report? [/INST] <num>. slightly increased right lower lung opacity, likely related to a combination of atelectasis and pleural fluid. <num>. unchanged mediastinal contour, in keeping with history of large thyroid mass. </s> |