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<s>[INST] low lung volumes. 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] low lung volumes, but otherwise normal chest radiograph. </s> |
<s>[INST] left-sided aicd device is noted with single lead terminating in unchanged position in the right ventricle. mild enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a mildly enlarged heart, unchanged. median sternotomy wires are intact. paramediastinal radiation fibrosis is unchanged, allowing for differences in inspiration. there may be slightly decreased volume in the right lower lobe, with mild rightward shift of the mediastinum. there is a new focal opacity in the left upper lung, as well as increased opacity in the right lung. bilateral pleural effusions, right greater than left, right increased. there is no pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. new focal opacity in the left upper lung, as well as more diffusely in the right lung. these are evaluated in greater detail on cta chest from the same day. <num>. increased bilateral pleural effusions, right greater than left. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest are provided. the lungs appear clear without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. please refer to same day chest ct for further details. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] double ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] interval decrease in size of right pleural effusion status post thoracentesis. no pneumothorax is seen. there is a persistent small left pleural effusion with adjacent opacity suggestive of atelectasis, although pneumonia cannot be entirely excluded. no pulmonary edema. stable cardiac and mediastinal contours. </s> |
<s>[INST] the swan-ganz catheter terminates in the right pulmonary artery. left pectoral transvenous pacer defibrillator lead projects over the right ventricle. the heart is severely enlarged, unchanged compared to multiple priors. the mediastinal silhouette is unremarkable. there is no focal consolidation or pulmonary edema. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. the swan-ganz catheter terminates in the right pulmonary artery. <num>. severe cardiomegaly without manifestations of cardiac decompensation. </s> |
<s>[INST] a left-sided picc terminates at the lower svc. the heart size is normal. the hilar and mediastinal contours are within normal limits. a moderately calcified aortic arch is unchanged. small bilateral pleural effusions are markedly decreased in size since the <unk> examination. there is no vascular congestion or pulmonary edema. there is no pneumothorax or superimposed consolidation.What are the key findings of this report? [/INST] marked interval decrease in size of bilateral pleural effusions, now small. no pulmonary vascular congestion. normal heart size. </s> |
<s>[INST] as compared to the most recent prior examination, the previously identified perihilar opacities have now mostly resolved. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. the aorta is again noted to be calcified and somewhat tortuous. there is no bony abnormality detected.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s> |
<s>[INST] compared with the prior radiograph, the degree of right pulmonary edema has decreased, and overlying surgical <unk> of been removed. severe atelectasis of the left lower lobe and left pleural effusion are unchanged. cardiomegaly is stable, as are intact median sternotomy wires and mediastinal clips. thoracostomy tube is unchanged.What are the key findings of this report? [/INST] interval decrease in the degree of pulmonary edema, with no change in the left lower lobe atelectasis and left pleural effusion. </s> |
<s>[INST] single portable ap chest radiograph demonstrates an enlarged heart. pulmonary vascular redistribution, left pleural effusion and interstitial edema, most compatible with congestive heart failure. no focal consolidation concerning for pneumonia is identified. there is no pneumothorax. visualized osseous structures demonstrate no acute abnormality. surgical <unk> are again demonstrated in the left axilla.What are the key findings of this report? [/INST] enlarged heart, pulmonary edema and left lower lobe pleural effusion, present on prior examinaion and unchanged, most consistent with mild congestive heart failure. </s> |
<s>[INST] pa and lateral views of the chest provided. left chest wall pacer is seen with leads extending to the region the right atrium and right ventricle. mild left basal atelectasis is noted. otherwise lungs are clear. no large effusion or pneumothorax. no convincing signs of pneumonia or edema. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. </s> |
<s>[INST] lobular enlargement of the right hilus is unchanged since <unk>. chest radiograph one <unk> also shows right hilar adenopathy, but probably not as large. aside from mild right lower lobe atelectasis, lungs are clear. heart size is stable. other central adenopathy seen on the recent cta is not apparent on the conventional radiograph. the peripheral pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] <num>. right hilar adenopathy or mass is better evaluated on the cta dated <unk>, stable since <unk> have been present to some degree in <unk>. <num>. likely mild right basilar atelectasis, although developing pneumonia cannot be ruled out. </s> |
<s>[INST] the heart size is normal. the aorta is mildly unfolded. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] markedly worsened left mid, lower lung consolidation. new right upper lung infiltrate. findings suggest progressive pneumonia. trace pleural effusion. normal heart size. remainder normal. .What are the key findings of this report? [/INST] pulmonary infiltrates, suggest bilateral pneumonia. trace pleural effusion </s> |
<s>[INST] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] new small left pleural effusion since <unk>. focal pulmonary abnormality with increased opacification left lung base, which could be secondary to infection or infarct post operatively. right lung atelectasis. no pulmonary edema or pneumothorax. cardiomediastinal contours and hila are stable. the right picc line appears intact and unchanged in position. bilateral tiny crescentic lucencies under the diaphragm, consistent with pneumoperitoneum postoperatively. surgical coils in the right upper quadrant appear intact and unchanged in position a portion of the drain in the right upper quadrant also appears intact and unchanged.What are the key findings of this report? [/INST] <num>. new small left pleural effusion since <unk>. <num>. new focal left lower lung abnormality, either from infection or infarct post-operatively. <num>. bilateral tiny pneumoperitoneum, consistent with post-abdominal surgery status. </s> |
<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. note is made of a left nipple ring. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest were compared to previous exam from <unk>. the lungs are clear of confluent consolidation. bibasilar opacities seen, more notably on the right than on the left, likely due to atelectasis, and less conspicuous when compared to prior exam. there is no pleural effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are notable for hypertrophic changes in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are within normal limits. lungs are clear. no pleural effusion or pneumothorax is seen. no pulmonary vascular congestion is noted. multiple clips are re- demonstrated in the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] pa and lateral views of the chest. a small to moderate right pleural effusion is new compared to most recent study. a right lower lobe opacity has persisted since <unk> may represent pneumonia. left lung is clear. there is no left pleural effusion. aortic and mitral valve replacement and tricuspid annuloplasty are seen. sternotomy wires are in place. no pneumothorax. moderate cardiomegaly is unchanged. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. increased right pleural effusion, now small to moderate. <num>. right lower lobe opacity may represent pneumonia. the other opacities in the right lung have resolved. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. cardiomediastinal hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] overall no significant interval change from the most recent exam. bilateral extensive opacities, most prominent in the perihilar regions, could be secondary to pulmonary edema and underlying pneumonia. some degree of pulmonary hemorrhage given the clinical history is also possible. mild cardiomegaly is overall unchanged. no pneumothorax. superimposed plate pleural effusions are likely but difficult to fully assess on a background bilateral increased opacities.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] pneumomediastinum and extensive subcutaneous emphysema appears unchanged. possible small stable right pneumothorax, although this may just represent overlying subcutaneous emphysema. status post median sternotomy with stable overall cardiac and mediastinal contours. a right internal jugular port-a-cath remains unchanged in position. bibasilar opacities are again seen suggestive of atelectasis, although the appearance is slightly more consolidative at the left base raising concern for developing pneumonia. no pulmonary edema. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] the 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] the lungs are well expanded, without focal opacities. there is mild vascular upper redistribution. the heart is moderately enlarged, mostly from right ventricular contribution. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] volume overload in the setting of moderate cardiomegaly mostly from right ventricular enlargement. </s> |
<s>[INST] ap and lateral views of the chest were reviewed. the heart size is top normal. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. mild prominence of the pulmonary vasculature is consistent with mild pulmonary edema.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] there is no displaced rib fracture. there is no pleural effusion or pneumothorax. vague opacities in the left low lung are likely from atelectasis or aspiration. bronchiectasis is better seen on the chest ct. heart is mildly enlarged. the mediastinal and hilar structures are unremarkable.What are the key findings of this report? [/INST] no rib fracture or pneumothorax. </s> |
<s>[INST] one portable upright chest x-ray. chest tube seen ending in the medial lower right hemithorax. no pneumothorax is seen. small bilateral pleural effusions are unchanged. there is left lower lobe atelectasis. the right internal jugular catheter and endotracheal tubes have been removed. the previously seen nodule in the left lung is not well seen on this study. no consolidation.What are the key findings of this report? [/INST] <num>. no pneumothorax. chest tube is in the medial lower right hemithorax. <num>. unchanged small bilateral pleural effusions. left lower lobe atelectasis. </s> |
<s>[INST] pa and lateral radiographs of the chest demonstrate clear lungs. the nodular opacity in the right apex seen on the prior study is no longer apparent, and was not definitively seen on multiple prior radiographs. as noted previously, the patient does have apical pleural scarring at this location as demonstrated on the ct from <unk>. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. the patient is status post sternotomy and the cerclage wires are all intact. the pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. right apical nodule, not well seen on this study. ct is preferred for further characterization if the patient is amenable. </s> |
<s>[INST] chest, pa and lateral. the lungs are hyperinflated and clear. moderate cardiomegaly, particularly involving the right heart is unchanged. the hilar and mediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. median sternotomy cerclage wires are intact and there are surgical clips in the mediastinum.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. hyperinflation of the lungs is suggestive of copd. </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] small right-sided pleural effusion with fluid along <num> minor for sure is stable in appearance. no interstitial pulmonary edema. known left-sided effusion. the heart is mildly enlarged.What are the key findings of this report? [/INST] stable appearance of the small right-sided pleural effusion. </s> |
<s>[INST] there is a small left pleural effusion as well as small left lower lobe airspace opacity. the lungs are otherwise clear. there is no pneumothorax. heart and mediastinum are unremarkable. no pulmonary edema.What are the key findings of this report? [/INST] small left pleural effusion as well as a small region of left lower lobe consolidation. if clinical presentation is not convincing for pneumonia, pulmonary embolism should be considered. </s> |
<s>[INST] there are hazy bibasilar opacities. superiorly, lungs are clear. moderate cardiac enlargement is unchanged. there is rightward deviation of the trachea at the thoracic inlet due to a known underlying left-sided thyroid enlargement. tortuosity of the descending thoracic aorta is again noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] hazy bibasilar opacities, potentially atelectasis, infection is not excluded. </s> |
<s>[INST] portable chest radiograph demonstrates interval placement of tracheostomy tube. no evidence of pneumomediastinum or pneumothorax, however a pneumoperitoneum is evident. unchanged contours of the cardiomediastinal and hilar borders. right-sided subclavian catheter with tip in the distal svc. lungs are clear. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] interval placement of tracheostomy tube. no pneumomediastinum; however intraperitoneal air is evident, likely due to recent percutaneous gastrostomy tube (placement confirmed with dr <unk> at <time> on <unk>). </s> |
<s>[INST] there are relatively low lung volumes. no focal consolidation is seen. large hiatal hernia is seen. there is slight blunting of the posterior costophrenic angles may be due to atelectasis, however, trace pleural effusion not excluded. cardiac and mediastinal silhouettes are stable. no pneumothorax is seen. there is no overt pulmonary edema. degenerative changes of the partially imaged glenohumeral joints again noted.What are the key findings of this report? [/INST] large hiatal hernia. slight blunting of the posterior costophrenic angles on the lateral view may be due to atelectasis, but trace pleural effusion not excluded. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. 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] shallow inspiration. central line in place with tip in the right atrium, stable. minimal bibasilar opacities, likely atelectasis, more prominent since prior. no pleural effusions. shallow inspiration accentuates heart size, pulmonary vascularity. no pneumothorax.What are the key findings of this report? [/INST] minimal bibasilar opacities, likely atelectasis in the setting of shallow inspiration. </s> |
<s>[INST] lung volumes are low. the heart remains mild to moderately enlarged but unchanged. the mediastinal and hilar contours are stable, with mild calcification at the aortic knob again demonstrated. mild to moderate hiatal hernia is also unchanged. there is mild pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. degenerative changes of the thoracic spine are redemonstrated.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] a right chest port-a-cath tip projects over the expected region of the svc-ra junction, new from <unk>. lung volumes are low. bibasilar streaky opacities are most likely atelectasis. increased opacity in the right lower lobe is concerning for pneumonia. no pleural effusion or pneumothorax. cardiomediastinal silhouette is similar in appearance to prior exam. the descending thoracic aorta is tortuous, similar the prior exam. appearance of the trachea is similar the prior exam and ct from <unk>.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis and bronchovascular crowding. subtle increased right lower lobe opacity is concerning for early bronchopneumonia given the provided history. recommend repeat radiograph <unk> weeks after treatment to ensure resolution. recommendation(s): chest radiograph in <unk> weeks after treatment to ensure resolution. </s> |
<s>[INST] ap upright and lateral views of the chest were provided. large body habitus limits evaluation. allowing for this, the lungs appear clear without focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours appear normal. bony structures appear intact.What are the key findings of this report? [/INST] no definite signs of pneumonia, somewhat limited study due to large body habitus. </s> |
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute disease </s> |
<s>[INST] single frontal view of the chest demonstrates interval placement of a new right picc with tip in the upper svc. a left pectoral dual-lead cardiac pacer/aicd has leads terminating in the coronary sinus and right ventricle, unchanged. compared to preceding exam, there has been interval improvement of pulmonary edema. the cardiac silhouette remains mildly prominent but is likely accentuated by ap technique. allowing for patient rotation, the mediastinal and hilar contours are within normal limits. the lungs appear relatively well aerated. there is no confluent consolidation or large effusion.What are the key findings of this report? [/INST] <num>. no definite evidence to suggest pneumonia. <num>. interval improvement of pulmonary edema since <unk>. <num>. interval placement of a new right picc. </s> |
<s>[INST] diffuse micronodular interstitial prominence may be secondary to viral or atypical infection. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable. dish is noted along the spine.What are the key findings of this report? [/INST] diffuse mild micronodular interstitial prominence, which could be secondary to viral or atypical infection. findings were reported to <unk> by <unk> by telephone at <time> p.m. on <unk> at the time of the discovery of these findings. </s> |
<s>[INST] heart size is normal. mediastinal contours are unremarkable. hilar contours are prominent suggestive of underlying pulmonary arterial enlargement. relative paucity of pulmonary vascular markings towards the apices indicates underlying emphysema. streaky and patchy opacities are seen within the right mid lung field of both lung bases, potentially areas of atelectasis and/or infection. no large pneumothorax or pleural effusion is detected on this supine exam. multiple bilateral rib fractures are noted, potentially related to recent resuscitation.What are the key findings of this report? [/INST] emphysema and probable underlying pulmonary arterial hypertension. patchy opacities within the right mid lung and both lung bases, potentially atelectasis and/or infection. multiple bilateral rib fractures which may be related to recent resuscitation, without large pneumothorax identified. </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] ap portable upright view of the chest provided. overlying ekg leads are noted. the lungs are clear bilaterally. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. atherosclerotic calcifications at the aortic arch noted. clips in the right upper quadrant noted. there is a levoscoliosis centered at the upper lumbar spine. bony structures otherwise unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] overlying trauma board somewhat limits evaluation. the endotracheal tube is <num> cm above the carina. an enteric tube courses into the first portion of the duodenum. the lung volumes are low, however, the lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. no displaced rib fractures.What are the key findings of this report? [/INST] endotracheal tube <num> cm above the carina. </s> |
<s>[INST] single frontal view of the chest demonstrates prominent cardiac silhouette. the mediastinal and hilar contours are within normal limits. there may be mildly increased perihilar vascular markings as compared to <unk>, but this is confounded by under penetration . there is no pneumothorax or large effusion. there is no confluent consolidation to suggest pneumonia.What are the key findings of this report? [/INST] no definite evidence of pneumonia. cannot exclude mild vascular congestion. </s> |
<s>[INST] the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. the heart is normal size. the mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is a moderate right pleural effusion that has increased compared to prior exam. there is volume loss in the right lung and consolidation. there is alveolar infiltrate in the left lower lung. there is a small left effusion. there is mild pulmonary vascular redistribution.What are the key findings of this report? [/INST] bilateral infiltrates right greater than left with bilateral effusions right greater than left. </s> |
<s>[INST] pa and lateral chest radiographs were obtained. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. there are no acute skeletal abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded and clear without any consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. cholecystectomy clips are seen the upper abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is a somewhat heterogeneous but generally diffuse mild interstitial abnormality suggesting slight pulmonary congestion. one of two views shows a slightly more confluent right upper lobe opacity of uncertain significance, quite vague, and there is also focal left infrahilar opacity. there is no definite pleural effusion or pneumothorax.What are the key findings of this report? [/INST] findings suggesting mild vascular congestion. more focal patchy right upper lobe and left infrahilar opacities of uncertain significance but possibly due to coinciding atelectasis or scarring. if developing infection is a clinical consideration then short-term followup radiographs could be considered. </s> |
<s>[INST] feeding tube tip is in the mid stomach. heart is enlarged, stable. borderline pulmonary vascularity, stable. no pulmonary edema. minimal left basilar opacity, likely atelectasis.What are the key findings of this report? [/INST] feeding tube tip is in the mid stomach. </s> |
<s>[INST] mild cardiomegaly is again seen. mediastinal and hilar contours are otherwise unremarkable. mild eventration of the anterior right hemidiaphragm is again noted. a calcified granuloma is again seen at the left apex. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax. minimal anterior wedging of a mid thoracic vertebral body is unchanged dating back to <unk>.What are the key findings of this report? [/INST] no evidence for acute cardiopulmonary abnormalities. </s> |
<s>[INST] the inspiratory lung volumes are low. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest demonstrate a mildly enlarged cardiac silhouette. there are diffuse atherosclerotic calcifications of the aorta. there is mild opacification of the left lung base that may represent an area of atelectasis. an old compression deformity of the mid thoracic spine is unchanged.What are the key findings of this report? [/INST] mild left basilar atelectasis but no definite radiographic evidence of pneumonia. </s> |
<s>[INST] ap upright and lateral views of the chest provided. lung volumes markedly low. cardiomegaly is mild. the aorta appears unfolded. mild lower lung atelectasis without convincing signs of pneumonia or edema. no large effusion or pneumothorax is seen. bony structures are intact.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] the lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the heart is at the upper limits of normal size. there is moderate tortuosity of the thoracic aorta. a small eventration is noted along the anterior right hemidiaphragm. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no suggestion of hiatal hernia on these radiographs. the bones are probably demineralized to some degree. mild degenerative changes involve the mid thoracic spine and left acromioclavicular joint.What are the key findings of this report? [/INST] no evidence of acute disease. tortuous aorta, often seen in the setting of hypertension. no evidence for hiatal hernia. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion, or pneumothorax. the aorta is tortuous and ectatic. the heart size is normal.What are the key findings of this report? [/INST] torturous and ectatic aorta. no acute intrathoracic process. </s> |
<s>[INST] there is minimal bibasilar atelectasis/scarring. the heart is mild to moderately enlarged, not significantly changed. the descending thoracic aorta is tortuous, as before. there are no pleural effusions. no pneumothorax is seen. note is made of a diffusely sclerotic thoracic vertebral body, better assessed on the subsequent chest ct from <unk>.What are the key findings of this report? [/INST] <num>. no acute cardiac or pulmonary process. <num>. diffusely sclerotic thoracic vertebral body, better assessed on subsequent chest ct. the differential diagnosis includes metastatic disease and lymphoma. <num>. mild-to-moderate cardiomegaly, not significantly changed. </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.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. there is no pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. a patchy new left basilar opacity suggests atelectasis but is not specific. a left chest port-a-cath tip terminates at the cavoatrial junction. the cardiac and mediastinal contours are normal. right third and fourth rib fractures were already present before.What are the key findings of this report? [/INST] patchy new left basilar opacity, probably atelectasis but not specific. </s> |
<s>[INST] pacemaker wires end in the right atrium and right ventricle. there are mild atherosclerotic calcifications of the aortic arch. the cardiomediastinal silhouette and hila are otherwise normal. there is no pleural effusion, no pneumothorax. prominent right thyroid lobe.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s> |
<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s> |
<s>[INST] an endotracheal tube is seen terminating <num> cm above the level of the carina. an orogastric tube is seen with its tip projected over the stomach. lung volumes are low. there is minimal bibasilar atelectasis. again the heart appears enlarged, but this may be due to technique. the mediastinal contours appear within normal limits. the bony structures are intact.What are the key findings of this report? [/INST] endotracheal tube terminates <num> cm above the level of the carina and an orogastric tube is seen with its tip projected over the stomach. minimal bibasilar atelectasis. no other significant change from the prior examination. </s> |
<s>[INST] pa and lateral views of the chest provided. subtle opacities in lower lungs likely represent atelectasis. an early pneumonia difficult to exclude. no large effusion or pneumothorax. cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] subtle opacities in lower lungs, most compatible with atelectasis, though an early pneumonia not excluded. </s> |
<s>[INST] the cardiac silhouette size is top normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] there is a right basilar opacity which may reflect pneumonia. the heart size is normal. the mediastinal contours are normal. there is a small hiatal hernia, best seen on the lateral radiograph.What are the key findings of this report? [/INST] right basilar opacity may reflect pneumonia. </s> |
<s>[INST] a right-sided port-a-cath is seen and terminates in the distal svc as before. lung volumes are somewhat low. the heart is normal in size. there it is some bronchovascular crowding, likely related to low lung volumes. there are likely trace bilateral pleural effusions. note is made of a retrocardiac opacity, new from the prior exam. no large free air is seen on this semi-erect view. a biliary stent projects in the upper abdomen. there is sclerosis involving a right sided rib and multiple thoracic vertebral bodies.What are the key findings of this report? [/INST] no large free air seen on this semi-erect view. if there is high clinical suspicion for pneumoperitoneum, ct scan should be considered. trace bilateral pleural effusions. retrocardiac opacity could represent atelectasis or infection. a lateral view may be helpful with full inspiration. </s> |
<s>[INST] pa and lateral views of the chest were reviewed and compared to the prior studies. a large right pleural effusion has significantly increased since <unk> and there is presumed right middle and right lower lobe atelectasis. the left lung is clear without evidence of focal consolidation, pulmonary edema or left-sided pleural effusion. there is no pneumothorax. evaluation of cardiac size is limited due to the large right pleural effusion however, it is relatively unchanged. the mediastinal contours are stable and calcification within the aortic arch is again noted.What are the key findings of this report? [/INST] large right-sided pleural effusion has increased since <unk>. findings were telephoned to dr. <unk> by dr. <unk> at <time> p.m. at the time of discovery. </s> |
<s>[INST] frontal and lateral radiographs of the chest show no focal parenchymal opacity to suggest pneumonia. no pleural effusion, pulmonary edema or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is mildly enlarged, but stable. the mediastinal contours are prominent but unchanged, with unfolding of the thoracic aorta. the hilar contours are within normal limits. mild separation of the uppermost three sternal wire sutures is unchanged and alignment is intact. epicardial wires are still in place extending superficially and out of view on the lateral radiograph. no retrosternal collection or fragmentation of sternal wires is seen to suggest active infection.What are the key findings of this report? [/INST] no acute cardiopulmonary process. mild cardiomegaly stable since at least <unk>. </s> |
<s>[INST] the lungs are clear besides mild left basilar atelectasis. cardiomediastinal silhouette is within normal limits. left chest wall vagal nerve stimulator is noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] portable semi-erect chest <unk> at <time> is submitted.What are the key findings of this report? [/INST] right mid to lower lung bronchial stent is again seen. there is increasing consolidation in the right medial lung base with associated cavitation, right mid lung, left mid lung and left lower lobe which are concerning for worsening multifocal pneumonia. underlying malignancy cannot be excluded. no pulmonary edema. no pneumothorax. stable cardiac and mediastinal contours. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate mild atelectasis at the right base. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. old healed right rib fracture.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is some atlectasis at the right base, but the lungs are otherwise clear. there is no evidence of pneumonia. the aorta is mildly tortuous but the heart is normal in size. the hilar contours are normal. the pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. several chronic right rib deformities are redemonstrated. compression deformity of a mid-thoracic vertebral body is similar to prior. no radiopaque foreign body.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear with no sign of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.What are the key findings of this report? [/INST] no evidence of an acute cardiopulmonary process. </s> |
<s>[INST] cardiac silhouette is upper limits of normal in size, similar to recent chest radiograph of <unk>, but slightly increased from the earlier radiograph of <unk>. on the lateral chest radiograph, there are apparent small bilateral pleural effusions, new since <unk>. minimal adjacent basilar lung opacities are present. the remainder of the lungs are clear except for unchanged relatively symmetrical bi-apical scarring.What are the key findings of this report? [/INST] small bilateral pleural effusions with minimal adjacent basilar lung opacities, which likely reflect atelectasis. no definite pneumonia, but followup radiographs may be helpful if symptoms persist in order to exclude a subtle basilar pneumonia. </s> |
<s>[INST] lungs are well expanded. cardiac silhouette appears to be mildly enlarged; however, this could be due to the ap technique. cardiomediastinal contours are unremarkable. lungs are clear. no pleural effusions and no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] normal radiographic study of the chest. </s> |
<s>[INST] moderate pulmonary edema has improved since the <unk> examination. the heart remains enlarged. extensive calcifications of the aortic arch are again seen. a tracheostomy tube is properly positioned. a left picc terminates at the upper svc. the right-sided loculated effusion is unchanged in size. a nondisplaced right clavicular fracture is unchanged over multiple recent prior radiographs.What are the key findings of this report? [/INST] <num>. improved moderate pulmonary edema. <num>. unchanged loculated right pleural effusion. <num>. minimally changed right clavicle fracture. </s> |
<s>[INST] lung volumes are low, resulting in bronchovascular crowding. the heart is mildly enlarged. there is bibasilar atelectasis. no pneumothorax or pleural effusion. known intra-abdominal free air is better assessed on ct of the abdomen pelvis dated <unk>.What are the key findings of this report? [/INST] known intra-abdominal free air is better assessed on ct abdomen pelvis dated <unk>. </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. included upper abdomen is unremarkable. osseous structures are grossly intact.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the lungs are well inflated without evidence of focal consolidation. there is no pulmonary edema, pneumothorax, or pleural effusion. there are minimal retrocardiac atelectasis. the cardiomediastinal silhouette and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process </s> |
<s>[INST] there is an irregular, rounded density projecting over the right heart border at the level of the posterior ninth rib on the frontal radiograph with an unclear correlate on the corresponding lateral view in the right lower lobe. there is also irregular thickening of the pleura involving the right apex along the lateral border adjacent to the right shoulder. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. no skeletal abnormalities are noted.What are the key findings of this report? [/INST] irregular rounded density projecting over the right heart border and irregular pleural thickening involving the lateral right apex are unclear in etiology. a followup ct or short-interval chest radiograph is recommended for further evaluation. findings were discussed by dr. <unk> with dr. <unk> by phone at <time> p.m. on <unk>. </s> |
<s>[INST] the heart is mildly enlarged with left ventricular configuration. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. blunting of the left costophrenic angle suggests perhaps a very small pleural effusion or atelectasis. chain suture material is new since the earlier examination along the right upper lung. otherwise, the lungs appear clear.What are the key findings of this report? [/INST] blunting of the left costophrenic sulcus that may suggest a small effusion and post-surgical change in the right upper lung; otherwise unremarkable. </s> |
<s>[INST] faint opacification at the lateral aspect of the lungs bilaterally is thought to represent underpenetration of soft tissues. the lungs are otherwise symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are slightly prominent related in part to tortuosity of the thoracic aorta. there is no evidence of pneumomediastinum. 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 evidence of pneumomediastinum or free air beneath the right hemidiaphragm. </s> |
<s>[INST] <num> views were obtained of the chest. the lungs are low in volume but 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] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest. lateral view is limited secondary to patient's arms being down by her side. the lungs appear clear of consolidation, large effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. the aorta however is tortuous with dense atherosclerotic calcifications noted particularly at the arch. surgical clips project over the right axilla and right upper quadrant. no displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] a left picc is unchanged in position with the tip terminating in the mid svc. the course of the line is unremarkable. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen shows no air beneath the right hemidiaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |