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<s>[INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding chest examination of <unk>. on the present examination, the diaphragms are in higher position indicating poor inspirational effort. this coincides with bilateral plate atelectasis, crowded appearance of pulmonary vasculature. although diaphragms are elevated, there is no conclusive evidence for any pleural effusion accumulating in the lateral pleural sinuses. a right-sided basal density is seen on the frontal view, represents an atelectasis, which has increased in size. in the left hemithorax and mid lung field, a lateral focal parenchymal density has developed and appears to be in contact with the pleural space. on the lateral view, there is evidence of mild blunting at the posterior pleural sinuses. the frontal view does not disclose any pneumothorax on either side in the apical area. heart size is grossly unchanged and there is no evidence of acute pulmonary vascular congestion.What are the key findings of this report? [/INST] poor inspirational effort in this patient status post colectomy, with bilateral basal plate atelectasis and crowded pulmonary vasculature. a local peripheral infiltrate has developed on the left lung mid portion. this is not typical for metastases, but could be explained as small pulmonary infarction and has developed during the latest examination interval since <unk>. </s> |
<s>[INST] the heart size is top normal. the hilar and mediastinal contours are normal. the aorta is tortuous. the lungs are clear without evidence of focal consolidations concerning for pneumonia. surgical clips again seen within the neck on the right. there is no pleural effusion or pneumothorax. old healed right posterolateral rib fractures are unchanged compared to the prior exam. healed left-sided rib fractures are also noted.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s> |
<s>[INST] pa and lateral views of the chest were provided demonstrating clear well-expanded lungs without focal consolidation effusion or pneumothorax. tiny clips project over the breasts bilaterally. there is no effusion or pneumothorax. the heart and mediastinal contours are normal. no acute osseous abnormality. no displaced rib fracture is identified.What are the key findings of this report? [/INST] no acute findings. </s> |
<s>[INST] ap portable upright view of the chest. no free air is seen below the right hemidiaphragm. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. no signs of free air below the right hemidiaphragm. </s> |
<s>[INST] assessment is slightly limited by patient rotation. cardiac silhouette size appears within normal limits. mediastinal and hilar contours are grossly unremarkable. lungs are hyperinflated with attenuation of pulmonary vascular markings towards the apices likely reflective of underlying emphysema. streaky opacities in the lung bases may reflect areas of atelectasis. no focal consolidation, large pleural effusion, or pneumothorax is identified. no acute osseous abnormality is demonstrated.What are the key findings of this report? [/INST] limited study. streaky atelectasis within the lung bases. emphysema. </s> |
<s>[INST] previously visualized right internal jugular central venous catheter has since been removed. post-surgical changes are visualized with intact median sternotomy wires, surgical clips and coils. calcifications are again noted at the aortic arch. in comparison to prior study from <unk>, lung aeration has improved bilaterally. mild atelectatic changes are again visualized at the left lung base. there is a small right pleural effusion, decreased in comparison to the prior study.What are the key findings of this report? [/INST] improved areation of the lungs in comparison to the prior study from <unk> with a decrease in small right pleural effusion. </s> |
<s>[INST] pa and lateral views of the chest provided. peg tube is noted. gas-filled loops of small bowel and gaseous distention of the stomach is noted. no free air is seen below the right hemidiaphragm. the lungs are clear. no focal consolidation, effusion or pneumothorax is seen. the aorta is unfolded. the heart size is normal. old healed left rib deformities are noted.What are the key findings of this report? [/INST] abnormal dilated appearance of small bowel in the upper abdomen better assessed on the same day abdominal radiograph. no signs of free air. </s> |
<s>[INST] heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. lung volumes are low which causes crowding of the bronchovascular structures, but there is no evidence of overt pulmonary edema. patchy opacities in the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. bilateral pleural thickening or subpleural fat is noted laterally. multilevel degenerative changes are seen throughout the thoracic spine. no displaced fractures are visualized.What are the key findings of this report? [/INST] mild bibasilar atelectasis. no displaced fractures are visualized. </s> |
<s>[INST] frontal and lateral views of the chest are obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no focal consolidation. normal heart size. </s> |
<s>[INST] pa and lateral views of the chest provided. left chest wall pacer device is again seen with leads extending into the region the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are again noted. there is also a prosthetic cardiac valve. cardiomegaly is unchanged with an unfolded calcified thoracic aorta again noted. there are small bilateral pleural effusions causing blunting at the cp angles bilaterally. no signs of edema or pneumonia. no pneumothorax. mediastinal contour stable. bony structures are intact.What are the key findings of this report? [/INST] stable cardiomegaly with small bilateral pleural effusions. </s> |
<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] tracheostomy tube, bilateral internal jugular central lines, and feeding tube are likely unchanged, although the tip of the feeding tube is not identified on the current study. lung volumes remain markedly diminished with crowding of the vasculature. patchy opacity at both lung bases, left greater than right, favoring atelectasis, although superimposed pneumonia cannot be excluded. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] there is a large right pleural effusion, which obscures the right heart border. there is no mediastinal shift indicating underlying associated atelectasis. the mediastinal silhouette and pulmonary vasculature are unremarkable. the left lung is clear. there is no pneumothorax.What are the key findings of this report? [/INST] large right pleural effusion, increased since prior. </s> |
<s>[INST] no pleural effusion or pneumothorax. bilateral infrahilar parenchymal opacities is probably atelectasis. there is pulmonary vascular congestion. there is mild to moderate interstitial edema. the heart is top-normal in size.What are the key findings of this report? [/INST] findings suggestive of volume overload/heart failure. no definite pneumonia. </s> |
<s>[INST] there is patchy opacification at the right base, which is localized to the right lower lobe on the lateral. mild to moderate pulmonary edema, with small bilateral pleural effusions. hyperinflation. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. patchy opacification of right base, representing right lower lobe pneumonia. <num>. mild to moderate pulmonary edema with small bilateral pleural effusions, representing volume overload. <num>. hyperinflation. </s> |
<s>[INST] subpleural fibrotic changes compatible with nsip are unchanged. lung volumes are low. there is no focal consolidation or pleural effusion. heart size and mediastinal contours normal.What are the key findings of this report? [/INST] <num>. chronic changes related nsip. <num>. no evidence of pneumonia. </s> |
<s>[INST] ap and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pneumothorax. there is no evidence of pneumomediastinum. the cardiomediastinal silhouettes within normal limits and again coronary artery stents are noted. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities identified. no free intraperitoneal air.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 lungs are clear of consolidation. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no 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] endotracheal tube terminates at the inferior margin of the clavicles. partial right upper lobe collapse with elevation of the minor fissure is new since the exam <num> hours ago. there is a new contour irregularity of the left main stem bronchus at the takeoff of the left upper lobe bronchus. left basilar atelectasis is similar. no effusion or pneumothorax is present.What are the key findings of this report? [/INST] new right upper lobe partial collapse and contour abnormality of the left main stem bronchus suggests the possibility of mucous plugging causing the atelectasis. a bronchoscopy may be helpful to identify and clear potential mucous plugging. findings were discussed via telephone with dr. <unk> at <time> on <unk>. </s> |
<s>[INST] the heart is normal in size. the hilar and mediastinal contours are normal. the lungs are well expanded and clear. there is no evidence of active or latent tb. there are no pleural effusions or pneumothorax. the osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] no radiographic evidence of active or latent tb. </s> |
<s>[INST] heart size is mildly enlarged. mediastinal and hilar contours are unchanged with tortuosity of the thoracic aorta again noted. mild atherosclerotic calcifications are seen within the aorta. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] cardiac size is top normal. the aorta is slightly tortuous. a retrocardiac opacity likely represents atelectasis but underlying infection cannot be excluded. there is no large pleural effusion. there is no pneumothorax. surgical clips in the right upper quadrant.What are the key findings of this report? [/INST] retrocardiac opacity, likely atelectasis, but infection in the correct clinical setting should be considered. </s> |
<s>[INST] pa and lateral views of the chest provided. minimal left basal atelectasis is noted. otherwise, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. minimal left basal atelectasis. </s> |
<s>[INST] frontal and lateral views of the chest. no prior. the lungs are clear of consolidation or effusion. there are prominent interstitial markings throughout the lungs, raising possibility of chronic underlying lung disease. cardiac silhouette is moderately enlarged. note is made of an azygos lobe and fissure. hypertrophic changes are seen in the spine. osseous and soft tissue structures are otherwise unremarkable.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s> |
<s>[INST] a portable view of the chest shows interval increase in a left pleural effusion with associated volume loss. there is a similar degree of vascular congestion compared to prior. the cardiomediastinal and hilar contours are stable. transvenous pacer leads are in expected position.What are the key findings of this report? [/INST] interval increase in left pleural effusion and associated volume loss. </s> |
<s>[INST] compare to <unk>, the lung volumes have increased. there is residual moderate left pleural effusion with atelectasis, less compared to prior. opacity in the left lower lobe is likely chronic. the cardiac and mediastinal silhouettes are unremarkable. median sternotomy wires are intact and aligned.What are the key findings of this report? [/INST] interval improvement in left pleural effusion and lung volumes. </s> |
<s>[INST] of note, there is a mislabeling of the pa image with the side being marked as "left" actually being the right side of the patient. pa and lateral images of the chest demonstrate expanded lungs. there is significant interval increase in the opacity of the perihilar areas and the mid lung zones with associated enlarged vascular diameter, peribronchial cuffing, and a fluid-marked major fissure best seen on the lateral image. these findings are consistent with an acute pulmonary edema, infection, or both. no pleural effusions are seen. the cardiomediastinal silhouette is unremarkable. the dense opacity overlying the right heart and spine on pa view is radiopaque cement from a vertebroplasty and does not require followup.What are the key findings of this report? [/INST] significant interval increase in opacity of perihilar and mid lung areas bilaterally, concerning for pulmonary edema, infection, or both. the medical team was paged at <time> to communicate these findings. </s> |
<s>[INST] portable ap upright chest radiograph obtained. aicd is unchanged. sternotomy closure device and mediastinal clips are also stable from prior. there is no convincing sign of pneumonia or chf. no large effusion or pneumothorax. heart and mediastinal contour appear stable. bony structures appear grossly intact.What are the key findings of this report? [/INST] no acute findings. </s> |
<s>[INST] heart size is normal. abnormal contour at the gastroesophageal junction corresponds to known metastatic lesion seen on previous ct. there is worsening opacification of the left lung base, a component of which is attributable to confluent metastatic disease with atelectasis in the lingula, but infection is strongly suspected. additionally there is a small left pleural effusion. linear atelectasis in the right lung base is also demonstrated. there is no pneumothorax. no acute osseous abnormalities detected. partially imaged in the left upper quadrant of the abdomen is a percutaneous gastrostomy catheter.What are the key findings of this report? [/INST] worsening left basilar opacification concerning for infection superimposed on a background of confluent metastatic disease and atelectasis in the lingula. small left pleural effusion. </s> |
<s>[INST] low lung volumes are noted. the heart size remains mildly enlarged. the mediastinal contour is stable with tortuosity of the thoracic aorta again noted. widening of the right superior mediastinal contour is unchanged, and likely reflects tortuous vessels. diffuse atherosclerotic calcifications of the thoracic aorta are present. there is crowding of the bronchovascular structures due to low inspiratory lung volumes. no pulmonary edema, focal consolidation, pleural effusion or pneumothorax is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. low lung volumes. </s> |
<s>[INST] an endotracheal tube terminates above the level of the carina. the side hole of the oro-gastric tube is around the level of the ge junction. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. no displaced rib fracture is apparent.What are the key findings of this report? [/INST] no acute cardiopulmonary process. oro-gastric tube side-port at the level around the ge junction and should be advanced so that it is well within the stomach. findings and recommendation discussed with dr <unk> by dr. <unk> <unk> via phone at <unk> on <unk>. </s> |
<s>[INST] ap and lateral views of the chest demonstrates similar pleural abnormalities, left lateral pleural-based mass and right basilar pleural effusion. increased opacity at the right base may indicate a combination of atelectasis and consolidation. superimposed infection cannot be excluded. hilar fullness bilaterally may be indicative of superimposed pulmonary edema. no pneumothorax.What are the key findings of this report? [/INST] stable bibasilar pleural opacity representing mass/fluid and adjacent atelectasis. interval increase in hilar fullness suggestive of superimposed pulmonary edema. </s> |
<s>[INST] the cardiomediastinal shadow is normal. there is mild vascular congestion and parahilar peribronchial cuffing. no pulmonary edema no airspace consolidation. no pneumothorax. no pleural effusion. no sinister bony lesions.What are the key findings of this report? [/INST] no pneumonia. vascular congestion. </s> |
<s>[INST] the right-sided picc terminates in the mid svc. the appearance of the lungs is stable compared to prior, with left basilar opacities representing a combination of atelectasis and pleural fluid. there is a stable postoperative appearance of the cardiomediastinal silhouette. no evidence of pneumothorax.What are the key findings of this report? [/INST] <num>. right picc in appropriate position. <num>. stable left basilar atelectasis and pleural effusion. <num>. stable postoperative appearance of the cardiomediastinal silhouette. </s> |
<s>[INST] frontal and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. the mediastinal 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] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax. a right ij venous catheter terminates at the cavoatrial junction. the osseous structures are grossly intact.What are the key findings of this report? [/INST] no radiographic evidence of an acute cardiopulmonary process. </s> |
<s>[INST] there has been interval placement of a right ij line with tip in the mid svc. there is no pneumothorax. appearance of the lungs is unchanged noting bibasilar opacities previously characterized as microcalcifications.What are the key findings of this report? [/INST] new right ij line with tip projecting over the mid svc. no pneumothorax. </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] left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. right-sided port-a-cath tip terminates in the low svc, unchanged. bilateral chest tubes are in similar positions. a moderate size right pleural effusion has increased from the prior study and is loculated laterally. small left pleural effusion appears somewhat decreased compared to the prior study. opacities in both lung bases likely reflect regions of compressive atelectasis. cardiac and mediastinal contours are unchanged. pulmonary vasculature is not engorged. no definite pneumothorax is detected. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] interval increase in size of right pleural effusion, now moderate, and loculated laterally. small left pleural effusion appears perhaps minimally decreased from prior. bilateral chest tubes in place. bibasilar airspace opacities likely reflect compressive atelectasis, however infection cannot be excluded in the correct clinical setting. </s> |
<s>[INST] lung volumes are low causing accentuation of bronchovascular structures and cardiac silhouette. there is no focal consolidation, pleural effusion or pneumothorax. there is no overt pulmonary edema.What are the key findings of this report? [/INST] low lung volumes. </s> |
<s>[INST] the lung volumes are low. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left basilar atelectasis, likely representing atelectasis or aspiration. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are remote left rib fractures.What are the key findings of this report? [/INST] left basilar atelectasis or aspiration. otherwise, no acute cardiopulmonary abnormality. </s> |
<s>[INST] the et tube ends in the lower trachea. a right apical chest tube remains in place. a nasogastric tube terminates in the stomach. vertebral fixation devices remain intact. multiple bilateral rib fractures are re-demonstrated. small bilateral pleural effusions have decreased on the right. right basilar subsegmental atelectasis has improved. the heart and mediastinum are magnified by the projection. mild pulmonary edema is unchanged.What are the key findings of this report? [/INST] improved aeration at the right base due to a decreased small right pleural effusion improved subsegmental atelectasis. stable mild pulmonary edema. multiple unchanged bilateral rib fractures. </s> |
<s>[INST] pa and lateral views of the chest were provided. the lungs are clear. retrocardiac opacity again noted compatible with hiatal hernia. cardiomediastinal silhouette is stable. bony structures are intact. eventration of the right hemidiaphragm noted.What are the key findings of this report? [/INST] stable hiatal hernia. otherwise, normal. </s> |
<s>[INST] pa and lateral views of the chest. compared to the most recent study, the left pneumothorax has decreased. the left-sided pigtail catheter is in appropriate position. minimal subcutaneous emphysema. mediastinal shift has decreased. the left pleural effusion is unchanged. left clavicular fracture is unchanged. there are no opacities concerning for pneumonia. the cardiac, mediastinal, and hilar contours are normal.What are the key findings of this report? [/INST] decreased left pneumothorax, subcutaneous emphysema and mediastinal shift. </s> |
<s>[INST] the right picc tip terminates at the cavoatrial junction. the cardiomediastinal and hilar contours are normal. the lungs are clear. there is a small left pleural effusion, but no pneumothorax.What are the key findings of this report? [/INST] right picc tip at cavoatrial junction. </s> |
<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral views of the chest were obtained. multiple surgical clips are noted along the right lung apex. clip is also noted in the anterior right mid lung. lungs are hyperinflated compatible with known severe emphysema. there is no definite sign of pneumonia or overt chf. the heart size appears stable and the mediastinal contour is unremarkable. the bony structures are intact.What are the key findings of this report? [/INST] severe emphysema with no definite signs of pneumonia or chf. </s> |
<s>[INST] in comparison with study of <unk>, there is some increasing opacification at the left base consistent with clinical impression of pneumonia. some atelectatic changes persist on the right in the lower lungs. no evidence of vascular congestion.What are the key findings of this report? [/INST] apparent left lower lobe pneumonia. </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 cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. patchy left basilar opacity likely reflects atelectasis, but infection cannot be excluded. right lung is clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] left basilar patchy opacity, likely atelectasis. infection is not completely excluded. </s> |
<s>[INST] ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process </s> |
<s>[INST] the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] compared to <unk>, the lungs remain mildly hyperinflated with a background of emphysema. again seen is a left hilar mass. there is mild left lower lung atelectasis. no definite pleural effusion. no pneumothorax. heart size is normal and unchanged. the aorta is tortuous. the aorta is calcified, indicating atherosclerosis. there are multilevel degenerative changes of the visualized spine.What are the key findings of this report? [/INST] left hilar opacity consistent with known malignancy. no convincing signs of superimposed pneumonia. background emphysema again noted. </s> |
<s>[INST] an approximately <num> cm right lower lobe pulmonary nodule is again seen. 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] <num>. no radiographic evidence for acute cardiopulmonary process. <num>. at least <num> cm right lower lobe lung nodule. chest ct is recommended to evaluate for stability, as previously recommended. findings and recommendations were discussed with <unk> by <unk> <unk> by telephone at <time> on <unk> at the time of initial review of the study. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. 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] since yesterday, the left side pneumothorax has increased in size. left basilar atelectasis has improved. right lung is grossly clear. cardiomediastinal borders and hilar structures are normal.What are the key findings of this report? [/INST] increasing right pneumothorax since <unk>. </s> |
<s>[INST] the previously seen layering right pleural effusion has increased, now large and causing adjacent compressive atelectasis and mild leftward midline shift. there may be a small left pleural effusion, incompletely evaluated on this single ap radiograph. the mediastinal contour is difficult to evaluate due to effusion, but is likely stable. pulmonary vascular congestion and mild pulmonary edema are present. there is no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] <num>. pulmonary vascular congestion and mild pulmonary edema. <num>. interval increase in large right pleural effusion with adjacent compressive atelectasis and mild leftward shift of midline structures. </s> |
<s>[INST] again seen is a large right-sided pleural effusion, unchanged in appearance from the prior study. there is atelectasis of the right lower lobe. the cardiomediastinal silhouette and hilar contours are unchanged. there is no evidence of pneumothorax. again seen is calcification of the pericardium.What are the key findings of this report? [/INST] persistent right-sided pleural effusion, unchanged from the prior study. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] single supine ap portable view of the chest was obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the lungs are clear, but hyperinflated. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] hyperinflated lungs. no acute cardiothoracic process. </s> |
<s>[INST] an endotracheal tube tip terminates approximately <num> cm from the carina. an orogastric tube tip terminates in the distal esophagus with side port in the upper/mid esophagus. there is persistent left hemithorax opacification with leftward shift of mediastinal structures indicative of left lung collapse. probable small left pleural effusion is likely present. as noted previously there is a abrupt cut off of visualization of the distal left mainstem bronchus. right picc tip remains in unchanged position within the lower svc. remainder of the right lung is unchanged. punctate radiopaque densities in the left upper quadrant of the abdomen likely reflect ingested material within the bowel.What are the key findings of this report? [/INST] <num>. endotracheal tube in standard position. <num>. orogastric tube terminates in the distal esophagus and needs to be advanced by at least <num> cm. <num>. persistent opacification of the left hemi thorax with leftward shift of mediastinal structures indicative of left lung collapse. probable small left pleural effusion. abrupt cut off of the distal left mainstem bronchus suggests an endobronchial lesion such as mucous plugging. </s> |
<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. mild right base scarring. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] single portable view of the chest is compared to previous exam from <unk>. given lower lung volumes on the current exam, there has been some interval improvement of the previously identified pulmonary edema which still persists. there is no large effusion. cardiomediastinal silhouette is not significantly changed. dual-lead pacing device and median sternotomy wires again noted.What are the key findings of this report? [/INST] interval improvement of the previously identified pulmonary edema from five days prior. </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] pa and lateral views of the chest provided. right upper extremity picc line and left chest wall port-a-cath appear unchanged in position with catheter tips both terminating in the mid to low svc. elevation of the right hemidiaphragm is again noted. there is mild residual bibasilar atelectasis which appears somewhat improved in the interval. a tiny left pleural effusion persists. cardiomediastinal silhouette appears stable. no acute osseous abnormalities. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] mild residual basilar atelectasis with tiny left pleural effusion. catheters appear positioned appropriately. </s> |
<s>[INST] the patient is status post median sternotomy and cabg. heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no radiopaque foreign bodies are visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no radiopaque foreign bodies are visualized. </s> |
<s>[INST] lungs remain relatively hyperinflated. there is persistent blunting of the right costophrenic angle worrisome for trace pleural effusion. no new focal consolidation is seen. the patient is status post median sternotomy and cabg. cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] persistent slight blunting of the right costophrenic angle could be due to trace pleural effusion. no pulmonary edema. </s> |
<s>[INST] since the prior radiograph, the amount of subcutaneous emphysema has slightly decreased. post-surgical changes are seen at the right base adjacent to the pericardial surface. there is no definite pneumothorax, although a small pneumothorax cannot be excluded as it would be obscured by the subcutaneous air. the right lung has increased hazy opacification in comparison to the prior exam, which is most likely technical due to the degree of penetration. less likely, it could be a new large pleural effusion, but given that it is not present on the lateral exam, it is likely technical. moderate cardiomegaly is unchanged. there has been slight increase in the left basilar atelectasis.What are the key findings of this report? [/INST] <num>. slight decrease in subcutaneous air. <num>. no definite pneumothorax. <num>. slight increase in left basilar atelectasis. <num>. hazy opacification of the right lung is likely technical, although pleural effusion cannot be excluded. would recommend repeat radiographs in four hours for reevaluation. results were discussed with the surgical team at <time> am on <unk> via telephone by dr. <unk>. </s> |
<s>[INST] no consolidation. the hila and pulmonary vasculatures are normal. there is improved right pleural effusion. the left pleural effusion appears improved, but this could be due to patient position. no pneumothorax. the cardiomediastinal silhouette is normal and unchanged. no fractures.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] lungs are well inflated. there is no consolidation. there are <num> rounded opacities projecting over the left mid and lower zone, likely calcified granulomas. there is mild cardiomegaly and tortuosity of the thoracic aorta with aortic knuckle calcification. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. mild cardiomegaly and tortuosity of the thoracic aorta. likely calcified granulomas projecting over the left mid and lower zones. </s> |
<s>[INST] there is marked thoracolumbar scoliosis and partially imaged spine hardware no focal consolidation is seen. 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] there are pacemakers overlying the chest bilaterally, with leads that appear intact in the right atrium, and two in the right ventricle. the patient is status post median sternotomy and cabg, with sternotomy wires that appear intact and appropriately aligned. there are linear opacities at the bases bilaterally, representing atelectasis. the lungs are otherwise clear. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. pacemaker leads in appropriate positioning without any evidence of pneumothorax. <num>. bibasilar atelectasis. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields 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] frontal and lateral views of the chest. a cardiac pacer with leads in the right atrium and right ventricle is noted. a ventriculoperitoneal shunt courses through the thorax. the cardiac silhouette has increased since <unk>. the aortic knob is calficited. there are tiny bilateral pleural effusions. no pneumothorax.What are the key findings of this report? [/INST] interval enlargement of the cardiac silhouette since <unk> could be due to differences in technique; however, cardiomegaly or a pericardial effusion are possible. </s> |
<s>[INST] the right internal jugular catheter is unchanged compared to prior. there is persistent elevation of the right hemidiaphragm. there is also persistent mild pulmonary edema. there is bibasilar atelectasis and a probable small left pleural effusion. the cardiomediastinal silhouette is stable. there is no pneumothorax.What are the key findings of this report? [/INST] stable mild pulmonary edema and small left pleural effusion, but no evidence of new focal consolidation. </s> |
<s>[INST] tracheostomy tube is in standard position. feeding tube ends into the stomach. there are no discrete lung opacities concerning for pneumonia. there is no pleural effusion. heart size is normal. mediastinal and hilar contours are unremarkable. diffuse haze of the left lung as compared to the right is likely function of technique due to difference in the patient position.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] patient is rotated somewhat to the right. there are relatively low lung volumes. again, the right hemidiaphragm is elevated with right base atelectasis seen. medial right base opacity is felt to more likely represent atelectasis than pneumonia. cardiac and mediastinal silhouettes are stable, particular in comparison to <unk>. central pulmonary vascular engorgement is seen. no pleural effusion or pneumothorax is seen. skin fold overlies the left hemi thorax.What are the key findings of this report? [/INST] low lung volumes. central pulmonary vascular engorgement. elevated right hemidiaphragm with right base atelectasis. medial right base opacity is felt to more likely represent atelectasis than pneumonia. </s> |
<s>[INST] study is technically limited by the patient's hair overlying both lungs. however, diffuse parenchymal opacities noted on <unk> have resolved. there is no new focal consolidation, pleural effusion, vascular congestion, or pneumothorax. the heart size is normal. the cardiac, hilar and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] resolved multifocal pneumonia. </s> |
<s>[INST] the lungs are well inflated and clear. small right pleural effusion is noted. no left pleural effusion. mild cardiomegaly has decreased since prior examination. mediastinal contour and hila are unremarkable. aortic arch calcifications are again noted. there are intact median sternotomy wires with clips in the left hilum as well as a partially visualized left upper extremity vascular stent.What are the key findings of this report? [/INST] <num>. small right pleural effusion with improved mild cardiomegaly. <num>. no pulmonary edema. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is not enlarged. the mediastinum is not widened. hilar contours are unremarkable. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] endotracheal tube terminates <num> cm above the carina. enteric tube traverses the diaphragm, distal tip not visualized. there is a right-sided ascending catheter, partially visualized. hilar vascular prominence and mild haziness in both lower lobes is new compared to the prior radiograph. mild cardiomegaly. no definite pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] mild cardiomegaly and bilateral hilar and lower lobe vascular prominence likely related to mild fluid overload. no consolidation. lines and tubes as above. </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 cardiothoracic process. </s> |
<s>[INST] the ng tube tip is in the proximal esophagus. recommend re-insertion there is volume loss at both bases with small bilateral pleural effusions and pulmonary vascular redistribution . there are hazy alveolar infiltrates right greater than leftWhat are the key findings of this report? [/INST] <num>. ng tube too high, still in the esophagus <num>. worsened fluid status. an underlying infectious infiltrate in the lower lobes can't be excluded </s> |
<s>[INST] in comparison to the recent priors, there is no evidence of pleural effusion or pneumothorax. in the right infrahilar region, there is increased opacity in comparison to the prior examinations, which may represent pneumonia. cardiomediastinal contours are stable.What are the key findings of this report? [/INST] increased right infrahilar opacity in comparison to prior examinations suspicious for pneumonia. recommendation(s): follow-up chest radiographs in <num> weeks after completion of antibiotic therapy to document resolution. </s> |
<s>[INST] the lungs are slightly hyperinflated, similar to priors.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] pa and lateral views of the chest were provided. there are midline sternotomy wires and mediastinal clips again noted. a nodular opacity in the left mid lung is less conspicuous than on prior exam and could represent a focus of scarring, though a ct may be obtained to further characterize if it is not completely resolved on followup exams. there are bibasilar opacities, most compatible with bronchovascular crowding given the low lung volumes. no large effusion or pneumothorax. the heart size is top normal. the mediastinal contour is stable, reflective of a somewhat unfolded thoracic aorta. the bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] low lung volumes with lower lung opacities most compatible with bronchovascular crowding. left mid lung nodular opacity is less conspicuous. recommend continued followup to resolution. if this opacity does not resolve, a ct should be obtained. </s> |
<s>[INST] ap upright view of the chest. there is no intra-abdominal free air. low lung volumes contribute to bibasilar atelectasis. no pneumonia. no pleural effusion. no pulmonary edema. left ij ends in the upper svc.What are the key findings of this report? [/INST] no evidence of intra-abdominal free air. </s> |
<s>[INST] the lungs volumes are low. there is no focal opacity concerning for pneumonia. 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] ap radiograph of the chest demonstrates no pneumothorax. the endotracheal tube is stable in position approximately <num> cm above the carina. as before, the tip of the nasogastric tube can only be seen to the level of the distal esophagus and should be advanced. there is persistent bibasilar opacification, with small bilateral pleural effusions, and enlarged cardiomediastinal silhouette, consistent with mild congestive heart failure.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. stable positioning of et tube. nasogastric tube tip is only seen in the distal esophagus and should be advanced. <num>. continued mild congestive heart failure. </s> |
<s>[INST] lung volumes are unchanged compared to the prior study. the cardiomediastinal contour. is within normal limits. mild prominence of the pulmonary vasculature and bilateral hila is consistent with mild congestive heart failure. no frank pulmonary edema seen. no pleural effusion, consolidation or pneumothorax. sclerotic changes in the bilateral shoulder joints.What are the key findings of this report? [/INST] no significant interval change when compared to the prior study. no frank pulmonary edema is seen. </s> |
<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.What are the key findings of this report? [/INST] no acute intrathoracic process, specifically no pneumonia. </s> |
<s>[INST] since the prior exam, the right anterior chest tube has been removed. two chest tubes remain unchanged. there is no evidence of pneumothorax. cutaneous <unk> are noted along the right chest. since prior exam the left picc tip is now pointing inferiorly in the mid svc. a right subclavian central venous catheter is also present with tip in the mid svc. an ng tube is noted with the tip below the hemidiaphragms. the side port is sitting near the gastroesophageal junction. a left pigtail catheter is in unchanged position. there is no definite pulmonary edema. probable small bilateral pleural effusions are unchanged. lung volumes remain low. opacities in the right middle, left upper, and both lower lobes are unchanged. the cardiomediastinal silhouette is stable. again noted is a mildly widened mediastinum, stable from prior exams.What are the key findings of this report? [/INST] <num>. removal of the right anterior chest tube. no evidence of pneumothorax. <num>. left picc with the tip pointing inferiorly in the mid svc. <num>. stable bilateral scattered opacities. </s> |
<s>[INST] no pneumonia. no features of cardiac decompensation.What are the key findings of this report? [/INST] lungs clear. </s> |
<s>[INST] there has been interval placement of a nasogastric tube with tip projecting over the gastroesophageal junction. the lungs and pleural spaces are grossly clear without evidence of pneumothorax or pleural effusions. low lung volumes are seen. there is right lung base atelectasis. the heart is normal in size.What are the key findings of this report? [/INST] nasogastric tube seen with tip projecting over the gastroesophageal junction and it should be advanced so that it is well within the stomach. </s> |
<s>[INST] portable ap chest radiograph. right-sided ij catheter, left ij double-lumen catheter, ascending aorta stent are in stable position. the patient has been extubated. the ng tube has been removed and a dobbhoff feeding tube has been placed. the tip is in the stomach. pulmonary vascular engorgement and moderate right pleural effusion are stable. there is no pneumothorax.What are the key findings of this report? [/INST] dobbhoff feeding tube tip is in the stomach. no other significant interval change. </s> |
<s>[INST] as compared to chest x-ray from earlier same day, there is improved aeration of the left upper lobe. there is persistent left lower lobe collapse with associated effusion. endotracheal tube and nasogastric tube in similar position. minimal subsegmental atelectasis in the right lower lobe.What are the key findings of this report? [/INST] slight improved aeration of the left upper lobe when compared to the prior. </s> |
<s>[INST] there is persistent linear opacity at the left lung base laterally which is likely atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |