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<s>[INST] there is diffuse interstitial edema involving the right lung, which appears unchanged from the prior study of <unk>. there is a small, stable left pleural effusion. the heart is enlarged. there is a linear density at the left lung base, which has been stable since <unk> and likely represents atelectasis versus scarring. there is a lobulated contour to the right hemidiaphragm, which is stable since <unk>. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] <num>. diffuse interstitial edema of the right lung, unchanged dating back to <unk>. <num>. small stable left pleural effusion. </s> |
<s>[INST] patient is status post median sternotomy. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette mild to moderately enlarged. no large pleural effusion is seen. there is increase in interstitial markings bilaterally suggesting a mild to moderate interstitial edema.What are the key findings of this report? [/INST] increased interstitial markings bilaterally suggesting mild interstitial edema. </s> |
<s>[INST] the heart is at the upper limits of normal size with a left ventricular configuration. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. slight wedging of three lower thoracic vertebral bodies appears unchanged. mild degenerative changes are similar along the lower thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] <num> ap view of the chest. the endotracheal tube ends <num> cm above the carina. the enteric tube ends in the stomach in appropriate position. low lung volumes. there is mild right basilar atelectasis. no pleural effusion. no pneumothorax. the cardiomediastinal and hilar contours are unremarkable. there is an abnormally convex shape to the ap window.What are the key findings of this report? [/INST] <num>. endotracheal tube ends <num> cm above the carina. enteric tube ends in the stomach in appropriate position. <num>. linear right basilar atelectasis. small left pleural effusion. <num>. left mediastinal widening with abnormally convex ap window contour. recommend further evaluation with pa and lateral views or ct of the chest. these findings were discussed with dr. <unk> by dr. <unk> at <num>am on <unk> by phone. </s> |
<s>[INST] there are streaky bibasilar opacities likely due to atelectasis. there is mild pulmonary vascular congestion without overt edema. cardiomediastinal silhouette is stable. no acute osseous abnormalities.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and atelectasis. no focal consolidation worrisome for pneumonia. </s> |
<s>[INST] since the chest radiograph obtained <num> day prior, the et tube now terminates approximately <num> cm above standard placement. left lower lobe atelectasis or consolidation is minimally improved. pleural effusions smaller thinning. the left subclavian central venous catheter terminates in the mid svc. an ng tube past the ge junction and terminates outside the field of view. there is no pulmonary vascular congestion or pulmonary edema.What are the key findings of this report? [/INST] left lower lobe atelectasis or consolidation minimally improved at best. et tube positioned approximately <num> cm higher than standard placement. recommendation(s): reposition et tube. </s> |
<s>[INST] marked interval increase in size of the loculated left-sided pleural effusion. there is associated air bronchograms suggesting adjacent lingular and left lower lobe collapse (as there is no significant medial shift). right-sided icd in situ with interval decrease in the amount of pleural fluid. right apicolateral pneumothorax measuring <num> mm in the craniocaudal diameter. subcutaneous emphysema seen in the right lateral chest wall as well as in the right supraclavicular soft tissues.What are the key findings of this report? [/INST] small right-sided pneumothorax. significant interval increase in size of the left-sided pleural fluid with adjacent pulmonary collapse. this preliminary report was reviewed with dr. <unk>, <unk> radiologist. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. linear and patchy opacities in the left lung base most likely reflect atelectasis though pneumonia is not completely excluded. right lung is clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are visualized.What are the key findings of this report? [/INST] left basilar linear and patchy opacities likely reflect atelectasis though infection cannot be completely excluded. </s> |
<s>[INST] the heart is at the upper limits of normal size. the aorta is partly calcified with minimal unfolding. otherwise, the mediastinal and hilar contours are unremarkable. the lungs appear clear aside from streaky left basilar opacities most suggestive of minor atelectasis or perhaps scarring. the lateral view, however shows a posterior opacity, compatible with atelectasis although infection is not excluded. the bones appear likely demineralized with mild-to-moderate degenerative changes along the mid-to-lower thoracic spine.What are the key findings of this report? [/INST] left basilar opacity which is compatible with atelectasis although infection is difficult to completely exclude. </s> |
<s>[INST] dual lead left-sided pacemaker stable in position. the lungs remain hyperinflated, consistent with chronic obstructive pulmonary disease.no focal consolidation is seen. mild biapical pleural thickening is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. anchor screw noted overlying the right humeral head.What are the key findings of this report? [/INST] copd. no definite focal consolidation. </s> |
<s>[INST] right-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is normal. the aorta is diffusely calcified and tortuous. pulmonary vasculature is not engorged. low lung volumes are present with crowding of bronchovascular structures. streaky opacities in the lung bases likely reflect areas of atelectasis. spiculated opacity in the right upper lobe correlates to the spiculated lesion seen on previous chest ct. no focal consolidation, pleural effusion or pneumothorax is present. there is mild diffuse demineralization of the osseous structures without acutely displaced fracture noted.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis. re- demonstration of spiculated opacity in the right upper lobe, better assessed on recent chest ct. </s> |
<s>[INST] the previously noted small right pleural effusion has decreased in size compared to the prior exam with only a trace amount of residual fluid noted. adjacent atelectasis in the right lower lobe is re- demonstrated, but improved. no definite pneumothorax is detected. remainder of the chest is unchanged. left lower lobe mass is again noted. the cardiac, mediastinal and hilar contours are unchanged. hyperinflation of lungs with attenuation of the pulmonary vascular markings towards the apices is compatible with emphysema.What are the key findings of this report? [/INST] decreased size of small right pleural effusion which is now trace, with no pneumothorax detected. </s> |
<s>[INST] the lungs are well-expanded and clear. focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. stable appearance of the cardiomediastinal silhouette, hila, and pleura. mildly tortuous descending aorta.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate top normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] a portable upright chest radiograph shows newly placed dobbhoff tube with the radiodense tip beyond the gastroesophageal junction, but still at the expected level of the proximal stomach. the tip of the right internal jugular pheresis line is at the level of the distal superior vena cava. the left hemidiaphragm remains elevated and slightly obscured. radiodense material is seen in the hepatic flexure. note, exclusion of the apices and upper mediastinum from the view of the film.What are the key findings of this report? [/INST] feeding tube tip at expected level of proximal stomach. </s> |
<s>[INST] the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no pneumonia. </s> |
<s>[INST] the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. there is generalized osteopenia and multilevel spinal degenerative changes. the patient is status post right femoral head fixation. flowing anterior spinal ossification involving multiple contiguous vertebral bodies with relative preservation of the intervertebral disc spaces is compatible with diffuse idiopathic skeletal hyperostosis (dish). a chronic compression fracture involving a lower thoracic vertebral body results in moderate loss of vertebral body height.What are the key findings of this report? [/INST] clear lungs. diffuse idiopathic skeletal hyperostosis (dish). chronic lower thoracic spine compression fracture. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. no fracture or malalignment is visualized. the visualized upper abdomen is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no fracture or malalignment visualized. </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. mild degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. there is no vascular congestion or pulmonary edema. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no pulmonary edema or other acute cardiopulmonary process. </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] ng tube, right-sided ij line and et tube all appears in unchanged position. no pneumothorax. there are stable perihilar opacities, without noted lateral to the descending interlobar artery on the right side concerning for focal infection. there is probably some improvement in pulmonary edema. any effusion is likely minimal.What are the key findings of this report? [/INST] improvement noted. support hardware remains in good position. </s> |
<s>[INST] there is no definite focal consolidation, pleural effusion, or pneumothorax. compared to the prior study, there is mild prominence of vascular markings likely reflecting mild pulmonary edema. opacities at the bases are mostly unchanged and are most likely atelectasis. again seen is a tortuous calcified aorta. the remainder of the cardiac silhouette is unchanged. there are severe degenerative changes in the shoulders bilaterally and old rib fractures on the left. there is dextroscoliosis of the thoracic spine.What are the key findings of this report? [/INST] no definite focal consolidation. possible mild pulmonary edema. opacities at the bases are likely atelectasis. </s> |
<s>[INST] in comparison with the study of <unk>, it is difficult to visualize the tip of the nasogastric tube, however it is seen on the abdominal series to be post pylorus. no pneumothorax.What are the key findings of this report? [/INST] in comparison with the study of <unk>, it is difficult to visualize the tip of the nasogastric tube, however it is seen on the abdominal series to be post pylorus. no pneumothorax. </s> |
<s>[INST] lung volumes are low. heart size, mediastinal and hilar contours are normal. bibasilar areas of atelectasis have improved since the previous study, with residual atelectasis, worse at the right base than the left. no new areas of consolidation have developed, and there are no significant pleural effusions. right hemidiaphragm remains mildly elevated.What are the key findings of this report? [/INST] bibasilar atelectasis. </s> |
<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pneumothorax. left chest wall dual-lead pacer is again seen with leads in stable position. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. new when compared to prior is an ll defined left basilar opacity, not as clearly seen on the lateral exam. elsewhere, the lungs are clear. there is no effusion. cardiac silhouette is enlarged but stable in configuration. the aorta is slightly tortuous. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] subtle left basilar opacity, better seen on the frontal than on the lateral could be due to atelectasis; however, developing infiltrate is also possible. clinical correlation suggested. </s> |
<s>[INST] single upright portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. however, subcutaneous emphhysema identified in the soft tissues of the neck and bilateral supraclaviaular region. linear lucency tracking along the trachea concerning for pneumomediastinum. there is a stable left picc line with tip at the cavoatrial junction. there is suggestion of a pleural fold approximately <num> cm from the apex with a paucity of lung markings in this region which may suggest a moderate-sized pneumothorax not evident on the prior study; however, there appears to be no evidence of the expected associated volume loss. small rounded radiopaque density is noted projecting in the right mid lung and crossing a different bony structure than on prior study, indicating it is not within the bone and may represent a calcified granuloma. no pleural effusion evident. no osseous abnormality identified.What are the key findings of this report? [/INST] subcutaneous emphysema at thoracic inlet. upper pneumomediastinum. possible moderate right pneumothorax. recommend repeat fully upright chest radiograph. <unk> communicated these findings to dr <unk> via telephone at <time> on <unk>. </s> |
<s>[INST] the large right loculated pleural effusion is unchanged from yesterday. blunting of the left costophrenic angle likely reflects a small left pleural effusion. the cardiac silhouette remains moderately enlarged. there is worsening of moderate pulmonary edema. evidence of prior sternotomy and coronary pericardial stripping is unchanged.What are the key findings of this report? [/INST] <num>. unchanged, large right loculated pleural effusion. <num>. worsened moderate pulmonary edema. <num>. focal opacity of the right upper lung may reflect asymmetric pulmonary edema or a secondary process such as infection. evaluation after diuresis is recommended. </s> |
<s>[INST] there are bilateral regions of reticulonodular opacities predominantly involving the lower and mid lungs, similar in distribution to previous chest x-ray. there continues to be obscuration of the right heart border and left hemidiaphragm, probably reflecting a degree of atelectasis. left picc line is similar in position. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] unchanged appearance of bilateral reticulonodular opacities. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is identified on this supine exam although the left costophrenic sulcus is not included in the field of view. no acute osseous abnormality is identified. old left-sided rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] there are low lung volumes. median sternotomy wires and mediastinal surgical clips are again identified. there is stable enlargement of the cardiomediastinal silhouettes. again seen is mild pulmonary vascular congestion. there is no focal lung consolidation. there is interval decrease in the size of the now small left pleural effusion. there may be a small right pleural effusion. there is likely bibasilar atelectasis. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. interval decrease in size of now small left pleural effusion. probable small right pleural effusion. <num>. stable mild pulmonary vascular congestion. <num>. stable enlargement of the cardiac silhouette. no interval change in the mediastinal contour. </s> |
<s>[INST] there has been no significant interval change from radiograph <unk> hr prior.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] no cardiopulmonary abnormality. </s> |
<s>[INST] endotracheal tube tip terminates approximately <num> cm cranial to the carinal. ng tube tip terminates out of field of view, probably in the stomach. heart size is moderately enlarged with mild unfolding of the thoracic aorta. aortic knob calcifications are moderate. prominent central pulmonary vascular congestion with bilateral perihilar predominant opacities, greater on the right compatible with severe pulmonary edema. probable trace bilateral effusions. no pneumothorax.What are the key findings of this report? [/INST] <num>. severe pulmonary vascular congestion and interstitial pulmonary edema with probable trace effusions. <num>. pneumonia cannot be excluded in the appropriate clinical context. <num>. endotracheal tube tip terminates <num> cm cranial to the carina. no pneumothorax. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. bibasilar opacities are likely atelectasis. the cardiomediastinal silhouette is top-normal in size. the imaged upper abdomen is unremarkable. the bones are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. bibasilar atelectasis. </s> |
<s>[INST] frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. the azygos fissure present is a clinically insignificant anatomic variant.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear. there is no focal consolidation, effusion, or edema. there is no pneumothorax. 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> |
<s>[INST] pacer device from a left-sided approach with <num> lead extending to the right atrium and <num> leads extending to the right ventricle is stable in position. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar structures are within normal limits. lung volumes are decreased and there is evidence of bibasilar atelectasis. otherwise, no focal consolidations concerning for pneumonia are noted. there are no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] bibasilar atelectasis with no focal consolidation concerning for pneumonia. </s> |
<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] the lungs are clear. there is no pleural effusion, pneumonia, pulmonary edema or pneumothorax. cardiac size is normal. no bony abnormalities are detected on these non-dedicated views.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. there is patchy left basilar opacity, more conspicuous on the frontal than on the lateral. elsewhere, the lungs are clear. there is no effusion. findings suggest small hiatal hernia. cardiomediastinal silhouette is otherwise unchanged. osseous and soft tissue structures are unchanged, noting hypertrophic changes in the spine.What are the key findings of this report? [/INST] left basilar opacity, potentially atelectasis; however, infiltrate from infection is not excluded. clinical correlation suggested. </s> |
<s>[INST] the patient is status post median sternotomy and cabg. the heart size is top normal. mediastinal and hilar contours are unchanged. there is diffuse atherosclerotic calcification of the aorta. the lungs are clear. the pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is seen. there are mild degenerative changes within the thoracic spine. amorphous calcifications adjacent to the left humeral head superolaterally may reflect calcific tendinopathy. clips in the upper abdomen are again noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the patient is status post median sternotomy, cabg and aortic valve replacement. surgical clips also project over the thoracic inlet, unchanged. interval removal of the right internal jugular central venous catheter. there are small bilateral pleural effusions with subjacent atelectasis. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.What are the key findings of this report? [/INST] small bilateral pleural effusions with subjacent atelectasis. </s> |
<s>[INST] mild cardiomegaly is unchanged. the lungs are clear. no pleural effusion, consolidation, or pneumothorax. multilevel degenerative changes of thoracic spine without compression deformity.What are the key findings of this report? [/INST] mild cardiomegaly, stable. no pneumonia. </s> |
<s>[INST] cardiac silhouette size is borderline enlarged. the aorta remains tortuous. mediastinal and hilar contours are otherwise stable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualizedWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the cardiac silhouette is obscured by a moderate-sized right pleural effusion. there is a small left pleural effusion. known pulmonary nodules are better assessed on prior dedicated chest ct examination.there is no new focal consolidation or pneumothorax. a right port-a-cath catheter likely terminates in the right atrium.What are the key findings of this report? [/INST] <num>. moderate right and small left pleural effusions, which allowing for differences in modality are likely grossly stable, as compared to prior chest ct examination from <unk>. <num>. known pulmonary nodules are better assessed on prior dedicated chest ct. no new focal consolidation. </s> |
<s>[INST] cardiac silhouette size remains mildly enlarged but unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is normal. low lung volumes persist with linear opacities in the lung bases compatible with subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is due demonstrated. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] subsegmental bibasilar atelectasis. otherwise, no acute cardiopulmonary process. <unk>, md </s> |
<s>[INST] nasogastric tube passes from the esophagus and terminates in the distal stomach.What are the key findings of this report? [/INST] nasogastric tube terminates in the distal stomach. </s> |
<s>[INST] left lower lobe opacity is worrisome for pneumonia. there is also right base opacity to a lesser extent, which may be due to atelectasis, but aspiration or additional site of pneumonia not excluded. no large pleural effusion is seen although a trace pleural effusion be difficult to exclude on the left. there is no pneumothorax. cardiac silhouette is top-normal. the aorta is calcified and tortuousWhat are the key findings of this report? [/INST] left lower lobe consolidation worrisome for pneumonia. subtle right base opacity could be due to atelectasis although underlying aspiration or additional site of pneumonia not excluded. </s> |
<s>[INST] the lungs are clear focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. there are multiple surgical clips projecting over the right upper abdominal quadrant. the stomach is well distended, and there is no pneumoperitoneum.What are the key findings of this report? [/INST] no acute cardiopulmonary process. distended stomach but no pneumoperitoneum. </s> |
<s>[INST] <num> new areas of infiltrate in the lower lungs, larger <num> in the posterior left lower lobe. linear band of atelectasis right lung base. minimal scarring left upper lung. .What are the key findings of this report? [/INST] new basilar infiltrates </s> |
<s>[INST] the lung volumes are low. allowing for that cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] multifocal consolidations in the right lung have worsened. cardiac size is top-normal. et tube is in standard position. ng tube tip is out of view below the diaphragm. there is no pneumothoraxWhat are the key findings of this report? [/INST] worsening right multifocal pneumonia. </s> |
<s>[INST] heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s> |
<s>[INST] single supine view of the chest. there is increased hazy opacity projecting over the right lung compatible with layering effusion and atelectasis. multiple right-sided rib fractures are better seen on subsequent ct. the left lung is grossly clear but partially obscured by overlying trauma board and hardware. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] right-sided rib fractures better seen on subsequent ct as well as layering effusion and atelectasis. </s> |
<s>[INST] cardiomediastinal silhouette and hilar contours are unremarkable. there are subtle right upper lobe opacities seen on frontal view only. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] subtle peripheral right upper lobe densities seen on frontal view only, concerning for pneumonia. results were discussed over the telephone with dr. <unk> by dr. <unk> at <time> p.m. on <unk> immediately at the time of initial interpretation. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. there is an area of increased opacification of the right base, which partially obscures the right heart border, concerning for right middle lobe pneumonia. the cardiomediastinal contour is unremarkable. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] opacification the right base which partially obscures the right heart border, concerning for right middle lobe pneumonia. </s> |
<s>[INST] in comparison to the prior exam, there is no significant change. the patient is rotated. again, there is near-complete opacification of the right lung, due to a combination of consolidations and pleural effusion, as better evaluated on the concurrent ct of the chest. there is an opacity at the left base, which is more apparent due to rotation, but likely unchanged from the prior exam. the left upper lobe remains well aerated. an endotracheal tube is present approximately <num> cm from the carina. an orogastric tube courses below the diaphragm with the tip out of the field of view. the right port-a-cath is in unchanged position with the tip near the atriocaval junction. there is no pneumothorax. the cardiomediastinal silhouette is not well evaluated.What are the key findings of this report? [/INST] no significant change in the near-complete opacification of the right lung from a combination of pneumonia and pleural effusion. stable left basilar opacity. </s> |
<s>[INST] cardiac silhouette size remains mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. calcified granulomas, the largest in the the left lower lobe, are unchanged. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are seen in the thoracic spine. pectus deformity is again demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] lung volumes are low. heart size is accentuated as a result and appears mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacities are noted in the lung bases, more so on the left. no pleural effusion or pneumothorax is clearly identified. marked degenerative changes of the right glenohumeral joint are seen.What are the key findings of this report? [/INST] low lung volumes with patchy opacities in the lung bases. these may reflect areas of atelectasis though infection or aspiration cannot be completely 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] frontal and lateral views of the chest. the lungs are hyperinflated but clear of consolidation or effusion. calcified granulomas again seen at the right lung apex. the cardiomediastinal silhouette is within normal limits. mid thoracic compression deformity is seen with vertebroplasty changes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] mild to moderate cardiomegaly is stable. mild pulmonary edema has minimally improved. bibasilar opacities have increased, a combination of increasing effusions and adjacent consolidations. this consolidations could be atelectasis or infection in the appropriate clinical setting. there is no pneumothoraxWhat are the key findings of this report? [/INST] improved pulmonary edema. increased small bilateral effusions and adjacent opacities, these opacities could be atelectasis or pneumonia in the appropriate clinical setting </s> |
<s>[INST] there are low lung volumes with associated lower lobe bronchovascular crowding. allowing for this, no focal opacities concerning for pneumonia identified. a prominent epicardial fat pad obscuring the left heart apex is unchanged from <unk>. cardiac size cannot be properly assessed due to the low lung volumes and ap projection. the aorta is tortuous. otherwise, there are no cardiomediastinal or hilar contour abnormalities. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs remain hyperinflated with flattening of the diaphragms and relative lucency of the upper lobes, consistent with chronic obstructive pulmonary disease with pulmonary emphysema. there is persistent right base opacity similar as compared to the prior study, though slightly increased as compared to <unk>. findings could be due to underlying pneumonia or aspiration. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. old bilateral rib fractures are again seen.What are the key findings of this report? [/INST] <num>. copd with pulmonary emphysema. <num>. right base opacity appears slightly increased. findings may be due to progression of pneumonia; however, underlying pulmonary lesion is not excluded, particularly given underlying copd. recommend followup to resolution, consider nonurgent chest ct given background of copd. </s> |
<s>[INST] an et tube, enteric tube, right subclavian central venous catheter, and right pigtail pleural catheter are all stable and appropriate in location. the cardiomediastinal silhouette is within normal limits. a small right apical pneumothorax is present. remainder of the lungs are clear. there is minimal if any perihilar vascular congestion.What are the key findings of this report? [/INST] small right apical pneumothorax with pigtail catheter now on water seal. </s> |
<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. tiny calcifications project over the right scapular, unchanged from the prior exam.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary or chronic granulomatous disease. </s> |
<s>[INST] single frontal view of the chest demonstrates tracheostomy in standard position and intact median sternotomy wires. multiple surgical clips in the right upper lung base compatible with history of right upper lobectomy for squamous cell carcinoma. configuration of near complete opacification of the right lung with a large pleural effusion and elements of loculation in the right upper lobe and in subpulmonic location appears similar as compared to one day prior, with a small area of somewhat better aerated lung in the mid right hemithorax. the left lung is better aerated, with persistent left basilar atelectasis and small effusion. there is no discernable pneumothorax. cardiomediastinal silhouette is within normal limits allowing for semi-upright positioning and ap technique. there is evidence of posterior thoracotomy with disruption of posterior ribs.What are the key findings of this report? [/INST] slightly better aeration of the compressed right lung. similar large loculated right pleural effusion. </s> |
<s>[INST] single frontal view of the chest. heart size and cardiomediastinal contours are stable. widespread severe pulmonary fibrosis is similar to prior with asymmetric right mid and upper lung and left lower lung opacities. right lower lung opacity has increased since the prior exam. no substantial pleural effusion or pneumothorax.What are the key findings of this report? [/INST] increased right lower lung opacity with pre-existing right upper and left lower lung opacities, superimposed on background pulmonary fibrosis. </s> |
<s>[INST] a picc line terminates at the right lower superior vena cava. the heart is probably enlarged to a mild degree. there is marked unfolding of the aorta and the arch may be dilated. flattening of the right costophrenic sulcus suggests potentially an effusion versus pleural thickening or scarring, but the lungs appear clear. left-sided rib deformities appear very likely chronic, with a remodeled appearance, and probably related to remote prior trauma.What are the key findings of this report? [/INST] no evidence of acute process. dilatation of the aorta. blunting of the right costophrenic sulcus, possibly due to an effusion. picc line terminating in the lower superior vena cava. </s> |
<s>[INST] moderate enlargement of the cardiac silhouette is noted. mediastinal contour is grossly unremarkable. lung volumes are low. there is mild pulmonary edema demonstrated with peribronchial cuffing and vascular indistinctness. patchy opacities in the lung bases as well as within the periphery of both lungs may reflect an underlying mild chronic interstitial lung disease with superimposed patchy atelectasis at the lung bases, but infection is not excluded. there may be a small bilateral pleural effusions, but no pneumothorax is detected. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] mild pulmonary edema with possible small bilateral pleural effusions. more focal opacities within the lung bases may reflect atelectasis or infection superimposed on a background of mild chronic interstitial lung disease. </s> |
<s>[INST] low lung volumes without overt signs of pneumonia or edema. heart size is top-normal in size. the mediastinal and hilar contours are normal. 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 without overt signs of pneumonia or edema. </s> |
<s>[INST] the endotracheal tube ends <num> cm the carina. the right ij cvc ends at the mid to low svc. the enteric tube extends outside of the field of view within a nondistended stomach. postsurgical changes are noted at the left upper lobe. the retrocardiac airspace opacity has increased compared with the prior study of <unk>, and the right midlung airspace opacity is unchanged. there is probably a small left pleural effusion. there is no pneumothorax or pulmonary edema. the heart size is top-normal.What are the key findings of this report? [/INST] <num>. all lines and tubes in satisfactory position. <num>. interval increase in retrocardiac airspace opacity. <num>. stable right mid lung field airspace opacity. </s> |
<s>[INST] ap portable upright view of the chest. multiple overlying ekg leads are present limiting assessment. mild interstitial pulmonary edema is noted with mild cardiomegaly. no large effusion or pneumothorax though cp angles partially excluded. no pneumothorax. no convincing signs of pneumonia. the mediastinal contour is stable. bony structures are intact.What are the key findings of this report? [/INST] mild edema, mild cardiomegaly. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is minimal bibasilar atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable, as are the hilar contours.What are the key findings of this report? [/INST] no focal consolidation. </s> |
<s>[INST] the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. hilar contours are normal. no acute osseous abnormality.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] interstitial markings throughout both lungs appear minimally increased the prior examination on <unk>, particularly in the right lung. lung volumes are somewhat low. cardiomediastinal and hilar contours are within normal limits. bilateral hilar enlargement is consistent with known adenopathy. left-sided rib fractures are chronic and unchanged. no pneumothorax.What are the key findings of this report? [/INST] chronic fibrotic changes throughout both lungs with minimally overall increased opacity bilaterally, particularly in the right lung which could reflect infection. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. left basilar opacity has resolved. a line along the right lateral chest suggests a skinfold rather than a pneumothorax. there is no pleural effusion.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. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is biapical scarring and diffuse chronic interstitial changes are seen in both lungs. fibrotic changes in the right lung apex with elevation of the right minor fissure. slightly prominent right hilus. there are left basilar pleural plaques. the cardiomediastinal silhouette is normal. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. no acute cardiothoracic process. <num>. fibrotic changes in the right lung apex with elevation of the right minor fissure. slightly prominent right hilus. non-urgent chest ct to rule out underlying mass is seen. </s> |
<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] endotracheal tube and right internal jugular central line unchanged in position. nasogastric tube coursing below the diaphragm with the tip not identified. layering left effusion with associated airspace opacity may reflect compressive atelectasis, although pneumonia cannot be excluded. patchy opacity at the right base likely represents atelectasis. there continues to be perihilar vascular congestion but no overt pulmonary edema. no pneumothorax. </s> |
<s>[INST] lung volumes are markedly diminished. no consolidation or edema is noted. the mediastinum is unremarkable. the cardiac silhouette remains top normal for size accounting for patient and technical factors. no effusion or pneumothorax is seen. the osseous structures reveal an interval thoracotomy defect involving the posterior left sixth rib. degenerative changes are seen throughout the thoracic spine.What are the key findings of this report? [/INST] limited study given low lung volumes. apparent interval thoracotomy. no acute pulmonary process. </s> |
<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] no evidence of pneumonia. </s> |
<s>[INST] low lung volumes are noted with crowding of the bronchovascular markings. there is however hilar engorgement and indistinct pulmonary vascular markings suggesting superimposed mind pulmonary edema. blunting of the posterior costophrenic angles suggests small effusions. cardiac silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] findings suggestive of mild pulmonary edema and small bilateral pleural effusions. </s> |
<s>[INST] ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. stable appearance of a ovoid calcification projecting over the aortic knob. 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 cardiomediastinal and hilar contours are within normal limits. there is mild atelectasis in the right middle and right lower lobes. there is no pneumothorax, pleural effusion or focal consolidation. no definite displaced rib fracture identified.What are the key findings of this report? [/INST] <num>. mild atelectasis in the right middle and right lower lobes. <num>. no definite displaced rib fracture identified. </s> |
<s>[INST] single ap upright portable view of the chest demonstrates no acute cardiopulmonary process. cardiomediastinal, pleural and pulmonary structures are unremarkable. a right-sided pacemaker with leads terminating in the right atrium, right ventricle is again noted. median sternotomy wires are unchanged. no pleural effusion or pneumothorax. degenerative changes of the cervical spine, left acromioclavicular and left glenohumeral joint are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] compared to prior, there has been interval improvement of the appearance of the lungs. prior effusions and bibasilar opacities have resolved. the lungs are now essentially clear without consolidation or effusion. there is no edema. 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> |
<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study <unk> <unk>. a tracheostomy cannula is in place, seen to terminate in the trachea <num> cm above the level of the carina. the position is unchanged. a right-sided picc line is noted, seen to terminate overlying the right-sided mediastinal structures at the level of the carina. this corresponds to the mid portion of the svc. there is no evidence of pneumothorax in the apical area. the heart size may have increased mildly in comparison with the previous portable chest examination, but this assessment is uncertain, considering portable technique and bedside examination resulting in geometric distortion. the pulmonary vasculature appears more crowded than before, but this is most likely related to patient's poorer inspirational effort with relatively high-positioned diaphragms. perivascular haze or central pulmonary edema cannot be identified on this portable examination. also, the lateral pleural sinuses are free from any major pleural effusion. no new acute discrete parenchymal infiltrates can be seen; however, the crowded appearance of the vasculature creates some linear structures on the bases most likely representing atelectasis. more older chest examinations are reviewed and it is noted that the patient had similar chest findings already on <unk> before the tracheostomy was performed. the picc line have been placed and identified on chest examination <unk> <unk>.What are the key findings of this report? [/INST] low volume aeration, tracheostomy cannula in unchanged position without pneumothorax. stable chest findings, no evidence of new acute parenchymal infiltrates. </s> |
<s>[INST] multifocal poorly defined areas of consolidation predominantly involving the lower lobes have improved compared to the recent chest radiograph. no new areas of consolidation are identified. heart size and mediastinal contours remain normal. there are possible very small pleural effusions.What are the key findings of this report? [/INST] improving bilateral predominantly lower lobe pneumonia, possibly an aspiration pneumonia considering the dependent distribution. </s> |
<s>[INST] pa and lateral views of the chest. lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified. no free air below the diaphragm. surgical clips and a rounded hyperdense structure project over the anterior portion of the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |