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<s>[INST] frontal and lateral views of the chest were performed. a left mediport is in place, and terminates within the low svc. the port of the catheter has rotated slightly from prior, but is similar to <unk>. cervical fusion hardware and surgical changes of the right upper hemithorax are again noted. there is no pleural effusion or pneumothorax. there is bibasilar atelectasis, left greater than right. the heart is normal in size. the mediastinal and hilar structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] lung volumes are low. there are new small to moderate bilateral pleural effusions with adjacent atelectasis. heart is obscured by pleural effusions and not well evaluated. there is no pneumothorax. the aorta is calcified. multiple bilateral rib fractures are better seen on recent ct of the torso.What are the key findings of this report? [/INST] new bilateral pleural effusions are small to moderate. no pneumothorax. multiple bilateral rib fractures are better seen on recent ct of the torso. </s>
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<s>[INST] increased interstitial markings are seen throughout the lungs bilaterally, overall similar when compared to prior. there is no new consolidation or effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. chronic deformities seen in the ribs bilaterally suggest prior fractures.What are the key findings of this report? [/INST] no focal consolidation. increased interstitial markings in the lungs, potentially due to interstitial edema although given chronicity, chronic underlying interstitial process is also possible. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. the heart size remains mildly enlarged. the mediastinal and hilar contours are unchanged. there is mild pulmonary edema, slightly worse in the interval, though the lung volumes are lower compared to the previous exam. persistent triangular area of opacification within the lateral aspect of the right mid lung field as well as bibasilar airspace opacities are demonstrated. small bilateral pleural effusions are present, not changed from the previous exam. no pneumothorax is identified although assessment of the lung apices is obscured by the patient's chin and soft tissues of the neck projecting over this region. a pigtail catheter is demonstrated which terminates in the region of the right lung base, unchanged.What are the key findings of this report? [/INST] mild pulmonary edema, worse in the interval. persistent small bilateral pleural effusions with right basilar pigtail catheter in unchanged position. persistent bilateral airspace opacities are similar. </s>
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<s>[INST] there has been interval decrease in the amount of subcutaneous emphysema in the right lateral chest wall. a moderate size right pleural effusion which appears partially loculated laterally and along the apex appears minimally decreased in size. clips and chain sutures from prior right middle lobe lobectomy are present with evidence of right-sided volume loss with mild rightward shift of midline structures. cardiac and mediastinal structures appear otherwise unchanged. no pulmonary edema is present. right lower lobe atelectasis is again noted. left lung is otherwise clear. small left pleural effusion is noted, new in the interval. no pneumothorax is detected. no acute osseous abnormalities are visualized.What are the key findings of this report? [/INST] <num>. perhaps minimal decrease in size of moderate right pleural effusion with associated right lower lobe atelectasis. <num>. interval decrease in right subcutaneous emphysema. <num>. small left pleural effusion, new in the interval. </s>
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<s>[INST] lines and tubes are unchanged from <unk>:<num> today. the cardiomediastinal and hilar contours are stable. an intra-aortic balloon pump is in satisfactory position. lung volumes are low which accentuates bronchovascular markings. given that, there is slightly increased pulmonary vascular congestion without frank edema. there is a small layering left pleural effusion. the right lung is clear.What are the key findings of this report? [/INST] low lung volumes. new small left, layering pleural effusion and mildly increased pulmonary vascular congestion. </s>
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<s>[INST] portable ap view of the chest is compared to previous exam from <unk>. the lungs are clear of confluent consolidation. lateral costophrenic angles are sharp. calcified right apical granuloma is again noted. cardiomediastinal silhouette is within normal limits, as are the osseous and soft tissue structures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] subtle retrocardiac basilar opacity, better seen on the lateral view, most likely is due to overlapping structures and mild atelectasis, however, underlying aspiration or less likely infection are not excluded, but felt less likely. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aortic knob is calcified. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] subtle retrocardiac basilar opacity, better seen on the lateral view, most likely is due to overlapping structures and mild atelectasis, however, underlying aspiration or less likely infection are not excluded, but felt less likely. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aortic knob is calcified. no overt pulmonary edema is seen. </s>
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<s>[INST] two pa and one lateral radiograph of the chest were obtained. the lungs are clear. no consolidation, effusion, or pneumothorax is present. heart and mediastinal contours are normal. lateral view of the spine demonstrates confluent anterior osteophytes consistent with dish.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is enlarged. the great vessels are unremarkable. there is increased density in the right lower lobe, concerning for early atelectasis or pneumonia. suggest follow-up. no pleural effusion.What are the key findings of this report? [/INST] suspect increased density in the right lower lobe. </s>
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<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. re- demonstrated is subtle leftward deviation of the proximal trachea which could be due to underlying enlargement of the right lobe of the thyroid.What are the key findings of this report? [/INST] clear lungs. please note that chest ct is more sensitive in detecting small pulmonary lesions. re- demonstrated is subtle leftward deviation of the proximal trachea which could be due to underlying enlargement of the right lobe of the thyroid thyroid lesion not excluded. </s>
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<s>[INST] a right thoracostomy tube is unchanged in position. there is no pneumothorax. the patient is post cabg. the lung volumes are low. a small left pleural effusion and adjacent atelectasis are stable since the <unk> study. there has been interval removal of a right ij sheath.What are the key findings of this report? [/INST] low lung volumes. unchanged small left pleural effusion and left basilar atelectasis. no pneumothorax. </s>
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<s>[INST] <num> views of the chest demonstrate moderate cardiomegaly with a left ventricular predominance, warranting emergent workup. the lungs are clear. the hilar and mediastinal contours are within normal limits. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly warranting emergent workup in the setting of chest pain and no prior radiographs. </s>
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<s>[INST] heart size is enlarged. there is no pleural effusion or pneumothorax. there is increased opacity of the right lung bases, seen posteriorly on lateral view, which may represent a developing pneumonia. there is upper lobe redistribution of the vessels. there is no acute osseous abnormality.What are the key findings of this report? [/INST] findings concerning for developing right lower lobe pneumonia. </s>
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<s>[INST] compared to <unk> at <time>, the irregular opacity at the right base appears somewhat more extensive, suggesting interval worsening. there is minimal atelectasis at the left lung base, possibly with a small effusion, similar to the prior exam. there is upper zone redistribution and mild vascular plethora --<unk> degree of vascular plethora is also very slightly more pronounced. no overt chf. no gross right effusion. the indwelling right catheter, sternotomy wires, and prosthetic valve are again noted.What are the key findings of this report? [/INST] interval worsening of opacity at right lung base. the appearance is compatible with a pneumonic infiltrate. in the appropriate clinical setting, other alveolar processes such as alveolar hemorrhage are also a possibility. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal nodule, consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] portable semi erect frontal image of the chest. of note, the right costophrenic angle is excluded from this study. the pacemaker is seen overlying the left chest with intact leads in appropriate position. lung volumes are low with associated bronchovascular crowding. a subtle opacity is seen in the right upper lobe, likely representing residual changes from prior pneumonia. the lungs otherwise clear. there is no visualized pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is stable from prior exam.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] supine portable ap view of the chest provided. right ij central venous catheter is seen with its tip residing in the mid svc region. the lungs are clear. no pneumothorax or effusion. cardiomediastinal silhouette appears grossly unremarkable. no bony abnormalities.What are the key findings of this report? [/INST] adequate positioning of right ij central venous catheter. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. consolidative opacity within the right lower lobe is demonstrated. no pleural effusion is seen. the left lung is grossly clear. there is no pneumothorax. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] right lower lobe pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding. </s>
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<s>[INST] a single frontal upright view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. left basilar opacity is new from the study six hours earlier and may represent atelectasis versus aspiration. there is a possible associated pleural effusion. there is no free air under the right hemidiaphragm. right atelectasis is noted. there is a hiatal hernia with air in the esophagus.What are the key findings of this report? [/INST] <num>. no free air. <num>. left basilar opacity may represent aspiration or atelectasis, new from <num> hours prior. possible associated effusion. </s>
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<s>[INST] portable supine chest radiograph was obtained. endotracheal tube terminates in mid trachea. right internal jugular transvenous pacing wire is looped in the right pulmonary artery can be withdrawn approximately <num> cm for more optimal positioning within the right ventricle. diffuse haze over the right hemithorax likely reflects layering pleural effusion. increased pulmonary vascular congestion is also seen without focal consolidation. the heart is modestly enlarged with normal mediastinal contours. there is no pneumothorax. at least <num> right rib fracture is suggested.What are the key findings of this report? [/INST] <num>. venous pacing lead projects over the main pulmonary artery and could be withdrawn approximately <num> cm. <num>. likely layering right pleural effusion without pneumothorax. mild pulmonary vascular congestion. <num>. at least <num> right-sided rib fracture. </s>
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<s>[INST] low lung volumes are noted with secondary crowding of the bronchovascular markings. right midlung opacity seen laterally could potentially represent atelectasis. there is no effusion or pulmonary edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch with tortuosity of the descending thoracic aorta. chronic changes seen at the proximal left humerus which is incompletely visualized, suggestive of paget's disease as on prior dedicated views.What are the key findings of this report? [/INST] low lung volumes with right lung opacity laterally potentially atelectasis although clinical correlation is suggested regarding possibility of infection. otherwise no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the inferior lingular airspace opacity has decreased, and there is new inferior lingular subsegmental atelectasis. no new consolidations are identified. there are new small pleural effusions. the lungs are hyperinflated. biapical pleural parenchymal scarring is unchanged. the heart and mediastinum are within normal limits.What are the key findings of this report? [/INST] improving lingular pneumonia with new inferior lingular subsegmental atelectasis. </s>
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<s>[INST] moderate to severe cardiomegaly is similar to the prior study with slightly increased mild pulmonary vascular congestion without frank pulmonary edema. there is no pleural effusion, focal consolidation, or pneumothorax. a cardiac device projects over the left chest with a lead ending in the region of the svc, unchanged.What are the key findings of this report? [/INST] moderate to severe cardiomegaly with slight interval increase in mild pulmonary vascular congestion without frank pulmonary edema. </s>
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<s>[INST] ap upright and lateral views of the chest provided demonstrating low lung volumes, though no evidence of pneumonia or chf is seen. no large effusion or pneumothorax. the cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. surgical clips project over the chest wall, best seen on the lateral projection.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] the lungs are clear of consolidation, large effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. some degenerative changes are seen along the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal contours are normal. the lungs are hyperinflated and clear. there is no pneumothorax or pleural effusion. there is pectus carinatumWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] a stable opacity in the right upper lung medially is likely a combination of calcification in the cartilage of the first ribs and vascular prominence. otherwise, there is again enlargement of the cardiac silhouette with a pacer device in place. conspicuity of the interstitial markings and probable mild bronchial cuffing may represent incipient interstitial edema. there is no pleural effusion pneumothoraxWhat are the key findings of this report? [/INST] stable cardiomegaly. conspicuity of interstitial markings and probable mild bronchial cuffing may represent incipient interstitial edema. </s>
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<s>[INST] single portable view of the chest. no prior. relatively low inspiratory effort is seen. somewhat linear opacity is seen in the right mid lung, most suggestive of atelectasis. there is no large confluent consolidation and no large effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is a tiny right pleural effusion. there is right hemidiaphragm eventration. nodular, rounded opacity at the left lung base likely represents nipple shadow.What are the key findings of this report? [/INST] tiny right pleural effusion. </s>
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<s>[INST] cardiac size is top normal. mild vascular congestion is new. small right effusion is a stable. right lower lobe atelectasis have minimally improved. . there is no pneumothorax.What are the key findings of this report? [/INST] new mild vascular congestion </s>
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<s>[INST] the right picc line has been removed. the lungs are clear. the heart the great vessels are normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no active disease </s>
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<s>[INST] there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. multilevel degenerative changes in the thoracic spine are again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is interval removal of the left-sided picc line. heart appears normal in size and configuration. cardiomediastinal contours are unremarkable. there is a hazy opacity within the right upper lobe consistent with a developing infiltrate. there is mild blunting of the left costophrenic angle, possibly secondary to a reactive process. no pleural effusions or pneumothorax identified.What are the key findings of this report? [/INST] developing infiltrate within the right upper lobe, could be suggested of pneumonia in the context of neutropenic fever. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiac size is unchanged. there are multilobar opacities, mainly in the mid and lower lobes bilaterally. increased density along the major fissure is noted and could represent either fluid or volume loss. there is no pneumothorax. the tracheostomy tube and stent in the right main stem bronchus are in adequate position.What are the key findings of this report? [/INST] multilobar bilateral opacities concerning for pneumonia. </s>
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<s>[INST] left-sided port-a-cath tip terminates at the junction of the svc and right atrium. cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. ill-defined hazy and patchy opacity is noted within the left lung base, as well as faint patchy opacity within the periphery of the right mid lung field, new in the interval. small bilateral pleural effusions are demonstrated. no pneumothorax is present. there are no acute osseous abnormalities. mild degenerative changes are noted within the imaged thoracic spine with slight loss of height anteriorly of the t<num> vertebral body, unchanged. clips are seen within the right upper quadrant of the abdomen as well as overlying the epigastric region.What are the key findings of this report? [/INST] patchy and ill-defined hazy opacities within the left lung base and right peripheral mid lung field concerning for infection. small bilateral pleural effusions. </s>
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<s>[INST] in comparison to <unk> chest radiograph, no changes are noted. severe pectus excavatum is noted on lateral view and is unchanged from prior study.the lungs are well expanded and clear. there is no pneumothorax nor pleural effusions. the heart size is normal but appears falsely enlarged by the overlying compressing anterior chest wall deformity. the mediastinal silhouette, hilar, and pleural surfaces are normal.What are the key findings of this report? [/INST] <num>. the heart size is normal but appears falsely enlarged by the overlying compressing anterior chest wall pectus excavatum. no acute cardiopulmonary process noted. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips are noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. left chest wall aicd is seen with leads extending to the region the right atrium and right ventricle. midline sternotomy wires and mediastinal clips are noted. cardiomegaly with hilar congestion is noted. no frank pulmonary edema. no large effusion or pneumothorax. no convincing signs of pneumonia. bony structures are intact. mediastinal contour is normal.What are the key findings of this report? [/INST] cardiomegaly with hilar congestion </s>
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<s>[INST] patient is status post left upper lung resection. diffuse reticulonodular interstitial markings are chronic, but undiagnosed. consolidation of both lower lobes and right middle lobe is similar to prior. there is small pleural effusion bilaterally. fibrotic changes at the left hilum stable from prior. right pectoral infusion port terminates in the right atrium. there is no new consolidation compared to <unk>. cardiac silhouette is obscured by lung consolidation.What are the key findings of this report? [/INST] diffuse reticulonodular interstitial pattern is chronic. due to the the severity of this chronic pathology, detection of subtle pneumonia would be difficult. there is no obvious large pneumonia. </s>
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<s>[INST] the heart size is mildly enlarged. the aorta remains mildly dilated and tortuous. the mediastinal and hilar contours are otherwise unchanged. new focal consolidation within the right lower lobe is compatible with pneumonia. minimal retrocardiac patchy opacity is also seen. the lungs are hyperinflated compatible with underlying copd. there is no pleural effusion is definitively seen. no pulmonary vascular congestion or pneumothorax is demonstrated. osteophytic spurring is seen within the thoracic spine.What are the key findings of this report? [/INST] right lower lobe pneumonia. patchy retrocardiac opacity could reflect an additional site of pneumonia or atelectasis. follow up radiographs after treatment are recommended to ensure resolution of this finding. </s>
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<s>[INST] even allowing for the projection, the heart size appears enlarged. this is similar in appearance when compared to the prior study. no consolidation, pleural effusion or pneumothorax seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process seen. moderate cardiomegaly. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart size is normal with normal cardiomediastinal contours. there is residual opacity in the left lower lobe, decreased in size since <unk>, when it was seen to correspond to a cavitary lesion. there is a persistent vague opacity in the right upper lobe, seen on the previous chest ct, which may represent sequelae of prior infection or persistent inflammation. there is new opacity at the right cardiophrenic angle, which may be atelectasis but could also represent pneumonia in the appropriate clinical setting. the pulmonary vasculature is unremarkable. no pneumothorax or pleural effusion. the osseous structures are normal. there has been interval removal of a picc. no radiopaque foreign bodies are present.What are the key findings of this report? [/INST] <num>. new right cardiophrenic angle opacity, which may represent pneumonia in the appropriate clinical setting. <num>. persistent right upper lobe and improved left lower lobe opacities. </s>
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<s>[INST] the heart is normal in size. the lungs are grossly clear. no significant pleural effusion is seen. compared to prior, there is increased in vascular pedicle and increased in caliber of pulmonary vasculature, likely from increased intravascular volume. however, no pulmonary edema is seen. right picc terminates in mid svc.What are the key findings of this report? [/INST] increased in intravascular pressure or volume without evidence of pulmonary edema. </s>
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<s>[INST] there is a left chest port-a-cath with distal tip overlying the cavoatrial junction. the cardiomediastinal silhouettes are within normal limits. the hila are unremarkable. there is no evidence of pulmonary vascular congestion. there is diffuse reticulonodular interstitial opacity worst at the lung bases, and better evaluated on prior ct torso. given tree-in-<unk> appearance on that examination, findings are concerning for multifocal infection, including but not limited to mycobacterium organisms including tuberculosis, and fungal pneumonia.What are the key findings of this report? [/INST] diffuse reticulonodular interstitial opacities are worst at the lung bases. given appearance on recent ct torso, findings concerning for severe aspiration or multifocal infection, including but not limited to endobronchial spread of pneumonia, mycobacterium organisms including tuberculosis, and fungal pneumonia. </s>
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<s>[INST] mildly hyperinflated lungs with flattening of the diaphragms. lungs are clear. no pleural effusion, pneumomediastinum, or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is unremarkable.What are the key findings of this report? [/INST] hyperinflated lungs can be seen with emphysema and small airways disease. no pneumonia. </s>
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<s>[INST] compared to the prior study, the left lower lobe pneumonia is significantly improved. there is mild central pulmonary vascular congestion. the lung volumes are normal. the cardiomediastinal contour is normal. there is no pleural effusion. glenohumeral and acromioclavicular joint degenerative disease noted bilaterally, with bilateral high riding humeral heads consistent with chronic rotator cuff disease. otherwise, the bones and soft tissue structures are unremarkable. there is no free air underneath the right hemidiaphragm.What are the key findings of this report? [/INST] <num>. mild central pulmonary vascular congestion. <num>. significant interval improvement in the left lower lobe pneumonia. </s>
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<s>[INST] there has been interval improvement in right-sided pulmonary opacity with some haziness over the right mid to lower lung remaining. there appears to be a posterior left pleural effusion/pleural thickening. no pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are grossly unremarkable.What are the key findings of this report? [/INST] left pleural effusion and/ or pleural thickening. subtle opacity projecting over the right mid to lower lung has decreased compared to prior studies. no definite new focal consolidation seen. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. the heart is mild to moderately enlarged. there is unfolding of the thoracic aorta. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no definite change.What are the key findings of this report? [/INST] cardiomegaly. no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] compared with prior radiographs on <unk>, there has been interval placement of an ng tube, which is looped in the stomach, with the tip terminating near the gastroesophageal junction. the visualized portions of the lung bases appear unchanged. mediastinal silhouette is unchanged.What are the key findings of this report? [/INST] ng tube is looped in the stomach, with the tip terminating near the gastroesophageal junction, and should be repositioned. </s>
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<s>[INST] in comparison to the most recent prior study, the inspiratory lung volumes are improved. the lungs are clear without focal consolidation concerning for pneumonia. no pleural effusion or pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is enlarged but stable. the thoracic aorta is widened and tortuous, which accentuates the prominence of the mediastinum. the mediastinal contours are stable compared to the prior <unk> study. the trachea is slightly deviated to the right by the aortic knob. prominence of the right hilum is unchanged and likely represents vessels. surgical clips in the right upper quadrant of the abdomen are compatible with prior cholecystectomy. there is exaggerated thoracic kyphosis with multilevel mild-to-moderate degenerative changes of the thoracic spine.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. stable cardiomegaly. </s>
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<s>[INST] cardiomediastinal contours are stable with mild cardiomegaly. port cath tip is in standard position. . the lungs are clear. there is no pneumothorax or pleural effusion. there are moderate degenerative changes in the thoracic spineWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] there is severe cardiomegaly. as compared to prior chest radiograph, there has been interval increase of a small-to-moderate left pleural effusion. there is hyperinflation of the upper lung lobes, unchanged from prior examinations. there is no pulmonary edema. there are no focal consolidations concerning for pneumonia. there is evidence of kyphosis.What are the key findings of this report? [/INST] <num>. interval increase of small-to-moderate left pleural effusion. <num>. no definite acute focal pneumonia. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. the heart and mediastinal contour are normal. the bony structures are intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] the heart is mildly enlarged. low lung volumes result in bronchovascular crowding. there is mild engorgement of the pulmonary vasculature as well as bilateral, basilar opacities consistent with atelectasis and possibly mild pulmonary edema. there is no pneumothorax or pleural effusion identified.What are the key findings of this report? [/INST] low lung volumes with bilateral, subtle opacities left greater than right consistent with atelectasis, pneumonia is less likely. possible mild edema. </s>
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<s>[INST] the right lower lobe opacity is new since <unk>. the cardiomediastinal silhouette is unchanged from prior exam. there is tortuous thoracic aorta secondary to moderate right convex at mid thoracic and left convex at upper lumbar scoliosis. otherwise, there is no acute osseous abnormalities. no pleural abnormalities are seen. patient status post left upper chest cardiac pacer with dual leads in unchanged positioning.What are the key findings of this report? [/INST] right lower lobe opacity, may indicate pneumonia in the right clinical setting. </s>
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<s>[INST] lungs are hyperinflated. bibasilar linear opacities are present, left greater than right, likely due to a combination of subsegmental atelectasis and scarring. tiny calcified granuloma at the right lung base is unchanged. cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or pulmonary edema. no acute displaced rib fractures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable frontal radiograph of the chest demonstrates the et tube is <num> cm above the carina. otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. pulmonary vascular congestion persists. the cardiac and mediastinal silhouettes are grossly stable.What are the key findings of this report? [/INST] et tube in appropriate position. </s>
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<s>[INST] lungs are clear. there is no pleural effusion or pneumothorax. heart is top normal in size with normal cardiomediastinal silhouette.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. aortic stent graft is again seen. there is a left pleural effusion which appears increased since the prior study. small right pleural effusion may also be present. bilateral perihilar opacities suggest a degree of mild pulmonary edema. left perihilar opacities again seen which on prior studies raised concern for lung mass. patient is status post median sternotomy. surgical clips are also noted in the right upper outer hemithorax. no evidence of pneumothorax is seen.What are the key findings of this report? [/INST] left greater than right pleural effusions. perihilar opacities suggest component of underlying edema. left mid lung mass better assessed on prior studies. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is stable noting mild cardiac enlargement and calcifications of the aortic arch. median sternotomy wires are again noted. hypertrophic changes seen in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] round mass centered in the right middle lobe is again seen. linear opacity at the left lung base is suggestive of atelectasis. the lungs are otherwise clear. cardiac silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips in the right upper quadrant suggest prior cholecystectomy.What are the key findings of this report? [/INST] right middle lobe round mass lesion as seen on prior pet. no superimposed acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal with mild tortuosity of thoracic aorta. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no overt traumatic injury.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no overt traumatic findings. if there is focality to examination, dedicated rib series may be helpful. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. costophrenic angles are sharp. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. anterior cervicothoracic fixation hardware is visualized. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are not significantly changed from yesterday at <time>. the pulmonary vasculature is mildly congested. extensive bilateral opacities are worsened from yesterday at <time>. right effusion is small. no pneumothorax.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. pulmonary vasculature is mildly congested. small right effusion. <num>. extensive bilateral opacities are slightly worsened from yesterday at <time>. </s>
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<s>[INST] ap and lateral views of the chest. right chest wall pacing device is seen with lead tips in the right atrium and right ventricular apex. where visualized lungs are clear. there is no effusion or consolidation or pulmonary vascular congestion. mitral annular calcifications are again noted. cardiac silhouette is stable. no acute osseous abnormality detected. upper abdominal stent, potentially biliary, is partially visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is mild unfolding of the thoracic aorta. the heart is normal in size. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] ett in standard position. enteric tube tip projects over the expected region the stomach. right ij catheter tip projects over the expected region of the svc-ra junction, unchanged. aeration has slightly improved in the interim. opacity projecting in the left lower lobe may correspond to the known malignancy. small left pleural effusion persists. appearance of the right lung is overall unchanged. no pneumothorax. no edema.What are the key findings of this report? [/INST] persistent left pleural effusion and atelectasis, with slight interval improvement in lung aeration. </s>
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<s>[INST] a portable frontal chest radiograph demonstrates low lung volumes and unchanged cardiomegaly. no definite focal consolidation or pneumothorax is identified, although evaluation is limited secondary to obscuration of the right apex. there is minimal, if any, pleural fluid on the left. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] limited exam secondary to patient positioning and low lung volumes. within these limitations, no acute cardiopulmonary process. </s>
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<s>[INST] bedside ap radiograph of the chest demonstrates increasing bilateral lower lobe opacities obscuring the diaphragmatic contours. there are new small bilateral pleural effusions as well. several other areas of heterogeneous opacity are seen overlying the left heart border as well as in the infrahilar region on the right. there is no pneumothorax. the hilar and cardiomediastinal contours are normal. a dual-chamber endotracheal tube terminates with the longer component within the left mainstem bronchus. an orogastric tube courses into the stomach and inferiorly out of the field of view.What are the key findings of this report? [/INST] new bilateral lower lobe opacities concerning for persistent hemorrhage or multifocal pneumonia, depending on the clinical setting. </s>
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<s>[INST] there is moderate cardiomegaly. the lung volumes are low resulting in bibasilar atelectasis. there is no evidence of a pneumothorax. there may be a small left pleural effusion. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] bibasilar opacities are likely secondary to low lung volumes. recommend full inspiration and oblique views for further evaluation. updated findings were d/w dr. <unk> by dr. <unk> by phone at <unk>:<unk>a on the day of the exam by phone. </s>
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<s>[INST] there is persistent slight blunting of the right costophrenic angle. no focal consolidation or evidence of pneumothorax is seen. the cardiac, mediastinal, and hilar contours are stable.What are the key findings of this report? [/INST] still blunting of the right cardiophrenic angle may be due to pleural thickening. no significant interval change. </s>
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<s>[INST] lung volumes are low. again seen is a large periesophageal hernia. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] pa and lateral views of the chest provided. port-a-cath is again seen overlying the left chest wall with catheter tip extending to the level of the low svc. there is near-complete opacification of the right hemithorax which is concerning for large pleural effusion. slight shift of midline structures to the left is evident. there is minimal residual aeration within the right mid lung. the left lung remains clear. heart size cannot be accurately assessed. bony structures are unchanged.What are the key findings of this report? [/INST] near-complete opacification of the right hemithorax is most compatible with large right pleural effusion. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] compared to prior exams, mild progression of opacifications are seen in the right lower lung, concerning for pneumonia. mild vascular congestion is also increased compared to prior study. interval removal of left-sided internal jugular central venous line. an endotracheal tube is seen terminating <num> cm above the carina. a tunneled dialysis catheter on the right is unchanged compared to prior same day exams. enteric tube is coiled in the stomach. no evidence of pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. interval progression of opacities in the right lower lung, concerning for pneumonia. <num>. mild increase in vascular congestion compared to prior study. <num>. interval removal of left-sided internal jugular approach central venous line. <num>. stable appearance of ett, tunneled dialysis catheter, and enteric tube. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable without visualized acute displaced rib fracture. there is evidence of old healed lateral right rib fractures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] single portable upright frontal chest radiograph demonstrates mildly hypoinflated lungs. no pleural effusion or pneumothorax. persistent mild cardiomegaly. mediastinal contour and hila are otherwise unremarkable. no free air under the diaphragm.What are the key findings of this report? [/INST] no evidence of free intraperitoneal air. if serious concern need dedicated upright radiograph or ct for further evaluation. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear without focal consolidation, effusion, or pulmonary vascular congestion. the cardiac silhouette are unchanged. no acute osseous abnormality is identified, hypertrophic changes seen in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a left subclavian central venous catheter ending in the mid svc, endotracheal tube, and enteric tube are unchanged in position. the lungs are well inflated. there has been interval improvement in aeration of the right upper lobe since the prior study. bilateral lower lobe consolidations are similar in appearance. there is no pneumothorax.What are the key findings of this report? [/INST] improved right upper lobe aeration since the prior study. lower lobe consolidations, right greater than left, are unchanged. </s>
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<s>[INST] as compared to the previous radiograph, the pre-existing large left parenchymal opacity has completely cleared. the left lung base continues to show elevation of the left hemidiaphragm as well as a minimal pleural scarring limited to the location of the left costophrenic sinus. the postoperative right apical changes are constant in appearance. the lung volumes have increased, presumingly as a consequence of improved ventilation.What are the key findings of this report? [/INST] complete resolution of a pre-existing left lower lobe pneumonia. reduction in extent of a pre-existing left pleural effusion. </s>
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<s>[INST] ap and lateral chest radiograph demonstrates bilateral opacities better appreciated on recent dedicated chest ct dated <unk> consistent with lung nodules. the largest opacity within the left lower lobe is best demonstrated on the lateral radiograph which measures approximately <num> cm in diameter. low lung volumes accentuate the cardiac silhouette and result in crowding of bronchovascular structures, particularly at the bases. attenuation of upper lobe vessels corresponds to emphysema on recent ct. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] emphysematous changes with bilateral nodules, better evaluated on ct dated <unk>. no convincing evidence of pulmonary edema or consolidation worrisome for infectious process. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. the lungs are clear.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] rotated positioning. again seen is moderate cardiomegaly. no definite chf. minimal atelectasis at both lung bases, but no convincing focal infiltrate and no consolidation identified. previously seen increased markings at the right base have improved. no gross effusion on either side. the extreme right costophrenic angle is excluded from the film.What are the key findings of this report? [/INST] <num>. left-greater-than-right bibasilar atelectasis. no definite infiltrate. <num>. allowing for technical differences, previously seen right base infiltrate has improved. otherwise, i doubt significant change. </s>
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<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. clavicular fracuture seen on the shoulder radiographs of the same date is obscured.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process, including no evidence of pneumothorax. </s>
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<s>[INST] lung volumes are low. there has been interval development of moderate to severe pulmonary edema. the heart is mildly enlarged. the azygos vein is distended. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] interval development of moderate to severe pulmonary edema. </s>
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<s>[INST] lungs remain hyperinflated. increased interstitial markings bilaterally likely due to combination of chronic lung disease and mild interstitial edema. there are small bilateral pleural effusions with overlying atelectasis. right base opacity may be due to combination of pleural effusion and atelectasis, but consolidation due to infection, aspiration, or pulmonary contusion not entirely excluded. no evidence of pneumothorax is seen. biapical pleural thickening is again seen. the cardiac and mediastinal silhouettes are stable. persistent loss of height of the mid to lower thoracic vertebral body. fracture of a mid posterior right rib, possibly the posterior right sixth rib is of indeterminate age, but appears new since the prior study. diffuse osteopenia.What are the key findings of this report? [/INST] diffuse osteopenia. fracture of at least <unk> mid posterior right-sided rib, possibly sixth rib of indeterminate age, but appears new since <unk>. additional rib fractures are difficult to exclude if high clinical concern for acute rib fractures, ct is more sensitive and should be considered. small bilateral pleural effusion with overlying atelectasis. right base opacity may be due to combination of pleural effusion and atelectasis, but underlying consolidation not excluded. increased interstitial markings bilaterally likely combination of chronic lung disease and mild interstitial edema. </s>
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<s>[INST] the patient is rotated to the right. a loculated right hydro pneumothorax appears stable. there is continued evidence of volume loss/consolidation in the underlying right lung. the right chest tube remains in place. there is no significant change.What are the key findings of this report? [/INST] stable examination. </s>
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<s>[INST] the cardiac silhouette is normal. the mass in the superior segment of the left lower lobe seems slightly more prominent in today's examination. no new focal consolidations. there are no pleural effusions or pneumothorax. visualized osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] stable left lower lobe mass, which is slightly more prominent on today's examination. </s>
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<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacity.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality is seen.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] this series of radiographs demonstrates positioning of a nasogastric tube, which ultimately courses into the stomach and out of the field of view. there are low lung volumes, which results in bronchovascular crowding. there is an unchanged appearance of supra and infrahilar left-sided consolidative opacities. left-sided pleural drainage catheter is in place. there has been interval removal of the right-sided pleural drainage catheter and the endotracheal tube. the cardiomediastinal and hilar contours are unchanged. a right upper extremity picc ends in the mid svc.What are the key findings of this report? [/INST] nasogastric tube courses into the stomach, and out of the field of view. </s>
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