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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. no evidence of free air is seen beneath the diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal silhouette and hilar contours are unremarkable. diffusely increased interstitial marking particularly at the right lung base are unchanged since <unk>, but progressed slightly since <unk>. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] subtle but diffusely increased interstitial markings particularly at the right lung base appearing largely similar to <unk> of unclear etiology but possibly reflecting a component of heart failure. </s>
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<s>[INST] the lungs are mildly hyperinflated. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable and unchanged since the prior examinations. there is no consolidation. no pneumothorax or pleural effusion is noted. chronic changes are seen at the lung bases.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] there has been interval improvement in the bilateral parenchymal opacities. a right-sided pigtail catheter is in stable position. endotracheal tube terminates at the level of the clavicles, and a nasogastric tube terminates within the stomach. a left picc is in stable position.What are the key findings of this report? [/INST] interval improvement in the bilateral parenchymal opacities. right pigtail catheter in stable position. </s>
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<s>[INST] a right-sided chest tube is unchanged in position. a previously seen right apical pneumothorax has resolved. the cardiomediastinal hilar contours are within normal limits. the lungs are clear. there is no evidence of pleural effusion.What are the key findings of this report? [/INST] resolved right apical pneumothorax. no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lungs are clear. cardiac silhouette is normal in size. there is no pleural effusion, pneumothorax, pulmonary edema or pneumonia. scoliosis is present and the bones are diffusely osteopenic.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right ij swan-ganz catheter similar in configuration. cardiomegaly is also grossly unchanged. please note that pericardial fluid would be difficult to exclude on this study. again seen is left lower lobe collapse and/or consolidation with obscuration of the left hemidiaphragm suggestive of a small left effusion. this is similar to the film from <num> day earlier, but degree of increased retrocardiac density and obscuration of left hemidiaphragm has increased. also again seen is a right pleural effusion, now somewhat larger -- moderate in size -- and extending into the minor fissure, with underlying collapse and/or consolidation. mild upper zone redistribution is not significantly changed.What are the key findings of this report? [/INST] cardiomegaly and upper zone redistribution, grossly unchanged. interval increase in size of right pleural effusion, with underlying collapse and/or consolidation. interval worsening of previously seen left lower lobe collapse and/or consolidation, probably with small left effusion. </s>
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<s>[INST] the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is mildly enlarged. the aorta remains tortuous and diffusely calcified. there is no pulmonary vascular congestion. mild bibasilar atelectasis is seen. a moderate size hiatal hernia is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. multilevel degenerative changes are noted in the thoracic spine with a levoscoliosis centered at the thoracolumbar junction. no free air is identified under the diaphragms.What are the key findings of this report? [/INST] moderate size hiatal hernia. mild bibasilar atelectasis. no free air identified under the diaphragms. </s>
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<s>[INST] the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.within the limitations of chest radiography, no evidence of right rib fracture.What are the key findings of this report? [/INST] within the limitations of chest radiography, no definite evidence of right rib fracture. no pneumothorax. if clinical concern remains, dedicated right rib films or chest ct without contrast could be obtained for further evaluation. </s>
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<s>[INST] a single portable frontal view of the chest was performed. an overlying trauma board limits complete evaluation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. there is no displaced rib fracture appreciated. a minimal dextroscoliosis of the thoracic spine is likely positional and unrelated to trauma. there is no paraspinal hematoma appreciated. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral radiographs of the chest demonstrate moderate pulmonary edema as well as moderate cardiomegaly which is worse than on the prior chest radiograph from <unk>. there are small to moderate bilateral pleural effusions. there is no pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly, pulmonary edema, and bilateral pleural effusions, consistent with decompensated congestive heart failure. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal, and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormalities are visualized.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 were reviewed and compared to the prior studies. linear increased opacity projecting over the heart on the lateral view is most likely vascular crowding due to lower lung volumes. there is no corresponding area on the frontal view; otherwise, the lungs are clear. normal heart, mediastinum, and pleural surfaces.What are the key findings of this report? [/INST] linear opacification overlying the heart on the lateral view is likely due to vascular crowding. if there is strong clinical suspicion of pneumonia, oblique views would be helpful in making a more confident assessment. </s>
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<s>[INST] portable ap chest radiograph. there is a tiny right apical pneumothorax, not clearly visible at <time>. there is subcutaneous emphysema in the right supraclavicular region and along the right flank. again noted is mild atelectasis in the left lung base. there is no pleural effusion. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] tiny right apical pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. a few air-fluid levels are seen in bowel in the upper abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. a few air-fluid levels are seen in bowel in the upper abdomen, correlate clinically with signs of obstruction/ileus. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. dual-lead left-sided pacemaker is seen with leads extending to the expected positions of the right atrium and right ventricle. the cardiac silhouette is top normal to mildly enlarged. the aorta is calcified and tortuous. there is elevation of the anterior right hemidiaphragm. there are scattered linear areas of opacity in the mid-to-lower lungs bilaterally likely related to atelectasis/scarring. mild prominence of the central pulmonary vasculature may be due to mild pulmonary edema. no definite focal consolidation or pleural effusion is seen. there are no findings to suggest pneumothorax.What are the key findings of this report? [/INST] top normal to mildly enlarged cardiac silhouette with possible mild vascular congestion. scattered linear atelectasis/scarring. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the bony structures appear within normal limits.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the right-sided chest tube has been removed with subcutaneous emphysema in the chest wall. no definite pneumothorax. curvilinear opacity in the right upper lobe, at the track of prior chest tube. the lung volumes are very low with increasing basal atelectasis. the right hilar opacity also appears more prominent could be related to postoperative changes and should be followed up on subsequent imaging. mild pulmonary vascular congestion is new.What are the key findings of this report? [/INST] the right-sided chest tube has been removed no pneumothorax. the lung volumes are very low with increasing basal atelectasis. the right hilar opacity also appears more prominent could be related to postoperative changes and should be followed up on subsequent imaging. mild pulmonary vascular congestion is new. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. chest findings are grossly unaltered. the left-sided apical small pneumothorax is still present, although it has diminished in size again. the maximal pleural layer separation in the apical area is about <num> cm. pulmonary parenchyma appears clear and the post-operatively small remaining hematoma has now formed into a linear scar as can be identified on the lateral view.no new abnormalities.What are the key findings of this report? [/INST] persistent very small left-sided apical pneumothorax. no other significant abnormalities remaining. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and fairly well-aerated lungs. linear atelectasis or scarring has not changed since at least <unk>. borderline cardiomegaly and mediastinal vascular engorgement are <unk>-<unk>. there is no pleural effusion. loss of height in multiple thoracic vertebral bodies is chronic, the result of renal osteodystrophy. .What are the key findings of this report? [/INST] no evidence of pneumonia. borderline cardiac enlargement. renal osteodystrophy, responsible for chronic thoracic vertebral compressions. </s>
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<s>[INST] supine portable view of the chest demonstrates low lung volumes. endotracheal tube terminates <num> cm above the carina. the orogastric tube is positioned within the stomach. there are diffuse bilateral airspace opacities. there is minimal blunting of the left costophrenic angle, suggestive of a trace pleural effusion. no pneumothorax is seen. mild perihilar vascular congestion is noted. otherwise, hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is thickening of the right minor fissure. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. appropriately positioned endotracheal and orogastric tubes. <num>. diffuse bilateral airspace opacities most likely reflecting moderate to severe pulmonary edema, with small bilateral pleural effusions. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate hyperexpanded and clear lungs without a focal opacity convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. a right chest port terminates within the right atrium. there is no pleural effusion or pneumothorax. mild compression deformity at the thoracolumbar junction is of indeterminate age.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] superior mediastinum and right apex are somewhat obscured by the patient's chin projecting over this region. cardiac, mediastinal and hilar contours are unchanged with the heart size within normal limits. the pulmonary vasculature is not engorged. apart from minimal atelectasis in the lung bases, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. posterior spinal fusion hardware is noted at the cervicothoracic junction.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] lower lung volumes are seen. the lungs are clear of focal consolidation, effusion or overt pulmonary edema. cardiomediastinal silhouette is unchanged especially given patient's rotation. dense atherosclerotic calcifications noted at the aortic arch. median sternotomy wires are noted. no acute osseous abnormalities identified. no definite acute cardiopulmonary process. compression deformity in the upper lumbar spine is unchanged.What are the key findings of this report? [/INST] lower lung volumes without definite acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal lateral views of the chest demonstrate multifocal airspace opacities, most pronounced on the right. there is a dense consolidative opacity in the right hilum. there is no pneumothorax or pleural effusion. there is no displaced rib fracture. relative enlargement of the cardiac silhouette may be related to low lung volumes.What are the key findings of this report? [/INST] <num>. bilateral airspace opacities, most pronounced on the right, concerning for infection. <num>. right hilar opacity, also likely secondary to infection however, followup is recommended to ensure resolution. recommendation(s): followup chest radiograph to ensure resolution. </s>
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<s>[INST] the cardiomediastinal and hilar contours are stable. the aorta is tortuous and shows a calcified wall. there is moderate cardiomegaly. lung volumes are low. no large pleural effusion or pneumothorax. there is mild pulmonary edema.What are the key findings of this report? [/INST] slightly low lung volumes. increased cardiomegaly and vascular congestion due to cardiac decompensation and/or volume overload. </s>
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<s>[INST] since the prior study the right internal jugular central venous line is been removed. heart size appears normal and a tortuous aorta is again demonstrated. opacification of the retrocardiac region is likely secondary to the known large hiatal hernia. additional right lung base opacity could be from consolidation and a small pleural effusion. no evidence of pulmonary edema. right shoulder arthroplasty appears unremarkable.What are the key findings of this report? [/INST] new right lung base consolidation and costophrenic angle obscuration may reflect pneumonia and a small right pleural effusion. </s>
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<s>[INST] portable upright frontal view of the chest. a well-circumscribed right upper lobe soft tissue mass measuring <num> x <num> cm is better characterized on the prior ct chest. the lung volumes are low which causes bibasilar atelectasis. there is no pleural effusion or pneumothorax. the aortic knob is calcified. the heart size is normal.What are the key findings of this report? [/INST] right upper lobe soft tissue mass better characterized on a prior chest ct. no hemorrhage, pleural effusion or pneumothorax. </s>
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<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are normal. lungs are clear without focal consolidation. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present, however the left lateral costophrenic angle is excluded from the field-of-view. there are no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates stable cardiomegaly. atelectatic changes are seen at the bilateral lung bases. small residual right-sided pleural effusion. no pneumothorax or consolidation. incidental note is made of two radioopaque pills in the stomach.What are the key findings of this report? [/INST] stable cardiomegaly with small residual right-sided pleural effusion and bibasilar atelectasis. </s>
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<s>[INST] there is no change from the prior study from <unk>, with mild vascular engorgement of the pulmonary vasculature, right pleural effusion, also accumulating at the minor fissure, and right atelectasis. the cardiomediastinal silhouette and hila are normal. a ng tube ends in the chest within a gastric pull-up.What are the key findings of this report? [/INST] <num>. no evidnece of pneumonia. <num>. ng tube ends in the gastric pull-up within the chest. <num>. right pleural effusion, unchanged from <unk>. </s>
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<s>[INST] large left hilar mass was better assessed on ct <num> day prior. peripheral left upper lobe <num> cm pulmonary nodule/ mass is re- demonstrated and also better assessed on pre seeding ct. additional pulmonary nodules are better assessed on ct. subtle reticular opacities bilaterally with a basal predominance are consistent with chronic interstitial lung disease. mild biapical pleural thickening is re- demonstrated. there is likely a small left pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] large left hilar mass and peripheral left upper lobe pulmonary nodule/mass seen on ct <num> day prior were better assessed on ct. chronic interstitial lung disease. no new opacity identified. </s>
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<s>[INST] projecting over each axillary region are surgical clips. the heart is mildly enlarged. the mediastinal and hilar contours appear unchanged. moderate relative elevation of the right hemidiaphragm is noted. the lungs are clear. there are no pleural effusions or pneumothorax. minor degenerative changes are noted along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] ap and lateral views of the chest <unk> at <time> are submitted.What are the key findings of this report? [/INST] lung volumes are slightly low. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits given ap technique. opacity in the right cardiophrenic angle most likely reflects a prominent pericardial fat pad. degenerative changes are seen in the thoracic spine. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. right hilar lymph node calcifications are re- demonstrated. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.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.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pneumomediastinum, pleural effusion, or consolidation. note is made of mild leftward deviation of the trachea.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. mild leftward deviation of the trachea. recommend nonemergent thyroid ultrasound for further evaluation. recommendation(s): mild leftward deviation of the trachea. recommend nonemergent thyroid ultrasound for further evaluation. </s>
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<s>[INST] comparison is made to radiograph dated <unk>. single ap semi-erect chest radiograph demonstrates low lung volumes. again noted is air-filled and distended stomach projecting across the midline and under the right hemidiaphragm. hazy opacity projects over the left upper lobe obscuring the left heart border and in the retrocardiac region. the right lung is grossly clear. heart appears stable in contour relative to prior examination. no overt pulmonary edema. there is no large pleural effusion.What are the key findings of this report? [/INST] <num>. hazy opacity projects over the left lower lung for which aspiration or alternatively early pneumonia cannot be excluded. <num>. air-filled and distended stomach appears somewhat more distended compared to prior study dated <unk>. </s>
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<s>[INST] lines and tubes: endotracheal tube is <num> cm above the carina, in unchanged position. enteric tube traverses below the diaphragm, distal tip not visualized. left picc terminates at the cavoatrial junction. lungs: the lung volumes are low, however compared to the prior radiograph there is interval improved aeration. persistent right upper and bilateral lower lobe linear and patchy opacities with interval improvement. pleura: there is no pleural effusion or pneumothorax mediastinum: no change in cardiomediastinal silhouette. bony thorax: no interval change.What are the key findings of this report? [/INST] persistent low lung volumes with mild interval improvement in aeration and improving right upper and bibasilar opacities. these opacities could represent foci of atelectasis versus aspiration pneumonitis. there is no lobar consolidation. </s>
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<s>[INST] the tip of the endotracheal tube projects <num> cm from the carina. a feeding tube projects over the gastric body. the tip of a right internal jugular central venous catheter projects over the cavoatrial junction. several mediastinal drains are noted. low bilateral lung volumes. a retrocardiac opacity likely reflects postsurgical atelectasis. no pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is enlarged but unchanged.What are the key findings of this report? [/INST] persisting retrocardiac opacity, likely reflecting postsurgical atelectasis. no significant interval change since the prior examination. </s>
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<s>[INST] frontal and lateral views of the chest again demonstrate increased opacity projecting over the right middle lobe. there is obscuration of the right heart border and increased interstitial markings, slightly more peripherally. these findings appear slightly more conspicuous on the current exam with more dense consolidative component potentially due to progression of disease. elsewhere, the lungs are clear. surgical clips are seen in the region of the ap window. cardiomediastinal silhouette is unchanged. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] slight increased opacity projecting in the region of the right middle lobe, worrisome for progression of disease although superimposed infection is also possible. </s>
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<s>[INST] cardiomegaly is chronic. there is pulmonary vascular congestion and minimal, interstitial pulmonary edema. lungs are otherwise clear. there is no pneumothorax. there is no pleural effusion.What are the key findings of this report? [/INST] pulmonary vascular congestion with minimal interstitial pulmonary edema. </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.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there are streaky opacities in the lower lungs, most suggestive of minor atelectasis. otherwise, the lung fields appear clear. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. bony structures are unremarkable. surgical clips project along the right upper quadrant. there is no free air.What are the key findings of this report? [/INST] predominantly streaky opacities in the lower lobes, most suggestive of atelectasis. no evidence for free air. </s>
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<s>[INST] ap single view of the chest obtained with patient in sitting semi-upright position. analyzed in direct comparison with the next preceding similar study of <unk>. tracheostomy as before. unchanged position of right-sided picc line. the previously described bilateral basal densities persist and may even have increased. diffuse haze over the bases suggests pleural effusions that probably are layering mostly in the posterior compartments as the patient is in semi-erect position only. no pneumothorax has developed.What are the key findings of this report? [/INST] persistent and somewhat increased bilateral parenchymal densities. </s>
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<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. there is some evidence of fibrotic changes particularly at the left lung base. cardiomediastinal silhouette is within normal limits, noting atherosclerotic calcifications at the arch and a tortuous aorta. hypertrophic changes noted in the spine. 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] pa and lateral chest radiographs were obtained. there are subtle patchy opacities at the right lung base. the heart size top-normal and the mediastinal contours are stable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] subtle right lung base opacity which may be due to atelectasis, however infection is not excluded in the appropriate clinical setting. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the aorta is somewhat tortuous. the cardiac silhouette is not enlarged. no overt pulmonary edema is seen. 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] frontal and lateral radiographs of the chest show interval removal of a right-sided picc line and a feeding tube. a left supraclavicular dual-channel dialysis catheter is unchanged in position with the tip terminating in the right atrium. the lung volumes are persistently low. a small-to-moderate right pleural effusion is unchanged with increased opacification at the right lung base now silhouetting the right heart border, which may represent compressive atelectasis or pneumonia in the appropriate clinical context. atelectasis at the left lung base is unchanged. no pneumothorax is present. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] <num>. increased opacification of the right lung base may represent compressive atelectasis or pneumonia in the appropriate clinical context. <num>. stable small-to-moderate right pleural effusion. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrates slight decrease in size of the severely enlarged cardiac silhouette. persistent small bilateral pleural effusions. probable small hiatal hernia. there is persistent mild pulmonary vascular congestion. clear lungs. no pneumothorax.What are the key findings of this report? [/INST] decrease in severe enlargement of the cardiac silhouette likely due to decrease in pericardial effusion with persistent small effusions and pulmonary vascular congestion. no pneumonia </s>
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<s>[INST] lung volumes are slightly low. bibasilar atelectasis is noted. superimposed infection cannot be definitely excluded. no pleural effusions. no pneumothorax seen. the cardiomediastinal contour is within normal limits. no free air under the diaphragm. old fracture of the distal left clavicle, deformity of the glenoid and left proximal humerus also likely reflects a chronic fracture. deformity of the distal right clavicle consistent with an old fracture.What are the key findings of this report? [/INST] bibasilar atelectasis, superimposed infection cannot be excluded. multiple fractures of the bilateral shoulders are likely chronic but incompletely evaluated on this study. </s>
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<s>[INST] pa and lateral chest radiograph demonstrates low lung volumes bilaterally. there is no large pleural effusion, consolidation, pneumothorax, or evidence of pulmonary edema. cardiomediastinal and hilar contours are within normal limits. upper abdomen is without an acute abnormality. hardware is noted involving the proximal left humerus.What are the key findings of this report? [/INST] no acute intrathoracic abnormality in this patient with low lung volumes </s>
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<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. 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] lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation. scarring is seen at the right lung base. the heart is mildly enlarged. the mediastinal and hilar structures are unremarkable. there is no displaced rib fractures seen. sternotomy wires and cabg clips are present. a coronary artery stent is noted.What are the key findings of this report? [/INST] mild cardiomegaly. </s>
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<s>[INST] single ap view of the chest demonstrates a small right pleural effusion with adjacent atelectasis. the tracheal air column appears uninterrupted. the remainder of the lung fields are clear. hilar, mediastinal, and cardiac contours are normal. no pneumothorax.What are the key findings of this report? [/INST] small right pleural effusion with adjacent atelectasis. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are somewhat low. previously noted pleural effusions have resolved in the interval. lungs are clear. 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>
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<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. there is slight flattening of the diaphragms which is suggestive of underlying copd. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest provided. residual linear densities in the right infrahilar and right lung base likely represent residual areas of scarring/ atelectasis. the lungs are otherwise clear. the previously noted consolidation in the right upper lobe is resolved. a calcified nodular structure projects over the left apex. no large effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] linear densities in the right mid to lower lung likely represents atelectasis versus scarring. previously noted right upper lobe pneumonia has resolved. </s>
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<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. anterior wedge compression deformity in the mid thoracic spine is unchanged since <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. effacement of the left inferior heart border likely reflects the presence of a fat pad. the lungs appear clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact.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. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiac silhouette size is normal. the aorta is tortuous. hilar contours are normal. right apical opacity measuring <num> x <num> cm is concerning for a primary lung malignancy. no clear osseous destruction is visualized. subsegmental atelectasis is noted in the lung bases. no pleural effusion or pneumothorax is present. moderate degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] <num> x <num> cm right apical opacity concerning for a primary lung malignancy. further assessment with contrast-enhanced chest ct is recommended. </s>
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<s>[INST] patient is status post cabg. cardiomediastinal and hilar contours are stable. there has been interval placement of an et tube with tip terminating <num> cm above the carina. there has been no change in the extensive bilateral parenchymal opacities. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] et tube in satisfactory position, <num> cm above the carina. stable bilateral parenchymal opacities, consistent with severe pulmonary edema. </s>
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<s>[INST] single ap portable frontal view of the chest was obtained. there are low lung volumes. perihilar and bibasilar opacities may relate to fluid overload, although underlying aspiration or even infection is not excluded. the patient is status post median sternotomy. no large pleural effusion is seen, although a small effusion would be difficult to exclude on the left. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] low lung volumes and evidence of fluid overload. bibasilar opacities may relate to fluid overload, although underlying aspiration or even infection cannot be excluded. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. a nodular opacity overlying the right upper lung projects over the scapula, similar to prior. lungs are otherwise clear 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] heart size, mediastinal and hilar contours are normal. lungs are clear except for a new linear atelectasis at the left lung base. there are no pleural effusions or pneumothoraces. healed lower right rib fractures are again demonstrated.What are the key findings of this report? [/INST] linear left lobe atelectasis. no evidence of pneumonia. </s>
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<s>[INST] a left hemodialysis catheter tip projects over the cavoatrial junction. there bilateral lower lobe opacities, greater on the left likely reflective of atelectasis and/or consolidation. no pleural effusion or pneumothorax identified. the size and appearance of the cardiac silhouette is unchanged. a transcutaneous aicd lead is present.What are the key findings of this report? [/INST] bibasilar opacities likely reflective of atelectasis and/or pneumonia in the proper clinical context. </s>
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<s>[INST] as compared to prior chest radiograph from <unk>, there is stable atelectasis of the right lung base. there are no focal consolidations, pleural effusions, pulmonary edema or pneumothorax. the cardiomediastinal and hilar contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence of an acute cardiopulmonary process. </s>
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<s>[INST] single ap upright chest radiograph demonstrates normal heart size. mediastinal and hilar contours are within normal limits. there is no pneumothorax, pleural effusion, or evidence of pulmonary edema. there is no visualized pneumomediastinum. streaky opacity at the left lung base likely reflects atelectasis. lucency projecting over the midline is likely sequela of a skin fold. no evidence of pneumomediastinum.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. the cardiac silhouette size is normal. the aorta demonstrates diffuse atherosclerotic calcifications. mild pulmonary vascular congestion is demonstrated, as well as patchy opacities in the lung bases that could reflect atelectasis. infection however is not excluded. small bilateral pleural effusions are demonstrated. there is no pneumothorax. marked degenerative changes of the right glenohumeral joint are noted. moderate degenerative changes within the thoracic spine are also seen.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and small bilateral pleural effusions. bibasilar patchy opacities could reflect atelectasis but infection is not excluded. </s>
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<s>[INST] a single upright view of the chest demonstrates left chest tube projecting over medial left lung base. moderate-to-large left pneumothorax seen on ct of the same date has nearly resolved. subcutaneous gas in the left lateral chest is noted. comminuted fractures of the left clavicle, scapula and nondisplaced fractures of the right ribs are better demonstrated on ct of the same date. right lung is well expanded and is clear. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] in comparison to chest ct obtained on same date, there is near-complete resolution of the moderate-to-large left pneumothorax following left-sided chest tube placement. </s>
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<s>[INST] the cardiomediastinal silhouette is unremarkable. the lungs are grossly clear there is no specific evidence of tuberculosis as clinically questioned. there is no significant interval change from the prior study.What are the key findings of this report? [/INST] no acute cardiopulmonary findings </s>
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<s>[INST] portable ap radiograph of the chest. there is left lower lobe atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal. severe degenerative changes of the bilateral glenohumeral and acromioclavicular joints are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube has been removed. <num> right-sided chest tubes are unchanged in position. the pneumothorax on the right is slightly increased in size. volume loss at the bases is slightly increased. no change in the <num> lead pacemakerWhat are the key findings of this report? [/INST] slight increase in size in right pneumothorax </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 stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a right-sided picc line terminates at the cavoatrial junction. the heart is mild to moderately enlarged. there is a similar opacity in the right lower lung obscuring the right hemidiaphragm. it is difficult to exclude small pleural effusions, although there are no definite effusions. superimposed on the prior process is prominent indistinct pulmonary vascularity that is increased suggestive of a mild to moderate pulmonary vascular congestion. there is no pneumothorax. right-sided rib deformities appear unchanged.What are the key findings of this report? [/INST] persistent right lower lung opacity worrisome for pneumonia. superimposed diffuse but predominantly central opacification, which is not entirely specific but most suggestive of pulmonary vascular congestion. </s>
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<s>[INST] lung volumes are normal. there is no consolidation, pleural effusion or pneumothorax. no pulmonary edema. cardiomediastinal contour normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is mild upper zone re-distribution of pulmonary vascularity and indistinctness, suggesting slight vascular congestion or fluid overload, although not striking. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] mild vascular prominence which could be seen with pulmonary venous hypertension or slight congestion. </s>
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<s>[INST] there is prominence of the pulmonary vasculature compatible mild pulmonary edema. bilateral pleural effusions are moderate in size. the heart appears mildly enlarged compared to the prior exam. there is no focal consolidation or pneumothorax though bilateral lower lobe compressive atelectasis is likely present. the imaged upper abdomen is unremarkable. the bones are intact.What are the key findings of this report? [/INST] cardiomegaly with moderate bilateral pleural effusions, mild pulmonary edema, basilar compressive atelectasis. </s>
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<s>[INST] a right picc is unchanged in position with the tip terminating in the low svc. the inspiratory lung volumes remain low and slightly decreased from the most recent prior study. bibasilar atelectasis and small pleural effusions are unchanged. no pneumothorax is detected, although irregular vertically oriented linear densities project over the right hemithorax, which likely represent material external to the patient. mild pulmonary vascular congestion is stable. the cardiac silhouette is mildly enlarged but unchanged. the mediastinal contours are within normal limits with mild tortuosity of the thoracic aorta and calcification of the aortic arch. the left hilus appears prominent, which is unchanged from the prior study. the visualized upper abdomen is unremarkable. moderate to severe degenerative change is noted in the right shoulder joint.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. stable appearance of the chest with mild vascular congestion and small bilateral pleural effusions on the left greater than the right with underlying atelectasis. <num>. right shoulder osteoarthritis. </s>
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<s>[INST] pa and lateral chest radiograph demonstrate clear lungs bilaterally. linear opacities at the bases bilaterally, left greater than right, likely reflect atelectasis. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. no air under the right hemidiaphragm.What are the key findings of this report? [/INST] atelectasis at the bases without evidence of acute intrathoracic abnormality. </s>
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<s>[INST] overlying trauma board limits evaluation. endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube is noted within the stomach and the tip projects off the inferior borders of the film. bilateral chest tubes are noted terminating near the lung apices. left subclavian central venous catheter tip terminates within the upper svc. the heart size is normal. the superior mediastinum is widened. small bilateral pneumothoraces are present. minimal streaky opacity is noted in the left lung base, which could reflect atelectasis. more focal opacity is also seen within the left mid lung field, which is nonspecific. no pleural effusion is identified. there are multiple bilateral rib fractures noted.What are the key findings of this report? [/INST] <num>. lines and tubes in standard positions. <num>. widened superior mediastinum. subsequent ct of the torso demonstrated an extensive type a aortic dissection. <num>. small bilateral apical pneumothoraces. <num>. streaky opacity left lung base may reflect atelectasis. more focal opacity in the left mid lung field is nonspecific but could reflect an area of aspiration or contusion. </s>
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<s>[INST] a moderate right pleural effusion appears unchanged since <unk>. the right chest tube is unchanged in configuration. the left lung remains clear. the heart size remains normal. the lungs are hyperinflated, as seen previously, reflecting chronic obstructive disease. there is no pneumothorax or new consolidation.What are the key findings of this report? [/INST] <num>. unchanged moderate right pleural effusion. no pneumothorax. <num>. hyperinflated lungs suggesting chronic obstructive disease. </s>
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<s>[INST] the lungs are well aerated and clear. there is no focal atelectasis or radiopaque density overlying the lung fields to suggest an aspirated tooth. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. the osseous structures are intact.What are the key findings of this report? [/INST] no evidence of aspirated tooth or other acute cardiopulmonary process. </s>
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<s>[INST] tracheostomy terminates <num> cm above the carina. right ij dialysis catheter terminates in the right atrium. unable to visualize tip of right picc. bilateral pleural effusions, right worse than left, have increased in comparison to the prior chest radiograph. there is moderate pulmonary edema. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. unchanged positioning of tracheostomy, right ij, and right picc. <num>. increasing bilateral pleural effusions, right worse than left. <num>. moderate pulmonary edema. </s>
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<s>[INST] lungs are fully expanded and clear. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there is faint lingular and right lower lobe opacities concerning for pneumonia. there is no pleural effusion pneumothorax. there is no overt pulmonary edema. the heart is normal in size. the lungs are hyperinflated reflecting copd, and apical pleural thickening is noted.What are the key findings of this report? [/INST] pneumonia. </s>
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<s>[INST] the original dictation was lost in therefore the study performed on <unk> at <time> is being dictated on <unk>. low lung volumes. mild enlargement of the cardiac silhouette. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. the patient is status post thoracotomy with a cortical break in the right fourth posterior rib.What are the key findings of this report? [/INST] no pneumothorax or pericardial effusion. </s>
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<s>[INST] frontal and lateral views of the chest. increased interstitial markings seen throughout the lungs are similar compared to prior, and are due to likely combination of calcified pleural plaques and underlying interstitial abnormality. there is no new region of consolidation nor effusion. cardiac silhouette is enlarged but stable. left chest wall dual-lead pacing device is again seen. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] diffuse increased interstitial markings likely due to interstitial changes and pleural plaques in the setting of prior asbestos exposure. no definite superimposed acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well expanded without opacities concerning for pneumonia or inflammatory process. linear atelectasis in the left lung base is present. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion pneumothorax. no rib fractures are identified.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. no rib fractures are identified. however, this is a suboptimal exam for detection of rib fractures. if there is high clinical concern dedicated rib views should be performed. </s>
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<s>[INST] the heart is at the upper limits of normal size. there is moderate tortuosity of the thoracic aorta. a small eventration is noted along the anterior right hemidiaphragm. the lungs appear clear. there are no pleural effusions or pneumothorax. there is no suggestion of hiatal hernia on these radiographs. the bones are probably demineralized to some degree. mild degenerative changes involve the mid thoracic spine and left acromioclavicular joint.What are the key findings of this report? [/INST] no evidence of acute disease. tortuous aorta, often seen in the setting of hypertension. no evidence for hiatal hernia. </s>
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<s>[INST] a nasogastric tube is seen coursing below the left diaphragm, off the inferior borders of the film. lung volumes are low. heart size is normal. mediastinal and hilar contours are unremarkable. linear opacities within the left lung base compatible atelectasis. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is identified. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] left basilar linear atelectasis. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. biapical pleural thickening is again noted. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. 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>
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<s>[INST] a endotracheal tube terminates within the right mainstem bronchus on the initial chest radiograph. on follow-up imaging, the endotracheal tube terminates in appropriate position. a nasogastric terminates in appropriate position. lung volumes are low, and there are very severe diffuse bilateral pulmonary consolidations.What are the key findings of this report? [/INST] appropriate positioning of the endotracheal tube and nasogastric tube. severe diffuse pulmonary consolidation. </s>
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