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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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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 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] frontal and lateral views of the chest were obtained. right-sided port-a-cath is again seen, terminating in the cavoatrial junction. there has been interval removal of a right-sided pleural tube. there are persistent small bilateral pleural effusions with overlying atelectasis, more prominent on the right. residual barium is seen in the neoesophagus from barium swallow performed earlier today. cardiac and mediastinal silhouettes are stable. no pneumothorax seen.What are the key findings of this report? [/INST] small bilateral pleural effusions with prominent right basilar atelectasis. residual contrast seen in the neoesophagus as well as extending into the proximal bowel from barium study earlier today. </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. there is no focal consolidation concerning for pneumonia. pulmonary vascularity is within normal limits.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 mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. the pulmonary vasculature is normal. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded lungs. ill-defined nodular opacities within the bilateral lungs, such as that projecting over the anterior right <num>th rib and the posterior left seventh rib, have been present since <unk>. some of these appear dense, and may represent calcified granulomas. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographs again demonstrate a dilated thoracic aorta and sternal wires and surgical clips projecting over the right mediastinum compatible with prior ascending aortic dissection repair. the cardiac silhouette size is top normal. mediastinal contour is otherwise unchanged. somewhat rounded opacity projecting over the right lung base is likely related to prior talc pleurodesis, as seen on the previous examination. there is no new focal consolidation, pleural effusion, or pneumothorax is identified. median sternotomy wires are intact. the visualized upper abdomen is unremarkable. moderate degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] status post ascending aortic dissection repair without evidence for acute cardiopulmonary abnormality. </s>
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<s>[INST] left pectoral neurostimulator device is unchanged. the lungs are clear. there is no pneumothorax. moderate cardiomegaly despite the projection is unchanged.What are the key findings of this report? [/INST] clear lungs with no radiographic evidence of pneumonia or aspiration. stable moderate cardiomegaly. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] right-sided port-a-cath tip terminates in the svc. heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. lungs are clear. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. several clips again noted within the midline upper abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear. the heart is a within upper limits of normal in size. there is no pleural effusion or pneumothorax. right internal jugular vein in mid svc. ng tube in the esophagus, not reaching the stomach. enteric tube is past the pylorus. the tube projects over the right upper quadrant having the appearance of a stent. please correlate clinically. coils over the liver noted as previously gyn report.What are the key findings of this report? [/INST] enteric tube has been pulled back and is now projecting in the esophagus. the other has past the pylorus and the second portion of the duodenum. new stent in right upper quadrant. </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.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 were obtained. no focal consolidation, pleural effusion, or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. there is some thoracic dextroscoliosis.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a dual lumen left subclavian central venous catheter terminates in the right atrium unchanged from prior exam. the heart size is stably enlarged. vascular calcifications are seen along the aortic arch. there is perihilar and basilar prominence of the pulmonary vasculature compatible with fluid overload. mild interstitial abnormalities are unchanged from prior exam. there is blunting of the bilateral posterior costovertebral angles likely representing a very small effusions. patchy consolidations in the right middle lobe may represent pneumonia in the right clinical circumstances.What are the key findings of this report? [/INST] <num>. right middle lobe patchy consolidation which could reflect infectious process. <num>. perihilar and basilar vascular prominence compatible with fluid overload. </s>
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<s>[INST] heart is upper limits of normal in size, and mediastinal and hilar contours are normal. a subtle area of opacity previously reported in the periphery of the right upper lobe at the level of the sixth posterior right rib level is difficult to compare to previous exam due to scapular overlay but appears slightly more prominent. lungs are hyperexpanded and otherwise clear. there are no pleural effusions or acute skeletal findings.What are the key findings of this report? [/INST] focal peripheral right upper lobe noduular opacity appears slightly more prominent than on prior studies, possibly due to overlap of the right scapula. however, further evaluation with a chest ct may be helpful to more fully characterize this region and to exclude the possibility of a slowly growing lung adenocarcinoma at this site. findings and recommendation were discussed by telephone with dr. <unk> at <num> a.m. on <unk> at the time of discovery. </s>
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<s>[INST] lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. the previous right pleural effusion is substantially improved.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap view of the chest. an enteric tube ends in the proximal jejunum. there is slight blunting of the right costophrenic angle which indicates a small right pleural effusion, decreased from prior study. no focal consolidation. mild-to-moderate cardiomegaly is stable. no mediastinal or hilar contour abnormality. no pneumothorax. however, the lung apices are not imaged.What are the key findings of this report? [/INST] trace right pleural effusion is decreased. enteric tube ends in the proximal jejunum. </s>
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<s>[INST] upright pa and lateral views of the chest were obtained and are significantly limited by overlying soft tissue. within these limitations, there is no focal airspace consolidation. the lungs are normally expanded. a <num> cm right upper lobe nodule is stable since at least the ct of <unk>. the cardiomediastinal silhouette and hilar contours are unchanged, with the heart at the upper limits of normal. there is no pleural effusion or pneumothorax detected.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary abnormality. heart unchanged in size at the upper limits of normal. <num>. stable right upper lobe nodule. </s>
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<s>[INST] possible micro nodules are most prominent in the left lower <unk>. right lower <unk> opacity most likely represent atelectasis. no pleural effusion or pneumothorax is present. the cardiac and mediastinal contours are stable. evidence of prior vertebroplasty is again noted.What are the key findings of this report? [/INST] possible micro nodules, most prominent in the left lower <unk>, <unk> represent an indolent infection such as miliary tuberculosis or other chronic inflammatory condition. further evaluation with non-contrast ct of the chest is recommended. </s>
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<s>[INST] the heart size is top normal. the neoesophagus is distended with fluid. there is no focal consolidation. there is a stable small right-sided pleural effusion. there is no pneumothorax. the right-sided port-a-cath terminates in the mid svc. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no significant acute interval changes. </s>
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<s>[INST] when compared to prior, there has been no significant interval change. lungs are grossly clear. there is no large effusion or edema. cardiomediastinal silhouette is within normal limits. rightward deviation of the trachea at the thoracic inlet is compatible with known underlying left-sided thyroid enlargement. surgical clips seen projecting over the thoracic inlet. left chest wall dual lumen central venous catheter is now seen. multiple vascular stents project over the left upper extremity and mediastinum. severe degenerative changes noted at the shoulders bilaterally. old healed right posterior rib fractures are also noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral chest or ct demonstrate interval removal of a left picc. lung volumes are low with no focal consolidation identified. cardiomediastinal and hilar contours are within normal limits. pulmonary vasculature appears normal. there is no pleural effusion or pneumothorax. there is no air under the right hemidiaphragm.What are the key findings of this report? [/INST] low lung volumes without a focal consolidation convincing for pneumonia. </s>
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<s>[INST] minimal, if any improvement compared to the prior exam. persistent small right pleural effusion that is perhaps minimally decreased and persistent stable right lower lung atelectasis. stable right pleural thickening. the previously noted right lower lobe opacity slightly obscuring the right hemidiaphragm, best seen on the lateral view, is slightly improved and less conspicuous today. right lung pulmonary vascular congestion is better today. trace left pleural effusion is best seen on the lateral view. mild cardiomegaly is unchanged. the mediastinum and hila are unchanged. no pneumothorax or frank pulmonary edema. calcification of the aortic knob is again noted. surgical clips project over the right upper quadrant are unchanged. degenerative changes in diffuse bony mineralization in the thoracic spine are also unchanged with some vertebrae demonstrating chronic appearing anterior wedge compression deformities.What are the key findings of this report? [/INST] slight improvement in small right pleural effusion and right lower lobe consolidation from <unk>. </s>
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<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] in comparison with the chest radiograph obtained <num> day prior, multifocal opacities/pulmonary edema appear minimally improved. support devices and lines are all unchanged and appropriately positioned. small right pleural effusion and right pleural thickening are unchanged. calcified mediastinal lymph nodes are unchanged.What are the key findings of this report? [/INST] decreased, moderate pulmonary edema. persistent mid left lung and lower right lung opacities may be due to edema or underlying infection. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. eventration of the right hemidiaphragm is incidentally noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] stable moderate enlargement of the cardiac silhouette with normal hilar and mediastinal contours. lungs remain hyperexpanded but clear. no pleural effusion, pulmonary edema or pneumothorax. mild anterior wedge compression deformities of multiple mid thoracic vertebral bodies is unchanged. a partially visualized aortic stent in the upper abdomen is unchanged.What are the key findings of this report? [/INST] no acute process </s>
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<s>[INST] there is streaky atelectasis at the lung bases. no focal consolidation is identified. spinal hardware appears in unchanged positions. the cardiomediastinal silhouette and hilar contours are stable. there is slight blunting of the costophrenic angles bilaterally, which may be related to chronic pleural thickening or tiny pleural effusions. a left chest battery device is again noted, likely a vagal nerve stimulator.What are the key findings of this report? [/INST] streaky atelectasis of the lung bases. no focal consolidation. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. there is eventration of the right hemidiaphragm, similar to <unk> with bibasilar atelectasis and calcified pleural plaques again seen. lungs are otherwise grossly clear without focal consolidation, pneumothorax, or pleural effusion. there is a chronic-appearing deformity of a left posterior rib. the osseous structures are otherwise unremarkable. no radiopaque foreign body.What are the key findings of this report? [/INST] no acute cardiopulmonary process. bibasilar atelectasis and pleural plaques, similar to prior. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] heart size is top normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lung volumes are low but the lungs are clear. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] cardiomediastinal and hilar contours are stable. there is a new small right pleural effusion, but there is no pneumothorax or left pleural effusion. there are increased bibasilar opacities compared to the most recent prior study. additionally, there are subtle increased opacities in the right upper lung. slight increase in interstitial markings is present. again seen is a left chest port with tip terminating in the cavoatrial junction.What are the key findings of this report? [/INST] increased bibasilar opacities and new opacities in the right upper lung with a new small right pleural effusion concerning for multifocal pneumonia. given additional finding of prominent interstitial markings, pcp pneumonia may be considered, although review of the patient's chart indicates that the patient is on prophylaxis. </s>
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<s>[INST] the endotracheal tube terminates approximately <num> cm above the level of the carina. a right-sided chest tube has been partially withdrawn, with the tip projecting over the medial aspect of the upper right lung. there is no appreciable pneumothorax identified. no focal consolidation or pleural effusion. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. ett and right chest tube in appropriate position, as above. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. a large region of irregular opacification in the lingula is similar to the prior examination and most suggestive of scarring perhaps associated with a prior infection. there is a subpleural opacity at the lateral right lung apex which correlates with an irregular opacity on the prior ct. there is also a similar persistent opacity at the left lung apex centered in the parenchyma. irregular lung architecture and relative lucency at the apices suggesting emphysema. there is no pleural effusion or pneumothorax. bones appear demineralized.What are the key findings of this report? [/INST] markedly irregular opacification of the left mid lung as well as opacities at the lung apices, as seen previously, apparently chronic in nature with no definite radiographic finding suggestive of a superimposed acute process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. subtle, vague, patchy opacities are noted within the right lower lobe and left mid lung field, likely within the left upper lobe, not seen on the prior chest radiograph, and concerning for an infectious process. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.What are the key findings of this report? [/INST] vague patchy opacities in the left upper lobe and right lower lobe concerning for infection. followup radiographs after treatment are recommended to ensure the resolution of this finding. </s>
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<s>[INST] there is left infrahilar and left mid lung streaky opacities with evidence of bronchiectasis remaining concerning for pneumonia. right lower lung atelectasis/scarring is seen. there is no pleural effusion or pneumothorax. the cardiac mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] patchy lingular opacity is worrisome for pneumonia. recommend followup to resolution. </s>
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<s>[INST] the heart is normal in size. there is a small to moderate hiatal hernia. the mediastinal and hilar contours are otherwise unremarkable. the lungs appear clear. there is no pleural effusion or pneumothorax. mild loss in height of two mid thoracic vertebral bodies appears unchanged.What are the key findings of this report? [/INST] no evidence of acute disease. hiatal hernia. </s>
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<s>[INST] pa and lateral views of the chest provided. upper lobe scarring with upward retraction of the hila again noted consistent with provided history of sarcoidosis. there is no consolidation concerning for pneumonia. no large effusion or pneumothorax. heart size is normal. mediastinal contour stable. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] chronic upper lobe scarring likely reflective of sarcoidosis. no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest. there is widespread, heterogeneous, non-confluent, bilateral opacities with lower lobe predominance. the extent of the distribution of the opacities has increased compared to prior study. the pulmonary vasculature is difficult to assess; however, does not appear enlarged. the heart is within normal limits. there is no pneumothorax. the cardiac and mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] worsening likely multifocal pneumonia, likely atypical organism or pcp, alternatively pulmonary hemorrhage or drug reaction. </s>
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<s>[INST] chest, ap and lateral. there is dense, somewhat linear opacity in the right lower lobe in a pattern similar to, but increased from the prior radiograph. there is minimal left lower lobe atelectasis. the lungs are otherwise clear. mild cardiomegaly is chronic. the mediastinum is unremarkable. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal.What are the key findings of this report? [/INST] right lower lobe opacity is likely atelectasis however superimposed pneumonia cannot be fully excluded. given chronicity, ct should be considered to more fully evaluate. this recommendation was emailed to the ed qa nurses. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding similar study dated <unk>. during the one-day interval, the previously existing right-sided chest tube has been removed. there is now a small apical pleural separation of less than <num> cm in width. otherwise, the lungs appear well aerated and the previously present plate atelectasis on the right lung base remains unchanged. similar as on previous examination, there exists a hazy density in the left upper lobe area, probably a pneumonic infiltrate. heart size and mediastinal structures remain unchanged and the same holds for the double-lumen catheter introduced via the right internal jugular approach and terminating in the mid portion of the svc.What are the key findings of this report? [/INST] very small apical pneumothorax, but otherwise unchanged chest findings. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. cardiac silhouette is top normal in size. no acute osseous abnormality is detected.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. lungs are hyperinflated. there is coarsening of lung markings most notable in the region of the lingula and the periphery of the right upper lung and to a lesser extent the left upper lung. overall findings raise potential concern for an atypical infection and comparison with prior ct studies if available is recommended to assess for interval changes. when compared with recent prior exam from <num> days ago, there is no significant change allowing for slight differences in technique. there is mild blunting of the left cp angle which could reflect a tiny effusion versus pleural thickening. no pneumothorax. no congestion or edema. the cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] hyperinflated lungs with stable pattern of coarsened lung markings, most notable in the lingula, likely reflecting known atypical mycobacterial infection. no acute findings compared with recent prior chest radiograph. clinical correlation is advised. nonemergent ct chest, if not all ready performed, would be helpful to further assess. </s>
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<s>[INST] the heart size remains mildly enlarged. the mediastinal and hilar contours are stable with mild aortic non calcifications demonstrated. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. a clip is seen within the right upper quadrant the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are unchanged. a portion of the left fifth rib is again absent. the median sternotomy wires, mediastinal clips, and anterior right chest wall clips are again noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] in comparison to prior same-day chest x-ray from <unk> at <time>, there has been interval enlargement of the left-sided pneumothorax, status post water seal of pigtail catheter. again visible are apical and superolateral components of the pneumothorax, similar, but slightly increased in size. there is has been re-appearance of a sizable anterior/retro-sternal component seen on lateral view -- this is similar in size and appearance to previous chest x-ray from <unk> at <time>, but increased compared with the film obtained earlier today. the hydro pneumo thorax component seen posteriorly on the lateral view is fairly similar to the most recent prior film. bilateral pleural effusions are unchanged. no shift of mediastinal structures. no additional significant interval changes. minimal atelectasis in the right cardiophrenic region again noted.What are the key findings of this report? [/INST] interval reaccumulation of the left-sided pneumothorax, detailed above. interval change is most striking in relation to the anterior component of the pneumothorax, seen behind the sternum on the lateral view. </s>
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<s>[INST] pa and lateral views of the chest provided. previously detected pulmonary nodules are not conspicuous on chest radiograph. the lungs appear relatively clear. the heart size is normal. the mediastinal contour is prominent due to a unfolded thoracic aorta. no pleural effusion or pneumothorax. bony structures are intact. degenerative changes and dextroscoliosis partially noted in the imaged lumbar spine.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. a moderately displaced fracture is noted to the mid shaft of the left clavicle, age indeterminate. similarly, multiple contiguous posterior left-sided rib fractures are chronic appearing, but age indeterminate given the lack of comparison study.What are the key findings of this report? [/INST] displaced fracture of the mid left clavicle and multiple contiguous posterior left rib fractures. if these or other areas have clinical findings suggesting acute fracture, they should be marked and evaluated with bone detail views. </s>
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<s>[INST] pa and lateral views of the chest provided. right chest wall port-a-cath again seen with catheter tip in the region of the mid svc. right hilar and perihilar fibrosis is similar to that seen on recent prior ct chest. there is no focal consolidation to suggest pneumonia. no large effusion or pneumothorax. heart size is within normal limits. mediastinal contour is unchanged. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no signs of pneumonia. </s>
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<s>[INST] there has been interval placement of a right-sided central venous catheter with tip terminating in the distal svc. no pneumothorax is seen. redemonstration of focal opacity within the right lower lung is again noted and consistent with infection versus aspiration. the heart is normal in size. aortic arch vascular calcifications are noted. biapical pleural thickening is present. there is mild degenerative change about bilateral glenohumeral joints.What are the key findings of this report? [/INST] <num>. status post right central venous line placed without evidence of pneumothorax. <num>. stable opacity within the right lower lung consistent with infection versus aspiration. </s>
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<s>[INST] pa and lateral views of the chest were reviewed. normal heart, lungs, pleural and mediastinal surfaces. incidental note is made of pectus excavatum.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. patchy opacity is noted in the left lung base, which may reflect atelectasis but infection is not excluded. right lung is clear. no focal consolidation, large pleural effusion or pneumothorax is present, though the right costophrenic angle is excluded from the field of view. multiple old left-sided rib fractures are re- demonstrated.What are the key findings of this report? [/INST] patchy left basilar opacity may reflect atelectasis, but infection cannot be excluded in the correct clinical setting. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap view of the chest is provided for review. again noted is moderate cardiomegaly with hilar congestion. left basilar atectasis is present with a probable small left pleural effusion. there is no right pleural effusion. there is no pneumothorax. lung volumes remain low. mild pulmonary edema is seen. there may be slight improvement in aeration of the left lung apex. a left pacemaker generator and wires are noted in left chest.What are the key findings of this report? [/INST] overall little change compared to the most recent prior study. left basilar atelectasis with probable small left pleural effusion is again seen. </s>
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<s>[INST] the lungs are normal expanded and clear. there is no focal opacity or interstitial thickening. heart size is normal. the mediastinal contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no radiographic evidence of interstitial lung disease. </s>
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<s>[INST] mild cardiomegaly has been stable compared to exams dated back to at least <unk>. the aorta is tortuous. otherwise, the hilar and mediastinal contours are normal. the lungs do not demonstrate any focal consolidations concerning for pneumonia. there may be small bilateral pleural effusions. there is no evidence of a pneumothorax. multilevel mild degenerative changes within the thoracic spine are again seen.What are the key findings of this report? [/INST] stable mild cardiomegaly. no focal consolidations concerning for pneumonia identified. </s>
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<s>[INST] cardiac silhouette size is moderate to severely enlarged. mediastinal contours are unremarkable. there is mild pulmonary edema. no pleural effusion, focal consolidation or pneumothorax is present. streaky opacities in lung bases likely reflect areas of atelectasis. multiple clips are noted within the neck likely reflective prior thyroidectomy. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] heart size, mediastinal and hilar contours are normal. lungs are clear except for minimal linear basilar atelectasis versus scar in the retrocardiac region. no pleural effusion or acute skeletal findings.What are the key findings of this report? [/INST] minimal retrocardiac linear atelectasis versus scar with otherwise clear lungs. </s>
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<s>[INST] limited examination secondary to patient motion. within this limitation, moderate cardiomegaly has slightly progressed from the prior examination in <unk>. subtle, diffuse interstitial markings are stable from the prior examination, and likely reflect underlying chronic interstitial lung disease. there is no large pleural effusion, pneumothorax, or focal consolidation.What are the key findings of this report? [/INST] progressive, now moderate cardiomegaly. diffuse interstitial abnormality, similar to prior, compatible with chronic interstitial lung disease. if symptoms persist, repeat chest radiographs can be performed. </s>
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<s>[INST] the heart is normal in size. the cardiac, mediastinal and hilar contours are within normal limits. the lungs are clear. there is no pneumothorax or pleural effusion. lumbar spinal fusion hardware is partially visualized. there is no change from prior radiographs <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] po and lateral views of the chest demonstrate adequate 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.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the ng tube appears to coil in the stomach; however, the tip appears to extend superiorly above the diaphragm back into the lower esophagus. the heart size is normal. the hilar and mediastinal contours are unremarkable. there is no pneumothorax or pleural effusion. the lungs are well expanded and clear. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] the ng tube appears to be coiled within the stomach with the tip extending superiorly beyond the diaphragm into the lower esophagus. these findings were discussed with dr. <unk> at <time> p.m. by dr. <unk> by telephone approximately <num> minutes after reviewing the exam. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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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] 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] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. no free intraperitoneal air. clips project over the left chest, potentially in the overlying breast.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal silhouette is stable and within normal limits. the hila are unremarkable. postsurgical changes are seen within the right lung, including new right upper lung surgical chain suture and volume loss. there is an ipsilateral chest tube with tip projecting over the right lung apex. there is no pneumothorax. otherwise, the lungs are clear without focal consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is a millimetric right apical pneumothorax. there is no left pneumothorax or sizable pleural effusion.What are the key findings of this report? [/INST] postsurgical changes in the right lung status post vats blebectomy. right-sided chest tube with tip near the right lung apex. millimeteric right pneumothorax, decreased in size from prior. no acute cardiopulmonary process. </s>
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<s>[INST] a portable frontal chest radiograph demonstrates a left chest wall pacer device with leads projecting over the right atrium and ventricle. a right approach picc may be pulled back compared to <unk>, but appears to terminate in the mid to low svc. a large hiatal hernia with left lower lobe atelectasis is unchanged. there is no new focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] right approach picc terminating in the mid to low svc. this may be pulled back compared to <unk>, but remains centrally placed. </s>
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<s>[INST] there is a right ij central line unchanged in position. since the most recent radiograph, there is no significant change. again seen are bilateral diffuse pulmonary opacities, more confluent in the right mid and lower lung zones which likely represent pulmonary edema; however, infectious process cannot be excluded. again seen is a stable small left pleural effusion with some linear compressive atelectasis at the left base. there is no pneumothorax. cardiac silhouette is slightly enlarged and unchanged.What are the key findings of this report? [/INST] no significant change. bilateral diffuse pulmonary opacities likely pulmonary edema; however, infectious process cannot be excluded. small left pleural effusion. </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. the cardiac and mediastinal silhouettes are unremarkable. there has been no significant interval change.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. there is no focal consolidation. there is no pulmonary edema. trace pleural effusion seen bilaterally. heart size is stably enlarged.What are the key findings of this report? [/INST] no acute pneumonia. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. as on prior, there are indistinct pulmonary vascular markings seen bilaterally. a persistent vague focal opacity in the left upper lung persists and is of uncertain etiology. there is no confluent consolidation. trace bilateral pleural effusions are seen with blunting of the posterior costophrenic angles. cardiomediastinal silhouette is stable, noting mild cardiomegaly. atherosclerotic calcification is again seen at the aortic arch. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] <num>. findings suggestive of pulmonary vascular congestion. no evidence of frank consolidation. <num>. persistent left upper lobe focal opacity, quite vague but a lung nodule is a differential consideration. chest ct is recommended to evaluate further when clinically appropriate. </s>
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<s>[INST] an endotracheal tube is in-situ, this terminates <num> cm above the level of the carina. a right internal jugular catheter terminates in the mid svc. an nasoenteric tube terminates below the left hemidiaphragm, this appears to lie in the stomach. there is a persistent right pleural effusion with associated airspace opacity consistent with the patient's known consolidation. the left-sided consolidation is not well seen. no pneumothorax seen. no free air under the diaphragm.What are the key findings of this report? [/INST] the nasogastric tube terminates in the stomach. </s>
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<s>[INST] et tube is <num> cm from the carina. ng tube seen coursing below the diaphragm. right picc line tip is in the lower svc. since the prior radiograph, bilateral diffuse pulmonary opacities, worse on the right are mostly unchanged. in addition, there are layering bilateral pleural effusions. cardiac silhouette is difficult to evaluate due to underlying parenchymal opacities and pleural effusions.What are the key findings of this report? [/INST] et tube <num> cm from the carina. mostly unchanged appearance of bilateral parenchymal opacities and layering pleural effusions. </s>
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<s>[INST] lung volumes are low. the heart size is normal. aorta remains unfolded, and the mediastinal and hilar contours are unchanged. the pulmonary vascularity is not engorged. minimal streaky opacity within the left lower lobe likely reflects atelectasis. there is no focal consolidation, large pleural effusion or pneumothorax identified. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] minimal left lower lobe atelectasis. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right-sided port-a-cath tip terminates in the mid svc. there has been substantial interval enlargement of the right pleural effusion which is now large with associated right basilar atelectasis. left lung is grossly clear. there may be a trace left pleural effusion. heart size is difficult to assess given the presence of the large right pleural effusion. mediastinal contours are unremarkable. there is no pulmonary edema. multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] substantial interval increase in size of the right pleural effusion, now large, with right basilar atelectasis. </s>
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<s>[INST] portable ap upright chest radiograph is obtained. hazy opacities are new in the mid and lower lungs, which is concerning for pneumonia. no large effusion or pneumothorax is seen. cardiomediastinal silhouette appears grossly stable.What are the key findings of this report? [/INST] new hazy opacities involving the mid and lower lungs could reflect pneumonia. </s>
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<s>[INST] an endotracheal tube terminating <num> cm above the carina, an orogastric tube terminating within the stomach, and a right picc line at the upper svc are unchanged in position. the heart size remains normal. a moderate left retrocardiac opacity is new since <unk>, likely atelectasis. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. new moderate left lower lobe atelectasis. <num>. unchanged position of et tube, orogastric tube, and right picc. </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 consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. there is minimal bibasilar atelectasis but no focal consolidation, pleural effusion, or pneumothorax. no displaced rib fractures identified. flowing anterior syndesmophytes of the thoracic spine are similar to prior and consistent with dish. sternotomy wires and mediastinal clips are intact.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. no displaced rib fracture. </s>
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<s>[INST] biapical pleural thickening is again noted. horizontal linear opacification in the right mid lung zone is also seen as an area of opacification in the anterior segment of the right upper lobe on the corresponding lateral radiograph which is new from the prior study and suggests the possibility of a developing pneumonia. no other focal opacity, pleural effusion or pneumothorax is detected. the cardiac silhouette is top normal in size. the thoracic aorta is elongated. mild degenerative changes are again noted in the thoracic spine.What are the key findings of this report? [/INST] new opacity in the anterior segment of the right upper lobe is concerning for pneumonia. a followup chest radiograph is recommended in six to nine weeks after treatment to evaluate for resolution. findings reported by dr. <unk> to dr. <unk> <unk> telephone at <time>pm on <unk>. </s>
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<s>[INST] ap and lateral chest radiographs demonstrate no focal consolidation is identified. known pumonary nodules are better visualized on ct dated <unk>. heart size is top normal. mediastinal and hilar contours stable in appearance when compared to radiograph dated <unk>. there is no pleural effusion or evidence of pneumothorax. osseous structures are without acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] single frontal view of the chest. there has been no substantial interval re-expansion of the collapsed right lung. right sided pneumothorax and large right pleural effusion are similar to prior. the left lung is clear. the right heart border is obscured but the left heart border and mediastinal contours are stable.What are the key findings of this report? [/INST] collapsed right lung with right-sided pneumothorax and large right pleural effusion, similar to prior. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. degenerative changes are noted along the spine.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 provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap upright and lateral views of the chest provided. patient is rotated which limits evaluation. allowing for this, the lungs are clear. no signs of pneumonia or chf. no large effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures are intact. marked gaseous distention of the colon is partially imaged in the upper abdomen for which clinical correlation is advised.What are the key findings of this report? [/INST] no acute intrathoracic process. gaseous distention of the colon visualized in the upper abdomen. please correlate clinically. </s>
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<s>[INST] pa and lateral views of the chest demonstrate stable right pleural effusion and consolidation at the right lung base, likely atelectasis, although underlying infection cannot be excluded. the heart size is enlarged and is unchanged. the right diaphragmatic surface is not well seen, secondary to the pleural effusion on the right. there is no pneumothorax. no overt pulmonary edema is present.What are the key findings of this report? [/INST] stable right pleural effusion and right lung base consolidation, likely atelectasis, however an underlying infectious process cannot be excluded. </s>
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<s>[INST] cardiomediastinal and hilar contours remain stable with moderate cardiomegaly. the patient's head is obscuring the right lung apex, limiting assessment. there is no pleural effusion or large pneumothorax. there is no new focal opacity concerning for pneumonia. there is no pulmonary edema. upper zone vascular redistribution is likely chronic.What are the key findings of this report? [/INST] no acute cardiopulmonary process or new finding concerning for pneumonia. </s>
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<s>[INST] pa and lateral views of the chest are provided. lung volumes are low. the lungs are clear. no pleural effusion or pneumothorax. the heart is at the upper limits of normal in size. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] borderline cardiac enlargement. otherwise, normal. </s>
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<s>[INST] frontal upright and lateral chest radiographs demonstrate well-expanded lungs. heart is top normal in size and cardiomediastinal contour is unchanged compared to the prior examination. linear bibasilar opacities including linear retrocardiac opacities on the lateral projection were also present on the prior examination and likely reflect atelectasis/scarring. there is no pleural effusion. there is no pneumothorax. degenerative changes are noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are moderately well expanded. hazy opacity in the left lung base is similar to prior and likely represents known chronic atelectasis. the lungs are otherwise clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is enlarged. a pacer is seen overlying the right anterior chest with intact leads in appropriate position.What are the key findings of this report? [/INST] no acute cardiopulmonary process. little change from prior. </s>
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<s>[INST] compared with the prior radiograph, lung volumes are significantly lower with evidence of increased pulmonary vascular congestion. a left retrocardiac opacity may be due to atelectasis, but pneumonia cannot be excluded in this clinical setting. mild cardiomegaly is unchanged. intact median sternotomy wires and mediastinal clips are unchanged.What are the key findings of this report? [/INST] <num>. left retrocardiac opacity may be due to atelectasis, but pneumonia cannot be excluded, given this clinical setting. <num>. notably lower lung volumes with increased pulmonary vascular congestion. </s>
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<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiac silhouette is not enlarged. the aorta is mildly tortuous. there is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal consolidation concerning for pneumonia. there is no pneumomediastinum. no radiopaque foreign body is visualized on today's study. residual enteric contrast material is seen in the left upper quadrant, likely from recent barium esophogram, where there may be diverticulosis.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. no radiopaque foreign body is seen aside from retained likely oral contrast partially seen in the bowel. </s>
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<s>[INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a coarsely calcified left lower lobe granuloma is again noted. the lungs are otherwise clear. there is no pneumothorax. the heart and mediastinum are within normal limits. metallic surgical clips presumably from prior cholecystectomy project over the right upper quadrant.What are the key findings of this report? [/INST] no acute pulmonary disease. </s>
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<s>[INST] pa and lateral views of the chest were obtained. moderate cardiomegaly is again seen. the mediastinal and hilar contours are stable. there is a small right pleural effusion. there is no pneumothorax. lungs are clear. cephalization of vessels is compatible with mild fluid overload, similar compared to the prior study. again noted are tenodesis screws in the right humeral head.What are the key findings of this report? [/INST] mild vascular congestion with small right pleural effusion and persistent enlargement of the cardiac silhouette. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged including tortuosity of the aorta and borderline cardiomegaly. there is a mild interstitial abnormality suggestive of pulmonary vascular congestion. patchy opacities are present at both lung bases, not specific although most suggestive of atelectasis. there is no definite pleural effusion or pneumothorax.What are the key findings of this report? [/INST] findings suggesting mild vascular congestion. in the appropriate clinical setting, atypical pneumonia could also be considered. also, although it is difficult to exclude focal pneumonia at the lung bases, patchy basilar opacities with low lung volumes could also be seen with atelectasis. </s>
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<s>[INST] portable ap upright chest radiograph was provided. linear left mid lung opacity is unchanged and may represent scarring or platelike atelectasis. there is no pulmonary edema. no evidence of pneumonia. the heart is top normal in size though stable. mediastinal contour is unremarkable. no large effusion or pneumothorax. bony structures are intact. mild ac joint arthropathy is noted bilaterally.What are the key findings of this report? [/INST] mild cardiomegaly without signs of pulmonary edema. </s>
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