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<s>[INST] a left picc is in place, with the tip terminating in the mid svc. the inspiratory lung volumes are decreased. there is no focal consolidation concerning for pneumonia. no significant pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits.What are the key findings of this report? [/INST] <num>. no focal consolidation concerning for pneumonia. <num>. left picc with tip terminating in mid svc. </s>
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<s>[INST] endotracheal tube terminates approximately <num> cm level the carina. enteric tube courses below the diaphragm, correlating in the stomach. patchy right basilar opacity is seen, increased since the prior which may be due to aspiration or atelectasis. new streaky left base opacity is also seen. the right costophrenic angle is not fully included on the image. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are grossly stable.What are the key findings of this report? [/INST] endotracheal and and enteric tubes in appropriate position. new streaky basilar opacities, right greater than left, may be due to atelectasis and/ aspiration. </s>
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<s>[INST] lungs are hyperexpanded. there is central vascular congestion without frank pulmonary edema. no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is mildly enlarged, which accounting for technique, is unchanged. mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] stable, mild cardiomegaly. </s>
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<s>[INST] pa and lateral views of the chest provided. left ij dialysis catheter and right ij access port-a-cath unchanged. cardiomediastinal silhouette remains prominent. hilar congestion again noted with mild interstitial edema. no convincing signs of pneumonia. no large effusion or pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] cardiomegaly with hilar congestion and mild interstitial edema. </s>
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<s>[INST] a focal consolidation is noted within the right upper lobe. there is no evidence of pleural effusion, pneumothorax, or pulmonary edema. mild cardiomegaly is stable. redemonstrated are right subclavian and left brachiocephalic vascular stents, unchanged in position from prior examination.What are the key findings of this report? [/INST] new right upper lobe consolidation compatible with pneumonia. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. a small left pleural effusion is unchanged and there is no pneumothorax.What are the key findings of this report? [/INST] small left pleural effusion. no pneumonia. </s>
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<s>[INST] supportive a monitoring equipment is unchanged in appearance when compared to the prior study. severe cardiomegaly, also unchanged. there is prominence of the bilateral hila with hazy opacity at the right lung base likely reflecting a layering pleural effusion. prominence of the pulmonary vascular is consistent with pulmonary vascular congestion. left lobe were lobe atelectasis. asymmetric pulmonary edema predominately effects the right lung.What are the key findings of this report? [/INST] increased opacity at the right lung base likely reflects a layering pleural effusion. severe cardiomegaly and pulmonary vascular congestion, similar when compared to the prior study. asymmetric pulmonary edema predominately affecting the right lung. </s>
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<s>[INST] pa and lateral views of the chest provided. previously noted round opacity within the right lower lobe is no longer seen. lungs are clear. 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] pa and lateral views of the chest provided. left chest wall aicd is noted with single lead extending to the region the right ventricle. the heart is mildly enlarged. there is no focal consolidation, effusion, or pneumothorax. mild interstitial edema is likely present. the mediastinal contour 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] mild cardiomegaly with probable mild interstitial pulmonary edema. aicd positioned appropriately. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. no peribronchial thickening. the cardiomediastinal silhouette is normal. a tiny calcification is seen in the right midzone.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] compared to the prior study the et tube has been removed, otherwise there is no significant interval changeWhat are the key findings of this report? [/INST] no change </s>
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<s>[INST] the heart size remains borderline enlarged. mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. 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] lung volumes are low. this accentuates the size of cardiac silhouette which appears mildly enlarged. the aorta is tortuous. there is no pulmonary edema. patchy opacities are noted in the lung bases, possibly reflective of atelectasis though infection or aspiration cannot be excluded. small left pleural effusion may be present. no right-sided pleural effusion or pneumothorax is identified, though assessment of the right apex is somewhat limited due to the patient's chin obscuring this region. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] low lung volumes. patchy bibasilar airspace opacities may reflect atelectasis though infection or aspiration cannot be excluded. possible trace left pleural effusion. </s>
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<s>[INST] the heart size is normal. the aortic knob is calcified. the mediastinal and hilar contours are normal. scarring within the lung apices is present. remainder of the lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. the pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] heart size remains moderately enlarged. mediastinal and hilar contours are unchanged and within normal limits. the pulmonary vascularity is within normal limits. patchy retrocardiac opacity is re- demonstrated as seen on the recent ct, and appears improved compared to the prior exams likely reflective of improving pneumonia. no pleural effusion or pneumothorax is seen. minimal right basilar streaky opacity is compatible with atelectasis. no pneumothorax or pleural effusion is demonstrated. no acute osseous abnormalities are noted.What are the key findings of this report? [/INST] improved left lower lobe patchy opacity likely reflective of improving pneumonia. </s>
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<s>[INST] no central line. mild subcutaneous emphysema right upper chest wall. postoperative changes. deep inspiration. normal heart size, pulmonary vascularity. no effusion. no infiltrates.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is normal. there is mild pulmonary vascular congestion as well as mild pulmonary edema. the hilar mediastinal contours are otherwise unremarkable. there is no large pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] mild pulmonary edema and pulmonary vascular congestion. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no rib fracture or any other osseous abnormalities are noted.What are the key findings of this report? [/INST] unremarkable chest radiograph. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires are again noted. the heart is mildly enlarged. there is a similar pattern of linear density abutting the left heart border which likely reflects the presence of a fat pad and minimal adjacent atelectasis. no signs of pneumonia or edema. no large effusion or pneumothorax. bony structures are intact. mediastinal contour is normal. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. stable cardiomegaly. </s>
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<s>[INST] the endotracheal tube tip seats just below the level of the clavicular heads, <num> cm above the carina (although this inferior position is exaggerated by flexion of the neck). the cardiomediastinal contours are unchanged. there is bibasilar atelectasis with small bilateral pleural effusions, both of which are greater on the left than the right. there is no pneumothorax. these opacities have progressed compared to yesterday.What are the key findings of this report? [/INST] progression of bibasilar atelectasis and small pleural effusions, left greater than right. </s>
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<s>[INST] linear opacities of the lung bases bilaterally likely reflect atelectasis. hyperlucency of the upper zones is reflective of emphysema. no focal consolidation, pleural effusion, or pneumothorax. heart size and mediastinal contours are normal. osseous structures are demineralized diffusely with a compression deformity in the mid thoracic spine which is unchanged from <unk>.What are the key findings of this report? [/INST] emphysema and bibasilar atelectasis. no evidence of pneumonia. </s>
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<s>[INST] in comparison with chest radiograph or few hours earlier, there has been interval removal of a left chest tube. there is a small left apical pneumothorax without evidence of tension. otherwise, there is little change. right internal jugular line terminates in the lower svc. persistent mild bibasilar atelectasis. mediastinal and cardiac contours are stable.What are the key findings of this report? [/INST] small left apical pneumothorax. no evidence of tension. </s>
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<s>[INST] lung volumes are low accentuating the pulmonary vasculature. there is a trace left pleural effusion. a small amount of right basilar atelectasis is unchanged. diaphragmatic elevation is likely due to ascites. cardiac silhouette and mediastinal contours are normal.What are the key findings of this report? [/INST] low lung volumes, with trace left effusion and right base atelectasis. </s>
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<s>[INST] as compared to the most recent prior study, the chronic pleural and parenchymal changes at the bilateral lower lung zones on the right greater than the left appear unchanged. there is increased opacification at the left lung base from <unk>. the cardiomediastinal contours are stable. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. small pleural effusions are likely present.What are the key findings of this report? [/INST] increased left basilar opacification may represent atelectasis; however, focal consolidation cannot be excluded in the appropriate clinical context. </s>
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<s>[INST] <num> mm right upper lobe lung nodule, level of the <unk> anterior interspace is confirmed. it was not present <unk> years ago on <unk>. lungs are otherwise clear. there is no pleural abnormality or evidence of central lymph node enlargement. heart size is normal.What are the key findings of this report? [/INST] suggest followup conventional problem lateral chest radiographs in <num> months to follow this sub <num> mm right upper lobe nodule, of indeterminate chronicity. </s>
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<s>[INST] pa and lateral images of the chest were obtained. there is interval improvement in the right pleural effusion. there is increased prominence of the hila. calcified lymph nodes are again seen in the perihilar regions. reticular thickening is increased in the right upper lobe suggestive of new interstitial edema. there is increased perihilar opacitiy, which could represent vascular engorgement versus increased lymphadenopathy. the subpleural opacity in the left upper lobe appears unchanged since prior imaging. there is no pneumothorax. cardiac silhouette is unchanged. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] improving right pleural effusion. worsening interstitial edema. increase in perihilar opacity likely due to vascular engorgement or lymph node enlargement. these findings were communicated to <unk> at <time> p.m. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. right basilar consolidation may represent atelectasis. left basilar atelectasis is presumed. air-fluid levels in the left base are new. right neck subcutaneous emphysema is slightly improved. right chest tube remains in similar position.What are the key findings of this report? [/INST] left basilar air-fluid levels may represent hydropneumothorax, posterior loculated pleural air fluid collection, or diaphragmatic herniation. conventional pa and lateral radiographs are recommended if possible. </s>
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<s>[INST] the heart is normal in size. there is evidence of tortuosity of the thoracic aorta. the mediastinal and hilar contours are unremarkable. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. there is evidence of osteophytes throughout the mid thoracic spine, likely secondary to degenerative changes. otherwise, the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormalities to explain the patient's leukocytosis. </s>
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<s>[INST] the right pigtail chest tube is in unchanged position. moderate right pleural effusion and severe right basilar atelectasis are grossly stable. the right apical lung mass more obviously seen on ct is unchanged. the left lung is clear. no pneumothorax. no left pleural effusion. the heart size is normal.What are the key findings of this report? [/INST] the chest fissural chest tube is unchanged. right pleural effusion is unchanged. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is persistent elevation of the right hemidiaphragm, slightly increased. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable with some calcification at the aortic knob.What are the key findings of this report? [/INST] mild elevation of the right hemidiaphragm. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] portable ap upright chest radiograph was provided. an overlying the external pacer wire is seen. a nodular density in the right lower lung likely represents a nipple shadow. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures appear intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the heart size is top normal. the lungs are mildly hyperexpanded with flattened diaphragms and slightly increased ap diameter. there is no suspicious mass, focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] <num>. mild hyperexpansion. <num>. no pneumonia or suspicious lesions. </s>
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<s>[INST] the cardiomediastinal contours are unremarkable. there is redemonstration of right upper lobe atelectasis with interval increase in aeration. there is slight deviation of the trachea to the right. minimal interstital lung markings at lung bases could represent atelectasis or focal scarring. there are no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] partial right upper lobe collapse of unknown chronicity. in the abscene of prior surgical history or prior history for volume loss, consider ct to exclude a hilar mass. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> pm, at time of discovery. </s>
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<s>[INST] there is a retrocardiac consolidation consistent with a left lower lobe pneumonia. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] left lower lobe pneumonia. these findings were communicated to dr. <unk> at <time> p.m. on <unk> by telephone. </s>
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<s>[INST] the lungs are clear and pleural surfaces are unremarkable. heart size, mediastinal contour and hila are unremarkable. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the lungs demonstrates subtle peribronchial infiltration in the left lower lobe. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for subtle compression deformity of mid thoracic vertebral body.What are the key findings of this report? [/INST] <num>. findings worrisome for early left lower lobe pneumonia/aspiration pneumonia. <num>. subtle compression deformity of mid thoracic vertebral body is of indeterminate age. recommendation(s): assessment for focal tenderness is recommended of the mid thoracic vertebral body. </s>
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<s>[INST] there are bibasilar hazy opacities compatible with layering effusions. engorged central pulmonary vasculature is again seen. the cardiomediastinal silhouette is unchanged. prior support lines and tubes have since been removed. no acute osseous abnormalitiesWhat are the key findings of this report? [/INST] bilateral layering pleural effusions with mild pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted as well as a prosthetic cardiac valve. as seen previously, there is an area of scarring and loculated effusion obscuring the right lung base which is stable from multiple prior exams. the left lung is clear. heart is top normal in size. no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] stable opacity and effusion at the right lung base which has been previously seen and agree with recommendation on prior ct for pleural fluid analysis if not already performed. </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] lung volumes are low. the heart size is mildly enlarged with a left ventricular predominance. the aorta is tortuous and demonstrates atherosclerotic calcifications. mediastinal and hilar contours are otherwise unremarkable. lungs are clear without focal consolidation. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. mild degenerative changes are noted within the imaged thoracolumbar spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is mild interstitial edema and pulmonary vascular congestion. no focal consolidation is seen. the heart remains mildly enlarged. median sternotomy wires and surgical clips are noted. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] mild interstitial edema and pulmonary vascular congestion with cardiomegaly. no focal consolidation. </s>
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<s>[INST] frontal and lateral views of the chest were performed. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar and pleural structures are unremarkable. the imaged upper abdomen is normal. there are no acute osseous abnormalities appreciated.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] mild vascular engorgement with new minimal left pleural effusion. no focal opacity, pneumothorax or right pleural effusion. heart size, mediastinal contour and hila are normal. no bony abnormality.What are the key findings of this report? [/INST] mild vascular congestion with new minimal left pleural effusion. no pneumonia. </s>
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<s>[INST] the lungs appear hyperinflated on the lateral view. cardiac silhouette is not enlarged. the aorta is tortuous. 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] the heart size is large. the mediastinal and hilar contours are normal. the lungs show emphysematous changes. there is no pleural effusion or pneumothorax. apical pleural thickening is noted. a compression deformity of the spine is unchanged since <unk>.What are the key findings of this report? [/INST] cardiomegaly and emphysema, but no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographic examination. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process, specifically no evidence of infiltrate. </s>
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<s>[INST] heart size is top normal. aorta remains tortuous. mediastinal and hilar contours are otherwise unremarkable. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities demonstrated. there are mild degenerative changes in the thoracic spine. cholecystectomy clips is seen in the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. the heart is mildly enlarged. mediastinal contour is normal. bony structure is intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] borderline cardiomegaly with no signs of pneumonia or chf. </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] blunting of the posterior costophrenic angles suggests small effusions, new since prior. increased interstitial markings are noted on the current exam, progressed since prior suggesting interstitial edema. punctate calcific densities over the right lung apex are likely calcified granulomas. mild cardiac enlargement is again noted. relative elevation of the left hemidiaphragm is again seen. severe compression deformity of likely t<num> is unchanged.What are the key findings of this report? [/INST] cardiomegaly with mild pulmonary edema which has progressed since prior and new small bilateral pleural effusions. </s>
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<s>[INST] new bilateral lower lobe airspace opacities are worrisome for infection. there is also a new small left pleural effusion. the right lung is clear. there is no pneumothorax. the heart and mediastinum are within normal limits.What are the key findings of this report? [/INST] new bilateral lower lobe pneumonia with a small left parapneumonic effusion. </s>
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<s>[INST] as on the prior study, the tip of the dobbhoff tube is in the stomach. a second density projecting alongside the dobbhoff tube is also in the stomach, and may represent a nasogastric tube. otherwise, there is no interval change from the prior study from <time> a.m.What are the key findings of this report? [/INST] as on the prior study, tip of the dobbhoff tube is in the stomach. </s>
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<s>[INST] there has been interval improvement of the mild pulmonary edema. a left pleural based opacity is stable, better seen on prior ct, and there no focal consolidations or pleural effusion. lumbar spinal hardware is partially visualized.What are the key findings of this report? [/INST] interval improvement of mild pulmonary edema. </s>
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<s>[INST] the left atrium is mildly enlarged. calcifications are seen in the arotic valve. the mediastinal contours are within normal limits. the right hilum demonstrates increased radiodensity and appears slightly larger from prior examination. there is no focal consolidation, pleural effusion or pneumothorax. unidentified foreign body in the heart, posterior to midline, is likely in the esophagus.What are the key findings of this report? [/INST] right hilum slightly larger, could be nodal mass. further evaluation with ct is recommended. </s>
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<s>[INST] low lung volumes are present. heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion, but crowding of the bronchovascular structures is noted. patchy bibasilar airspace opacities likely reflect atelectasis, though assessment is limited given the low lung volumes. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] patchy bibasilar airspace opacities likely reflect atelectasis in the setting of low lung volumes, but infection is not completely excluded. consider repeat radiographs with improved inspiratory effort for further assessment. </s>
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<s>[INST] the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal.What are the key findings of this report? [/INST] normal chest. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. patient is status post median sternotomy, cabg, and aortic valve replacement. mild basilar atelectasis is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. opacification is again seen projecting over the lower cervical spine, similar to prior.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are mildly hypoinflated with no new focal consolidation. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no new focal consolidation concerning for pneumonia. </s>
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<s>[INST] right picc tip terminates in the mid/low svc. cardiac silhouette size remains mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. there are mild degenerative changes within the thoracic spine.What are the key findings of this report? [/INST] right picc tip in the mid/low svc. no acute cardiopulmonary process. </s>
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<s>[INST] there is no evidence for lobar consolidation, pleural effusion, or pneumothorax. diffuse coarsened interstitial markings are noted, and likely reflect underlying chronic lung disease. the heart is mildly enlarged and there is minimal pulmonary edema. blunting of the bilateral costophrenic angles likely reflects atelectasis versus scarring. there is no displaced rib fracture identified.What are the key findings of this report? [/INST] findings of diffuse chronic interstitial lung disease without evidence of superimposed acute cardiopulmonary process. a non-urgent hrct could be performed for further evaluation. </s>
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<s>[INST] ap portable supine view of the chest. underlying trauma board is in place. the lungs appear grossly clear. no supine evidence for effusion or pneumothorax. cardiac silhouette appears normal in size. mediastinal silhouette appears prominent likely due to supine portable technique. there is a probable fracture involving the distal aspect of the right clavicle with apparent right ac joint separation. dedicated views of the right shoulder recommended.What are the key findings of this report? [/INST] probable right distal clavicle fracture with possible right ac joint separation. dedicated views of the right shoulder advised. </s>
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<s>[INST] frontal and lateral views of the chest were performed. sternotomy wires and mediastinal clips are again noted. the lungs are hyperinflated. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation to suggest pneumonia. the cardiac silhouette is slightly decreased in size from prior, perhaps from resolution of the previously suggested pericardial effusion. the mediastinal contours are unremarkable. the imaged upper abdomen is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is a trace right pleural effusion but no pneumothorax.What are the key findings of this report? [/INST] trace right pleural effusion without evidence of pneumonia. </s>
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<s>[INST] lung volumes are low. there are stable small to moderate bilateral pleural effusions. bilateral parenchymal opacities are likely due to pulmonary edema. the cardiomediastinal silhouette is unremarkable. the bones are unremarkable.What are the key findings of this report? [/INST] <num>. multifocal parenchymal opacities likely due to pulmonary edema, however infection cannot be entirely excluded. <num>. unchanged small to moderate bilateral pleural effusions. </s>
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<s>[INST] the cardiac size is at the upper limits of normal. otherwise, the cardiomediastinal silhouette is normal. the lungs are clear without consolidation or pulmonary edema. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] there is mild central pulmonary vascular congestion. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. heart size is top-normal. mediastinal contours normal. bony structures are intact.What are the key findings of this report? [/INST] mild central pulmonary vascular congestion. top-normal heart size. </s>
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<s>[INST] the lungs are hyperinflated. there is bibasilar atelectasis/ scarring. minor right middle lobe atelectasis is seen. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is mild to moderately enlarged. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] bibasilar atelectasis/ scarring and minor right middle lobe atelectasis. enlargement of the cardiac silhouette without pulmonary edema. </s>
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<s>[INST] ap and lateral views of the chest. there are new small bilateral effusions which on the right extends into the major fissure. the cardiac silhouette is enlarged and there are increased interstitial markings. linear opacity at the left lung base may be due to atelectasis. left chest wall single lead pacing device is unchanged. median sternotomy wires and mediastinal clips again seen. atherosclerotic calcifications noted in the aorta. vertebroplasty changes seen in the lower thoracic vertebral body. there has also been interval vertebral body height loss of the mid thoracic level since recent exam.What are the key findings of this report? [/INST] findings suggestive of a congestive failure with vascular congestion, bilateral pleural effusions and cardiomegaly. interval compression deformity of a mid thoracic vertebral body age indeterminate but new since <unk>. </s>
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<s>[INST] there is elevation of the left hemidiaphragm with adjacent compressive atelectasis. a small left pleural effusion is difficult to exclude. the right lung and upper left lung are essentially clear an without lobar consolidation, pneumothorax, or pulmonary edema. allowing for patient rotation, there is mild cardiomegaly and enlarge pulmonary arteries. multiple vertebral compression deformities are noted, status post vertebroplasty.What are the key findings of this report? [/INST] asymmetric elevation of the left hemidiaphragm with adjacent compressive atelectasis and possible tiny left pleural effusion. enlargement of the pulmonary arteries suggestive pulmonary hypertension </s>
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<s>[INST] there is increased opacity of both bases, right greater than left. while some of this could be due to volume loss aspiration or infectious pneumonia cannot be excluded the remainder of the lungs are clear. the cardiac and mediastinal silhouettes are normal. there is no effusion.What are the key findings of this report? [/INST] volume loss versus infiltrate in the lower lobes right greater </s>
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<s>[INST] cardiomegaly remains unchanged. a dual-lead left-sided pacemaker is in adequate position with leads terminating in the right atrium and right ventricle. increased pulmonary vascular congestion persists with increased right basal opacity. there is no definite pneumothorax or pleural effusions.What are the key findings of this report? [/INST] persistent increased vascular congestion and increased right basal opacity. these findings are likely related to increased pulmonary venous pressure. however, in the appropriate clinical setting, right basal opacity could also represent early developing pneumonia. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the lungs are clear. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. cholecystectomy clips are present within the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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 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 cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. the lungs are clear.What are the key findings of this report? [/INST] normal heart, lungs, hila, mediastinum, and pleural surfaces. no evidence of intrathoracic malignancy or infection. no evidence of pneumonia. </s>
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<s>[INST] an endotracheal tube terminates approximately <num> cm above the carina. cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] et tube terminates approximately <num> cm above the carina. </s>
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<s>[INST] widespread opacities throughout the lungs has not substantially changed can be a combination of pulmonary edema and or pneumonia. daily change and relatives asymmetry favors edema. moderate cardiomegaly persists. tracheostomy tube midline. pleural effusions are presumed, but not substantial.What are the key findings of this report? [/INST] widespread opacities throughout the lungs has not substantially changed can be a combination of pulmonary edema and or pneumonia. daily change and relatives asymmetry favors edema </s>
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<s>[INST] the left picc tip has been retracted, now terminating in the region of the left axillary vein. right-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. moderate degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] <num>. left picc has been retracted with tip now terminating in the left axillary vein. <num>. no acute cardiopulmonary process. </s>
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<s>[INST] left-sided aicd/pacemaker device is re- demonstrated with leads in unchanged positions. there has been interval placement of <num> clips in the region of the mitral valve. cardiac silhouette size remains markedly enlarged, slightly increased in the interval. the mediastinal contour is unchanged. there is perihilar haziness with mild to moderate pulmonary edema, new in the interval, along with small bilateral pleural effusions, also new. no pneumothorax or focal consolidation is present. bilateral cervical ribs are incidentally noted. surgical screws project over the left shoulder.What are the key findings of this report? [/INST] moderate congestive heart failure with moderate pulmonary edema and small bilateral pleural effusions. </s>
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<s>[INST] heart size is normal. the aorta remains mildly tortuous. hilar contours are normal, and no pulmonary vascular congestion is noted. rounded opacity within the right lung base measuring up to <num> mm is new compared to the prior exam. left lung is clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num> mm rounded opacity within the right lung base could reflect a neoplasm, though infection is not excluded. further assessment with chest ct is recommended. </s>
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<s>[INST] the heart is of normal size with normal cardiomediastinal contours. small bilateral pleural effusions are new. nodular opacity in the right upper lobe is likely a vessel on end. no focal consolidation or pneumothorax. no radiopaque foreign body.What are the key findings of this report? [/INST] new small bilateral pleural effusions. </s>
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<s>[INST] the lungs are well inflated. heterogeneous left lower lobe opacity with small left pleural effusion is noted. mild vascular congestion is present. heart size, mediastinal contour, and hila are unremarkable. enteric feeding tube is seen coursing midline with tip in stomach. an endotracheal tube is in appropriate position <num> cm above the level of diaphragm.What are the key findings of this report? [/INST] <num>. findings worrisome for left lower lobe aspiration pneumonia or pneumonia. <num>. small left pleural effusion. <num>. endotracheal tube in appropriate position. <num>. mild vascular congestion. </s>
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<s>[INST] frontal and lateral radiographs of the chest. compared to the prior radiograph, there continues to be a moderate right pleural effusion/hemothorax with considerable atelectasis of the right lung. additionally, at the right base, there is increasing consolidation which may be a functioning of worsening atelectasis or superimposed pneumonia. the left lung is well aerated with no pleural effusion. cardiac and mediastinal contour is unchanged. multiple right-sided rib fractures are again noted. no pneumothorax.What are the key findings of this report? [/INST] interval worsening of right basilar consolidation which may be a function of atelectasis or concurrent pneumonia. continued moderate right pleural effusion/hemothorax. </s>
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<s>[INST] midline sternotomy wires and mediastinal clips are unchanged. the heart size continues to be mildly enlarged. the lungs show increasing opacity with worsening pulmonary vasculature engorgement as well as right lower lung consolidation with air bronchograms, all compatible with worsening pulmonary edema. neither costophrenic sulcus is distinctly sharp, suggesting small pleural effusions.What are the key findings of this report? [/INST] worsening pulmonary edema; findings discussed with <unk> at <time> am on <unk> by <unk> over the phone. </s>
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<s>[INST] bibasilar atelectasis is seen without definite focal consolidation. slight blunting of the costophrenic angle is felt to be more likely due to atelectasis rather than trace pleural effusions. no pneumothorax is seen. there is no overt pulmonary edema. the cardiac silhouette remains mildly enlarged. mediastinal contours are stable.What are the key findings of this report? [/INST] bibasilar atelectasis. slight blunting of the bilateral costophrenic angles felt to more likely be due to atelectasis rather than trace pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate no focal consolidation, 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] no acute findings in the chest. </s>
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<s>[INST] lungs are clear. normal heart. no pleural effusions. no change since prior exam.What are the key findings of this report? [/INST] normal chest </s>
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<s>[INST] stable positioning of endotracheal tube with tip <num> cm above the carina. right-sided central venous catheter terminates in the distal superior vena cava. minimal bibasilar atelectasis evident with slightly improved retrocardiac opacification. left pleural effusion decreased, now small in size. moderately sized right pleural effusion is relatively unchanged.What are the key findings of this report? [/INST] endotracheal tube in standard postion. bilateral pleural effusions with interval decrease on the left, now small in size. improved aeration of retrocardiac space. </s>
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<s>[INST] there are relatively low lung volumes. mild left base atelectasis is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. 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] the lungs are well-expanded. a right chest wall port catheter tip terminates in the distal svc. subtle opacity in the right lower lobe only seen on the frontal projection may represent atelectasis however early infection is also possible. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is enlarged but unchanged since prior studies. the imaged upper abdomen is unremarkable. right acromioclavicular arthropathy is again noted. otherwise bones are unchanged.What are the key findings of this report? [/INST] subtle right lower lobe opacity may represent atelectasis however early pneumonia is also possible. stable cardiomegaly. </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. the right hemidiaphragm is mild to moderately elevated compared to the left, and there is an opacity in the right lower lobe, which could be seen with pneumonia in the appropriate clinical setting. there is no pleural effusion or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] hazy posterior opacity, probably in the right lower lobe, concerning for pneumonia. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube terminates <num> cm from the carina, in satisfactory position. an enteric tube courses below the diaphragm and terminates within the stomach, however the side port is approximately at the level of the ge junction. this should be advanced <num>-<num> cm for optimal positioning. single-chamber pacemaker lead projects in expected location. bilateral interstitial opacities could represent volume overload or infectious process. suggestion of nodularity in the right upper lung is better evaluated by same day chest ct. there is no pneumothorax. there may be a trace left pleural effusion.What are the key findings of this report? [/INST] <num>. enteric tube should be advanced <num>-<num> cm for optimal positioning with all ports within the stomach. <num>. endotracheal tube in satisfactory position. <num>. bilateral interstitial opacities could represent volume overload or infectious process with suggestion of nodularity within the right lung. </s>
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<s>[INST] the previously visualized lung nodules are no longer evident on today's examination. the right upper lobe opacification has also resolved. there is no new focal consolidation. the pulmonary vasculature is normal. the cardiomediastinal silhouette is normal. there are no pleural effusions. there is no pneumothorax. there is mild dextro convex scoliosis.What are the key findings of this report? [/INST] resolution of the right upper lobe opacification and previously visualized lung nodules compatible with improving infection. </s>
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<s>[INST] there are chronic small bilateral pleural effusions and thickening with chronic atelectasis/scarring of the lower lobes. the hilar and cardiomediastinal contours are normal and the lungs are otherwise clear. there is no pneumothorax. a left chest wall port catheter terminates in the low svc.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 appear hyperinflated with upper lobe lucency. hilar prominence is stable with subtle perihilar opacities slightly improved from prior. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] stable hilar prominence with mild perihilar opacities, slightly improved from prior. no pneumothorax. </s>
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<s>[INST] a linear opacity at the left base is most likely atelectasis and/or scarring. it is similar to the prior ct. subtle left midlung/perihilar opacity is also seen. there is no overt pulmonary edema. blunting of the left costophrenic angle is likely due to a small left pleural effusion. there is no large right pleural effusion. there is no pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] small left pleural effusion. left mid lung opacity may be atelectasis although infection is also possible. </s>
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