QA
stringlengths 65
2.9k
|
|---|
<s>[INST] the lung volumes are normal. mild cardiomegaly. mild pulmonary vascular congestion. there is a tubular lucency extending from the right hilum an abruptly terminating at the level of the clavicle which likely represents a dilated brachiocephalic vein. there is mild tortuosity of thoracic aorta. the pleural surfaces are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] ap portable upright chest radiograph was obtained. low lung volumes and slightly underpenetrated technique somewhat limits the evaluation. allowing for this, there is no definite sign of pneumonia or overt chf. cardiomediastinal silhouette is stable. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] limited, negative. </s>
|
<s>[INST] the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] patient status post thyroidectomy with numerous surgical clips in the region of the thyroid bed. a generator projecting over the left chest with leads extending off the superior edge of the film is in unchanged position. the cardiomediastinal silhouette is unremarkable. bibasilar atelectasis worse on the left is unchanged. bilateral small pleural effusions are mildly increased.What are the key findings of this report? [/INST] small bilateral pleural effusions are mildly increased with associated bibasilar atelectasis. </s>
|
<s>[INST] bilateral hyperinflated lungs with flattening of diaphragms and increased retrosternal clear space consistent with known copd. focal opacity in the lingular lobe consistent with pneumonia with possible increased opacity of the left lower lobe suggestive of pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] lingular lobe pneumonia with possible right lower lobe pneumonia. </s>
|
<s>[INST] since <unk>, small left pleural effusion is increased, small right pleural effusion is new, moderate retrocardiac and right basilar atelectasis are unchanged. the left pacemaker is in the appropriate position. the heart size is mildly enlarged. no pneumothorax.What are the key findings of this report? [/INST] small left pleural effusions increase, small right pleural effusion is new, and moderate retrocardiac and right basilar atelectasis are unchanged since <unk>. </s>
|
<s>[INST] compared with prior radiographs on <unk>, there is no break or change in alignment of median sternotomy wires. there has been interval removal of right ij catheter. a moderate left pleural effusion is similar to prior. there is no focal consolidation or pneumothorax. normal postoperative appearance of the cardiomediastinal silhouette.What are the key findings of this report? [/INST] no break or displacement of median sternotomy wires. moderate left pleural effusion, similar to prior. </s>
|
<s>[INST] interval placement of a left subclavian cvl with tip in the mid svc. the lungs are mildly hypoinflated with crowding of vasculature. no focal opacity. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.What are the key findings of this report? [/INST] left subclavian cvl with tip in mid svc. no pneumothorax. </s>
|
<s>[INST] the lungs are clear but hyperinflated.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of aspiration. </s>
|
<s>[INST] in comparison with chest radiograph from <num> day earlier, there is no significant change. enteric feeding tube terminates in the proximal stomach with side ports beyond the gastroesophageal junction. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are stable. heart size is normal.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. enteric feeding tube terminates in the proximal stomach. </s>
|
<s>[INST] the right picc line terminates in the superior portion of the svc. is bibasilar atelectasis is again noted. intact median sternal wires are seen. buttress plate and fixation screws are noted at the right humeral head.What are the key findings of this report? [/INST] right picc terminates in the superior portion of the svc. </s>
|
<s>[INST] there is a large hiatal hernia with an air-fluid level. the cardiac, mediastinal and hilar contours are stable. there is again pleural effusion or thickening on the left side which is probably unchanged since the most recent study. mild spurring appears stable at each lung apex. aside from minimal atelectasis at the left base, the lungs appear clear. moderate s-shaped curvature to the thoracolumbar spine is again noted. mild compression deformities are suspected but not well characterized at the thoracolumbar junction. the bones appear demineralized.What are the key findings of this report? [/INST] large hiatal hernia. no evidence of acute cardiopulmonary process. no short-term change. </s>
|
<s>[INST] the lungs are free of focal consolidations, pleural effusions or pneumothorax. no pulmonary edema. the mediastinum, hila and heart are within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute intrapulmonary process. </s>
|
<s>[INST] pa and lateral views of the chest are obtained. lung volumes are low. there is persistent elevation of the right hemidiaphragm with persistent small right effusion and right lower lobe atelectasis. there is likely mild left lung base atelectasis. heart size is top normal. mediastinal contour is stable. no pneumothorax.What are the key findings of this report? [/INST] persistent right effusion and basilar atelectasis. </s>
|
<s>[INST] compared to the studies from the prior day there has been marked improvement in the alveolar infiltrate. there is still residual alveolar infiltrate in the upper lobes and there still the chronic pulmonary fibrosis that the patient is known to have. swan-ganz catheter tip is in the left descending pulmonary artery. left ij line tip is in the cavoatrial junction. ng tube is in the stomach. the bowel is gas-filled but is no longer as dilated as on the prior exam. there small bilateral effusions right greater than left.What are the key findings of this report? [/INST] no change. </s>
|
<s>[INST] portable chest film <unk> at <unk> is submitted.What are the key findings of this report? [/INST] right-sided chest tubes remain in place. no pneumothorax is appreciated. there are increasing patchy opacities at both bases which could reflect atelectasis, although aspiration and pneumonia should also be considered. no evidence of pulmonary edema. overall cardiac and mediastinal contours are stable given differences in patient positioning. biapical pleural thickening likely reflects postinflammatory changes. </s>
|
<s>[INST] heart size is mildly enlarged. mediastinal contours are unremarkable. there is mild pulmonary vascular congestion. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pneumothorax, or pleural effusion is present. no acute osseous abnormality is detected. mild degenerative changes are noted in the imaged thoracic spine.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and bibasilar atelectasis. </s>
|
<s>[INST] the inspiratory lung volumes are low with resultant bronchovascular crowding. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. no pulmonary vascular congestion or edema is seen. the cardiac silhouette is enlarged, but stable. the mediastinal contours are prominent, with tortuosity of the thoracic aorta, which is unchanged.What are the key findings of this report? [/INST] low lung volumes. no evidence of heart failure or volume overload. </s>
|
<s>[INST] the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no focal consolidation, pleural effusion or pneumothorax is identified. left <unk> and <unk> lateral rib fractures are noted. other known fractures involving the left-sided ribs are not clearly delineated on the current exam. old right tenth rib fracture is redemonstrated. multilevel degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] fractures of the left lateral <unk> and <num>th ribs. other known left-sided fractures are not clearly delineated on this current exam. a dedicated rib series can be obtained for further evaluation. no acute cardiopulmonary abnormality. </s>
|
<s>[INST] frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. bibasilar opacities likely represent atelectasis. hilar and mediastinal silhouettes are unchanged. heart size is top normal. no pleural effusion, focal consolidation or pneumothorax.What are the key findings of this report? [/INST] low lung volumes with bibasilar opacities, likely atelectasis. otherwise, no acute cardiopulmonary process. </s>
|
<s>[INST] there are bibasilar opacities, right greater the left. there is also bilateral effusions. the heart is mildly enlarged with mild pulmonary edema. no pneumothorax is seen. prior rib fractures are noted.What are the key findings of this report? [/INST] <num>. mild cardiomegaly with mild edema. <num>. bibasilar opacities likely reflect pleural effusions with adjacent atelectasis, right greater than left. </s>
|
<s>[INST] the patient is rotated towards the left. the lungs appear grossly clear without lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no evidence of free subdiaphragmatic air.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] again seen is mild hyperinflation a mild cardiomegaly. there patchy areas of increased opacity at the bases that could represent volume loss or early infiltrate. there is a lucency below the right hemidiaphragm, and free air can't be totally excluded. recommend clinical correlation and followup.What are the key findings of this report? [/INST] question small amount of free air. recommend clinical correlation and followup when the patient is able. </s>
|
<s>[INST] pa and lateral views of the chest provided. feeding tube descends through the thoracic midline into the left upper abdomen. the 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>
|
<s>[INST] the cardiac, mediastinal and hilar contours appear stable. a staple line projects over the right lung as before. lung fields appear otherwise clear. there is no pleural effusion or pneumothorax. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
|
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. unchanged compression deformities noted in the lower t-spine. . no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] minimal atelectasis/scarring is noted in the lingula. otherwise, lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette remains at the upper limits of normal and stable. aortic knob calcifications are visualized. multiple surgical clips are visualized in the left upper abdomen. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute pulmonary process. </s>
|
<s>[INST] ap upright and lateral views of the chest provided. there is a large retrocardiac opacity containing air-fluid level compatible with a large hiatal hernia. previously noted cavitary lesion within the right upper lobe is slightly less conspicuous than on prior exam. additional areas of nodularity in the right mid lung are stable from multiple prior exams dating back to a ct of the chest from <unk>. there is no evidence of aspiration. bony structures are intact. high-riding right humeral head could indicate chronic right rotator cuff disease.What are the key findings of this report? [/INST] large hiatal hernia. right upper lobe cavitary lesion, similar to prior with areas of nodularity in the right mid lung, also stable from multiple prior exams. consider ct on a non-emergent basis to further assess given that the most recent prior exam dates back to <unk> to ensure stability of aforementioned nodules. </s>
|
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. mild cardiomegaly persists. mediastinal contours are stable with aortic tortuosity. lumbar spine fusion hardware is partially imaged.What are the key findings of this report? [/INST] mild cardiomegaly without radiographic evidence for acute change. </s>
|
<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] ap portable upright view of the chest. a right thoracostomy tube is unchanged in position. a previously-seen right pneumothorax has resolved. there are no pleural effusions. a large right paramediastinal mass is again visualized. there is decreased central pulmonary vascular congestion. bronchial stents are unchanged in position.What are the key findings of this report? [/INST] <num>. unchanged position of a right thoracostomy tube. <num>. previously-seen pneumothorax appears resolved. </s>
|
<s>[INST] the is vague opacity seen overlying the spine only on the lateral view which contains some suggestion of air-bronchograms. the pleural, cardiac, mediastinal and hilar structures are normal.What are the key findings of this report? [/INST] vague lower lung opacity only seen on the lateral view. given the provided history, this would be consistent with pneumonia. findings sent to the ed qa nurses by dr. <unk> at <time> on <unk>. </s>
|
<s>[INST] the lungs remain hyperinflated. there is blunting of bilateral costophrenic angles concerning for small bilateral pleural effusions, although could also be due to pleural thickening and lateral views would be helpful for further evaluation. the cardiac silhouette is enlarged. patient is status post median sternotomy and cabg. no focal consolidation or pneumothorax is seen.What are the key findings of this report? [/INST] small bilateral pleural effusions. enlarged cardiac silhouette. </s>
|
<s>[INST] pa and lateral views of the chest were obtained. lung volumes are somewhat low. mild linear opacity at the left lung base is most compatible with atelectasis. the lungs appear otherwise clear without signs of pneumonia or chf. no pleural effusion or pneumothorax is seen. heart size is stable and within normal limits. aorta is slightly unfolded with atherosclerotic calcifications along the knob. bony structures appear intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
|
<s>[INST] endotracheal tube tip terminates approximately <num> cm from the carina. an enteric tube is within the stomach. heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. patchy opacities are seen in the lung bases which may reflect areas of atelectasis in the setting of low lung volumes. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is demonstrated.What are the key findings of this report? [/INST] <num>. standard positioning of the endotracheal and enteric tubes. <num>. low lung volumes with patchy bibasilar airspace opacities, likely atelectasis. </s>
|
<s>[INST] image quality is compromised due to motion. the cardiomediastinal silhouette is unremarkable for technique and not significantly changed since prior. again seen are prominent interstitial markings bilaterally, not significantly changed since prior examinations. no definite consolidation is identified. no pneumothorax or pleural effusion is identified on this examination. the visualized bones are unremarkable. a vascular stent is noted in the region of the abdominal aorta.What are the key findings of this report? [/INST] stable single view of the chest without definite superimposed pulmonary process. </s>
|
<s>[INST] ap and lateral views of the chest. lower inspiratory effort seen on the current exam. opacification the left lateral costophrenic angle is again seen may be due to atelectasis. there is no focal consolidation or effusion. the cardiomediastinal silhouette is unchanged. atherosclerotic calcifications seen at the aortic arch. mild height loss of a lower thoracic vertebral body is unchanged. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] given differences in positioning and technique, there has been no significant interval change. the lungs are essentially clear aside from linear left basilar opacity which is likely atelectasis. cardiomediastinal silhouette is stable. linear calcification again projects over the lateral aspect of cardiac silhouette.What are the key findings of this report? [/INST] no acute cardiopulmonary process, no significant interval change. </s>
|
<s>[INST] pa and lateral views of the chest provided. right port-a-cath ends at the mid svc. radiation changes in the mid to upper lung on the left in the perihilar region with retraction of the trachea. mild tenting of the left hemidiaphragm also likely represents radiation changes. no pleural effusion or pneumothorax. a large mediastinal mass is stable from <unk>. moderate degenerative changes throughout the lower thoracic spine are unchanged.What are the key findings of this report? [/INST] <num>. radiation changes in the mid to upper left lung in the perihilar region with retraction of the trachea are seen. mild tenting of the left hemidiaphragm also likely represents radiation changes. <num>. a large mediastinal mass is stable from <unk>. </s>
|
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] patient is status post median sternotomy and cardiac valve replacement.mild basilar atelectasis is seen without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. there may be prominence of the main pulmonary artery which can be seen in the setting of pulmonary arterial hypertension.What are the key findings of this report? [/INST] prominent main pulmonary artery can be seen in the setting of pulmonary arterial hypertension. no focal consolidation. </s>
|
<s>[INST] pa and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip extending into the right atrium. there is increased opacity in the left lower lung which is concerning for pneumonia. right basal opacity is more compatible with atelectasis. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. clips project over the upper abdomen.What are the key findings of this report? [/INST] left lower lobe consolidation is concerning for pneumonia. </s>
|
<s>[INST] the patient is status post median sternotomy and cabg. tracheostomy tube tip is in unchanged position. the patient is status post median sternotomy and cabg. the heart is moderately enlarged. mediastinal contours are unchanged. there is mild interstitial pulmonary edema which is worse compared to previous exam. furthermore, there are more focal patchy opacities within the right upper lung field as well as within both lung bases. no large pleural effusion or pneumothorax is present. a percutaneous enteric tube is partially imaged in the upper abdomen. moderate vascular calcifications are present.What are the key findings of this report? [/INST] mild interstitial pulmonary edema and more focal opacities in the right upper lung field as well as both lung bases which may reflect areas of aspiration or multifocal pneumonia. </s>
|
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema is seen. the heart size is top normal. mediastinal contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] one portable ap upright view of the chest. there is severe enlargement of the cardiac silhouette, similar to prior. sternotomy wires are intact and unchanged in position. mediastinal clips are seen. there is no evidence of focal consolidation, edema, pleural effusion or pneumothorax. there is no significant change compared the study on <unk>.What are the key findings of this report? [/INST] no change compared to <unk>. marked enlargement of the cardiac silhouette. no acute intrathoracic process. </s>
|
<s>[INST] pa and lateral views of the chest were provided. the left ij catheter has been removed. the heart remains mildly enlarged. opacities in the lower lungs remain concerning for pneumonia. central hilar engorgement could reflect mild central edema. there is no pneumothorax. an azygos fissure is noted. bony structures are intact. clips are noted in the left upper quadrant.What are the key findings of this report? [/INST] persistent opacities in the lower lungs concerning for pneumonia. central hilar vascular engorgement with mild cardiomegaly indicates mild pulmonary edema. </s>
|
<s>[INST] the lungs, mediastinum, hilar contours, pleural surfaces and heart are all normal.What are the key findings of this report? [/INST] normal chest x-ray. </s>
|
<s>[INST] frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no appreciable pneumothorax or pleural effusion. a nondisplaced sternal fracture can be seen without displacement or evidence for change since the initial study although this is not to say necessarily that it might not be healing. detailed assessment for slight change could be better assessed with ct if needed clinically.What are the key findings of this report? [/INST] <num>. sternal fracture without displacement or pneumothorax. <num>. no acute cardiopulmonary process. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. minimal atelectasis appears decreased at the left costophrenic angle. the lungs appear otherwise clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
|
<s>[INST] a central venous catheter ends at the low svc. no focal consolidation is seen. there is no evidence of pneumothorax or pleural effusion. the cardiac silhouette is mildly enlarged. enlargement of the pulmonary arteries is seen. views of the upper abdomen demonstrate surgical clips from prior cholecystectomy. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
|
<s>[INST] the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.multiple ekg leads overlie the upper to mid chest.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] there has been substantial interval decrease in the trace right pleural effusion following drainage. a right perihilar airspace opacity corresponding to radiation pneumonitis is unchanged when allowing for differences in technique. prominent interstitial lung markings in the right lung the may be due to lymphatic congestion or lymphangitic spread of metastasis. the left lung is clear. there is no appreciable pneumothorax. the heart and mediastinum are within normal limits.What are the key findings of this report? [/INST] substantial interval decrease in trace right pleural effusion following drainage. no pneumothorax. right lung radiation pneumonitis. asymmetric right lung interstitial prominence may be due to lymphatic congestion or lymphangitic spread of metastasis. </s>
|
<s>[INST] mild enlargement of the cardiac silhouette is noted. the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular engorgement. hazy opacification within the left lung base with loss of the left hemidiaphragmatic contour on the frontal view may reflect atelectasis or infection. no large pleural effusion or pneumothorax is noted, though there is likely a small amount of pleural thickening within the left costophrenic angle. no acute osseous abnormalities are present.What are the key findings of this report? [/INST] patchy left basilar opacity could reflect atelectasis or infection. </s>
|
<s>[INST] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] overall cardiac and mediastinal contours are stable. there are layering effusions, left greater right. more patchy retrocardiac opacity most likely reflects compressive atelectasis, although pneumonia or aspiration should also be considered. there is stable mild perihilar and interstitial edema. no pneumothorax. </s>
|
<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
|
<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. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] since the most recent prior radiograph, there is now new pneumoperitoneum. there is increasing bibasilar atelectasis. ng tube is seen coursing below the diaphragm. the lungs are otherwise clear. the cardiomediastinal silhouette is unchanged in appearance. a right port catheter tip ends in the low svc.What are the key findings of this report? [/INST] new large amount of pneumoperitoneum since the prior radiograph from <unk>, concerning for leak. bibasilar atelectasis. these findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone. </s>
|
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. specifically no displaced rib fracture is seen. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the cardiac silhouette size is top normal. mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] single portable view of the chest is compared to previous exam from <unk>. exam is limited secondary to patient positioning and poor inspiratory effort. within this, there is no definite large confluent consolidation. cardiac silhouette is grossly unchanged. metallic device projecting over the left upper quadrant, although lead is not clearly delineated. osseous and soft tissue structures are unremarkable, noting surgical clips in the right upper quadrant.What are the key findings of this report? [/INST] extremely limited exam. no definite large consolidation. consider repeat if clinically indicated. </s>
|
<s>[INST] the heart appears mildly enlarged. the aortic arch is partly calcified. there is similar slight relative elevation of the left hemidiaphragm. streaky opacity suggests minor atelectasis in the lingula, little if at all changed. there is a nodular focus projecting over the left costophrenic angle possibly a nipple shadow. otherwise, the lung fields appear clear. moderate degenerative changes are noted along the mid thoracic spine, as before, including large anterior osteophytes along several adjacent levels.What are the key findings of this report? [/INST] <num>. no evidence of acute cardiopulmonary disease. <num>. small nodular focus projecting along the right costophrenic sulcus, possibly a nipple shadow. when clinically appropriate, repeat pa view without and with nipple markers is suggested to reassess. an email regarding the follow-up recommendation was sent to the ed qa nursing group. </s>
|
<s>[INST] is portable upright ap chest radiograph shows new subsegmental atelectasis at the right lung base and right pericardiac region and unchanged linear scar at the left lung base. although the overall cardiac size remains within normal limits, the left heart border has lost its concavity and there is some mild redistribution of pulmonary blood flow to the upper lobes without haziness or edema. several small, sub cm, calcified lymph nodes are seen in the right perihilar region and these are new. no pneumothorax is seen status post thermoplasty.What are the key findings of this report? [/INST] redistribution of pulmonary blood flow to the upper lobes without current edema. subsegmental atelectasis at the right base and right middle lobe and a calcified right perihilar lymph nodes are new compared to the patient's previous studies from <unk>. </s>
|
<s>[INST] frontal and lateral views of the chest were obtained. the lungs are hyperinflated. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is top-normal. mediastinal silhouette and hilar contours are normal.What are the key findings of this report? [/INST] no pneumonia, edema or effusion. findings discussed with dr. <unk> by phone at <time>am <unk>. </s>
|
<s>[INST] frontal and lateral chest radiographs. top normal size of the heart, unchanged from prior chest radiographs. a left pectoral dual-chamber pacer is again noted. there is no focal consolidation, pleural effusion, or pneumothorax. low lung volumes causes crowding of the bronchovascular structures, but no frank pulmonary edema is present. atherosclerotic calcifications are again noted in the aortic arch. severe degenerative changes are partially imaged in the upper lumbar spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] lung volumes are low. this causes some vascular crowding; however, no focal consolidation to suggest pneumonia is identified. no pleural effusion or pneumothorax is seen. there is mild vascular congestion. the heart size is top normal. there is tortuosity of the aorta. surgical clips are noted in the right upper quadrant.What are the key findings of this report? [/INST] vascular congestion. no evidence of pneumonia. </s>
|
<s>[INST] compared with <unk>, there is a hazy ill-defined opacity in the right upper lung. no pleural effusion or pneumothorax is seen. heart size is normal.What are the key findings of this report? [/INST] <unk> ill-defined opacity in the right upper lung is concerning for pneumonia. </s>
|
<s>[INST] the heart is normal in size. the aortic arch is partly calcified. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the chest is hyperinflated. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute disease. hyperinflation. </s>
|
<s>[INST] the lungs are well expanded bilaterally with no areas of focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. the pleural surfaces and osseous structures are unremarkable.What are the key findings of this report? [/INST] no evidence of infection or malignancy. </s>
|
<s>[INST] lung volumes are low. heart size remains mildly enlarged, accentuated due to low lung volumes. the mediastinal and hilar contours are unchanged and within normal limits. crowding of the bronchovascular structures likely relates to low lung volumes without overt pulmonary edema. patchy opacities in lung bases most likely reflect atelectasis. no pleural effusion or pneumothorax is present. clips project over the left axilla.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </s>
|
<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs remain hyperinflated with emphysematous changes again seen, most pronounced at the lung apices. no focal consolidation is demonstrated. known nodular opacities seen within the lungs on prior ct are not clearly delineated on the current exam. 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 process. emphysema. known nodular opacities within the lungs are better delineated on prior ct. </s>
|
<s>[INST] there has been repositioning of the endotracheal tube, which now ends approximately <num> cm above the carina. an esophageal tube again is seen with both the side port and tip below the gastroesophageal junction. otherwise 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] repositioning of the endotracheal tube which now ends approximately <num> cm above the carina, in appropriate position. </s>
|
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. calcifications are noted at the aortic knob. there is no pneumothorax or pleural effusion. there is no definite focal consolidation. minimal linear density in the inferior lingula is mild atelectasis.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] prominence of the pulmonary vasculature is suggestive of mild-to-moderate increase in central pulmonary venous pressure. bilateral small pleural effusions, left greater than right, are likely present. bilateral atelectatic changes, left greater than right, and an overlying pneumonia, possibly due to aspiration, must be excluded in the proper clinical setting. the cardiomediastinal silhouette is normal. post-surgical changes are noted with median sternotomy wires and surgical clips.What are the key findings of this report? [/INST] <num>. moderate pulmonary edema with bilateral small pleural effusions, left greater than right. <num>. bibasilar atelectasis, pneumonia must be excluded in the proper clinical setting. </s>
|
<s>[INST] the patient is intubated, the endotracheal tube terminates approximately <num> cm above the level the carina. and a nasogastric tube terminates in the stomach. lung volumes are within normal limits. the cardiomediastinal contour is normal. allowing for the projection, the heart does not appear to be enlarged. no pleural effusion or consolidation seen. no pneumothorax seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process seen. </s>
|
<s>[INST] again seen are multiple right lateral rib fractures with mild pleural thickening, not significantly changed from <unk>. known old left rib fractures are not well visualized radiographically. deformity of the manubrium is consistent with the fracture identified on the <unk> chest ct. there is minimal degenerative spurring along the t-spine. review of <unk> chest ct raises the question of minimal concavity along superior endplate of an upper thoracic vertebral body, ? t<num> (s<num>b:im <unk>), of indeterminate acuity, without frank loss of vertebral body height. no pneumothorax is detected. the lungs are well expanded, except for possible trace atelectasis at the right lung base. no chf, focal infiltrate or gross pleural effusion is identified. minimal blunting of the posterior right costophrenic angle could reflect a small right effusion. mild cardiomegaly is unchanged from prior.What are the key findings of this report? [/INST] <num>) right lateral rib fractures are re-identified, with associated stable mild pleural thickening. no pneumothorax detected. <num>) known manubrial fracture appears grossly unchanged. <num>) possible minimal superior endplate deformity of an upper thoracic vertebral body, of indeterminate acuity. please see comment above. <num>) stable mild cardiomegaly. </s>
|
<s>[INST] lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are unchanged since the prior examination. no focal consolidation is seen. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
|
<s>[INST] extensive diffuse bilateral space opacities are worse than on <unk> and <unk>. right port-a-cath and left picc are stable given differences in positioning. no pneumothorax. presumed small bilateral pleural effusions are likely unchanged.What are the key findings of this report? [/INST] extensive diffuse bilateral air space opacities worse than on <unk> and <unk> could be due to ards, pneumonia, pulmonary edema, or hemorrhage. </s>
|
<s>[INST] the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. . no pneumonia, no pulmonary edema. no pleural effusions.What are the key findings of this report? [/INST] normal chest radiograph without evidence of pneumonia </s>
|
<s>[INST] left-sided pacemaker device is noted with single lead terminating in the right ventricle, unchanged. the heart remains moderately enlarged. dense atherosclerotic calcifications are present at the aortic knob. mediastinal and hilar contours are unchanged. rounded opacity within the right upper lobe appears slightly increased in size compared to the previous exam, which again remains concerning for adenocarcinoma and now measures up to <num> cm. minimal patchy opacities are noted within the lung bases. no pleural effusion or pneumothorax is identified. multiple <unk> are demonstrated within the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] patchy bibasilar airspace opacities appear relatively unchanged, and may reflect atelectasis and/or chronic changes. slight interval increase in size of right upper lobe rounded opacity which remains concerning for adenocarcinoma. </s>
|
<s>[INST] as before, the patient is status post median sternotomy and cabg. the right lung is clear. there is increased opacity at the base of the left lung suggesting atelectasis and a small pleural effusion. a left apical pneumothorax has resolved.What are the key findings of this report? [/INST] small left pleural effusion and adjacent atelectasis at the left base. left apical pneumothorax has resolved. </s>
|
<s>[INST] cardiac silhouette is mildly enlarged and accompanied by pulmonary vascular congestion and mild interstitial edema. an area of consolidation within the right lower lobe has slightly improved in the interval as well as slight improvement in a small right pleural effusion. known left hilar mass is better evaluated on recent ct <unk> <unk>.What are the key findings of this report? [/INST] <num>. improving right lower lobe pneumonia. <num>. mild interstitial edema. </s>
|
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] the lungs are hyperinflated with coarse interstitial markings and the diaphragm is flattened consistent with emphysema. the left pulmonary artery is prominent which may reflect pulmonary hypertension. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] <num>. radiographic evidence of copd. <num>. prominent left pulmonary artery consistent with pulmonary hypertension. </s>
|
<s>[INST] there is no interval change since prior chest radiograph from <unk>. severe cardiomegaly persists. lungs are clear. no pneumothorax, pleural effusion, or pulmonary edema.What are the key findings of this report? [/INST] overall, no interval change since <unk>. </s>
|
<s>[INST] pa and lateral images of the chest. the lungs are well expanded and clear. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] right internal jugular central venous catheter terminates in the mid to low svc as before. there is no pneumothorax. again there is platelike atelectasis in the left mid lung. lungs are otherwise clear without pulmonary edema. there is no pleural effusion. the cardiomediastinal silhouette and hilar contours are normal. as before there is gaseous distension of bowel in the upper abdomen.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary abnormality. persistent atelectasis in the left mid lung without evidence of pneumonia. <num>. persistent gaseous distention of the bowel in the upper abdomen. </s>
|
<s>[INST] the heart size is mildly enlarged. the aorta is tortuous and calcified. the mediastinal and hilar contours are unchanged. pulmonary vascularity is not engorged. streaky opacities in the lung bases likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. diffuse demineralization of the osseous structures is present with multilevel degenerative changes seen throughout the thoracic spine.What are the key findings of this report? [/INST] mild bibasilar atelectasis. </s>
|
<s>[INST] the lungs are poorly inflated but do not show any focal opacities. cardiomediastinal and hilar contours are unremarkable. mild cardiomegaly is unchanged compared with <unk>. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
|
<s>[INST] heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. no acute osseous abnormalities. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings. no evidence of cardiomegaly or pleural effusion. </s>
|
<s>[INST] the mediastinal contours are within normal limits. heart size is top-normal. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] severe enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are stable. calcified pleural plaques are again noted bilaterally. no focal consolidation, pleural effusion or pneumothorax is seen. there is no pulmonary vascular congestion.What are the key findings of this report? [/INST] severe enlargement of cardiac silhouette, unchanged. otherwise, no acute cardiopulmonary abnormality. </s>
|
<s>[INST] rotated positioning. allowing for this, no significant interval change is identified. again seen is an et tube, with tip at the upper edge of the clavicular heads, and an ng tube and side-port beneath the diaphragm overlying the upper stomach. the et tube tip lies approximately <num> cm above the carina. also again seen is diffuse opacity throughout the left lung, with relative sparing of the upper lobe, which obscures the cardiac border. there are some air bronchograms in the mid/lower left lung. there is partial obscuration of the left hemidiaphragm. on the right, inspiratory volumes are low with vascular crowding, but no frank consolidation or effusion is identified.What are the key findings of this report? [/INST] doubt significant interval change compared with the film obtained earlier the same day. extensive opacification of the left lung is compatible with collapse and/or consolidation and a pneumonic infiltrate in this area cannot be excluded. low inspiratory volumes and vascular crowding limits direct assessment of chf. the degree of vascular plethora seen in the right lung could be accounted for by low inspiratory volumes. </s>
|
<s>[INST] a port-a-cath terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. in addition to patchy right infrahilar opacity an opacity in the left lower lobe suggests pneumonia, better seen on the lateral view and new since prior studies including the pet ct from <unk>. there is no pleural effusion or pneumothorax. posterior thoracolumbar fusion hardware is not significantly changed.What are the key findings of this report? [/INST] patchy lower lobe opacities including a consolidation in the left lower lobe suggesting pneumonia. </s>
|
<s>[INST] low lung volumes and body habitus obscure the lung bases bilaterally. heart size appears enlarged, which is likely in part a function of portable technique and low lung volumes. there is no focal consolidation or pleural effusion. no pneumothorax. osseous structures are intact.What are the key findings of this report? [/INST] low lung volumes, but no evidence of consolidation or pleural effusion. </s>
|
<s>[INST] portable ap upright chest film <unk> at <num> <num> is submitted.What are the key findings of this report? [/INST] the patient's mandible obscures the lung apices. the patchy opacity at the right lung base is less well appreciated due to differences in positioning but is likely not changed. no new area of consolidation is appreciated. there is no evidence of pulmonary edema. no large pneumothorax is seen. overall cardiac and mediastinal contours are likely unchanged given differences in patient positioning. deformity of the right proximal humerus is consistent with old fracture. </s>
|
<s>[INST] interval resolution of bilateral pleural effusions. the lungs are well-expanded and clear. there is no focal consolidation, pulmonary edema, or pneumothorax. the heart size is normal. the mediastinal contours, hila, pleura are normal. there is no acute osseous abnormality.What are the key findings of this report? [/INST] interval resolution of bilateral pleural effusions. </s>
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.