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<s>[INST] minimal basilar atelectasis is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. <num> cm left lower lobe pulmonary nodule is grossly stable. cardiac silhouette is top-normal in size, appears less prominent as compared to the prior study. mediastinal contours are unremarkable. evidence of dish is seen along the spine.What are the key findings of this report? [/INST] no definite new focal consolidation to suggest pneumonia. grossly stable <num> cm left lower lobe pulmonary nodule. top-normal in size cardiac silhouette, appears less prominent as compared to the prior study. </s>
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<s>[INST] there is bi-apical pleural thickening and diffuse linear opacities in both lungs that are better characterized on the ct performed on the same date. lungs are hyperinflated with flattening of bilateral hemidiaphragms, suggesting chronic pulmonary disease such as emphysema. there is no evidence of pneumonia, pulmonary edema or pneumothorax. cardiomediastinal silhouette is within normal limits. other than a pectus excavatum, there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. lung hyperinflation with flattening of bilateral hemidiaphragms is consistent with emphysema. <num>. bi-apical pleural thickening and diffuse bilateral linear opacities are better characterized on ct chest performed on the same date. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no pneumothorax identified. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate well expanded and clear lungs. there is no focal consolidation. there is moderate cardiomegaly with biatrial enlargement and right ventricular enlargement, unchanged when compared to radiograph dated <unk>. sternotomy wires are intact. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. stable moderate cardiomegaly. </s>
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<s>[INST] no parenchymal abnormalities aside from calcified granulomas. no pleural effusion or pneumothorax. no adenopathy is seen and cardiomediastinal silhouette is largely unchanged as compared to prior.What are the key findings of this report? [/INST] no radiographically evident explanation for the patient's weight loss </s>
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<s>[INST] the lungs are clear. heart size mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] extensive consolidative opacities seen involving nearly the entire left lung with air bronchograms and additional focal opacities in the right mid lung field are concerning for extensive multifocal pneumonia. cardiac silhouette size is difficult to assess given the extensive left lung consolidation. no pleural effusion or pneumothorax is present. no pulmonary edema is demonstrated. no acute osseous abnormality is identified. grade <num> ac separation on the left is chronic.What are the key findings of this report? [/INST] extensive consolidation in the left lung with additional focal opacities in the right mid lung field concerning for multifocal pneumonia. followup radiographs to resolution of these findings are recommended </s>
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<s>[INST] subtle airspace opacity over the left lower lobes compatible with pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. when compared to prior, there has been no change. again noted are nodular opacities in the lungs bilaterally, stable in configuration. there is no evidence of new consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] patchy opacity in the right infrahilar region is new compared to the prior radiograph, and projects over the lower thoracic spine on the lateral view. lungs are otherwise clear, and cardiomediastinal contours are stable in appearance.What are the key findings of this report? [/INST] patchy right basilar opacity, which may reflect focal atelectasis, aspiration, or early pneumonia. followup radiographs may be helpful in this regard. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.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 demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pleural effusion, pneumothorax, pulmonary edema or focal pneumonia.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] no focal consolidation is seen. there is slight blunting of the right costophrenic angle which may be due to a small pleural effusion. there is no evidence of pneumothorax. the cardiac silhouette is top-normal. right paratracheal opacity likely relates to mediastinal lipomatosis and/or prominent vascular structures. no overt pulmonary edema is seen. no displaced fracture is seen.What are the key findings of this report? [/INST] possible trace right pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest provided. cardiac silhouette remains enlarged with left lower lobe consolidation and effusion appearing slightly increased. blunting of the right cp angles also noted. no nodules are again seen in the left upper and right lower lung. mediastinal contour is grossly unchanged allowing for slight rotation. a right proximal shaft clavicle fracture is new in the interval. an expansile left upper rib cage lesion is better assessed on prior ct.What are the key findings of this report? [/INST] <num>. new right proximal clavicle shaft fracture. <num>. increasing left basal opacity concerning for pneumonia and effusion. <num>. stable prominence of the cardiomediastinal silhouette. <num>. scattered lung nodules and left upper rib lesion again noted which remain concerning for metastatic disease. </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are hyperinflated with upper lobe lucency compatible with known emphysema. no focal consolidation, effusion or pneumothorax is seen. the cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] emphysema, otherwise unremarkable. </s>
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<s>[INST] lungs are well inflated and clear bilaterally with stable upper zone redistribution of vasculature. there is no pleural effusion or pneumothorax. no areas of focal consolidation, masses or lesions are identified. aorta is mildly tortuous, and heart is top normal in size. pleural surfaces are unremarkable. an ng tube is seen properly placed entering the stomach and then out of view. stimulator is in place, unchanged in position, projecting over the lower thoracic spine.What are the key findings of this report? [/INST] no evidence of infection or malignancy. </s>
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<s>[INST] portable upright frontal chest radiograph demonstrates interval increase in size of a dense consolidative opacity in the right upper lobe with surrounding airspace opacity. there is no pneumothorax. cardiac silhouette remains normal in size, the mediastinal contours remain normal. median sternotomy wires are fractured at nearly all visible levels.What are the key findings of this report? [/INST] interval increase in right upper lobe mass-like opacity likely secondary to post-biopsy hemorrhage or lavage surrounding pre-existing mass, without evidence of pneumothorax. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the lungs are normally expanded and clear. there are numerous healed right lateral rib fractures and probable scarring in the right lower lung. heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. several healed right lateral rib fractures. </s>
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<s>[INST] the right heart border on the frontal view is obscured, in part by anterior costal calcification. elsewhere, numerous calcified granulomas are stable. clips are noted in the right axilla and right hilum. cardiac size is normal. the right hilus is enlarged. no pleural effusion or pneumothorax. extensive bilateral degenerative changes of the glenohumeral joint and chronic post traumatic changes of the right humeral head are slightly worse.What are the key findings of this report? [/INST] suggest oblique views to assess possible right middle lobe pneumonia. </s>
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<s>[INST] there are low lung volumes and bibasilar atelectasis. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the right picc ends at the superior cavoatrial junction. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no significant change compared to <unk>. bibasilar atelectasis. the right picc ends at the cavoatrial junction. </s>
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<s>[INST] lower lung opacity from moderate posteriorly layering pleural effusion and left lower lung atelectasis reflected by increased retrocardiac density is unchanged. pulmonary vascular congestion has improved. heart size, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] left sided moderate, posteriorly layering pleural effusion and left lower lung atelectasis is unchanged since yesterday. pulmonary vascular congestion has significantly improved. </s>
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<s>[INST] compared to study performed one day prior, there has been slight increase in the right basilar opacity. the left lung is clear. the cardiac silhouette remains markedly enlarged. there is a small unchanged right pleural effusion. no pneumothorax is identified. median sternotomy wires are intact. visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. slight increase in right basilar opacity which may be due to atelectasis although infection cannot be excluded in the appropriate clinical setting. <num>. marked cardiomegaly. unchanged small right pleural effusion. </s>
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<s>[INST] portable ap single-view chest x-ray shows normal lung volume without consolidation or nodules. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] the previously questioned air-fluid level adjacent to the trachea is not present on this view, and may have been artifactual. posterior indentation of the tracheal air column could be due to thyroid enlargement. moderate cardiomegaly is stable. a right-sided picc line ends in the upper svc is noted. the lungs are clear, and there is no pleural effusion or pneumothorax. the vascular pattern suggests emphysema. dystrophic calcifications in the left axilla are chronic, probably nodal.What are the key findings of this report? [/INST] <num>. previously seen paratracheal air-fluid collection not seen on this study, probably artifactual. thyroid enlargement probably indenting the posterior trachea. <num>. moderate cardiomegaly, unchanged. </s>
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<s>[INST] in et tube terminates approximately <num> cm above the carina, in grossly appropriate location. an enteric tube coils in the distal esophagus and loops back on itself with tip not visualized, above the upper limit of the film. there are low lung volumes. the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. et tube in appropriate location. <num>. malpositioned enteric tube in the distal esophagus loops back on itself with tip not visualized above the upper limit of the film. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate clear lungs. the cardiac and mediastinal contours are normal. no pleural abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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. no focal infiltrate </s>
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<s>[INST] pa and lateral radiographs of the chest were obtained. a moderate right-sided effusion is grossly similar to <unk>. a tiny left effusion has resolved. bibasilar opacities likely reflect atelectasis, unchanged. the remainder of the lungs are stable with no new consolidations. the heart and mediastinal contours are normal. no pneumothorax or pulmonary vascular congestion.What are the key findings of this report? [/INST] stable moderate right pleural effusion and resolution of previously noted left pleural effusion. bibasilar airspace opacities likely reflect atelectasis, though infection cannot be completely excluded. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] endotracheal tube and right internal jugular central line are unchanged in position. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. lung volumes remain low with layering bilateral effusions and bibasilar airspace opacities consistent with partial lower lobe atelectasis. underlying pneumonia cannot be excluded. overall, pulmonary edema has improved. no obvious pneumothorax. heart remains stably enlarged. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is stable given differences in positioning and technique. slight compression deformity of a lower thoracic vertebral body is unchanged. compressed lumbar vertebral body is obscured on this image. there is a sliver of lucency below the left hemidiaphragm on the frontal and adjacent to the right hemidiaphragm on the lateral.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. sliver of free intraperitoneal air suspected, not unexpected within a few days after intra-abdominal surgery. </s>
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<s>[INST] pa and lateral views of the chest provided. prominence of the cardiomediastinal silhouette is unchanged. there is hilar congestion and and mild interstitial pulmonary edema. no large effusion or pneumothorax. no definite signs of pneumonia. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] cardiomegaly with hilar congestion and mild pulmonary interstitial edema. </s>
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<s>[INST] a picc line terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] picc line terminating at the <unk> junction. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax. cardiac pacer defibrillator leads are unchanged in their respective positions.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] aside from a small region of plate like atelectasis in the middle lobe the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. the trachea is midline. mild degenerative changes of the bilateral acromioclavicular joints is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] spinal hardware is now seen overlying the lower cervical and upper thoracic spine. right subclavian picc line is unchanged in position. the nasogastric tube has been removed. an endotracheal tube remains in place with the tip approximately <num> cm above the carina. there is improved aeration but persistent consolidation in the retrocardiac area suggestive of partial lower lobe atelectasis, although pneumonia cannot be entirely excluded. there has been interval appearance of free air within the peritoneal space likely related to recent peg placement. no pneumothorax. </s>
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<s>[INST] the heart is not enlarged. aorta is minimally unfolded. the mediastinal and hilar contours are otherwise within normal limits. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no free air seen beneath the diaphragm. probable right upper quadrant surgical clips. left clavicular fixation hardware is noted.What are the key findings of this report? [/INST] no acute pulmonary process identified. no focal infiltrate or chf. </s>
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<s>[INST] normal heart, lungs, pleural and mediastinal surfaces. a right port-a-cath ends in the mid superior vena cava.What are the key findings of this report? [/INST] clear lungs. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs demonstrate a small residual opacity in the right infrahilar region and are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] focal residual or recurrent opacity in right infrahilar region in comparison to <unk> radiograph. recommendation(s): considering recurrent symptoms, either follow-up chest x-ray in <num> weeks after treatment for recurrent pneumonia. if persistent, ct would be recommended. </s>
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<s>[INST] the lung volumes remain low with small left-sided pleural effusion and retrocardiac opacity. there is also mild right lower lobe opacity. mild cardiomegaly. no overt interstitial edema. no pneumothorax. multiple rib fractures on the left.What are the key findings of this report? [/INST] previously described left-sided pneumothorax is not visualized. multiple left rib fractures and hemothorax. </s>
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<s>[INST] lung volumes are low. the heart size is normal. the aorta is tortuous with atherosclerotic calcifications again seen at the aortic knob. mild atelectatic changes are noted in the lung bases. no pleural effusion or pneumothorax is seen. there is no pulmonary edema. mild elevation of the right hemidiaphragm is unchanged. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </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] the lung volumes are slightly low, but clear bilaterally. the cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a right picc has been removed. lung volumes are low, with exaggeration of bronchovascular markings. previously noted pulmonary edema has essentially resolved. nodular opacities in the right upper and lower lung are similar in appearance compared to the prior chest ct on <unk>. no pleural effusion on the right. postoperative left basilar opacification is unchanged. no pneumothorax. mild cardiomegaly.What are the key findings of this report? [/INST] <num>. interval resolution of previously-noted pulmonary edema. <num>. unchanged postoperative left basilar opacification and pre-existing nodular opacities in the right lung. </s>
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<s>[INST] pa and lateral views of the chest. there is emphysema bilaterally and large bullae in the right lung, similar to prior ct studies. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. the vertebral heights are maintained. no fractures are identified. there is a likely chronic fracture of the t<num> posterior rib on the right.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. emphysema with large bullae in the right lung. <num>. no fractures are identified. if there is further concern, dedicated films in the area of concern can be done. </s>
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<s>[INST] the lungs remain clear. the cardiomediastinal silhouette is stable. tortuosity of the thoracic aorta is again noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well inflated and clear. a calcified granuloma is again seen in the right upper lobe, unchanged, as well as calcified granulomas at the left hilus. an azygos fissure is noted. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.. no evidence of free air is seen beneath the diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no pleural effusion seen. </s>
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<s>[INST] there are low lung volumes which accentuate the bronchovascular markings. given this, there may be subtle left base opacity which could be due to atelectasis, aspiration, or early pneumonia. left perihilar bronchial wall thickening is noted. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are stable. there is no pulmonary edema. radiopaque feet is noted overlying the right lung base.What are the key findings of this report? [/INST] low lung volumes which accentuate the bronchovascular markings. subtle left base opacity could be due to atelectasis although underlying pneumonia is not excluded the appropriate clinical setting. left perihilar bronchial wall thickening. </s>
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<s>[INST] previously seen et tube has been removed and replaced with a mask which overlies portions of the left neck, at the site of previously seen subcutaneous emphysema. technical factors limit re-evaluation of areas where subcutaneous emphysema and possible paratracheal emphysema was seen on the prior study. relative lucency along the right mediastinal contour could reset represent either <unk> <unk> artifact or small amount of pneumomediastinum. the cardiomediastinal silhouette is grossly unchanged, with probable mild cardiomegaly. of note, there are faint alveolar opacities at both lung bases, that appear to have progressed compared with <num> day earlier. there is minimal , if any, upper zone redistribution, making chf unlikely. no gross effusion.What are the key findings of this report? [/INST] alveolar opacities at both bases, new or considerably progressed compared with <num> day earlier. no upper zone redistribution to suggest chf. clinical correlation is requested. these could reflect bibasilar pneumonic infectious infiltrates or areas of aspiration pneumonitis. other etiologies for alveolar opacities remain in the differential. mild cardiomegaly, similar to prior. no gross pneumomediastinum, though linear lucency along the right mediastinum could reflect either trace mediastinal air or more likely <unk> artifact. areas where gas was previously seen about the neck pain and question upper trachea are not well visualized on the current study, in part due to overlying o<num> mask. </s>
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<s>[INST] ap portable upright view of the chest. right upper extremity access picc line is again seen with its tip in the mid svc region. the heart remains moderately enlarged. lung volumes are low though lungs appear clear. no signs of pneumonia or edema. no large effusion or pneumothorax. bony structures are intact. mediastinal contour is unremarkable.What are the key findings of this report? [/INST] moderate cardiomegaly. appropriately positioned picc line. no signs of pneumonia or edema. </s>
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<s>[INST] there is biapical scarring, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is top normal in size. the mediastinal contours are normal. a right shoulder arthroplasty is partially seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] bronchovascular markings remain prominent. there is streaky density at the lung bases most consistent with subsegmental atelectasis. there is somewhat asymmetric density at the right lung base. the cardiac silhouette is prominent but may be exaggerated by portable technique. the aorta is calcified. mediastinal structures are stable. the bony thorax is grossly intact.What are the key findings of this report? [/INST] stable examination except for asymmetric density at the right lung base that may be due to some volume loss. focal consolidation cannot be excluded. a lateral view may be helpful if further evaluation is clinically indicated. </s>
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<s>[INST] cardiac, mediastinal and hilar contours appear normal. pulmonary vasculature is normal. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] a left anterior chest wall implanted dual-lead pacer is in standard position. heart size is normal with tortuosity of the aortic arch. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. no fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no definite fracture is identified, though dedicated rib series may be helpful if there is focality on exam. </s>
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<s>[INST] frontal and lateral chest radiographs were obtained. there is interval improvement in the left retrocardiac opacity. there is now an increased opacity over the right upper lobe. no pleural effusion, pneumothorax, or pulmonary edema is seen. there is stable mild cardiomegaly. mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. new right upper lobe opacity, in the appropriate clinical setting this can represent early consolidation. <num>. interval improvement in the left retrocardiac opacity. </s>
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<s>[INST] single portable view of the chest is compared to prior exam from <unk>. there is persistent blunting of lateral costophrenic angles suggesting at least some component of pleural effusion, although given differences in positioning and technique they do appear smaller when compared to prior. there is persistent pulmonary vascular engorgement with indistinct vascular markings. cardiac silhouette is grossly unchanged. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] apparent interval improvement of the bilateral pleural effusions with persistent interstitial markings bilaterally suggestive of failure; however, bilateral pneumonia could also be considered in this clinical setting. </s>
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<s>[INST] since <unk>, moderate bilateral perihilar and basilar opacities are increased. however, this may be technical in nature. moderate cardiomegaly is unchanged. support devices are in appropriate position. no pneumothorax.What are the key findings of this report? [/INST] <num>. interval increase in moderate bilateral perihilar and basilar opacities since <unk>. </s>
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<s>[INST] right-sided port-a-cath tip terminates in the mid svc. heart size is normal. right mediastinal contour bulge in the region of the azygos is compatible with underlying lymphadenopathy as seen on the previous exams. fullness of the right hilum reflects known lymphadenopathy. there is no pulmonary vascular engorgement. lungs are hyperinflated with severe centrilobular emphysema is again demonstrated which is upper lobe predominant. right apical spiculated lesion is re- demonstrated, but the adjacent satellite nodule is not well assessed on the current exam. streaky opacity in the left lung base is likely reflective of atelectasis. no pneumothorax or pleural effusion is present. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] left basilar atelectasis. unchanged mediastinal and right hilar lymphadenopathy along with right apical spiculated lesion. severe centrilobular emphysema. </s>
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<s>[INST] ap upright and lateral views of the chest provided. scattered opacities within the lung in the right upper and lower lobes as well as in the left lower lobe appear concerning for metastatic disease, less likely pneumonia. <num> clips are seen projecting over the left lower lung. heart size cannot be assessed. mediastinal contour appears relatively stable though difficult to accurately assessed given rotation on the ap view. mild scoliosis is unchanged.What are the key findings of this report? [/INST] scattered opacities with a lungs are concerning for worsening metastatic disease. please correlate clinically. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. peribronchial wall thickening is noted, most prominent in the right perihilar region. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] no focal consolidation to suggest bacterial pneumonia. peribronchial wall thickening is suggestive of acute bronchitis in the appropriate clinical setting. </s>
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<s>[INST] heart size is normal with mild lung old male thoracic aorta. hilar contours are unremarkable. lung volumes are low. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the heart size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. no pleural effusion or pneumothorax is identified. there are mild multilevel degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] bronchial wall thickening and bronchiectasis within the right upper lung and at the bases bilaterally, better characterized on the ct dated <unk>, likely due to chronic infection. no new focal consolidations to suggest pneumonia. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] <num>. bronchial wall thickening and bronchiectasis within the right upper lung, and at the bases bilaterally, likely due to chronic infection, similar compared to <unk>. <num>. no new focal consolidations to suggest acute pneumonia. </s>
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<s>[INST] the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified and tortuous. there is slight prominence of the interstitial markings diffusely bilaterally which is most likely due to chronic lung disease, although minimal interstitial edema is not excluded. areas of bilateral costochondral calcifications are seen. no evidence of pneumothorax or focal consolidation is seen. there is no large pleural effusion.What are the key findings of this report? [/INST] slight diffuse prominence of the bilateral interstitial markings most likely relates to chronic lung disease however, mild interstitial edema is not excluded. no large pleural effusion. no focal consolidation. </s>
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<s>[INST] upright ap radiograph of the chest demonstrates interval placement of a pigtail pleural catheter in the left hemithorax, with associated reexpansion of the left lung. a small basilar pneumothorax remains, improved since the prior study. no other significant change is noted compared to the prior study from two hours ago.What are the key findings of this report? [/INST] left pleural pigtail catheter placement with reexpansion of the left lung. a small left basilar pneumothorax remains. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap portable upright chest radiograph was provided. overlying ekg leads limit the evaluation. also noted, low lung volumes limit evaluation. bronchovascular crowding is noted without convincing sign of pneumonia or chf. mitral annular calcification again noted. the heart is within normal limits of size. mediastinal contour is unremarkable. bony structures are intact.What are the key findings of this report? [/INST] limited, negative for acute intrathoracic process. </s>
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<s>[INST] shallow inspiration, similar compared with prior exam. new bilateral mid to lower lung opacities, suggest pneumonitis in the appropriate clinical setting. shallow inspiration accentuates heart size, similar. .What are the key findings of this report? [/INST] new bilateral lower lung opacities, suggest pneumonitis in the appropriate clinical setting. </s>
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<s>[INST] pa and lateral views of the chest were reviewed and compared to the prior studies. focal opacities over the right posterior third rib are consistent with bone islands and were present since <unk>. hyperlucency of the apices with attenuation of the vessels is suggestive of emphysema. left lower lobe atelectasis is unchanged; otherwise, the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the aorta is tortuous and contains calcifications. heart size is normal. bilateral humeral head prostheses are unchanged.What are the key findings of this report? [/INST] <num>. no radiographic evidence of pneumonia. <num>. hyperlucency of the apices with attenuation of vessels is suggestive of emphysema. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. no evidence of free air is seen beneath the diaphragm. however, there is right base opacity that could be due to infection, aspiration, or metastatic disease. there is also patchy left mid lung opacity, increased since the prior study. recommend followup to resolution. left-sided port is again seen, terminating in the right atrium. no pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. there is slight prominence of the ascending aorta, as seen on prior chest ct.What are the key findings of this report? [/INST] <num>. no evidence of free air beneath the diaphragms. <num>. patchy right base opacity and left mid lung opacification could be due to multifocal infection, aspiration or malignant process not excluded. recommend followup to resolution. <num>. prominence of the right mediastinum is similar compared to <unk> scout image from ct, which may in part relate to prominent ascending aorta. continue follow-up. </s>
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<s>[INST] frontal and lateral chest demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified. no osseous abnormality present.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] single frontal view of the chest demonstrates et tube terminating along the upper margin of the clavicles, located no less than <num> cm above the carina, appropriate in location. a left basal approach pleural catheter traverses medially with tip terminating at the margin of the mediastinum. the lung volumes remain low, with mildly increased bibasal atelectasis since two days ago, but stable since one day prior. dense retrocardiac opacities persist, compatible with left lower lobe collapse. a small left pleural effusion is unchanged. there is no evidence of pneumothorax. mild bronchovascular crowding is accentuated by low lung volume. the heart is top normal in size. the mediastinal and hilar contours are within normal limits.What are the key findings of this report? [/INST] <num>. new small right pleural effusion since one day prior. <num>. stable left lower lobe collapse. <num>. similar right basilar atelectasis since yesterday but increased since two days prior. </s>
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<s>[INST] the tip of the right picc line projects over the superior cavoatrial junction. no significant interval change in the the bilateral diffuse and confluent air space opacities. the size of the cardiac silhouette is within normal limits. no pleural effusion or pneumothorax identified.What are the key findings of this report? [/INST] no significant interval change since the prior exam. </s>
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<s>[INST] a right central venous catheter is seen terminating in the right internal jugular vein or right brachiocephalic vein. as compared to prior chest radiograph from <unk>, patient is slightly rotated. there is a possible pleural reflection evident along the mid-upper portion of the right lung, concerning for a small right pneumothorax. there is right-sided pleural effusion with compressive atelectasis at the right lower lung base. the left hemidiaphragm is somewhat better visualized and demonstrates mild left lobe atelectasis.What are the key findings of this report? [/INST] <num>. pleural reflection along mid upper portion of the right lung, concerning for a small right pneumothorax. <num>. right sided pleural effusion with compressive atelectasis and mild left lobe atelectasis. </s>
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<s>[INST] <num> supine portable views of the chest demonstrate interval placement of a right internal jugular central venous catheter, which terminates at the cavoatrial junction. there is no pneumothorax. there is elevation of the right hemidiaphragm, and relatively low lung volumes, and right basilar atelectasis. the heart size is top normal and the mediastinum is likely within normal limits, allowing for supine portable technique, although hilar prominence suggests underlying fluid overload. relatively asymmetric opacification in the left apex compared to the right, is possibly due to non-cardiogenic edema. no large pleural effusion is present and no consolidation concerning for pneumonia is seen.What are the key findings of this report? [/INST] right internal jugular central venous catheter in appropriate position. no pneumothorax or focal pneumonia. left apical haziness could represent a component of non-cardiogenic edema, in addition to underlying fluid overload and right basilar atelectasis. the above findings were communicated to dr. <unk> by dr. <unk> <unk> telephone at <time> am, after attending review. </s>
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<s>[INST] increased interstitial markings bilaterally is indicative of moderate interstitial edema. there is no pleural effusion or pneumothorax. heart size is normal. osseous structures are intact.What are the key findings of this report? [/INST] moderate interstitial edema. </s>
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<s>[INST] the lungs are clear. no pneumothorax, pleural effusion, focal consolidation, or pulmonary edema. the cardiomediastinal silhouette, hila, and pleura are unremarkable. there is probable eventration of the right hemidiaphragm. surgical clips project in the right upper abdomen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] lungs are hyperinflated. bilateral and symmetric apical thickening is unchanged. bilateral linear opacities in the upper lungs are unchanged since at least <unk> and may represent emphysema or sequelae of past radiation. right perihilar scar or atelectasis is unchanged. there is no focal consolidation, effusion, or pneumothorax. heart size normal. mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. there is no effusion or pulmonary vascular congestion. 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] pa and lateral chest radiographs were obtained. the lungs are well expanded. there is no focal consolidation, effusion, or pneumothorax. a vague <num> nodule projects over the right clavicle, not seen on the <unk> exam. moderate cardiomegaly is unchanged. a large hiatal hernia contains multiple loops of bowel and air fluid level. on prior ct this hernia containing both stomach and colon.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process <num>. large hiatal hernia. <num>. possible right apical lung nodule. an ap lordotic view is suggested for further evaluation. this recommendation was discussed with dr <unk> <unk> phone at <unk> on <unk>. </s>
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<s>[INST] the endotracheal tube terminates <num> cm from the carina. the enteric tube terminates above the gastroesophageal junction and should be advanced for optimal placement. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild subsegmental atelectasis is noted. there may be a small right bochdalek's hernia. the cardiomediastinal contour is within normal limits.What are the key findings of this report? [/INST] <num>. endotracheal tube terminates <num> cm from the carina. <num>. enteric tube terminates proximal to the ge junction and should be advanced for optimal placement. </s>
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<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. the tracheostomy tube now appears midline. there are <unk> in the neck. there is bibasilar atelectasis. the previously elevated right hemidiaphragm is now in normal position. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] <num>. no evidence of pneumothorax. basilar atelectasis. <num>. previously noted elevation of the hemidiaphragm is no longer seen on this radiograph. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. pleural thickening along the right mid lateral chest wall appears unchanged and may be post-traumatic or inflammatory.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the lungs are fully expanded and clear. the cardiomediastinal silhouette is normal. there is no focal lung consolidation. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] there are very low lung volumes, which results in bronchovascular crowding. surgical chain sutures are again seen adjacent to left heart border. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or focal consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] no significant interval changes noted. there are small bilateral pleural effusions. pulmonary vascular congestion is also identified. cardiac silhouette is slightly enlarged. no acute osseous abnormalities.What are the key findings of this report? [/INST] fluid overload, bilateral pleural effusions. </s>
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<s>[INST] pa and lateral chest radiographs were provided. the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones are intact. the imaged upper abdomen abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. a convex appearance of the right upper mediastinal contour appears unchanged and was shown to reflect tortuosity of the right innominate artery on the prior ct. streaky opacities in the lower lungs and plate-like opacification in the lingula appear similar and suggest minor atelectasis or scarring. streaky posterior opacities on the lateral view appears somewhat more prominent than on the prior radiographs, however, but appear fairly similar to a lateral scout view from a recent prior ct. accordingly atelectasis is suspected. moderate degenerative changes are similar along the thoracic spine. degenerative changes also which effect each shoulder, particularly the right side. the bones appear demineralized.What are the key findings of this report? [/INST] streaky posterior basilar opacification, somewhat increased but probably compatible with atelectasis; infection is doubted but hard to completely exclude, however. </s>
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<s>[INST] pa and lateral views the chest <unk> at <time> are submitted. note that the time stamp is incorrect as this studies being dictated at <time>.What are the key findings of this report? [/INST] there is a stable moderate-sized left pleural effusion with associated partial lower lobe atelectasis. the remaining lungs are clear. cardiac and mediastinal contours are stable. no pneumothorax. </s>
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<s>[INST] bibasilar airspace opacities, more significant on the left, correlate with consolidation seen on recent ct abdomen and pelvis examination. the thoracic aorta is tortuous and partially calcified. cardiac size is within normal limits. no evidence of pulmonary edema or large effusionsWhat are the key findings of this report? [/INST] bibasilar consolidations, left greater than right, suggestive of atelectasis or pneumonia. clinical correlation is advised. no evidence of pulmonary edema. </s>
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<s>[INST] the lungs are slightly hyperexpanded and the hemidiaphragms are flattened. heart size is decreased since the prior study, now normal. the vasculature is also less engorged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema.What are the key findings of this report? [/INST] heart size is smaller, now normal. there is evidence of copd. </s>
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<s>[INST] cervical and thoracolumbar spinal hardware intact. normal cardiomediastinal and hilar contours. normal pleural surfaces. fully expanded, clear lungs.What are the key findings of this report? [/INST] no acute pneumonia. </s>
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<s>[INST] <num> views were obtained of the chest. the lungs are hyperexpanded but clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal and hilar contours. lumbar fusion hardware is incompletely assessed.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] icd in situ with the lead tip in the right ventricle. no cardiomegaly. atherosclerotic changes of the aortic arch. no pulmonary edema. no pleural effusions. no airspace consolidation. spondylotic changes of the thoracic spine.What are the key findings of this report? [/INST] single lead icd in situ. mri compatibility will be assessed by the body mri section. </s>
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<s>[INST] lungs are hyperinflated without focal consolidation. partially calcified pleural based opacity abutting the left hemidiaphragm is unchanged since <unk>. cardiac silhouette is moderately enlarged. single lead pacing device is noted with leads at the right ventricular apex. mid thoracic dextroscoliosis is noted.What are the key findings of this report? [/INST] hyperinflation and cardiomegaly without superimposed acute cardiopulmonary process. </s>
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