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<s>[INST] the heart is mildly enlarged, and there is mild central pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. prior right rotator cuff surgery is noted.What are the key findings of this report? [/INST] mild cardiomegaly and central pulmonary vascular congestion. </s>
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<s>[INST] is comparison of previous radiograph, due to patient position, there is an apparent increase in extent of the small to moderate right pleural effusion. on the left, the retrocardiac atelectasis is minimally increased. unchanged appearance of the cardiac silhouette. unchanged appearance of the lung parenchyma.What are the key findings of this report? [/INST] minimal increase in extent of the right pleural effusion, minimal retrocardiac atelectasis. </s>
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<s>[INST] pa and lateral views of the chest were provided. there is interstitial edema with hilar congestion and probable tiny pleural effusions. heart size appears within normal limits. mediastinal contour unremarkable. bony structures are intact.What are the key findings of this report? [/INST] findings compatible with mild pulmonary edema. probable tiny pleural effusions also present. </s>
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<s>[INST] compared with the prior study, minimal blunting of both costophrenic angles remains visible, but is grossly unchanged. cardiomediastinal silhouette is unchanged allowing for technical differences. sternotomy wires and mitral valve again noted. the left pulmonary artery appears prominent ,with a tapered appearance, which could reflect pulmonary hypertension. the right pulmonary artery is likely obscured due to overlying structures. there is borderline upper zone redistribution, without overt chf. again seen is retrocardiac opacity consistent with left lower lobe collapse and there subsegmental atelectasis at the right lung base. left convex scoliosis of the upper thoracic spine, with a rotary component, is again noted.What are the key findings of this report? [/INST] no significant change compared with <num> day earlier. small bilateral effusions, left lower lobe collapse and/or consolidation, and subsegmental atelectasis at the right lung base are similar to the prior study. </s>
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<s>[INST] a dense right upper lobe airspace consolidation persists. in comparison to the most recent study on <unk>, lucencies within this consolidation are more visible, suggesting likely a component of resolving lobar collapse or infection. rightward mediastinal shift is less pronounced. right pleural effusion has slightly decreased. left lung is essentially clear, without consolidation, effusion or pneumothorax. right heart border is silhouetted. aortic arch calcifications. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] <num>. new lucencies within the right upper lobe consolidation, suggesting a component of resolving atelectasis or infection. <num>. right pleural effusion, likely improved. </s>
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<s>[INST] pa and lateral views of the chest provided. again seen is right middle lobe consolidation. there are no new areas of consolidation. pulmonary vasculature is normal. heart size is normal. trace pleural effusion seen on the left.What are the key findings of this report? [/INST] stable right middle lobe pneumonia. no new areas of pneumonia. </s>
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<s>[INST] ap chest radiograph demonstrates pulmonary vascular engorgement, mild interstitial opacities, and cardiomegaly consistent with cardiac decompensation. there are probably small bilateral pleural effusions. there is no pneumothorax.What are the key findings of this report? [/INST] mild interstitial pulmonary edema. </s>
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<s>[INST] a left-sided picc line terminates in the mid-to-lower superior vena cava. the heart is probably at the upper limits of normal size. trace pleural effusions are suspected based on blunting of posterior costophrenic sulci and slight fullness of lateral sulci. however, the lung fields appear clear. given technique, cardiac and mediastinal contours are probably within normal limits.What are the key findings of this report? [/INST] trace suspected pleural effusions. clear lungs. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unchanged. the pulmonary vascularity is not engorged. the lungs are hyperinflated. streaky opacities in lung bases most likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes in the thoracic spine. remote right-sided rib fracture is noted.What are the key findings of this report? [/INST] minimal bibasilar atelectasis. </s>
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<s>[INST] pa and lateral views of the chest. no masses are identified. the lungs are clear. there is no consolidation, pleural effusion, or pneumothorax. the pleural surfaces are normal.What are the key findings of this report? [/INST] normal radiographic examination of the chest. </s>
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<s>[INST] ap view of the chest. right pacemaker is placed with the lead in appropriate position. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of pneumonia. </s>
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<s>[INST] endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view. streaky right base opacity is worrisome for pneumonia or aspiration versus atelectasis given adjacent mild elevation of the right hemidiaphragm. the left lung is grossly clear. no large pleural effusion is seen. there is no evidence of pneumothorax. cardiac silhouette is top-normal to mildly enlarged, likely exaggerated by ap technique. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] endotracheal tube terminates <num> cm above the carina. enteric tube courses below the diaphragm, out of the field of view. streaky right base opacity, worrisome for pneumonia or aspiration versus atelectasis given adjacent mild elevation the right hemidiaphragm. . </s>
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<s>[INST] patient is status post median sternotomy and cabg. dense mitral annular calcifications are re- demonstrated. mild cardiomegaly is again noted, unchanged. the mediastinal and hilar contours are stable. pulmonary vasculature is minimally engorged. linear opacity within the right upper lobe with right lateral pleural thickening is similar to the previous study. moderate right pleural effusion appears somewhat increased in size compared to the previous study with worsening right basilar opacity, likely atelectasis. infection however is not completely excluded. left lung is clear without focal consolidation. trace left pleural effusion is without change. no pneumothorax is demonstrated.What are the key findings of this report? [/INST] <num>. slight interval increase in size of moderate right pleural effusion with worsening right basilar opacification likely reflective of compressive atelectasis. infection however is not excluded. <num>. linear opacity in the right upper lung field with adjacent pleural thickening is likely the residua of previous pneumonia and is without substantial interval change. <num>. mild pulmonary vascular congestion. <num>. unchanged trace left pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest were reviewed. compared to the prior study, there has been slight interval increase in left lower lung linear opacities. the heart size is unchanged and there is no evidence of vascular congestion, pleural effusion, or pneumothorax. elevation of the right hemidiaphragmatic contour is unchanged. the bones and soft tissues are unchanged.What are the key findings of this report? [/INST] slight interval increase in left lower lobe linear opacities that are most likely atelectasis but in the proper clinical setting could represent pneumonia. </s>
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<s>[INST] low lung volumes and there is bibasilar atelectasis. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap and lateral chest radiographs. lung volumes are low and the right hemidiaphragm is persistently elevated. however, there is no focal consolidation, pleural effusion, or pneumothorax. right basilar atelectasis is stable. the heart is mildly enlarged. leftward deviation of the trachea is from the patient's enlarged right thyroid lobe. compression deformity of one of the upper lumbar vertebral bodies is similar to prior ct in <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is mildly enlarged. there is slight increased opacification in the right middle lung field compared to the prior study. there are trace bilateral pleural effusions. there is no pneumothorax. there is mild pulmonary edema. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] <num>. new opacification in the right middle lung field compared to the prior exam, concerning for infection. <num>. mild pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded, with no evidence of pneumonia, pleural effusion, pulmonary edema or pneumothorax. the cardiomediastinal silhouette is unremarkable. a likely epicardial fat pad is noted at the left heart border.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is mild chronic elevation of the left hemidiaphragm. aside from minimal bibasilar atelectasis, the lungs are clear. mild cardiomegaly is unchanged. tortuosity and ectasia of the thoracic aorta is unchanged. the mediastinal contours are otherwise normal. there are no pleural abnormalities. loss of height of several thoracic vertebral bodies is not significantly changed.What are the key findings of this report? [/INST] mild bibasilar atelectasis. otherwise, no acute cardiac or pulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were provided. there is slight elevation of the left hemidiaphragm. there is left mid and lower lung atelectasis, plate-like and likely compressive. the right lung is clear. no definite signs of pneumonia or chf. there is a metallic density projecting over the posterior soft tissues in the mid back, possibly representing a foreign body measuring <num> x <num> x <num> cm. faint aortic calcifications are present. the imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. mild left hemidiaphragmatic elevation with associated left lower lung atelectasis. apparent foreign body in the soft tissues of the mid back appears metallic, measuring <num> x <num> x <num> cm. correlate for prior injury in this region. </s>
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<s>[INST] the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. a right infrahilar consolidation seen on pa view which corresponds to consolidation projecting over the anterior cardiac silhouette on lateral view, consistent with small region of right middle lobe pneumonia. no pleural effusions or pneumothorax are seen.What are the key findings of this report? [/INST] small right middle lobe pneumonia. </s>
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<s>[INST] ap portable supine view of the chest. the endotracheal tube is again seen located approximately <num> cm above the carina. there has been interval placement of right and left-sided chest tubes. subcutaneous emphysema is noted near the chest tube insertion sites. a left pneumothorax is new. pulmonary opacities appear similar to progressed remaining concerning for severe pulmonary edema superimposed upon background severe emphysema.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] the patient is status post median sternotomy and cabg with multiple bypass grafts stents again demonstrated. the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. the aorta is mildly diffusely calcified. there is minimal atelectasis in the left lung base, but no focal consolidation, pleural effusion or pneumothorax is visualized. pulmonary vasculature is not engorged. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. right mid lung nodular consolidation seen on prior ct from <unk> is not as well appreciated on the current study, however, was also not as well evaluated on the prior chest radiograph from <unk>, the same dated ct and followup ct recommendation per that study remains. right upper lobe nodular opacity may correspond to scarring seen on prior ct. no new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. right apical pleural thickening is stable. the cardiac and mediastinal silhouettes are stable. left base retrocardiac linear atelectasis/scarring is also stable. degenerative changes along the spine are also again seen.What are the key findings of this report? [/INST] overall stable chest radiograph. followup ct recommendation per ct from <unk> remains. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease or significant change. </s>
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<s>[INST] port-a-cath terminates in lower superior vena cava. the cardiac, mediastinal and hilar contours appear stable. the right hemidiaphragm is again elevated. there is no pleural effusion or pneumothorax. the lungs appear clear. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] moderate cardiomegaly has been stable dating back to at least <unk>. there has been interval increase in mild pulmonary edema. no focal consolidations concerning for pneumonia are identified. bibasilar streaky opacities most likely reflect atelectasis. probable small left pleural effusion. there is no evidence of pneumothorax. left-sided dual channel pacer is unchanged in position.What are the key findings of this report? [/INST] interval appearance of mild pulmonary edema. bibasilar streaky opacities suggestive of atelectasis. stable small left effusion. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. per the radiology technologist, the patient had some sort of shoulder injury and could not raise her right arm. the right arm overlies part of the image on the lateral view. given this, no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since the chest radiograph obtained approximately <num> hours prior, substantial right middle lobe and right lower mr clearly apparent. a small, right pleural effusion is unchanged. severe cardiomegaly and moderate pulmonary vascular congestion without pulmonary edema are unchanged. thoracic aorta is very tortuous, but unchanged. the left lung is fully expanded and otherwise clear.What are the key findings of this report? [/INST] right middle lobe and right lower lobe pneumonia. </s>
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<s>[INST] since <num> day prior, no significant changes are appreciated. moderate cardiomegaly and mild pulmonary edema are unchanged. pleural effusions are small, if any. lungs are otherwise clear without focal consolidations. no pneumothorax.What are the key findings of this report? [/INST] unchanged moderate cardiomegaly and mild pulmonary edema. </s>
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<s>[INST] the lungs are clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. patchy opacities are noted in the right lung, predominant within the right upper and middle lobes, with bronchiectasis and bronchial wall thickening. findings appear improved compared to the previous radiograph from <unk>, but appears slightly worse when compared to the previous ct from <unk>. streaky opacity in the left lower lobe likely reflects atelectasis. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] bronchiectasis, bronchial wall thickening, and patchy opacities within the right lung, most pronounced within the right upper and middle lobes. findings appear slightly progressed compared to the prior ct exam, and are concerning for airways inflammation and infection. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, large effusion or pneumothorax. mild crowding of bronchovascular markings in the lower lungs is noted. no evidence of congestion or edema. cardiomediastinal silhouette appears normal. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] heart size is normal. reviewed in context with recent ct chest, the known superior segment left lower lobe nodule projects over the left hilum. the pulmonary vasculature is normal. no focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] again demonstrated is a right hilar mass with worsening volume loss in the right lung and unchanged nodular pleural thickening. increased interstitial opacities throughout the right lung may reflect worsening lymphatic engorgement superimposed on tumor and infiltration. small to moderate size right pleural effusion is without substantial interval change. left lung is hyperinflated without new focal consolidation. no left-sided pleural effusion or pneumothorax is present. cardiac and mediastinal contours are similar.What are the key findings of this report? [/INST] increased volume loss in the right lung and increased interstitial opacities in the right lung suggestive of worsening lymphatic engorgement, superimposed upon tumor infiltration. unchanged small to moderate right pleural effusion. </s>
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<s>[INST] cardiac size is normal. aside from minimal atelectasis in the left base, the lungs are clear. there is no pneumothorax or pleural effusion. non-healed left rib fracture with adjacent pleural abnormality is again notedWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormality </s>
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<s>[INST] pa single portable view of the chest. no prior. the lungs are clear of 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] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] no definite focal consolidation to suggest pneumonia is seen. streaky opacities in the retrocardiac and right infrahilar region likely represent atelectasis. no pneumothorax or pulmonary edema is present. pleural effusions, if any, are small. the heart size is top normal. there is tortuosity of the aorta and calcification at the aortic root. cervical fusion hardware is partially imaged. there is a chronic-appearing deformity of the right distal clavicle.What are the key findings of this report? [/INST] <num>. no acute abnormality. <num>. calcifications at the aortic root could indicate aortic stenosis in this patient with syncope. findings discussed with dr. <unk> at <time> am <unk>. </s>
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<s>[INST] heart size is upper limits of normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] patchy bilateral pulmonary opacities persist. mediastinal structures are unchanged. the endotracheal tube and right internal jugular catheter remain in place. an icd is present as before. a feeding tube is present. coiled tubing is projected in the cervical region as described previously.What are the key findings of this report? [/INST] no definite change. the tube coiled in the cervical region may be malpositioned, as reported previously. </s>
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<s>[INST] low lung volumes are present. heart size is borderline enlarged. aortic knob calcifications are demonstrated. the mediastinal and hilar contours are within normal limits. crowding of bronchovascular structures is demonstrated without overt pulmonary edema. streaky bibasilar atelectasis is noted without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine. fixation hardware within the left proximal humerus is incompletely imaged. osseous structures are diffusely demineralized.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </s>
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<s>[INST] there has been slight interval withdrawal of the right-sided picc as compared to prior examination with the tip now terminating <num> cm cranial to the carina at the level of the proximal-to-mid svc. a left-sided icd with a single right ventricular lead is unchanged in position compared to prior examination. severe cardiomegaly is unchanged. mediastinal and hilar contours are stable. lungs are clear without focal consolidation. there are likely small bilateral pleural effusions. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. slight withdrawal of a right-sided picc, now terminating in the proximal to mid svc remaining in acceptable position. <num>. trace bilateral pleural effusions. </s>
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<s>[INST] of the is post median sternotomy and cabg. dense mitral annular calcifications are again noted. mild cardiomegaly with the left ventricular predominance is re- demonstrated. the aorta is unfolded with atherosclerotic calcifications noted at the aortic knob. pulmonary vasculature is mildly engorged, but improved compared to the previous radiograph. no focal consolidation, pleural effusion or pneumothorax is seen. the lungs are hyperinflated. dense vascular calcifications are noted within the left upper quadrant of the abdomen. extensive degenerative changes are noted involving both shoulders.What are the key findings of this report? [/INST] mild pulmonary vascular engorgement, improved compared to previous chest radiograph. </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 </s>
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<s>[INST] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] interval appearance of right basilar airspace consolidation and progression of left basilar consolidation concerning for pneumonia or aspiration. no pulmonary edema. overall cardiac and mediastinal contours stable. no pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest <unk> at <time> are submitted.What are the key findings of this report? [/INST] left subclavian picc line unchanged in position. overall cardiac mediastinal contours are stable. there continue to be layering bilateral effusions with associated patchy airspace disease likely reflecting compressive atelectasis. lungs are hyperinflated consistent with underlying emphysema. no pulmonary edema. small bilateral apical pneumothoraces which are less apparent on the current study when compared to prior suggesting possible interval decrease in size versus differences in positioning. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are well aerated without pneumothorax, vascular congestion, or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process such as pneumonia. </s>
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<s>[INST] again, nasogastric tube is turned at the greater curvature of the wall with tip in the mid esophagus. otherwise, unchanged exam.What are the key findings of this report? [/INST] nasogastric tube again in mid esophagus. recommend withdrawal approximately <num> cm and reimaging. if further difficulty, suggest replacing fluoroscopically. </s>
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<s>[INST] an endotracheal tube ends <num> cm from the carina. an enteric tube ends off the imaged portion of the screen. left-sided chest tube has been placed and subsequently advanced on subsequent images on this study. the left lower lobe opacity is again seen, which is more apparent compared to prior study and likely represents a component of aspiration or pneumonia. there may also be a small right pleural effusion. tiny left apical pneumothorax. there is some subcutaneous emphysema on the left.What are the key findings of this report? [/INST] increased opacification in the left lower lung consistent with aspiration or pneumonia. likely small left pleural effusion. tiny left apical pneumothorax. left chest tube is in place. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. minimal subsegmental atelectasis is noted in the region of the lingula. lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute fractures are seen. mild to moderate multilevel degenerative changes are present within the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] single frontal view of the chest was obtained. mild cardiomegaly is stable. the mediastinal contours are normal. increased pulmonary vascular markings are stable since <unk> but worsened since <unk>, suggestive of chronic pulmonary vascular congestion. no focal consolidation, pleural effusion, or pneumothorax. asbestos related pleural plaque at the lung bases appears unchanged. right atrial and right ventricular leads of a left chest wall pacer are in unchanged position.What are the key findings of this report? [/INST] pulmonary vascular congestion, similar to prior. </s>
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<s>[INST] heart size, mediastinal, and hilar contours are unremarkable. the aortic arch is tortuous and calcified. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. a vps shunt courses below the hemidiaphragm and out of view.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there has been interval enlargement of a loculated right pleural effusion in comparison to the <unk> examination. the heart is mildly enlarged. multiple sternal wires are again demonstrated. a right picc tip oral pacemaker projects leads into the right atrium and ventricle, unchanged configuration from prior examination. a cardiac valve prosthesis is unchanged and orientation.What are the key findings of this report? [/INST] interval enlargement of a loculated right pleural effusion. </s>
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<s>[INST] ap view of the chest. patient has been extubated. moderate cardiomegaly is again seen and the cardiomediastinal and hilar contours are unchanged. the right lower lobe consolidation slightly increased. mild pulmonary edema is unchanged.What are the key findings of this report? [/INST] increasing right lower lobe consolidation. likely mild pulmonary edema is unchanged. </s>
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<s>[INST] extensive, accentuated and dilated bronchi, most predominant in the right lung, are unchanged. there is slight improvement in aeration of the right lung base. hyperinflation of the left lung is stable. there is no focal consolidation worrisome for pneumonia, pleural effusion or pneumothorax. a nodule seen in the right upper lung is thought to correspond to an area of scarring seen on the prior chest ct (<num>What are the key findings of this report? [/INST] severe right lower lobe bronchiectasis without a focal consolidation and improved aeration of the right lung base. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are slightly hyperinflated. lungs are clear. no nodules are identified. no pleural effusion or pneumothorax is seen. chronic fracture of the left <num>th rib is unchanged.What are the key findings of this report? [/INST] mildly hyperinflated lungs with no acute cardiopulmonary abnormality. </s>
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<s>[INST] the previously seen trans subclavian av pacer has been converted to a conventional left-sided pacemaker with lead tips over the right atrium and right ventricle. the right swan-ganz catheter has been removed. no pneumothorax is detected. allowing for technical differences, the cardiomediastinal silhouette is similar. no chf, focal infiltrate, or gross effusion is detected. there is minimal bibasilar atelectasis and possible minimal blunting of the left costophrenic angle.What are the key findings of this report? [/INST] <num>. cardiomediastinal silhouette is grossly unchanged, allowing for technical differences. <num>. left-sided dual lead pacer, with lead tips over right atrium and right ventricle. <num>. doubt acute pulmonary process. possible minimal blunting of left costophrenic angle and minimal bibasilar atelectasis . </s>
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<s>[INST] lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. there is a right port-a-cath in stable position in the proximal-mid svc. bilateral pulmonary nodules a better assessed on the recent ct. small bowel air-fluid levels are noted in the partially imaged abdomen which could be due bowel obstruction or ileus. please see subsequent ct.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. small bowel air-fluid levels in the partially imaged abdomen which could be due to bowel obstruction or ileus. please see subsequent ct. </s>
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<s>[INST] single frontal chest radiograph demonstrates worsening pulmonary edema. otherwise no change.What are the key findings of this report? [/INST] worsening chf. </s>
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<s>[INST] cardiomegaly is moderate and unchanged. there is improved aeration of the lung bases compared with prior. no signs of pneumonia, pleural effusion, chf, or pneumothorax. mediastinal contour is stable with atherosclerotic calcifications again noted along the aortic knob. bony structures are intact. no free air below the right hemidiaphragm. clips are again noted in the upper abdomen.What are the key findings of this report? [/INST] no acute intrathoracic process. stable moderate cardiomegaly. </s>
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<s>[INST] previously seen right pleural effusion may be slightly decreased in size. the right lateral pleural thickening is unchanged. the left lung is clear. no evidence of pneumonia. cardiac size is normal. no mediastinal widening. no pneumothorax.What are the key findings of this report? [/INST] persistent right pleural effusion, possibly slightly decreased in size, and unchanged right pleural thickening. no evidence of pneumonia. these findings were discussed with dr. <unk> at <time> a.m. on <unk> by telephone. </s>
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<s>[INST] the previously visualized lingular pneumonia has almost entirely resolved. the rounded opacity over the right lower lung likely represents a nipple shadow, however a repeat chest radiograph with nipple markers is required. there are no new focal consolidations. the pulmonary vasculature is normal. heart size is normal. there is no pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. almost complete resolution of the previously visualized lingular pneumonia. <num>. round opacity over the right lower lung likely represents an nipple shadow, however a repeat chest radiograph with nipple markers is required. </s>
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<s>[INST] <num> views were obtained of the chest. small to moderate right pleural effusion is new or increased from the previous examination with accompanying basal atelectasis. no definite left pleural effusion is seen. the lungs are otherwise well expanded without focal consolidation to suggest pneumonia. mild pulmonary vascular congestion is seen without overt edema. the heart is mildly enlarged. a dual lead pacemaker and changes from prior cardiac surgery noted. degenerative changes are seen in the right greater than left glenohumeral and acromioclavicular joints.What are the key findings of this report? [/INST] new or increased right small to moderate pleural effusion. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no displaced fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there are bilateral parenchymal opacities and small left greater than right pleural effusions. cardiac silhouette is enlarged but stable in configuration. median sternotomy wires and mediastinal clips are noted. left chest wall single-lead pacing device seen with lead tip in the right ventricular apex.What are the key findings of this report? [/INST] congestive failure with moderate pulmonary edema and small bilateral effusions. </s>
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<s>[INST] ap and lateral views of of the chest. lower lung volumes are seen on the current exam. the lungs remain grossly clear. cardiomediastinal silhouette is within normal limits. proximal right humeral hardware is partially visualized. osseous structures are otherwise unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the heart size is normal. the aorta is mildly tortuous and demonstrates mild atherosclerotic calcifications. the pulmonary vascularity is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is a vp shunt catheter coursing within the left lateral neck, along the left anterior chest wall and into the right upper quadrant of the abdomen. no acute osseous abnormalities are seen. there are diffuse degenerative changes within the thoracic spine. remote right-sided rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] on the initial image, the et tube is high, at the thoracic inlet, <num> cm above the carina. by the <unk> image this was lower, <num> cm above the carina. the ng tube tip is in the stomachWhat are the key findings of this report? [/INST] et tube and ng tube in good position </s>
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<s>[INST] the heart is markedly enlarged. there is moderate pulmonary vascular congestion and mild interstitial edema. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax. left chest aicd leads terminate within the right ventricle and atrium, in unchanged positions.What are the key findings of this report? [/INST] cardiomegaly with moderate pulmonary vascular congestion and interstitial edema. no focal consolidation. </s>
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<s>[INST] patient is status post median sternotomy and cabg. heart size remains mild to moderately enlarged. the aorta is tortuous and calcified. mild pulmonary edema is slightly improved from the previous study. no focal consolidation, pleural effusion or pneumothorax is identified. subsegmental atelectasis is demonstrated within the right lung base. there are mild degenerative changes in the thoracic spine. multiple clips are seen within the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] mild pulmonary edema, slightly improved from the previous study. </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] retrosternal opacity and obscuration of the right paratracheal stripe may reflect an anterior mediastinal mass. diffuse sclerosis of the upper thoracic vertebrae is concerning for possible sclerotic metastases. normal hilar contours and pleural surfaces. fully expanded, clear lungs.What are the key findings of this report? [/INST] likely anterior mediastinal mass that warrants further evaluation with ct chest. upper thoracic vertebral sclerosis raises concern for metastatic disease, especially given the history of prostate cancer, and also warrants further evaluation with ct chest. no acute pneumonia. recommendation(s): obtain ct chest for further evaluation of vertebral sclerosis and likely anterior mediastinal mass. </s>
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<s>[INST] lungs are well-expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. no free air beneath the right hemidiaphragm.What are the key findings of this report? [/INST] no free air beneath the right hemidiaphragm. normal chest radiograph. </s>
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<s>[INST] there is no rib fracture. if clinical symptoms persist, dedicated rib series radiographs could be obtained. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is tortuous. there is dextroscoliosis of the thoracic spine. incidental note is made of cement from prior vertebroplasty.What are the key findings of this report? [/INST] <num>. no rib fracture. if clinical symptoms persist, dedicated rib series radiographs could be obtained. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is minimal atelectasis at the right lung base. a picc line is noted with its tip at the cavoatrial junction.What are the key findings of this report? [/INST] picc with its tip at the cavoatrial junction. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are unremarkable. subsegmental atelectasis is demonstrated within the right lower lobe. focal opacity within the lower lobe posteriorly on the lateral view, likely within the right lower lobe is present. there is an associated small right pleural effusion. no pneumothorax is seen. the pulmonary vasculature is normal.What are the key findings of this report? [/INST] posterior lower lobe opacity noted on the lateral view is likely within the right lower lobe and may reflect an area of infarction or infection. small right pleural effusion is also demonstrated. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal with left ventricular configuration.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac silhouette size is normal. the aorta is mildly tortuous. the pulmonary vasculature is normal. <num> mm nodular opacity projecting over the right mid lung field likely reflects a granuloma. lungs are hyperinflated, with attenuation of the pulmonary vascular markings towards the apices suggestive of underlying copd. scarring within the lung apices is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] low lung volumes are demonstrated. there is subsemental atelectasis of the right lower lobe. the lungs are otherwise clear without focal consolidation. no pleural effusion or pneumothorax is seen. the heart is top normal in size. the cardiac and mediastinal silhouettes are unremarkable. redemonstrated is right sixth rib atypical morphology and shortened appearance without underlying fracture.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] bibasilar atelectasis is present somewhat more prominent on the left than in the past. there probable bilateral effusions. that on the left is new. a catheter is curled in the right chest base. heart is enlarged and the thoracic aorta is uncoiled.What are the key findings of this report? [/INST] right chest tube remains in place. the right basilar pleural and parenchymal disease is unaltered. increasing density in the left base likely representing a combination of pleural and parenchymal disease. </s>
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<s>[INST] the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. the frontal view is not symmetrical and difficult to evaluate, but there is a vague patchy opacity in the lingula, although most likely due to minor atelectasis. a nipple shadow is visualized on the right side. hemidiaphragms appear flattened suggesting hyperinflation. there is no definite pleural effusion or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] patchy opacity in the lingula, which is not specific as to etiology; pneumonia is not excluded, but the area is not well evaluated and opacity may be due to atelectasis. noting the technical limitations of the film followup pa and lateral radiographs may be helpful if pulmonary symptoms were to persist. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing mildly enlarged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. right lateral pleural thickening is compatible with pleural fat and is unchanged. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a biventricular pacemaker in the left chest wall with leads in the right atrium, right ventricle, and a third lead through the coronary sinus. there is no pneumothorax. left retrocardiac and right basilar opacities are likely atelectasis. there is mild improvement in pulmonary edema. cardiomediastinal silhouette is unchanged. there is no focal consolidation or pleural effusions.What are the key findings of this report? [/INST] <num>. biventricular pacemaker/aicd with leads in appropriate positioning. <num>. improved pulmonary edema. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no evidence for pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] lungs are well-expanded and clear. unchanged <num> mm nodule in the left midlung. cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the right hemidiaphragm.What are the key findings of this report? [/INST] no acute process. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. previously seen right basilar opacity has essentially resolved. the lungs are now essentially clear and the 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] lung volumes are low.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a left pectoral transvenous pacer leads terminate in the right atrium and right ventricle.What are the key findings of this report? [/INST] lung volumes are low.no acute cardiopulmonary process. </s>
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<s>[INST] an et tube is present, tip lying approximately <num> cm above the carina. an ng tube is present, tip extending beneath diaphragm, off film. a right-sided chest tube is present. compared with <num> day earlier, hazy opacity at the right base is unchanged and likely represents a combination of pleural fluid and collapse/consolidation. patchy opacity at the left base is slightly improved. the cardiomediastinal silhouette is grossly unchanged. no pneumothorax is detected. known rib fractures are not not well depicted radiographically, may correspond to slight irregularity of the right posterior ninth rib left glenohumeral joint osteoarthritis again noted, incompletely evaluated.What are the key findings of this report? [/INST] compared <num> day earlier, slight improvement in patchy consolidation at left base. otherwise, i doubt significant interval change. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. the left cardiac border is obscured which usually indicates opacity in the lingula, but this appearance is fairly similar to the prior examination and probably represents minor scarring or atelectasis of doubtful significance. there is no pleural effusion or pneumothorax. there is similar mild relative elevation of the anteromedial right hemidiaphragm. the patient is also status post incompletely characterized lower anterior cervical fusion.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] mild cardiomegaly has been stable compared to prior exams dated back to at least <unk>. there is mild pulmonary vascular congestion as well as mild pulmonary edema. small bilateral pleural effusions are new. there is no pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] mild pulmonary edema. new small bilateral pleural effusions. </s>
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<s>[INST] the endotracheal tube ends <num> cm above the level of the carina. a right picc ends in the mid to low svc, unchanged. a looped catheter versus wire projects over the left upper abdominal quadrant, unchanged compared to the prior study, presumably external to the patient. there are embolization coils projecting over the left upper abdominal quandrant. severe left retrocardiac atelectasis is unchanged. mild-to-moderate pleural effusions are not significantly changed. enlargement of the heart is similar to the prior study. the mediastinal contours are unchanged. there is no pneumothorax. there is mild right lower lung atelectasis, unchanged. there is vascular congestion.What are the key findings of this report? [/INST] <num>. unchanged dense left retrocardiac atelectasis. <num>. unchanged small to moderate bilateral pleural effusions. <num>. vascular congestion, without overt evidence of pulmonary edema. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is no focal consolidation or pneumothorax. small bilateral pleural effusions have increased from <unk>. pulmonary edema has resolved. heart size is top normal. cardiac pacemaker leads are unchanged in position. mediastinal silhouette and hilar contours are normal aside from unchanged mild aortic tortuosity. degenerative change in the thoracic spine is similar to the prior study.What are the key findings of this report? [/INST] small bilateral pleural effusions, increased from <unk>. no pneumonia or edema. </s>
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<s>[INST] pa and lateral radiographs of the chest demonstrate clear lungs and normal cardiomediastinal contours, with stable juxtacardiac opacities consistent with known prominence of the epicardial fat pad. there is no pneumothorax or pleural effusion, and pulmonary vascularity is normal. atherosclerotic calcifications along the aortic arch are once again noted.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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