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<s>[INST] the lungs remain hyperinflated. new bibasal opacities with moderate left and small right pleural effusion. minimal fluid along the minor fissure. no overt pulmonary edema. enteric tube remains in good position. stable scoliosis convex to the right.What are the key findings of this report? [/INST] new bibasilar opacities can be aspiration/consolidation and/or atelectasis. bilateral small pleural effusions are new. </s>
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<s>[INST] as compared to <unk>, the tube tip is visualized within the body of the stomach. the lung volumes are very low with basal atelectasis, slightly improved since the prior examination. no pulmonary edema, pleural effusions or pneumothorax.What are the key findings of this report? [/INST] nasogastric tube tip in the mid body of the stomach. </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] in comparison to radiograph from <unk>, the cardiomediastinal silhouettes are stable, 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] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were provided. lungs remain clear. tiny nodular hyperdense foci scattered in the lungs may represent calcified granuloma. no effusion or pneumothorax. cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute bony abnormalities. </s>
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<s>[INST] <num> views of chest show that the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. no pleural effusion or pneumothorax is present.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] streak like linear opacities in the left lower lobe is most likely atelectasis. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. left lateral seventh rib fracture is again noted.What are the key findings of this report? [/INST] left lower lobe atelectasis. no focal pneumonia. </s>
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<s>[INST] the lungs are clear. there is no focal consolidation or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] single frontal view of the chest. there has been no interval change since the prior radiograph. bilateral moderate pleural effusions with bibasilar consolidations persist. no new consolidation or pneumothorax. heart size and cardiomediastinal contours are stable.What are the key findings of this report? [/INST] stable bilateral pleural effusions with adjacent bibasilar consolidations. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is minimal atelectasis in the right middle lobe, as before. otherwise, the lungs appear clear. a central venous catheter has been removed.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. there is diffuse bronchial wall thickening, likely reflective of small airways disease.What are the key findings of this report? [/INST] no acute cardiopulmonary process. diffuse bronchial wall thickening probably reflects chronic airways inflammation. </s>
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<s>[INST] there is an extensive right pneumothorax with significant collapse of the right lung. there is associated developing tension with contralateral mediastinal shift. a moderate right pleural effusion is present. the left lung is clear. the heart size is normal. the bones are intact.What are the key findings of this report? [/INST] large right hydropneumothorax with near-complete collapse of the right lung and associated developing tension. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> p.m. immediately after discovery of findings. </s>
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<s>[INST] the heart is mildly enlarged. mediastinal contours are stable. low lung volumes result in pulmonary vascular crowding. scattered lucent areas correspond to air trapping seen on ct. no focal consolidation or pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the lungs are clear besides calcified granuloma at the right lung base which is unchanged. the cardiomediastinal silhouette is within normal limits. slightly tortuous descending thoracic aorta is noted with atherosclerotic calcifications at the arch. no acute osseous abnormalities. surgical clips in the right upper quadrant suggest prior cholecystectomy.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal is unremarkable considering change in patient position. lungs are clear. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] normal radiographic examination. this examination neither suggests nor excludes pulmonary embolism. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or mass. the cardiomediastinal silhouette is normal. the osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is no pleural effusion. the lungs are well expanded and clear. there is no pulmonary edema or pneumothorax. cardiomediastinal and hilar contours are normal. there is a left port-a-cath with tip terminating in the right atrium as well as an ivc filter.What are the key findings of this report? [/INST] no pleural effusion. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute intra thoracic abnormality. </s>
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<s>[INST] the heart size is unchanged, appearing mildly enlarged. mediastinal and hilar contours are stable with calcification of the thoracic aorta again noted. the pulmonary vasculature is normal. streaky left lower lobe opacity is concerning for an area of infection. no pleural effusion or pneumothorax is present. clips are noted in the right upper quadrant of the abdomen as well as a biliary stent. there is evidence of prior l<num> kyphoplasty.What are the key findings of this report? [/INST] patchy left lower lobe opacity is concerning for pneumonia. </s>
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<s>[INST] the lungs are clear. there is stable cardiac enlargement. the mediastinal contours are normal. there are no pleural abnormalities.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the lungs are relatively hyperinflated. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no focal consolidation. </s>
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<s>[INST] nasogastric tube terminates in the midline of the abdomen. right upper extremity picc line terminates at the superior cavoatrial junction. prosthetic aortic valve is noted. lung volumes are low with a heterogeneous opacification in the infrahilar region bilaterally, likely representing atelectasis. diffuse retrocardiac opacification is indicative of left lower lobe collapse. this could be obscuring an underlying pneumonia. there is mild upper zone redistribution and central pulmonary vascular prominence. no pneumothorax. small left effusion is hard to exclude. there is significant dextro convex scoliosis of thoracic spine.What are the key findings of this report? [/INST] <num>. low lung volumes with left lower lobe collapse, unchanged from <unk>. <num>. right infrahilar opacification likely represents atelectasis. <num>. mild pulmonary edema. </s>
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<s>[INST] the lungs are well expanded and clear. mediastinal contours and hila are normal. mild cardiomegaly without evidence of acute decompensation. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] ap and lateral chest radiograph demonstrate intact median sternotomy wires. numerous clips project over the left mediastinal border. lungs are clear bilaterally without a focal consolidation. heart size is normal. hilar and mediastinal contours are otherwise within normal limits. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. imaged upper abdomen demonstrates no acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] the cardiomediastinal and hilar silhouette is unremarkable. lung volumes are slightly low. there may be left basilar atelectasis. 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] the lungs are clear. heart and mediastinal contours are normal. no effusion or pneumothorax is present.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. the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the inspiratory lung volumes are appropriate. there is increased hazy opacification of the left mid lung zone compared to the right, which likely corresponds to the left upper lobe on the corresponding lateral view and is concerning for developing infection. no pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] hazy opacification of the left lung compared to the right concerning for developing infection. </s>
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<s>[INST] single portable frontal image of the chest. et tube is in adequate positions. ng tube passes into the stomach, but distal tip not included on the image. the lungs are well expanded. bibasilar opacities are seen, likely representing atelectasis but cannot exclude pneumonia or aspiration in the right clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] bibasilar opacities, could be due to atelectasis or aspiration, vs less likely infection given clinical history. </s>
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<s>[INST] mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal contour is similar with mild unfolding of thoracic aorta again noted. there is mild pulmonary vascular congestion, minimally improved from the previous exam. no focal consolidation or pneumothorax is seen, however assessment of the lung apices medially is slightly limited by the patient's neck and chin projecting over this area. small bilateral pleural effusions are noted. no subdiaphragmatic free air is visualized. a tips catheter within the right upper quadrant of the abdomen is again noted.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and small bilateral pleural effusions. no subdiaphragmatic free air. </s>
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<s>[INST] ap and lateral views of the chest. lateral view is somewhat limited due to motion. the lungs, however, are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is stable. atherosclerotic calcifications noted at the aortic arch.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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 cardiac, mediastinal and hilar contours appear stable. there is minimal medial basilar opacification bilaterally probably due to minor atelectasis. otherwise, the lungs appear clear. there is no pleural effusion.What are the key findings of this report? [/INST] clear lungs aside from minor suspected atelectasis. </s>
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<s>[INST] heart size is normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. 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] ap upright and lateral views of the chest provided. lung volumes are low. there is no definite signs of pneumonia or edema. no large effusion or pneumothorax. the heart appears mildly enlarged. mediastinal contours unremarkable. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] mild cardiomegaly, no signs of pneumonia or edema. </s>
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<s>[INST] ap portable upright view of the chest. streaky lucencies are noted in the base of neck and mediastinum consistent with pneumomediastinum. no radiopaque foreign body is seen. the lungs are clear and well expanded. heart size is normal. bony structures are intact.What are the key findings of this report? [/INST] pneumomediastinum. no radiopaque foreign body. </s>
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<s>[INST] left pleural drain has been removed. bilateral pleural effusions, right greater than left, are unchanged with associated compressive atelectasis. there is likely consolidation at the right base. mild cardiomegaly is unchanged. apparent prominence of the pulmonary artery may be projectional or reflect pulmonary hypertension. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. unchanged pleural effusions. <num>. prominence of the pulmonary artery may be positional or relate to pulmonary hypertension. </s>
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<s>[INST] the patient is status post recent median sternotomy and coronary artery bypass surgery. cardiomediastinal contours are within normal limits allowing for recent surgery. improving atelectasis is demonstrated with mild residual patchy atelectasis at both lung bases. small pleural effusions are also demonstrated.What are the key findings of this report? [/INST] improving bibasilar atelectasis. small bilateral pleural effusions. </s>
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<s>[INST] there is stable periaortic opacity in the area of the surgery with adjacent left upper lung atelectasis. there has been interval increase in pulmonary edema. lung volumes are stable. there is no pneumothorax. <num> chest tubes are seen terminating within the left hemithorax. right lower lung atelectasis is seen. small-to-moderate right pleural effusion is unchanged. swan-ganz catheter is seen terminating within the right main pulmonary artery. endotracheal tube is in appropriate position terminating no less than <num> cm from the carina. an enteric tube is seen entering the stomach and out of the field of view.What are the key findings of this report? [/INST] interval increase in pulmonary edema. worsening right-sided atelectasis with unchanged small to moderate right pleural effusion. periaortic opacity in the area where this surgery is unchanged. </s>
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<s>[INST] an et tube is present, tip approximately <num> cm above the carina. an ng tube is present. the tip is difficult to trace, but it appears to extend beneath the diaphragm, beyond the inferior edge of the film. allowing for considerable rotation due to scoliosis, the right picc line tip overlies the distal svc near the svc/ ra junction. there is possible minimal upper zone redistribution, but no overt chf. there is patchy increased retrocardiac density, slightly improved compared with <num> day earlier. otherwise, no focal infiltrate. no gross effusion.What are the key findings of this report? [/INST] continued left retrocardiac density, consistent with left lower lobe collapse and/or consolidation, slightly improved compared with <num> day earlier. possible minimal upper zone redistribution. lines and tubes as described. </s>
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<s>[INST] mediastinal and hilar contours are unremarkable. heart size is top normal. left lower lung opacification is identified, concerning for pneumonia. broad-based rounded opacification along the lateral wall of the right lower lung is likely pleural based possibly representing a lipoma. please correlate with prior cross-sectional imaging. multilevel degenerative change detected.What are the key findings of this report? [/INST] left lower lobe pneumonia. broad, likely pleural-based rounded opacification projecting over the right lower lung may represent a lipoma, though cannot exlcude malignancy. please correlate with prior cross-sectional imaging or obtain dedicated non-urgent chest ct. </s>
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<s>[INST] the lungs are well expanded and clear. the aorta is tortuous but otherwise the cardiomediastinal and hilar contours are unremarkable. leftward deviation of the trachea is secondary to goiter and unchanged from prior. a large hiatal hernia is reidentified, with some associated left lower lobe atelectasis. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. stable large hiatal hernia and leftward deviation of the trachea secondary to goiter. </s>
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<s>[INST] left-sided port-a-cath tip terminates in the mid svc. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is present. mild degenerative changes are noted in the lower thoracic spine.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 the hilar and mediastinal contours are normal. consolidations in the left and right lower lobes and right mid lung, likley upper lobe. there are probable small bilateral pleural effusions. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] multifocal regions of consilation worrisome for multifocal pneumonia or potentially aspiration. component of edema in setting of background emphysema is possible. </s>
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<s>[INST] semi-upright portable ap view of the chest was provided. please note, due to marked scoliosis, evaluation is limited. there is a severe rotatory dextroscoliosis of the lower thoracic/lumbar spine. the lungs appear grossly clear bilaterally without large consolidation, effusion, or definite signs of pneumothorax. heart size cannot be assessed. no definite signs of fracture.What are the key findings of this report? [/INST] severe scoliotic deformity without definite signs of aspiration or fracture. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is 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] heart is upper limits of normal in size with left ventricular configuration. the thoracic aorta is tortuous and both the ascending and descending regions, similar to the prior study. patchy opacities in the left retrocardiac region have improved since <unk> in show more substantial improvement when compared to earlier radiograph of <unk> and <unk>. small left pleural effusion is again demonstrated.What are the key findings of this report? [/INST] continued improvement in left lower lobe consolidation, likely representing a slowly resolving pneumonia. in the setting of persistent cough, recurrent infection or aspiration are additional considerations. short-term followup radiographs may be helpful to ensure continued improvement and to exclude an evolving recurrent pneumonia in this region. </s>
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<s>[INST] the lung volumes are low. the lungs appear clear within the limitations of technique. the heart is at the upper limits of normal size with a left ventricular configuration. there is no pleural effusion or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] no significant interval change. the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is top-normal in size, unchanged. no acute osseous abnormality.What are the key findings of this report? [/INST] no radiographic evidence of traumatic injury. please note that this is not a dedicated exam for evaluation of the bones. correlate with focal exam findings and obtain dedicated radiographs as needed. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. the pulmonary vasculature is not congested. no signs of acute parenchymal infiltrates are present and the lateral pleural sinuses are free. no evidence of pneumothorax in the apical area. skeletal structures of the thorax grossly unremarkable. multiple contorted wires and lines are overlying the right hemithorax and shoulder area. they must be external. our records include a previous chest examination dated <unk>. this examination demonstrated a small left-sided pleural effusion and basal pulmonary changes suggestive of atelectasis. on the present examination, no residuals are seen.What are the key findings of this report? [/INST] normal chest findings as can be identified on portable ap single view examination. </s>
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<s>[INST] persistent small right pleural effusion and pleural thickening, unchanged since at least <unk>. focal opacity in the right lung base, best seen on the lateral view with obscuring of the right hemidiaphragm, is overall unchanged, and may suggest aspiration. stable postoperative appearance of the cardiomediastinal silhouette with mild cardiomegaly. perhaps mild increased pulmonary vascular congestion compared to the prior exam, but no frank pulmonary edema. no pneumothorax. no left pleural effusion. surgical clips projecting over the right upper quadrant are unchanged. compression deformity in the thoracic spine vertebrae are unchanged since <unk>.What are the key findings of this report? [/INST] no change in right pleural thickening or pleural effusion for several days. no change in right lower lobe consolidation best seen on lateral view. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate hyperexpanded clear lungs. 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] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] there is a new right middle lobe consolidation. a tiny focus of consolidation in the superior left lower lobe is new. underlying interstitial prominence has increased. no pleural effusion or pneumothorax is detected. heart size is within normal limits. the pulmonary arteries are more prominent than <num> day prior, likely secondary to underlying pulmonary parenchymal process.What are the key findings of this report? [/INST] multifocal pneumonia. increased underlying interstitial abnormality is likely secondary to underlying viral process. findings were discussed with <unk> by <unk> by telephone at <time> on <unk> at the time of discovery of these findings. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. bilateral calcified breast implants are present. streaky opacity appears probably unchanged in the lingula and is most consistent with minor scarring. otherwise the lungs appear clear. there is no pleural effusion or pneumothorax. a deformity of the proximal left humerus is probably unchanged although not entirely assessed.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] What are the key findings of this report? [/INST] in addition to the clear peribronchovascular infiltration and fibrosis in the upper lungs, less severe micro nodulation and early fibrosis is present in the lower lungs laterally and has progressed slightly since <unk>. although this could be a community acquired lung infection, i suspect sarcoid or other granulomatous infection. there is no pleural effusion or evidence of central lymph node enlargement in the heart is normal size. i do not see a focal opacity corresponding to the described lesion described in the requisition. if there is particular concern for a pulmonary nodule, other than sarcoidosis, ct scanning would be the only way to investigate it. </s>
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<s>[INST] frontal and lateral radiographs of the chest show persistent ill-defined nodular opacities in the right upper lobe and left lung base, better appreciated on chest ct of <unk> and thought to represent metastatic disease. no new focal opacity is detected by radiography. there is a small left pleural effusion. no pneumothorax is present. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits and unchanged. the patient is status post right mastectomy.What are the key findings of this report? [/INST] <num>. stable small left pleural effusion from <unk>. <num>. unchanged appearance of ill-defined nodular opacities in the right upper lobe and left lung base consistent with known metastatic disease seen on ct of <unk>. </s>
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<s>[INST] single frontal portable view of the chest was obtained. the patient is rotated with respect to the film. the heart is of normal size with normal cardiomediastinal contours. lungs are clear without focal or diffuse abnormality. no large pleural effusion or pneumothorax. no radiopaque foreign body. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is no pneumomediastinum. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is mildly enlarged, mildly increased from the previous study. mediastinal and hilar contours are normal. pulmonary vasculature is normal in the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] mild enlargement of the cardiac silhouette, mildly increased from the previous radiograph from <unk>. no acute cardiopulmonary abnormality otherwise demonstrated. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. cardiomediastinal silhouette is stable. there is very subtle neo peripheral hazy opacity in the right mid lung which in the correct clinical setting could represent a very early pneumonia. otherwise the lungs are clear. no pleural effusion or pneumothorax is seen. bony structures are intact.What are the key findings of this report? [/INST] subtle opacity in the periphery of the right mid lung a which could represent a very early pneumonia in the correct clinical setting. </s>
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<s>[INST] since the prior chest radiograph performed earlier on the same date, there has been interval placement of an enteric tube which terminates in the body of the stomach. endotracheal tube terminates <num> cm above the carina. ill-defined opacity at the right lung base has significantly progressed, and concerning for aspiration. there may also be an opacity at the left lung base. remainder of the lungs are otherwise clear. blunting of the right costophrenic angle suggests a small pleural effusion. no pneumothorax. cardiomediastinal contours are normal. there has been interval decompression of the stomach since the prior study.What are the key findings of this report? [/INST] <num>. interval placement of an enteric tube which terminates in the body of the stomach. <num>. worsening right lung base opacity, concerning for aspiration. <num>. small right pleural effusion. </s>
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<s>[INST] lung volumes are low with bronchovascular crowding. moderate pulmonary vascular congestion. no effusion or pneumothorax. cardiomediastinal silhouette is unchanged. increased retrocardiac opacity suggests infectious etiology.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s>
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<s>[INST] lungs are well expanded and clear. mediastinal contour, hila, and cardiac silhouette are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] again noted is an opacity in the lingula, better evaluated on dedicated chest ct on <unk> and suggestive of a primary lung cancer. however, there is new opacity overlying the left lower lobe which is likely a small pleural effusion. additionally, there is a new right lower lobe opacity suggestive of pneumonia. previously noted multiple other nodules involving the left upper lobe, left lower lobe, right middle lobe, and right lower lobe are better delineated on the dedicated chest ct. severe emphysema is again noted. cardiomediastinal silhouette appears stable. dextroscoliosis of the thoracic spine appears stable.What are the key findings of this report? [/INST] <num>. again noted the lingular pulmonary mass suggestive of a primary lung cancer as well. multiple other lung nodules are better delineated in dedicated chest ct from <unk>. <num>. new right lower lobe opacity suggestive of pneumonia and new left lower lobe opacity suggestive of a small pleural effusion. </s>
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<s>[INST] single frontal view of the chest demonstrates et tube extending <num> cm above the carina. a right internal jugular approach central venous catheter has tip in the low svc. the enteric tube extends into the stomach with side port near the ge junction. the cardiac silhouette is prominent, but likely accentuated by ap technique and low lung volumes. the mediastinal and hilar contours are within normal limits. there is a right-sided pleural effusion. there is no pneumothorax. dense retrocardiac opacity may represent dependent atelectasis. there is generalized hazy appearance to the lungs.What are the key findings of this report? [/INST] <num>. appropriate positioning of lines and tubes. <num>. generalized hazy appearance to lungs, which could represent mild interstitial edema or atypical infection. correlate clinically. </s>
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<s>[INST] the lungs are hypoinflated with crowding of vasculature appeared bibasilar atelectasis is noted. no pleural effusion or pneumothorax. a tortuous aorta is noted. heart size, mediastinal contour, and hila are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable ap chest radiograph demonstrates a radiopaque bb placed at the right apex for unknown reason. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a left upper chest pacer device with single lead projecting over the right ventricle. there are no apparent abnormalities associated with the device. the mediastinal silhouette and bilateral hila are normal. the cardiac silhouette is upper limits of normal. there are diffuse bilateral airspace opacities with indistinctness of pulmonary vasculature which likely represents increased pulmonary vascular pressures with moderate pulmonary edema. however, in the setting of fevers and concern for sepsis, especially given left lower lobe volume loss/opacification, this appearance is also concerning for bilateral pneumonia. there is a probable small left pleural effusion. there is no right effusion. there is no pneumothorax.What are the key findings of this report? [/INST] bilateral diffuse airspace opacities which may represent pulmonary edema, but is also concerning for bilateral pneumonia given clinical context. probable small left pleural effusion. </s>
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<s>[INST] assessment is limited due to poor position and rotation. allowing for this limitation, lung volumes are low, with multiple bibasilar opacities. there is a large subpulmonic right-sided pleural effusion with minimal fluid tracking in the minor fissure. a left-sided pleural effusion is also present. there is no pneumothorax. <unk> cardiac and mediastinal contours cannot be assessed in the study.What are the key findings of this report? [/INST] bilateral pleural effusions with multiple bibasilar patchy opacities concerning for multifocal pneumonia. </s>
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<s>[INST] the head partially obscures the apices. a left pacer has a single lead terminating in the right ventricle. the cardiomediastinal silhouette is grossly unchanged re-demonstrating severe cardiomegaly. a moderate to large left pleural effusion and a moderate right pleural effusion are unchanged. mild to moderate pulmonary edema is similarly unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] severe cardiomegaly, large left and moderate right pleural effusions, and mild to moderate pulmonary edema are unchanged and consistent with known chf. </s>
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<s>[INST] patient is status post median sternotomy and mitral valve replacement. right-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. mild enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar with mild tortuosity of the thoracic aorta again noted. pulmonary vasculature is not engorged. lungs are clear. no pleural effusion or pneumothorax is seen. clips are noted in the right upper quadrant of the abdomen compatible with prior cholecystectomy.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 appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] frontal upright and lateral chest radiographs were obtained. the lungs are well expanded. cardiomediastinal silhouette is normal. lungs are clear without focal consolidation or edema. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities. </s>
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<s>[INST] cardiomegaly is a stable. widened mediastinum is unchanged. vascular congestion has improved. no pneumothorax, pleural effusion or evidence of pneumoniaWhat are the key findings of this report? [/INST] improved vascular congestion </s>
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<s>[INST] opacities in the lower left lung base likely represent mild left basilar atelectasis. otherwise, the lungs are grossly clear without evidence of focal consolidation, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette and hilar contours are stable compared to multiple prior exams. mild degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process </s>
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<s>[INST] supine portable ap view of the chest was provided. tracheostomy tube is partially imaged. midline sternotomy wires and mediastinal clips are noted. there is a large right pleural effusion surrounding a portion of aerated lung which contains patchy airspace consolidation concerning for edema or pneumonia. there is also a left effusion with scattered left perihilar opacity which could represent pulmonary edema. peg tube projects over the left upper quadrant. no gross bony abnormalities.What are the key findings of this report? [/INST] large right and smaller left pleural effusion with probable pulmonary edema accounting for the opacities seen in the lungs bilaterally. </s>
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<s>[INST] there are low lung volumes. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. left central line terminates in the right atrium. median sternotomy wires and mediastinal clips are noted. a calcified lymph node is noted in the ap window.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are low. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vascularity is not engorged. there is no focal consolidation, pleural effusion or pneumothorax. there is minimal atelectasis in the lung bases. there are multiple old remote bilateral rib fractures. mild loss of height of multiple thoracic vertebral bodies is present with diffuse demineralization, similar to the prior study.What are the key findings of this report? [/INST] mild bibasilar atelectasis. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or pneumothorax is seen. cardiac and mediastinal silhouettes are stable and unremarkable. hilar contours are stable. minimal degenerative changes are seen along the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] an endotracheal tube in satisfactory position. an enteric tube courses along the esophagus and terminates within the stomach. a superior vena cava stent traversing the large mediastinal mass is unchanged in position. a left pigtail catheter is seen at the left lung base. a moderate right pleural effusion and small to moderate left pleural effusion are unchanged. there is overlying atelectasis and collapse of the left lower lobe. the cardiac and mediastinal contours are unchanged.What are the key findings of this report? [/INST] <num>. unchanged moderate right and small to moderate left pleural effusions. <num>. unchanged left lower lobe collapse. pneumonia cannot be excluded. </s>
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<s>[INST] pa and lateral views of the chest provided. interval removal of an orogastric tube. on the lateral view there is poor definition of vessels. no pneumothorax. there is significantly more free air under the right and left hemidiaphragm. small, bilateral pleural effusions and associated atelectasis are mildly worsened. hilar and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] <num>. there is significantly more free air under the right and left hemidiaphragm. <num>. on the lateral view, there is poor definition of vessels projecting over the left lower lobe. in the appropriate clinical setting, this may represent superimposed pneumonia. <num>. small, bilateral pleural effusions and associated atelectasis are mildly worsened. </s>
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<s>[INST] the tip of the right internal jugular central venous catheter extends the cavoatrial junction. the endotracheal tube and gastric tubes are unchanged. low bilateral lung volumes. unchanged right hilar prominence. increasing left lower lung zone opacities possibly reflective of atelectasis and/or consolidation. no pleural effusion or pneumothorax identified.What are the key findings of this report? [/INST] increasing left mid to lower lung zone opacities which may reflect atelectasis or pneumonia in the proper clinical context. </s>
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<s>[INST] the lung volumes are stable. the cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. the et tube terminates approximately <num> cm from the carina. the ng tube appears to be near the esophagogastric junction or barely in the proximal stomach and the side ports are approximately <num> cm from the mid stomach.What are the key findings of this report? [/INST] et tube is approximately <num> cm from the carina and should be withdrawn approximately <num> cm. ng tube is malpositioned and should be advanced approximately <num> cm. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is a subtle consolidation of the left base which is similar to prior and may represent atelectasis or possibly early pneumonia. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] left basal opacity which may represent atelectasis or early pneumonia in the appropriate clinical setting. </s>
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<s>[INST] no focal consolidation is identified. there is linear atelectasis at the left lung base. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] atelectasis at the left lung base. no focal consolidation. </s>
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<s>[INST] compared with prior radiographs on <unk>, there is no significant change. there are postsurgical changes of left hemithorax with chain sutures, similar to prior. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unchanged.What are the key findings of this report? [/INST] stable postsurgical changes of the left hemithorax. no acute cardiopulmonary process. </s>
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<s>[INST] there is mild cardiomegaly. pulmonary markings are likely accentuated by lower lung volumes. there is no consolidation or pleural effusion. no pneumothorax. there are bilateral healed rib fractures and left clavicular healed rib fracture.What are the key findings of this report? [/INST] no evidence of pneumonia. </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 except for focal linear scar atelectasis at the left base. 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] there is chronic blunting of the right costophrenic angle. the lateral view is suboptimal due the patient's overlying arm. no focal consolidation is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] limited lateral view to the patient's overlying arm. given this, no significant interval change. </s>
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<s>[INST] there is new focal consolidation in the right suprahilar region projecting over the anterior right first and second ribs. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] consolidation in the right suprahilar region is compatible with pneumonia in the proper clinical setting. however, repeat after treatment is suggested to document resolution and exclude underlying mass lesion. </s>
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<s>[INST] the lungs are clear. the heart and mediastinal structures are unremarkable. the bony thorax is grossly intact.What are the key findings of this report? [/INST] no active disease. </s>
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<s>[INST] lungs are clear of any focal opacities concerning for infectious process; however, there is an increasing opacity in the left suprahilar region, presumably the site of the patient's prior cancer. this is concerning for recurrence of disease. surgical sutures are seen in this area as well. otherwise, no pleural effusion or opacities concerning for an infectious process are present. scarring at the right and left lung bases is stable. cardiomediastinal silhouette is normal in size.What are the key findings of this report? [/INST] increasing density in the left suprahilar region concerning for recurrent disease. </s>
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<s>[INST] ap view of the chest provided. lung volume are low. in comparison to prior study, there is increased interstitial opacities concerning for pulmonary vascular congestion. no focal parenchymal opacities seen concerning for pneumonia. previously seen right lung base atelectasis has resolved. elevation of left hemidiaphgram is chronic, with a component of overlying atelectasis. nasogastric tube coiled in the stomach.What are the key findings of this report? [/INST] new pulmonary vascular congestion since prior study from <num> days ago. </s>
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<s>[INST] a frontal view of the chest was performed. an et tube is seen with its tip <num> cm above the carina. an og tube is seen with its distal port in the stomach. a biliary stent is seen. a left subclavian line terminates in the mid svc. the cardiomediastinal, pleural and pulmonary structures are unremarkable. there is no consolidation to suggest pneumonia. there is no pleural effusion or pneumothorax seen.What are the key findings of this report? [/INST] appropriate position of the endotracheal tube. </s>
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<s>[INST] pa and lateral views of the chest provided. there is a large left pneumothorax with no convincing signs of tension. there is atelectasis noted in the lingula. right lung is clear. heart and mediastinal contours appear grossly unremarkable. no acute bony injury.What are the key findings of this report? [/INST] large left pneumothorax without signs of tension. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. low lung volumes are seen on the current exam, particularly on the lateral. linear opacity at the right lung base is most suggestive of atelectasis. there is no large confluent consolidation, no large effusion. cardiac silhouette is enlarged with stable configuration. triple-lead pacing device again seen with lead tips unchanged in position. right picc seen with tip projecting across the midline with tip on the left similar to <unk> but changed since <unk> when it was more appropriately positioned. osseous and soft tissue structures are unchanged noting multiple compression deformities in the lower thoracic spine.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. right picc seen with tip projecting across the midline with tip on the left similar to <unk> but changed since <unk> when it was more appropriately positioned. </s>
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<s>[INST] the tracheostomy tube is been advanced compared with the prior study, now terminating <num> cm from the carina. moderate pulmonary vascular congestion with mild associated interstitial pulmonary edema is similar to the prior study. right lower lung airspace opacities may represent asymmetric edema, atelectasis, or consolidation, depending upon the clinical setting. there is no pleural effusion or pneumothorax. calcification of the aortic arch is noted. apparent moderate to severe degenerative changes of the right shoulder are partially evaluated.What are the key findings of this report? [/INST] <num>. unchanged moderate pulmonary vascular congestion and mild associated interstitial edema. <num>. ill-defined right lower lung airspace opacities may represent asymmetric edema, atelectasis, or focal consolidation. <num>. no pneumothorax. </s>
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<s>[INST] there is no focal consolidation, effusion, or pneumothorax. heart size is top normal. the aorta is mildly tortuous, as on prior. 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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