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<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the heart size is mildly enlarged. the mediastinal contours are unremarkable. there is no evidence of widened mediastinum. no free air.What are the key findings of this report? [/INST] mild cardiomegaly. no evidence of widened mediastinum. the lungs appear clear. </s>
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<s>[INST] an azygos fissure is an incidental finding. no consolidation or pulmonary edema. pleural surfaces are smooth and without an effusion. known tiny right apical pneumothorax is not seen on the current study. no pneumothorax on the left. cardiomediastinal contours are normal.What are the key findings of this report? [/INST] known tiny right apical pneumothorax is not seen on the current study. recommendation(s): outside chest ct should be consulted for assessment of the chest cage and mediastinum. </s>
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<s>[INST] the cardiac silhouette is enlarged. there is severe emphysema. diffuse, increased interstitial opacities are seen, unchanged since the prior examination. right mid lung opacity is noted, which may represent pneumonia in the appropriate clinical context. multiple thoracic spinal compression deformities are noted, similar to the prior examination. rib fractures are not able to be assessed on this examination.What are the key findings of this report? [/INST] right mid lung opacity may represent pneumonia. follow up films are recommended in <unk> weeks to document resolution. </s>
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<s>[INST] ap portable upright view of the chest. the lungs are clear. the heart appears mildly enlarged. mediastinal contour is normal. no large effusion or pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] mild cardiomegaly, otherwise unremarkable. </s>
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<s>[INST] single supine portable view of the chest. left costophrenic angle and left lateral chest is excluded from the field of view, but patient was not able to cooperate for this examination to repeat film. where seen, the lungs are clear. previously seen enteric tube is no longer visualized. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral views of the chest. there are increased interstitial markings throughout the lungs, which are more than expected even given slightly lower lung volumes. there is no effusion or focal consolidation. the cardiomediastinal silhouette is grossly unchanged given limitation of patient's rotation to the right. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] increased interstitial markings throughout the lungs may be due to mild edema, although atypical infection is also possible. </s>
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<s>[INST] the heart size top normal. mediastinal contours are unremarkable. mild prominence of the left hilum is present. new consolidation in the right middle and right lower lobe is consistent with pneumonia in the correct clinical setting. in addition there is left perihilar consolidation as well as left lower lobe opacity, also concerning for infectious process as well. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. new multifocal consolidations concerning for multifocal pneumonia. <num>. new mildly prominent left hilus may represent reactive lymphadenopathy. attention on follow-up is recommended. </s>
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<s>[INST] no focal consolidation, pleural effusion, or pneumothorax is seen. there is pulmonary vascular congestion without overt edema. heart size is mildly enlarged. aorta is tortuous.What are the key findings of this report? [/INST] pulmonary vascular congestion and mild cardiomegaly. </s>
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<s>[INST] portable ap upright chest radiograph provided. lungs appear essentially clear. there is minimal linear opacity abutting the left heart border likely representing plate-like atelectasis. there is no effusion or pneumothorax seen. cardiomediastinal silhouette appears normal. bony structures are intact.What are the key findings of this report? [/INST] minimal linear atelectasis in the left lower lung. otherwise, unremarkable study. </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 except for unchanged focal scarring in the right middle lobe. 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 is enlarged and the structures of the mediastinum are shifted to the left. there is elevation of the right hemidiaphragm. the lung volumes are low and there is some opacification at the base of the right lung consistent with atelectasis. additionally, there is a small pleural effusion on the right. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] <num>. elevated right hemidiaphragm, which is pushing the heart and structures of the mediastinum to the left. <num>. atelectasis at the base of the right lung and small right pleural effusion. no evidence of pneumonia or pulmonary edema. </s>
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<s>[INST] ap portable view of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post tracheostomy. there is a right picc line, which terminates in the lower svc. there is a dialysis catheter, which terminates in the right atrium. in comparison to the prior radiograph the bilateral alveolar opacities, right worse than left, have improved with better visualization of the right hemidiaphragm and right heart border. heart size is stable. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. there are surgical clips seen in the upper abdomen.What are the key findings of this report? [/INST] <num>. appropriate positioning of tracheostomy, right picc line, and dialysis catheter. <num>. improved in bilateral airspace opacities, right worse than left. </s>
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<s>[INST] there has been interval resolution of the extensive subcutaneous emphysema as well as resolution of engorged mediastinal vessels. the gastric bubble is now clearly seen beneath the left diaphragm. heart size is normal. there is no pleural effusion or pneumothorax. there has been improvement of the opacification at the right base; however, there is still some increased interstitial markings likely consistent with fibrosis.What are the key findings of this report? [/INST] <num>. repair of large hiatal hernia. <num>. residual increased interstitial markings at right lung base likely representing fibrosis. </s>
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<s>[INST] right-sided internal jugular central venous catheter terminates in the low svc without evidence of pneumothorax. patchy left base opacity is worrisome for pneumonia. medial right base opacity is felt to more likely due to overlap of vascular structures or atelectasis. no large pleural effusion is seen. cardiac and mediastinal silhouettes are unremarkable. there is mild central pulmonary vascular engorgement.What are the key findings of this report? [/INST] mild central pulmonary vascular engorgement without overt pulmonary edema. patchy left base opacity worrisome for pneumonia. medial right base opacity is felt more likely to be due to overlap of vascular structures or atelectasis. </s>
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<s>[INST] the heart is moderately enlarged with mild pulmonary vascular prominence, similar to prior studies. the lungs are relatively well-expanded and clear. there is no pleural effusion, overt pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] stable moderate cardiomegaly. no evidence of pneumonia. </s>
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<s>[INST] portable single frontal chest radiograph was obtained with the patient in supine position. there is moderate diffuse interstitial edema with pulmonary vascular congestion. no focal consolidation or pneumothorax is seen. the heart remains mildly enlarged.What are the key findings of this report? [/INST] moderate interstitial edema and pulmonary vascular congestion consistent with volume overload. </s>
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<s>[INST] compared to the prior study, the lung volumes are lower, with increased right pleural effusion, and adjacent atelectasis, as well as thickening along the major and minor fissures on the right. left basilar atelectasis is also noted, with likely associated small effusion, slightly increased compared to the prior study. there is no overt pulmonary edema. the cardiac size is unchanged. no pneumothorax is identified.What are the key findings of this report? [/INST] lower lung volumes, with increased bilateral pleural effusions and basilar atelectasis, right-greater-than-left compared to the prior study. </s>
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<s>[INST] right-sided port is seen, with catheter tip not well seen but likely terminating in the low svc. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. linear bilateral perihilar, infrahilar, and basilar opacities may in part relate to atelectasis and scarring with possible underlying bronchiectasis and other chronic lung disease, however underlying infection or edema is not excluded. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] linear bilateral perihilar, infrahilar, and basilar opacities may in part relate to atelectasis and scarring with possible underlying bronchiectasis and other chronic lung disease, however underlying infection or edema is not excluded. no pleural effusion or pneumothorax is seen </s>
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<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of focal consolidation. there is no effusion. cardiac silhouette is enlarged but stable in configuration. dual-lead pacing device is again noted. osseous and soft tissue structures are unchanged.What are the key findings of this report? [/INST] cardiomegaly, but no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the left-sided picc line tip is curved back on itself in the proximal svc. a power flash might be helpful for repositioning. lung volumes are low but there is no definite infiltrate or effusion.What are the key findings of this report? [/INST] abnormal position of the picc line tip </s>
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<s>[INST] the lungs are hypoinflated. there is mild pulmonary vascular congestion. there is no focal consolidation. there is no pneumothorax or pleural effusion. the mediastinal and cardiac contours appear enlarged from prior, which may be due to patient obliquity, hypoinflation and technique.What are the key findings of this report? [/INST] <num>. the mediastinum and cardiac silhouettes appear enlarged compared to prior. this may be due to patient obliquity, hypoinflation and ap technique, however other pathologies cannot be excluded based on this imaging alone. <num>. mild pulmonary vascular congestion. </s>
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<s>[INST] a right-sided chest tube terminates in the right lung apex. there is no visible pneumothorax. there may be a small right pleural effusion. overall, right mid and lower lung atelectasis as well as linear atelectasis in the left lower lobe is unchanged. there is mild tortuosity of the aorta; otherwise, the hilar and mediastinal contours are unremarkable. mild cardiomegaly has been stable compared to exams dated back to <unk>.What are the key findings of this report? [/INST] no evidence of a pneumothorax. there may be a residual small right pleural effusion, however true pa and lateral radiographs are recommended for further evaluation. </s>
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<s>[INST] pa and lateral radiographs of the chest demonstrate mild pulmonary vascular congestion as well as a more dense opacities in the lung bases which may represent infection or aspiration. there is no pneumothorax or substantial pleural effusion. heart size is normal.What are the key findings of this report? [/INST] <num>. bibasilar airspace opacities concerning for infection or aspiration. <num>. mild pulmonary vascular congestion. </s>
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<s>[INST] since <unk> and the insertion of a right pigtail pleural drain, the previously large right pleural effusion has become very small. there is no pneumothorax. moderate left sided pleural effusion slightly increased. new left perihilar opacification is asymmetric edema or pneumonia. the mediastinal contours are stable in appearance.What are the key findings of this report? [/INST] successful drainage right pleural effusion post pigtail catheter without pneumothorax. increasing moderate left effusion and left asymmetric pulmonary edema or pneumonia. </s>
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<s>[INST] the lungs are clear bilaterally, without evidence of focal consolidations, pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no evidence of pneumonia or abpa. </s>
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<s>[INST] lung volumes are somewhat low leading to mild pole crowding of the pulmonary vasculature. the trachea is central. the cardiomediastinal contour is normal. the heart does not appear to be enlarged. no consolidation, pneumothorax or pleural effusion seen. the visualized bony structures are unremarkable in appearance.What are the key findings of this report? [/INST] low lung volumes, otherwise unremarkable chest radiograph. </s>
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<s>[INST] lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal. there is mild thoracic dextroscoliosis and a pectus excavatum.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear consolidation or pulmonary vascular congestion. there is no effusion or pneumothorax. cardiomediastinal silhouette and within normal limits. atherosclerotic calcifications noted at the aortic arch. hypertrophic changes in the spine. surgical clips seen in the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. there is no effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. there is a mid to distal left clavicular fracture.What are the key findings of this report? [/INST] no acute cardiopulmonary process. left clavicular fracture. </s>
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<s>[INST] right chest wall port is seen in stable position. there is right-sided pleural thickening versus atelectasis/scar with blunting of the right lateral and posterior costophrenic angles similar to recent ct scan. linear left midlung opacity is most likely atelectasis. there is no new consolidation. the cardiomediastinal silhouette is within normal limits. known mediastinal adenopathy is not clearly delineated. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] consolidation in the lingula on <unk> and <unk> has resolved, but a <unk>-mm left upper lobe nodule, at the periphery of the lung at the level of the fourth anterior rib has grown, presuming that corresponds to what was a <num>-mm nodule in the left upper lobe on the <unk> ct scan, <num>What are the key findings of this report? [/INST] pa and lateral chest compared to <unk> through <unk>, read in conjunction with a chest cta, <unk>. </s>
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<s>[INST] as compared to prior chest radiograph from <unk>, there has been no significant change. lung volumes remain low. mild pulmonary edema and moderate bilateral pleural effusions are unchanged. moderate cardiomegaly is stable. et tube terminates <num> cm above the carina. right picc line tip terminates at the mid to lower svc. left pectoral pacemaker is in unchanged position.What are the key findings of this report? [/INST] stable chest examination with bilateral pleural effusions and mild pulmonary edema. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there has been interval increase in bilateral pleural effusions, particularly on the right, which may be partially loculated, with overlying atelectasis. bibasilar consolidation is difficult to exclude. the cardiac and mediastinal silhouettes are grossly stable given the bibasilar opacities. left calcified pleural plaques are again seen. old bilateral rib fractures are again notedWhat are the key findings of this report? [/INST] interval increase in bilateral pleural effusions, particularly on the right, which may be partially loculated, with overlying atelectasis. bibasilar consolidation is difficult to exclude. left-sided pleural plaques again seen. </s>
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<s>[INST] the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are normal. there is no pulmonary vascular congestion. the lungs are clear. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] unremarkable chest radiograph. no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without consolidation or edema. 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] the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. 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] 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 cardiomediastinal and hilar contours are within normal limits. there is tortuosity of the descending aorta. the lungs are hyper expanded and there is flattening of the diaphragms, likely related to chronic lung disease. there is an area of increased opacity at the right lung base which is concerning for an infectious process. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] increased opacity at right lung base concerning for pneumonia. short interval followup is recommended after treatment to document resolution. </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] frontal and lateral chest radiographs again demonstrate low lung volumes, which limit evaluation and results in bronchovascular crowding. however, even given these limitations, there are prominent reticulo-nodular interstitial abnormalities, which could represent pulmonary edema, infection, or a neoplastic process. no pleural effusion or pneumothorax is seen. the right port-a-cath is unchanged in position.What are the key findings of this report? [/INST] prominent reticulo-nodular opacities bilaterally, which may represent edema, infection, or a neoplastic process. clinical correlation is advised. </s>
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<s>[INST] frontal and lateral views of the chest were performed. a left-sided pacemaker is present with leads terminating in the right atrium and right ventricle. the cardiac silhouette remains mildly enlarged. the mediastinal contours are unremarkable. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] no significant interval change from <unk> radiograph. persistent large fluid-filled neoesophagus. likely small bilateral pleural effusions and left lower lobe atelectasis are unchanged. no new focal opacity or pulmonary edema. no pneumothorax. heart size, left mediastinal contour and left hilus are normal. no bony abnormality.What are the key findings of this report? [/INST] <num>. no interval change from <unk>. <num>. persistent large fluid-filled neoesophagus. results were conveyed via telephone to <unk> by dr. <unk> on <unk> at <time> a.m. within five minutes of observation of findings. </s>
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<s>[INST] ap view of the chest. endotracheal tube measures <num> cm from the carina. the enteric tube ends off into the stomach. again seen is mild pulmonary vascular congestion. there is no pleural effusion or pneumothorax. no focal consolidation.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and bibisilar opacities are unchanged. no central line is seen. no pneumothorax. the ett ends <num> cm from the carina and can be advanced <num> cm for more secure seating. </s>
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<s>[INST] no pneumothorax is detected. ascending aortic calcification is seen. no other interval change is detected. breast post-surgical configuration is noted.What are the key findings of this report? [/INST] no pneumothorax detected. </s>
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<s>[INST] opacities in the right lower lobe and left upper lung represent a combination of the known lesions and post biopsy bleeding. an oxygen mask obscures the right lung apex where there may be a small pneumothorax. no left pneumothorax. no pleural effusion. there is elevation of left hemidiaphragm from a massively distended, air-filled stomach. no focal airspace consolidation worrisome for infection. heart is mildly enlarged but unchanged. a marked dextroscoliosis of the thoracic spine is long-standing.What are the key findings of this report? [/INST] an oxygen mask obscures the right lung apex and might possibly obscure a small pneumothorax. a repeat chest radiograph is recommended. </s>
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<s>[INST] the lungs are hyperinflated. minimal basilar atelectasis is seen. there is no focal consolidation, pleural effusion, evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable. chronic deformity of the right humeral head is re- demonstrated.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. pulmonary vascularity is normal. the lungs are clear. hilar contours are normal. no pleural effusion or pneumothorax is identified. there are mild multilevel degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable.What are the key findings of this report? [/INST] normal chest radiograph. no pneumonia or pneumothorax. </s>
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<s>[INST] What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. cardiac silhouette is normal in size. aorta is slightly tortuous. there is no evidence of pneumonia, pulmonary edema or pleural effusion. hilar contours are normal.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] there is a large hiatal hernia with adjacent atelectasis. bibasilar opacities likely represent combination of the above, without clear focal consolidation. no large pleural effusion or pneumothorax is seen. the aorta is calcified and tortuous. cardiac silhouette size is mildly enlarged. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] cardiomegaly without overt pulmonary edema. large hiatal hernia with adjacent basilar atelectasis. </s>
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<s>[INST] portable ap view of the chest. lower lung volumes seen on the current exam. there is persistent blunting of the right costophrenic angle. the left lung and superiorly the right lung remains clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities are seen noting probable dislocation of the left glenoid humeral joint.What are the key findings of this report? [/INST] no significant interval change. persistent blunting of the right costophrenic angle potentially due to effusion, scarring or atelectasis. persistent dislocation of the left glenohumeral joint. </s>
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<s>[INST] compared to chest radiographs from <unk>, there is little overall change. lung volumes remain low. moderate-sized left pleural effusion with adjacent mild left basilar opacity, likely atelectasis, stable. probable trace right pleural effusion is stable. no new focal consolidation. no pneumothorax. moderate cardiomegaly, though difficult to assess the presence of effusion, is likely stable. the thoracic aorta is mildly unfolded and tortuous, as before. right picc line tip terminates in the lower svc.What are the key findings of this report? [/INST] <num>. persistent moderate-sized left pleural effusion with associated left basilar atelectasis. no new focal consolidation. <num>. stable moderate cardiomegaly. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] the right-sided picc line tip at the cavoatrial junction is again visualized. the heart continues to be mildly enlarged and there is pulmonary vascular redistribution. however much of the hazy alveolar infiltrate has cleared. there is no new infiltrateWhat are the key findings of this report? [/INST] slight improvement in fluid overload. </s>
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<s>[INST] lower lung volumes seen on the current exam however the lungs remain clear. there is no consolidation, pneumothorax, or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. clear lungs. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographic examination. </s>
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<s>[INST] old healed left-sided rib fractures. there is crowding of the bronchovascular structures at the lung bases relatively increased lucency at the apices consistent with the patient's known emphysema. bibasilar atelectasis has improved compared to the prior study. no focal consolidation seen. no pneumothorax seen. probable small left pleural effusion.What are the key findings of this report? [/INST] slight improvement in the bibasilar airspace opacities likely reflecting atelectasis. infection cannot be excluded. persistent small left effusion. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is moderately enlarged, unchanged from <unk>. there is mild pulmonary edema. there are small bilateral pleural effusions with fluid tracking along the right costophrenic sulcus. bilateral basilar opacities are likely atelectasis. there is no pneumothorax. the mediastinal and hilar contours are unchanged. eventration of the right hemidiaphragm is less conspicuous on this study.What are the key findings of this report? [/INST] moderate cardiomegaly with mild pulmonary edema, small bilateral pleural effusions, and bibasilar atelectasis. </s>
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<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are slightly low. cardiac silhouette appears prominent but could be exaggerated by shallow inspiration. mediastinal and hilar contours are unremarkable. there is increased peribronchial density in the lower lobes on the lateral view. on the pa view, it is not clear whether it is more prominent on the right than left. there is no pleural effusion or pneumothorax, and no evidence for pulmonary edema. there is mild anterior wedging of <unk> mid to lower thoracic vertebral bodies.What are the key findings of this report? [/INST] <num>. prominence of peribronchial markings in the lower lobes, possibly greater on the right than left, is compatible with atypical pneumonia, given the patient's history. <num>. cardiac silhouette is abnormally prominent for age, but this could be secondary to shallow inspiration. clinical correlation is suggested. recommendation(s): if clinically warranted, repeated radiographs or echocardiography could be obtained. </s>
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<s>[INST] lung volumes are low. the cardiac, mediastinal and hilar contours appear stable. again noted is a nodule projecting over the right upper lung although better depicted on the recent prior examination. the lungs appear otherwise clear.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] since the prior chest radiograph performed on <unk>, there has been interval placement of a new enteric tube which terminates in the right lower lobe. replacement/repositioning is documented on a subsequent radiograph. streaky bibasilar opacities likely represent atelectasis. no sizable pleural effusion or pneumothorax. stable cardiomegaly. aorta is tortuous, and appears aneurysmal. multiple rib deformities are noted on the right, chronic.What are the key findings of this report? [/INST] interval placement of a feeding tube which terminates in the right lower lobe. repositioning is documented on a subsequent radiograph. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.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. the streaky opacities seen involving the left lower lobe, most consistent with atelectasis. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] left lower lobe opacity suggests atelectasis and is new from the prior examination. a previously seen left lower lobe opacity along the fissure is no longer identified on the current study. </s>
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<s>[INST] one ap portable upright view of the chest. the lungs are clear. the cardiac, mediastinal, and hilar contours are normal. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a right chest tube is present is a new right bronchial stent. no significant interval change in the loculated right pleural effusion as well as the right basal a pneumothorax. the size and appearance of the cardiomediastinal silhouette is unchanged. the left lung is grossly clear without a pleural effusion or pneumothorax.What are the key findings of this report? [/INST] interval placement of a right bronchial stent. no other significant interval change since the prior examination. </s>
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<s>[INST] two ap views of the abdomen were provided. lungs show no signs of focal consolidations. the cardiomediastinal silhouette is top normal in size. no pneumothorax or pleural effusion is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright 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] the lungs remain clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the aorta remains markedly tortuous with diffuse atherosclerotic calcifications. hilar contours are unchanged. lung volumes are low. streaky opacities in the lung bases likely reflect subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is visualized. there is no pulmonary edema. clips are again noted within the right upper quadrant of the abdomen. old 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] pulmonary edema has almost completely resolved. moderate cardiomegaly is a stable. there are low lung volumes. pacer leads are in standard position. there is no pneumo thorax or effusionsWhat are the key findings of this report? [/INST] resolved pulmonary edema </s>
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<s>[INST] pa and lateral views of the chest were provided. linear basilar opacities are most compatible with atelectasis. there is no definite sign of pneumonia or chf. no large effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] streaky lower lung opacities most compatible with atelectasis. no convincing signs of pneumonia. </s>
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<s>[INST] lungs remain clear. cardiomediastinal silhouette is within normal limits. left chest wall port is again seen. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable upright view of the chest demonstrates bibasilar opacities, which are new since prior exam, concerning for infection. no pleural effusion or pneumothorax. perihilar vascular congestion. hilar and mediastinal silhouettes are otherwise unchanged. heart size is normal. low lung volumes.What are the key findings of this report? [/INST] bibasilar opacities concerning for infection, new since <unk> exam. repeat radiograph following resolution of the symptoms is recommended. </s>
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<s>[INST] when compared to previous exam, there has been no significant interval change. left basilar opacity in part due to scarring is again noted. multifocal pulmonary nodules are better delineated on prior ct. cardiomediastinal silhouette is within normal limits. tubing compatible with percutaneous cholecystostomy identified in the right upper quadrant as well as a cbd stent. there is no free intraperitoneal air.What are the key findings of this report? [/INST] no acute cardiopulmonary process. known bilateral pulmonary nodules better seen on prior imaging. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and moderately well-aerated lungs with mild bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.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 reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. no nondisplaced rib fractures are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap semi upright view of the chest. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. a mild dextroscoliosis of the t-spine is noted.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] bilateral pleural effusions are again seen, slightly improved on the left with stable appearance on the right. there is also atelectasis within the right mid lung, likely due to atelctasis, however an underlying infection is also possible. there is no pneumothorax. the heart size is stable, allowing for relatively low lung volumes.What are the key findings of this report? [/INST] increased right mid-lung consolidation, likely due to atelectasis, however underlying infection cannot be excluded. bilateral pleural effusions, slightly improved on the left and stable on the right. </s>
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<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.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 hyperinflated, flattening the diaphragms, consistent with chronic obstructive pulmonary disease. the cardiac and mediastinal silhouettes are stable. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. copd. </s>
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<s>[INST] the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are hyperinflated but clear of consolidation or large effusion. the cardiomediastinal silhouette is within normal limits noting a slightly tortuous aorta. 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] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is within normal limits with unchanged median sternotomy wires and mediastinal surgical clips noted.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral views of the chest. the lungs are clear of focal consolidation. there is blunting of a posterior costophrenic angle presumably on the left suggestive of small effusion. note is made of an azygos lobe and fissure. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] probable left small effusion. otherwise essentially unremarkable chest x-ray. </s>
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<s>[INST] pa and lateral views of the chest provided. biapical pneumothoraces have nearly resolved. bibasilar atelectasis is again seen, otherwise lungs are clear. there is persistent apparent left hemidiaphragm elevation; given the increase distance between the apex of left hemidiaphragm and stomach bubble, a subpulmonic effusion may contribute to this appearance. otherwise, post-operative cardiomediastinal contour is stable. right ij line is in the right atrium.What are the key findings of this report? [/INST] <num>. apparent left hemidiaphragm elevation, possibly in part due to a subpulmonic effusion. additional left lateral decubitus radiograph may be helpful. <num>. resolving pneumothoraces. </s>
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<s>[INST] as compared to the prior examination, there has been minimal interval change. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema identified. sutures are again noted over the right mid lung, likely related to prior biopsy. there is moderate cardiomegaly. mediastinal and hilar contours are stable.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. stable, moderate cardiomegaly. </s>
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<s>[INST] compared with the immediate prior study of earlier on the same day there has been new or right middle lobe and right lower lobe collapse. there is likely trace associated layering right pleural effusion. the endotracheal tube terminates <num> cm from the carina. a left subclavian central venous catheter terminates the junction of the svc with the brachiocephalic vein. an enteric tube courses below the diaphragm and outside of the field of view. an inferior approach central venous catheter terminates in the ivc, unchanged. there is no left-sided pleural effusion or consolidation.What are the key findings of this report? [/INST] <num>. interval right middle lobe and right lower lobe collapse. <num>. endotracheal tube terminates <num> cm from the carina. </s>
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<s>[INST] interval placement of an enteric tube courses below the level the diaphragm, extending into the expected location of the stomach although the side port may be at the ge junction. recommend advancement sludge is well on the stomach. endotracheal tube terminates approximately <num> cm above level the carina. severe pulmonary edema persists. blunting of the left costophrenic angle concerning for a left pleural effusion. no large right pleural effusion is seen although a small pleural effusion may be difficult to exclude. no pneumothorax seen. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] enteric tube courses below the diaphragm, terminating in the expected location of the stomach, however, the side port may be at the level of the ge junction. recommend advancement so that it is well within the stomach. persistent severe pulmonary edema. small left pleural effusion. </s>
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<s>[INST] in the upper lungs are clear. subtle bilateral retrocardiac opacities may be of clinical importance however it is difficult to correlate without prior studies and are slightly obscured by the hiatal hernia. bowel contents are traversing the diaphragm through the hiatus and is likely due to a prior gastroesophageal surgery. otherwise, the cardiomediastinal and hilar contours are normal. mild blunting of the right costophrenic angle may represent a small pleural effusion or chronic scarring. the left pleural surfaces are normal. no evidence of pneumothoraces. the right pacemaker is intact with leads located in the right atrium and right ventricle.What are the key findings of this report? [/INST] <num>. appropriate positioning of the right pacemaker leads. no evidence of pneumothorax. <num>. bilateral retrocardiac opacities which may represent pneumonia or atelectasis. if clinical concern for infectious process, ct imaging would provide superior evaluation. <num>. a probable small right pleural effusion. </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] frontal and lateral views of the chest demonstrate pacemaker leads in unchanged positions. there is no focal consolidation, pneumothorax, or pulmonary edema. linear areas of opacification involving right mid lung zone are less conspicuous on current study and likely correspond to areas of atelectasis. the hilar and mediastinal silhouette are unchanged. aortic arch calcifications are again seen. anterior wedge deformities of the mid thoracic vertebral bodies appear longstanding.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. left upper lung surgery is again noted with clips and chain sutures at the left hilum. the lungs are clear of consolidation. there are trace bilateral effusions. cardiomediastinal silhouette is stable. osseous structures demonstrate no acute abnormality.What are the key findings of this report? [/INST] trace bilateral effusions. no overt pulmonary edema. </s>
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