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<s>[INST] pa and lateral views of the chest. no prior. lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. these findings were discussed with dr. <unk> at <unk> via telephone by <unk> <num> minute after initial discovery of the findings. </s>
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<s>[INST] no significant interval change other than a small focal opacity in the right upper lobe which could represent a focal consolidation, mucous plugging, or areas of superimposed normal structures. no pleural effusion, edema, or pneumothorax. cardiomediastinal silhouette is unchanged. descending thoracic aorta calcifications are unchanged. mild dextroconvex scoliosis of the thoracic spine is also unchanged. moderate anterior osteophytes in the lower thoracic vertebral bodies are unchanged. an incidental azygous fissure is again noted. there is pectus excavatum.What are the key findings of this report? [/INST] small focal rounded opacity in the peripheral right upper lobe could reflect focal pneumonia or mucous plugging, less likely a mass given the short time course of development. recommend treatment for infection and short interval follow-up after treatment to ensure resolution. recommendation(s): follow-up radiograph after treatment for pneumonia to ensure resolution of new right upper lobe opacity. </s>
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<s>[INST] compared to prior, there has been substantial decrease in right pleural effusion with minimal pleural effusion. right lower lobe atelectasis is improved. no appreciable pneumothorax is seen. there is persistent moderate left pleural effusion, possibly larger. there is engorgement of the pulmonary vasculature, though no pulmonary edema is seen. the heart size is enlarged. fiducial markers are seen in the abdomen. severe degenerative changes of the spine is seen.What are the key findings of this report? [/INST] <num>. minimal residual right pleural effusion. no appreciable pneumothorax. <num>. moderate left pleural effusion, possibly larger. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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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. the cardiac and mediastinal silhouettes are unremarkable. partially imaged right humeral head shows suggestion of a hill-<unk> deformity, although not fully imaged, may be from prior trauma.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. widespread interstitial lung markings are similar to prior and compatible with a combination of interstitial lung disease and emphysema. small pleural effusions are present. no focal consolidation or pneumothorax. no radiopaque foreign body.What are the key findings of this report? [/INST] interstitial lung disease, similar to prior, with new small pleural effusions. no focal consolidation. </s>
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<s>[INST] moderate cardiomegaly is stable. small left effusion with adjacent atelectasis have improved. . right lower lobe opacities likely atelectasis have in increased. there is no pneumothorax. multiple left rib fractures are again notedWhat are the key findings of this report? [/INST] increased opacities in the right base likely atelectasis. improved small left pleural effusion and adjacent atelectasis </s>
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<s>[INST] pa and lateral views of the chest provided. lungs appear hyperinflated with coarsened lung markings compatible with known emphysema. a nodular opacity projecting over the left lower lung may represent a nipple shadow. the aorta appears unfolded. no large effusion, pneumothorax, signs of pneumonia or edema. heart size is normal. bony structures are intact.What are the key findings of this report? [/INST] hyperinflated lungs with coarsened lung markings compatible with known emphysema. unfolded thoracic aorta. </s>
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<s>[INST] enteric tube tip in the proximal stomach. endotracheal tube tip in good position. very shallow inspiration. bilateral perihilar opacities have worsened, particularly on the right, likely edema. stable left basilar consolidation. increased heart size. suggestion of small right pleural effusion.What are the key findings of this report? [/INST] worsened perihilar opacities, likely edema. </s>
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<s>[INST] pa and lateral views of the chest were reviewed. severe cardiomegaly is unchanged since the prior study. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are clear with no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate moderatecardiomegaly . the left aicd is in stable position. mediastinal and hilar contours are stable when compared to prior radiograph dated <unk>. no focal consolidation is identified concerning for infection. patient has known emphysema and a fiducial seed in the left upper lobe. there is no pleural effusion or pneumothorax. osseous structures demonstrate no acute abnormality.What are the key findings of this report? [/INST] stably enlarged heart with no convincing consolidation concerning for pneumonia. no overt pulmonary edema. emphysema. </s>
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<s>[INST] pa and lateral views of chest. hazy lingular opacity persists from the prior study. there is no pleural effusion or pneumothorax. the right lung is clear. cardiac silhouette is top-normal in size. the aorta is tortuous.What are the key findings of this report? [/INST] lingular opacity concerning for pneumonia. </s>
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<s>[INST] a right-sided port-a-cath is in appropriate position and terminates at the cavoatrial junction. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. a moderate, possibly partially loculated right pleural effusion is slightly decreased. right middle lobe and right lower lobe atelectasis is again seen with mild improvement of the right middle lobe atelectasis. the left lung is clear. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. moderate, possibly partially loculated right pleural effusion is slightly decreased. <num>. right middle lobe and right lower lobe atelectasis is again seen with improvement of the right middle lobe atelectasis. <num>. right port-a-cath in appropriate position. </s>
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<s>[INST] compared with the radiograph from <num> hr prior, the right pleural drainage catheter has been retracted, with resultant decrease in the size of the persistent small to moderate right pleural effusion. right basilar atelectasis is new. there is no pneumothorax. the right picc line ends in the low svc. right basilar atelectasis is unchanged. pulmonary vascular congestion in the left lung is mild, and borderline cardiomegaly is unchanged. no left pleural effusion.What are the key findings of this report? [/INST] <num>. interval retraction of the right pleural drainage catheter, with resultant decrease in the persistent small to moderate right pleural effusion. <num>. new right basilar atelectasis. <num>. no evidence of pneumothorax. </s>
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<s>[INST] low lung volumes are again noted with crowding of the bronchovascular markings. blunting of the posterior costophrenic angles suggest small effusions. there is no confluent consolidation. the cardiomediastinal silhouette is within normal limits. drain in the right upper quadrant is noted. compression deformity in the upper lumbar spine is partially visualized, unchangedWhat are the key findings of this report? [/INST] small effusions without focal consolidation. </s>
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<s>[INST] portable ap chest radiograph. streaky opacities in the lung bases may reflect atelectasis, but infection is not excluded. no overt pulmonary edema is present. there is no large pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] bibasilar airspace opacities could reflect atelectasis, but infection is not excluded. </s>
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<s>[INST] interval intubation with endotracheal tube in standard position about <num> cm above the carina. new tubular collection of contrast is present corresponding to the pattern of a bronchus in the right infrahilar region consistent with aspirated oral contrast in the setting of visualized oral contrast within the imaged portion of the upper stomach. nasogastric tube is in place with sideport projecting proximal to ge junction level. cardiomediastinal contours are stable in appearance allowing for positional and projectional differences. moderate left and large layering right pleural effusions are present, as well as persistent bilateral lower lobe opacities in keeping with extensive atelectasis in this region demonstrated on recent cta of earlier the same date. multiple acute right rib fractures are also noted.What are the key findings of this report? [/INST] <num>. aspirated barium in the right bronchial tree. <num>. sideport of ng tube in proximal location but has subsequently been advanced on a followup radiograph. <num>. large right and moderate left layering pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. increased density projecting over the right side of the cardiac silhouette is again noted, potentially left atrium. the azygoesophageal recess is not displaced. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. double density projecting over the region of the right atrium, potentially due to configuration of the left atrium. if desired, further characterization could be performed by ct. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. 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] ap portable upright view of the chest. aicd is unchanged in position with leads extending to the region the right atrium and right ventricle. the lungs appear clear. please note, recent chest ct findings of bilateral diffuse ground-glass pulmonary opacities are not reliably seen and were also radiographically occult on radiograph dated <unk>. difficult to assess for interval change/resolution. no large effusion or pneumothorax. there is prominence of the main pulmonary artery outline which corresponds to a dilated main pulmonary artery on recent ct. heart size is normal. bony structures are intact. chronic left sixth rib deformity is again noted. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] the lungs are clear besides mild left basilar atelectasis. there is no consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta. median sternotomy wires and prosthetic aortic fall from noted. there is leftward deviation of the trachea at the thoracic inlet as on prior, likely due to right-sided thyroid enlargement.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is unchanged and remains at the high end of normal. again, calcifications are seen within the arch of the aorta. cardiomediastinal contours are unremarkable. lung volumes are low but not significantly changed from the prior study; however, bilateral pleural effusions are markedly improved on the left and somewhat better on the right. no pneumothorax. the position of the chest tube remains unchanged.What are the key findings of this report? [/INST] bilateral pleural effusions have decreased in size. lungs appear to be better aerated. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in sitting upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. high-positioned diaphragms conceal major portion of cardiac silhouette, but significant cardiac enlargement is unlikely. the thoracic aorta is mildly widened and elongated but does not demonstrate any local contour abnormalities. the pulmonary vasculature is not congested. there exists bilateral plate thin atelectasis. there is no evidence of any new discrete pulmonary parenchymal infiltrate of pneumonic nature. also, the lateral pleural sinuses are free, which excludes major pleural effusion. no pneumothorax identified in right apical area. a right internal jugular approach central venous line remains similar as on the preceding study.What are the key findings of this report? [/INST] bilateral basal plate atelectasis, high-positioned diaphragms, no evidence of new acute parenchymal infiltrates or pleural effusion. no pneumothorax. </s>
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<s>[INST] cardiomediastinal silhouette is normal. the lungs are clear without focal consolidation. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] multiple rounded opacities seen within the hilum are consistent with known metastatic lymphadenopathy. mild asymmetric pulmonary edema within the right lung. no pleural effusion or pneumothorax. no new focal opacity. upper airway is not well visualized. new left main bronchus compression. right port tip within the lower svc. visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. upper airway not visualized. clinical correlation is recommended and if concern a dedicated neck/soft tissue radiograph may be obtained. <num>. metastatic disease with hilar lymphadenopathy and new left main bronchus compression. <num>. no new focal opacity to suggest pneumonia. </s>
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<s>[INST] the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well aerated and grossly clear without evidence of focal consolidation. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette hilar contours are normal.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 demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since the prior radiograph performed approximately <unk> min earlier, the dobbhoff tube has been repositioned and now terminates in the stomach. otherwise, there are no significant changes. persistent mild interstitial edema. there is opacification of the left lung base, attributable to a small to moderate pleural effusion as well as adjacent atelectasis. no pneumothorax. stable cardiomegaly.What are the key findings of this report? [/INST] <num>. the dobbhoff tube has been repositioned, and now terminates in the stomach. <num>. mild interstitial edema. </s>
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<s>[INST] there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. this study was not designed to evaluate sites for myelomatous involvement.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] opacity neighboring right heart border likely representing right middle lobe atelectasis, new since <unk>. decreased lung volumes with bibasilar atelectasis, stable from <unk>. right jugular venous central line ends in the lower svc. no evidence of pneumothorax. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.What are the key findings of this report? [/INST] decreased lung volumes with right middle lobe atelectasis, new since <unk>. right jugular venous central line ends in the lower svc without evidence of pneumothorax. </s>
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<s>[INST] ap semi 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] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. no pneumomediastinum is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no pneumomediastinum. </s>
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<s>[INST] cardiac size is top normal. right lower lobe opacities are increasing. pacer leads are in standard position. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] increasing opacities in the right lower lobe could be atelectasis but superimposed infection can't be excluded. </s>
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<s>[INST] since <unk>, the tip of the endotracheal tube terminates <num> cm above the carina. heterogeneous opacities in the right mid and lower lungs appear stable with improved aeration of the lungs. unchanged cardiac silhouette. the feeding tube is seen in the stomach. no pneumothorax.What are the key findings of this report? [/INST] <num>. the tip of the et tube terminates <num> cm above the carina. <num>. otherwise unchanged heterogeneous opacities in the right mid and lower lungs with improved aeration. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were compared to previous exam from <unk>. there has been no significant interval change. again seen is cephalization of the pulmonary vasculature. bibasilar opacities are again seen, potentially due to atelectasis or edema, however, infiltrate is not excluded. there is slight blunting of the posterior costophrenic angles, raising possibility of trace effusions. cardiac silhouette is enlarged but stable. osseous structures are unchanged.What are the key findings of this report? [/INST] no significant interval change of pulmonary vascualr congestion. bibasilar opacities, potentially atelectasis or edema however developing infiltrates are also possible. clinical correlation suggested. </s>
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<s>[INST] cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is not engorged. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear without focal opacity or overt pulmonary edema. there is mild pulmonary vascular congestion. the pleural surfaces are normal. the heart is mildly enlarged, unchanged since <unk>. the mediastinal contours are normal.What are the key findings of this report? [/INST] mild cardiomegaly and pulmonary vascular congestion. no overt pulmonary edema. </s>
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<s>[INST] the lungs are clear, without effusion or pneumothorax. the heart size is normal. the right paratracheal stripe is ill-defined, especially distally. there is evidence of prior left mastectomy, with axillary lymph node dissection.What are the key findings of this report? [/INST] <num>. no acute chest abnormality. <num>. the right paratracheal stripe is ill-defined, especially distally. if there is concern for lymphadenopathy, this could be further evaluated with ct. </s>
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<s>[INST] the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] right picc is no longer visualized. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. surgical clips project over the bilateral axillae.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. the heart size is within normal limits. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. no mediastinal abnormalities are present. the pulmonary vasculature is not congested and no signs of acute or chronic pulmonary infiltrates can be seen. the lateral and posterior pleural sinuses are free from any fluid accumulation. no evidence of pneumothorax in the apical area. skeletal structures of the thorax are characterized by multiple deformities in bilateral location.they have the appearance of healed rib fractures with callus formation and are located on the frontal view in the lateral aspect of ribs #<num>, <num>, <num> and <num>. on the left side, similar injuries exist, however, slightly less marked and involve again ribs #<num> through <num>. the kyphotic curvature of the thoracic spine is unremarkable on the lateral view and there is no evidence of any vertebral body compression fracture. there is also evidence of an old fracture in mid portion of the left clavicle again with bridging callus. our records do not include a previous chest examination available for comparison.What are the key findings of this report? [/INST] no evidence of cardiac enlargement, pulmonary congestion, or acute or chronic pulmonary parenchymal infiltrates. appearance of bilateral old multiple rib fractures and left-sided clavicle fracture apparently of older date. </s>
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<s>[INST] a right-sided picc and left-sided chest tube are unchanged in position compared to the prior study. no pneumothorax seen. there is a persistent left pleural effusion, similar to slightly increased in size when compared to the prior study. prominence of the pulmonary vasculature consistent with mild congestive heart failure. no frank pulmonary edema.What are the key findings of this report? [/INST] possible slight increase in the left pleural effusion, otherwise no significant interval change. no pneumothorax seen. </s>
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<s>[INST] the lungs are clear without consolidation, effusion, or edema. calcified granuloma noted in the left midlung. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is demonstrated. mild loss of height of a low thoracic vertebral body is unchanged. no free air is seen under the diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no free air is seen under the diaphragms. </s>
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<s>[INST] enteric tube tip in the distal stomach. right pleural effusion has decreased. improved right basilar opacity. minimal left basilar opacity, likely atelectasis. normal pulmonary vascularity. no pneumothorax.What are the key findings of this report? [/INST] enteric tube tip in the distal stomach. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate a subtle retrocardiac opacity. the lungs are otherwise clear. the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. a left picc ends in the upper to mid svc.What are the key findings of this report? [/INST] new retrocardiac opacity is concerning for an early left lower lobe pneumonia. findings were discussed with dr. <unk> by dr. <unk> <unk> the telephone on <unk> at <time>, <unk> min after findings were made. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no evidence of 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. minimal patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] minimal patchy opacities likely reflect areas of atelectasis, though early infection in the right lung base cannot be completely excluded. no evidence for active tuberculosis. </s>
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<s>[INST] fine detail is limited by the overlying soft tissues. the cardiac silhouette is unchanged and normal. mediastinal contours are unremarkable. there is no pleural effusion, pneumothorax or airspace consolidation. the lung volumes are slightly lower than prior, resulting in crowding of the bronchovascular structures.What are the key findings of this report? [/INST] normal heart size. </s>
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<s>[INST] as compared to the prior examination dated <unk>, there has been no relevant interval change. streaky bibasilar atelectasis is again noted. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. stable appearance of a compression deformity involving a vertebral body at the thoracolumbar junction.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the spiculated right middle lobe mass is unchanged. the surrounding post procedural changes have improved. no new consolidation. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is unremarkable and unchanged.What are the key findings of this report? [/INST] no pneumothorax. unchanged right middle lobe mass with improving surrounding postprocedural changes. </s>
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<s>[INST] the cardiac silhouette is enlarged. the lungs are hyperinflated. a large hiatal hernia with an air-fluid level is again seen. no definite focal consolidation is identified. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. large hiatal hernia. </s>
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<s>[INST] the lungs remain clear. the cardiomediastinal silhouette is stable. median sternotomy wires, mediastinal clips, and dense atherosclerotic calcifications at the arch are again noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] in the interval since the prior study, a second right-sided chest tube has been placed. this appears to cross the midline and meet the left apex. there is a persistent small right apical pneumothorax. an opacity at the right lung base likely reflects a atelectasis. subcutaneous emphysema again noted. the left lung appears grossly clear.What are the key findings of this report? [/INST] persistent right apical pneumothorax. a new right chest tube appears to cross the midline to the left side of the chest and could be withdrawn <num> cm for better positioning in the right lung apex. </s>
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<s>[INST] small patchy opacity projecting over the lateral right base opacity may be artifactual; correlate with symptoms for possible developing consolidation. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] small patchy lateral right base opacity may be artifactual; correlate with symptoms for possible developing consolidation. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lung volumes are slightly low. there is a new left basilar retrocardiac opacity. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left lower lobe focal consolidation worrisome for infection in the proper clinical setting. recommend follow up imaging after treatment to ensure resolution. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are within normal limits. no displaced fracture is seen.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, or pneumothorax. mild cardiomegaly is unchanged from multiple priors. there is no pulmonary vascular congestion.What are the key findings of this report? [/INST] no evidence for acute pulmonary edema. an attempt was made to call these results to dr. <unk>. </s>
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<s>[INST] since the prior cxr performed yesterday afternoon, one of the left chest tubes has been removed and there is now one remaining. worsening opacification of the left hemithorax that partially spares the left apex, likely from a moderate/severe pleural effusion with adjacent atelectasis. there is also right lung base atelectasis. no pneumothorax. the pneumopericardium has resolved. however, the cardiac silhouette is noticeably larger than yesterday; this may be due to rightward mediastinal shift from the left pleural effusion, or worsening pericardial effusion. unchanged appearance of subcutaneous emphysema in the left lateral chest wall. surgical clips are noted in the left upper quadrant.What are the key findings of this report? [/INST] <num>. interval removal of <num> of <num> left chest tubes. worsening opacification of left hemithorax, likely due to moderate/severe pleural effusion with atelectasis. <num>. pneumopericardium resolved. <num>. enlarging cardiac silhouette, which may be due to the left pleural effusion or re-accumulating pericardial effusion. recommend obtaining echocardiogram for clarification. </s>
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<s>[INST] endotracheal tube ends approximately <num> cm from the carina and is appropriately positioned. orogastric tube is seen coursing below the diaphragm; however, its distal end is of radiographic view. right internal jugular line extends to upper svc. mild-to-moderately enlarged heart, bilateral perihilar haze, prominent right pulmonary artery and diffuse lung haziness obscuring the bronchovascular marking suggest moderately severe pulmonary edema. there are presumed small bilateral effusions. no pneumothorax.What are the key findings of this report? [/INST] moderately severe pulmonary edema. </s>
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<s>[INST] the lungs are well expanded. linear opacities in the left lower lobe are unchanged from prior and likely represent scarring. no other focal opacities are noted. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.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 moderately enlarged but accentuated by the low lung volumes. there is mild pulmonary vascular congestion with ill-defined patchy opacities in the lung bases, possibly atelectasis but infection or aspiration cannot be excluded. there may be trace bilateral pleural effusions. no pneumothorax is demonstrated. left subclavian vascular stent is in unchanged position.What are the key findings of this report? [/INST] low lung volumes with mild pulmonary vascular congestion, possible bilateral trace pleural effusions, and bibasilar airspace opacities, possibly reflecting atelectasis but infection or aspiration cannot be excluded. </s>
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<s>[INST] pa and lateral views of the chest were provided. lungs are clear aside from faint linear density in the right mid lung which is most compatible with atelectasis or scarring. there is no effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no typical configurational abnormality is identified. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax grossly unremarkable. there exists no prior chest examination or records available for comparison.What are the key findings of this report? [/INST] chest findings within normal limits. thus, no evidence of acute pulmonary infiltrates in a patient with history of cough and right-sided rhonchi. </s>
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<s>[INST] lung volumes are normal. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the lung volumes are somewhat low. the pulmonary vasculature is mildly prominent, new since the prior study. there are small to moderate bilateral pleural effusions, left greater than right, increased from prior exam, possibly with some locualtion. medial basilar opacity has increased in the left lower lobe, superimposed on chronic interstitial changes. there is no pneumothorax. the cardiomediastinal silhouette is unchanged from prior exam. a left anterior chest wall pacemaker is seen with intact leads in appropriate positions. median sternotomy wires and mediastinal surgical clips are noted.What are the key findings of this report? [/INST] mild new vascular congestion. bilateral pleural effusions, left greater than right and increased from prior exam. increased left lower lobe opacity; atelectasis or pneumonia could be considered - correlation with clinical presentation is suggested. </s>
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<s>[INST] the entire course of the dobhoff tube is not included in the field of view. however, the tip is well below the diaphragm to the right of midline likely in the distal stomach or proximal duodenum. remaining parenchymal findings are unchanged.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] single ap view of the chest provided. patient is status post right upper lobe resection. dobbhoff tube is seen within the proximal stomach. a right picc line ends at the mid svc. diffuse, bilateral alveolar and interstitial opacities are umchanged from the prior examination. no pneumothorax. a small, right pleural effusion appears unchanged. hilar and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] <num>. dobbhoff tube projects over the proximal stomach. <num>. diffuse, bilateral alveolar and interstitial opacities are unchanged from prior examination on the same date. <num>. a small, right pleural effusion appears unchanged from prior. </s>
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<s>[INST] enteric tube courses below the diaphragm, terminating in the proximal stomach. mild basilar atelectasis is seen. there is no focal consolidation. no pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] nasogastric tube terminates in the proximal stomach. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a nodular focus projecting over the left mid lung, possibly a nipple shadow measuring approximately <num> mm in diameter. a nodular focus projecting over the right mid lung may also reflect a nipple shadow. otherwise, the lung fields appear clear. there are no pleural effusions or pneumothorax. mild degenerative changes are present along the mid thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. nodular foci projecting over each lung, possible nipple shadows. confirmation is recommended with an additional pa view with nipple markers when clinically appropriate. an email regarding the recommendation was sent to the er <unk> nursing group on <unk>, at <time> pm. </s>
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<s>[INST] supine portable ap view of the chest was provided. there is stable prominence of the mediastinum, which was fully assessed on the prior cta chest. lung volumes are low. right rib cage deformities are chronic. no effusion or pneumothorax is seen. no convincing consolidation, effusion, or pneumothorax is present. there is a rounded calcification overlying the right upper quadrant, stable, likely a large gallstone.What are the key findings of this report? [/INST] stable mediastinal prominence which has been previously evaluated on ct from <unk>. stable chronic right rib cage deformity. </s>
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<s>[INST] an endotracheal tube is noted with the tip terminating approximately <num> cm above the level of the carina. a nasogastric tube courses below the diaphragm and out of view radiograph. lung volumes are low leading to crowding of the bronchovascular structures. bibasilar atelectasis is noted. the upper lung fields are grossly clear. the cardiac size is difficult to assess but appears within normal limits.What are the key findings of this report? [/INST] <num>. ett terminating <num> cm above the carina. <num>. low lung volumes and bibasilar atelectasis. </s>
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<s>[INST] there has been interval removal of a left chest tube, and there is a small apical left pneumothorax. the lungs are without focal consolidation or pleural effusion. the cardiac and mediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] small left apical pneumothorax following chest tube removal. </s>
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<s>[INST] again is seen a left-sided pacer unit with leads in the right atrium and right ventricle. sternotomy wires and mediastinal clips associated with post-cabg changes are stable. the heart size is stably enlarged. the mediastinal contours demonstrate calcified atherosclerotic disease of the aortic knob with a mildly tortuous aorta. the lungs are clear of consolidation and while the pulmonary vasculature is prominent, there is no septal thickening to suggest pulmonary edema. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] cardiomegaly and post-cabg changes, but no evidence of pneumonia or pulmonary edema. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. left apical pleural thickening is seen. there is evidence of left apical bronchiectasis/scarring, correlate with patient history. the right lung is clear. there is no pleural effusion or pneumothorax. the cardiac silhouette is top normal.What are the key findings of this report? [/INST] left apical pleural thickening with suggestion of areas of left upper lobe bronchiectasis and scarring. </s>
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<s>[INST] two subsequent frontal views of the chest were obtained. new endotracheal tube terminates <num> cm above the carina. enteric tube, seen only on the second radiograph, terminates below the diaphragm. right central catheter terminates in the lower svc. diffusely increased opacity of both lungs is compatible with pulmonary edema. right middle lobe and left lower lobe opacities persist, compatible with multifocal pneumonia. indistinctness of the left costophrenic angle is compatible with a pleural effusion. heart size and cardiomediastinal contours are stable.What are the key findings of this report? [/INST] <num>. endotracheal tube in satisfactory position. <num>. multifocal pneumonia with superimposed pulmonary edema. </s>
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<s>[INST] left-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. atherosclerotic calcifications are noted at the aortic knob. mediastinal and hilar contours are similar, and pulmonary vasculature is not engorged. subsegmental atelectasis is seen within the right lower lobe. no focal consolidation, pleural effusion or pneumothorax is demonstrated. there are multilevel mild to moderate degenerative changes within the thoracic spine. clips are demonstrated in the right upper quadrant compatible prior cholecystectomy.What are the key findings of this report? [/INST] subsegmental right lower lobe atelectasis. no pneumonia. </s>
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<s>[INST] transvenous right pacer lead follows the expected course into the right ventricle. moderate to severe cardiomegaly is unchanged. prominence of the pulmonary vasculature, is unchanged, and compatible with mild vascular congestion. there is no focal lung consolidation. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unchanged appearance of the chest with moderate to severe cardiomegaly and mild vascular congestion. no focal consolidation. </s>
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<s>[INST] pa and lateral views of the chest were provided. lungs are hyperinflated with coarsened reticular markings suggestive of underlying emphysema. there is biapical pleural parenchymal scarring. no focal consolidation to suggest pneumonia. no evidence of pulmonary edema effusion or pneumothorax. there is tracheobronchial tree calcification. the heart size and mediastinal contour appear normal. imaged bony structures appear intact.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] cardiac size cannot be evaluated. it appears to be smaller than in prior study. small bilateral effusions have decreased. there is no evident pneumothorax. the left hemidiaphragm is elevated as before. ng tube is coiled in the stomach. the tip could be also in the stomach but is not totally included in the film. residual contrast is visualized in the right paraspinal region. sternal wires are aligned.What are the key findings of this report? [/INST] decrease in size in pleural effusions which are likely loculated on the left. </s>
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<s>[INST] there is linear atelectasis at the right base. the lungs are otherwise clear without consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] right basilar atelectasis. no evidence of pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. mild unfolding of the thoracic aorta is unchanged. the lungs are clear. there is no pneumothorax, vascular congestion, or pleural effusion. small clips and/or chain sutures project over the splenic flexure.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a three-lead pacemaker/icd device with leads again terminating in the right atrium, right ventricle, and coronary sinus, respectively. the patient is status post coronary artery bypass graft surgery. the heart is moderately enlarged. the mediastinal and hilar contours appear unchanged. there is mild upper zone redistribution of the pulmonary vascularity without frank pulmonary edema. there is no pleural effusion or pneumothorax. thin anterior flowing osteophyte formation is noted along the mid-to-lower thoracic spine.What are the key findings of this report? [/INST] mild vascular prominence suggesting pulmonary venous hypertension without frank edema. cardiomegaly. unchanged configuration of aicd device. </s>
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<s>[INST] there are diffusely increased bilateral interstitial markings, with associated bibasilar focal consolidations, right worse than left, that obscure the margins of both hemidiaphragms and the right heart border. there is no evidence of pneumothorax. heart size cannot be accurately assessed due to obscuration of sillouhette by basilar consolidations. severe atherosclerotic calcification of the aorta is present.What are the key findings of this report? [/INST] <num>. findings compatible with interstitial pulmonary edema in the setting of known cardiomegaly. <num>. bibasilar opacities, right greater than left, may be the result of a combination of bilateral lower lobe atelectasis and pleural effusions, underlying consolidation, particularly in the right lower lobe is of concern. <num>. right middle lobe atelectasis is also present. </s>
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<s>[INST] the lungs are 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 remains mild to moderately enlarged. the mediastinal contour is unchanged. pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs now appear 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] pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] there is mild cardiomegaly. the aorta is tortuous and calcified. the mediastinal and hilar contours appear unchanged. there is a similar mild interstitial abnormality with prominence of central pulmonary vascularity, suggesting mild vascular congestion. in addition, patchy streaky opacities in the right mid and lower lung suggest a background of minor scarring or atelectasis. although evaluation is limited, there is no definite pleural effusion. no pneumothorax is demonstrated, although it is noted that the left lung apex is obscured by a flexed chin.What are the key findings of this report? [/INST] essentially stable findings suggesting mild pulmonary vascular congestion. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] there appears to be a pin like entity at the left axilla, please correlate with clinical exam. the right picc line terminates at the low svc. biventricular device is seen with leads terminating in the likely right atrium and right ventricle as well as the left ventricle. a swan-ganz catheter is seen approximately <num> cm from the mediastinum for which it was already recommended to be pulled back approximately <num>-<num> cm. there is no pleural effusion or pneumothorax. there are no pulmonary consolidations. cardiomediastinal silhouette appears unchanged as compared to prior and median sternotomy wires are intact.What are the key findings of this report? [/INST] right picc line terminating at the lower svc. swan-ganz catheter seen approximately <num> cm distal to the mediastinum located in the right pulmonary artery. </s>
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<s>[INST] heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear. no acute skeletal findings.What are the key findings of this report? [/INST] no findings to account for left chest pain. </s>
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<s>[INST] compared with the prior radiographs of <unk>, there is stable moderate cardiomegaly, and a large stable left pleural effusion. lung volumes are low on the present study causing bronchovascular crowding. allowing for this, the mild pulmonary edema in the left upper lung field is unchanged. there is mildly increased density in the right lung field, which may represent slight progression of right-sided pulmonary edema, though the interval change may be attributable to differences in lung volumes. the right pleural effusion has likely grown as it now extends into the horizontal fissure. the pulmonary arteries remain enlarged suggesting pulmonary hypertension.What are the key findings of this report? [/INST] <num>. increased density in the right lung field may represent slight progression of pulmonary edema or may be attributable to low lung volumes. <num>. likely increase in the small to moderate right pleural effusion, which now extends into the horizontal fissure. <num>. stable cardiomegaly, enlarged pulmonary arteries, left pleural effusion, and left-sided pulmonary edema. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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