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<s>[INST] the lungs appear relatively hyperinflated. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen. no displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] left-sided pacemaker device with leads terminating in the right atrium and right ventricle is re- demonstrated, unchanged. heart size remains mildly enlarged. the mediastinal and hilar contours are similar. no pulmonary vascular congestion is present. minimal atelectasis is noted in the right lung base. no new focal consolidation, pleural effusion or pneumothorax is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] single portable chest radiograph demonstrates unremarkable mediastinal, hilar and cardiac contours. rounded opacity projecting over the right upper lung adjacent to anterolateral fourth rib deformity may reflect sequaelae of trauma. known acute left lower limb fracture is not well appreciated on current study. no pleural effusion or pneumothorax is evident.What are the key findings of this report? [/INST] opacity projecting over right upper lung with adjacent rib deformity may reflect prior injury. recommend re-evaluation in <num> weeks to assess for resolution. </s>
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<s>[INST] pa and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax or pleural effusion. there is no air identified in to the right hemidiaphragm. osseous structures demonstrates no acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] the visualized mediastinal structures are unremarkable. there is increased opacification of the retrocardiac area when compared with prior film. additionally, there is poor delineation of the left hemidiaphragm. given leukocytosis, these findings are concerning for left-sided pneumonia.What are the key findings of this report? [/INST] retrocardiac opacity concerning for left lower lung pneumonia. </s>
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<s>[INST] cardiac size is top normal. the lungs are clear. nodules reported in the prior ct are below the resolution of these radiograph. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality </s>
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<s>[INST] there is moderate right apical pneumothorax and atelectasis in the right lower lung likely of the lower lobe. there is no shift of the mediastinum or other signs of tension. there is no focal consolidation or pleural effusion. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. there are no displaced fractures.What are the key findings of this report? [/INST] moderate right apical pneumothorax without radiographic signs of tension. right lower lobe atelectasis. </s>
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<s>[INST] there is moderate enlargement of cardiac silhouette similar to prior. the lungs are clear without consolidation, effusion, or edema. median sternotomy wires are intact. mediastinal clips 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] again, there is a calcified lesion projecting over the right breast. this is unchanged from the prior radiograph. there is no pulmonary edema or focal airspace consolidation. the right pleural effusion appears slightly larger in comparison to prior exam. the right hemidiaphragm remains slightly elevated in comparison to the left. there is no left pleural effusion. there is biapical pleural scarring. there is no pneumothorax. the mediastinal contours are normal. the cardiac silhouette is mildly enlarged, and stable.What are the key findings of this report? [/INST] <num>. slight interval enlargement of right pleural effusion. <num>. stable mild cardiomegaly. </s>
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<s>[INST] there are relatively low lung volumes that accentuate the bronchovascular markings. given this, no focal consolidation is seen. the right costophrenic angle is not fully included on the image, however, and no evidence of large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] right costophrenic angle not fully included on the image. low lung volumes. otherwise, no acute cardiopulmonary process seen. </s>
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<s>[INST] the patient is status post left vat s pleural biopsy and previous breast reconstruction surgery. cardiomediastinal contours are normal. lungs are clear except for focal scarring at the left base. left pleural effusion has nearly resolved since the previous radiograph with only minimal residual fluid or thickening. .What are the key findings of this report? [/INST] <num>. near resolution of left pleural effusions since <unk> with small amount of residual pleural thickening or fluid. <num>. no evidence of pneumonia. </s>
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<s>[INST] the patient remains intubated. the endotracheal tube terminates about <num> cm above the carina. an orogastric tube terminates in the stomach. an aortic stent graft projects from the arch through the lower part of the descending thoracic aorta, as before. a single-lead pacemaker device also appears unchanged. an internal central jugular venous catheter has been slightly retracted, now terminating over the left mediastinal border, presumably in the left brachiocephalic vein. somewhat increased confluent left basilar and infrahilar opacification with air bronchograms is nonspecific, but most often would represent a combination of atelectasis, perhaps pneumonia, and possibly with a pleural effusion. the central pulmonary vasculature appears moderately engorged including enlargement of the main pulmonary artery.What are the key findings of this report? [/INST] status post aortic valve and stent graft placements. lines, tubes, and drains unchanged. mild increased findings suggesting fluid overload. left-sided opacification which could be seen with some combination of atelectasis, pleural effusion, and potentially pneumonia. </s>
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<s>[INST] port-a-cath terminates at the uppermost right atrium. the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] no focal consolidation, pleural effusion, or pneumothorax is seen. mild pulmonary vascular congestion is noted. the cardiomediastinal silhouette is stable. redemonstrated are unchanged healed left posterior rib fractures.What are the key findings of this report? [/INST] mild pulmonary vascular congestion. </s>
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<s>[INST] there is a faint opacity in the right upper lobe suggestive of an infectious process. there is mild right lower lobe atelectasis. otherwise, the remainder of the lungs are clear with no evidence of other consolidations, effusions, or pneumothoraces. the cardiomediastinal silhouette is normal. calcified costochondral junctions are visualized. otherwise, the remainder of osseous structures are grossly normal.What are the key findings of this report? [/INST] there is a faint opacity in the right upper lobe suggestive of an infectious process such as right upper lobe pneumonia. a followup study is recommended in <num> weeks to assess for interval change. </s>
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<s>[INST] there is mild elevation of left hemidiaphragm. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a subtle right lower lobe opacity at the costophrenic angle is new as compared to the prior examination. there is no pleural effusion or pneumothorax. the descending thoracic aorta is noted to be tortuous. the cardiomediastinal silhouette is otherwise within normal limits.What are the key findings of this report? [/INST] new, right lower lobe airspace opacity compatible with pneumonia in the appropriate clinical setting. </s>
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<s>[INST] lung volumes are slightly low. there is no focal consolidation, effusion, or edema. vague opacity projecting over the right mid to upper lung is compatible with a lipoma seen on remote prior ct. cardiac silhouette is within normal limits. atherosclerotic calcifications noted in the thoracic aorta. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since the prior exam, there has been improved aeration at the right base. two, now confluent left lower lobe and a consolidative right upper lobe opacity are all worsening. there is new mild pulmonary edema which obscures diffuse micronodules seen in <unk> and earlier in this admission. small bilateral pleural effusions are unchanged and heavy pleural calcification, probably due to asbestos exposure, is long-standing. . there is no pneumothorax. the cardiomediastinal silhouette is stable in size, including clips along the right heart border and moderate cardiomegaly.What are the key findings of this report? [/INST] <num>. new mild pulmonary edema. increasing moderate cardiomegaly. <num>. enlarging regions of likely bilateral infection not fully characterized by radiography. diffuse micronodular abnormality is probably disseminated infection or malignancy. consider a ct for further evaluation. <num>. asbestos pleural calcifications. </s>
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<s>[INST] the lung volumes are low. there is mild cardiomegaly. the hilar mediastinal contours aside from mild tortuosity of the aorta is unremarkable. no definite focal consolidations concerning for pneumonia are identified. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no focal consolidation concerning for pneumonia identified. </s>
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<s>[INST] no prior for comparison. left-sided picc with the tip in the low svc/cavoatrial junction. lungs are clear. heart size is normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left picc in the low svc/cavoatrial junction </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded. there is minimal subsegmental atelectasis at the bases. 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] again a left-sided port-a-cath terminates in the right atrium. mild cardiomegaly is stable compared to exams dated back to <unk>. low lung volumes exaggerate the hilar and mediastinal contours, which are otherwise unremarkable. there has been interval increase in small bilateral pleural effusions as well as mild bibasilar opacities. there is no pulmonary edema. no pleural effusion or pneumothorax is identified.What are the key findings of this report? [/INST] interval increase in small bilateral pleural effusions as well as mild bibasilar atelectasis. a superimposed infectious process cannot be excluded. </s>
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<s>[INST] the cardiomediastinal and hilar contours are stable, with left ventriculomegaly. there is no pleural effusion or pneumothorax. there are low lung volumes. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lung are clear and without a focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is at the upper limits of normal. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are unchanged, with heart size within normal limits. the pulmonary vascularity is not engorged. minimal left basilar atelectasis is noted. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. multiple old left-sided rib fractures are again noted.What are the key findings of this report? [/INST] no radiographic evidence for pneumonia. </s>
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<s>[INST] no acute focal consolidation. slight elevation of the right hemidiaphragm is chronic. the lungs are clear. no pleural effusions or interstitial edema. the cardiomediastinal contours are unremarkable.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia or interstitial edema. </s>
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<s>[INST] vague opacities project over the right lung, nonspecific potentially atelectasis noting underlying infection or other acute process is possible. the left lung is grossly clear with the limitation of overlying external devices. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] vague opacities projecting over the right lung potentially atelectasis, infection or other etiology. clinical correlation is suggested. no other visualized acute process. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were provided. lung volumes are somewhat low. no convincing signs of pneumonia or chf. a vague rounded opacity projects over the left lung base for which ct is recommended on a non-emergent basis to further assess. this opacity is only seen on the frontal projection and may represent superimposed shadows, though difficult to exclude a true pulmonary nodule. no pneumothorax or effusion. cardiomediastinal silhouette appears normal. bony structures are intact.What are the key findings of this report? [/INST] nodular opacity in the left lower lung for which non-emergent ct is recommended to further assess. </s>
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<s>[INST] compared to the prior examination, pulmonary edema has resolved. lungs are fully expanded and clear. no pleural abnormalities. mild cardiomegaly. heavy calcification of the mitral annulus is noted. prominence of the central pulmonary arteries is noted. . cardiomediastinal and hilar silhouettes are otherwise normal.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary abnormality. <num>. prominence of the central pulmonary arteries likely reflects pulmonary hypertension, as reported in an echocardiogram performed <unk>. </s>
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<s>[INST] heart size is mildly enlarged. the aorta is tortuous. mediastinal and hilar contours are unremarkable. there is mild pulmonary vascular congestion without focal consolidation, large pleural effusion or pneumothorax, but the right costophrenic angle is excluded from the field of view. percutaneous gastrostomy catheter is seen in the upper abdomen.What are the key findings of this report? [/INST] mild pulmonary vascular congestion. </s>
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<s>[INST] increased interstitial markings in bilateral lung bases, right greater than left, could represent mild pulmonary edema or an early infectious process. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is stable. a right ij central venous catheter has been withdrawn. the osseous structures and upper abdomen are unremarkable.What are the key findings of this report? [/INST] increased bibasilar interstitial markings, right greater the left, could represent an early atypical infectious process or mild pulmonary edema. </s>
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<s>[INST] rib fractures are again seen in the lateral aspect of the seventh, eighth, and ninth right ribs, which are now more closely approximated than in prior study. there is no pneumothorax. there is right greater than left basilar atelectasis with small pleural effusion on the right. the right hemidiaphragm is stably elevated. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable.What are the key findings of this report? [/INST] <num>) fractures are in closer approximation with no pneumothorax. <num>) increased right basilar atelectasis with small right pleural effusion. right hemidiaphragm is stably elevated. </s>
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<s>[INST] a pacemaker, mediastinal clips, and sternal wires are unchanged from the prior exam. again, there is right mid lobe atelectasis with elevation of the right hemidiaphragm. this is stable from the prior exam. the lungs are otherwise clear. there is no evidence of a focal airspace opacity, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is mildly enlarged, and unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lungs are clear without focal consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. specifically, there is no ectasia or dilatation of the visualized thoracic aorta. heart size is top-normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there are low lung volumes, which accentuate the bronchovascular markings. there is subtle left basilar retrocardiac opacity, which most likely relates to atelectasis. if patient able, dedicated pa and lateral views would be helpful further assessment. no large pleural effusion is seen, however, there is slight blunting of the left costophrenic angle and trace pleural effusion may be present. no evidence of pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal, likely exaggerated by ap technique.What are the key findings of this report? [/INST] there are low lung volumes, which accentuate the bronchovascular markings. there is subtle left basilar retrocardiac opacity, which most likely relates to atelectasis. if patient able, dedicated pa and lateral views would be helpful further assessment. no large pleural effusion is seen, however, there is slight blunting of the left costophrenic angle and trace pleural effusion may be present. no evidence of pneumothorax is seen. the aorta is calcified and tortuous. the cardiac silhouette is top-normal, likely exaggerated by ap technique. </s>
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<s>[INST] pa and lateral chest radiographs. the lungs are clear. there is no pleural effusion or pneumothorax. no pulmonary nodule is identified. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. no pulmonary nodule is visualized. </s>
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<s>[INST] frontal view of the chest was obtained. dobbhoff tube is coiled within the stomach. the heart is of normal size with stable widening of the vascular pedicle. right lung volumes remain low with small basilar atelectasis. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] dobbhoff tube remains coiled in the stomach. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. mild mid thoracic dextroscoliosis is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] as compared to prior chest radiograph from <unk>, there has been interval placement of a right ij central venous catheter with its tip terminating in the mid svc. there is no definite pneumothorax. as before, there is mild enlargement of the cardiac silhouette. bilateral hilar enlargement is likely due to pulmonary hypertension. the mediastinal contours are otherwise unremarkable. there is mild pulmonary vascular congestion and probable small bilateral pleural effusion. opacities at the lung bases likely reflect atelectasis, although underlying pneumonia cannot be excluded.What are the key findings of this report? [/INST] <num>. right ij central venous catheter terminates in the mid svc. no pneumothorax. <num>. pulmonary edema with bilateral small pleural effusion. opacities at the lung bases likely reflect atelectasis, however an underlying pneumonia cannot be excluded. </s>
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<s>[INST] low lung volumes exaggerates heart size which is probably top-normal. there is no focal consolidation, pleural effusion or pneumothorax. air-filled loops of bowel noted in the left 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 without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a new lingular airspace opacity is worrisome for pneumonia. the right lung is clear. there is no pneumothorax. the heart and mediastinum are within normal limits.What are the key findings of this report? [/INST] new lingular airspace opacity is worrisome for pneumonia in could be confirmed by standard pa and lateral radiographs when the patient's condition permits. </s>
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<s>[INST] the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are notable for a stable chronic right anterior fourth rib fracture and a newly apparent mid thoracic mild anterior wedge compression fracture. no acute displaced rib fracture.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. specifically, no acute fracture. <num>. chronic right anterior fourth rib fracture. <num>. mild anterior wedge compression fracture of midthoracic body is of indeterminate age. clinical correlation recommended for focal tenderness. </s>
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<s>[INST] enteric tube ends in the stomach. left picc ends at the origin of the svc. there is stable elevation of the right hemidiaphragm with adjacent atelectasis. left lower lobe atelectasis is unchanged. there is possibly a small left pleural effusion. no pneumothorax. no focal consolidation.What are the key findings of this report? [/INST] stable elevation of right hemidiaphragm and bibasilar atelectasis. mare lateral apex to the right hemidiaphragm suggests subpulmonic pleural effusion. increase in pulmonary vascular congestion. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] pa and lateral views of the chest were provided. the lung volumes are low, though allowing for this, the lungs appear clear. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] they frontal chest radiograph demonstrates a right chest tube. the right loculated pleural effusion is increased. there is also increased consolidation of the right lung, which could represent superimposed pneumonia. no pneumothorax is identified. there is no left pleural effusion. the cardiomediastinal silhouette is obscured, but appears similar to prior radiographs.What are the key findings of this report? [/INST] increased right loculated pleural effusion, with increased consolidation of the right lung which could represent superimposed pneumonia. no pneumothorax. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate a right port catheter with tip in the upper svc. the lung volumes are low, accentuating the cardiac silhouette. extensive bilateral nodular opacities are more extensive compared to <unk>, even allowing for low lung volumes. this appearance is consistent with known miliary pattern rectal cancer metastases, supervening infection or edema cannot be excluded but felt less likely. several large lung masses are better appreciated on preceding ct dated <unk>. there is no pneumothorax or large effusion. atelectasis is seen in the right cardiophrenic angle. there is permeative destructive process involving the distal right clavicle, compatible with metastasis.What are the key findings of this report? [/INST] progressing diffuse pulmonary metastasis. supervening edema unlikely. </s>
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<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] the lungs are fully expanded and clear. there is no evidence of focal consolidation, pulmonary edema, or pneumothorax. there is mild blunting of the right costophrenic angle, possibly due to pleural thickening or a small pleural effusion. the cardiomediastinal silhouette 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] ap upright and lateral views of the chest provided. dual lead pacemaker is again noted with leads extending to the region of the right atrium and right ventricle. midline sternotomy wires are noted. there is extensive calcified pleural plaque in the left chest which accounts for the irregular opacity seen on radiograph. there is a small right pleural effusion with probable mild compressive lower lobe atelectasis. no large pneumothorax. heart size is top-normal contours unremarkable. bony structures are intact. inferior to left coracoid a well-defined ossific density is noted which reflect an old injury seen on ct.What are the key findings of this report? [/INST] small right pleural effusion, right basal atelectasis, extensive left chest calcified pleural plaque. </s>
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<s>[INST] consolidation in the right lung base is compatible with rounded atelectasis identified on prior chest ct. associated volume loss seen in the right hemi thorax. in addition, there is prominent pleural-based density tracking along the right hemi thorax, potentially due to pleural effusion. left lung is clear. the cardiomediastinal silhouette is stable. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] persistent right basilar opacity compatible with rounded atelectasis. pleural-based density thought to be at least in part due to pleural effusion which is new since <unk>. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal lung volumes. there is no pleural effusion, focal consolidation, or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. visualized osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. </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. there is no free air under the diaphragm.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. 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. these findings were discussed with dr. <unk> by dr. <unk> at <time> p.m. on <unk> by telephone. </s>
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<s>[INST] the lungs are clear. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormality.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] compared with prior radiographs performed on same day on <unk> at <time>, there is an increase in prominence of central pulmonary vessels, likely reflecting elevated pulmonary venous pressure. lung volumes are decreased. cardiomediastinal silhouette is unchanged. an et tube and ng tube are appropriately positioned.What are the key findings of this report? [/INST] increase in prominence of central pulmonary vessels, likely reflecting elevated pulmonary venous pressure. low lung volumes. </s>
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<s>[INST] the lungs are clear. 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. there is a right-sided central venous catheter terminating in the region of the distal svc/cavoatrial junction. bibasilar opacities have improved in the interval with the right lung base clear and possible minimal residual remaining at the left lung base. no pleural effusion or pneumothorax. mild loss of height of a mid lower thoracic vertebral body is stable since ct of <unk>. posterior spinal hardware is partially imaged.What are the key findings of this report? [/INST] interval improvement in bibasilar opacities with the right lung base clear and the left lung base with minimal residua remaining, which could be atelectasis versus aspiration/mild infection. </s>
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<s>[INST] when compared to the study from the prior day the severely enlarged heart is similar. the vascular engorgement on the right is more pronounced. there are small right and small left effusions, both of which are slightly larger compared to prior. the pacing device is unchanged.What are the key findings of this report? [/INST] impression worsened fluid status </s>
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<s>[INST] single ap portable chest radiograph demonstrates no focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion pneumothorax or pulmonary edema. visualized osseous structures demonstrates no acute abnormality. there are minimal right lower lobe atelectasis.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] pa and lateral views of the chest provided. low lung volumes. there is no focal consolidation, effusion, or pneumothorax. no overt signs of edema. 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] portable ap upright chest radiograph was provided. the lungs are clear bilaterally. there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous structures appear intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral chest radiographs were obtained. a right-sided hickman catheter terminates in the lower svc. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are stable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no focal consolidation to suggest pneumonia. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs appear overall clear without evidence of focal consolidations, pleural effusions or pneumothorax. again seen is a dialysis catheter seen extending from the level of the ivc into the right atrium. a vascular stent is again seen in the left axilla. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s>
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<s>[INST] increased airspace opacity in the right lower lung may represent atelectasis or pneumonia depending on the clinical setting. there is no pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette, including a tortuous aorta and mild to moderate cardiomegaly, is unchanged. bilateral minimally displaced lower lateral rib fractures are noted, difficult to assess due to overlapping structuresWhat are the key findings of this report? [/INST] <num>. minimally displaced bilateral rib fractures. <num>. right lower lobe airspace opacity may represent atelectasis, aspiration, or developing pneumonia. standard pa and lateral chest radiograph may be helpful for more complete evaluation of this region if warranted clinically. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture 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. 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. these findings were discussed with dr. <unk> by dr. <unk> at <time> p.m. on <unk>, by telephone. </s>
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<s>[INST] bibasilar opacities are noted. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] bibasilar opacities potentially atelectasis although correlation regarding possibility of aspiration or infection suggested. </s>
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<s>[INST] the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. there is no free intraperitoneal air.What are the key findings of this report? [/INST] no acute cardiopulmonary process, no free intraperitoneal air. </s>
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<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there are heterogeneous opacities in bilateral lung bases left greater than right with posterobasal correlate on lateral view with peribronchial cuffing suspicious for infection or possibly aspiration. the upper lung fields are clear. the right costophrenic sulcus is not imaged. there is no pleural effusion or pneumothorax. a rounded density projecting over the ge junction is likely a small hiatal hernia.What are the key findings of this report? [/INST] <num>. left-greater-than-right bibasilar opacities with peribronchial cuffing suspicious for infection or aspiration. <num>. possible hiatal hernia results were emailed to the ed <unk> nursing staff and also conferred over the telephone with the <unk> nursing staff over the telephone by dr. <unk> at <time>am <unk>. </s>
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<s>[INST] the newly placed a left ij approach central venous catheter tip projects over the expected region of the cavoatrial junction. a left single lead pacer defibrillator tip projects over the expected region of the right atrium. cardiac valve replacement, median sternotomy wires, and mediastinal clips are unchanged. lung volumes remain low. blunting of the costophrenic angles bilaterally suggests small bilateral pleural effusions. no pneumothorax or frank pulmonary edema. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] <num>. newly placed left ij approach central venous catheter tip projects over the expected region of the cavoatrial junction. <num>. persistent low lung volumes. <num>. persist and bilateral small pleural effusions. </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 is no pleural effusion or pneumothorax. 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] the lungs are clear without focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. there is no evidence of acute displaced rib fracture. no free subdiaphragmatic air is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. specifically, no evidence of displaced rib fracture. </s>
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<s>[INST] status post right upper lobe transbronchial biopsy. no visible pneumothorax. peripheral consolidation with surrounding ground-glass may reflect post biopsy hemorrhage. the left lung is clear. moderate cardiomegaly. no pleural effusions.What are the key findings of this report? [/INST] no pneumothorax post biopsy. </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. there are fractures involving the left seventh and eighth posterior rib which appear mildly displaced. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] left posterior seventh and eighth rib fractures, correlate for acuity. </s>
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<s>[INST] pa and lateral views of the chest demonstrate streaky opacities in the bilateral lung bases, consistent with atelectasis. no pleural effusion, pulmonary edema, pneumothorax or definite focal pneumonia is identified. the lung volumes are somewhat low. the cardiomediastinal silhouette is unremarkable. a left clavicular fracture is again seen and unchanged since the prior study. no new fractures are identified.What are the key findings of this report? [/INST] bibasilar atelectasis with no definite evidence of pneumonia. left clavicular fracture is unchanged. </s>
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<s>[INST] pa and lateral views of the chest demonstrates a persistent small right apical hydropneumothorax, with increased fluid in the apical pleural space since the prior study. blunting of the right costophrenic angle is persistent, representing a small right pleural effusion is unchanged since the prior study, as has the left subsegmental basilar atelectasis. opacity within the medial right upper lung field is unchanged, likely related to prior surgery. no new focal opacities are identified. the cardiomediastinal silhouette is stable in appearance. there is no evidence of pulmonary edema.What are the key findings of this report? [/INST] small right hydropneumothorax with increased fluid in the right apex, and small right basilar pleural effusion. otherwise, no significant change the prior study. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are normal. pulmonary vascular is normal and the lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. mild thoracic scoliosis.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures appear within normal limits. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] right-sided central venous catheter is unchanged. heart size is stable.heterogeneous right perihilar opacity is unchanged from <unk>, representing pneumonia as seen on pet ct. patchy bibasilar opacities likely reflect atelectasis. no pleural effusion.What are the key findings of this report? [/INST] unchanged right mid lung pneumonia as seen on recent pet ct. </s>
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<s>[INST] frontal and lateral views of the chest. as on prior, there is dense consolidation at the left lung base obscuring hemidiaphragm. this may be due to a combination of consolidation, atelectasis and effusion. hiatal hernia suspected. the right lung remains clear. <num> separate right subclavian lines are identified with the larger catheter seen with tip terminating in the right atrium. the smaller catheter tip is not clearly delineated on the current exam. degenerative changes in the spine without acute abnormality.What are the key findings of this report? [/INST] dense left basilar opacity similar to previous exam which may be due to a combination of effusion, atelectasis and consolidation. </s>
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<s>[INST] subtle left basilar streaky opacity seen on the ap view does not have a clear correlate on the lateral view and may represent atelectasis. however, a subtle consolidation is not excluded in the appropriate clinical setting. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] subtle left basilar streaky opacity seen on the ap view does not have a clear correlate on the lateral view and may represent atelectasis. however, a subtle consolidation is not excluded in the appropriate clinical setting. </s>
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<s>[INST] as compared <unk>, new peribronchiolar opacities have developed in the inferior lingular segment and to a lesser extent in left lower lobe. lungs remain hyperinflated, suggestive of copd. cardiomediastinal contours are normal and without change. no pleural effusion.What are the key findings of this report? [/INST] lingular and left basilar abnormalities are most likely due to acute bronchi pneumonia in the setting of fever and productive cough. followup radiographs in <unk> weeks are recommended to document resolution after appropriate antibiotic therapy. </s>
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<s>[INST] pa and lateral views of the chest provided. basilar opacities in the setting of low lung volumes likely reflect atelectasis. no convincing evidence for pneumonia edema effusion or pneumothorax. cardiomediastinal silhouette is normal bony structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] bibasilar atelectasis. </s>
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<s>[INST] heart size is mildly enlarged. the aorta is mildly tortuous. there is mild upper zone vascular redistribution without overt pulmonary edema. no pleural effusion or pneumothorax is identified. patchy opacity in the left lung base may reflect atelectasis but is nonspecific. mild s-shaped scoliosis of the thoracic spine is present.What are the key findings of this report? [/INST] left basilar opacity may reflect atelectasis, but infection is not excluded. mild cardiomegaly with mild upper zone vascular redistribution but without overt pulmonary edema. </s>
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<s>[INST] ap portable upright view of the chest. right chest wall port-a-cath is noted with catheter tip in the region of the mid svc. scattered calcified pleural plaque noted. no focal consolidation, large effusion or pneumothorax. patient has undergone prior right upper lobectomy. cardiomediastinal silhouette appears grossly unremarkable. no acute bony abnormalities.What are the key findings of this report? [/INST] no acute findings. port-a-cath positioned appropriately. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there are low lung volumes and mild elevation of the left hemidiaphragm. bibasilar atelectasis is seen. there is no definite focal consolidation. there may be minimal central vascular congestion. the cardiomediastinal silhouettes are grossly stable given differences in lung volumes. no large pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] mild elevation of the left hemidiaphragm with overlying basilar atelectasis without definite focal consolidation. possible minimal pulmonary vascular congestion. </s>
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<s>[INST] numerous abnormalities have developed in the right hemithorax as compared to the previous baseline studies. these include widening and enlargement of the mediastinal and hilar contours, concerning for lymphadenopathy; coalescent right juxtahilar opacity; diffuse reticular and nodular opacities; and bronchial wall thickening. additionally, a focal linear opacity is present adjacent to the right minor fissure and may represent linear atelectasis adjacent to fluid-filled fissure. left lung and pleural surfaces are clear. heart size remains normal.What are the key findings of this report? [/INST] widespread abnormalities in the right hemithorax, including apparent mediastinal and hilar lymphadenopathy, juxtahilar opacity, and diffuse reticular and nodular opacities. the findings raise a concern for malignancy, but infectious disorders (particularly fungal or mycobacterial) could produce a similar radiographic appearance. initial further evaluation with a contrast-enhanced chest ct is recommended, as communicated by telephone to dr. <unk> at <time> p.m. on <unk>, approximately <num> minutes after the time of discovery. </s>
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<s>[INST] there is persistent right middle lobe atelectasis unchanged from <unk>. there is no focal consolidation, pleural effusion, or pneumothorax. the aorta is torturous. the heart size is within normal limits.What are the key findings of this report? [/INST] unchanged right middle lobe atelectasis dating back to <unk>. no evidence of pneumonia. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subsegmental atelectasis is noted in the left lung base. linear scarring in the right upper lobe is unchanged. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are normally expanded without focal airspace opacity. there is mild bibasilar atelectasis. there is no pleural effusion or pneumothorax. the convexity of the ascending aortic arch, while similar to <unk>, is notably more prominent since the next most recent study. the cardiac countour is normal in size.What are the key findings of this report? [/INST] <num>. prominent ascending aortic convexity raises the possibility of acute aortic syndrome. <num>. mild bibasilar atelectasis, but no evidence of pneumonia. updated results telephoned to dr. <unk> by <unk> at <time> am, <unk>, <num> minutes after discovery. </s>
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<s>[INST] right infrahilar and lower lobe streaky opacities with air bronchograms are most likely atelectasis, with associated slight elevation of the right hemidiaphragm, as also noted on the prior chest radiograph and ct. streaky opacities at the left lung base are less prominent but also likely represent atelectasis, also noted previously. large retrocardiac opacity with scattered focal areas of rounded lucencies are most consistent with the known large hiatal hernia containing loops of bowel and mesenteric fat, best appreciated on recent ct, and perhaps slightly increased from the prior exam. no definite focal consolidation to suggest a focal pneumonia. no edema. the heart size is difficult to accurately assess on this ap view, also in the setting of large hiatal hernia. aortic knob calcifications are moderate, overall unchanged. no pneumothorax. no evidence of acute osseous abnormality on these non-dedicated images. degenerative changes in both shoulders are noted.What are the key findings of this report? [/INST] <num>. large hiatal hernia <num>. bibasilar atelectasis, worse on the right, although right infrahilar aspiration or concurrent pneumonia in the setting of the known large hiatal hernia cannot be definitely excluded without a lateral view. <num>. no edema. </s>
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<s>[INST] frontal and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. clips are noted in the upper abdomen.What are the key findings of this report? [/INST] no acute findings in the chest. please refer to subsequent cta of the chest for further details. </s>
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<s>[INST] the right-sided picc terminates in the mid svc. there is an enteric tube, which extends below the diaphragm; however, the tip is out of view of this film. the cardiomediastinal contours are stable with interval improvement of bibasilar atelectasis and bilateral pulmonary vascular congestion. lungs appear better aerated. there is no evidence of pneumothorax or large pleural effusion.What are the key findings of this report? [/INST] right-sided picc terminates in the mid svc. </s>
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