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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. deformity of the lower left posterior lateral ribs suggest old healed fractures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a single lead pacemaker terminating in the right ventricle. the heart appears moderately enlarged. superior vena cava shows new mild distention. there is also a new bilateral hilar congestion. the cardiac, mediastinal and hilar contours are otherwise unchanged. mild interstitial process suggest pulmonary edema. left posterior basilar opacity was present before but increased.What are the key findings of this report? [/INST] findings suggest mild to moderate pulmonary edema. increased left posterior basilar opacity, likely compatible with atelectasis; it is difficult to exclude pneumonia, however. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. a previously identified ng tube is again noted reaching below the diaphragm. the patient is moderately rotated to the left, which explains the heart's unusual presentation to the left of spinal column. at least moderate cardiac enlargement is present as it was before. the left-sided diaphragm is obliterated suggesting the possibility of an atelectasis. finding existed already on the previous examination. general haze mostly over the pulmonary basal vasculature is suggestive of pleural effusions layering in the dependent portions of the posterior pleural sinuses. a previously existing and described right internal jugular approach central venous line remains in place.What are the key findings of this report? [/INST] technically suboptimal chest examination, but significant cardiomegaly persists. probably pleural effusions bilateral in this patient examined in recumbent position. no conclusive evidence for new acute infiltrates. observed that patient on next preceding chest ct of <unk> had positive findings for pulmonary embolism. </s>
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<s>[INST] ap upright and lateral views of the chest provided. the lungs are clear without focal consolidation, large effusion or pneumothorax. the heart appears top-normal in size. there is prominence of the superior mediastinum which is unchanged and likely reflects ectatic vasculature. no acute osseous abnormalities. 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] pa and lateral radiographs of the chest. there are low lung volumes. there is no focal consolidation. there is blunting of the costophrenic angles bilaterally consistent with trace pleural effusions. no pneumothorax is present. there is stable aortic tortuosity. heart size is normal.What are the key findings of this report? [/INST] very trace bilateral pleural effusions. findings discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> on <unk>, at time of review </s>
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<s>[INST] a right pleurx catheter is present with its tip directed inferomedially. the right subpulmonic pneumothorax and pleural effsuion are unchanged allowing for differences in inspiration. a small pleural effusion remains. extensive subcutaneous air along the right chest and airspace opacities within the right lung are postoperative. the known right lung mass is unchanged. the left lung is clear. the cardiomediastinal contours are unremarkable. a calcified tortuous aorta is again noted.What are the key findings of this report? [/INST] right pleural effusion and pneumothorax likely without significant interval change given differences in inspiration and patient position. </s>
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<s>[INST] heart size is top normal. the aorta remains tortuous and diffusely calcified. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is seen. large amount of free air is noted under the diaphragms. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. large amount of pneumoperitoneum, presumably related to peritoneal dialysis. </s>
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<s>[INST] right pectoral infusion port terminates in low svc. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. old fractures are noted at multiple right upper posterior ribs. a <num> cm opacity seen on frontal view overlying the right lower lung is unchanged since <unk>.What are the key findings of this report? [/INST] no radiographic evidence pneumonia. </s>
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<s>[INST] pa and lateral views of the chest are provided. the lungs are clear. no pleural effusion or pneumothorax. heart and mediastinal contours are normal. bony structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] since the prior exam, there is increasing opacification of the bilateral bases which is likely atelectasis. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no definite evidence of pneumonia. new bibasilar opacities are likely atelectasis. recommend a repeat chest radiograph later today or tomorrow to ensure the opacities are not increasing. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. position of the icd remains unchanged. the heart size is normal. the cardiomediastinal silhouette is normal. retrocardiac linear density is stable, likely scarring. visualized bony structures are normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the tip of the left picc line extends to the distal (left-sided) svc. unchanged elevation of the left hemidiaphragm with subjacent atelectasis. no new consolidation, pleural effusion or pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no significant interval change since the radiograph performed <num> hours prior. </s>
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<s>[INST] interval worsening of consolidation in the right middle and right lower lobes, as well as development of new consolidation in the left lower lobe. previously reported focal opacity in the left upper lobe has slightly improved, however. the heart size, mediastinal and hilar contours are normal. small pleural effusions are new. increased lung volumes with increased ap diameter suggest the possibility of underlying emphysema.What are the key findings of this report? [/INST] worsening multifocal consolidation consistent with a multifocal pneumonia, possibly due to clinically suspected aspiration. followup chest x-rays in four to six weeks after appropriate antibiotic therapy are recommended to ensure complete resolution, particularly of the more focal opacity in the left upper lobe, in order to exclude the possibility of a pulmonary neoplasm. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. the well-aerated lungs are clear, demonstrating resolution of multifocal pneumonia. there is no pleural effusion or pneumothorax. lateral view shows protrusion of subdiaphragmatic fat through a very small bochdalek hernia.What are the key findings of this report? [/INST] resolution of multifocal pneumonia. </s>
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<s>[INST] the lung volumes are low, with resultant crowding of the bronchovascular structures. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. note is made of a large gastric bubble. no bony abnormality is detected.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] cardiomegaly with increased pulmonary vascular congestion. increased opacity at the left lung base concerning for possible pneumonia. no pneumothorax.What are the key findings of this report? [/INST] moderate pulmonary edema and possible left basilar pneumonia. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unchanged with a moderate size hiatal hernia again noted. pulmonary vasculature is normal. a small right pleural effusion is decreased in size from the prior examination. lungs are otherwise clear. no pneumothorax is identified.What are the key findings of this report? [/INST] trace right pleural effusion, decreased from the prior study. </s>
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<s>[INST] right picc tip terminates in the svc. heart size is normal. mediastinal and hilar contours are unremarkable, and the pulmonary vascularity is normal. there appears to be minimal blunting of the costophrenic angles bilaterally posteriorly suggestive of minimal bilateral pleural effusions. no pneumothorax is identified. lungs are clear. a pigtail catheter is seen within the right upper quadrant.What are the key findings of this report? [/INST] probable trace bilateral pleural effusions. otherwise no acute cardiopulmonary abnormality. </s>
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<s>[INST] compared to the prior radiograph from noon, there has been interval removal of left chest tube with essentially unchanged degree of left apical pneumothorax, still moderate. unchanged cardiomediastinal contours and normal appearing right lung. branching density in the superior segment of the left lower lobe is still present. this could be further evaluated via ct.What are the key findings of this report? [/INST] unchanged left moderate-sized pneumothorax status post left chest tube removal. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate a <num> x <num> mm nodule at the right lung apex. this was not clearly visualized on the prior radiograph. otherwise the lungs are clear. the heart, mediastinal and hilar contours are normal. no pleural abnormality is detected.What are the key findings of this report? [/INST] <num> x <num> mm right apical nodule. followup chest radiograph in <num> months is recommended. </s>
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<s>[INST] there is a focal dense consolidation obscuring the right diaphragmatic surface, posterior thoracic spine, and right cardiac border which is consistent with a right lower lobe and right middle lobe pneumonia. left lung is grossly clear. there are no pleural effusions. cardiomediastinal border is and hilar structures are normal.What are the key findings of this report? [/INST] right lower lobe and probable right middle lobe pneumonia. </s>
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<s>[INST] pa and lateral views of the chest. there are multifocal heterogeneous opacities in the left lower lobe, right lower lobe, and lingula concerning for pneumonia. the heart size is normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] multifocal pneumonia. these findings were discussed with dr. <unk> at <time> p.m. on <unk> by telephone. </s>
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<s>[INST] cardiac, mediastinal, and hilar contours appear unremarkable. the lungs are well inflated. there is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. there is no pneumothorax. visualized bones are unremarkable. prominent right nipple shadow is incidentally noted on the pa view.What are the key findings of this report? [/INST] no evidence for active cardiopulmonary disease. </s>
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<s>[INST] a single portable frontal chest radiograph was obtained. subcutaneous emphysema in the right and left lateral margins of the chest and lower cervical regions is extensive. an air-filled retrocardiac structure is similar to the pre-operative appearance of the large hiatal hernia. the cardiac silhouette is widened by ap portable technique.What are the key findings of this report? [/INST] <num>. extensive subcutaneous emphysema. </s>
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<s>[INST] ap and lateral views of the chest demonstrate low lung volumes which exaggerate the bronchovascular structures as well as cause bibasal atelectasis. heart size is mildly enlarged. the patient is status post median sternotomy and cabg. there are no focal opacities which are concerning for pneumonia. there is no overt pulmonary edema and there is no pleural effusion. there is no free air.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process given low lung volumes. </s>
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<s>[INST] lung volumes are slightly low. mild to moderate enlargement of the cardiac silhouette is unchanged. the aortic knob is calcified. mediastinal and hilar contours are similar with enlargement of the right hilum appearing unchanged. pulmonary vasculature is not engorged. patchy opacity is seen in the left lower lobe, as noted on the prior examinations, and likely reflective of chronic bronchiectasis with bronchial wall thickening, atelectasis and chronic aspiration. no new focal consolidation is present. no large pleural effusion is present with chronic blunting of the right costophrenic sulcus likely due to chronic pleural thickening. no pneumothorax is seen. patient is status post bilateral shoulder arthroplasties, incompletely imaged.What are the key findings of this report? [/INST] patchy left lower lobe opacity, as seen on the previous exams, and likely reflective of chronic bronchiectasis with atelectasis and chronic aspiration, better detailed on the previous ct. no new focal consolidation. </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 are unremarkable. 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] ap and lateral views of the chest. exam is extremely limited secondary to extremely low lung volumes. that said, there has been significant interval change since prior with indistinct pulmonary vascular markings and possible more confluent consolidation at the right lung base. osseous structures are unremarkable. rounded calcific density in the right upper quadrant compatible with calcified gallstones.What are the key findings of this report? [/INST] extremely low lung volumes. increased interstitial markings in lungs bilaterally right greater than left when compared to prior suggestive of edema. more confluent opacity of the right lung base raising possibility of superimposed infection. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. atherosclerotic calcifications are noted at the aortic knob. lungs are clear. the pulmonary vascularity is normal. 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] since the prior exam, the right central venous catheter has been removed. a left picc is unchanged with the tip in the low svc. an enteric tube is present with the tip in the stomach. the lung volumes have improved and the bibasilar consolidations have resolved since the prior exam. this is most consistent with resolved pulmonary edema. there is no consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] resolution of pulmonary edema. no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are well expanded and clear. there is no pulmonary edema, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are hyperinflated, but clear. pulmonary vasculature is normal. cardiomediastinal and hilar contours are normal. there are no pleural effusions.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] lung volumes are low, resulting in bronchovascular crowding. linear bibasilar opacities are consistent with scarring. cardiomediastinal and hilar contours are unremarkable. no pneumothorax, pleural effusion, or consolidation. unchanged appearance of old fracture of the midshaft of the left clavicle. stable mild anterior wedge compression deformity of a lower thoracic vertebral body.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 are provided. the lung volumes are low. bronchovascular crowding likely accounts for the subtle reticular opacities in the lower lungs. the cardiomediastinal silhouette is stable. bony structures are intact. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] limited, negative. </s>
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<s>[INST] mild cardiomegaly is a stable. the aorta is tortuous. the lungs are hyperinflated. bibasilar opacities have almost completely resolved. bilateral effusions are small, decreased from prior. there is no pneumothorax. sternal wires are aligned. there are mild degenerative changes in the thoracic spine. patient is status post cabg. there is dense calcification of the mitral annulusWhat are the key findings of this report? [/INST] copd almost complete resolution of bibasilar consolidation </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. eventration of the right hemidiaphragm is again noted. no pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube is in satisfactory position, approximately <num> cm from the carina. a left internal jugular central venous catheter is present with the tip in the upper svc. a right hemodialysis catheter is unchanged with the tip at or just beyond the cavoatrial junction. an enteric tube is present coursing below the diaphragm with the tip out of the field of view. since prior exam, the lung volumes have improved, likely due to mechanical ventilation. there is a persistent dense opacity in the right base consistent with pneumonia. mild pulmonary edema is not significantly changed. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. satisfactory position of multiple lines and tubes. <num>. persistent right basilar pneumonia and mild pulmonary edema. </s>
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<s>[INST] there bilateral lower lobe infiltrates left greater than right better more extensive than on the prior exam. there is a small left effusion that is also increased. retrocardiac opacity is also increased the cardiac and mediastinal silhouettes are unchangedWhat are the key findings of this report? [/INST] worsened bilateral infiltrates concerning for worsening pneumonia </s>
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<s>[INST] there is now a right ij central venous catheter with tip projecting over the lower svc. remainder of the exam is unchanged noting bilateral parenchymal opacities. there is no pneumothorax.What are the key findings of this report? [/INST] right ij central venous catheter tip projecting over the lower svc. </s>
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<s>[INST] cardiomegaly is again present. calcifications of the aortic knob are seen. there is mild vascular engorgement, overall improved from <unk>. there are no pleural effusions. no pneumothorax and no evidence of pneumonia.What are the key findings of this report? [/INST] cardiomegaly with vascular congestion. no evidence of pneumonia. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate clear lungs without effusion or pneumothorax. the heart size is normal. the mediastinal contours are unremarkable. the pulmonary vasculature is normal appearing. no displaced rib fracture is seen.What are the key findings of this report? [/INST] no acute chest pathology, or displaced rib fracture. if there is continued concern for rib fracture, recommend detail views with markers of focal findings. </s>
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<s>[INST] et tube has been removed. ng tube in the stomach. prostatic mitral valve annulus again seen. mild cardiomegaly. increased right lower lobe opacity noted. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] new right lower lobe opacity. in the removal of et tube. sign rib </s>
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<s>[INST] again seen is a hazy right lower lobe infiltrate. otherwise the appearance of the lungs are unchanged. the heart continues to be moderately enlarged.What are the key findings of this report? [/INST] no significant change. </s>
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<s>[INST] as compared to <unk> chest radiograph, cardiomediastinal contours are stable. lung volumes are relatively low, and a bilateral reticular interstitial pattern is present with mid and lower lung predominance. small left pleural effusion is also present as well as a nonspecific patchy opacity in the left lower lobe anterior medially.What are the key findings of this report? [/INST] <num>. left lower lobe anterior medial basilar opacity, which could potentially be due to infectious pneumonia in the appropriate clinical setting. adjacent small pleural effusion. <num>. mid and lower lung predominant reticular opacities are concerning for chronic interstitial lung disease. if the patient has symptoms of pneumonia, initial further evaluation with followup chest radiographs in <num> weeks after completion of antibiotic therapy would be suggested. if the interstitial abnormality persists at that time, high-resolution chest ct would be recommended. in the absence of infectious symptoms, ct would be recommended at this time. to further characterize both the left lower lobe abnormality in the more diffuse interstitial process. </s>
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<s>[INST] a new endotracheal tube is in satisfactory position approximately <num> cm from the carina. the nasogastric tube courses below the diaphragm with the tip out of fields of view. since the prior exam, the lung volumes are lower. there is moderate pulmonary edema, which is somewhat accentuated by the lower lung volumes, though likely worsened. small pleural effusions are difficult to exclude. there is no pneumothorax. mediastinal contours appears wider, which may be due to technique. the heart size remains mildly enlarged.What are the key findings of this report? [/INST] <num>. slight interval worsening of the moderate pulmonary edema. <num>. minimally widened mediastinum, likely accounted for by supine technique. there is high clinical concern for dissection, could consider a ct. <num>. satisfactory position of the endotracheal and nasogastric tubes. </s>
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<s>[INST] lungs are well expanded. several ill-defined opacities in the right mid lung, right lower lung, and left lower lung present. mediastinal contours, hila, and cardiac silhouette are normal. no pleural effusion or pneumothorax. left humerus fracture is partially visualized.What are the key findings of this report? [/INST] multiple ill-defined opacities could represent early pneumonia in the right clinical setting. </s>
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<s>[INST] a tracheostomy tube remains in place. right-sided picc line ends at superior cavoatrial junction. the patient is status post cervical spine fusion. there is no pneumothorax. the bilateral costophrenic angles have been excluded from the field of view. the visualized lungs are clear. unchanged retrocardiac opacification may be due to aspiration or atelectasis. the heart and mediastinum are within normal limits despite the projection.What are the key findings of this report? [/INST] unchanged retrocardiac airspace opacity at the left base may be due to atelectasis or aspiration. exclusion of the costophrenic angles from the field of view limits evaluation of pleural effusions. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is elevation of the right hemidiaphragm with overlying atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top normal. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] low lung volumes, mild elevation of the right hemidiaphragm with overlying atelectasis. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] normal chest x-ray. </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 acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] single supine ap portable view of the chest was obtained. endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not seen on the image. a right internal jugular catheter is seen terminating at the region of the brachiocephalic veins. no evidence of pneumothorax is seen. there are large bilateral airspace opacities, right greater than left. pleural effusion may also be present on the right. the cardiac silhouette is enlarged, although the right aspect of the cardiac silhouette is not well assessed due to the large right lung opacity. on the right, opacity involved most of the right hemithorax aside from the right lung apex. on the left, there is left mid-to-lower lung large area of consolidation.What are the key findings of this report? [/INST] endotracheal tube in appropriate position. nasogastric tube courses below the level of the diaphragm, inferior aspect not included in the image. right internal jugular venous catheter terminates in the region of the brachiocephalic subclavian junction. large bilateral, right greater than left, pulmonary opacities are highly concerning for severe multifocal pneumonia. right pleural effusion may be present. </s>
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<s>[INST] a right-sided catheter overlies the expected course of the subclavian vein, loops in the superior neck and extends into the inferior chest, consistent with recent tracheoesophageal puncture. the cardiomediastinal and hilar contours are normal. the lungs are clear. no focal consolidation, pleural effusion or pneumothorax identified.What are the key findings of this report? [/INST] status post tracheoesophageal catheter placement, no acute cardiopulmonary process. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] there is marked thoracolumbar scoliosis and partially imaged spine hardware no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.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 lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. partially 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 top normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. there has been interval development of small bilateral right greater than left pleural effusions with mild adjacent bibasilar atelectasis. remainder of the lung fields are clear. there is no pneumothorax. a dobbhoff tube remains in place in the very proximal stomach and should be further advanced.What are the key findings of this report? [/INST] small right greater than left bilateral pleural effusions. dobbhoff tube ends in the very proximal stomach and should be further advanced. </s>
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<s>[INST] the hazy opacifications on the right have resolved. the right lung is now clear without consolidation. at the left base, the previously seen opacification persists. there is no pleural effusion or pneumothorax. there is no pulmonary edema. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. improvement in previously seen right-sided pneumonias. <num>. stable left opacification is likely a persistent pneumonia. </s>
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<s>[INST] the patient is status post median sternotomy and aortic valve replacement. the heart is normal in size. the aorta is mildly unfolded. the mediastinal and hilar contours are otherwise unremarkable, and the pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is present. nodular opacity projecting over the lateral aspect of the right upper lung field correlates to a pleural plaque, as demonstrated on the prior ct.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] ap upright and lateral views of the chest provided. port-a-cath over the right chest wall is again noted with catheter tip in the region of the low svc. cardiomediastinal silhouette is unchanged. lungs are clear. no large effusion or pneumothorax. bony structures are intact peerWhat are the key findings of this report? [/INST] no signs of pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is no focal consolidation or pneumothorax. blunting of the left posterior costophrenic sulcus may represent a tiny pleural effusion or scarring. prominent diffuse interstitial markings suggest underlying chronic lung disease. the heart is mildly enlarged. mediastinal silhouette and hilar contours are within normal limits. degenerative changes seen in the shoulders bilaterally. no displaced rib fracture is identified. a wedge compression deformity in the lower thoracic/upper lumbar spine is of unknown chronicity. aortic calcifications are better seen on the prior study.What are the key findings of this report? [/INST] <num>. no acute intrathoracic process. <num>. wedge compression deformity in the lower thoracic/upper lumbar spine of unknown chronicity. correlate with exam. </s>
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<s>[INST] lung volumes are slightly low. the lungs remain clear without consolidation, effusion, or edema. 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] lung volumes are slightly low. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is detected. no acute osseous abnormalities seen. contrast from recent ct angiogram exam is seen within the collecting systems bilaterally.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is now complete opacification of the right hemi thorax and leftward shift of the mediastinal structures. on the prior chest radiograph, there was a small amount of aeration in the right upper lung, this is no longer seen. known left pulmonary nodules are better seen on ct. no pneumothorax is seen.What are the key findings of this report? [/INST] complete opacification of the right hemithorax. on the prior chest graft from <unk>, there was a small amount of aeration in the right upper lung, which is no longer present. </s>
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<s>[INST] ap and lateral views of the chest. lower lung volumes seen on the current exam. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] low lung volumes are present. cardiac silhouette size is mildly enlarged, similar to the prior study. mediastinal and hilar contours are unremarkable. there is crowding of bronchovascular structures but no overt pulmonary edema. patchy opacities in lung bases may reflect atelectasis. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] low lung volumes. patchy opacities in the lung bases may reflect areas of atelectasis, but infection or aspiration cannot be fully excluded in the correct clinical setting. </s>
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<s>[INST] there is blunting of the right lateral costophrenic angle with adjacent linear opacities in the lung. there is no pleural effusion. the lungs are otherwise clear and the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] right pleural thickening and adjacent linear opacity suggestive of scarring. however, these changes were not present on prior films and therefore superimposed acute process such as infection is not excluded. </s>
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<s>[INST] the lungs are well expanded. there is bilateral diffuse interstitial thickening and indistinctness of the hila. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. biapical pleural caps are identified. degenerative changes of the bilateral ac joints are identified.What are the key findings of this report? [/INST] findings compatible with mild interstitial pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest provided. subtle increased opacity at the right medial lung base could represent an early pneumonia in the correct clinical setting. lungs are otherwise clear. no large effusion or pneumothorax. the heart remains mildly enlarged. mediastinal contour is stable. bony structures are intact.What are the key findings of this report? [/INST] subtle opacity at the right medial lung base may represent a very early right middle lobe pneumonia. </s>
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<s>[INST] the heart is borderline in size. the mediastinal and cardiac contours appear stable. there is new bilateral hilar fullness with vascular engorgement including indistinct margins, most consistent with mild to moderate pulmonary edema. fissures are thickened. there is no definite pleural effusion or pneumothorax.What are the key findings of this report? [/INST] findings consistent with pulmonary edema. </s>
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<s>[INST] an endotracheal tube terminates <num> cm above the level of the carina. a nasogastric tube terminates within the stomach. an additional catheter tube overlies the mid right hemithorax, likely external to the patient. the heart is moderately enlarged and there is mild central pulmonary vascular congestion. small bibasilar pleural effusions are noted. the upper lungs are grossly clear without large consolidation. there is no overt pneumothorax identified.What are the key findings of this report? [/INST] <num>. ett terminating <num> cm above the carina. <num>. moderate cardiomegaly, mild central pulmonary vascular congestion, and small bilateral pleural effusions. </s>
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<s>[INST] there are dense areas of patchy infiltrate most marked at the right hilum and left mid lung. these are more dense than on the prior study; however, there has been interval clearing of other areas of opacity within the chest. there is a small right effusion that is increased in size compared to prior. there is a small left effusion, similar in size compared to prior.What are the key findings of this report? [/INST] continued multifocal pneumonia with some areas of improvement and some areas that appear slightly worse. </s>
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<s>[INST] lung volumes are slightly low. there is a left retrocardiac opacity. a dome-shaped opacity at the right base could reflect pleural fluid. the mid and upper lung fields are clear. the heart is moderately enlarged. there is no frank pulmonary edema. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. left retrocardiac opacity could reflect aspiration or pneumonia. <num>. suspected unilateral right pleural effusion, in the setting of worsening moderate cardiomegaly, raises concern for pulmonary embolism. </s>
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<s>[INST] since <unk>, new septal lines in the lower lungs, increased pulmonary vascular redistribution in the left upper lung and increasing size of superior vena cava and azygos vein are all consistent with worsening, mild, biventricular heart failure. unchanged moderate cardiomegaly. normal hilar structures. no pneumonia. no pneumothorax. no pleural effusion.What are the key findings of this report? [/INST] since <unk>, worsening mild biventricular heart failure. no evidence of pneumonia. </s>
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<s>[INST] lung volumes are low with bibasilar linear opacities compatible with atelectasis. small bilateral pleural effusions are also demonstrated. heart size appears unchanged and within normal limits. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. the right hemidiaphragm remains elevated. azygos fissure is again noted. no acute osseous abnormality.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis and small bilateral pleural effusions. persistent elevation of the right hemidiaphragm. </s>
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<s>[INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. the mediastinal 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] pa and lateral chest views have been obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. left-sided subclavian approach port-a-cath system unchanged. heart size remains normal and thoracic aorta and mediastinal structures unaltered. no pulmonary vascular congestion. the right-sided pleural density occupying and obliterating the right lateral and posterior pleural sinus remains unchanged. position of previously described small caliber drainage catheter is also unchanged. noteworthy is that the posterior pleural sinus density has clearly regressed on the right side, favoring the assumption that the density is organized and no free fluid remains. the left hemithorax remains normal and unchanged.What are the key findings of this report? [/INST] stable appearance of right-sided pleural density without signs of progression. </s>
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<s>[INST] no previous images. there is a large area of consolidation involving the left mid and lower lung zone, consistent with the clinical impression of pneumonia. indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. low lung volumes may account for mild prominence of the transverse diameter of the cardiac silhouette.What are the key findings of this report? [/INST] right mid and lower zone pneumonia. </s>
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<s>[INST] status post cabg with median sternotomy wires and mediastinal clips seen. low lung volumes again noted. small pleural effusion on the left with improvement in perihilar pulmonary edema and mild improvement in the left base atelectasis. no pneumothorax is seen. moderately enlarged heart.What are the key findings of this report? [/INST] persistent small left pleural effusion and mild improvement in left base atelectasis and perihilar pulmonary edema. moderately enlarged heart. </s>
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<s>[INST] there is no pulmonary edema. the cardiomediastinal silhouette and hila are normal. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate mild cardiomegaly with mild pulmonary interstitial edema. no effusion or pneumothorax. the right ij central venous catheter has been removed. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] mild cardiomegaly with mild interstitial edema. </s>
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<s>[INST] single portable view of the chest. left picc is no longer visualized. the lungs are essentially clear noting that the left costophrenic angle is excluded from the field of view. there is no evidence of pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process, no evidence of pneumothorax. </s>
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<s>[INST] ap single view portable chest x-ray in upright position shows increased lung volume with flattening of the diaphragm, probably due to emphysematous changes. there are no nodules or consolidation suspicious for pneumonia. heart size is moderately enlarged in patient who has had sternotomy for cardiac surgery. blunting of the left costophrenic space is due to parenchymal scarring and mild fibrotic changes as characterized in ct abdomen of <unk>. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] there is no sign of acute cardiopulmonary process. </s>
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<s>[INST] there are low lung volumes without focal consolidation, pleural effusion, or pneumothorax. the cardiac silhouette remains mildly enlarged, though this may be due to exaggeration by low lung volumes.What are the key findings of this report? [/INST] low lung volumes, with unchanged mild prominence of the cardiac silhouette. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] bilateral rib fractures appear unchanged, which are healed. a tiny left apical pneumothorax is again visualized. otherwise, the lungs are clear. no pleural effusions are present. the cardiac silhouette, hilar, and mediastinal contours appear normal. a left coracoid fixation screw is in place.What are the key findings of this report? [/INST] <num>. redemonstration of tiny left apical pneumothorax. <num>. bilateral rib fractures at various stages of healing with more acute-appearing rib fractures in the left lower posterior ribs. </s>
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<s>[INST] single portable ap radiograph was obtained. there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. median sternotomy wires are intact. there are no acute bony abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared with prior radiographs of <unk>, there has been interval removal of a right-sided chest tube. there is no pneumothorax. bilateral lung fields are unchanged. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no pneumothorax status post chest tube removal. </s>
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<s>[INST] cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. lungs are hyperinflated without focal consolidation. bronchiectasis within the lung bases and previously seen scattered inflammatory pulmonary nodules are better appreciated on the prior ct. patchy atelectasis or scarring is noted in both lung bases without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well-expanded. previously seen hazy opacity in the right lower lobe is improved on the current exam but not completely resolved. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] improvement in recently seen right lower lobe opacity without complete resolution. </s>
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<s>[INST] lines and tubes: again visualized are <num> left-sided chest tubes in unchanged position. the laterally located chest tube has a side hole projecting in the subcutaneous tissues of the lateral chest wall, as before. lungs: there is persistent near complete opacification of the left hemi thorax, likely a combination of known hematoma/pleural effusion and postsurgical changes including atelectasis. right lung is clear. no right pleural effusion present pleura: known left hematoma, status post vats for evacuation. no right pleural effusion or pneumothorax. mediastinum: mild cardiomegaly with shift of mediastinum to the left side. bony thorax: no significant interval change.What are the key findings of this report? [/INST] persistent near complete opacification of the left hemi thorax sparing the left upper lobe, likely a combination of residual pleural effusion/hemothorax and underlying atelectasis. <num> left-sided chest tubes are in unchanged position. the laterally located chest tube has a side hole projecting in the subcutaneous tissues of the lateral chest wall, as before. right lung clear, no right pleural effusion. </s>
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<s>[INST] frontal and lateral views of the chest. there is a vague opacity projecting over the anterior right <num>rd rib on the frontal view which is seen overlying the spine on the lateral view. elsewhere, the lungs are clear. blunting of the posterior costophrenic angles may represent trace effusions. cardiac silhouette is mildly enlarged. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] vague opacity in in the posterior segment of the right upper lobe which could represent pneumonia in the proper clinical setting. in absence of appropriate history, ct scan is suggested. otherwise, repeat after treatment is suggested to document resolution. </s>
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<s>[INST] low lung volumes cause mild bronchovascular crowding. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. the osseous structures and upper abdomen are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the aortic knob is calcified. the aorta is mildly tortuous, similar to prior. the lungs are clear. no pleural effusion or pneumothorax. eventration of left hemidiaphragm is similar to prior. no radiopaque foreign body.What are the key findings of this report? [/INST] no evidence for acute cardiopulmonary process. </s>
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<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. 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] lungs are hyperinflated but clear without consolidation. mild biapical scarring and bullous changes noted. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] hyperinflation without acute cardiopulmonary process. </s>
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<s>[INST] the heart is mild to moderately enlarged. the main pulmonary artery contour, as well as central pulmonary arteries appear again enlarged. the aortic arch is calcified. there is a small pleural effusion on the left with associated opacity probably due to atelectasis. the opacity in the medial right lower lung is probably due to a atelectasis in the costophrenic sulcus. there is probably a very mild degree of vascular congestion but less striking than on the prior study.What are the key findings of this report? [/INST] cardiomegaly and marked enlargement of central pulmonary arteries; pulmonary vascular congestion appears very mild, however. opacities at the lung bases probably due to atelectasis with a small left-sided pleural effusion. </s>
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<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute intrathoracic process seen. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate unremarkable cardiomediastinal and hilar contours. no focal opacifiction concerning for pneumonia; however, the esophagus is air-filled and there is a suggestion of lower lobe bronchial wall thickening. no pleural effusion or pneumothorax identified. multiple compression deformities are noted on the lateral view, at least one of which appears new compared to <unk>.What are the key findings of this report? [/INST] <num>. no acute intrathoracic process. air-filled esophagus is suggestive of esophageal dysmotility. lower lobe bronchial wall thickening may be indictive of chronic aspiration. <num>. multiple lower thoracic/upper lumbar compression deformities identified, at least one of which appears new compared to <unk>. </s>
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<s>[INST] the lungs are clear of focal consolidation, effusion, or pneumothorax. 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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