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<s>[INST] the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size is unchanged, the configuration demonstrating a prominence of the left ventricular contour, but no other significant abnormalities are present. thoracic aorta unremarkable. the pulmonary vasculature is not congested. there is no evidence of a small amount of right-sided pleural effusion blunting the right lateral pleural sinus and extending posteriorly as identified on the lateral view. some linear parenchymal densities on the right lung base are consistent with plate atelectases. no conclusive evidence for pleural effusion in left hemithorax. no other new parenchymal infiltrates are present. no pneumothorax is seen in the apical area. position of previously described orthopedic hardware in upper lumbar spine, unchanged. moderate gas distention of large bowel is noted.What are the key findings of this report? [/INST] development of right-sided pleural effusion since the next preceding study of <unk>. as this patient has a history of ovarian carcinoma, the possibility of metastatic process must be considered. </s>
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<s>[INST] assessment is limited by patient positioning and the patient's head and chin obscuring assessment of the lung apices, more so on the right. heart size appears unchanged, and top-normal. elevation of the right hemidiaphragm is chronic with streaky opacity in the right lung base compatible with atelectasis. no gross focal consolidation, pleural effusion or large pneumothorax is identified, but assessment again is limited. there is no pulmonary edema. percutaneous gastrostomy catheter is seen in the left upper abdomen. diffuse gaseous distension of bowel loops are seen in the upper abdomen. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] limited assessment due to patient positioning, particularly of the lung apices, more so on the right. right basilar atelectasis with chronic right hemidiaphragmatic elevation. no other acute cardiopulmonary abnormality grossly identified. diffuse gaseous distention of bowel loops in the upper abdomen. </s>
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<s>[INST] the lung volumes are low, somewhat accentuating the bronchovascular structures. there is minimal left basilar atelectasis. there is no focal airspace consolidation or pulmonary edema. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiomediastinal silhouette is otherwise normal. the stomach remains distended and filled with air. overall, there is little change from the prior chest radiograph.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. distended air-filled stomach. </s>
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<s>[INST] ap upright and lateral views of the chest were obtained. in comparison to the prior studies, lung volumes are lower. new moderate right pleural effusion with possible loculation. new increased heterogeneously dense opacification in the right lower lobe may represent compressive atelectasis or consolidation. increased bilateral prominent interstitial markening probably represent mild superimposed edema. there left lung is clear. there is no left effusion. there is no pneumothorax. the cardiomediastinal contour is otherwise unremarkable.What are the key findings of this report? [/INST] <num>. interval development of moderate right effusion with possible loculation and adjacent atelectasis and/or consolidation. pneumonia should be considered in the appropriate clinical context. <num>. mild bilateral interstitial edema. <num>. low lung volumes. </s>
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<s>[INST] pa and lateral chest radiograph demonstrates clear lungs bilaterally. no focal consolidation is identified. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures demonstrate no acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] a swan-ganz catheter ends in the right main pulmonary artery. a left chest tube is in unchanged position. the endotracheal, nasogastric and right chest tubes have been removed. the lung volumes remain low and pulmonary edema persists. right upper and left lower lobe opacities are relatively unchanged. a probable small left pleural effusion persists. no pneumothorax is identified. median sternotomy wires are intact.What are the key findings of this report? [/INST] <num>. interval removal of a endotracheal, nasogastric and right chest tubes. no pneumothorax. <num>. pulmonary edema is relatively unchanged. </s>
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<s>[INST] since the prior radiograph two days prior, there has been worsening mild pulmonary edema. there is no consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with a normal postoperative appearance. sternal wires and the prosthetic cardiac valve are unchanged in appearance.What are the key findings of this report? [/INST] <num>. worsening mild pulmonary edema. <num>. no pneumothorax. results were discussed with dr. <unk> at <time> on <unk> via telephone by dr. <unk> <unk> minutes after the findings were discovered. </s>
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<s>[INST] the cardiac silhouette quite enlarged, although likely in part exaggerated by supine position and ap technique. no focal consolidation is seen. there may be left base atelectasis. no large pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] enlarged cardiac silhouette could be due to cardiomyopathy however underlying pericardial effusion is not excluded. no definite focal consolidation. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there is a right mid to lower lateral consolidation, slightly improved from recent prior. right pleural effusion is again noted. there may also be trace left pleural effusion. the left lung is otherwise grossly clear and there is no pulmonary edema. the cardiomediastinal silhouette is stable. calcified mediastinal and supraclavicular nodes on the left are again noted. cardiomediastinal silhouette is within normal limits. vascular stent projects over the right upper extremity.What are the key findings of this report? [/INST] persistent right mid to lower lung consolidation, potentially atelectasis noting that infection is possible. right-sided pleural effusion persists. </s>
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<s>[INST] chronic changes are seen in the mid thoracic spine with associated dextroscoliosis and changes in the adjacent ribs. the right lung is clear. the cardiomediastinal silhouette is stable. opacity in the retrocardiac region at the left lung base appears similar compared to multiple priors and is likely in part due to volume loss and elevation of the hemidiaphragm. the superior left lung is clear. chronic changes are noted at the left shoulder.What are the key findings of this report? [/INST] no significant change since prior, no definite acute cardiopulmonary process. </s>
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<s>[INST] there is mild stable cardiomegaly. lung volumes are low. bibasilar atelectasis, right greater than left is unchanged. no focal consolidation is identified. the there is no pneumothorax, pleural effusion or evidence of pulmonary edema.What are the key findings of this report? [/INST] bibasilar atelectasis with no evidence of focal consolidation. </s>
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<s>[INST] lung volumes are diffusely low. chronic interstitial abnormality is noted diffusely, with increased haziness in the lungs bilaterally which could be due to atelectasis and low lung volumes, but slight worsening of the patient's known chronic interstitial lung disease is not excluded. no focal consolidation, pleural effusion or pneumothorax is clearly identified. moderate enlargement of the cardiac silhouette persists. the mediastinal and hilar contours are similar. wedge deformity of a vertebral body at the thoracolumbar junction is unchanged.What are the key findings of this report? [/INST] chronic fibrosing interstitial lung disease with increased hazy opacities in both lungs, possibly due to atelectasis though worsening of the patient's known chronic lung disease cannot be excluded. no gross focal consolidation. </s>
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<s>[INST] pa and lateral chest radiograph demonstrate streaky opacities at the bases bilaterally. cardiomediastinal and hilar contours are stable relative to prior examination. heart is mildly enlarged. a broad-based right lateral and lower thoracic wall pleural abnormality is unchanged. there is no evidence of pulmonary edema. there is no pleural effusion or pneumothorax. lungs are mildly hyperinflated. there is no air under the right hemidiaphragm.What are the key findings of this report? [/INST] no convincing evidence for pneumonia. stable right lateral and lower thoracic wall pleural based abnormality unchanged. </s>
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<s>[INST] the lungs are well-inflated and clear. the heart is top-normal in size. the mediastinal contours are stable. there is no pleural effusion, pneumothorax, pulmonary edema, or evidence of pneumonia. mild anterior wedging of lower thoracic vertebral bodies is unchanged, along with flowing anterior osteophytes, compatible with diffuse idiopathic skeletal hyperostosis (dish).What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal andWhat are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] endotracheal tube tip is <num> cm above carina, should be pulled back. very shallow inspiration accentuates heart size and pulmonary vascularity. bibasilar opacities may represent atelectasis, consider pneumonia if clinically appropriate, particularly on the left. there may be small left pleural effusion. no pneumothorax. moderate gastric distention.What are the key findings of this report? [/INST] endotracheal tube should be pulled back. bibasilar opacities likely atelectasis, consider pneumonia clinically appropriate. there a shallow inspiration. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are low. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] an opacity seen on the lateral view overlying the heart is most consistent with basilar atelectasis. cardiomediastinal and hilar contours are normal. no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there has been interval placement of a right-sided port-a-catheter, terminating at the cavoatrial junction. no focal consolidation, pleural effusion, or evidence of 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] mild vascular congestion is slightly increased. the cardiomediastinal and hilar contours are within normal limits. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] mild increase in pulmonary vascular congestion. </s>
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<s>[INST] continued marked cardiac enlargement is seen with unchanged mild pulmonary edema. opacification of the left hemidiaphragm is seen. no pneumothorax or focal consolidation is seen.What are the key findings of this report? [/INST] continued cardiomegaly with mild pulmonary edema. opacification of the left hemidiaphragm may represent atelectasis, pneumonia or effusion. </s>
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<s>[INST] single portable upright frontal view of the chest shows no free air under the diaphragm. the lungs are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable.What are the key findings of this report? [/INST] no free air under the diaphragm. </s>
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<s>[INST] ap and lateral views of the chest provided. left pacemaker and lead are in stable position. lung base opacity best seen on the lateral view is concerning for pneumonia. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] lung base opacity best seen on the lateral view is concerning for pneumonia. </s>
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<s>[INST] there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. myelomatous involvement seen throughout the chest is unchanged. there are no pathologic fractures seen.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> on <unk> at the time of discovery. </s>
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<s>[INST] the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no consolidation, pneumothorax or pleural effusion seen. there is an apparent <num> mm nodule in the right lung base. degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] apparent <num> mm nodule in the right lung base. recommend ct chest to better evaluate. </s>
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<s>[INST] the known left upper lobe mass contains fiducial markers. as compared to the prior exam, there are new bibasilar airspace opacities, more conspicuous on the left and new small bilateral pleural effusion. there is no pneumothorax or overt pulmonary edema. the cardiomediastinal silhouette is normal and unchanged.What are the key findings of this report? [/INST] new, bibasilar airspace opacities, greater on the left, possibly pneumonia. small bilateral pleural effusions are also new. left upper lobe bronchogenic carcinoma. chronic goiter. </s>
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<s>[INST] there is a dual-lead pacemaker/icd device with leads again terminating in the right atrium and ventricle, respectively. the cardiac, mediastinal and hilar contours appear stable. a widespread interstitial abnormality has resolved. however, there is an increase in retrocardiac opacification in the left lower lobe. particularly given the lack of generalized evidence for pulmonary edema and the focal nature of the opacity, pneumonia seems a likely etiology. the bones appear demineralized.What are the key findings of this report? [/INST] findings concerning for pneumonia in the left lower lobe. </s>
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<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. no focal consolidation is seen. 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] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no evidence of pulmonary vascular redistribution or effusion. the cardiac silhouette is enlarged, potentially more so than on prior exam. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] interval enlargement of the cardiac silhouette potentially due to enlarging pericardial effusion and underlying cardiomegaly. no other change. </s>
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<s>[INST] ap upright portable and lateral views of the chest are provided. there is mild pulmonary interstitial edema. no large effusion or pneumothorax. the heart and mediastinal contour appears grossly stable. no bony abnormalities are seen. previously noted dialysis catheter in the ivc and right heart has been removed.What are the key findings of this report? [/INST] mild interstitial edema. </s>
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<s>[INST] compared to the prior exam there is increased alveolar infiltrate left greater than right. there is moderate pulmonary edema. there bilateral pleural effusions left greater than right. it is unclear if this is asymmetric pulmonary edema which would be unusual given that this is left greater than right in appearance or if there is an infectious etiology.What are the key findings of this report? [/INST] worsened appearance to the lungs. unclear if this is infectious or fluid overload. </s>
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<s>[INST] normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. suture anchor in the right shoulder is unchanged.What are the key findings of this report? [/INST] normal chest radiograph </s>
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<s>[INST] only a lateral view of the chest was submitted for interpretation. on this single lateral view grossly the lungs appear clear. no pleural effusion is seen.What are the key findings of this report? [/INST] limited study as only a lateral view was submitted. no focal consolidation or pleural effusion seen. </s>
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<s>[INST] compared with <unk>, there is no significant interval change identified. again seen is hyperinflation, with flattened diaphragms, suggestive of copd. also again seen are multiple calcified pulmonary granulomas, unchanged in appearance. there is biapical pleural thickening, probably with some biapical scarring. the lungs are otherwise grossly clear. stable mild widening of the mediastinum the thoracic inlet due to tortuous vessels and mediastinal fat deposition. no pleural effusion or pneumothorax detected. heart size, mediastinal contour, and hila are unchanged.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process identified. <num>. probable background copd, with evidence of previous granulomatous disease. no significant change detected compared with <unk>. </s>
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<s>[INST] the heart is at the upper limits of normal size. the contour of the main pulmonary artery is moderately prominent. the mediastinal and hilar contours appear otherwise unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] borderline cardiomegaly and enlarged main pulmonary artery contour, although with little if any change. sometimes this appearance can represent a normal variant but the possibility of pathology including pulmonary arterial hypertension cannot be excluded. </s>
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<s>[INST] the left pleural effusion has decreased in size after thoracentesis, now small and best appreciated on the lateral view. the right small pleural effusion is unchanged. bibasilar overlying atelectasis persists. there is no pneumothorax. heart is mildly enlarged but unchanged. no pulmonary edema. a left subclavian mediport terminates in the right atrium.What are the key findings of this report? [/INST] decrease in size of the left pleural effusion after thoracentesis, now small. no pneumothorax. </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 pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. a right-sided vascular stenting is seen from the region of the right brachiocephalic, subclavian, and axillary veins. blunting of the left costophrenic angle may be due to a small left pleural effusion. no overt pulmonary edema is seen. mild right base atelectasis was likely present. the cardiac, mediastinal, and hilar contours are stable.What are the key findings of this report? [/INST] possible small left pleural effusion. no pulmonary edema. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is large right loculated pleural effusion, increased in size compared to <unk>. there is persistent left mediastinal shift. there is collapse of right middle and lower lobes. previously seen right lower lobe mass on ct from <unk> is obscured by the pleural effusion.What are the key findings of this report? [/INST] large right loculated pleural effusion is increased in size compared to <unk>. there is persistent left mediastinal shift. </s>
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<s>[INST] the lungs are well expanded and appear clear. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette and hilar contours are unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs remain hyperinflated compatible with underlying copd. previously demonstrated right apical pneumothorax is not substantially changed in the interval. scarring within the left apex is unchanged. there is no focal consolidation or pleural effusion. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no change in size of small to moderate sized right apical pneumothorax. </s>
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<s>[INST] the patient is status post median sternotomy with aortic corevalve device again noted in unchanged position. cardiac silhouette remains unchanged, mildly enlarged. the aorta is tortuous and diffusely calcified. mild to moderate pulmonary edema is somewhat worse compared to the previous exam. small right pleural effusion is noted. bibasilar atelectasis is demonstrated. no pneumothorax is identified. multilevel degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] mild to moderate pulmonary edema, worse compared to the previous study, with small right pleural effusion. </s>
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<s>[INST] the temporary pacemaker wire has been removed. there is no pneumothorax. a right apical density could be an elongated calcified right brachiocephalic trunk, more prominently seen due to positioning. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. the aorta is tortuous. there has been a total shoulder arthroplasty of the left, and severe degenerative changes are noted at the right glenohumeral joint.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. no evidence of acute cardiopulmonary process. </s>
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<s>[INST] single portable view of the chest. relatively lower lung volumes are seen when compared to prior. calcific density again projects over the lateral aspect of the right mid lung. a left picc is seen with tip projecting over the distal brachiocephalic vein/upper svc. given positioning, the lungs are grossly clear. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were obtained. the lungs are hyperinflated, as before, and there is increased ap diameter of the chest, consistent with a history of copd. the right hemithorax is slightly smaller than the left, unchanged. heart is mildly enlarged, but cardiomediastinal contour is stable. prominence of the right pulmonary arttery is again seen. there is a small right effusion, perhaps very slightly improved, with some underlying atelectasis. scarring and volume loss in the right middle lobe appears stable. again seen is a large irregular density projecting over the right lower lung which corresponds to a large unusual branching calcification or other density in the right breast (<time> on <unk> ct). minimal blunting of the left posterior costophrenic angle and minimal left base atelectasis/scarring is unchanged. no new infltrate is detected. no obvious ptx. no chf. degenerative changes are again noted in the thoracic spine. there has been interval removal of the right chest tube.What are the key findings of this report? [/INST] copd and cardiogemaly. rml scarring and volume loss. small right effusion and possible tiny left effusion. howver, no significant interval change detected compared with <unk>. no new infiltrate, chf, or obvious pneumothorax. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. minimal atelectasis is noted in the right lung base. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen. fiducial marker is noted within the region of the liver dome.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the tip of the endotracheal tube projects over the mid thoracic trachea, <num> cm from the carina. a gastric tube extends into the stomach. the tip of a left internal jugular central venous catheter projects over the mid to distal svc. there are small bilateral pleural effusions, greater on the left with subjacent atelectasis. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.What are the key findings of this report? [/INST] the nasogastric tube extends into the stomach. small bilateral pleural effusions, greater on the left with subjacent atelectasis. </s>
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<s>[INST] dilated loops of large bowel are noted in the abdomen. intraluminal air is likely accounting for the lucency abutting the hemidiaphragms bilaterally. however, pneumoperitoneum is difficult to completely exclude on the basis of this exam. the cardiomediastinal and hilar contours are normal. the lungs are hypoinflated with bibasilar atelectasis. there is no pneumothorax or large pleural effusion. there is no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] <num>. dilated loops of small and large bowel in the imaged portion of the abdomen, likely accounting for increased lucency abutting the hemidiaphragms. if clinical concern persists for pneumoperitoneum, upright abdominal radiographs or ct is recommended for further evaluation. <num>. low lung volumes with bibasilar atelectasis. </s>
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<s>[INST] cardiac silhouette is enlarged and has increased slightly in size since the prior radiograph. aorta is tortuous. increased opacity overlying the lower thoracic spine on the lateral view, and is difficult to localize on the frontal radiograph, but may involve both lower lobes as both hemidiaphragms appear slightly obscured posteriorly. probable small bilateral pleural effusions are also demonstrated, with slight blunting of the posterior costophrenic angles. bones are diffusely demineralized. mild compression deformities in mid thoracic spine, unchanged since ct of <unk>.What are the key findings of this report? [/INST] <num>. no definite findings to suggest active tuberculosis or previous granulomatous infection. <num>. patchy bibasilar opacities could potentially reflect aspiration or bacterial pneumonia in the appropriate clinical setting. short-term followup radiographs may be helpful to ensure resolution. <num>. small bilateral pleural effusions. <num>. cardiomegaly without evidence of pulmonary edema. </s>
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<s>[INST] there is minimal left basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal superior mediastinal contours are stable and unremarkable, as are the hilar contours.What are the key findings of this report? [/INST] no focal consolidation worrisome for pneumonia. </s>
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<s>[INST] no prior studies are available for comparison. there is mild cardiomegaly, likely accentuated by the ap projection and low lung volumes. opacification in the medial right lower lobe is of unclear etiology, but may be due to a prominent epicardial fat pad, cardiac enlargement, a pericardial cyst, or hernia. no large focal consolidation. median sternotomy wires are intact. incidental note is made of old fractures of the posterior left fourth and fifth ribs, with bony callus.What are the key findings of this report? [/INST] <num>. opacity in the medial right lower lung is of unclear etiology of the may be due to cardiomegaly, a prominent epicardial fat pad, pericardial cyst, or possibly a hernia. correlation with old films, if obtainable, is recommended. <num>. no large focal consolidation. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. bilateral nipple shadows are identified. deformities of the right lateral ribs suggestive healed fractures are also noted. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the heart is mild to moderately enlarged and probably increased somewhat in size. the vascular pedicle is widened and each hilum shows fullness with indistinct pulmonary vasculature. more generally hazy opacification of each lung suggests moderate pulmonary edema. there are no definite pleural effusions. there is no pneumothorax.What are the key findings of this report? [/INST] findings most consistent with pulmonary edema. </s>
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<s>[INST] as compared to the prior examination dated <unk>, there has been no significant interval change. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest were obtained. again seen is a dual lead left chest wall pacemaker defibrillator with leads terminating in the right ventricle, unchanged. cardiomediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. lungs are well expanded with no focal consolidation concerning for pneumonia. patient is status post left upper lobectomy with evidence of volume loss in the left lung with chronic elevation of the left hemidiaphragm and scarring in the left hilar region.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] left picc line, tracheostomy tube and nasogastric tube are unchanged in position. retrocardiac consolidation remains and may reflect atelectasis, although pneumonia cannot be entirely excluded. the lungs are otherwise grossly clear. no pulmonary edema, obvious pneumothorax or pleural effusions. cardiac and mediastinal contours are unchanged. </s>
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<s>[INST] frontal radiograph of the chest shows stable bilateral alveolar opacities with unchanged ecmo catheter, endotracheal tube, and enteric tube. the endotracheal tube tip projects roughly <num> cm from the carina, and appears different from the previous x-ray likely due to the patient's chin now being up. no pneumothorax is appreciated.What are the key findings of this report? [/INST] unchanged appearance of lung parenchyma with no evidence of pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no evidence of pneumothorax, pulmonary edema, or pleural effusion. the cardiomediastinal silhouette is unremarkable. no focal opacities are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of pneumothorax. </s>
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<s>[INST] in comparison with chest radiographs from <unk>, lung volumes remain low. predominantly linear bibasilar opacities are unchanged and likely reflect atelectasis. there is no focal consolidation, effusion, or pneumothorax. there is no central vascular congestion or overt pulmonary edema. the cardiomediastinal silhouette is normal. cholecystectomy clips are seen in the right upper quadrant. surgical hardware from prior posterior fusion surgery in the cervical spine is noted.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. no central vascular congestion or overt pulmonary edema. <num>. persistent probable bibasilar atelectasis. </s>
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<s>[INST] the examination is limited secondary to patient rotation. the tracheostomy tube projects in the craniocaudal dimension. right picc line terminates in the low svc. enteric tube appears to course beyond the diaphragm. multilevel thoracic spine stabilization hardware is again seen. bilateral pleural effusions, left greater than right, are unchanged. there is apparent improvement in aeration of left lower lobe, although it is mostly obscured due to patient rotation. mild interstitial edema is stable.What are the key findings of this report? [/INST] <num>. suboptimal radiograph secondary to patient positioning with obscuration of the left lower lobe. <num>. mild interstitial edema, stable. <num>. bilateral pleural effusions, left greater than right, stable. </s>
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<s>[INST] the left-sided port-a-cath bends and is compressed between the clavicle and the anterior ribs, which is common. the port-a-cath terminates in the mid svc. right apical scarring likely due to post radiation changes. small right basilar opacities likely represent postradiation changes. cardiomediastinal more so hilar structures are normal. no pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] port-a-cath terminates in the mid svc. bending and mild compression of the port-a-cath between left clavicle and anteriors ribs, which is common. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. no peribronchial thickening. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute intrathoracic process. given presence of hemoptysis, recommend chest ct for further evaluation. recommendations: chest ct for further evaluation of hemoptysis. </s>
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<s>[INST] normal heart, lungs, pleura and mediastinal surfaces.What are the key findings of this report? [/INST] clear lungs. </s>
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<s>[INST] the et tube is in good position at least <num> cm above the carina. other support and monitoring devices remain stable. the right pleural effusion and pulmonary edema are improved, specifically the right middle lobe opacity which may have been due to asymmetric edema or aspiration has improved. there remains pneumoperitoneum which may be increasing. additionally, there is new left soft tissue emphysema.What are the key findings of this report? [/INST] <num>. stable to increasing pneumoperitoneum with new left-sided subcutaneous emphysema. these findings raise concern about appropriate functionality of the gastrostomy tube. this finding was discussed with <unk> at <time> am, <num> minutes after the time of discovery, by dr. <unk> <unk> telephone on <unk>. <num>. improved pulmonary edema. </s>
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<s>[INST] compared to the prior study there is increase in the bilateral lower lobe alveolar infiltrates. the heart size continues to be moderately enlarged. the ng tube tip is in the stomach. the picc line tip is at the cavoatrial junction. there is mild pulmonary vascular recent redistribution.What are the key findings of this report? [/INST] worsened bilateral lower lobe infiltrates. it is unclear if this is due to pulmonary edema or infectious etiology. </s>
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<s>[INST] pulmonary vascular congestion is not significantly changed. marked cardiomegaly is unchanged. there is no pneumothorax. mediastinal contours are stable.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] the heart continues to be moderately enlarged with mild interstitial edema. the right pleural effusion has increased since <unk>, and lung volumes are low with bibasilar atelectasis. the right lower lung has a heterogeneous opacity. median sternotomy wires are intact.What are the key findings of this report? [/INST] unchanged interstitial edema and bibasilar atelectasis. increased right pleural effusion with right lower lung opacity concerning for possible pneumonia. </s>
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<s>[INST] previous right upper lobe pneumonia has resolved leaving a small focus of linear scarring. the lungs are now clear. there is no pneumothorax. the heart and mediastinum are within normal limits. generalized osteopenia and mild thoracic spine kyphosis are unchanged.What are the key findings of this report? [/INST] resolved right upper lobe pneumonia. </s>
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<s>[INST] pa and lateral views of the chest were provided. midline sternotomy wires, dual lead pacer appear unchanged from prior with pacer leads extending to the region of the right atrium and right ventricle. there is stable mild cardiomegaly with small bilateral pleural effusions slightly decreased from prior exam. there is no evidence of pneumonia or pulmonary edema. mediastinal contour is stable. bony structures appear intact.What are the key findings of this report? [/INST] small bilateral pleural effusions. no pneumonia. </s>
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<s>[INST] mild enlargement of the cardiac silhouette is unchanged. the aorta remains mildly tortuous. the hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy opacities in the lung bases may reflect atelectasis. focal nodular opacity measuring approximately <num> mm projecting over the left third rib anteriorly is not clearly localized on the lateral view, but appears thickened present on the previous exam projecting over the left lung base. no acute osseous abnormality is clearly noted. there is mild loss of height of an upper lumbar vertebral body, unchanged.What are the key findings of this report? [/INST] <num>. patchy bibasilar airspace opacities, potentially atelectasis, but infection cannot be excluded in the correct clinical setting. <num>. vague <num> mm nodular opacity projecting over the left third rib anteriorly was likely present on the previous chest radiograph. assessment with nonemergent chest ct is recommended for further evaluation. </s>
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<s>[INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. no evidence of displaced rib fractures. cervical spine hardware is seen.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. hyperinflated appearance of the lungs is unchanged compared to the prior exam. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. hyperinflated appearance of the lungs, unchanged compared to the prior exam, suggesting the possibility of copd in the appropriate clinical setting. </s>
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<s>[INST] lung volumes are low, similar to prior. linear opacity in the left base is unchanged and consistent with atelectasis or scarring. no focal consolidation, pleural effusion, or pneumothorax. heart size and cardiomediastinal contours are normal.What are the key findings of this report? [/INST] no focal consolidation. unchanged left base atelectasis or scarring. </s>
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<s>[INST] the patient is status post previous median sternotomy and coronary artery bypass surgery. heart size is normal. hilar contours appear more full compared to baseline study of <unk>, and may reflect engorged pulmonary vessels, particularly given the presence of scattered bilateral septal line suggestive of interstitial edema. bilateral lower lobe opacities reported on the recent study of one day earlier have slightly improved, but a new opacity has developed peripherally at the left base. residual right infrahilar opacity has a nodular configuration and should be followed to ensure resolution. bilateral small pleural effusions are also demonstrated. healed left rib fractures are incidentally noted.What are the key findings of this report? [/INST] <num>. mild chf with interstitial edema. <num>. rapidly improving lower lobe opacities could reflect improving edema or aspiration. continued radiographic followup recommended, particularly to ensure resolution of right infrahilar opacity. </s>
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<s>[INST] bilateral airspace opacities are increased from <unk>. heart size is within normal limits. no evidence pneumothorax. osseous structures are unremarkable.What are the key findings of this report? [/INST] worsening airspace opacities, likely secondary to worsening edema in the setting of multifocal pneumonia. </s>
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<s>[INST] single ap portable view of the chest was obtained. the patient is status post median sternotomy. there is mild-to-moderate pulmonary edema. the cardiac silhouette is mildly enlarged. no large pleural effusions are seen, but small pleural effusions to be difficult to exclude. right base opacity most likely represents a prominent vascular structure, although underlying consolidation due to aspiration or infection not excluded. mediastinum is within normal limits.What are the key findings of this report? [/INST] pulmonary edema and mild cardiomegaly. difficult to exclude small pleural effusions. patchy right base opacity may relate to prominent vascular structures, although underlying consolidation from aspiration or infection may be present. </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.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is evident on this view. the lungs are likely hyperinflated. heart size is mildly enlarged. few aortic calcifications are noted. mediastinal contours are normal.What are the key findings of this report? [/INST] mild cardiomegaly and possible lung hyperinflation. </s>
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<s>[INST] frontal and lateral views of the chest. relatively low lung volumes are seen. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged including moderate cardiomegaly. 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] as compared to previous chest x-ray from <unk>, a consolidation still involves the posterior segment of the right lower lung and is unchanged. the left lung and right mild and anterior segments are clear. the cardiomediastinal and hilar contours are stable. there is no pneumothorax. no bony abnormalities detected.What are the key findings of this report? [/INST] persistent right lower lobe consolidation, reflecting pneumonia. </s>
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<s>[INST] ap and lateral views of the chest demonstrate bibasilar atelectasis and persistent prominence of the right pulmonary hilum, unchanged since the prior study with no evidence of overt pulmonary edema. the cardiomediastinal silhouette is stable in appearance. there is no pneumothorax. no focal consolidation is seen. persistent wedge compression deformity of a mid thoracic vertebral body and evidence of remote left clavicular fracture are seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is mildly enlarged. prominent mediastinum is due a least in part to a borderline enlarged ascending aorta. the hilar are unremarkable. lung volumes are slightly low, and there is an opacity at the left lung base obscuring the left costophrenic angle, which may reflect atelectasis, small pleural effusion, or infection in the correct clinical setting. nodular interstitial changes are also noted. on the lateral view, note is made of thickened fissures. the upper abdomen is unremarkable. the patient is status post right rotator cuff repair. dish changes are present throughout the thoracic spine.What are the key findings of this report? [/INST] overall appearance more consistent with pulmonary edema. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no radiographic findings to suggest chf. some calcification is seen at the aortic knob. the cardiac silhouette is normal in size. mild degenerative changes are seen along the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no radiographic evidence to suggest chf. </s>
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<s>[INST] frontal and lateral radiographs of the chest again demonstrate chronically elevated right hemidiaphragm. the right basilar atelectasis persists. otherwise, the lungs are clear with no pneumonia. the cardiac and mediastinal contours are within normal limits. no pleural abnormality is detected.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are low. bibasal atelectasis noted without convincing signs of pneumonia or edema. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. bony 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. mild bibasilar atelectasis. </s>
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<s>[INST] pa and lateral views of the chest were obtained. multiple surgical clips are noted in the left axilla and left lateral chest wall. there is suture material in the left lower lung with pleural thickening and volume loss as well as cerclage wires at the level of a posterior rib osteotomy. findings are compatible with prior resection. allowing for this, there is no definite sign of focal consolidation within the left lung to suggest the presence of pneumonia. no definite sign of pleural effusion. the right lung is clear. the cardiomediastinal silhouette appears normal. aside from aforementioned left lower rib osteotomy defects, the imaged osseous structures appear intact.What are the key findings of this report? [/INST] status post left partial lung resection with associated postoperative changes. no definite signs of pneumonia or chf. </s>
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<s>[INST] the lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hilar contours are normal. no pleural abnormality is identified. vertebral body heights in the thoracic spine on the sagittal views are grossly preserved. there is right curvature of the lower thoracic spine and mild left curvature of the upper lumbar spine.What are the key findings of this report? [/INST] no focal pneumonia. this exam is not dedicated for imaging of the bones. if there is concern of a rib fracture, consider dedicated rib radiographs with a marker pointing to any area of focal pain. </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 stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] when compared to priors, there has been no significant interval change. postoperative changes of left pneumonectomy with shift of the right lung into the left hemi thorax is again noted. the right lung is grossly clear. cardiomediastinal silhouette is stable. no acute osseous abnormalities, chronic changes of left thoracotomy are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] low lung volumes and technical factors limit the interpretation of this film. increased mediastinal pedicle as well as vascular engorgements and may be mild cardiomegaly are related to failure. no focal consolidations concerning for pneumonia are present. no pleural effusion is present. no pneumothorax.What are the key findings of this report? [/INST] limited film demonstrating vascular engorgement and pulmonary edema. no evidence of pneumonia. </s>
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