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<s>[INST] the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is visualized. no acute osseous abnormalities are detected.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 provided. the right pneumothorax is intervally increased, now moderate in size with increasing atelectasis in the right lower lung. no mediastinal shift. no additional findings.What are the key findings of this report? [/INST] increasing right pneumothorax, now moderate in size without evidence of tension. </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. there is a stable mild wedge compression deformity in the mid thoracic spine with a stable prominent osteophyte.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is minor mid lung atelectasis. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the aorta is tortuous. the cardiac silhouette is mildly enlarged. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] lung volumes are somewhat low. there is no focal consolidation, pleural effusion or pneumothorax. an apparent opacity at the left lung base silhouetting the left heart border is seen only on the frontal view, and may represent prominent pericardial fat. heart size is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] low lung volumes, probably clear. </s>
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<s>[INST] there has been interval placement of an endotracheal tube, which is appropriately placed with its tip projecting <num> cm above the carina. there is also interval placement of an ng tube with the tip in the distal stomach, which is excluded on imaging. there is otherwise no significant interval change compared to exam from six hours prior.What are the key findings of this report? [/INST] appropriate positioning of endotracheal tube and ng tube. </s>
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<s>[INST] moderate cardiomegaly, increased compared to prior study. left anterior chest wall icd with lead positioning now appearing straight compared to the prior exam. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly, significantly intervally increased. given interval increase, consider echo for further evaluation and to exclude pericardial effusion. otherwise no acute cardiopulmonary abnormality. </s>
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<s>[INST] the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. small anterior osteophytes are present along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] a tracheostomy tube is in position. a right-sided picc line terminates in the superior vena cava. there is a pigtail catheter projecting over the right hemithorax. there has been marked improvement in aeration of both lungs but with persistent opacification of the right lower lung suggesting residual atelectasis. confluent retrocardiac opacification is not specific but is also most often seen with atelectasis. it is difficult to exclude pleural effusions.What are the key findings of this report? [/INST] marked improvement in aeration of both lungs. </s>
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<s>[INST] the lung volumes are low. within the limitations of technique, the cardiac, mediastinal and hilar contours are probably within normal limits. there is no definite pleural effusion or pneumothorax. heterogeneous opacification involves each mid lung, greater on the right than left, with areas of entirely spared lung. there is no clear finding to suggest an abnormal vasculature.What are the key findings of this report? [/INST] findings suggesting pneumonia. </s>
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<s>[INST] there is a small left pleural effusion. there is no focal consolidation, pulmonary edema or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] small left pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. the heart and mediastinal contours are normal. the 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. </s>
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<s>[INST] the inspiratory lung volumes are appropriate. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a left-sided chest tube. there are no apparent complications from insertion, including no pneumothorax. the cardiomediastinal silhouettes are normal. the bilateral hila are normal. there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there is a small left pleural effusion.What are the key findings of this report? [/INST] small left pleural effusion with left-sided chest tube. otherwise no evidence of acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. the patient is status post cabg. the lungs are well expanded and clear. there is no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. scattered, multifocal opacities are significantly improved from the prior radiographs on <unk>. no effusion or pneumothorax is seen. no focal consolidation is identified.What are the key findings of this report? [/INST] markedly improved multifocal opacities from the prior radiographs on <unk>. no focal consolidation identified to suggest pneumonia. </s>
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<s>[INST] there is left basilar opacity. the lungs are otherwise clear. cardiomediastinal silhouette is within normal limits. surgical clip projects over the thoracic inlet on the left. posterior cervical fixation hardware is partially visualized.What are the key findings of this report? [/INST] left basilar opacity which could be due to to either atelectasis or infection, to be correlated clinically. </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] right picc line is in the mid to low svc. enteric tube terminates in the stomach. moderate right and small left pleural effusions with bibasal opacities. no interstitial edema. calcified mass projecting over the left hemithorax peripherally measuring <unk>.<num> x <num> cm is a calcified pleural plaque. there also calcified diaphragmatic and mediastinal calcified pleural plaques. a possible pneumothorax is seen lateral to this large calcified pleural plaque.What are the key findings of this report? [/INST] extensive unilateral left-sided calcified pleural disease can be seen with prior infection or hemothorax. possible small left loculated pneumothorax. bilateral pleural effusions right greater than left with bibasal opacities. recommendation(s): correlation with lateral decubitus radiograph. </s>
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<s>[INST] single ap view of the chest. right chest wall port is again seen with catheter tip at the ra-svc junction. slightly lower lung volumes seen on the current exam. bibasilar opacities may be due to atelectasis. elevation of the left hemidiaphragm is unchanged. the cardiomediastinal silhouette remains stable. known hilar/mediastinal adenopathy is better characterized on pet-ct from <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] heart is top normal size. widening of the mediastinum is consistent with mediastinal and hilar lymphadenopathy as seen on ct scan. lung volumes are low with atelectasis seen in both bases. there is an opacity projecting over the mid right lung likely corresponding to the site of intervention possibly reflecting hemorrhage in that region. neighboring hilar region also appears to have increased in size, likely secondary to the same process. left lung is clear. no significant pleural effusions, and no pneumothorax.What are the key findings of this report? [/INST] <num>. focal opacification of the mid right lung likely represent post-surgical changes and is consistent with hemorrhage and/or atelectasis. <num>. bibasilar atelectasis. </s>
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<s>[INST] portable frontal images of the chest. a tracheostomy is noted. there are low lung volumes. mild pulmonary edema is again seen, similar to prior exam. opacities again noted in the right lung base, unchanged to prior exam. right pleural effusion is similar prior exam. there may be a new small left pleural effusion. no pneumothorax is seen. there is moderately severe cadiomegaly, unchanged from prior exam.What are the key findings of this report? [/INST] <num>. mild pulmonary edema, similar to prior exam. <num>. unchanged right lung base opacity. <num>. stable right pleural effusion. probable new small left pleural effusion. </s>
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<s>[INST] portable ap upright chest radiograph was provided. there is eventration of the right hemidiaphragm. retrocardiac opacities compatible with known hiatal hernia. no focal consolidation within the lungs. no edema., effusion or pneumothorax. the heart size appears grossly within normal limits. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. please refer to same day ct abdomen and pelvis for further details. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.What are the key findings of this report? [/INST] no acute radiographic intrathoracic pulmonary disease. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] exam is somewhat limited secondary to patient body habitus. the lungs are grossly clear without confluent consolidation or definite effusion. right apical scarring is faintly visualized overlying the anterior right first rib. cardiac silhouette is enlarged, similar compared to prior. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube tip seats <num> cm above the carina. a right-sided picc tip terminates at the cavoatrial junction. an endogastric tube courses inferiorly and out of the field of view. an ivc filter is present. the heart size is within normal limits. the mediastinal and hilar contours appear normal. the lungs continue to demonstrate an ill-defined opacity behind the heart which does not appear to obscure the hemidiaphragm. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] lines and tubes in place as described above; retrocardiac opacity is improving but persists. </s>
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<s>[INST] pa and lateral views of the chest. the right-sided consolidation has resolved. no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal and hilar contours are normal. sclerosis involving thoracic vertebral bodies is unchanged.What are the key findings of this report? [/INST] right lower lobe pneumonia cleared since <unk>. no new consolidations. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. 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] heart size is normal. there is mild increased density obscuring the right heart border with increased lower zone density on the lateral view with some peribronchial cuffing suspicious for infection. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] subtle increased density obscuring the right heart border with increased density of the lower lungs on lateral view suspicious for infection. </s>
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<s>[INST] left base opacity most likely represents a fat pad rather than pneumonia. no prior for comparison. the right lung is clear. no pleural effusion or pneumothorax is seen. the cardiac silhouette is normal in size. the aorta is somewhat tortuous. no pulmonary edema is seen. no displaced rib fracture is seen.What are the key findings of this report? [/INST] no displaced rib fracture seen. if clinical concern persists rib series or ct is more sensitive. </s>
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<s>[INST] there is a small-to-moderate left pleural effusion, which appears slightly worse compared to the prior radiograph of <unk>. the previously noted right sided pleural effusion has resolved. there is no evidence of pneumonia within the remaining areas of well-ventilated lung. there is no pneumothorax. cardiomediastinal silhouette is within normal limits. there has also been interval placement of a right port-a-cath which terminates in the mid svc.What are the key findings of this report? [/INST] <num>. interval worsening of left pleural effusion. right pleural effusion has resolved. <num>. no evidence of pneumonia in remaining areas of well-ventilated lung. </s>
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<s>[INST] two portable upright view of the chest are compared to previous exam from <unk>. there is new right lung base opacity compatible with at least some component of pleural effusion with probable underlying airspace disease. the left lung remains essentially clear, noting mild scarring versus atelectasis at the lung base. left subclavian central line is seen with tip at the cavoatrial junction. cardiomediastinal silhouette is stable. posterior spinal fixation hardware is partially visualized.What are the key findings of this report? [/INST] right basilar opacity in part due to pleural effusion with possible underlying airspace disease. </s>
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<s>[INST] there is no evidence of pneumonia, pneumothorax, pleural effusion, pulmonary edema. heart size is stable. vp shunt catheter courses over the right chest wall. battery pack is seen projecting over the left hemithorax. aorta is unfolded. a small amount of peribronchial cuffing is likely related to chronic bronchiolitis/small airways disease.What are the key findings of this report? [/INST] no evidence of pneumonia. possible chronic small airways disease. </s>
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<s>[INST] as compared to <unk> from support devices remain in standard position. increasing bibasal opacities. moderate right sided effusion and small left effuson have increased. mild interstitial pulmonary edema has slightly improved. no pneumothorax. cardiomediastinal contour contours are stable.What are the key findings of this report? [/INST] worsening bibasal opacities. increase in right moderate and mild left effusions. </s>
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<s>[INST] left subclavian and axillary stent remains in place. again there are surgical clips in the right axilla. extensive coarse breast calcifications project over the right upper and mid lung. there are postradiation fibrotic changes at the right apex in along the right upper mediastinum similar to prior studies. there is overall increased opacity of both lungs with <unk> b-lines most evident along the periphery of the right lung suggestive of pulmonary edema. heart size is normal. there is no pneumothorax.What are the key findings of this report? [/INST] moderate pulmonary edema. </s>
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<s>[INST] right-sided calcified aortic arch is again noted. the cardiomediastinal silhouette is otherwise unremarkable. the lungs are clear of focal consolidation. increased interstitial markings throughout the lungs are noted not dramatically changed since priors. on the lateral view, there is increased density projecting over the left pleura posteriorly, potentially a loculated effusion or pleural-based soft tissue. trace right-sided effusion is identified. no focal osseous abnormalities identified.What are the key findings of this report? [/INST] <num>. increased interstitial markings in the lungs, not dramatically changed since prior. this could represent a chronic interstitial process although superimposed vascular congestion or atypical infection is possible. <num>. new pleural-based opacity seen posteriorly on the left could represent a loculated effusion. if this does not clear on short interval subsequent exams by x-ray, ct is advised. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is visualized. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomegaly is mild. there is pulmonary vascular congestion and mild pulmonary edema. there is no pneumothorax probable bilateral tiny pleural effusions. osseous structures are unremarkable. calcifications of the aortic arch are dense. the positioning of a left pacemaker generator and leads are unchanged.What are the key findings of this report? [/INST] mild pulmonary edema are improved from <unk>. </s>
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<s>[INST] the lungs are well-expanded and clear. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared with prior radiographs on <unk>, previously seen left apical pneumothorax if at all is insignificant. there is no evidence of tension. no right pneumothorax. there is slight improvement in bibasilar atelectasis. there is no focal consolidation. postoperative appearance of the cardiomediastinal silhouette is unchanged. a right ij catheter is in the low svc. median sternotomy wires and mediastinal clips are stable in appearance.What are the key findings of this report? [/INST] previously seen left apical pneumothorax, if anything is insignificant. </s>
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<s>[INST] compared <num> day earlier, the overall appearance is quite similar. again seen is a large right and left pleural effusion, both with underlying collapse and/or consolidation. right picc line is present, tip over distal svc. no evidence of chf. no pneumothorax is detected. a catheter other tubing overlies the upper abdomen.What are the key findings of this report? [/INST] large right and small left pleural effusions, with underlying collapse and/or consolidation, essentially unchanged compared with <num> day earlier. no chf. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. no pulmonary edema is seen. no displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] endotracheal tube and enteric tubes are no longer visualized. lung volumes are lower with linear bibasilar opacities which are likely atelectasis. lungs are otherwise clear without consolidation or obvious effusion based on a semi supine film. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] interval removal of prior et and enteric tubes. </s>
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<s>[INST] two pa and <num> lateral chest radiograph were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion or pneumothorax. median sternotomy wires and aortic valve replacement are intact. mild cardiomegaly is stable.What are the key findings of this report? [/INST] resolution of right pleural effusion. no acute cardiopulmonary process. </s>
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<s>[INST] no focal consolidation, pleural effusion or pulmonary edema is seen, and the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary disease seen. </s>
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<s>[INST] lung volumes are slightly low which accentuates the size of the cardiac silhouette which is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature 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] pa and lateral chest radiographs were provided. there is a hazy retrocardiac opacity as well as opacity projecting posteriorly over the spine on the lateral image consistent with left lower lobe pneumonia. the lung volumes are slightly low. the right lung is clear. there are no pleural effusions and the cardiomediastinal silhouette is unremarkable. the osseous structures are unremarkable.What are the key findings of this report? [/INST] hazy retrocardiac opacity consistent with left lower lobe pneumonia. recommend treatment and followup chest x-ray to resolution. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> p.m. </s>
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<s>[INST] single frontal view of the chest demonstrates multiple ekg leads projecting over the thorax limiting underlying assessment. the lung volumes are low accentuating a prominent cardiac silhouette which is likely accentuated by ap technique. there are left greater than right bilateral pleural effusions. retrocardiac opacity likely represents consolidation admixed with compressive atelectasis upon correlation with prior ct. scattered perihilar right greater than left opacities on correlation with preceding ct represent multifocal consolidation and cavitary sequela of septic emboli. there is no pneumothorax. median sternotomy wires are in place.What are the key findings of this report? [/INST] <num>. no evidence of pneumothorax. <num>. widespread bilateral consolidations and cavitary septic embolic lesions are better correlated on preceding ct dated <unk>. <num>. bilateral pleural effusions. </s>
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<s>[INST] the cardiomediastinal and hilar contours remain stable. there is no pleural effusion or pneumothorax. et tube and enteric tube remain in unchanged positions with low position of the et tube and proximal positioning of the enteric tube. mild pulmonary edema has improved on the current study. there is no new focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] <num>. et tube approximately <num> cm from the carina. enteric tube in the proximal stomach, but tube should be advanced to ensure location of proximal side holes in the stomach. <num>. improvement in interstitial edema. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. 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] cardiac size is top normal. aside from minimal left base opacities likely atelectasis, the the lungs are clear. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] opacities in the left base likely atelectasis </s>
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<s>[INST] frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] a right hilar mass is better evaluated on chest ct from <unk>. there is asymmetric edema mild right pulmonary edema. again noted is mild bibasilar atelectasis. mild blunting of the right costophrenic angle better evaluated on chest ct is likely secondary tumor involvement of the pleura. heart size is slightly enlarged. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. asymmetric mild right pulmonary edema. <num>. right hilar mass and right pleural thickening consistent with known lung cancer better evaluated on chest ct from <unk>. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is pulmonary vascular engorgement, with mild pulmonary edema. note is made of small bilateral pleural effusions with adjacent atelectasis. the heart is enlarged, which appears increased from the prior. no pneumothorax.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] there is patchy opacification at the bases bilaterally, with localized to the right lower lobe and lingula on the lateral, which likely represents multifocal pneumonia or aspiration in the appropriate clinical setting. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] multifocal pneumonia involving the right lower lobe and lingula. aspiration is also a consideration in the appropriate clinical setting. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal silhouette is stable, reflective of mild cardiomegaly. lung volumes are slightly low. the hila are unremarkable. opacity at the medial right lung base is unchanged and likely reflects atelectasis. also re- demonstrated is opacity at the left lung base appearing to involve the lingula, likely reflecting atelectasis. there is no new superimposed focal lung consolidation. there is no pulmonary edema. there is no pneumothorax or sizable pleural effusion. cervical spinal fusion hardware is partially imaged.What are the key findings of this report? [/INST] stable chest radiograph. no new focal lung consolidation. </s>
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<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the inspiratory lung volumes are slightly decreased. streaky opacities in the right lung base greater than the left are compatible with atelectasis. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits allowing for low lung volumes. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] decreased lung volumes with bibasilar atelectasis. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are low. there is mild atelectasis in the left lung base. no convincing signs of pneumonia, 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] mild left basal atelectasis. otherwise unremarkable. </s>
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<s>[INST] the lateral views are suboptimal due the patient's overlying arm. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. the aorta is tortuous.What are the key findings of this report? [/INST] lateral views are suboptimal due the patient's overlying arm. no definite acute cardiopulmonary process identified. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours 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] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. slight prominence of the pulmonary hila is noted which could represent crowding of bronchovasculature. mediastinal contour is normal. no pneumothorax or pleural effusion. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. slight prominence of pulmonary hila likely reflects crowding of bronchovasculature. </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 pleural effusion, pulmonary edema, pneumothorax or focal consolidation concerning for pneumonia. dextroscoliosis of the thoracic spine is unchanged. the cardiomediastinal silhouette is unremarkable.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 are compared to previous exam from <unk> and chest ct from <unk>. as on prior, there is elevation of the right hemidiaphragm. bilateral calcified pleural plaques are again seen. there is no new confluent consolidation or effusion. cardiomediastinal silhouette is stable as are the osseous and soft tissue structures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable semi upright radiograph of the chest demonstrates well expanded, clear lungs. the cardiomediastinal and hilar contours are unchanged. no pneumothorax, pleural effusion, or consolidation. a central line ends in the mid-distal svc.What are the key findings of this report? [/INST] no pneumonia. no significant interval change. </s>
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<s>[INST] compared to the most recent prior examination, there is a small right apical pneumothorax, unchanged in size. no other significant change.What are the key findings of this report? [/INST] persistent small right apical pneumothorax, not significantly increased from the prior examination done at <time> today. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal and hilar contours are unremarkable. there is no evidence of pleural effusion or pneumothorax. however, there is a radiolucent region overlying the left hemidiaphragm which appears separated from the inferior aspect of the heart. this region is incompletely evaluated due to multiple external monitoring devices.What are the key findings of this report? [/INST] no evidence of acute cardiothoracic process. however, a radiolucent region with possible depression of the left hemidiaphragm is incompletely evaluated and may be artifactual. a repeat examination with pa and lateral views is recommended for complete evaluation of this region. </s>
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<s>[INST] frontal ap and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are unchanged. no acute osseous abnormality is identified. a small hiatal hernia is unchanged. compression fractures in the thoracic spine are similar to <unk>.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] portable ap upright chest radiograph. dobbhoff tube is repositioned with tip in the stomach slightly obscured by the previously administered enteric contrast. internal jugular central venous catheter is unchanged. dense left basilar consolidation and mild right basilar opacities are minimally improved from the most recent examination, resembling the examinations from yesterday. there is no pneumothorax with mild to moderate left pleural effusion. heart and mediastinal contours and reveale moderate descending aortic atherosclerotic calcification.What are the key findings of this report? [/INST] satisfactory position of the dobbhoff tube in the stomach. </s>
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<s>[INST] the lungs are less well expanded than seen on <unk>, likely reflecting decreased inspiratory effort. slight right lower lobe opacity may reflect atelectasis, although infection cannot be excluded. the pleural surfaces, cardiac silhouette, and mediastinal contours are normal.What are the key findings of this report? [/INST] right lower lobe opacity, which may reflect atelectasis, although pneumonia cannot be excluded. </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] a portable supine image of the epigastric region is submitted.What are the key findings of this report? [/INST] the distal end of the nasogastric tube it is seen with the tip in the distal esophagus. the tube should be advanced at least <num>cm into the stomach. the visualized lungs are clear. scattered air seen in non distended loops of bowel. the tip of the port-a-cath is again seen in the distal svc. </s>
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<s>[INST] compared with most recent radiograph on <unk>, there is mild increase in interstitial markings and pulmonary vascular engorgement. again seen are moderate left and small right pleural effusions, not significantly changed. bibasilar opacities may either represent atelectasis or pneumonia.What are the key findings of this report? [/INST] increase in pulmonary edema. unchanged moderate left and small right pleural effusions. bibasilar opacities may either represent atelectasis or pneumonia. </s>
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<s>[INST] there has been interval removal of the right-sided pigtail catheter when compared to the prior exam. there is possibly a trace pneumothorax, but not substantial. surgical sutures are seen projecting over the right hemithorax. there are no pleural effusions. no focal consolidations are seen. heart size is normal and osseous structures are unchanged.What are the key findings of this report? [/INST] no acute intrathoracic process status post right pigtail catheter removal with equivocal findings for a tiny residual right pneumothorax. </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 lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is identified. the osseous structures are unremarkable. no radiopaque foreign bodies.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] patient <unk> history of metastatic breast cancer with right mastectomy and local chest wall recurrence, projecting over the right midlung. volume loss in the left hemi thorax is long-standing, attributable to chronic restrictive pleural thickening in the left lower hemi thorax producing lower lobe atelectasis, accompanied by small volume of persistent pleural effusion. the smaller right pleural effusion and pleural thickening due in part to previous pleurodesis are also unchanged. chronic peribronchial opacification or consolidation in the right lower lobe improved between <unk> and <unk> and <unk> substantially cleared subsequent. upper lungs are clear. there is no pneumothorax. normal cardiomediastinal silhouette is stable. . right chest port catheter terminates in the right atrium. metastatic osseous lesions are better seen on ct <unk>. seen on ct.What are the key findings of this report? [/INST] continued clearing chronic consolidative abnormality right lower lobe. no pneumonia or evidence of cardiac decompensation. no increase in small bilateral pleural effusions since <unk>. bilateral pleural thickening is chronic, unchanged. </s>
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<s>[INST] compared with prior radiographs on <unk>, the pa catheter still positioned peripherally in the right descending pulmonary artery, and should be withdrawn approximately <num> cm for standard placement. a right picc line terminates in the mid to low svc. there is no change in a small right and a moderate left pleural effusion. there is mild vascular congestion, and possible edema in the left lower lobe versus atelectasis. cardiomegaly is stable. median sternotomy wires are stable in position.What are the key findings of this report? [/INST] swan-ganz catheter should be withdrawn <num> cm for standard positioning. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. chronic deformity at the right coracoclavicular interval.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no focal consolidation. </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] heart size is normal. prominence of central pulmonary vascularity is unchanged. the lungs are clear. bilateral bronchial wall thickening is present and is more conspicuous than on the prior study. focal pleural thickening at right costophrenic sulcus laterally appears unchanged. no acute skeletal findings.What are the key findings of this report? [/INST] <num>. no areas of consolidation to suggest the presence of pneumonia. <num>. bronchial wall thickening, which could reflect bronchitis in the appropriate clinical setting. <num>. enlarged central pulmonary artery suggesting pulmonary arterial hypertension. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is at the upper limits of normal, likely exaggerated by ap technique. the mediastinal contours demonstrate a mildly tortuous aorta with calcified atherosclerotic disease of the aortic knob. the lungs again demonstrate a prominent reticular pattern particulary at the bases without clear evidence of new consolidation. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] chronic interstitial lung disease, but no definite evidence of pneumonia. </s>
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<s>[INST] the endotracheal tube is in satisfactory position, <num> cm from the carina. an enteric tube courses below the diaphragm with the tip in the stomach. a feeding dobhoff tube courses below the diaphragm with the tip out of the field of view in the postpyloric position within the jejunum. a right-sided internal jugular central venous catheter is in unchanged position with the tip in the upper-to-mid svc. the borderline pulmonary edema has cleared from the right upper lung. bibasilar atelectasis is slightly worse, particularly in the retrocardiac region. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. resolution of borderline pulmonary edema. <num>. slight interval increase in bibasilar atelectasis. <num>. satisfactory position of multiple support tubes and lines. </s>
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<s>[INST] there is no significant interval change compared to <unk> with persistent residual small right pleural effusion with adjacent atelectasis and unchanged location of right pleural drainage catheter and right infusion port. there is no pneumothorax.What are the key findings of this report? [/INST] no significant change compared to <unk> with persistent small residual right effusion and adjacent atelectasis with unchanged position of pleural drainage catheter. </s>
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<s>[INST] the heart is at the upper limits of normal size. there is apparent widening of the right paratracheal stripe, although probably due to rotation. it is suspected that the appearance is unchanged when differences in technique are considered, but confirmation with a followup pa and lateral radiographs is recommended to demonstrate normal contours when clinically appropriate. the lungs appear clear. there is probably a very small left-sided pleural effusion and trace pleural effusion on the right, but not well demonstrated. bones appear demineralized.What are the key findings of this report? [/INST] suspected trace pleural effusions. otherwise, no definite evidence of acute disease. apparent widening of right mediastinal contour, but probably due to rotation. however, when clinically appropriate, followup pa and lateral radiographs are recommended to assess further. recommendations discussed with dr. <unk>, <unk> physician caring for the patient, at <num> pm on <unk> by telephone. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is normal. no displaced fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no visualized rib fracture on this nondedicated exam, if desired, a dedicated rib series can be performed. </s>
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<s>[INST] on todays exam, the lungs appear clear. cardiac silhouette is normal in size. a additional well defined density projecting medial right lower hemithorax is compatible with a morgani hernia as seen on the prior cts. no evidence of pneumonia. no pleural effusion. no pneumothorax. rib fractures of be posterior seventh, eighth and right ribs are new since prior setting, but subacute in appearance.What are the key findings of this report? [/INST] no evidence of pneumonia or pulmonary edema,. </s>
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<s>[INST] since prior, there has been a slight improvement of a left pleural effusion. opacification of the left mid lung persists and likely represents rounded atelectasis. the right lung is grossly clear without a right pleural effusion. there is no pneumothorax. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] slight decrease in size of left pleural effusion. </s>
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<s>[INST] again appreciated are prominent bilateral hilar masses, right greater than left with slight progression in size of the left hilar mass compatible with patient's known mediastinal and hilar lymphadenopathy seen on prior ct examination. the left main bronchial stent remains in expected position and appears patent. there is re-demonstration of mild bibasilar volume loss; however, there is increased subtle opacity of the left upper lung suggestive of a component of atelectasis and collapse. there is slight global increase in interstitial opacities suggestive of a component of edema. there is no clear pleural effusion or pneumothorax.What are the key findings of this report? [/INST] slight increase in size of left hilar mass with left upper lobe atelectasis/collapse. a lateral view may be helpful for further evaluation if the patient can tolerate it. increased interstitial opacities compatible with edema. results discussed over the telephone with dr. <unk> at <time> a.m. on <unk> over the telephone by dr. <unk> at time of initial review. </s>
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<s>[INST] the lungs are symmetrically well expanded and well aerated without focal airspace opacity, pleural effusion or pneumothorax. no obvious pulmonary nodule is seen. the pulmonary vasculature is not engorged. the cardiomediastinal and hilar contours are within normal limits. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no radiographic evidence of intrathoracic malignancy. </s>
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<s>[INST] pa and lateral views of the chest provided. low lung volumes somewhat limits evaluation. allowing for this, there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the patient is status post coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear unchanged. allowing for low lung volumes, patchy left basilar opacities appear unchanged and suggest mild chronic scarring. there is similar slight relative elevation of the left hemidiaphragm. there is no pleural effusion or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] single frontal view of the chest. large-bore left subclavian catheter terminates in the right atrium. lung volumes are low. bibasilar reticular opacities are compatible with chronic interstitial lung disease. the trachea has a narrowed transverse diameter, which can be seen with chronic lung disease. no focal consolidation, substantial pleural effusion, or pneumothorax. the heart is normal size. cardiomediastinal contours are unremarkable. several radiodense bodies overlying the abdomen may represent pill fragments or metallic foreign bodies.What are the key findings of this report? [/INST] chronic bibasilar interstitial lung disease. radiodense bodies overlying the abdomen may represent pill fragments or metallic foreign bodies. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate a small left apical pneumothorax measuring and <num> mm. the lungs are clear. there is a small to moderate left pleural effusion with associated atelectasis. the cardiomediastinal and hilar contours are unchanged. left rib and clavicular fractures are unchanged.What are the key findings of this report? [/INST] residual small left apical pneumothorax. small to moderate left pleural effusion. </s>
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