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<s>[INST] as compared to prior chest radiograph, there is increased density of the right lower lobe which is likely related to a moderate amount of pleural fluid with a subpulmonic component, in combination with known abdominal ascites. there is a small left pleural effusion. there is a dense paratracheal opacity which likely relates to partial right upper lobe collapse. there are worsening opacities at the lung bases bilaterally which could represent atelectasis, aspiration or pnuemonia. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. moderate right pleural effusion and small left pleural effusion. <num>. worsening opacities at lung bases bilaterally which may represent atelectasis, aspiration, or developing pneumonia. <num>. new right uper lobe paratracheal opacity, likely due to partial right upper lobe atelectasis. </s>
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<s>[INST] the lungs are well expanded and clear. the mediastinum is unremarkable with a well-defined descending thoracic aorta. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute pulmonary process. </s>
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<s>[INST] cardiac silhouette size is top normal, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is normal. atelectasis is demonstrated in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. multilevel degenerative changes are present within the thoracic spine.What are the key findings of this report? [/INST] minimal bibasilar atelectasis without focal consolidation </s>
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<s>[INST] an ap frontal portable view of the chest is obtained. there has been interval placement of a right internal jugular central venous catheter, terminating in the mid svc, without evidence of pneumothorax. no pleural effusion is seen. there is an ill-defined focal opacity at the left mid lung of unclear clinical significance. suggest oblique views for further evaluation to assess it persists and if it appears pulmonary, then ct may be indicated. cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] interval placement of right internal jugular central venous catheter, terminating in the mid svc, without evidence of pneumothorax. ill-defined focal opacity at the left mid lung of unclear clinical significance. suggest oblique views for further evaluation to assess if it persists and if it appears pulmonary, then ct may be indicated. </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding. there is an area of increased opacification at the right base, which likely represents a small pleural effusion with adjacent atelectasis, but superimposed infection cannot be excluded. the left lung is clear. the cardiomediastinal and hilar contours are unchanged. a right-sided internal jugular central venous line ends at the cavoatrial junction. a left-sided internal jugular central venous line ends at the upper-to-mid svc. nasogastric tube courses into the stomach and out of field of view.What are the key findings of this report? [/INST] area of increased opacification at the right base likely represents a small pleural effusion with adjacent atelectasis, but superimposed infection cannot be excluded. </s>
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<s>[INST] frontal and lateral chest radiographs again demonstrate a severely enlarged heart, similar in appearance compared to <unk>. the lungs are well aerated, without focal consolidation, pleural effusion, or pneumothorax. there is no vascular congestion or pulmonary edema. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] unchanged severe cardiomegaly. no acute cardiopulmonary process. </s>
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<s>[INST] compared with <unk>, the right chest tube has been placed. however, the tip overlies the lateral right chest wall at the level of the right mid chest, in the region of the right sixth and seventh ribs. it does not appear to extend beyond the chest wall into the pleural space. no pneumothorax is detected. again seen is opacity at the right lung base with obscuration of the right hemidiaphragm, slightly improved. there is upper zone redistribution and mild diffuse vascular blurring, consistent with chf. this is also probably slightly improved. there is minimal atelectasis at the left base, slightly improved. no left-sided effusion.What are the key findings of this report? [/INST] <num>. new right-sided chest tube does not appear to cross the chest wall. no pneumothorax detected. <num>. right base opacity is slightly improved. chf findings and left base atelectasis also slightly improved. </s>
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<s>[INST] low lung volumes are noted, but no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] lung volumes are low. there is opacification of the right lower hemi thorax. the right hemidiaphragm appears elevated and the mediastinum appears slightly shifted rightward, suggesting volume loss. on the lateral view, no definite large pleural effusion is identified. there is increased opacification on the lateral view of the lower portions of the spine. no pneumothorax. the left lung is clear. the heart appears slightly enlarged. exaggerated rightward deviation of the thoracic trachea on the frontal view may be positional. the descending aorta appears slightly tortuous. multilevel degenerative changes are mild of the visualized thoracic spine. there is nonspecific gaseous distension of visualized bowel loops in the left upper quadrant. no acute osseous abnormality.What are the key findings of this report? [/INST] right lower hemithorax opacification which may reflect consolidation and/or atelectasis. </s>
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<s>[INST] compared to the prior study there is no significant interval change. there is a large right pleural effusion, layering posteriorly. this is increased compared to the study from the prior day. the feeding tube tip is off the film, at least in the stomach. the large bore ij catheter tip is at least in the right atrium. the tip is just at the margin of the film the left ij line tip is in the right atriumWhat are the key findings of this report? [/INST] increased right effusion. </s>
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<s>[INST] the heart size is normal. mediastinal and hilar contours are normal; specifically, no perihilar lymphadenopathy is detected. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no radiographic evidence of sarcoidosis. </s>
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<s>[INST] the patient remains intubated. the balloon of the endotracheal tube seems somewhat overinflated. an orogastric tube courses into the stomach. a right internal jugular introducer catheter remains. aortic valve prosthesis is also noted. cardiac, mediastinal and hilar contours appear stable. right upper lung opacity has continued to improve. left perihilar opacification shows apparent increased, particularly compared to the right, where aeration has markedly improved. however, it is possible that apparent increase in left perihilar opacification may reflect differences in orientation to some degree. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] marked improvement in aeration in the right lung. apparent increase in left perihilar opacification, although possibly due to differences in orientation. this appearance may be seen with improving pulmonary edema or persistent area of chemical aspiration pneumonitis. developing new area of pneumonia is not excluded. correlation regarding interval circumstances is suggested. short-term follow-up radiographs may be appropriate. possible overinflation of endotracheal tube cuff. </s>
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<s>[INST] the lungs are hyperinflated but clear. cardiomediastinal and hilar contours are stable. aorta is mildly tortuous. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pleural effusion. </s>
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<s>[INST] there is a tortuous thoracic aorta. otherwise, the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. there are slightly low lung volumes. bronchial thickening is most conspicuous in the left lower lung, suggestive of small airways disease. there is no focal lung consolidation. there is no pulmonary vascular congestion or pulmonary edema. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] bronchial wall thickening is suggestive of small airways disease. no focal consolidation. </s>
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<s>[INST] the tip of the dobbhoff tube projects over the left upper quadrant likely within the gastric body. a left upper extremity picc terminates in the superior cavoatrial junction. hazy opacity at the left lung base reflects a moderate layering pleural effusion as seen on ct chest from one day prior with associated near complete collapse of the left lower lobe. there is also a small right subpulmonic pleural effusion. cardiomediastinal silhouette and hilar contours are stable. there is no pneumothorax. pigtail catheter and vascular coils projects over the right upper quadrant.What are the key findings of this report? [/INST] <num>. dobbhoff tube terminates in the gastric body. <num>. bilateral pleural effusions, moderate on the left and small on the right with associated near complete collapse of the left lower lung. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormality is detected. there are mild degenerative changes within the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is mildly enlarged with left ventricular configuration. the aortic arch is calcified. the mediastinal and hilar contours appear unchanged. blunting of the left costophrenic angle suggests perhaps a very small pleural effusion or atelectasis. chain suture material is new since the earlier examination along the right upper lung. otherwise, the lungs appear clear.What are the key findings of this report? [/INST] blunting of the left costophrenic sulcus that may suggest a small effusion and post-surgical change in the right upper lung; otherwise unremarkable. </s>
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<s>[INST] pa and lateral views of the chest. in the right lower lobe, there is a new opacity. in the left lower lobe, there is a smaller and more subtle opacity adjacent to the apex of the heart. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is increased ap diameter consistent with copd.What are the key findings of this report? [/INST] right lower lobe opacity, new since prior study as well as a more subtle left lower lobe opacity, both of which may indicate pneumonia or aspiration. </s>
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<s>[INST] an endotracheal tube is noted terminating approximately <num> cm above the level of the carina. low lung volumes results in crowding of the bronchovascular structures. streaky airspace opacities at the right lung base likely reflect atelectasis. there is no pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is stable. the patient is status post cervical spinal fusion.What are the key findings of this report? [/INST] et tube terminating <num> cm above the carina. right basilar atelectasis. no pleural effusion or pneumothorax. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. very minimal biapical pleural thickening is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal with mild unfolding of the thoracic aorta. aortic knob calcifications are noted. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] lung volumes are low. the heart appears enlarged which may be secondary to low lung volumes.increased retrocardiac opacity likely secondary to atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is seen. the mediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] low lung volumes and increased left basilar atelectasis. no focal consolidation detected. </s>
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<s>[INST] the lungs are clear. the cardiac contour appears within normal limits. atherosclerotic calcifications are noted at the aortic arch and the aorta is otherwise unremarkable. no acute fractures are identified. mild degenerative changes are visualized throughout the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced fracture. if high clinical concern for rib fracture, dedicated rib series or ct is more sensitive. </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. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the endotracheal tube terminates <num> cm above the carina. an orogastric catheter extends to at least the level of the stomach. the heart size is top-normal. there is central pulmonary vascular congestion with moderate edema, particularly at the right base, which is similar to the <unk> examinations. a small right pleural effusion is unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. moderate pulmonary edema, worst at the right base and accompanied by a small right pleural effusion, remains unchanged. <num>. endotracheal tube terminates <num> cm above the carina. orogastric tube appears appropriately positioned. </s>
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<s>[INST] hyperexpanded lungs are clear. normal heart size, mediastinal and hilar contours. no pleural effusion or pneumothorax is present. stable appearance of flattened diaphragms and interstitial increased markings are consistent with copd.What are the key findings of this report? [/INST] no pneumonia. telephone notification to dr. <unk> by dr. <unk> at <time> p.m. on <unk> per request. </s>
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<s>[INST] ap upright portable chest radiograph is obtained. a left arm picc line is again noted with its tip residing at the expected level of the superior vena cava. the previously detected pneumonia has completely resolved in the interval. the lungs appear well aerated bilaterally. left cp angle partially excluded. cardiomediastinal silhouette appears normal. no pneumothorax. bony structures intact.What are the key findings of this report? [/INST] interval resolution of pulmonary opacities/pneumonia. picc line is in appropriate position. </s>
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<s>[INST] no evidence of acute cardiopulmonary disease. right subclavian picc line extends to the right atrium. it would have to be pulled back about <num>-<num> cm if the desired position of the tip is at or above the cavoatrial junction.What are the key findings of this report? [/INST] no unfavorable change, no acute cardiopulmonary process within the limitations of chest radiograph. </s>
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<s>[INST] frontal and lateral views of the chest. a cardiac pacer with leads in the right atrium and right ventricle is noted. a ventriculoperitoneal shunt courses through the thorax. the cardiac silhouette has increased since <unk>. the aortic knob is calficited. there are tiny bilateral pleural effusions. no pneumothorax.What are the key findings of this report? [/INST] interval enlargement of the cardiac silhouette since <unk> could be due to differences in technique; however, cardiomegaly or a pericardial effusion are possible. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no definite focal consolidation is identified. basilar opacities may represent atelectasis. there is no pleural effusion or pneumothorax. there is no subdiaphragmatic free air.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. a consolidation is noted in the left lower lobe in the retrocardiac region. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left lower lobe pneumonia. follow-up x-ray can be obtained to document resolution. </s>
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<s>[INST] heart is not enlarged. there is no chf, focal infiltrate, effusion, or pneumothorax. there is suggestion of interval loss of weight compared with <unk>, best correlated clinically.What are the key findings of this report? [/INST] no acute pulmonary process identified. in particular, no focal infiltrate to suggest pneumonia identified. </s>
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<s>[INST] lung volumes are low but no focal parenchymal opacities are identified. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] low lung volumes. otherwise, unremarkable chest radiographic examination. </s>
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<s>[INST] ap and lateral views of the chest are compared to previous exam from <unk>. slightly lower lung volumes seen on the current exam. that said, the lungs remain clear of consolidation or effusion. cardiac silhouette is enlarged but stable in configuration given lower inspiratory effort. osseous and soft tissue structures are unremarkable. prior median sternotomy is again noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. the previously described pleural thickening is not well appreciated on this examination. the patient has had a prior lower cervical decompressive surgery.What are the key findings of this report? [/INST] the previously described right pleural thickening is not well assessed on chest radiograph. recommendation(s): suggest follow-up ct thorax in <num> months time from prior ct thorax. </s>
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<s>[INST] the right costophrenic angle is not visualized. there is no evidence of free subdiaphragmatic air on this limited upright view. lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal and hilar silhouettes are normal. incidental note is made of p.o. contrast in left-sided bowel loops, likely from an earlier outside hospital scan.What are the key findings of this report? [/INST] no evidence of free subdiaphragmatic air on this limited upright chest radiograph. </s>
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<s>[INST] stable cardiomegaly. the cardiac borders and mediastinal silhouettes are normal without pleural effusion, pneumothorax, or focal consolidation. left-sided aicd device appears unchanged with intact wires. median sternotomy wires are intact unchanged.What are the key findings of this report? [/INST] unchanged left-sided aicd device without acute cardiopulmonary process. </s>
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<s>[INST] an endotracheal tube tip terminates at the thoracic inlet, approximately <num> cm from the carina. an orogastric tube tip and side port are both below the diaphragm, within the stomach. the patient is status post median sternotomy and cabg. mild to moderate cardiomegaly is demonstrated. aortic knob calcifications are present. diffuse alveolar opacities are noted in both lungs, most reflective of moderate to severe pulmonary edema. there are likely trace bilateral pleural effusions. no pneumothorax is seen. retrocardiac opacity could reflect atelectasis, though aspiration or infection cannot be excluded. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. standard positioning of the endotracheal and orogastric tubes. <num>. moderate to severe pulmonary edema with probable small bilateral pleural effusions. <num>. retrocardiac opacity may reflect compressive atelectasis though infection or aspiration cannot be excluded. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. the heart size is top normal. the aorta remains unfolded. the mediastinal and hilar contours are stable. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. a clip is noted within the right upper abdomen. 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] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is stable. hyperexpansion bibasilar atelectatic changes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear of focal consolidation. there is blunting of the left posterior costophrenic angle which may be due to small effusion or atelectasis. there is moderate cardiomegaly. surgical clips project over the right axilla as well as air within the right breast which may be due to recent partial mastectomy. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] cardiomegaly. possible left pleural effusion or atelectasis. </s>
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<s>[INST] aside from aortic knob calcifications, the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs are well-expanded and clear without focal consolidation. chronic rib deformities in the right posterior upper ribs are again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is mild cardiomegaly. there is mild pulmonary vascular congestion, otherwise the hilar mediastinal contours are normal. the lungs demonstrate diffuse bilateral parenchymal opacities, predominately in the left perihilar region. there may be small bilateral pleural effusions. there is no evidence of pneumothorax. the visualized osseous structures are unremarkable. left-sided pacer device is seen with leads in appropriate position.What are the key findings of this report? [/INST] <num>. mild pulmonary vascular congestion. diffuse bilateral parenchymal opacities, predominantly left perihilar region may be secondary to pulmonary edema. <num>. no rib fractures detected, though this technique is limited in sensitivity for osseous trauma. <num>. no pneumothorax. </s>
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<s>[INST] the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. prominence of the right upper mediastinal contour is compatible with tortuosity of vessels as seen on same day cta neck. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. there is no pneumothorax. cardiomediastinal silhouette is stable. prosthetic mitral valve is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the right picc ends in the mid svc. there is moderate cardiomegaly and pulmonary vascular congestion with likely mild interstitial pulmonary edema. there is bibasilar atelectasis. there is a small left pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly, and mild interstitial edema. small left pleural effusion. right picc line is in appropriate position in the mid svc. </s>
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<s>[INST] the lungs are well expanded and clear. left basilar atelectasis is present. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unremarkable chest radiographic examination. </s>
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<s>[INST] the tip of a right subclavian mediport extends at least to the level of the superior cavoatrial junction. the lungs are clear. there is no pneumothorax. flowing anterior spinal calcification with relative preservation of the intervertebral disc spaces is compatible with diffuse idiopathic skeletal hyperostosis (dish).What are the key findings of this report? [/INST] clear lungs. diffuse idiopathic skeletal hyperostosis (dish). </s>
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<s>[INST] pa and lateral chest radiographs demonstrate small bilateral pleural effusions, greater on the left than right, and mild pulmonary edema. additionally, more focal opacities in the right upper lobe and bilateral lung bases is concerning for multifocal pneumonia. the cardiac borders are not well visualized. there is no pneumothorax.What are the key findings of this report? [/INST] multifocal pneumonia with superimposed mild pulmonary edema and small bilateral pleural effusions. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are unchanged, with the heart size within normal limits. mild atherosclerotic calcifications are noted throughout the thoracic aorta. the pulmonary vasculature is not engorged. increased interstitial markings are noted in a predominantly basal distribution, not significantly changed from the prior exam. no pleural effusion or new focal consolidation is demonstrated. there is no pneumothorax. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] chronic interstitial lung disease, not significantly changed from the prior exam, and previously characterized on the prior ct as nsip related to scleroderma. no new areas of focal consolidation demonstrated. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of consolidation or effusion. there is no pneumothorax. cardiac silhouette is enlarged, similar to prior. mid thoracic dextroscoliosis is again noted. superior and inferior endplate deformities are again noted, likely sequelae from patient's known sickle cell disease.What are the key findings of this report? [/INST] cardiomegaly. no definite acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were provided. the lungs are clear. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] lungs are clear of consolidation, effusion or pneumothorax. heart size is mildly enlarged. mediastinal and hilar contours are normal. no free air under the right hemidiaphragm. several right-sided rib fractures are chronic.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the atient is status post coronary artery bypass graft surgery. the heart is mildly enlarged. there is a large hiatal hernia with an air-fluid level. otherwise, the mediastinal and hilar contours are unremarkable. the lungs appear clear. the chest is hyperinflated. 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. hyperinflation. large hiatal hernia. status post coronary artery bypass graft surgery. </s>
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<s>[INST] left-sided port terminates in the mid svc. there appears to be kinking along the mid region of the port. the heart size is normal. the hilar and mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] kinking of the mid portion of the port at the level of the left fourth posterior rib. given the clinical history, this could represent a potential source of malfunction. </s>
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<s>[INST] single portable view of the chest was obtained. there has been interval placement of a right transjugular central venous catheter, distal tip not well evaluated, appears to extend to the expected location of the mid svc, although exact location is not well evaluated on this study. there is diffuse opacification of the right hemithorax which maybe due to underlying fluid and consolidation. the esophageal stent has migrated projecting over the right apex as compared to the prior study of <unk>. the left lung is grossly clear.What are the key findings of this report? [/INST] right ij extending to the expected location of the mid svc, although not well evaluated due to overlying opacity. no definite pneumothorax. right hemithorax nearly completely opacified which appears slightly increased as compared to the prior study, although in the prior study the patient was upright so there may be shift in fluid. the esophageal stent projects superiorly into the right apex, stable since the prior study but migrated in position as compared to <unk>. </s>
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<s>[INST] lung volumes are low, exaggerating the cardiomediastinal contours, which are otherwise unremarkable. no focal consolidations concerning for pneumonia identified. there is no pleural effusion, or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no evidence of a pneumothorax. </s>
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<s>[INST] right ij catheter with tip in the mid svc. no pneumothorax. normal heart size, pulmonary vascularity. lungs are clear. no effusion.What are the key findings of this report? [/INST] right ij catheter in place. no pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest were obtained. lungs are clear. no signs of pneumonia or chf. cardiomediastinal silhouette is stable. dextroscoliosis of the t-spine, unchanged. right shoulder arthroplasty again noted.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there has been interval decrease in lung volumes bilaterally with worsening left lower lung atelectasis and new opacity concerning for an infectious process. the heart is stable and top normal in size with no evidence of failure. there is no pleural effusion or pneumothorax. right-sided port-a-cath and left-sided picc catheter both appropriately positioned and terminate within the low svc.What are the key findings of this report? [/INST] <num>) increasing left lower lung zone opacity concerning for pneumonia. <num>) worsening low lung volumes and left basilar atelectasis. </s>
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<s>[INST] relatively low lung volumes are noted. there is no focal consolidation, large effusion or vascular congestion. cardiomediastinal silhouette is stable. no acute osseous abnormalities.What are the key findings of this report? [/INST] no visualized acute cardiopulmonary process. </s>
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<s>[INST] there is a mild elevation of the right hemidiaphragm. no focal consolidation is seen. there is slight blunting of the bilateral costophrenic angles on the frontal view of the no large pleural effusion is seen on the lateral view. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen.What are the key findings of this report? [/INST] mild elevation of the right hemidiaphragm without focal consolidation or large pleural effusion seen. </s>
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<s>[INST] pa and lateral views of the chest were obtained. on the lateral view at the very bottom of the image anteriorly, part of what appears to be the metallic spoon is seen. heart is normal size and cardiomediastinal silhouette is stable. lungs are clear. pulmonary vasculature is normal. there is no pleural effusion or pneumothorax. no free air under the diaphragm. for detailed abdominal findings please refer to dedicated abdominal radiographs from the same day.What are the key findings of this report? [/INST] partially imaged metallic spoon is seen on the inferior margin of the lateral view. </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] ap and lateral chest radiograph demonstrates a heart which is upper limits of normal in size. new since prior examination is a right pleural effusion and probable small left pleural effusion. right hilar opacity as well as retrocardiac nodular opacities are new since prior study performed <unk>. overall increased opacity projecting over the right lower lung field is additionally noted.What are the key findings of this report? [/INST] bilateral pleural effusions, right greater than left, with central vascular prominence is suggestive of mild pulmonary edema. new retrocardiac opacities are noted for which infectious process cannot be excluded. </s>
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<s>[INST] in comparison with the study of <unk>, there is little overall change in the appearance of the right pleural effusion with compressive atelectasis at the base. mild indistinctness of pulmonary vessels raises the possibility of some elevated pulmonary venous pressure. mild enlargement of the cardiac silhouette is again seen.What are the key findings of this report? [/INST] little overall change. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank 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] there is no evidence of pneumonia, pleural effusions or pneumothorax. no pulmonary edema. tenting of the left hemidiaphragm suggests scarring/fibrosis. cardiomediastinal silhouette is within normal limits. multiple surgical clips are noted within the upper abdomen.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 cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest are provided. lungs are clear without focal consolidation, effusion, or pneumothorax. heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no signs of pneumonia or other acute intrathoracic 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] the endotracheal tube ends <num> cm above the carina, in standard placement. the orogastric tube ends in the stomach. bilateral parenchymal opacities due to pneumonia and perhaps concurrent edema are relatively unchanged compared to the chest radiograph performed <num> hour prior. the cardiac and mediastinal contours are still acutely enlarged.What are the key findings of this report? [/INST] probable pneumonia and concurrent pulmonary edema. </s>
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<s>[INST] the lungs are well expanded. no focal parenchymal opacities are identified. however, compared to the patient's radiographic baseline appearance from <unk>, there is minimal increase in vascular caliber as well as interstitial markings suggesting mild interstitial edema/vascular congestion, which is unchanged from <unk>. massive cardiomegaly is not significantly changed compared with prior exam. prominent right hilum is stable in configuration since at least <unk> and secondary to hilar lymphadenopathy, better appreciated in prior chest ct. there is no pleural effusion or pneumothorax. an icd device projects over the left axilla, with epicardial and venous leads in unchanged position compared with prior exam.What are the key findings of this report? [/INST] <num>. mild pulmonary vascular congestion and interstitial edema is unchanged from most recent radiograph on <unk>, but worsened from baseline appearance of the patient appreciated on chest film from <unk>. <num>. massive cardiomegaly and prominent right hilum are unchanged since at least <unk>. <num>. no focal opacity suggestive of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest were provided. there is a retrocardiac opacity which contains small amounts of gas likely representing a small hiatal hernia. no focal consolidation in the lungs. no effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact.What are the key findings of this report? [/INST] small hiatal hernia. otherwise, normal. </s>
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<s>[INST] pa and lateral views of the chest were obtained. lungs appear clear and well expanded without focal consolidation, effusion, or pneumothorax. several calcified lymph nodes are again noted projecting over the left pulmonary hilum. cardiomediastinal silhouette is stable. bony structures appear intact. 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] redemonstrated is a vp shunt is seen coursing anteriorly. as compared to <unk>, there has been no significant interval change. there is a stable, tiny residual right apical pneumothorax. the lungs are otherwise clear. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] tiny, residual right apical pneumothorax. </s>
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<s>[INST] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. heterogeneous left lower lobe consolidation is compatible with pneumonia. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s>
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<s>[INST] upright pa and lateral radiographs of the chest. the lungs are normally expanded and clear. there is no focal airspace consolidation. there is likely mild cardiomegaly. the mediastinum and hilar contours are normal. pulmonary vascularity is normal and symmetric. there is no evidence of frank pulmonary edema. there is no pleural effusion or pneumothorax detected.What are the key findings of this report? [/INST] normal radiographs of the chest. no acute cardiopulmonary abnormality detected. </s>
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<s>[INST] since the prior radiograph on <unk>, the right central line has been removed. otherwise no other significant interval changes. there is mild interstitial pulmonary edema. no evidence of pneumonia, substantial pleural effusions or pneumothorax. cardiomediastinal silhouette is within normal limits. degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] stable appearance of mild interstitial pulmonary edema. no evidence of pneumonia. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. the heart remains moderately enlarged. the aorta is tortuous and diffusely calcified. there is mild pulmonary edema, worse when compared to the prior study. small right pleural effusion demonstrates loculation laterally, and is relatively unchanged compared to the prior study. rounded opacity projecting over the right lung base in the region of the minor fissure likely reflects a pseudotumor due to fluid tracking within the fissure. bibasilar opacities likely reflect atelectasis. there is no pneumothorax. calcified nodule within the right lung apex likely reflects a granuloma. calcified hilar and mediastinal lymph nodes as well as right basilar pleural plaque calcifications are again noted. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] mild pulmonary edema, worse compared to the prior study, with small right pleural effusion. bibasilar atelectasis. </s>
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<s>[INST] moderate cardiomegaly is unchanged. the pulmonary arteries are severely enlarged. there is no focal lung consolidation. there is no pleural effusion or pneumothorax. elevation of the right hemidiaphragm is unchanged. there is no focal consolidation. there is mild interstitial edema. left percutaneous pacer wires with overlying pacer device is again seen.What are the key findings of this report? [/INST] <num>. enlarged pulmonary arteries with mild vascular congestion, unchanged. <num>. unchanged moderate cardiomegaly. </s>
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<s>[INST] the lungs are hyperinflated with lucency projecting over regions of the lungs particularly upper to mid lung zones. findings are suggestive of underlying emphysema. there is no focal consolidation, effusion, or edema. calcified nodule projects over the left first rib also noted on the lateral view. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications of the aorta are noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] hyperinflation with findings suggestive of copd. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. pleural surfaces are unremarkable.What are the key findings of this report? [/INST] normal chest radiograph. specifically, no evidence of pneumonia. </s>
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<s>[INST] single ap view of the chest provided. a left pacemaker and leads are stable in position. patient is status post cardiac valve replacement. median sternotomy wires are intact and properly aligned. a right ij line ends in the proximal svc. an et tube is <num> cm above the carina. an orogastric tube extends below the level of the diaphragm. the tip is not visualized. new right basilar opacity is worrisome for pneumonia. the left lung base is not well seen, but is suggested opacity in the appropriate clinical setting may also represent pneumonia. no pleural effusion or pneumothorax. hilar contours are normal. moderate cardiomegaly is unchanged.What are the key findings of this report? [/INST] new right basilar opacity is worrisome for pneumonia. the left lung base is not well seen, but a possible opacity in the appropriate clinical setting may also represent pneumonia. a lateral view would be useful for confirmation. </s>
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<s>[INST] patient's condition required examination in sitting semi-upright position using ap frontal and left lateral views. on the frontal view, the heart appears to be borderline in size without typical configurational abnormality. unremarkable appearance of thoracic aorta with some calcium deposits in the wall at the level of the arch. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax is identified in apical area. in the right shoulder area, exists evidence of previous surgical intervention with several metallic plugs. no other gross skeletal abnormalities within the thoracic area. our records do not include a previous chest examination available for comparison.What are the key findings of this report? [/INST] no evidence of acute pneumonia. </s>
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<s>[INST] compared with <unk>, inspiratory volumes are lower. this likely, least in part, accounts for slight increased prominence the cardiomediastinal silhouette. there is upper zone redistribution and diffuse prominence of the vascular markings, suggesting chf. there is bibasilar atelectasis. no frank consolidation or alveolar edema is identified. minimal blunting of the right costophrenic angle, without gross effusion.What are the key findings of this report? [/INST] diffuse increased vascular markings likely reflects chf. low inspiratory volumes noted. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart size is top normal. the aorta is mildly tortuous.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of focal opacities concerning for pneumonia. streaky atelectasis noted at the right lung base. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. right lung base atelectasis. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] et tube tip approximately <num> cm above the carina. ng tube tip extending beneath diaphragm, off film. compared to the prior film, i doubt significant interval change. again seen is bibasilar atelectasis in the setting of low inspiratory volumes, with more patchy opacity in the right cardiophrenic region, unchanged. minimal , if any, vascular plethora, allowing for low inspiratory volumes. no gross effusions.What are the key findings of this report? [/INST] doubt significant interval change. doubt significant chf at this time. </s>
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<s>[INST] lung volumes are low. heart size is moderately enlarged. mediastinal contours remain relatively unchanged with persistent bulging of the right mediastinal contour possibly reflective of a continued right paraesophageal collection which was better appreciated on the recent ct scan. hilar contours are normal and there is no pulmonary edema. streaky opacities within the lower lobes bilaterally likely reflect areas of atelectasis which appear improved compared to the prior study. there has also been near complete resolution of the previously noted bilateral pleural effusions. no pneumothorax is identified. no subdiaphragmatic free air is demonstrated. clips at the gastroesophageal junction indicate prior nissen fundoplication.What are the key findings of this report? [/INST] <num>. improved aeration of the lung bases with residual bibasilar atelectasis and near complete resolution of the previously noted bilateral pleural effusions. <num>. persistent right mediastinal contour bulge which likely reflects the right paraesophageal collection, better assessed on previous ct. <num>. no subdiaphragmatic free air. </s>
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<s>[INST] there is a moderate-to-large right-sided pleural effusion. increased interstitial markings are seen throughout the lungs. there is no left-sided effusion. cardiac silhouette is slightly enlarged but difficult to assess given silhouetting on the right. right chest wall dual-lead pacing device is seen with lead tips in the right atrium and right ventricular apex. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] moderate-to-large right effusion and pulmonary vascular congestion. </s>
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<s>[INST] there has been no significant interval change since the prior study. postoperative and postradiation changes are stable. status post left upper lobectomy. leftward deviation of the trachea is stable. no new focal consolidation is seen. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] two views were obtained of the chest. the lungs are well expanded with postsurgical changes from right lower lobectomy including chain sutures, surgical clips and expected volume loss. there is no focal consolidation, pneumothorax or pleural effusion. the heart and mediastinal contours are are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate a right lower lobe consolidation. the heart is not enlarged. the aorta is tortuous. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] right lower lobe pneumonia. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] the heart is probably at the upper limits of normal size. the aortic arch is calcified. there are heterogeneous but confluent bilateral hazy opacities, somewhat more extensive on the right than left. blunting of the right costophrenic sulcus suggests there may be a small effusion. there is no pneumothorax.What are the key findings of this report? [/INST] widespread bilateral lung opacification. differential considerations include severe pulmonary edema; other considerations include severe widespread pneumonia and respiratory distress syndrome among other less common causes. </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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