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<s>[INST] in comparison to chest radiograph taken earlier on the same day, interval removal of left chest tube with no evidence of pneumothorax. as expected, lung volumes are decreased bilaterally still opacities in the lung parenchyma appeared denser. no other significant change since chest radiograph performed earlier in the same day.What are the key findings of this report? [/INST] no pneumothorax status post chest tube removal. </s>
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<s>[INST] the heart is moderately enlarged. there is pulmonary vascular redistribution and ill-defined vascularity. there are bilateral areas of volume loss in the lower lungs. there is dense retrocardiac opacity compatible with volume loss/infiltrate/effusion. there are patchy areas of alveolar infiltrate most marked in the left lower lung.What are the key findings of this report? [/INST] fluid overload. an underlying infectious infiltrate on the left cannot be excluded </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs remain clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] lung volumes are low. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. there is only mild vascular congestion.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is eventration of bilateral hemidiaphragms. there is mild bibasilar atelectasis. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. the hilar contours are slightly more prominent, which may be due to central pulmonary vascular engorgement. there is chronic-appearing deformity of the posterior lateral right sixth and possibly fifth ribs. a compression of at least two lower thoracic vertebral bodies again seen.What are the key findings of this report? [/INST] central pulmonary vascular engorgement without overt pulmonary edema. </s>
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<s>[INST] the right picc tip is within the svc. the lung volumes are low. there is improved aeration within the right lung base with near complete resolution of previously noted right basilar atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. the cardiac, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] right picc tip is within the svc. </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. mild rightward convex curvature is centered along the lower thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] after removal of the right pleural pigtail catheter mild-to-moderate right apical pneumothorax has increased with a maximum width up to <num> cm. there are no findings of tension pneumothorax. lungs are clear. heart size is normal, mediastinal and hilar contours are unremarkable. there is no pleural abnormality.What are the key findings of this report? [/INST] <num>. following removal of right pleural pigtail catheter, small-to-moderate right apical pneumothorax has increased. dr. <unk> communicated the findings with nurse <unk>, <unk> <unk> by phone on <unk> at <time> p.m. during the chest x-ray review. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. the sternum appears intact on the lateral view.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no sternal fracture is clearly noted. if there is continued concern for a sternal fracture, please note that ct is a more sensitive exam. </s>
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<s>[INST] single portable view of the chest. left chest wall single lead pacing device is again seen. low lung volumes noted on the current exam with linear opacities at the left mid to lower lung. there is also crowding of bronchovascular markings likely due to lower lung volumes. the cardiomediastinal silhouette is enlarged but stable. no acute osseous abnormalities.What are the key findings of this report? [/INST] left mid to lower lung opacities potentially due to atelectasis although underlying infection is also possible. consider repeat pa and lateral views to better characterize if patient is amenable. </s>
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<s>[INST] the ett terminates <num> cm above the carina. there is a right ij that terminates at the cavoatrial junction. there is an ng tube that courses below the diaphragm, however the tip is not visualized on this image. the bilateral pleural effusions, and bilateral vascular congestion appears unchanged in comparison to the prior chest radiograph. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. appropriate positioning of the et tube, right ij, and ng. <num>. unchanged appearance of bilateral pleural effusions and vascular congestion due to congestive heart failure. </s>
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<s>[INST] normal heart, lungs, pleura and mediastinal surfaces.What are the key findings of this report? [/INST] normal mediastinal contours. </s>
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<s>[INST] the right lower lobe pneumonia has essentially cleared, with only small residual linear opacities remaining, likely representing residual atelectasis and/or developing scar. there is also apparent bronchial wall thickening present centrally in the right lower lobe, which could reflect residual airways component of infection. no new areas of consolidation have developed in the remainder of the lungs, and note is made of a very small right pleural effusion. heart size, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] essential resolution of right lower lobe pneumonia with residual linear atelectasis/scarring as well as mild bronchial wall thickening. </s>
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<s>[INST] there has been interval repositioning of the nasogastric tube, now terminating within the stomach. the right-sided ij catheter terminates at the cavoatrial junction. there is no pneumothorax, focal consolidation, pleural effusion, or pneumoperitoneum.What are the key findings of this report? [/INST] nasogastric tube terminating within the stomach. </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. cardiomediastinal and hilar contours are normal. pleural surfaces are normal. right sided central catheter terminates in the low svc. there is no pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] chest, portable. bilateral hazy opacities and indistinctness of the pulmonary vasculature is consistent with mild pulmonary edema. emphysema is also present. the lungs are otherwise clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] pulmonary edema which is mild radiographically. however, given the background of emphysema, the edema could be more significant clinically. </s>
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<s>[INST] linear opacity extending laterally from the left hilum is likely atelectasis versus scarring. new compared to most recent exam are subtle areas opacity at the lung bases, likely in part within the right middle lobe. bibasilar regions of bronchiectasis were better seen on prior ct scan. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] subtle bibasilar opacities worrisome for multifocal infection. known bronchiectasis was better seen on prior ct scan. </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 heart and mediastinal contours are within normal limits. the lungs demonstrate widespread nodular densities. no pneumothorax is seen. a small right-sided pleural effusion is present. the visualized portion of the spine demonstrates only mild degenerative change.What are the key findings of this report? [/INST] small right pleural effusion, but no pneumothorax; innumerable pulmonary nodules for which pathology is pending. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. linear atelectasis is noted in both lung bases. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. clips are noted within the right chest wall.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] white out of the left hemithorax. no significant mediastinal shift in keeping with history of central tumor with proximal bronchial compression, atelectasis of the left lung and an associated pleural effusion. ett in situ with the tip at the level of the medial clavicles, approximately <num> mm proximal to the carina. ng tube in situ coursing out of sight inferiorly. right-sided ijv central line in situ with the tip in the proximal svc. right-sided picc line in situ with the tip in the distal svc. no right-sided pneumothorax. compensatory vascular shunting to the right lung. increase in left supraclavicular soft tissue suggesting adenopathy. no destructive bone lesions.What are the key findings of this report? [/INST] <num>. central left bronchial compromise with complete atelectasis of the left lung and an associated effusion. <num>. interval increase in left supraclavicular soft tissues suggesting adenopathy. <num>. tubes and lines positions unchanged. </s>
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<s>[INST] the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the osseous structures are within normal limits. the bowel gas pattern is nonobstructive. no free air under the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and clear lungs without evidence of pulmonary metastases. there is no pleural effusion or pneumothorax. no bony abnormality is identified.What are the key findings of this report? [/INST] no evidence of thoracic metastatic disease. </s>
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<s>[INST] lung volumes have improved since <unk>. no focal consolidation, effusion, edema, or pneumothorax. <num> mm, round opacity projecting over the right apex appears calcified, consistent with a calcified granuloma, unchanged since at least <unk>. enlarged cardiac silhouette is unchanged, corresponding to cardiomegaly on recent ct. the descending aorta is tortuous. aortic knob calcifications are mild. anterior compression deformity of the l<num> vertebral body is overall similar in appearance to the recent ct from <unk>. multilevel degenerative changes are otherwise again seen in the thoracic spine with prominent anterior osteophytes.What are the key findings of this report? [/INST] <num>. no acute intrathoracic abnormality. <num>. persistent moderate-to-severe cardiomegaly. <num>. anterior compression deformity of the l<num> vertebral body, unchanged from ct on <unk>. </s>
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<s>[INST] the patient is status post sternotomy and repair of ascending aorta. there is similar marked enlargement of both the left atrial appendage and main pulmonary artery, accounting for enlarged lobular left upper cardiac borders. the lower part of the chest is partly excluded, making it difficult to exclude very small effusions but there is some degree of retrocardiac opacification suggested on the frontal view only.What are the key findings of this report? [/INST] possible retrocardiac opacification, although without correlate on the lateral view, perhaps an artifact. if there is persistent concern for an evolving pulmonary process, repeat radiographs showing the entirety of the lung bases could be considered in short-term follow-up. </s>
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<s>[INST] since prior, there has been interval placement of a right-sided pleural pigtail catheter. there is some persistent component of pneumothorax seen inferolaterally. the patient is now positioned more optimally without significant rotation, and the mediastinum is in expected location. there is some right basilar opacity seen medially, potentially atelectasis; however, continued followup is suggested especially given history of patient's lung cancer. surgical chain sutures again seen in the left paramediastinal region. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] interval placement of right pleural pigtail catheter with decrease in size of right pneumothorax which persists. right basilar opacity as above. </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.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lung volumes are normal. pulmonary edema seen on <unk> exam, has resolved. small left pleural effusion persistents. hilar and mediastinal silhouettes are unchanged. heart size is top-normal. retrocardiac opacity is unchanged since <unk> and may represent atelectasis or infection in theappropriate clinical setting. no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] pulmonary edema seen on <unk> exam has resolved. no focal consolidation. retrocardiac opacity may represent atelectasis or infection in the appropriate clinical setting. </s>
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<s>[INST] ap portable upright view of the chest. overlying ekg leads limit assessment. patient is slightly leftward rotated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process </s>
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<s>[INST] cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. lungs are hyperinflated with attenuation of pulmonary vascular markings towards the upper lobes suggestive of underlying emphysema. scarring is noted within the right apex. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] emphysema. no acute cardiopulmonary process. </s>
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<s>[INST] ap upright 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] there is mild to moderate pulmonary vascular congestion, new since the prior. slight blunting of the posterior costophrenic angles could be due to trace pleural effusions. no pneumothorax is seen. the cardiac silhouette is moderate to markedly enlarged, possibly slightly increased in size compared to the prior study given differences in inspiration and technique.What are the key findings of this report? [/INST] new pulmonary vascular congestion. moderate to marked cardiomegaly similar to possibly mildly increased as compared to the prior study. trace pleural effusions. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are within normal limits. the lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] comparison to <unk>. the right chest tube is unchanged in position. there is a persistent moderate right pneumothorax. increased atelectasis is noted at the right lung base with flattening of the right hemidiaphragm secondary to tension from the pneumothorax. no pleural effusion is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] persistent right pneumothorax with signs of tension. the right chest tube is unchanged in position. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate clear lungs. no calcified granulomas or calcified lymph nodes are seen. the cardiac and mediastinal contours are normal. no pleural abnormality is seen.What are the key findings of this report? [/INST] no evidence of active or latent tuberculosis infection. </s>
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<s>[INST] the patient is intubated with the et tube in situ with its tip <num> mm proximal to the carina. nasogastric tube projects over the esophagus and courses out of sight inferiorly. right-sided ijv catheter in situ with the tip in the proximal svc. the left upper lobe mass is again identified with mediastinal shift to the right. there has been new development of opacification of the left lower lobe with minimal residual aeration in the inferior aspect of the left lower lobe. the right lung is clear.What are the key findings of this report? [/INST] there is a new opacification of the left lower lobe, and i get the impression of volume gain suggesting airspace consolidation rather than atelectasis. </s>
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<s>[INST] relatively low lung volumes are seen. that said, there has been interval resolution of the previously seen right-sided pneumonia. the lungs are now clear. there is no effusion and no evidence of pulmonary edema. median sternotomy wires and coronary artery stents are identified. degree of cardiomegaly is unchanged. no acute osseous abnormalities.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. lungs are well expanded. streaky opacities at the lung bases bilaterally are likely secondary to atelectasis. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is no focal consolidation. there is suggestion of a sub-cm nodular opacity in the left upper lobe, which likely corresponds to the known pulmonary nodule, better demonstrated on the concurrent cta. streaky left retrocardiac opacity most likely represents atelectasis. no pleural effusion or pneumothorax. intrathoracic lymphadenopathy, a right juxta hilar mass, and postobstructive changes in the right middle and lower lobes have substantially improved compared to <unk> radiograph with some residual patchy and linear atelectasis as well as bronchial wall thickening. these findings are more fully evaluated on the concurrent cta.What are the key findings of this report? [/INST] no acute cardiopulmonary process. <num>. see full report of concurrent cta for complete description of patient's findings related to intrathoracic malignancy. </s>
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<s>[INST] endotracheal tube terminates approximately <num> cm above the carina. right picc tip is probably in the mid svc. confluent diffuse bilateral opacities have not improved. cardiomegaly is difficult to evaluate.What are the key findings of this report? [/INST] <num>. endotracheal tube terminates <num> cm above the carina and should be advanced by <num> cm. <num>. diffuse bilateral heterogeneous opacities, consistent with multifocal pneumonia. </s>
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<s>[INST] the lungs are well expanded. increased bilateral interstitial opacities are present, with more consolidative processes in the right lung base partially obscuring the right hemidiaphragm margin and the left upper lung. the right basilar opacities appear worsened than in the previous studies. blunting of the right posterior costophrenic sulcus in the lateral view suggests a small right sided pleural effusion. there is no left-sided pleural effusion. mild cardiomegaly is stable. otherwise, cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax.What are the key findings of this report? [/INST] consolidative opacities in the right lung base and the upper left lung may represent infectious processes. if the clinical presentation is compatible with pneumonia, follow up is recommended <unk> weeks after treatment to assess for resolution. however, if the presentation is not compatible with penumonia, further assessment with chest ct is recommended given progressive worsening of the right basilar and new left upper lung opacities. </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] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no overt pulmonary edema. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest demonstrate low lung volumes. small bilateral pleural effusions are noted. there is no focal consolidation. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. port-a-cath tip projects over mid svc. there is no pneumothorax.What are the key findings of this report? [/INST] small bilateral pleural effusions, new since <unk> exam. retrocardiac opacity may represent atelectasis or infection in the appropriate clinical setting. </s>
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<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] lungs are hyperinflated suggestive of underlying emphysema. endotracheal tube has its tip <num> cm above the carina. nasogastric tube is seen coursing below the diaphragm with the tip not identified. no focal airspace consolidation is seen to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are unchanged. </s>
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<s>[INST] ap upright and lateral chest radiographs were obtained. increased interstitial abnormality could be due to mild pulmonary edema, although low lung volumes complicate this assessment. dual lumen central venous catheter terminates with its distal tip in the superior cavoatrial junction. no definite pleural effusion is seen. there is no pneumothorax with unchanged minimal left apical pleural thickening. the heart is top normal in size with tortuous aorta contour. coarse calcifications in the left axilla could be a calcified lymph node or intra-articular body within the left glenohumeral joint are unchanged.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] bilateral pigtail pleural catheters are in unchanged position. right picc line terminates at mid to low svc. cholecystostomy tube is in place. sternotomy wires are intact. moderately enlarged cardiac silhouette is exaggerated by the low lung volumes. there is small loculated right pleural effusion. left pleural effusion is minimal, if any. there is no pneumothorax.What are the key findings of this report? [/INST] small loculated right pleural effusion is stable compared to <unk>. no pneumothorax. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multiple clips are demonstrated within the neck bilaterally suggestive of prior thyroidectomy.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral views of the chest provided. previous picc line has been removed. there is a small f linear density abutting left heart border, question scarring or atelectasis. otherwise lungs are clear. no signs of pneumonia or edema. cardiomediastinal silhouette is normal. bony structures are intact. degenerative changes of the left shoulder noted. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there are no displaced fractures.What are the key findings of this report? [/INST] no acute cardiopulmonary process or significant change from <unk>. </s>
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<s>[INST] the lungs are clear. there is no pneumothorax. mild cardiomegaly despite the projection is unchanged. regional bones and soft tissues are unremarkable. metallic anchors at the left humeral head suggest prior rotator cuff repair.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. mild subpleural scarring is unchanged at each lung apex. although there is no pleural effusion on the right, there is a new small pleural effusion on the left since four days earlier. patchy associated opacity in the retrocardiac area is streaky, possibly atelectasis.What are the key findings of this report? [/INST] new small pleural effusion. possibly increasing opacification of the left lung base reflects early developing infection but does not represent a definite infectious source since atelectasis and pleural effusion could yield a similar appearance. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] the lungs are hyperinflated. biapical scarring and increased interstitial markings are seen throughout the lungs likely due to patient's underlying copd. there is no focal consolidation worrisome for infection. nodular opacity projecting over the anterior right fifth rib which may represent the nipple shadow in should be followed on subsequent exams. calcified densities projecting over the right axilla are presumably in the soft tissues. additional adjacent calcific densities projecting over the right lateral lung are unchanged. the cardiomediastinal silhouette is stable. atherosclerotic calcifications again noted at the aortic arch.What are the key findings of this report? [/INST] hyperinflation without focal consolidation. followup on future exams of the nodular opacity over the right mid lung suggested. </s>
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<s>[INST] frontal and lateral chest radiographs again demonstrate a right pleural pigtail catheter. the right pneumothorax is increased compared to prior radiograph. the remainder of the exam is unchanged.What are the key findings of this report? [/INST] increased right pneumothorax. these findings were communicated via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>. </s>
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<s>[INST] ap portable upright view of the chest. overlying ekg leads are present. the lungs are clear without focal consolidation, large effusion or pneumothorax. no signs of congestion or edema. the heart size is top-normal. mediastinal contour is normal. bony structures are intact.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] there is low lung volumes bilaterally with areas of linear opacification inferiorly, most likely representing bibasilar atelectasis; however, in the appropriate clinical setting, there could be superimposed aspiration. otherwise, there are no other areas of focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged and within normal limits. the pleural surfaces are unremarkable.What are the key findings of this report? [/INST] bibasilar atelectasis. in the appropriate clinical setting, aspiration cannot be ruled out. </s>
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<s>[INST] post placement of a left chest wall pacemaker with leads terminating in the right ventricle and right atrium. mediastinal contours and hila are stable. no pleural effusion or pneumothorax. right upper lobe linear opacity adjacent to a fiducial marker is consistent with post radiation change. moderate cardiomegaly, saccular descending thoracic aortic aneurysm, and thoracic levoscoliosis are stable.What are the key findings of this report? [/INST] post pacemaker placement without evidence of complication. </s>
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<s>[INST] the iabp is unchanged in position. the ivc catheter is stable. lung volumes are decreased which somewhat exaggerates the appearance of the small bilateral pleural effusions which are not appreciably changed. bibasilar atelectasis is slightly worse. the cardiomediastinal silhouette is normal. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. iabp unchanged in position <num>. lung volumes are lower, small bilateral pleural effusions are unchanged, and mild bibasilar atalectasis is slightly worse. </s>
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<s>[INST] frontal and lateral radiographs of the chest. persistent hyperinflated lungs and flattened diaphragms consistent with copd. normal heart size. clear lungs. old fractures of the right lateral <unk> and <num>th ribs. stable mediastinal and hilar contours. no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are somewhat low though allowing for this, the lungs appear clear without 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] when compared to prior chest x-ray, there is wide mediastinum noting lack of clear delineation of the aortic knob with increased density lateral to the descending thoracic aorta. trachea is also deviated to the right. findings are compatible with known ruptured subclavian artery pseudoaneurysm as seen on same day chest ct. cardiac silhouette is within normal limits. no focal consolidation identified. there is no large pleural effusion.What are the key findings of this report? [/INST] abnormal contour of the mediastinum compatible with patient's known ruptured subclavian artery pseudoaneurysm. </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 patient is status post median sternotomy, cabg, and mitral valve replacement. cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are within normal limits. there is mild upper zone vascular redistribution, as seen previously without overt pulmonary edema. lung volumes remain low. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. chronic mild pulmonary vascular congestion. </s>
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<s>[INST] ap view of the chest was examined. there is a decrease in the left pleural effusion, now small in size. there is no pneumothorax. the cardiomediastinal and hilar contours are stable. again seen is prominence of the pulmonary vasculature, suggesting mild pulmonary edema. there is no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] decrease in size of small left pleural effusion. mild pulmonary edema. </s>
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<s>[INST] ap portable views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. calcification of the aorta is likely present. there is no widening of the mediastinum. degenerative changes are seen at the acromioclavicular joints.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 a persistent, moderate left pleural effusion and small right pleural effusion. the pulmonary vasculature is mildly indistinct. no definite consolidation is identified. bibasilar atelectasis is noted. the cardiac silhouette is enlarged. there is severe dextroscoliosis of thoracic spine.What are the key findings of this report? [/INST] persistent bilateral pleural effusions. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. although technique and low lung volumes are somewhat limiting, there is a suggestion of mild interstitial abnormality. no focal opacification is visualized, however. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] slight interstitial abnormality. pulmonary congestion could be considered versus an inflammatory airway process. </s>
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<s>[INST] the heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. there is elevation of the right hemidiaphragm.What are the key findings of this report? [/INST] no acute abnormality. </s>
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<s>[INST] there is a single lead pacemaker with the lead terminating at the right ventricular apex. the patient is status-post median sternotomy, and a prosthetic mitral valve is again noted. the cardiomediastinal silhouette is unremarkable. the lungs are clear of focal opacities, pleural effusions or pneumothoraces noting that the right lung apex is obscured.What are the key findings of this report? [/INST] single lead pacemaker with lead terminating at right ventricular apex. </s>
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<s>[INST] right-sided chest tube appears unchanged in position. there is a very small persistent right-sided pneumothorax, not significantly changed. otherwise, there has been no significant change.What are the key findings of this report? [/INST] stable pneumothorax on the right. </s>
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<s>[INST] heart size is normal with mild tortuosity of thoracic aorta. lungs are clear. hilar contours are unremarkable. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] tip of the right internal jugular catheter terminates in the mid svc. endotracheal tube terminates <num> cm above the carina. enteric tube courses to at least the lower esophagus, but the tip is not captured on the current study. lung volumes are low. bibasilar opacities most likely represent atelectasis. however, superimposed infection should be considered in the appropriate clinical setting, particularly at the left lung base. no sizable pleural effusion or pneumothorax. heart size is top-normal.What are the key findings of this report? [/INST] <num>. low lung volumes with crowding of bronchovascular structures. <num>. bibasilar opacities likely represent atelectasis, but superimposed infection or aspiration should be considered in the appropriate clinical setting. </s>
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<s>[INST] the lungs are well expanded and clear. 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 cardiac silhouette remains top-normal. mediastinal contours are stable. bilateral calcified granulomas are noted. no focal consolidation is seen. there is no pleural effusion or pneumothorax. no pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube terminates <num> cm from the carina. the enteric tube courses below the diaphragm and outside of the field of view. low lung volumes and rightward rotation somewhat limit evaluation. there is no focal consolidation, pleural effusion, or pulmonary edema. bibasilar opacities likely represent atelectasis related to low lung volumes. there is a mildly displaced fracture of the right anterior sixth rib. mild contour irregularity of the seventh rib may represent an additional fracture.What are the key findings of this report? [/INST] <num>. standard positioning of endotracheal and enteric tubes. <num>. mildly displaced right anterior sixth rib fracture and possible additional right anterior seventh rib fracture. <num>. low lung volumes and positioning limit assessment. there is bibasilar atelectasis. the lungs are otherwise grossly clear. </s>
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<s>[INST] frontal upright and lateral chest radiographs demonstrate symmetric well-expanded lungs. heart is normal in size and cardiomediastinal contour is unremarkable. lungs are clear. there is no pulmonary edema. there is no pleural effusion and no pneumothorax. osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] lung volumes are low with similar pattern of scarring in the left lower lobe as compared with prior ct. subtle opacity in the right upper lobe is also stable and compatible with scarring as better assessed on prior ct. there is no evidence of pneumonia or chf. no effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] stable pattern of scarring in the right upper lobe and left lower lobe compared with prior ct. no acute findings. </s>
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<s>[INST] the lungs are clear. there is no consolidation, effusion, or pneumothorax. apparent enlargement of the cardiac silhouette is likely secondary to portable technique and low lung volumes. no acute osseous abnormalities.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. the lungs are clear; incidental note is made of an azygous lobe. there is no pleural effusion or pneumothorax. no displaced rib fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views the chest were reviewed. cardiomediastinal and hilar contours are stable with median sternotomy wires in place. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube terminates <num> cm above the carina. the og tube passes just below the diaphragms and should be advanced <num> cm to position the side-hole into the stomach. left ij line terminates at the left brachiocephalic vein, with a left hd line terminating in the lower svc. no change in the right lower lobe atelectasis and pleural effusion. heterogeneous opacity of the right middle lobe is changed and concerning for pneumonia. the heart size is slightly smaller. small left pleural effusion is unchanged. no pneumothorax. surgical clips in the right upper quadrant of the abdomen are unchanged.What are the key findings of this report? [/INST] <num>. og tube passes just below the diaphragm and should be advanced <num> cm to position the sideholes in the stomach. <num>. persistent right lower lobe atelectasis, bilateral pleural effusions, and right middle lobe opacity concerning for pneumonia. </s>
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<s>[INST] the heart is mildly enlarged. the aortic arch is partly calcified. there is no pleural effusion or pneumothorax. patchy linear opacities in the left mid-to-lower lung suggest minor atelectasis. there is no pleural effusion or pneumothorax. new sclerosis associated with the right posterior sixth rib suggests a fracture that is subacute or older without displacement. mild compression deformities along the visualized thoracolumbar spine appear unchanged. the bones are probably demineralized.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, inferior aspect not included on the image. the left costophrenic angle is not fully included on the image. the imaged lungs are clear. no pleural effusion or focal consolidation is seen. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] left costophrenic angle not fully included on the image. given this, no acute intrathoracic process. endotracheal tube in appropriate position. </s>
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<s>[INST] cardiomediastinal contours are within normal limits and without change. lungs and pleural surfaces remain clear.What are the key findings of this report? [/INST] normal single view of the chest. </s>
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<s>[INST] adjusting for changes in position, the cardiomediastinal silhouette is unchanged. right chest tube is seen with associated small right apical pneumothorax. smaller lung volumes, the upper lungs are clear. cardiomediastinal silhouette appears unchanged. . severe generalized intestinal distention persists.What are the key findings of this report? [/INST] small right pneumothorax. </s>
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<s>[INST] a nasogastric tube passes into the stomach; its distal course is not delineated. a right internal jugular venous introducer catheter terminates in the mid superior vena cava. the lung volumes are low with streaky opacities at the lung bases suggesting minor atelectasis. allowing for differences in technique, the cardiac, mediastinal and hilar contours appear stable. a very small pleural effusion is present on the left side only.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] severe cardiomegaly is re- demonstrated with similar mediastinal contours. mild pulmonary vascular congestion is slightly improved compared to the previous study. moderate to large right pleural effusion which is loculated partially laterally appears increased from the previous study. worsening opacification of right lung base may reflect atelectasis, however infection is not excluded. there is a small left pleural effusion with left basilar atelectasis. no pneumothorax is identified.What are the key findings of this report? [/INST] worsening opacification in the right lung base may reflect increased atelectasis though infection is not excluded. increased size of large right partially loculated pleural effusion and trace left pleural effusion. mild pulmonary vascular congestion, slightly improved in the interval. </s>
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<s>[INST] ap portable supine view of the chest. lungs appear clear. no large consolidation, supine evidence for effusion or pneumothorax. the heart size is normal. mediastinal contour is unremarkable. no acute bony injuries seen.What are the key findings of this report? [/INST] no acute intrathoracic process </s>
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<s>[INST] there has been interval advancement of an endotracheal tube, which now terminates only about <num> cm above the orifice of the right mainstem bronchus. a <unk> tube again is seen passing through the esophagus, although its endpoint is not imaged. costophrenic sulci are also partly excluded, but there has been no definite change. bilateral pleural effusions, greater on the right than left, are probably unchanged allowing for differences in technique, and persistent interstitial changes suggest pulmonary congestion, although the latter appear improved.What are the key findings of this report? [/INST] low-lying endotracheal tube. retracting the tube slightly may be helpful if clinically indicated. improving pulmonary edema and probably unchanged pleural effusions, although not fully imaged, including a large one on the right side. </s>
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<s>[INST] as compared to chest radiograph from earlier today, left-sided chest tube has been removed. no left pneumothorax. left lower lobe atelectasis is unchanged. small possible right apical pneumothorax is unchanged. mild cardiomegaly. slight increase in subcutaneous emphysema in the left neck.What are the key findings of this report? [/INST] no pneumothorax on the left post chest tube removal. tiny right apical pneumothorax unchanged. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the lungs are hyperinflated with flattening of the diaphragms. slight blunting of the posterior costophrenic angles may relate to the hyperinflated lungs, although trace pleural effusions are not excluded. there is patchy opacity projecting over the left lower lung adjacent to the left heart border. suggest oblique views for further evaluation. the mediastinum is not widened. the cardiac silhouette is not enlarged.What are the key findings of this report? [/INST] <num>. the mediastinum is not widened. <num>. hyperinflated lungs. slight blunting of the posterior costophrenic angles may relate to the hyperinflated lungs, although trace effusions not excluded. opacity projecting just adjacent to the left heart border on the frontal view, not definitively seen on the lateral view may relate to nipple shadow or other external artifact. suggest repeat with nipple markers and/or oblique views for confirmation. </s>
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<s>[INST] the heart is normal in size. the aorta is mild-to-moderately tortuous. the lungs appear clear. there are no pleural effusions or pneumothorax. slight degenerative changes are noted along the lower thoracic spine.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 with trace unfolding of the thoracic aortic arch. cardiomediastinal silhouette and hilar contours are normal. questionable <num> cm ovoid density in the left lung base with possible retrocardiac correlate. lungs are otherwise clear. pleural surfaces are clear without effusion or pneumothorax. bones are diffusely demineralized.What are the key findings of this report? [/INST] indeterminate <num> cm ovoid density in the left lung base with possible retrocardiac correlate on lateral view. while it is possible this represents a nipple shadow, either repeat radiograph with nipple markers or ct examination is recommended. </s>
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<s>[INST] since extubation, there has not been significant change in severe pulmonary edema. mild cardiomegaly is stable. tracheal stent is unchanged in position. right subclavian is unchanged in position and likely is at the cavoatrial junction. pleural effusions are small if any. no pneumothorax.What are the key findings of this report? [/INST] no significant change and severe pulmonary edema. tracheal stent in similar position. </s>
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<s>[INST] lung volumes are lower compared with the prior radiograph. the heart size is top normal. mediastinal and hilar contours are unchanged and unremarkable. the lungs demonstrate very mild increased interstitial pulmonary lung markings, suggesting possible underlying central pulmonary vascular congestion. no pleural effusion, focal consolidation, or pneumothorax.What are the key findings of this report? [/INST] compared with the radiograph of <unk>, mild increased interstitial pulmonary lung markings may suggest underlying central pulmonary vascular congestion/ mild interstitial edema. </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] moderate to large bilateral pleural effusions are again noted. there is likely adjacent atelectasis. superiorly, the lungs are clear. cardiac silhouette is not well assessed due to silhouetting. median sternotomy wires are noted with a fracture through the inferior most wire. atherosclerotic calcifications seen at the aortic arch. no acute osseous abnormalities.What are the key findings of this report? [/INST] persistent moderate to large bilateral pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest provided. pectus excavatum deformity of the sternum likely accounts for the hazy opacity at the medial right lung base. there are no convincing signs of pneumonia, chf, effusion, or pneumothorax. the heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no signs of pneumonia. pectus excavatum deformity of the sternum. </s>
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