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<s>[INST] there is an opacity at the right lung base with silhouetting of the right hemidiaphragm likely representing small-to-moderate right pleural effusion with adjacent atelectasis. however, a developing pneumonia in this region cannot be excluded. additionally, there is a small left pleural effusion. cardiomediastinal silhouette is normal. the upper lung zones are clear. there are no acute fractures identified.What are the key findings of this report? [/INST] bilateral pleural effusions, small to moderate on the right and small on the left, with adjacent airspace atelectasis. pnuemonia must be excluded in the proper clinical setting. </s>
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<s>[INST] single portable view of the chest. endotracheal tube is seen with tip <num> cm from the carina. ng tube seen with tip just past the ge junction and should be advanced. relatively low lung volumes are noted. there is left basilar opacity which silhouettes the hemidiaphragm potentially due to atelectasis with possible area effusion or consolidation also possible. the right lung is grossly clear. cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] ng tube with tip just past the ge junction and should be advanced. appropriate position of the endotracheal tube. left basilar opacity potentially due to any combination of atelectasis, consolidation or effusion. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is a mild interstitial abnormality, possibly attributable to pulmonary congestion. vague but more dense opacities can be seen in the lower lungs, greater on the left than right, in association with low lung volumes. this appearance probably is due to a combination of mild atelectasis and pulmonary congestion.What are the key findings of this report? [/INST] findings suggestive of mild vascular congestion and basilar atelectasis. if developing infection is a possible consideration, then short-term followup pa and lateral radiographs could be considered, however. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. cardiomediastinal silhouette is within normal limits. tortuosity of the descending thoracic aorta is noted. no acute osseous abnormalities. thin linear radiopaque foreign bodies project over the right upper quadrant, exact location is uncertain.What are the key findings of this report? [/INST] no acute cardiopulmonary process. thin linear <num> and <num> cm long radiopaque foreign bodies projecting over the right upper quadrant, potentially external but uncertain in location, to be correlated clinically. </s>
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<s>[INST] surgical clips project over the right upper quadrant. the cardiac, mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lung volumes are low with patchy left lung opacities that are highly non-specific.What are the key findings of this report? [/INST] patchy left lung opacities, but not extensive. atelectasis could be considered. if there is concern for a developing pulmonary process, then short-term followup radiographs could be considered. </s>
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<s>[INST] right picc line in unchanged position ending in the cavoatrial junction. no significant change from yesterday in heterogeneous right lung opacification, mild cardiomegaly and small right pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] no significant change from yesterday. </s>
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<s>[INST] asymmetric increased density and interstitial vascular prominence at the right lung base compared to the left lung base. otherwise, the lungs are clear. no pleural effusion. no pneumothorax. the descending aorta is tortuous, but stable compared to the prior exam. the cardiomediastinal silhouette and hila are unchanged. no acute osseous abnormality.What are the key findings of this report? [/INST] asymmetric interstitial markings and increased density in the right lower lung, which may represent an early pneumonia given the patient's clinical symptoms. vascular congestion is also possible but less likely in the absence of cardiomegaly. </s>
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<s>[INST] a dobbhoff tube has been removed in the interim. there has been increased consolidation of the left lower lobe. there is unchanged prominence of the interstitium, likely reflecting chronic lung disease. cardiac and mediastinal contours are normal. a calcified tortuous aorta is again noted.What are the key findings of this report? [/INST] no substantial change in the opacity at the left lung base which may represent atelectasis, scarring or aspiration. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate well-expanded and clear lungs. the patient is status post right middle lobectomy with chain sutures seen projecting over the right mid lung field. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax or pleural effusion. there is stable spurring of the posterior right seventh rib, which is of no clinical significance.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. multiple rounded calcifications are noted projecting superior to the right mid clavicle, unchanged, potentially phleboliths.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] compared with prior radiographs performed on the same day on <unk> at <time>, there is increased asymmetric opacification of both lungs, right greater than left, which may could be asymmetric pulmonary edema, and/or concurrent consolidation, or pulmonary hemorrhage. there is no pneumothorax. severe mediastinal widening is unchanged since earlier in the day, improved since <unk>. . an et tube ends <num> cm above the carina, and should be advanced <num>-<num> cm for more secure positioning. a right-sided swan-ganz catheter terminates in the right pulmonary artery. two left pleural drains are stable in position. small left pleural effusion is likely.What are the key findings of this report? [/INST] <num>. new moderate, asymmetric pulmonary edema and possible concurrent right lung pneumonia and/or pulmonary hemorrhage. <num>. et tube <num>-<num> cm above standard position. <num>. no pneumothorax. <num>. stable severe postoperative cardiomediastinal widening, presumably hematoma. </s>
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<s>[INST] portable single frontal chest radiograph was obtained. a right sided hd catheter terminates in the lower svc. the cardiac silhouette is moderately enlarged with mild pulmonary edema. small bilateral pleural effusions, left greater than right, are present with associated bibasilar atelectasis. indentation on the left trachea may reflect an enlarged goiter.What are the key findings of this report? [/INST] <num>. moderate cardiomegaly with moderate pulmonary edema. <num>. bilateral pleural effusions, left greater than right, with associated compressive atelectasis. <num>. indentation on left trachea may reflect an enlarged goiter. follow-up with thyroid ultrasound if clinically relevant. </s>
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<s>[INST] pa and lateral views of the chest provided. retrocardiac opacity contain containing an air-fluid level is compatible with hiatal hernia. there is a small right pleural effusion. lungs are hyperinflated with biapical pleural parenchymal scarring. retrosternal clear space is noted in this patient with underlying presumed emphysema. the heart is top normal in size. mediastinal contour is unremarkable. no convincing signs of pneumonia or chf. bony structures are demineralized though appear intact.What are the key findings of this report? [/INST] emphysema, small right pleural effusion, hiatal hernia, top-normal heart size. </s>
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<s>[INST] a frontal supine view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. right basilar linear opacity may represent atelectasis or pneumonia. the remainder of the lungs is clear. no pneumothorax or pleural effusion. heart size is normal allowing for patient position and technique. mediastinal silhouette and hilar contours are within normal limits.What are the key findings of this report? [/INST] right basilar atelectasis or pneumonia. if further evaluation is needed, consider conventional pa and lateral radiographs in radiology. no effusion. </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 notable for mild multilevel degenerative changes, anterior osteophytes and disc space narrowing. small anterior wedge compression deformity of a mid thoracic vertebral body is stable since <unk>. deformity of posterolateral right eighth rib prior fracture is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. specifically, no pneumonia. </s>
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<s>[INST] ng tube and et tube are in acceptable positions. a stent projects over the expected location of the svc and right atrium. new small bilateral pleural effusions with adjacent atelectasis are seen. cardiomediastinal silhouette is stable. there is an opacity at the left upper lung which has increased from prior.What are the key findings of this report? [/INST] opacity at the left upper lung increased from prior, which could be atelectasis but could be pneumonia in the proper clinical setting. </s>
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<s>[INST] the tracheostomy is midline and unchanged. the lungs are grossly clear without consolidation to suggest pneumonia. cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are hyperinflated, consistent with copd. there is no pulmonary edema. there is a small left pleural effusion. no right pleural effusion. mild left basilar atelectasis. no focal parenchymal opacities concerning for pneumonia. no pneumothorax. the cardiac, mediastinal, and hilar contours are normal.What are the key findings of this report? [/INST] <num>. unchanged emphysematous changes in the lungs. <num>. no evidence of acute pneumonia or pulmonary edema. <num>. small left pleural effusion. these findings were discussed with dr. <unk> at <time> p.m. on <unk> by telephone. </s>
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<s>[INST] compared with the immediate prior study, lung volumes are significantly lower causing bibasilar atelectasis and bronchovascular crowding. allowing for differences in lung volumes, left lung base airspace opacities are likely unchanged. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] low lung volumes causing bronchovascular crowding and atelectasis. allowing for this difference, left lung base very sparse opacities are likely unchanged. </s>
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<s>[INST] heart size is mildly enlarged. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected.What are the key findings of this report? [/INST] mild cardiomegaly without radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiograph demonstrate mildly hyperinflated, clear lungs without focal consolidation, pleural effusion, or pneumothorax. there is an incidental left lower lobe granuloma seen previosuly on examination dated <unk>. the cardiomediastinal and hilar contours are unremarkable. no pleural abnormality is identified.What are the key findings of this report? [/INST] no pneumonia. hyperinflated lungs in keeping with history of asthma. the findings were discussed with the secretary for dr. <unk> <unk> ordering physician wet <unk> request by dr. <unk> <unk> telephone at <time> on <unk>. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. lungs appear hyperinflated with flattening of the diaphragms and increased ap diameter, suggesting chronic obstructive pulmonary disease. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] hyperinflated lungs. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post sternotomy and probably coronary artery bypass graft surgery. the cardiac, mediastinal and hilar contours appear stable. the lung volumes are low with very mild relative elevation of the left hemidiaphragm, as before. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] in comparison to chest radiograph earlier today, bibasilar consolidation persists, more likely pneumonia than dependent pulmonary edema because pulmonary and mediastinal vessels are not engorged. median sternotomy wires are well aligned. left pleural scarring and mid lung atelectasis are unchanged over at least three weeks, and may be post surgical. mild cardiomegaly is stable . healed right posterolateral rib fractures are longstanding..What are the key findings of this report? [/INST] bilateral pneumonia </s>
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<s>[INST] heart size is normal and unchanged. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. compared to <unk>, no significant change. again seen are consolidations overlying the bilateral lower lobes, which may represent atelectasis or scar with pneumonia not excluded. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] compared to <unk>, no significant change. unchanged bibasilar consolidations, which may represent atelectasis or scar with pneumonia not excluded. </s>
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<s>[INST] frontal ap and lateral views of the chest were obtained. slightly increased opacity in the right middle lobe since <unk> may represent early or developing pneumonia in the appropriate clinical setting. no other opacity is seen. pulmonary vasculature is engorged without overt pulmonary edema. there is no pleural effusion or pneumothorax. the heart size is normal. mediastinal silhouette and hilar contours are normal. a left port-a-catheter ends in the lower svc.What are the key findings of this report? [/INST] <num>. increased right middle lobe opacity may represent early pneumonia in the appropriate clinical setting. <num>. pulmonary vascular engorgement without overt pulmonary edema. </s>
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<s>[INST] cardiomediastinal silhouette is unremarkable. no pleural effusion or pneumothorax is seen. no parenchymal consolidation is noted.What are the key findings of this report? [/INST] no cause is seen for the patient's right pleuritic pain (on this chest radiograph). </s>
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<s>[INST] since prior, there has been removal of a left basilar chest tube and an endotracheal tube. there is a tiny left apical pneumothorax. lung volumes remain low which accentuates the cardiomediastinal silhouette. left basilar atelectasis has increased. right ij central catheter ends in the mid svc.What are the key findings of this report? [/INST] tiny left apical pneumothorax after chest tube removal. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of consolidation. there are trace bilateral effusions. the cardiomediastinal silhouette is within normal limits. anterior vertebral body hardware is seen at the cervicothoracic junction. no acute osseous abnormality detected.What are the key findings of this report? [/INST] trace bilateral effusions. no evidence of consolidation. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] no acute findings including no pneumothorax. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. mediastinal contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] again seen in the right upper lung is a linear airspace opacity, decreased in conspicuity in comparison to chest x-ray from <unk>. otherwise, the lungs are clear without focal consolidation. the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. decreased conspicuity of right upper lung linear airspace opacity as seen on numerous prior studies, better assessed on prior chest ct, possibly reflective of recurrent chronic pneumonitis. <num>. otherwise, clear lungs without focal consolidation. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. as before, the left hemidiaphragm is moderately elevated in association with partial atelectasis of the left lower lobe basilar segments. there is no definite pleural effusion or pneumothorax. the lateral view depicts a parasternal mass effacing the usual expected anterior clear space. metastatic nodules are visible in each lung.What are the key findings of this report? [/INST] findings consistent with metastatic disease. persistent left basilar atelectasis and elevation of the left hemidiaphragm, but no clearly acute findings. </s>
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<s>[INST] the heart size is mild to moderately enlarged. the aorta is tortuous. the mediastinal and hilar contours are unremarkable. lungs are slightly hyperinflated with flattening of the diaphragms suggestive of copd. atelectasis is noted in the lung bases without focal consolidation. no pleural effusion or pneumothorax is present. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] possible copd. bibasilar atelectasis. </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] pa and lateral views of the chest. multiple lung masses along the left mediastinum are again seen consistent with known metastases. no focal consolidation to suggest pneumonia. no pneumothorax or pleural effusion. heart size is normal.What are the key findings of this report? [/INST] no significant change in known metastatic disease in the left hemithorax. no evidence of pneumonia or other acute 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 rib fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced rib fracture is identified; however, if high clinical concern for rib fracture persists, dedicated rib series or ct is more sensitive. </s>
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<s>[INST] the patient is intubated. the endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube terminates in the stomach. the heart is normal in size. the aortic arch is calcified. the mediastinal and hilar contours are otherwise unremarkable. the extreme left costophrenic sulcus is partly excluded, but there is no evidence for pneumothorax or pleural effusion. there is patchy left basilar opacity which is most likely to represent minor atelectasis. two small apparent nodular densities project over the left mid lung and may be artifactual or potentially could represent true lung nodules, however. there is no pleural effusion or pneumothorax. gallstones project over the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] <num>. satisfactory positioning of endotracheal tube. <num>. questionable small nodular densities projecting over the left mid lung. short-term repeat radiographs are recommended to see whether these may persist. <num>. cholelithiasis. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear with the exception of trace linear atelectasis in the left base. there is no pneumothorax, vascular congestion, or pleural effusion.What are the key findings of this report? [/INST] trace left basilar dependent atelectasis. no definite evidence of acute cardiopulmonary process. </s>
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<s>[INST] low bilateral lung volumes. there is bibasilar atelectasis, not significantly changed from prior. small bilateral layering pleural effusions are noted. no discrete pneumothorax. the size and appearance of the cardiac silhouette is unchanged. a right chest wall power injectable port is present with the tip projecting over the upper right atrium. two right sided chest tubes are present.What are the key findings of this report? [/INST] no significant interval change since the prior study. no discernible pneumothorax identified. </s>
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<s>[INST] a dual-lead pacemaker/icd device appears unchanged. the heart is mildly enlarged with left ventricular configuration. the mediastinal and hilar contours appear unchanged. there is similar elevation of the right hemidiaphragm compared to the left. patchy right basilar atelectasis has resolved. a linear opacity in the left costophrenic angle suggests scarring that appears unchanged. degenerative changes are similar along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is a subtle right infrahilar opacity. there is no acute osseous abnormality.What are the key findings of this report? [/INST] subtle right infrahilar opacity which could represent early or resolving pneumonia. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] in comparison to the chest radiograph obtained <num> days prior, overall greatly improved. lung volumes remain low with some mild bibasilar and mid right lung atelectasis. no focal consolidations or pleural effusions. no pneumothorax. a right-sided port terminates at the expected location of the superior cavoatrial junction. mild cardiomegaly and cardiomediastinal silhouette are unchanged.What are the key findings of this report? [/INST] mild atelectasis, but no radiographic evidence of pneumonia. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. the heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is minimal atelectasis within the right lung base. no focal consolidation, pleural effusion or pneumothorax is seen. mild pleural parenchymal scarring is noted at the apices. there are no acute osseous abnormalities. partially imaged is cervical spinal fusion hardware.What are the key findings of this report? [/INST] mild right basilar atelectasis. </s>
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<s>[INST] there is mild left base atelectasis. there are relatively low lung volumes. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] mild left base atelectasis. </s>
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<s>[INST] left picc tip now projects over the azygos arch. position of cervical spinal hardware is unchanged. interval resolution of right lower lobe collapse with mild, residual atelectasis at the right base. new retrocardiac opacity with obscuration of the left hemidiaphragm suggests left lower lobe atelectasis. cardiomediastinal contours are grossly unchanged.What are the key findings of this report? [/INST] interval resolution of right lower lobe collapse with mild, residual atelectasis at the right base. new left lower lobe atelectasis. left picc tip now projects over the azygos arch. </s>
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<s>[INST] the right costophrenic sulcus is not included. the left costophrenic angle is blunted. increased density is again demonstrated in the left lower lobe. this appears slightly more extensive than before. the heart and mediastinal structures are stable in appearance. a nasogastric tube remains in place.What are the key findings of this report? [/INST] interval increase in extent of left lower lobe opacity. no other significant change. </s>
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<s>[INST] the tip of an accessed right pectoral mediport projects over the low svc. there is no pneumothorax. prominent bilateral interstitial lung markings likely correspond in part to the patient's known severe emphysema. however, increased prominence of the interstitial markings bilaterally may be due to superimposed edema or infection.What are the key findings of this report? [/INST] chronic interstitial changes of emphysema with increased interstitial opacities, which may be due to superimposed infection or edema. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is mild elevation of the right hemidiaphragm. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. the aorta is slightly tortuous.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] single upright portable view of the chest demonstrates relatively low lung volumes, with moderate cardiomegaly. otherwise, the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. no subdiaphragmatic free air is detected.What are the key findings of this report? [/INST] moderate cardiomegaly and low lung volumes. no subdiaphragmatic free air. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is identified. unremarkable appearance of thoracic aorta. 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 in the apical area. somewhat low-positioned diaphragms and lucent appearance of lung bases suggest possibility of copd, but again acute infiltrates cannot be seen. within the normal heart shadow, the lateral view discloses typical track-shaped calcifications in antero and left-sided position within the heart shadow identifying the left anterior descending artery. no other intracardiac calcifications are identified. our records do not include a previous chest examination available for comparison.What are the key findings of this report? [/INST] normal heart size, no evidence of pulmonary congestion, unremarkable appearance of thoracic aorta, but extensive calcifications in the area of the lad. </s>
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<s>[INST] the lungs are symmetrically well expanded and well aerated. no focal consolidation concerning for pneumonia, pleural effusion, or pneumothorax is detected. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the visualized upper abdomen is unremarkable. no displaced rib fractures are identified.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 contour is normal. a distended gas-filled loop of small bowel is partially visualized in the left upper abdomen.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. partially imaged gaseous distention of small bowel. </s>
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<s>[INST] the lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. rightward curvature of the lower thoracic spine is unchanged. there is no pulmonary edema.What are the key findings of this report? [/INST] no evidence of pneumonia or other acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits despite the projection.What are the key findings of this report? [/INST] clear lungs with no evidence of pneumonia. </s>
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<s>[INST] there are low lung volumes, which results in bronchovascular crowding. there is right basilar atelectasis. the heart appears slightly enlarged. no pneumothorax, pleural effusion, or consolidation. right sided port-a-cath ends in the right atrium.What are the key findings of this report? [/INST] right-sided port-a-cath ends in the right atrium. </s>
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<s>[INST] pa and lateral views of the chest provided. there is large right pleural effusion with compressive atelectasis. the left lung is clear. the heart is again seen to be severely enlarged. on lateral view, there may be a small fluid collection between the epicardial and pericardial fat pads. pulmonary vasculature is normal. median sternotomy wires and valvular repairs are seen.What are the key findings of this report? [/INST] <num>. new large right pleural effusion. <num>. massive cardiomegaly without pulmonary edema. differential includes pericardial effusion versus cardiomyopathy. echocardiogram is recommended for further assessment. </s>
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<s>[INST] 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 unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s>
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<s>[INST] again seen is widespread lucency throughout the upper zones, denoting copd. no pneumothorax is detected. a subtle right lower lobe lung mass measuring up to <num> cm is again seen, unchanged in configuration. mild pulmonary edema has improved since <unk>. there is no large effusion. the hilar and mediastinal contours remain stable.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. right lower lobe mass, better visualized on the ct examination. <num>. improved mild pulmonary edema. </s>
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<s>[INST] compared with the immediate prior study of <unk>, pulmonary edema and pulmonary vascular congestion have improved, both now mild. the right hilum is persistently enlarged, but looks arterial perhaps due to left heart failure. the previous left-sided nodule is not appreciated on the present study. conventional pa and lateral radiographs will be helpful for further assessment when clinically feasible. there may be a small left pleural effusion. there is no focal consolidation or pneumothorax. the heart is stably top-normal in size.What are the key findings of this report? [/INST] <num>. interval improvement in pulmonary edema and pulmonary vascular congestion, now mild. <num>. persistent enlargement of the right hilum, could be arterial enlargement due to left heart failure. </s>
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<s>[INST] heart size appears mildly enlarged but unchanged. a coronary artery stent is again noted. mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. moderate degenerative changes with anterior osteophytes are seen in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is a right upper lobe opacity, similar to the pet ct from <unk>, consistent with radiation changes or metastatic tumor spread. this is significantly progressed since <unk>. the cardiomediastinal silhouette and hila are normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. no acute cardiothoracic process. <num>. right upper lobe opacity likely due to radiation changes or metastatic tumor spread, unchanged since <unk>. </s>
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<s>[INST] lungs are hyperexpanded. multi focal airway centric abnormalities in the mid and lower lungs appear relatively similar to the prior study. however, an ill-defined opacity in the left apex posteriorly is apparently new. cardiomediastinal contours are stable. no definite pleural effusion.What are the key findings of this report? [/INST] new poorly defined left apical opacities, which could represent an acute bacterial infection or exacerbation of chronic mac infection. consider short-term followup radiographs after antibiotic therapy if clinical features are consistent with acute bacterial infection. alternatively, ct may be considered for more complete characterization. </s>
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<s>[INST] single portable view of the chest. again, low lung volumes are seen. increased interstitial markings on the current exam suggestive of vascular congestion. left costophrenic angle is now more blunted potentially due to atelectasis, although effusion is also possible. linear retrocardiac opacity persists. cardiomediastinal silhouette is stable. there is a new right ij central venous catheter whose tip is in the right atrium and could be withdrawn <num> cm to be at the lower svc. no visualized pneumothorax. lower cervical fixation hardware is identified.What are the key findings of this report? [/INST] new right ij central venous line with tip likely within the right atrium and could be withdrawn to be in the lower svc. pulmonary vascular congestion. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. heart remains mildly enlarged. the mediastinal contours are unremarkable. there is mild pulmonary vascular congestion. small bilateral pleural effusions are noted. streaky right basilar opacity likely reflects atelectasis. no focal consolidation or pneumothorax is present. mild multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] small bilateral pleural effusions with mild pulmonary vascular engorgement. </s>
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<s>[INST] lung volumes are decreased. the cardiac silhouette is mildly enlarged. there are calcifications involving the aortic knob. the hilar and mediastinal contours are otherwise normal. there is no focal consolidation, large pleural effusion or pneumothorax. there is no overt pulmonary edema.What are the key findings of this report? [/INST] low lung volumes. no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest radiographs. right middle lobe and lingular opacification persist and likely reflect atelectasis. lateral view shows one of the lower lobes is also involved. there is no pleural effusion or pneumothorax. the heart size is normal.What are the key findings of this report? [/INST] persistent bilateral atelectasis concerning for an obstructive process. further evaluation with ct is recommended. findings were submitted to the critical results dashboard. </s>
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<s>[INST] mediastinal contour unchanged from <unk>. mild cardiomegaly is unchanged. there is no focal lung consolidation. transvenous pacing leads and in the right atrium and right ventricle. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. mediastinal contour unchanged compared to <unk> </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged including mild cardiomegaly. there is a patchy left mid lung opacity, although elsewhere, the lungs appear clear. lung volumes are again low. there is no definite pleural effusion or pneumothorax. moderate degenerative changes involve the each acromioclavicular joint.What are the key findings of this report? [/INST] vague left mid lung opacity. pneumonia is not excluded but evaluation of the chest with these films is limited. short-term followup radiographs may be helpful to reassess. in addition to the possibility of infection, patchy atelectasis could be considered and resolving vascular congestion. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. hyperexpansion is moderate. the cardiomediastinal silhouette is normal. the aorta is tortuous and both the ascending and descending portions. the osseous structures and upper abdomen are unremarkable.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. tortuous aorta; if there is clinical concern for dissection, chest cta should be obtained. <num>. moderate hyperexpansion. </s>
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<s>[INST] re-identified is thoracic spine fixation hardware, including bilateral rods with transpedicular screws. ekg overlying the chest. the cardiomediastinal silhouette is stable. aortic arch calcifications are noted. cardiac silhouette is not enlarged. the hila are unremarkable. the right suprahilar opacity is favored to represent normal bronchovascular structures given presence on prior exams, however difficult to exclude superimposed perihilar pneumonia in the appropriate clinical setting. otherwise, there is no focal lung consolidation. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] right suprahilar opacity is favored to represent normal bronchovascular structures given presence on prior exams, however radiograph cannot exclude a superimposed perihilar pneumonia in the appropriate clinical setting. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is no visualized pneumomediastinum. no acute osseous abnormalities. no free intraperitoneal air.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. the hilar and pleural surfaces are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] prior right lung consolidation is completely resolved. nodular opacity at the right base may reflect the nipple or less likely pulmonary nodule. mild cardiomegaly is unchanged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is mild pulmonary vascular congestion but no frank pulmonary edema.What are the key findings of this report? [/INST] <num>. nodular opacity at the right base likely reflecting the nipple shadow. confirmation with nipple markers and shallow oblique projections should be obtained. <num>. stable moderate cardiomegaly. <unk> to <unk> at <time> am, <unk>, by phone, <num> hours after discovery </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 stable. there is no overt pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right paratracheal opacity without mass effect on the trachea is stable since <unk>, may represent prominent vascular structures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] single frontal view of the chest was obtained. large-bore right-sided central catheter terminates in the right atrium. widespread heterogeneous opacification of both lungs is not appreciably changed since <unk>, and represents a combination of pulmonary fibrosis, edema, and small bilateral effusions. no pneumothorax. cardiomegaly, exaggerated by low lung volumes, remains moderate.What are the key findings of this report? [/INST] no appreciable change in diffuse heterogeneous opacification of both lungs, representing combination of pulmonary fibrosis, edema, and effusions. no pneumothorax. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. subtle bibasilar opacities are again seen and are minimally improved from the prior study. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] bibasilar opacities, left greater than right, are minimally improved from the prior study. recommend followup chest radiograph in <num> weeks and if not fully resolved at that time, consider ct evaluation of the chest. </s>
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<s>[INST] compared to prior, the lung volumes have increased. right lower lobe atelectasis has since resolved. however, there is residual retrocardiac opacity. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette and hilar contours are unchanged from prior. opacity in the left mid lung with surgical clips in place is compatible with prior rfa site. subcutaneous emphysema has improved.What are the key findings of this report? [/INST] residual retrocardiac opacity, possibly atelectasis, though cannot exclude pneumonia. </s>
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<s>[INST] in comparison to recent examination from <num> day prior, there are no significant changes when consideration is given to slightly larger lung volumes. the cardiac silhouette is mildly enlarged. hiatal hernia is noted. again noted is a multiloculated left hydropneumothorax and dependent left effusion, essentially unchanged. a chest tube tract is again noted. the degree of pulmonary edema is largely stable. diffuse, bilateral with heterogeneous lung of opacities are unchanged.What are the key findings of this report? [/INST] no significant changes from recent comparison. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are mild multilevel degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the right apical dominant mass seen on prior pet-ct is not well appreciated on the chest radiograph. volume loss in the right upper lobe and scarring is noted as well as perihilar opacities that correspond to interlobular septal thickening ground-glass opacities and the pet-ct. there is a moderate right pleural effusion, layering as compared to the prior pet-ct, although difficult to compare across modalities. the left lung is clear and there is no left pleural effusion. heart size is normal. no pneumothorax.What are the key findings of this report? [/INST] moderate right pleural effusion. scarring and volume loss in the right upper lobe. right perihilar fullness corresponds to possible lymphangitic spread of tumor on recent pet-ct. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there are low lung volumes. mild enlargement of the cardiac silhouette persists. low lung volumes likely accentuate the bronchovascular markings, although minimal interstitial edema may still be present. no focal consolidation, pleural effusion, or evidence of pneumothorax. mediastinal and hilar contours are stable.What are the key findings of this report? [/INST] mild cardiomegaly and possible minimal interstitial edema. low lung volumes, which likely accentuate the bronchovascular markings. </s>
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<s>[INST] the lungs are clear. prominent soft tissue in the right upper paratracheal location likely corresponds to prominent vasculature. cardiomegaly is stable. multilevel spinal degenerative changes are noted.What are the key findings of this report? [/INST] clear lungs with no evidence of pneumonia. stable cardiomegaly. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] please note that the radiograph is centered over the left upper quadrant and assessment of the right hemithorax or left lung apex is not if feasible. the tip of the a gastric tube extends into the stomach however the side port is likely at the level of the ge junction. the tip of the endotracheal tube projects approximately <num> cm from the carina. there is a small left pleural effusion with overlying atelectasis.What are the key findings of this report? [/INST] the tip of the feeding tube extends into the gastric body, however the side port is likely at the ge junction. advancement is recommended. </s>
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<s>[INST] left anterior chest wall icd leads are unchanged. multifocal, indistinct opacities correspond to diffuse tree in <unk> nodularity and foci of dense consolidation, particularly in the right lung base, worse compared to the outside prior radiograph. no other relevant change compared to the outside hospital study from <num> hr prior.What are the key findings of this report? [/INST] multifocal pneumonia, most prominent in the right lung base, progressed since four hours prior. </s>
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<s>[INST] moderate cardiomegaly is unchanged. the mediastinal contour appears similar with diffuse atherosclerotic calcification of the aorta noted. mild pulmonary edema is minimally improved from the prior study. there are small bilateral pleural effusions with left basilar patchy opacity, likely atelectasis. no pneumothorax is identified. multiple clips are seen within the right upper abdomen. the osseous structures are diffusely demineralized with moderate multilevel degenerative changes.What are the key findings of this report? [/INST] mild pulmonary edema and small bilateral pleural effusions with left basilar atelectasis. </s>
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<s>[INST] the lungs are clear given low lung volumes. cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. known left-sided pneumothorax is not delineated. multiple left lateral rib fractures as well as the distal left clavicular fracture are again noted.What are the key findings of this report? [/INST] known left-sided pneumothorax not identified. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. a preliminary read was provided via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>. </s>
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<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. new focal consolidation is demonstrated in the right middle lobe. there are small bilateral pleural effusions, right greater than left. no pneumothorax is demonstrated. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] right lower lobe pneumonia with small bilateral pleural effusions. follow up radiographs after treatment are recommended to ensure resolution of this finding. </s>
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<s>[INST] lordotic positioning. allowing for this, the heart is not enlarged and the cardiomediastinal silhouette is unchanged. no chf, focal infiltrate, effusion, or pneumothorax is detected. no free air seen beneath the diaphragms.What are the key findings of this report? [/INST] no acute pulmonary process identified. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk> and film from <unk>. there are innumerable bilateral nodular opacities throughout the lungs bilaterally suspicious for significant interval progression of metastatic disease. there is blunting of the posterior costophrenic angles which could potentially be due to small effusions. cardiomediastinal silhouette is unchanged. osseous and soft tissue structures are also unchanged.What are the key findings of this report? [/INST] extensive bilateral nodular opacities in lungs suspicious for progression of metastatic disease. no definite pulmonary edema or new confluent consolidation, although subtle changes may be missed due to extensive burden of metastatic disease. </s>
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<s>[INST] the patient is status post cabg with intact median sternotomy wires. mild cardiomegaly is unchanged. the descending thoracic aorta is mildly tortuous. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. there is mild wedging of a mid thoracic vertebral body, stable since <unk>.What are the key findings of this report? [/INST] mild cardiomegaly status post cabg without evidence of acute cardiopulmonary process. </s>
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<s>[INST] portable ap semi-erect chest film <unk> at <time> is submittedWhat are the key findings of this report? [/INST] left subclavian picc line has its tip in the proximal svc near the confluence of veins. the right pleural pigtail catheter is unchanged in position positioned within a loculated pleural effusion. small left effusion likely not significantly changed given differences in inspiration. patchy bibasilar opacities, right greater than left, may reflect atelectasis, although aspiration and pneumonia should also be considered. no obvious pneumothorax. increasing prominence of the pulmonary vasculature and perihilar vessels suggests worsening interstitial edema. clinical correlation is advised. tracheostomy tube remains in satisfactory position. </s>
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<s>[INST] aside from right lower lobe atelectasis, the lungs are clear. cardiac size is within normal limits. there is no pleural effusion or pneumothorax. no pulmonary edema. a large hiatal hernia is present.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. large hiatal hernia. </s>
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<s>[INST] left chest wall dual lead pacing device is again seen. relative elevation of the right hemidiaphragm is again noted. the lungs are clear of consolidation, effusion, or vascular congestion. aortic core valve is again noted. no acute osseous abnormalities identified, hypertrophic changes again noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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