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<s>[INST] there is relative elevation of the right hemidiaphragm with right basilar atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clip projects over the right upper quadrant.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. areas of reticular scarring projecting over the right upper lobe and left upper-to-mid lung are similar in distribution as compared to the prior study in this patient with reported history of sarcoidosis. no definite new areas of focal consolidation are seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable. hilar contours are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. again seen areas of chronic lung changes bilaterally, as above and mild prominence of the hila compatible with patient's known history of sarcoidosis. no definite new focal consolidation. </s>
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<s>[INST] the lungs are well-expanded and clear. the pleural and hilar surfaces are unremarkable. the cardiomediastinal silhouette is normal. bilateral nipple shadows should not be confused for pulmonary nodules.What are the key findings of this report? [/INST] normal chest. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the aorta is slightly tortuous, similar to prior. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is at the upper limits of normal size. the main pulmonary artery contour is slightly prominent, but there is no evidence for pulmonary edema. a nipple shadow is again seen on the left. patchy basilar opacity suggest minor atelectasis or perhaps scarring which appears unchanged. there is no pleural effusion or pneumothorax. the osseous structures are unremarkable.What are the key findings of this report? [/INST] patchy opacities suggesting minor atelectasis without definite evidence for pneumonia. </s>
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<s>[INST] heart size is normal. atherosclerotic calcifications are noted at the aortic arch. mediastinal contours are unchanged. pulmonary vasculature is not engorged. lungs are hyperinflated with linear opacities seen at the lung bases most likely reflective of atelectasis and/or scarring. mild blunting of the costophrenic sulci posteriorly indicates the presence of small bilateral pleural effusions. no focal consolidation or pneumothorax is identified. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] bibasilar atelectasis with small bilateral pleural effusions. </s>
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<s>[INST] ap upright and lateral views of the chest were provided. the heart appears mildly prominent, though this could be technique related. the lungs are clear without focal consolidation, effusion, or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. specifically, no signs of pneumonia. </s>
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<s>[INST] the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is a dobhoff terminates in the stomach. there are linear opacities at the right lung base, which likely represent atelectasis. the lungs are otherwise clear. there is a small left pleural effusion. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. dobhoff tube terminates in the stomach. <num>. linear right basilar scar or atelectasis. no evidence of pneumonia. <num>. small left pleural effusion. </s>
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<s>[INST] small left pleural effusion with overlying atelectasis persists. no right pleural effusion is seen. the right lung appears clear. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] persistent small to moderate left pleural effusion with overlying atelectasis. </s>
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<s>[INST] right port-a-cath in place. elevated right hemidiaphragm, stable. bibasilar opacities, mildly more prominent on the right, likely atelectasis. pneumonitis cannot be excluded in the appropriate clinical setting. there may be tiny right pleural effusionWhat are the key findings of this report? [/INST] more prominent bibasilar opacities, likely atelectasis; pneumonitis cannot be excluded in the appropriate clinical setting, particularly on the right. </s>
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<s>[INST] the previously noted endotracheal tube has since been removed. previously noted left-sided chest tube appear stable in position. lucency is noted overlying the left diaphragm and suggestive of small left pneumothorax. previously noted left-sided opacity persists and likely represents a combination of previously noted left hemothorax as well as adjacent atelectasis/trauma in the region of the chest tube. there are now increased right basilar opacities which may represent atelectasis/new developing infectious process.What are the key findings of this report? [/INST] <num>. small left pneumothorax is again noted. left-sided chest tube appears stable in position. <num>. increased right basilar opacity which may represent atelectasis versus a new developing infectious process on the right. <num>. persistent left-sided opacities. these findings are likely representative of persisting left hemothorax and adjacent atelectasis/trauma in the region of chest tube. these findings were discussed by dr. <unk> with dr. <unk> <unk> telephone at the time of discovery at <time> am on <unk>. </s>
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<s>[INST] lungs essentially clear noting linear right basilar opacity suggestive of atelectasis. there is no effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. 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] pa and lateral radiographs of the chest demonstrates clear but hyperinflated lungs consistent with emphysema. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. enlargement of the aortic root and calcification of the aortic arch are present. the concerning spiculated mass in the left upper lobe seen on the prior pet-ct is not well seen and there are surgical changes indicating that it has been excised.What are the key findings of this report? [/INST] no acute cardiopulmonary process. emphysema. </s>
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<s>[INST] increased interstitial markings are seen throughout the lungs bilaterally but appear most severe overlying the upper lobes. lung volumes are relatively low. there is no definite superimposed focal consolidation and the pattern appears grossly similar compared to prior. cardiomediastinal silhouette is unchanged. known adenopathy is better seen on prior ct scan. posterior left rib fractures are noted. left breast prosthesis is visualized.What are the key findings of this report? [/INST] chronic fibrotic changes in the lungs without definite acute cardiopulmonary process noting that subtle changes could easily be obscured. </s>
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<s>[INST] no interval change to the massive cardiomegaly. . bilateral pleural effusions as previously. et tube close to the carina ng tube in the stomach. pacemaker wires. .What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] hyperinflated lungs and upper lobe predominant vascular deficiency are consistent with emphysema. there is no focal consolidation, pleural effusion or pneumothorax. specifically, there are no findings of amiodarone lung. moderate cardiomegaly and mild tortuosity of the aorta are unchanged.What are the key findings of this report? [/INST] no evidence of amiodarone lung. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. streaky lingular opacity suggests minor atelectasis. otherwise, the lungs appear clear. small anterior osteophytes are noted along mid thoracic interspaces. densities projecting over the left upper quadrant suggest pill fragments.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] lungs are mildly hyperinflated and clear. heart is enlarged. the aorta is somewhat tortuous. no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. mild cardiomegaly. no evidence of acute cardiac decompensation </s>
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<s>[INST] there is no focal consolidation, pleural effusions, or pneumothorax. pulmonary edema has improved; however, engorgement of central vasculature predominantly on the right persists. the previously noted nodule in the right mid lung is no longer seen. the cardiomediastinal silhouette is enlarged but stable. a tunneled dialysis line terminates in the right atrium. there is a rugger-<unk> appearance to the thoracic spine compatible with chronic renal disease.What are the key findings of this report? [/INST] <num>. improved pulmonary edema with persistent central vascular engorgement, particularly on the right. <num>. right middle lung nodule no longer seen on this radiograph. . </s>
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<s>[INST] a tracheostomy tube is seen in standard position. the right picc is seen terminating in the mid svc. a left internal jugular line is seen in terminating at the origin of the svc. a feeding tube is seen with its tip in the stomach and should be advanced approximately <num> cm so that all side ports are beyond the ge junction. the lung volumes are low and the previously seen bilateral airspace opacities consistent with pulmonary edema are largely unchanged from the prior study. there is persistent bibasilar atelectasis, which is minimally improved from prior study. the cardiomediastinal silhouette and hilar contours are grossly unchanged. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] <num>. tracheostomy tube in standard position. <num>. feeding tube should be advanced approximately <num>-<num> cm so that all the side ports are beyond the ge junction. </s>
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<s>[INST] the heart is at the upper limits of normal size. there is mild unfolding of the thoracic aorta. the aorta is partly calcified along the arch. slight subpleural scarring is noted at each lung apex. otherwise, the lungs appear clear. there is mild hyperinflation with flattening of the hemidiaphragms and an expanded anteroposterior dimension to the chest. there is no pleural effusion or pneumothorax. mild degenerative changes are noted along the thoracic spine where small anterior osteophytes can be seen. there is no free air.What are the key findings of this report? [/INST] no evidence of acute disease. no evidence for free air. </s>
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<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well- expanded lungs without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. 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] low lung volumes cause bronchovascular crowding, particularly on the lateral view. obscuration of the lateral left hemidiaphragm most likely represents atelectasis. airspace opacity in the medial right lower lung also likely represents atelectasis. there is no pulmonary edema or pneumothorax. rightward deviation of the trachea at the level of thoracic inlet is unchanged from prior studies and caused by an enlarged left thyroid lobe.What are the key findings of this report? [/INST] <num>. low lung volumes causing bronchovascular crowding. <num>. bibasilar opacities most likely represent atelectasis. <num>. rightward tracheal deviation by an enlarged left thyroid lobe. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. there is prominent eventration of the left hemidiaphragm with overlying left basilar atelectasis and with stomach/ bowel beneath. the cardiac silhouette is top-normal to mildly enlarged. mediastinal contours are unremarkable. partially imaged degenerative change at the right shoulder joint.What are the key findings of this report? [/INST] eventration of the left hemidiaphragm with overlying left basilar atelectasis. no focal consolidation to suggest pneumonia. </s>
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<s>[INST] a three-lead pacemaker/icd device appears unchanged with leads terminating in the right atrium, ventricle and coronary sinus, respectively. the heart is moderately enlarged to a similar degree. a band-like opacity in the left mid lung suggests atelectasis in the lingula. more generally, however, there is a diffuse new mild-to-moderate interstitial abnormality most suggestive of interstitial pulmonary edema. there is no pleural effusion or pneumothorax. the lungs seem mildly hyperinflated. small osteophytes are noted along the thoracic spine.What are the key findings of this report? [/INST] findings suggesting mild interstitial pulmonary congestion. </s>
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<s>[INST] redemonstrated is a right internal jugular line with the tip seen extending into the upper to mid svc. the patient is status post cabg and avr with sternotomy wires, cabg clips, and an aortic valve replacement identified. as compared to the prior examination, there has been interval improvement in the vascular congestion. bilateral pleural effusions are again noted, left greater than right. there is no evidence of pneumothorax or focal consolidation. there is stable, moderate cardiomegaly. the mediastinal contours are within normal limits status post cardiac surgery.What are the key findings of this report? [/INST] <num>. stable cardiomediastinal contours, status post cabg. <num>. bilateral pleural effusions, left greater than right. <num>. improved, now mild vascular congestion. </s>
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<s>[INST] confluent opacities projecting over the lower thoracic spine on lateral radiograph likely correlate with retrocardiac opacity seen on frontal view. moderate cardiomegaly is unchanged. mild pulmonary vascular congestion without overt edema. no pleural abnormality.What are the key findings of this report? [/INST] findings suggest left lower lobe pneumonia. recommend follow up radiographs in <unk> weeks to assess for resolution. recommendation(s): findings suggest left lower lobe pneumonia. recommend follow up radiographs in <unk> weeks to assess for resolution. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] mild hyperexpansion with flattening of the diaphragms is noted. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary process identified. the heart size is normal. mediastinal contours are normal. there are no acute bony abnormalities detected.What are the key findings of this report? [/INST] mild emphysematous changes. no radiographic evidence of acute cardiopulmonary process or metastatic disease. </s>
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<s>[INST] frontal and two lateral views of the chest. although there are persistent diffuse bilateral parenchymal opacities in the mid-to-lower lungs, there has been interval improvement of the appearance of the upper lungs. cardiomediastinal silhouette is stable. atherosclerotic calcification is again noted at the arch. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] mild interval improvement in the bilateral parenchymal opacities, particularly at the lung apices. </s>
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<s>[INST] upright ap and lateral views of the chest provided. the lungs are clear and hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.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. the lungs are clear of focal consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. consolidation in the left lower lobe is concerning for pneumonia. the right lung is clear. a small left pleural effusion may be present. no pneumothorax. no signs of pulmonary edema. the cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. there is pulmonary edema and hilar congestion. no large pleural effusion is seen. no pneumothorax. cardiomediastinal silhouette appears grossly stable. bony structures are intact.What are the key findings of this report? [/INST] pulmonary edema. </s>
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<s>[INST] focal opacity in the right anteroinferior medial lung persists. no pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] persistent right medial basal opacity. differential diagnosis includes pneumonia. </s>
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<s>[INST] left chest wall port-a-cath is again seen with catheter tip in the right atrium. blunting of lateral costophrenic angles suggest small effusions as seen on prior. increased bibasilar opacities are seen potentially due to atelectasis although developing infection is possible. more dense retrocardiac opacity silhouetting the descending thoracic aorta may represent infection. these findings are superimposed on diffuse increased interstitial markings which may represent edema. cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] bilateral pleural effusions and increased interstitial markings suggesting edema as on prior. increased bibasilar opacities with more dense retrocardiac opacity silhouetting the hemidiaphragm may represent superimposed infection versus atelectasis. consider pa and lateral views for better characterization. </s>
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<s>[INST] there is a left pectoral pacer defibrillator. there is mild interstitial pulmonary edema, which appears slightly worse compared to <unk>. no overt pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax. moderate cardiomegaly. no acute osseous abnormalities.What are the key findings of this report? [/INST] mild interstitial pulmonary edema, minimally worse compared to <unk>. no pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest. median sternotomy wires and mediastinal clips are intact and stable. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. there is minimal left basilar atelectasis.What are the key findings of this report? [/INST] no acute cardiopulmonary process. minimal left basilar atelectasis. </s>
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<s>[INST] an endotracheal tube ends in the lower thoracic trachea. there is hyperinflation of the lungs. extensive airspace opacities are worse at the right lung base and right midlung. a pleural plaque or calcification is noted in the lateral right midlung. an enteric tube courses below the level of the diaphragm and off the inferior aspect of the film. the heart size is mildly increased and there is engorgement of the pulmonary vasculature. the hila are enlarged right greater than left.What are the key findings of this report? [/INST] <num>. an endotracheal tube ends in the lower thoracic trachea. <num>. the lungs are hyperinflated and airspace opacities are worse in the right lung base and right midlung. <num>. there is mild fluid overload. <num>. the hila are enlarged, right greater than left. ct is recommended if one is not available for comparison. </s>
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<s>[INST] lungs are hyperinflated. there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright and lateral views of the chest provided. low lung volumes. lungs are clear. heart is mildly enlarged with mitral annular calcification noted. mediastinal contour is normal. no signs of congestion or edema. no large effusion or pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] left lower lobe consolidation is worrisome for pneumonia. the lungs remain hyperinflated. biapical pleural thickening is again seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] left lower lobe pneumonia. recommend followup to resolution. </s>
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<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable. surgical clips in the right upper quadrant are from presumed prior cholecystectomy.What are the key findings of this report? [/INST] no significant interval change. </s>
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<s>[INST] pa and lateral images of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a right subclavian line which terminates at the cavoatrial junction, unchanged, as well as an enteric tube the which courses below the diaphragm and off the inferior edge of the image. there is persistent mild cardiomegaly. there is no focal consolidation or pneumothorax. small bilateral pleural effusions are noted, as well as plate-like atelectasis in the left base. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. no focal consolidation to suggest bacterial pneumonia. <num>. small bilateral pleural effusions. </s>
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<s>[INST] multiple left-sided ribs, spanning at least second through seventh levels are fractured in two places, with significant volume loss associated in the left chest. a pleural pigtail catheter is similar in appearance, with its pigtail not well formed. no pneumothorax can be appreciated. left base atelectasis, and a small amount of linear atelectasis in the right lung is little changed. small left effusion is unchanged. there is no new focal consolidation. the cardiac silhouette and mediastinal contours are unchanged.What are the key findings of this report? [/INST] traumatic deformity of the left thoracic cage, with associated left lung volume loss and small pleural effusion. no pneumothorax is appreciated on today's study; a pigtail catheter is in similar position. </s>
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<s>[INST] the heart size is top normal. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs remain hyperinflated. scarring within the lung apices is re- demonstrated. remainder of the lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax. 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] increased vascular markings bilaterally suggest mild vascular congestion with possible mild interstitial edema. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] mild pulmonary vascular congestion with possible mild interstitial edema. no focal consolidation. </s>
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<s>[INST] pa and lateral views of the chest were obtained. an aicd is unchanged in position with lead tip extending into the right ventricle region. midline sternotomy wires are again seen. there is interstitial pulmonary edema with bilateral small pleural effusions. heart size is stable and within normal limits. central hilar engorgement is noted. no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] mild pulmonary edema with small bilateral pleural effusions. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate a moderate to large right-sided pleural effusion. increased interstitial markings are present throughout the lungs, consistent with mild pulmonary edema. poor aeration of the right base may be due to pleural effusion. a nodule is seen anterior to the spine on the lateral view. there is no pneumothorax or consolidation. the patient is status post dual-lead pacemaker placement, with leads ending in the right atrium and right ventricle. the heart is enlarged. enlarged pulmonary vasculature suggests pulmonary artery hypertension.What are the key findings of this report? [/INST] <num>. moderate to large right-sided pleural effusion and mild pulmonary edema. <num>. a nodule is seen anterior to the spine on the lateral view. recommend follow-up with non-emergent ct of the chest once pulmonary edema has resolved. <num>. poor aeration of the right base may be due to pleural effusion. recommend follow-up once pulmonary edema has resolved. <num>. enlarged pulmonary vasculature suggests pulmonary artery hypertension. </s>
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<s>[INST] single supine portable radiograph demonstrates minimally improved aeration of the right upper lobe, though there appears to be increased opacity in the left lower lobe, possibly positional though cannot exclude worsening infectious process. stable evidence of volume loss on the left with left hemidiaphragm elevation. no pleural effusion or pneumothorax evident. the cardiomediastinal and hilar borders are unremarkable. endotracheal tube is at the level of the carina. there is a right-sided central venous catheter with tip in the upper right atrium.What are the key findings of this report? [/INST] <num>. improved aeration of right upper lobe but with increased opacification and left lower lobe may be positional though cannot exclude increased atelectasis versus infectious process, possibly aspiration related. <num>. et tube at the level of the carina. should be withdrawn <num>cm to be at level of clavicles. </s>
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<s>[INST] pa and lateral views of the chest provided. cardiomegaly is noted with a left ventricular configuration. there is no focal opacity concerning for pneumonia. no effusion or pneumothorax. no hilar congestion. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] cardiomegaly. no signs of pneumonia or edema. </s>
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<s>[INST] pa and lateral views of the chest provided. there is minimal atelectatic change at the left lung base, otherwise the lungs are clear. no pleural effusion or pneumothorax. hilar and cardiomediastinal contours are normal. pneumoperitoneum is noted on the lateral view.What are the key findings of this report? [/INST] <num>. pneumoperitoneum is noted on the lateral view. correlation is recommended with recent intra-abdominal procedure. <num>. no pneumonia. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. there are mild 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] ap and lateral views of the chest show no consolidation, pleural effusion, or pneumothorax. increased interstitial prominence is most consistent with mild pulmonary edema. the heart remains enlarged. the mediastinal contours are normal. atherosclerotic calcifications are noted in the aortic arch. a left sided pacer device is present with the single lead terminating in the right ventricle.What are the key findings of this report? [/INST] <num>. mild pulmonary edema. <num>. persistent cardiomegaly. <num>. no evidence of displaced fracture. </s>
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<s>[INST] pa and lateral views of the chest provided, demonstrate no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours appear normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there has been interval resolution of right lower lobe pneumonia. the rest of the lungs are well expanded and clear. the cardiomediastinal and hilar contours are normal. the patient is post-cholecystectomy.What are the key findings of this report? [/INST] no pneumonia. stat read was called to dr. <unk> by dr. <unk> at <time> am, at the time of discovery, via telephone. </s>
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<s>[INST] no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hilar contours are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no significant interval change. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. subtle <num> mm rounded opacity projecting over the right lower lung is grossly stable as compared to the prior study and may relate to nipple shadow; however, suggest confirmation with repeat with nipple markers. otherwise, no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.What are the key findings of this report? [/INST] subtle ovoid <num>-<num> mm nodular opacity projecting over the right lung base only seen along the frontal images, not on the other frontal images, most likely a nipple shadow or artifact, similar in appearance as compared to the prior study. similar size. findings can be further assessed with repeat with nipple markers. </s>
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<s>[INST] the heart is severely enlarged, unchanged compared to multiple prior studies. there is mild pulmonary vascular congestion.What are the key findings of this report? [/INST] severe cardiomegaly with mild pulmonary vascular congestion, not significantly changed compared to prior study. </s>
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<s>[INST] there is a severe rotoscoliosis convex right the heart is upper limits normal in size. there is mild pulmonary vascular redistribution. there are diffuse increase in lung markings but there is no focal infiltrate.What are the key findings of this report? [/INST] the etiology of the diffuse increased lung markings is is unclear. this could be an atypical presentation of fluid overload, chronic lung disease, or an atypical presentation of an infectious process. comparison with old films and clinical correlation would be helpful </s>
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<s>[INST] frontal and lateral views of the chest demonstrate no focal consolidation, pleural effusion or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. the heart size is normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. several surgical clips are seen projecting over right upper abdomen.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 were obtained. lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] there is moderate to severe enlargement of the cardiac silhouette, new since the prior study, including a prominent left atrium. a wide mediastinum and a prominent right and left main pulmonary arteries are also new since the prior study. no focal opacities concerning for infection. small bilateral pleural effusions. no pneumothorax.What are the key findings of this report? [/INST] <num>. moderate to severely enlarged cardiac silhouette, new from the prior exam raising the possibility of pericardial effusion. appropriate correlation with echo and or ct should be considered <num>. no evidence of infection </s>
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<s>[INST] there relatively low lung volumes and mild right base atelectasis.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright and lateral views of the chest provided. midline sternotomy wires and mediastinal clips again noted. the heart is enlarged, with apparent mild increased from prior exam, please correlate for pericardial effusion. the hila appear slightly congested though there is no frank edema. no large effusion or pneumothorax is seen. bony structures are intact.What are the key findings of this report? [/INST] interval cardiac enlargement is concerning for development of a pericardial effusion. hilar congestion without frank edema. </s>
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<s>[INST] the lungs are well inflated and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. no definite left rib fracture is identified.What are the key findings of this report? [/INST] no rib fracture identified. recommendation(s): dedicated rib series may be performed if further evaluation is desired. </s>
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<s>[INST] ap view of the chest demonstrates interval increase in opacification of the right lung, which likely represents combination of pleural fluid and patient's known right lung mass. small portion of the right lung remains aerated in the lower lung zone, with increased opacification, likely due to overlying fluid. the left lung is essentially clear. ill-defined opacity in the left upper lung likely corresponds to fdg-avid nodule seen on <unk> pet-ct exam. there is no left pleural effusion. no pneumothorax. hilar and mediastinal silhouettes are unchanged. there is no mediastinal shift. heart size is normal.What are the key findings of this report? [/INST] in comparison to <unk> exam, there is interval progression of the right lung opacification, which likely reflects combination of increased pleural fluid, patient's known right lung mass and atelectasis. superimposed infection cannot be excluded in the appropriate clinical setting. </s>
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<s>[INST] mild pulmonary vascular congestion. moderate cardiomegaly with mild enlargement of the aorta, not fully characterized on chest radiograph. likely small left pleural effusion and adjacent atelectasis. minimal right lower lobe assess. no pneumothorax.What are the key findings of this report? [/INST] no acute pneumonia. mild pulmonary vascular congestion. </s>
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<s>[INST] there is unchanged appearance of right upper lobe consolidation. however, there is improved appearance of the right mid and left lung opacity, likely due to improving pulmonary edema. mild cardiomegaly is unchanged. right-sided port terminates in the low svc, unchanged.What are the key findings of this report? [/INST] persistent right upper lung opacity concerning for pneumonia. improving pulmonary edema. </s>
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<s>[INST] the patient is rotated. the ett is in standard position. a left internal jugular line ends in the left brachiocephalic vein. an enteric tube traverses the midline tip is seen but the stomach is not distended. bilateral opacities suggests multifocal pneumonia and moderate pulmonary edema, probably overall unchanged. bilateral hazy opacification suggests dependent small pleural effusions, overall unchanged. no pneumothorax.What are the key findings of this report? [/INST] no significant interval change in moderate edema and pneumonia. </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 focal consolidation. </s>
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<s>[INST] the lungs are clear without focal consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are within normal limits. posterolateral right <num>th rib fracture.What are the key findings of this report? [/INST] acute right <unk> posterolateral rib fracture. no pneumothorax. </s>
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<s>[INST] lung volumes are low. no focal consolidation to suggest pneumonia is seen. no pleural effusion, pulmonary edema or pneumothorax is present. the heart size is top normal. there is tortuosity of the aorta and calcification of the aortic arch. the patient is status post median sternotomy. a previously seen left-sided picc has been removed.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest radiographs show hyperinflated lungs. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] rotated positioning. tracheostomy tube in place. right ij line tip over distal svc. right-sided chest tube is present. the chest tube extends to the apex of the right lung. a suture line is seen the base of the right apex and there is relative lucency above this, with paucity of vessels. this presumably represents a site of postoperative air/pneumothorax. the appearance is similar to recent prior films, allowing for differences in positioning. also again seen are lucent locules at the base of the right lung, which have been previously attributed to pneumothoraces. allowing for differences in positioning, i doubt gross interval change in the knees sees at the base of the lung. again noted is a rounded density abutting the lower right chest wall, similar prior. as before, there is prominence of the right hilum and mild prominence of vessels about the right hilum with slight surrounding hazy opacity. there additional sites of sutures in the right mid lung. these are all similar to the prior study. the left lung shows a small left effusion, unchanged. allowing for iatrogenic materials overlying the left lung apex, the left lung remains grossly clear. the known left apical suture line is faintly seen. possibility of a small left apical pneumothorax cannot be excluded.What are the key findings of this report? [/INST] right-sided chest tube tip at right lung apex. doubt significant change in the presumed pneumothoraces at the right lung apex and right lung base. right hilum and surrounding vascular prominence and faint opacity is unchanged. left apex is obscured by overlying iatrogenic materials. the possibility of a small left pneumothorax cannot be evaluated. allowing for this, left lung is unchanged. probable small left pleural effusion, unchanged. </s>
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<s>[INST] stable subcutaneous emphysema. persistent left fluidopneumothorax with stable small pneumothorax and moderate interval increase in left-sided fluid. no signs of tension. right lung is fully expanded and clear without pleural effusion or pneumothorax. heart size is obscured by fluid. right mediastinal contour and hila are normal. no bony abnormality.What are the key findings of this report? [/INST] left fluidopneumothorax with stable small pneumothorax and moderate interval increase in fluid. no radiographic evidence of tension. results were conveyed via telephone to dr. <unk> by dr. <unk> on <unk> at <num> a.m. within <num> minutes of observation of findings. </s>
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<s>[INST] moderate hiatal hernia, which exaggerates heart size, borderline in size. no pleural effusion. no pneumothorax or focal consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. moderate hiatal hernia. </s>
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<s>[INST] right ij line with tip just below the cavoatrial junction is again visualized. there are bilateral lower lobe alveolar infiltrates and volume loss. there are small bilateral effusions. there is mild pulmonary vascular redistribution.What are the key findings of this report? [/INST] chf. compared to the prior study. the amount of alveolar edema has decreased. an underlying infectious infiltrate in the lower lobes cannot be excluded. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged, allowing for differences in technique. the heart is mildly enlarged. the lung volumes are low. streaky right basilar opacity suggests minor atelectasis, decreased since the prior study. otherwise, the lungs appear clear. exaggerated kyphotic curvature and two mid thoracic compression deformities appear stable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] pa and lateral views of the chest provided. mildly elevated left hemidiaphragm noted. the lungs are clear. 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 lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.What are the key findings of this report? [/INST] normal chest radiograph without evidence of pneumonia. </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. there is calcification of the coronary artery.What are the key findings of this report? [/INST] no cardiomegaly or pleural effusion. no acute cardiopulmonary process. </s>
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<s>[INST] mild diffuse interstitial opacities could represent crack lung. left basal curvilinear opacity could be due to infection. no pulmonary vascular congestion or edema. there is moderate bibasilar atelectasis. there is no 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] <num>. mild diffuse interstitial opacities could represent crack lung. <num>. left basal curvilinear opacity could be due to infection. </s>
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<s>[INST] portable chest radiograph <unk> at <time> is submittedWhat are the key findings of this report? [/INST] bilateral diffuse parenchymal airspace process is stable. the patient is status post median sternotomy with stable cardiac and mediastinal contours. the right internal jugular central line is unchanged in position. no large effusions. no obvious pneumothorax. right shoulder arthroplasty incompletely visualized. </s>
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<s>[INST] single portable view of the chest is compared to previous exam from <unk>. the lungs are hyperinflated but clear focal consolidation. calcified granuloma again identified at the right lung base laterally. blunting of lateral costophrenic angles may be due to overlying soft tissue/technique. cardiomediastinal silhouette is within normal limits for technique and stable.What are the key findings of this report? [/INST] hyperinflation without evidence of consolidation. </s>
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<s>[INST] interval first rib resection. no pneumothorax or pleural if. the lungs are clear. the cardiomediastinal silhouette is unremarkable. the previously described right upper lobe opacity is stable, and likely asymmetric degenerative changes of the costochondral cartilage.What are the key findings of this report? [/INST] no pneumothorax or pleural effusion post first rib resection. </s>
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<s>[INST] supine portable ap view of the chest was provided. the endotracheal tube is seen with its tip residing approximately <num> cm above the carina. an ng tube is seen extending along the midline with its tip coiled in the distal esophagus and the distal tip extending cephalexin in the mid esophagus region. this positioning is unchanged from prior exam. please advance for more optimal positioning. since the prior exam, there is again noted to be extensive pulmonary airspace consolidation, slightly more confluent in the right lung, concerning for pneumonia. air bronchograms are noted in the left lower lobe. bony structures are intact. the possibility of pulmonary edema is also raised. no large effusions are seen. old right clavicular deformity noted.What are the key findings of this report? [/INST] <num>. endotracheal tube positioned appropriately. <num>. malpositioned nasogastric tube with tip coiled in the distal esophagus. please advance for more optimal positioning. <num>. diffuse pulmonary airspace consolidation concerning for pneumonia and/or pulmonary edema. findings posted and flagged to ed dashboard at the time of this dictation. </s>
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<s>[INST] single portable view of the chest. right picc line seen with tip in the mid to distal svc. dobbhoff tube is seen off the inferior field of view. there is increased opacity projecting over the left upper lung compatible with previously identified hematoma. there are small bilateral effusions . the no definite pneumothorax is identified. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no significant interval change, no new consolidation. </s>
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<s>[INST] ap upright and lateral views of the chest provided. lungs are clear. 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 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] a pleural effusion on the right has markedly decreased in size. there is still a small right-sided pleural effusion, however. there has been partial expansion of the right lung with residual streaky opacities suggesting atelectasis. there is no evidence for pneumothorax. the left lung remains clear. an interstitial abnormality has improved. there is a similar mild thoracolumbar compression deformity.What are the key findings of this report? [/INST] marked decrease in right-sided pleural effusion. no evidence of pneumothorax. resolution of pulmonary congestion. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. nodule over the left lower lung most compatible with nipple shadow also seen in <unk>. heart and mediastinal contours are within normal limits. the aorta is tortuous. multilevel loss of disc space height is seen in the lower thoracic and upper lumbar spine, incompletely imaged.What are the key findings of this report? [/INST] no radiographic evidence for 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. there are linear opacities at the left lung base, which represent atelectasis. otherwise, the lungs are clear. no pleural effusion or pneumothorax is seen. posterior spinal hardware appears to be in similar configuration in comparison to the prior chest radiograph, although dextroscoliosis of the thoracic spine persists.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. left-sided pacemaker with the wires in appropriate position. there is no focal consolidation, pleural effusion, or pneumothorax. there is mild cardiomegaly. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. mild cardiomegaly. </s>
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