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<s>[INST] pa and lateral views of the chest were obtained. the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no infiltrate or pulmonary edema. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] single chest single supine portable chest radiograph was obtained. endotracheal tube terminates <num> cm above the carina and should not be withdrawn any further. bilateral pleural effusions, small to moderate on the right and small on the left, and mild pulmonary edema are both mildly increased. cardiac size is stably enlarged.What are the key findings of this report? [/INST] mildly increased bilateral effusions and edema with satisfactory et tube position. </s>
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<s>[INST] there is mild central pulmonary vascular engorgement without overt pulmonary edema. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. cardiac silhouette is top-normal. mediastinal contours are stable.What are the key findings of this report? [/INST] no focal consolidation to suggest pneumonia. mild central pulmonary vascular engorgement without overt pulmonary edema. </s>
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<s>[INST] ap upright and lateral views of the chest provided. a left chest wall pacer device is again noted with single lead extending to the region of the right ventricle. the heart remains mildly enlarged. there is minimal central pulmonary hilar engorgement without frank pulmonary edema. no effusion or pneumothorax is seen. mediastinal contour is stable with atherosclerotic calcifications at the aortic knob. degenerative changes at both shoulders are unchanged. clips in the upper abdomen are again noted.What are the key findings of this report? [/INST] cardiomegaly with hilar congestion. </s>
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<s>[INST] frontal and lateral views of the chest. lung the lungs are clear of focal consolidation or pulmonary vascular congestion. cardiac silhouette is enlarged but stable in configuration. dual lead pacing device again noted with leads in unchanged position. surgical clips in the right upper quadrant are again noted. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] mild enlargement of the cardiac silhouette has slightly increased in the interval. the mediastinal contours are unremarkable. mild pulmonary vascular congestion is new from the prior study. there is no focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] mild cardiomegaly, increased from the previous radiograph, with interval development of mild pulmonary vascular congestion. </s>
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<s>[INST] frontal and lateral views of the chest are obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. linear atelectasis at the left lung base is seen. there is no focal consolidation, pleural effusion or pneumothorax. heart size is upper limits of normal size. the mediastinal silhouette and hilar contours are normal.What are the key findings of this report? [/INST] no pneumonia, edema or effusion. </s>
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<s>[INST] no central line is visualized on current examination. cardiomediastinal and hilar contours are stable. the left costophrenic angle is not captured on the current study, however, there is no large pleural effusion or pneumothorax. tracheostomy tube is in stable position. no focal consolidation concerning for pneumonia is present.What are the key findings of this report? [/INST] no visualization of a left picc line. radiograph of the left upper extremity may be obtained for further investigation if clinically indicated. </s>
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<s>[INST] the tip of the right internal jugular central venous catheter projects over the superior cavoatrial junction. the tip of the endotracheal tube projects <num> cm above the carina. a gastric tube projects below the level of the hemidiaphragm but beyond the field of view of this radiograph. unchanged opacification of the left hemithorax reflecting combination of a pleural effusion and atelectasis/ consolidation. no focal consolidation, pleural effusion or pneumothorax in the right lung. unchanged appearance of the right mediastinal border.What are the key findings of this report? [/INST] no significant interval change since the prior exam. </s>
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<s>[INST] lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. mild blunting of the costophrenic angles may be due to pleural thickening. the cardiomediastinal silhouette is normal. clips project 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] since chest radiographs obtained in <num> days prior, there has been interval placement of a dobhoff tube, which terminates at the ge junction. lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.What are the key findings of this report? [/INST] new dobhoff tube terminates at the ge junction. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. hypertrophic changes are noted in the spine.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. diffuse bilateral calcified pleural plaques are seen. the lungs appear grossly clear noting that calcified pleural plaques could obscure subtle region of consolidation. there is no effusion. cardiomediastinal silhouette is within normal limits. hypertrophic changes noted in the spine. osseous and soft tissue structures are otherwise unremarkable.What are the key findings of this report? [/INST] bilateral calcified pleural plaques. no definite acute cardiopulmonary process. </s>
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<s>[INST] ill-defined bibasilar airspace opacities may represent atelectasis, aspiration,, or early pneumonia, depending on the clinical setting. the left lung base is likely similar to the prior ct, wall the right lung base opacification is new. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette, including a mildly tortuous descending aorta, is unchanged.What are the key findings of this report? [/INST] ill-defined bibasilar airspace opacities, similar on the left and new on the right, may represent atelectasis, aspiration, or early pneumonia, depending upon the clinical setting. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is top-normal. mediastinal contours unremarkable. there is no pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. copd. </s>
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<s>[INST] the lungs are well expanded and clear. area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. severe cardiomegaly is reidentified. the hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. area of increase density overlying the right hilum with a sharp lower margin is of unclear clinical significance. chest ct is recommended for further assessment. <num>. severe cardiomegaly, unchanged. the impression was entered as an urgently flagged wet read on the ed dashboard by dr <unk> on <unk> at <time> am after discussion with the attending as the patient was still in the ed. </s>
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<s>[INST] there are low lung volumes. small bilateral pleural effusions are seen, best appreciated on the lateral view. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. coils are noted overlying the right upper abdomen.What are the key findings of this report? [/INST] small bilateral pleural effusions. </s>
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<s>[INST] frontal and lateral views of the chest are unremarkable. specifically, the lung apices are clear. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal.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 demonstrate normal lung volumes without pleural effusion, focal consolidation, or pneumothorax. minimal perihilar vascular congestion is noted. there is no pulmonary edema. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is mild blunting of the right cardiophrenic angle, suggestive of pericardial fat pad, lymph node, or tiny morgagni hernia, stable for at least one year. partially imaged upper abdomen is unremarkable. right lower lobe density seen on <unk> exam has resolved.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] compared to chest radiograph from <num> days prior, there are new consolidative opacities in the bilateral upper lobes. alveolar filling pattern is not typical of pulmonary edema. there is no associated volume loss. no pleural effusion the heart is enlarged. they and mediastinum and hila are difficult to evaluate due to overlying opacities.What are the key findings of this report? [/INST] new consolidative appearance of bilateral upper lobes, concerning for bilateral pneumonia. however, pulmonary hemorrhage should also be considered in patient with bleeding diathesis. </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. hypertrophic changes are again noted within the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. surgical clips in the right upper quadrant noted. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process </s>
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<s>[INST] moderate cardiomegaly is stable. increasing opacities throughout the right lung are consistent with multifocal pneumonia. patient has known copd. there is no evident pneumothorax or enlarging pleural effusions. right picc tip is in mid to lower svcWhat are the key findings of this report? [/INST] worsening multifocal pneumonia </s>
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<s>[INST] cardiac silhouette size is mildly enlarged. aorta is tortuous and diffusely calcified. aortic core valve device is re- demonstrated. mediastinal and hilar contours are otherwise stable, and no pulmonary vascular congestion is demonstrated. linear opacities in the left lung base are compatible with subsegmental atelectasis. remote right-sided rib fractures are again noted. the right humeral head appears to be anteriorly dislocated relative to the glenoid fossa. the left humeral head demonstrates bone multiple surgical anchors. no pleural effusion or pneumothorax is identified.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary abnormality. <num>. right glenohumeral anterior dislocation. further assessment with dedicated shoulder radiographs is recommended. </s>
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<s>[INST] single frontal semi-erect ap portable view of the chest was obtained. there are prominent bilateral predominantly perihilar opacities which may be due to severe pulmonary edema/ards, possible multifocal infection. there is blunting of the costophrenic angles and small pleural effusions are not excluded. the cardiac silhouette is likely top normal to mildly enlarged, although not well assessed due to right lung base opacities. aortic knob is calcified. no evidence of pneumothorax is seen.What are the key findings of this report? [/INST] extensive perihilar opacities raise concern for severe pulmonary edema/ards, possible multifocal infection. blunting of the costophrenic angles, small pleural effusions not excluded. </s>
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<s>[INST] compared with prior radiograph, <num> right chest tubes have been removed. there is stable appearance of postoperative suture at the right apex. no definite pneumothorax is seen. there is no significant change in small right pleural effusion and no focal consolidation is present. normal heart size, mediastinal and hilar contours.What are the key findings of this report? [/INST] interval removal of <num> right chest tubes with no pneumothorax. </s>
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<s>[INST] ap upright and lateral views of the chest are provided. a left chest wall again seen with pacer leads extending into the region of the right atrium and right ventricle. midline sternotomy wires are again noted with a few mediastinal clips. there is note made of increased reticular and nodular opacities compatible with pulmonary edema. no large effusion or pneumothorax. old right rib cage deformity noted. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] findings compatible with pulmonary edema. </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, pneumothorax. no free air below the right hemidiaphragm. excreted contrast noted within the bilateral renal collecting systems in the upper abdomen. cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. no free air below the right diaphragm. </s>
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<s>[INST] pa and lateral chest radiograph demonstrates enlarged cardiac silhouette without overt pulmonary edema. there is no pleural effusion. no pneumothorax. no focal opacity within the lung fields is identified. elevation of the left hemidiaphragm at air and fluid-filled stomach is noted. no air is seen under the right hemidiaphragm.What are the key findings of this report? [/INST] cardiomegaly without overt pulmonary edema. no acute intrathoracic abnormality. elevated left hemidiaphragm with air and fluid within the stomach. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. comparison is made with the next preceding similar study of <unk>. the heart size remains normal. no configurational abnormalities identified. thoracic aorta unremarkable. no mediastinal abnormalities are seen. 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 apical area. skeletal structures of the thorax grossly unremarkable.What are the key findings of this report? [/INST] no evidence of acute pneumonic infiltrates in patient with history of cough. in comparison with the next previous ct examination, it can be stated that again on ct chest of <unk>, made observations cannot be evaluated on plain chest examinations. </s>
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<s>[INST] the heart is normal in size. the aorta is somewhat tortuous with calcifications seen along the arch. the main pulmonary artery contour appears prominent. patchy opacities are noted in each infrahilar region as well as a vague right upper lobe opacity. although patchy appearance of focal pulmonary edema may potentially explain the findings in the appropriate setting, but they are more typical for pneumonia. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] multifocal opacities worrisome for pneumonia although not entirely specific. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. mild bronchial cuffing is noted in the right upper lobe. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] mild bronchial wall cuffing may relate to reactive airways disease. </s>
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<s>[INST] as compared to prior chest radiograph from earlier today, there is persistent pneumomediastinum and extensive subcutaneous emphysema of the chest wall with air dissecting along the pectoralis muscles and cervical regions bilaterally. an endotracheal tube terminates <num> cm above the carina, and its cuff remains overdistended. the previously noted small right pneumothorax is not well seen on the current exam. probable small bilateral pleural effusions. lungs are hyperexpanded and there are diffuse areas of course interstitial and ill-defined nodular opacities bilaterally, with bronchiectasis and bronchial wall thickening which likely relate to chronic lung disease. cardiac silhouette is unchanged.What are the key findings of this report? [/INST] extensive subcutaneous emphysema and pneumomediastinum. previously noted small right pneumothorax is not well seen. chronic interstitial lung disease with bronchiectasis and ill-defined nodular opacities suggestive of airways inflammation or infection. small bilateral pleural effusions. </s>
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<s>[INST] median sternotomy wires and clips are in place from prior cabg. cardiac silhouette is top normal with mild tortuosity of thoracic aorta. minimal tracheal deviation pattern is slightly increased since <unk> and is suggestive of an enlarged left thyroid lobe. hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. tracheal deviation pattern suggestive of left thyroid lobe enlargement. </s>
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<s>[INST] there is volume loss at both bases. an underlying infectious infiltrate can't be excluded. there is mild pulmonary vascular redistribution. loops of bowel in the left upper abdomen are dilated, likely due to a postoperative ileusWhat are the key findings of this report? [/INST] volume loss at the bases. an underlying infectious infiltrate can't be excluded. </s>
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<s>[INST] the lungs are normally expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, hilar and mediastinal contours are normal. again seen is a suture line in the right mid lung field from prior surgery. there is no pleural effusion or pneumothorax. the visualized osseous structures are normal. no focal consolidations concerning for pneumonia is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest radiographs were provided. ill-defined nodular opacity measuring <num> x <num> cm in the paramediastinal right upper lobe corresponds to the mass seen on the chest ct. smaller nodules are present in the right lower lobe and left lower lobe, also seen on the prior chest cts. there is no large focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] multiple lung nodules corresponding to those seen on prior chest ct. no focal consolidation. </s>
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<s>[INST] compared with <unk>, there has been interval removal of a endotracheal tube, with decrease in lung volumes. bibasilar opacities likely represent atelectasis given overall lung volumes. there is a small left pleural effusion. no pneumothorax. a right-sided picc line and terminates in the low svc.What are the key findings of this report? [/INST] <num>. bibasilar opacities are most consistent with atelectasis given low lung volumes, however may be secondary to aspiration. <num>. small left pleural effusion. </s>
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<s>[INST] right swan-ganz catheter and endotracheal tube remain in standard position. mediastinal drains and chest tubes have been removed. focal crescent of lucency along the left mediastinal border may reflect tiny pneumothorax or pneumomediastinum. slight improvement in the retrocardiac opacity can be improving atelectasis. right basilar opacities slightly increased, has imaging appearance of atelectasis.What are the key findings of this report? [/INST] focal crescent of lucency along the left mediastinal border may reflect tiny pneumothorax or pneumomediastinum. </s>
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<s>[INST] ap upright and lateral chest radiographs were obtained. bilateral calcified pleural plaques and basilar reticular opacities, consistent with known fibrotic changes related to asbestosis, are re- demonstrated without new opacity to suggest pneumonia. there is no pleural effusion or pneumothorax. the heart is stably enlarged with tortuous and calcified intrathoracic aorta.What are the key findings of this report? [/INST] chronic fibrotic changes and calcified pleural plaques compatible with asbestos exposure without acute intrathoracic process. </s>
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<s>[INST] a left-sided port-a-cath terminates at the cavoatrial junction. the cardiac and mediastinal silhouette appears stable. there appears to be a slight interval increase in the amount of pulmonary vascular congestion, with evidence of mild pulmonary edema. there is no acute focal consolidation concerning for pneumonia. there is a small left pleural effusion. no pneumothorax is identified.What are the key findings of this report? [/INST] no pneumonia. slight interval increase of pulmonary vascular congestion with evidence of mild pulmonary edema. </s>
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<s>[INST] since prior, there has been resolution of a left hydropneumothorax. there is no focal lung consolidation. the heart is stably mildly enlarged. mediastinal contours unchanged. there is linear atelectasis at the right lung base. degenerative changes are noted within the thoracic spine.What are the key findings of this report? [/INST] resolution of left hydropneumothorax. postsurgical changes from left lower lobectomy. . </s>
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<s>[INST] ap portable upright view of the chest. there has been placement of an ng tube with its tip in the mid gastric body. lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] ng tube positioned properly. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is a left lower lobe opacity which could represent atelectasis, but given the clinical history, pneumonia is a serious consideration. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left lower lobe opacity which may represent atelectasis, but given the clinical history, pneumonia is a serious consideration. these findings were communicated via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>. </s>
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<s>[INST] right infrahilar patchy opacities are nonspecific and may represent atelectasis or infection. the left hemidiaphragm is somewhat indistinct but no effusion is seen on the lateral view. no pneumothorax. mild cardiomegaly and mediastinal contours are stable.What are the key findings of this report? [/INST] <num>. right infrahilar patchy opacities are nonspecific and may represent atelectasis or infection. <num>. stable mild cardiomegaly. </s>
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<s>[INST] single portable view of the chest was compared to previous exam from <unk>. there is increased opacity at the left lung base which obscures the lateral costophrenic angle and lateral hemidiaphragm. this could be due to overlying soft tissues or potentially due to projection given significant rotation to the left; however, underlying effusion is not completely excluded. elsewhere, the lungs are clear of confluent consolidation or evidence of pulmonary vascular congestion. cardiomediastinal silhouette is stable. increased density projects in the lumbar vertebra suggestive of prior vertebroplasty. osseous and soft tissue structures are otherwise unremarkable.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are stable. there is pneumothorax or large pleural effusion. biapical pleural scarring is noted. the lungs are hypoinflated but clear without focal consolidation concerning for pneumonia. a left chest wall dual lead pacing device is present with leads terminating in the right atrium and right ventricle as expected. the upper abdomen is unremarkable in appearance. degenerative changes are seen throughout the thoracic spine.What are the key findings of this report? [/INST] low lung volumes but no acute cardiopulmonary process. </s>
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<s>[INST] two frontal views were provided. initial radiograph shows persistent large right pneumothorax with contralateral mediastinal shift. second subsequent radiograph shows new right chest tube and resolution of tension and mediastinal shift. small right apical pneumothorax remains. there is trace pneumothorax on the left. tracheostomy tube is in appropriate position. transesophageal tube travels below diaphragm and out of view. left chest tube is in unchanged position. right subclavian venous line terminates in mid svc. multiple bullet fragments are again noted.What are the key findings of this report? [/INST] interval placement of right chest tube and resolution of mediastinal shift. small right pneumothorax and trace left pneumothorax remains. </s>
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<s>[INST] pa and lateral views of the chest were obtained. the heart is mildly enlarged with a left ventricular configuration, unchanged from prior. lung volumes are low which limits the evaluation. there appears to <unk> <unk> b lines which would suggest mild pulmonary interstitial edema. there is no frank consolidation, effusion, or pneumothorax. mediastinal contour is notable for atherosclerotic calcification. bony structures are intact.What are the key findings of this report? [/INST] mild interstitial edema, cardiomegaly with lv configuration. </s>
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<s>[INST] portable ap semi-erect chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] patient remains markedly rotated.limiting evaluation of the cardiac and mediastinal contours. lungs remain well inflated without evidence of focal airspace consolidation, pleural effusions or pneumothorax. no evidence of pulmonary edema. no displaced rib fracture is seen. </s>
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<s>[INST] right internal jugular swan-ganz catheter terminates in proximal right pulmonary artery. left pectoral pacemaker is in place. the non intended position of right atrial lead is unchanged at least since <unk>. the other lead terminates in the right ventricle. et tube terminates <num> cm above the carina. sternotomy wires are intact. mild pulmonary edema is improved compared to <num> day ago. there is pulmonary vascular congestion. moderately enlarged cardiomediastinal silhouette is similar to before. there is no pneumothorax or large pleural effusion.What are the key findings of this report? [/INST] mild pulmonary edema is improved. residual bibasilar opacities makes it difficult to rule out pneumonia in the lower lobes. </s>
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<s>[INST] enteric tube tip is <num> cm from the carina. enteric tube seen with tip below the diaphragm although side port is likely proximal to the ge junction. dense opacity seen at the right lung apex with less conspicuous left apical opacity aswell. there are probable small bilateral pleural effusions. additional retrocardiac opacity may represent additional region of parenchymal consolidation, potentially a similar process are atelectasis pa. elsewhere, the lungs are clear. cardiac silhouette is mildly enlarged likely accentuated by portable technique. atherosclerotic calcifications are noted at the aortic arch. bilateral rib fractures are noted, some of which appear old although some along the left chest wall are age indeterminate.What are the key findings of this report? [/INST] enteric tube side port likely proximal to the ge junction and should be advanced for optimal positioning. bilateral parenchymal opacities, most conspicuous at the right lung apex suspicious for multifocal pneumonia with small bilateral pleural effusions. </s>
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<s>[INST] a single portable chest film was obtained. a tip of a newly placed ng tube is now seen around the level of the diaphragmatic hiatus. lung volumes are low, accentuating the pulmonary vasculature.What are the key findings of this report? [/INST] replaced ng tube tip near the gastroesophageal junction. it should be advanced further into the stomach and a repeat film taken before use. findings were discussed with dr. <unk> <unk> telephone at <unk> on <unk>. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and left hilar contours are normal.What are the key findings of this report? [/INST] no pneumonia, edema or effusion. </s>
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<s>[INST] ap portable upright view of the chest. in this patient with severe pulmonary fibrosis, pattern of interstitial opacities noted bilaterally appears similar to the prior study. please note given the extent of interstitial lung disease, a superimposed pneumonia difficult to exclude. no large effusion or pneumothorax is seen. the heart size appears grossly unchanged.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] lungs remain hyperinflated, suggesting chronic obstructive pulmonary disease. there is slight blunting of the bilateral posterior costophrenic angles which may be due to atelectasis or trace pleural effusions. no focal consolidation is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are stable. bilateral glenohumeral joint degenerative changes are partially imaged.What are the key findings of this report? [/INST] copd. slight blunting of the bilateral posterior costophrenic angles may be due to atelectasis but trace pleural effusions are not excluded. no focal consolidation to suggest pneumonia. </s>
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<s>[INST] the lungs are well-expanded and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. right chest wall port-a-cath is again seen with tip at the ra/svc junction. the lungs are clear of effusion or consolidation. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable. surgical clip in the right upper quadrant suggests prior cholecystectomy.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] overlying ekg leads are present. the lungs appear clear bilaterally without signs of pneumonia or edema. no large effusion or pneumothorax. previously noted pulmonary edema and multifocal opacities have cleared in the interval. cardiomediastinal silhouette appears normal. no free air seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] patient is status post tracheobronchoplasty. since <unk>, the previously noted right upper lung opacities are improved. there is mild pulmonary congestion, left worse than right. a small left pleural effusion is probable. mild bibasilar atelectasis is increased. a right chest tube is in unchanged positioning. the heart size is stable. widening of the mediastinum is expected postsurgically. an apical right pneumothorax is tiny, if any.What are the key findings of this report? [/INST] <num>. improvement in previously noted right upper lung opacities, likely from atelectasis or hematoma. <num>. mild pulmonary congestion, left worse than right, with a small probable left pleural effusion. <num>. an apical right pneumothorax is tiny, if any. </s>
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<s>[INST] left-sided port-a-cath tip terminates in the mid svc. heart size remains moderately enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. a small right pleural effusion is similar in size with adjacent atelectasis in the right lung base. lungs remain hyperinflated. a small apical left pneumothorax appears to be present not clearly noted on the prior exam. mild multilevel degenerative changes are seen in the thoracic spine. no subdiaphragmatic free air is seen.What are the key findings of this report? [/INST] small left apical pneumothorax. unchanged small right pleural effusion and right basilar atelectasis. no subdiaphragmatic free air. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the cardiac silhouette is upper limit of normal, unchanged. the mediastinal contour is normal. the bilateral hila are normal. there are no focal lung consolidations. there is no evidence of pulmonary vascular congestion. there are no pneumothoraces or effusions.What are the key findings of this report? [/INST] no evidence of pneumonia, pleural effusion, or other acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. the regional bones and soft tissues are normal.What are the key findings of this report? [/INST] clear lungs. </s>
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<s>[INST] a portable frontal chest radiograph demonstrates pacer wires overlying the patient's chest. there is a normal cardiomediastinal silhouette. lungs are clear, but most likely hyperinflated. also there is paucity of the vasculature in the upper lungs most likely consistent with emphysema. no focal consolidation, edema, pleural effusion, or pneumothorax is seen. there is elevation of the left hemidiaphragm vs. pleural abnormality vs, diaphragmatic hernia. correlation with lateral chest radiograph or chest ct is necessary. 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] the patient is status post median sternotomy with wires intact. the cardiomediastinal silhouette is unremarkable. lung fields are clear, but hyperinflated. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. copd </s>
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<s>[INST] the heart is normal in size. the aorta is again tortuous. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes again affect lower thoracic levels, not significantly changed.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] right-sided port-a-cath tip terminates in the upper svc. the cardiac silhouette size is normal. fullness of the hilar contours is unchanged compared to the previous exam. there is no pulmonary edema. streaky bibasilar airspace opacities are noted, which could reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. no acute osseous abnormalities are present.What are the key findings of this report? [/INST] streaky bibasilar airspace opacities are nonspecific but may reflect atelectasis. no evidence of congestive heart failure. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. the heart and mediastinal contours appear normal. bony structures are intact. no free air below the right hemidiaphragm seen.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] there is persistent abnormal soft tissue density centered at the left hilum, potentially related to previously treated malignancy. previously seen for infrahilar opacity on the left in <unk> has resolved. biapical scarring is again noted. elsewhere, the lungs are clear. cardiac silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] left perihilar opacity which may be related to post treatment changes although underlying tumor would be difficult to exclude. no new region of consolidation or evidence of infection. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] mild bibasilar atelectasis has nearly resolved. there is mild pulmonary vascular congestion. no pleural effusion, overt pulmonary edema, or focal consolidation concerning for pneumonia is identified. the cardiomediastinal silhouette is unchanged, with a tortuous descending thoracic aorta.What are the key findings of this report? [/INST] no evidence of pneumonia. mild pulmonary vascular congestion. </s>
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<s>[INST] moderate enlargement of the cardiac silhouette is somewhat obscured by the presence of a moderate left pleural effusion, relatively unchanged compared to the prior exam. small right pleural effusion also persists. the mediastinal and hilar contours appear unchanged, with calcification of the thoracic aorta again noted. lung volumes are reduced, with crowding of the bronchovascular structures but no overt pulmonary edema is present. left basilar opacity likely reflects compressive atelectasis, but infection cannot be excluded. mild loss of height of a mid thoracic vertebral body is unchanged. no pneumothorax is detected.What are the key findings of this report? [/INST] moderate left and small right pleural effusions, relatively unchanged with persistent left basilar opacification likely reflecting compressive atelectasis. infection, however, cannot be completely excluded. </s>
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<s>[INST] blunting of the left costophrenic angle is unchanged from multiple prior studies likely representing pleural and parenchymal scarring. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. a left pectoral dual-chamber pacemaker and its leads project in unchanged location. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral images of the chest show a new hazy opacity in the left lingula consistent with an underlying infectious process. this was not present on the prior exam. there are no other opacities. there are no pleural effusions or pneumothoraces. there is a pacemaker in place with cardiac wires within the right atrium and left ventricle. there is stable cardiomegaly. there is no evidence of interstitial edema. there is a stable compression fracture of t<num>.What are the key findings of this report? [/INST] <num>. new lingular hazy opacity consistent with an underlying infectious process. <num>. stable cardiomegaly. <num>. stable t<num> compression fracture. results were communicated with dr. <unk> at <num> p.m. on <unk> via telephone by dr. <unk>. </s>
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<s>[INST] right picc line terminates in the proximal right atrium. lung volumes are low. there is no focal consolidation or effusion. no pneumothorax or pneumomediastinum. mediastinal and hilar contours are stable. heart size is normal. anterior compression fracture of l<num> vertebral body is unchanged.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] patient is status post thoracentesis with decreased right-sided pleural effusion, but incomplete reexpansion of the right lung base with small basal pneumothorax. retrocardiac atelectasis is likely also present. mild vascular engorgement is seen with normal cardiomediastinal contours.What are the key findings of this report? [/INST] small basal right pneumothorax. findings discussed with dr. <unk> by dr. <unk> at <time> one minute after discovery on <unk>. </s>
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<s>[INST] the patient is status post right middle lobectomy with appropriate elevation of the right hemidiaphragm, small right pleural effusion, and minimal right mid lung zone scarring.the cardiac, hilar and mediastinal contours are normal. there is no pneumothorax.What are the key findings of this report? [/INST] small right pleural effusion and otherwise stable appearance status post right middle lobectomy. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. apart from minimal streaky opacity in the right lung base suggestive of atelectasis, 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 abnormality. </s>
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<s>[INST] a single portable ap upright view of the chest was obtained. port-a-cath is unchanged in position. there is increased moderate-to-large right pleural effusion and associated atelectasis. the aerated portion of the right lung shows some vascular engorgement, but is otherwise grossly clear. the left lung is grossly clear, without chf or focal infiltrate. there is no left effusion. no pneumothorax. there is no cardiomediastinal shift.What are the key findings of this report? [/INST] moderate-to-large right pleural effusion which has increased significantly compared with <unk>. </s>
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<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. there is no pneumoperitoneum.What are the key findings of this report? [/INST] normal chest radiograph. no pneumoperitoneum. </s>
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<s>[INST] a single frontal view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. bibasilar opacities are seen, which may represent a combination of pleural fluid and atelectasis or hemorrhage in the setting of trauma. the patient's known rib fractures are not well seen on this study. per the ed notes, the patient has an outside ct scan, which has not yet been uploaded for reference. cardiac silhouette is obscured by the bilateral opacities.What are the key findings of this report? [/INST] bibasilar opacities may represent a combination of pleural fluid and consolidation or hemorrhage in the setting of trauma. </s>
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<s>[INST] the cardiomediastinal shadow is normal. the airspace opacification in the left lower lobe has resolved. no new areas of airspace consolidation. no pulmonary edema. no pleural effusions. no suspicious pulmonary nodules or masses.What are the key findings of this report? [/INST] resolved left lower lobe airspace opacification </s>
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<s>[INST] there relatively low lung volumes. increased interstitial markings in the perihilar and basilar region suggests mild pulmonary vascular congestion. no focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac silhouette is mildly enlarged. the aorta is tortuous.What are the key findings of this report? [/INST] low lung volumes with possible mild pulmonary vascular congestion. mild cardiomegaly. </s>
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<s>[INST] the lungs are fully expanded and clear. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal. right upper quadrant surgical clips are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographdemonstrates mild bilateral lower lobe heterogeneous opacities, left greater than right. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.What are the key findings of this report? [/INST] mild bilateral lower lobe heterogeneous opacities, left greater than right, is most suggestive of atelectasis however superimposed infection cannot be excluded. </s>
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<s>[INST] enteric tube now courses below the diaphragm, out of the field of view. the remaining lines and tubes are stable in appearance. there is persistent obscuration of the left hemidiaphragm concerning for atelectasis with possible underlying small pleural effusion. there is no evidence of pneumothorax. remainder of the examination is unchanged.What are the key findings of this report? [/INST] no evidence of pneumothorax. persistent obscuration of the left hemidiaphragm, likely presenting atelectasis with possible small pleural effusion. </s>
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<s>[INST] again seen is the right pleurx catheter. the small right-sided pleural effusion is stable. the pneumothorax is stable. the heart remains enlarged. there is linear lingular atelectasis.What are the key findings of this report? [/INST] stable right-sided pneumothorax and pleural effusion. </s>
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<s>[INST] as compared to prior chest radiograph from <unk>, cardiac silhouette remains enlarged. pulmonary edema remains unchanged. there are substantial bilateral pleural effusions with associated compressive atelectasis. no new focal consolidation.What are the key findings of this report? [/INST] unchanged pulmonary edema and substantial bilateral pleural effusions with compressive atelectasis. </s>
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<s>[INST] portable frontal radiograph demonstrate lower lung volumes with no definite consolidation. interstitial edema has improved when compared to chest radiograph <num> day prior. there is volume loss with in the lower left lobe with stable appearing pleural effusion.What are the key findings of this report? [/INST] improving interstitial edema. low lung volumes. no new focal consolidation. </s>
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<s>[INST] there has been some interval mild improvement in the pulmonary edema. there is still some pulmonary vascular redistribution however the cardiac size is slightly smaller. a large hiatal hernia is again visualized. patient is status post cabg. there is volume loss at both bases.What are the key findings of this report? [/INST] decreased chf </s>
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<s>[INST] indistinct bibasilar opacities have resolved. lungs are fully expanded and clear. no pleural abnormality. heart size is normal. cardiomediastinal and hilar silhouettes are unremarkable.What are the key findings of this report? [/INST] indistinct bibasilar opacities have resolved. normal chest. </s>
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<s>[INST] single frontal ap portable view of the chest demonstrates pulmonary vascular congestion and small bilateral pleural effusions. heart size is large. the mediastinum and pleura are unremarkable. there is no pneumothorax.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] the lungs are clear without effusion or pulmonary edema. the cardiomediastinal silhouette is within normal limits and unchanged given differences in technique. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac silhouette is unremarkable. the right hilum is prominent, but stable in comparison to multiple priors. no definite pleural effusions identified. there is no pneumothorax. again seen is a left-sided aicd, with stable position of the single lead in the right ventricle.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] portable chest film <unk> <time> is submitted.What are the key findings of this report? [/INST] nasogastric tube is seen coursing below the diaphragm. endotracheal tube continues to have its tip at the thoracic inlet. there is increasing opacity at the left upper lobe with shift to the left favoring left upper lobe collapse, although superimposed infection or a central mass cannot be excluded. patchy bibasilar opacities are also seen possibly representing atelectasis, although pneumonia cannot be excluded. there is crowding of the pulmonary vasculature with no overt pulmonary edema. heart is are stable in size given differences in patient positioning. </s>
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