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<s>[INST] there is no pleural effusion, pulmonary edema, or pneumothorax. low lung volumes with resultant crowding of bronchovascular structures. note is also made of bibasilar subsegmental atelectasis and or scarring. multilevel compression fractures of the lower third of thoracic spine are similar to the prior ct. a right pectoral port-a-cath catheter tip terminates at the cavoatrial junction.What are the key findings of this report? [/INST] low lung volumes. no definite acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are low. heterogeneous bilateral pulmonary opacities persist. mediastinal structures are unchanged. a feeding tube, left internal jugular catheter and right subclavian line remain in place.What are the key findings of this report? [/INST] no significant change. </s>
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<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal. the aorta is calcified and tortuous.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is within normal limits. the mediastinal and hilar contours are unremarkable. there are new bilateral lower lung opacities predominantly in the lower lobes, more extensive on the left than right, suggesting pneumonia. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] findings suggesting multifocal pneumonia. follow-up radiographs are recommended to show resolution within eight weeks. </s>
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<s>[INST] there is a larger right-sided pleural effusion with almost complete opacification of the right lung. this is increased compared to prior. an underlying infectious infiltrate cannot be excluded. there is also some volume loss and increased opacity in the retrocardiac region. the left upper lung is relatively clear.What are the key findings of this report? [/INST] worsened appearance to the lungs. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. a nodular opacity identified in <unk> is no longer seen. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. findings were relayed to dr. <unk>. </s>
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<s>[INST] no acute focal consolidation. mild pulmonary edema has increased. small bilateral pleural effusions. fluid is also tracking along the right fissures, causing pseudo opacity in the right upper lobe. retrocardiac opacity is likely atelectasis and unchanged. mild cardiomegaly unchanged.What are the key findings of this report? [/INST] no acute pneumonia. increasing mild pulmonary edema with small bilateral pleural effusions. </s>
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<s>[INST] mild cardiomegaly is stable from prior. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. small right effusion is not significantly changed. no pneumothorax.residual right lower lobe consolidation is likely due to treatment artifact or pneumonia. left upper lobe pneumonia is likely still present. position of the right ij venous line tip is not significantly changed from chest x-ray on <unk>. nasogastric tube extends into the stomach and passes out of view.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. residual right lower lobe consolidation is likely due to treatment artifact or pneumonia. left upper lobe pneumonia is likely still present. </s>
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<s>[INST] right lower lobe consolidation is worrisome for pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] right lower lobe pneumonia. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. 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] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding pa and lateral chest examination of <unk>. heart size is within normal limits. no configurational abnormalities are identified. thoracic aorta of ordinary <unk> but with some calcium deposits in the wall at the level of the arch. no local contour abnormalities are identified. the pulmonary vasculature is not congested. there is some evidence of increased basal translucency at the lung fields suggestive of copd. this appears in conjunction with some low positioned diaphragms, but there is no evidence of any local parenchymal new infiltrate and the lateral and posterior pleural sinuses are free from any fluid accumulation. no pneumothorax is seen in the apical area. when comparison is made with the previous examination, at that time appreciated borderline heart size has now normalized.What are the key findings of this report? [/INST] no evidence of cardiac enlargement, pulmonary vascular congestion or acute infiltrates. general findings suggestive of some emphysema as before. </s>
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<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. aortic contour is tortuous. left fifth rib resection is again noted.mild left tracheal deviation is unchanged.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] frontal and lateral expiratory chest radiographs again demonstrate a left chest tube, which is in the fissure. the small left apical pneumothorax is unchanged. the cardiomediastinal contour remains normal, with persistent mediastinal air. a left midlung opacity representing the known laceration is again seen. increased opacity of the lingula represents continued hemorrhage, as seen on recent ct. a larger left posterior pleural fluid collection is concerning for increased hemothorax. the right lung remains well expanded and clear.What are the key findings of this report? [/INST] <num>. unchanged left apical pneumothorax, with the left chest tube in the fissure. <num>. increased posterior left pleural fluid collection is concerning for increased hemothorax. <num>. slightly increased lingular opacity may represent continued lingular hemorrhage, as seen on recent ct chest. these findings were discussed via telephone by <unk>, md, with <unk> <unk>, np, at <unk> on <unk>. </s>
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<s>[INST] <num> views were obtained of the chest. new opacities in the right midlung opacity projecting in the superior segment of the right lower lobe or posterior segment of the right upper lobe are concerning for pneumonia. there is no pleural effusion or pneumothorax. the heart is stably enlarged with post cabg changes.What are the key findings of this report? [/INST] pneumonia involving the posterior segment of the right upper lobe or superior segment of the right lower lobe. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are unchanged, with mild unfolding of the thoracic aorta again demonstrated. pulmonary vascularity is normal. the lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is seen. there are mild degenerative changes in thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well-expanded without focal consolidation concerning for pneumonia. the upper abdomen is unremarkable. mild degenerative changes are seen in thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. there is re- demonstration of mild unfolding of the thoracic aorta. hilar contours are normal. lungs are clear. re- demonstration of right-sided breast surgical changes with differential density. right axillary clips noted. some old left-sided rib fractures are again noted. known osseous metastases are better seen on prior exams. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. known osseous lesions are better characterized on prior exams. </s>
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<s>[INST] there is a <num> cm rounded opacity projecting over the left anterior second rib. the lungs are otherwise clear. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num> cm rounded opacity projecting over the left anterior second rib. dedicated ct is recommended for further evaluation. no pneumonia. recommendation(s): chest ct for further evaluation of the <num> cm opacity. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette and hilar contours are within normal limits. there is a small left-sided pleural effusion. there is no pneumothorax seen.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. bony structures are unremarkable. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. a lucency projecting immediately lateral to the right chest wall is probably due to abduction of the arm. a mild pectus excavatum configuration is suspected. there is possibly a trace pleural effusion on the left. a linear opacity projecting over the left upper lung appears unchanged since the remote prior studies suggesting minor scarring.What are the key findings of this report? [/INST] possible trace pleural effusion on the left, otherwise unremarkable. no evidence of pneumothorax. </s>
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<s>[INST] the lungs are well expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] since prior, right lower and upper lung opacities have improved. there are no new areas of consolidation. heart is top-normal in size. mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. monitoring and support devices are unchanged in position, with an endotracheal tube ending approximately <num> cm above the carina.What are the key findings of this report? [/INST] interval improvement of right lower and upper lobe opacities. </s>
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<s>[INST] the heart is mild to moderately enlarged, as before. unfolding of the thoracic aorta and calcification appear unchanged. more generally, the mediastinal and hilar contours appear stable. mild interstitial prominence suggests slight congestion or fluid overload. there is increasing left basilar opacification suspected to reflect a combination of atelectasis and developing pleural effusion. in addition to streaky lower lobe opacities, the lateral view suggests more confluent opacification in the right middle lobe.What are the key findings of this report? [/INST] findings suggesting mild vascular congestion, increased, with developing pleural effusion on the right. another change is increasing right basilar opacity that may indicate an infectious process developing in the lower lungs, with particular suspicion for the right middle lobe. </s>
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<s>[INST] chest pa and lateral radiograph demonstrates unremarkable mediastinal, hilar, and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] heart size is mildly enlarged. aorta is slightly tortuous. mediastinal and hilar contours are unremarkable. there is mild pulmonary edema with upper zone vascular redistribution and vascular indistinctness. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseus abnormalities are seen. embolization coils are noted within the left upper quadrant of the abdomen.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unchanged. mild atherosclerotic calcifications are noted at the aortic arch. pulmonary vasculature is normal. elevation of the right hemidiaphragm is chronic. the right costophrenic angle remains blunted, also unchanged. surgical chain sutures are noted within the right lower lobe. no focal consolidation, pleural effusion or pneumothorax is present. multilevel degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] linear left retrocardiac atelectasis or scarring is unchanged. the lungs are otherwise 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 evidence of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. lung volumes are low. there is increased opacity in the base of the left upper and lower lung compared to prior, likely from atelectasis. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. numerous surgical clips are again seen none appear unchanged. coronary artery stent is again noted.What are the key findings of this report? [/INST] increased opacity of the left lung base, likely from atelectasis. </s>
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<s>[INST] there are bilateral pleural effusions, right greater than left. increasing opacity involving the right lung is demonstrated and may reflect asymmetric pulmonary edema and atelectasis. retrocardiac opacity likely represents atelectasis. the cardiomediastinal and hilar contours are within normal limits and stable. no pneumothorax is identified.What are the key findings of this report? [/INST] minimally increased right pleural effusion and increasing opacity throughout the lungs, particularly on the right, suggests increasing pulmonary edema and atelectasis. concurrent infection should be considered in the appropriate setting. </s>
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<s>[INST] small left pleural effusion and and possible trace right pleural effusion present. there is mild pulmonary edema. bibasilar opacities may relate to pleural effusions and vascular congestion, however, underlying aspiration or infection are not excluded, as also noted on the prior study. the cardiac and mediastinal silhouettes are stable, with the cardiac silhouette enlarged in the aorta calcified and tortuous.What are the key findings of this report? [/INST] small left pleural effusion and possible trace right pleural effusion. vascular congestion. bibasilar opacities could relate to pleural effusions and vascular congestion although infection or aspiration is not excluded in the appropriate clinical setting. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate stable mild cardiomegaly. the aorta is tortuous. hila are unremarkable. minimal bibasilar atelectasis noted. no focal opacification concerning for pneumonia present.What are the key findings of this report? [/INST] mild cardiomegaly. no pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there has been interval decrease in previously seen right lung patchy opacities with smaller residual opacity persisting in the right mid-to-lower lung zone. the left lung is clear. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no large pleural effusion is seen, although a trace right pleural effusion may be difficult to exclude.What are the key findings of this report? [/INST] interval decrease in previously seen patchy right pulmonary opacities, most consistent with resolving multifocal pneumonia. </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 hilar contours are normal.What are the key findings of this report? [/INST] normal chest radiographs. dr. <unk> <unk> a preliminary report to dr. <unk> by phone at <time>pm on <unk>. </s>
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<s>[INST] the heart size is at the upper limits of normal. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process; please refer to the report from chest cta performed on the same day. </s>
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<s>[INST] there is increased size of the right hilum consistent with lymphadenopathy. there is a faint, ill-defined opacity overlying the right second rib to which attention should be paid on followup imaging. there is no, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] <num>. increased size the right hilum consistent with lymphadenopathy. <num>. faint ill-defined opacity overlying the right second rib to which attention should be paid on followup imaging, could represent peribronchial nodules in the setting of question sarcoid. if further evaluation of the lung parenchyma is clinically warranted, ct can be performed. </s>
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<s>[INST] pa and lateral views of the chest provided. there is pulmonary vascular congestion with engorgement of the pulmonary hilar structures. no large effusions are seen. heart size appears stable. no pneumothorax. imaged bony structures are intact.What are the key findings of this report? [/INST] pulmonary vascular congestion. </s>
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<s>[INST] there is no consolidation, pleural effusion, or large pleural effusion. cardiomediastinal silhouette and hilar silhouette are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right internal jugular central venous catheter tip terminates at the junction of the svc and right atrium. heart size remains mildly enlarged. aortic knob is calcified. mediastinal and hilar contours are similar. pulmonary vasculature is normal. there is no pneumothorax or pleural effusion. there is improved aeration of the lung bases with minimal atelectasis noted in the left lung base. no acute osseous abnormalities present.What are the key findings of this report? [/INST] <num>. right internal jugular central venous catheter tip terminates at the svc/right atrial junction. no pneumothorax. <num>. improved aeration of lung bases with minimal residual left basilar atelectasis. </s>
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<s>[INST] a right ij terminates at the caval atrial junction. the endotracheal tube terminates <num> cm above the carinal. an orogastric tube is appropriately positioned. the cardiac and mediastinal contours are stable since the <unk> examination, remaining within normal limits. there is no pneumothorax or pleural effusion. a persistent left retrocardiac opacity, likely reflecting atelectasis, is minimally changed over several recent radiographs.What are the key findings of this report? [/INST] <num>. unchanged persistent left retrocardiac opacity. <num>. no new consolidation, effusion, or pneumothorax. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are clear. no effusion, pneumothorax or consolidation is present. heart 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] the endotracheal tube terminates approximately <num> cm above the carina. port-a-cath terminates in the lower svc. the enteric tube is below the diaphragm however the tip is not visualized. an esophageal stent is again noted. extensive interval development of asymmetric opacification of the right mid to lower lung and to a lesser extent patchy opacification of the left lower lung could represent infectious or aspiration pneumonia. there is no pulmonary edema. a small right pleural effusion is possible. no pneumothorax.What are the key findings of this report? [/INST] interval extensive asymmetrical opacification of the right mid to lower lung and heterogeneous opacities in the left lower lung, raise concern for infectious or aspiration pneumonia. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate hyperexpanded lungs. bibasilar atelectasis has improved slightly over the interval. tiny bilateral pleural effusions are present. cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. a nasogastric tube courses into the stomach and out of the field of view.What are the key findings of this report? [/INST] tiny bilateral pleural effusions. slight improvement in bibasilar atelectasis. </s>
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<s>[INST] low lung volumes are again noted. there is been interval improvement of the previously noted pulmonary edema which is now mild. there is no new consolidation. cardiomediastinal silhouette is stable. there is no large effusion.What are the key findings of this report? [/INST] interval improvement of previously seen pulmonary edema. </s>
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<s>[INST] frontal portable views of the chest were obtained. mild cardiomegaly is similar to prior, although exaggerated by low lung volumes. lungs are clear without focal or diffuse abnormality. blunting of the right costophrenic angle may represent an effusion although assessment is limited by soft tissue attenuation. no pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.What are the key findings of this report? [/INST] mild cardiomegaly. possible right pleural effusion, although assessment is limited. pa and lateral views with better inspiration could be obtained for further evaluation. </s>
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<s>[INST] portable ap chest radiograph. right-sided picc tip is just below the head of the clavicle. tracheostomy tube is in stable position. lung volumes are low with mild bibasilar atelectasis. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] right-sided picc tip is either in the right brachiocephalic vein or the uppermost svc. </s>
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<s>[INST] there is no chf, focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. there is relatively prominent dextroconvex scoliosis of the thoracic spine, grossly unchanged compared with <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process detect. </s>
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<s>[INST] since the prior exam, the right-sided chest tube has been removed. at the right apex, there is an air-fluid level consistent with a small pneumothorax, slightly increased in size from the prior exam. an opacity in the right upper lobe at the site of the wedge resection likely represents a small amount of hemorrhage. surgical sutures are present. the lungs are otherwise clear. there is no new consolidation. there is no pleural effusion. the cardiomediastinal silhouette is normal. a small amount of subcutaneous emphysema over the right chest is unchanged.What are the key findings of this report? [/INST] <num>. after the right chest tube removal, a small right apical pneumothorax has slightly increased in size in comparison to the prior exam one day earlier. <num>. stable opacity in the right upper lobe, likely related to a small amount of hemorrhage. </s>
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<s>[INST] the lungs are clear without consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. there is tortuosity of the thoracic aorta with dense atherosclerotic calcifications. surgical clips project over the right chest wall. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] previously-seen lingular opacity has resolved. heart size is normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] lungs are clear, previously seen lingular opacity has resolved. </s>
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<s>[INST] frontal and lateral views of the chest are obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. 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 heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. there is a nodular focus measuring up to <num> mm which projects along the left lower lung, possibly a nipple shadow but potentially a true pulmonary nodule of substantial size. otherwise, the lungs appear clear. bony structures are unremarkable.What are the key findings of this report? [/INST] nodular focus projecting over the left lower lung, possibly a nipple shadow. when clinically appropriate, a repeat pa view with nipple markers is recommended to assess further. a true pulmonary nodule of substantial size is an additional possibility, however, which should be excluded. </s>
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<s>[INST] portable semi-erect chest film <unk> <time> is submitted.What are the key findings of this report? [/INST] the diffuse interstitial and airspace process involving nearly all of the right lung and the left mid to lower lung is not significantly changed. overall cardiac and mediastinal contours are stable. a feeding tube is seen with its tip now projecting over the stomach. a right internal jugular central line is unchanged in position. no pneumothorax is seen. </s>
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<s>[INST] moderate cardiomegaly is a stable. pacer leads are in standard dose. aortic stent is in place. vascular congestion has improved. biapical thickening is a stable. bilateral small effusions on the right and moderate on the left have decreased. retrocardiac atelectasis have increased. there is no pneumothoraxWhat are the key findings of this report? [/INST] improved vascular congestion </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates persistent left upper lobe and right perihilar opacities, which are slightly improved as compared to the prior study. the cardiomediastinal and hilar contours are unchanged. a nasogastric tube ends in the stomach. the tip of the endotracheal tube is obscured by the overlying cervical collar. there is no pneumothorax, significant pleural effusion, or consolidation.What are the key findings of this report? [/INST] slight interval improvement in right perihilar and left upper lobe opacities. </s>
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<s>[INST] mild scarring in the left mid lung is similar to prior studies. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. 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] 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] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] the patient's face mask and mandible obscures the apices. no large pneumothorax is appreciated. lung volumes are diminished and there are bilateral streaky opacities which may reflect areas of atelectasis. the central pulmonary vessels remain prominent which may reflect underlying pulmonary arterial hypertension. overall cardiac and mediastinal contours are likely stable given differences in positioning. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is mild biapical pleural thickening. the cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. low lung volumes. 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] the left hemidiaphragm is obscured, likely due to atelectasis at the left lung base. the use right lung is clear. the heart is moderately enlarged. mediastinal contours are stable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] obscuration of the left hemidiaphragm, which likely due to atelectasis of the left lung base. no evidence of overt edema. </s>
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<s>[INST] lung volumes are slightly low. relatively linear opacities at the left lung base with obscuration of the left costophrenic angle, potentially atelectasis. elsewhere, lungs are clear. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are noted at the aortic arch. no acute osseous abnormalities.What are the key findings of this report? [/INST] relatively linear left basilar opacities potentially atelectasis in the setting of low lung volumes. infection or aspiration is not entirely excluded. </s>
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<s>[INST] ap upright and lateral views of the chest were provided. the lungs are clear and well inflated. there is no sign of pneumonia, chf, effusion, or pneumothorax. the heart and mediastinal contour are normal, though calcification at the aortic arch is noted. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic findings. </s>
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<s>[INST] chest. for right-sided port catheter ends in the lower svc. mainly lower lobe reticular interstitial changes are again seen and likely more prominent to prior studies. this may represent a pneumonia in the and/or left lung base. no pleural effusion or pneumothorax. the cardiomediastinal hilar contours are stable.What are the key findings of this report? [/INST] increase interstitial opacities at the left lung base, and possibly right lung base may represent pneumonia. </s>
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<s>[INST] the cardiac silhouette is borderline enlarged. no focal consolidation, pleural effusion, or pneumothorax is identified.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] single frontal view of the chest was obtained. heart size is normal. cardiomediastinal contours are stable. small linear opacity at the right lung base is consistent with atelectasis. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. side port of the ng tube is at the gastroesophageal junction.What are the key findings of this report? [/INST] <num>. side port of the ng tube is at the gastroesophageal junction and should be advanced by <num> cm for position within the stomach. <num>. small right lung base atelectasis. findings were communicated via phone call by <unk> to <unk> on <unk> at <unk> am. </s>
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<s>[INST] cardiomediastinal contours are normal. thoracic aorta is tortuous and calcified. lungs are clear except for minor atelectasis at both lung bases adjacent to small pleural effusions, which are new compared to the recent abdominal ct.What are the key findings of this report? [/INST] small bilateral pleural effusions. no radiographic evidence of pneumonia. </s>
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<s>[INST] ap upright and lateral views of the chest were provided. the right lung apex is obscured by the patient's chin on the frontal projection. the lungs appear clear bilaterally. no evidence of pneumonia, chf, pleural effusion or pneumothorax. the cardiomediastinal silhouette appears normal. stable compression deformities are again seen in the lower thoracic spine with associated kyphotic angulation.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. streaky left midlung opacity is most compatible with atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is normal. free intraperitoneal air seen below the hemidiaphragms. soft tissues and osseous structures are otherwise unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. free intraperitoneal air compatible with patient's history of peritoneal dialysis. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal and not changed from the prior exam. again seen is a mass at the base of the right lung measuring <num>. <num> cm, largely unchanged in size as well as bilateral pulmonary nodules elsewhere. also seen is a consolidation in the left mid and lower lung not significantly changed from the prior exam, better characterized on recent ct from <unk>.What are the key findings of this report? [/INST] no significant change from chest radiograph on <unk>. left lower lung consolidation, right lung mass and bilateral pulmonary nodules are unchanged in size and configuration. </s>
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<s>[INST] prominent breast tissue likely accounts for lower lung vague opacities over the lower lungs. there is no definite sign of pneumonia or chf. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette is stable. bony structures are intact. partially imaged cervical spine fusion hardware is noted.What are the key findings of this report? [/INST] no signs 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.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] improved aeration from the prior exam. opacification of the right lower lung with silhouetting of the right hemidiaphragm, consistent with right lower lobe pneumonia and/or atelectasis. small-to-moderate right pleural effusion, largely unchanged. interval resolution of the left pleural effusion. interval resolution of pulmonary edema. no pneumothorax. stable cardiomediastinal silhouette. stable position of the right-sided central venous catheter and the left pleural drain.What are the key findings of this report? [/INST] <num>. new probable right lower lobe pneumonia. <num>. small-to-moderate right pleural effusion, stable since <unk>. </s>
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<s>[INST] the heart is enlarged. the left picc line tip is at the level of the mid to lower svc. the lungs are well expanded and clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.What are the key findings of this report? [/INST] no radiographic evidence of an acute cardiopulmonary process. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> am, time of discovery. </s>
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<s>[INST] ng tube tip is at the gastroesophageal junction. this needs to be advanced. the et tube and right-sided picc line are unchanged. there is pulmonary vascular redistribution and ill definition of the vasculature with moderate pleural effusions left greater than right and dense retrocardiac opacity.What are the key findings of this report? [/INST] <num>. ng tube too high. <num>. worsened fluid status. </s>
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<s>[INST] prior enteric tube and right ij lines are no longer visualized. the lungs are now clear without consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. 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] there has been no significant interval change.no focal consolidation is seen peer there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no overt 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 lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. there is linear atelectasis at the left lung base.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. left chest wall aicd is again noted with leads extending into the coronary sinus, right atrium and right ventricle. lungs are clear and hyperinflated. minimal platelike left basal atelectasis is noted. no large effusion or pneumothorax. no convincing sign of edema or congestion. heart size is top-normal. mediastinal contours unremarkable. bony structures are intact.What are the key findings of this report? [/INST] copd without superimposed pneumonia or edema. top-normal heart size. </s>
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<s>[INST] there is continued improvement of the left-sided parenchymal opacities, now with worsening right-sided opacities. there is persistent cardiomegaly. a left pleural effusion cannot be excluded. the left-sided picc is stable in placement. overall, there is minimal interval change.What are the key findings of this report? [/INST] minimal change in cardiogenic pulmonary edema. </s>
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<s>[INST] again, the lungs are hyperinflated. there is no focal opacity to suggest pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] hyperinflated lungs. no evidence of pneumonia. </s>
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<s>[INST] the right lung is clear. there is a persisting moderate to large left pleural effusion with adjacent atelectasis. no pneumothorax identified. the size and appearance of the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no significant interval change since the prior study with a persisting moderate to large left pleural effusion with subjacent atelectasis. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. there is moderate cardiac enlargement. no typical configurational abnormality can be identified. lateral view does not show any conclusive evidence for significant pericardial effusion. thoracic aorta mildly widened with a few calcium deposits in the wall at the level of the arch but no local contour abnormalities are present. the pulmonary vasculature demonstrates extensive perivascular haze bilaterally at the bases as well as in the mid portions of the lung fields. in addition there are number of scattered somewhat confluenting infiltrates in the lung bases, somewhat more on the right than the left. on the left side the lateral pleural sinus is mildly blunted and the lateral view demonstrates extension of some pleural effusions in both posterior pleural sinuses. there exists a diffuse haze in the left upper lobe area which raises the possibility of an acute infection. this density appears to have increased since the next preceding portable chest examinations of <unk>. comparison with multiple preceding portable chest examinations obtained between <unk> and <unk> is little rewarding as the portable examinations concentrated most on the delineation of the ng tube. when comparison is extended to a more remote chest examination of <unk> the cardiac enlargement has developed since that time and that no pleural effusions or acute pulmonary infiltrates were present.What are the key findings of this report? [/INST] persistent moderate cardiac enlargement with bilateral pleural effusions and plate atelectasis on the bases, suspicious new acute pneumonic infection in left upper lobe area. no pneumothorax. </s>
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<s>[INST] opacity at the right apex corresponding to known lung mass is not appreciably changed. there is increasing engorgement and slight indistinctness of the pulmonary vasculature compatible with mild pulmonary edema. heart size is normal. there may be small bilateral pleural effusions. there is no pneumothorax. no focal airspace opacity to suggest pneumonia.What are the key findings of this report? [/INST] mild interstitial pulmonary edema with vascular engorgement. </s>
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<s>[INST] there has been interval removal of the chest and mediastinal drains. there is a small left pleural effusion. linear atelectasis in the right mid lung. calcification noted at the left apical pleura. no definite pneumothorax seen. a right internal jugular catheter terminates in the distal svc. previous median sternotomy noted.What are the key findings of this report? [/INST] small left pleural effusion. no pneumothorax seen. </s>
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<s>[INST] pa and lateral views of the chest provided. low lung volumes limits assessment. 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] a portable frontal chest radiograph demonstrates a tracheostomy tube which is unchanged in position. the cardiomediastinal silhouette is unchanged in lung volumes are low with bibasilar atelectasis, right greater than left. there is no pleural effusion or pneumothorax. no subdiaphragmatic air is appreciated.What are the key findings of this report? [/INST] <num>. no pneumothorax or subdiaphragmatic air. <num>. low lung volumes with bibasilar atelectasis, right greater than left. </s>
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<s>[INST] the cardiomediastinal contours are unchanged. there is no concerning focal consolidation. there is no pleural effusion or pneumothorax. compression deformity of mid thoracic vertebral body is unchanged since <unk>.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. chronic mid thoracic compression deformity. </s>
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<s>[INST] a feeding tube terminates in the stomach, which shows increased gaseous distension. a second nasogastric tube terminates more distally in the jejunum. there is a new large amount of subdiaphragmatic free intraperitoneal air. the et tube terminates at the level of the clavicles. lung volume wall, but bibasilar subsegmental atelectasis is unchanged. there is no pneumothorax. marked generalized osteopenia is stable.What are the key findings of this report? [/INST] new large subdiaphragmatic free intraperitoneal air is concerning for a perforated viscus. increased gaseous distention of the stomach despite ng tube decompression. </s>
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<s>[INST] ap view of the chest provided. compared to prior study from <num> days ago, there is better lung aeration. left lung base pneumonia is unchanged. right lung atelectasis has improved. upper lungs are clear. there may be mild pulmonary vascular congestion, but no overt edema. left pleural effusion appears smaller. mild cardiomegaly is stable.What are the key findings of this report? [/INST] unchanged left lung base pneumonia. </s>
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<s>[INST] an endotracheal tube is in appropriate position ending approximately <num> cm above the carina. a nasoenteric tube tip ends in the stomach. again seen are diffuse airspace opacities, overall not likely changed compared to chest radiograph from <num> hour prior. there is no pneumothorax.What are the key findings of this report? [/INST] appropriate positioning of support devices. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest are provided. lungs are clear without focal consolidation, effusion, or pneumothorax. the 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 signs of pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. left hemidiaphragmatic elevation is unchanged since at least <unk>.What are the key findings of this report? [/INST] no pneumonia, edema, or effusion. findings were discussed with dr. <unk> in person at <time> p.m. on <unk>. </s>
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<s>[INST] the cardiomediastinal silhouette is normal. the bilateral pulmonary vasculatures appears slightly more prominent. the previously noted left lower lobe opacity seen on pa view is unchanged. the rest of the lungs are normal. there minimal right pleural effusion. no pneumothorax. the visualized bones and soft tissues are normal. the left port-a-cath tip is located in the the mid to low lower svc.What are the key findings of this report? [/INST] <num>. the left lower lobe opacity seen on previous chest radiograph is unchanged. <num>. the left port-a-cath tip is located in the atrial caval junction. </s>
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<s>[INST] the lungs are mildly hypoinflated and clear. no pleural effusion or pneumothorax. heart is top-normal in size, likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.What are the key findings of this report? [/INST] normal chest x-ray. no pneumonia. </s>
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<s>[INST] right upper lobe airspace opacity is more apparent when compared to the prior radiographs. bilateral lower lobe opacities have slightly improved. pulmonary vascular congestion has also slightly improved. probable small left effusion. mild to moderate cardiomegaly. prior median sternotomy and cabg. no pneumothorax.What are the key findings of this report? [/INST] increasing right upper lobe pneumonia. bibasilar opacities and pulmonary vasculature have improved, likely improving edema and/or aspiration. </s>
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<s>[INST] patient is status post median sternotomy, cabg, and aortic valve replacement. mild cardiomegaly is re- demonstrated. the mediastinal contours are similar. crowding of bronchovascular structures is due to low lung volumes. patchy atelectasis is also noted without focal consolidation. no pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine. no displaced fractures are identified.What are the key findings of this report? [/INST] <num>. mild cardiomegaly without congestive heart failure. <num>. mild bibasilar atelectasis. no radiographic evidence for pneumonia. <num>. no displaced rib fracture identified. if there is continued concern for a rib fracture, consider a dedicated rib series </s>
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<s>[INST] the heart is mildly enlarged.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right port tip is in upper svc and is unchanged from prior. no interval change from <unk> study. again seen are chronic right lateral rib defects. no pneumothorax. no focal opacity, pulmonary edema, or pleural effusions. heart is top normal with normal mediastinal contour and hila.What are the key findings of this report? [/INST] right port tip is unchanged in position and is in the upper svc. </s>
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