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<s>[INST] frontal lateral views of the chest demonstrate moderate cardiomegaly. lung volumes are slightly decreased. however there is improved pulmonary edema and better overall aeration in the lungs. mild interstitial edema is persistent. a small right pleural effusion is present. subsegmental atelectasis is present in the lung bases.What are the key findings of this report? [/INST] <num>. improving but persistent mild interstitial pulmonary edema. <num>. improved pulmonary aeration. small right pleural effusion. </s>
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<s>[INST] moderate enlargement of the cardiac silhouette is re- demonstrated. the aorta is markedly tortuous, and mediastinal and hilar contours are similar. pulmonary arteries remain enlarged suggestive of underlying pulmonary arterial hypertension. pulmonary vasculature is not engorged. lungs are hyperinflated with emphysema again noted, most pronounced in the upper lobes. prominence of the left superior mediastinum with mild rightward deviation of the trachea is compatible with known enlargement of the left thyroid lobe. patchy opacities are noted within both lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. left-sided bochdalek's hernia is again unchanged.What are the key findings of this report? [/INST] mild bibasilar opacities, likely atelectasis, but no focal consolidation. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lung volumes are low with patchy atelectasis noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild degenerative changes noted in the thoracic spine. left subdiaphragmatic lucency likely reflects gas within a colonic loop of bowel.What are the key findings of this report? [/INST] low lung volumes with patchy atelectasis in the lung bases. </s>
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<s>[INST] pa and lateral views of the chest provided. subtle retrocardiac opacity raises concern for an early right lower lobe pneumonia. there is mild platelike left basal atelectasis. the heart appears top normal in size. no large effusion or pneumothorax. mediastinal and hilar contour appears normal. bony structures are intact.What are the key findings of this report? [/INST] possible early pneumonia in the right lower lobe. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. moderate degenerative changes of the thoracic spine with bridging anterior osteophytes are re- demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] endotracheal tube terminates approximately <num> cm above the level of the carina. recommend withdrawal by approximately <num> cm for more optimal positioning. enteric tube courses below the diaphragm into the left abdomen, inferior aspect not included on the image. left base opacity with shift of the mediastinum to the left suggests left lower lobe collapse with possible underlying pleural effusion or consolidation. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] endotracheal tube terminates <num> cm above the carina, recommend withdrawal by approximately <num> cm for more optimal positioning. left base opacity with leftward shift of the mediastinum suggest left lower lobe collapse, underlying pleural effusion or consolidation not excluded. </s>
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<s>[INST] lung volumes. heart size is normal. mediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged. consolidative opacity in the right upper lobe medially is concerning for pneumonia. streaky and linear opacities in the lung bases bilaterally likely reflect areas of atelectasis. blunting of the right costophrenic angle posteriorly on the lateral view suggests a trace pleural effusion. no pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] right upper lobe pneumonia. possible trace right pleural effusion and bibasilar atelectasis. recommendation(s): follow up radiographs after treatment are recommended to ensure resolution of this finding. </s>
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<s>[INST] cardiomediastinal silhouette and hilar contours are stable. multiple surgical clips project over the left paramediastinal border and neck. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process; specifically, no evidence of pneumonia. </s>
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<s>[INST] cardiomediastinal and hilar contours 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 acute cardiopulmonary process. </s>
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<s>[INST] a single ap view of the chest was reviewed. hilar contours are stable with multiple granulomatous calcifications found in mediastinal nodes as well. once again there is a lll mass or mass like consolidation (better seen on prior cxr and conforming to ct findings on <unk>). chronic, moderate cardiomegaly is exaggerated by ap projection compared to pa views. a small right pleural effusion is slightly larger than on the most recent prior study, and minimal pulmonary edema has developed. moderate left pleural abnormality is stable. there is no pneumothorax. scarring at the right apex and chain suture material in the right apex and right mid lateral lung are again seen.What are the key findings of this report? [/INST] minimal chf. possible left lower lobe mass. findings discussed by <unk> with dr <unk> at <time>am. </s>
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<s>[INST] a right chest port-a-cath terminates in the right atrium, unchanged from <unk>. the lungs are well expanded. there is mild pulmonary vascular congestion. wedge-shaped opacity in the left lower lung overlies spine on lateral view. mediastinal contours, hila, cardiac silhouette are stable from <unk>. a small left pleural effusion is present, similar in size <unk>.What are the key findings of this report? [/INST] <num>. left lower lobe opacity may represents pneumonia in this setting although atelectasis accentuated by mild pulmonary vascular congestion could have this appearance. <num>. small left pleural effusion similar in size from <unk>. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared with the prior chest radiograph, lung volumes are lower, causing bronchovascular crowding. no new focal consolidation, effusion, or pneumothorax detected. cardiomediastinal silhouette is otherwise unchanged.What are the key findings of this report? [/INST] lower lung volumes, without new focal consolidation or pneumothorax. </s>
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<s>[INST] the lungs are clear without consolidation or edema. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. no effusion or pneumothorax is noted. the osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute pulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate low lung volumes; there is no pleural effusion, focal consolidation or pneumothorax. the ascending aorta appears prominent. hilar and mediastinal silhouettes are otherwise unremarkable. heart size is top normal. there is no pulmonary edema.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there are low lung volumes. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] the lungs are clear without consolidation or pneumothorax. 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] portable ap upright chest radiograph was obtained. the lungs are reasonably well expanded with elevation left hemidiaphragm resulting in left basilar atelectasis. there is no pulmonary edema. no pneumothorax or pleural effusion seen. the heart is moderately enlarged with prominent ascending aortic contour.What are the key findings of this report? [/INST] left basilar atelectasis likely relating to elevated left hemidiaphragm without acute intrathoracic process. if patient is able, a conventional <num> view radiograph including a lateral view would be useful to assess for left pleural effusion accounting for the basal opacity. </s>
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<s>[INST] exam is limited secondary to ap technique and patient body habitus. increased hazy opacity in lungs is likely due to these reasons although superimposed vascular congestion is possible. streaky right basilar opacities on the frontal view may be due to atelectasis. there is no large effusion or confluent consolidation. moderate cardiac enlargement is again noted. surgical clips project over the left axilla.What are the key findings of this report? [/INST] enlarged cardiac silhouette and possible vascular congestion. no confluent consolidation. </s>
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<s>[INST] the cardiac silhouette size is top normal. the aorta is tortuous and diffusely calcified. severe mitral annular calcifications are again noted. the pulmonary vascularity is not engorged. punctate granulomas are seen within the right lower lung field. there is no focal consolidation, pleural effusion or pneumothorax. eventration of the right hemidiaphragm is re- demonstrated as is a small hiatal hernia. compression deformities within the mid to lower thoracic spine appear relatively unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] ap upright and lateral views the chest provided. lungs are clear. no pleural effusion or pneumothorax. the heart is top-normal in size, unchanged since prior examination. mediastinal contour and hila are unremarkable. bony structures intactWhat are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] there is hazy increased opacity of the right lung base, slightly increased from prior. it is impossible to tell whether this represents a recurrent process of failure to clear of the prior infection. increase opacity at the left lung base is new. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. hilar structures are unremarkable.What are the key findings of this report? [/INST] increased opacity of the right lung base is likely pneumonia, whether acute or persistent is unknown. new opacity at the left lung base is also worrisome for pneumonia. a lateral view could help in further evaluation. these findings were paged to dr. <unk> by dr. <unk> at <time> on <unk>. </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. heart is mildly enlarged. descending aorta is mildly tortuous. hilar contours normal. there are no pleural effusions. old left-sided rib fractures are again seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there is stable cardiomediastinal contour with tortuosity of the thoracic aorta. elevation of the right hemidiaphragm slightly increased from prior. linear opacities at both lung bases likely reflect atelectasis. no large pleural effusion or pneumothorax. no displaced rib fracture.What are the key findings of this report? [/INST] elevated left hemidiaphragm with bibasilar atelectasis. no evidence of pneumothorax or displaced rib fracture. </s>
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<s>[INST] the heart is mildly enlarged, similar to the prior examination. there is again moderate unfolding of the thoracic aorta. the mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. the lungs appear clear. mild degenerative changes are similar along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. linear opacity is seen at the bilateral bases, most consistent with atelectasis. subtle opacity is seen at the left lung base, which, in the appropriate clinical context, could represent pneumonia. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] possible left lower lobe pneumonia in the appropriate clinical context. </s>
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<s>[INST] the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. apparent minimal blunting of the posterior costophrenic angles on lateral view makes it difficult to exclude trace bilateral pleural effusions. there is no evidence of pulmonary vascular congestion. there is no pneumothorax.What are the key findings of this report? [/INST] clear lungs without focal consolidation. difficult to exclude trace bilateral pleural effusions. </s>
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<s>[INST] single ap view of the chest provided demonstrates interval placement of a right ij central venous catheter with its tip in the mid svc region. there has been interval development of mild pulmonary edema. the left hemidiaphragm remains elevated with left basal atelectasis again noted. the heart size appears normal. there is no pneumothorax or convincing signs of pleural effusion. bones remain intact.What are the key findings of this report? [/INST] interval placement of right ij central venous catheter with tip in the expected location of the svc. interval development of mild pulmonary edema. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for infection. there is no large pleural effusion or pneumothorax. note is made of a tracheostomy tube which terminates in unchanged position. there is minimal bibasilar atelectasis. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic process identified. </s>
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<s>[INST] the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. a linear lucency near the medial right hemidiaphragm most likely reflects superimposition of the lower cortex of the adjacent medial right rib in conjunction with overlying pulmonary vasculature rather than trace free air under the medial right hemidiaphragm.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] an endotracheal tube, enteric tube, left supraclavicular approach central venous catheter, and right subclavian approach central venous catheter are all in appropriate and stable position from the most recent prior study. the cardiac silhouette is top normal in size but stable. the mediastinal and hilar contours are within normal limits. bilateral pleural effusions are not significantly changed. there is improved aeration of the bilateral lung bases with persistent mild bilateral infrahilar opacification with air bronchograms on the right. no pneumothorax is present.What are the key findings of this report? [/INST] improved aeration of the bilateral lung bases with persistent infrahilar opacities may reflect improved pulmonary edema. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, nodule, effusion, or pneumothorax is present. the 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] frontal upright and lateral chest radiographs are obtained. lungs are well expanded and symmetric bilaterally. heart is normal in size and cardiomediastinal contours are unremarkable. lungs are clear. there is no pleural effusion and no pneumothorax. degenerative changes are noted in the spine.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of consolidation. there is a nodular opacity at the right lung base. there is no effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. right lung base nodular opacity, potentially nipple shadow however repeat frontal exam with nipple markers suggested to confirm. </s>
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<s>[INST] lungs are well expanded and clear. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. lung volumes are low but the lungs are clear. no displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared with the prior studies, the elevated right hemidiaphragm is unchanged. lung volumes are lower, causing bronchovascular crowding. however, no focal consolidation, effusion, or pneumothorax. streaky bibasilar atelectasis is confirmed on the ct torso of <unk>. the thoracic aorta is tortuous, as seen on the prior study.What are the key findings of this report? [/INST] lower lung volumes, with persistent elevation of the right hemidiaphragm. no focal consolidation or other acute intrathoracic process. </s>
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<s>[INST] the heart is normal in size. the main pulmonary artery contour is mildly prominent, but unchanged and probably compatible with a normal variant. mild unfolding of thoracic aorta is also similar. there is minimal relative elevation of the right hemidiaphragm compared to the left. there is no pleural effusion or pneumothorax. streaky opacity at the left lung base is compatible with minor atelectasis. there is no pleural effusion or pneumothorax. small osteophytes are noted along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] portable frontal chest radiograph shows no pleural effusion, pneumothorax or focal airspace consolidation. changes of severe panlobular emphysema are again noted and are consistent with the patient's known history of alpha <num> antitrypsin deficiency. heart size is normal and smaller than prior. there is no evidence of pulmonary edema. streaky atelectasis/scarring is seen throughout both lungs. a left mediport catheter terminates in the ra/svc junction.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right-sided dual lumen central venous catheter tip terminates in the right proximal right atrium. heart size is normal. aortic knob is calcified. mediastinal and hilar contours are unremarkable. mild pulmonary vascular congestion is noted, improved compared to the previous exam. no focal consolidation, pleural effusion or pneumothorax is demonstrated. linear opacities within the left upper lobe are unchanged, compatible with scarring. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] mild pulmonary vascular congestion, improved from the previous exam, without focal consolidation to suggest pneumonia. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate well-expanded and clear lungs. there is no focal consolidation, pleural effusions, or pneumothorax. cardiomediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] no findings to explain left-sided chest pain. </s>
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<s>[INST] mild basilar atelectasis/scarring is seen without definite focal consolidation. no large pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. the aorta is calcified and tortuous. no displaced fracture seen.What are the key findings of this report? [/INST] mild basilar atelectasis/ scarring without focal consolidation. </s>
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<s>[INST] compared to prior, there has been interval resolution of the previously seen right lower lobe consolidation. there is no focal consolidation, effusion, or edema. massive cardiomegaly is again seen. left chest wall dual lead pacer is seen with leads in stable position at the right ventricular apex and left right atrium. ventriculoperitoneal catheter projects over the right chest wall. no acute osseous abnormalities identifiedWhat are the key findings of this report? [/INST] cardiomegaly without superimposed acute cardiopulmonary process. </s>
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<s>[INST] since the prior radiograph, there has been interval development of a new right upper lobe and right middle lobe consolidation, which is compatible with pneumonia. the left lung is clear. no pleural effusions or pneumothorax. the mediastinum and hila within normal limits. the opacity adjacent to the right cardiophrenic angle is likely due to prominent pericardial fat, which was seen on the <unk> ct abdomen. no acute osseous abnormalities.What are the key findings of this report? [/INST] new rul and rml pneumonia. recommend chest x-ray in <unk> weeks after treatment to document resolution. </s>
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<s>[INST] pa and lateral views of the chest provided. faint left basal platelike atelectasis noted. otherwise lungs are clear. there is no convincing evidence of pneumonia, edema, 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] frontal and lateral views of the chest are obtained. a right-sided central venous dialysis catheter is again seen without significant change in position, terminating in the right atrium, without evidence of pneumothorax. the patient is status post median sternotomy and mitral valve repair. curvilinear structure projecting over the left hilum has been present since at least <unk>, unchanged. no new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette remains enlarged. the aorta is calcified and tortuous.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. persistent cardiac silhouette enlargement. central dialysis catheter terminates in the right atrium. </s>
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<s>[INST] study is slightly limited by patient rotation. mild enlargement of the cardiac silhouette is re- demonstrated. the aorta remains tortuous with dilatation of the ascending aortic contour again noted. pulmonary vasculature is not engorged. subsegmental atelectasis is noted in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present.What are the key findings of this report? [/INST] tortuous thoracic aorta with dilated ascending aortic contour, as seen previously. bibasilar subsegmental atelectasis. </s>
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<s>[INST] ap and lateral views of the chest. moderate cardiomegaly is not significantly changed. there are bilateral predominantly perihilar and bibasilar opacities as well as fluid in the minor fissure, most consistent with moderate pulmonary edema. a trace right pleural effusion is likely present. no focal consolidation is seen. no pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly and moderate pulmonary edema, slightly worse in the interval. </s>
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<s>[INST] frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no focal consolidation. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] a tracheostomy tube is present. persisting left lower lobe atelectasis. no pleural effusion or pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no significant interval change since prior radiograph with persistent left lower lobe collapse. no pneumothorax. </s>
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<s>[INST] the tip of the right picc line extends to the upper right atrium. the left central venous catheter tip is unchanged projecting within the azygos vein. the tip of the endotracheal tube projects <num> cm from the carina. a feeding tube extends into the stomach. improved aeration of both lungs. there is mild pulmonary edema. bibasilar opacity likely reflect atelectasis although superimposed consolidation cannot be excluded in the proper clinical context. small bilateral pleural effusions are suspected. no pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] improved expansion of both lungs. mild pulmonary edema. a new bibasilar opacities likely reflect atelectasis however superimposed infection cannot be excluded in the proper clinical context. </s>
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<s>[INST] a picc line terminates in the mid superior vena cava and appears unchanged. the heart appears mildly enlarged. the mitral anulus is calcified. the aortic arch is also calcified. the cardiac, mediastinal and hilar contours appear stable. there are again very small bilateral pleural effusions. the lungs appear clear.What are the key findings of this report? [/INST] picc line again terminating in the mid superior vena cava. small pleural effusions. no significant change. </s>
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<s>[INST] pa and lateral views of the chest. there are confluent regions of consolidation in the posterior segment of the right upper lobe as well as the right lower lobe which are new since prior. there is persistent opacity in the lingula which is similar to prior. cardiomediastinal silhouette is unchanged. no acute osseous abnormalities.What are the key findings of this report? [/INST] multifocal right-greater-than-left parenchymal opacities compatible with pneumonia. recommend repeat after treatment to document resolution to exclude underlying mass given that some of these opacities were also seen on prior. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. since the prior exam there is improved aeration at the lower lungs. there is only mild residual basilar atelectasis on the left. there is a retrocardiac gas filled structure which corresponds with known hiatal hernia. cardiomediastinal silhouette appears normal. bony structures are intact.What are the key findings of this report? [/INST] mild left basal atelectasis. hiatal hernia. otherwise unremarkable. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is perhaps slight fluid overload noting mild cephalization and an interstitial prominence in the lower lungs, but not striking. no focal opacities demonstrated.What are the key findings of this report? [/INST] perhaps slight fluid overload but no convincing evidence for pneumonia. </s>
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<s>[INST] the chest tube has changed position in the interval, and now appears to terminate outside the rib cage. the right lung remains expanded with an unchanged minimal residual pneumothorax seen laterally. opacity in the right lung likely reflects known postradiation changes. the left lung is well expanded and clear. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] interval change in position of chest tube, which now appears to terminate outside the pleural space. right lung remains reexpanded with unchanged minimal residual pneumothorax. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>, obtained <num> o'clock p.m. the present portable chest examination in this very obese patient creates limitations as it does not cover the entire right-sided base of the thorax. one can identify the tracheostomy cannula in place with its distal end properly aligned in the trachea, terminating some <num> cm above the level of the carina. no pneumothorax has developed. a right-sided picc line is seen as before and is overlying territory of the right atrium in its termination point. withdrawal of the line by <num> cm is advisable so to be located in the mid portion of the svc and to avoid any interference with cardiac structures. no new pulmonary infiltrates can be identified. the left-sided lateral pleural sinus is clear from any fluid accumulation. no new parenchymal infiltrates are seen.What are the key findings of this report? [/INST] grossly stable chest findings can be identified on portable single view examination. </s>
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<s>[INST] the heart is normal in size. cardiomediastinal and hilar contours are shifted to the right, which <unk> be due to patient rotation. there is no pneumothorax or large pleural effusion. the lungs are well-expanded. increased hazy slightly nodular opacities in the right lung, especially in the right upper <unk>, <unk> indicate an infectious process.What are the key findings of this report? [/INST] increased small hazy opacities in the right lung, especially right upper <unk>, concerning for an infectious process. </s>
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<s>[INST] pa and lateral views the chest provided. a retrocardiac gas filled structure likely represent a hiatal hernia, unchanged from prior. lungs are clear without focal consolidation, large effusion or pneumothorax. the heart and mediastinal contours are stable and normal. stable appearance of right ac joint separation. coarse calcification is seen projecting over the left scapula unchanged from prior ct. otherwise bony structures appear unremarkable.What are the key findings of this report? [/INST] hiatal hernia. no pneumonia. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.What are the key findings of this report? [/INST] acute cardiopulmonary process. </s>
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<s>[INST] heart size is likely normal allowing for prominent epicardial fat pad. mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary consolidation, pulmonary edema, pleural effusion, or pneumothorax. median sternotomy wires are noted. there is mild anterior wedging of <num> vertebral bodies in the lower thoracic spine and at the thoracolumbar junction.What are the key findings of this report? [/INST] no evidence for pneumonia or other active cardiopulmonary disease. </s>
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<s>[INST] there are increased vascular markings with upper re-distribution and hilar prominence bilaterally with more confluent opacity in the right mid lung. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] findings suggestive of fluid overload. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap portable upright view of the chest. an ng tube courses inferiorly along the thoracic midline into the left upper abdomen though the tip is excluded from view. the endotracheal tube is seen with its tip located <num> cm above the carina. the lungs are grossly clear. cardiomediastinal silhouette appears grossly unremarkable allowing for portable ap technique. no acute osseous abnormality.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] endotracheal tube is seen terminating approximately <num> cm above the level of the carina. enteric tube is seen coursing below the diaphragm, terminating in the expected location of the stomach. the cardiac silhouette is mildly enlarged. there appears to be mild central pulmonary vascular engorgement without overt pulmonary edema. no large pleural effusion is seen. there is no definite focal consolidation.What are the key findings of this report? [/INST] mild central pulmonary vascular engorgement without overt pulmonary edema. endotracheal and enteric tubes in appropriate position. </s>
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<s>[INST] lung volumes are normal and lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is normal size. mediastinal and hilar contours 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. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. heart is mildly enlarged. no edema or congestion. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] mild cardiomegaly, otherwise unremarkable. </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] ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. there is mild left basal atelectasis which appears unchanged. there is likely mild hilar congestion with mild stable cardiomegaly. the aorta is calcified and somewhat unfolded. no convincing evidence for pneumonia, large effusion or pneumothorax. visualized osseous structures appear intact.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] a small calcified round nodule consistent with a calcified granuloma in the right lower lung is unchanged since <unk>. otherwise, the lungs are clear and well-expanded. there is no focal consolidation, pulmonary edema, pneumothorax, or pleural effusion. the heart is mildly enlarged and the descending aorta is tortuous, stable since <unk>. there is no mediastinal widening. the hila and pleura are unremarkable. there is no acute osseous abnormality.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. mild, stable cardiomegaly. <num>. tortuous descending aorta. </s>
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<s>[INST] the heart is moderate-to-severely enlarged with globular configuration. this could relate to cardiomyopathy, but pericardial effusion could yield this appearance as well. there is upper zone redistribution of enlarged indistinct pulmonary vessels, suggesting mild to moderate edema. the retrocardiac space in the left lower lobe is under-penetrated and accordingly difficult to assess, although not necessarily abnormal. there is no definite pleural effusion on the right; it is difficult to assess for one on the left. there is no free air.What are the key findings of this report? [/INST] <num>. marked enlargement of the cardiac silhouette. dilated cardiomyopathy or pericardial effusion should be considered as possible etiologies. <num>. findings suggesting mild-to-moderate pulmonary vascular congestion. <num>. no evidence for free air. <num>. limited visualization of the left lung base owing to portable technique and underpenetration associated with attenuation of soft tissues. if physical findings or other concern referred to the site, then follow-up radiographs could be considered, preferably with pa and lateral technique, if possible. </s>
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<s>[INST] no overt pulmonary edema. mild possible vascular engorgement. no lobar consolidation. moderate cardiomegaly. bilateral small left-sided effusion. no pneumothorax.What are the key findings of this report? [/INST] cardiomegaly and small bilateral effusions, with possible vascular engorgement, no edema. </s>
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<s>[INST] there has been interval removal of right ij catheter. the cardio mediastinal contours are grossly unchanged. there are stable small bilateral pleural effusions, with unchanged appearance of adjacent bibasilar atelectasis. there are no new focal lung consolidations. there is no pneumothorax.What are the key findings of this report? [/INST] removal of right ij central venous catheter. otherwise unchanged small bilateral pleural effusions and adjacent bibasilar atelectasis. </s>
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<s>[INST] cardiomediastinal silhouette and hilar contours are normal. the previously noted subtle retrocardiac density has no clear lateral correlate and is likely vascular shadowing. lungs are otherwise clear. there is no pleural effusion or pneumothorax. a right central venous catheter is unchanged in position with the tip terminating in the low svc.What are the key findings of this report? [/INST] previously appreciated retrocardiac density has no clear lateral correlate. no clear evidence of pneumonia. a wet read was entered into the system by dr. <unk>. please note the changes in the final impression from preliminary results. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] 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] there is a right chest tube in place. there is no apical pneumothorax however, difficult to evaluate the bases due to known bullous disease. subcutaneous emphysema is seen in the right lateral chest wall. linear opacities at the left base are most likely atelectasis. there is no focal consolidation or pleural effusion. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] interval placement of left chest tube. no pneumothorax, however, difficult to assess the bases due to bullous disease. left basilar atelectasis. </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 and clear without focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. there is no pneumoperitoneum. an acute fracture of left posterolateral rib <num> is noted.What are the key findings of this report? [/INST] acute fracture of left posterolateral rib <num>. no pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are essentially clear noting minimal left basilar atelectasis. the cardiomediastinal silhouette is normal. 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 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] et tube terminates approximately <num> cm above the carina. overall, there has been no significant interval change in the mild-to-moderate bilateral pulmonary edema. there has been a slight interval increase in the small left pleural effusion, with a persistent small right pleural effusion. prominence of the cardiomediastinal contours are likely secondary to low lung volumes, however, mild cardiomegaly has been persistent compared to exams dated back to <unk>. there is no evidence of a pneumothorax. visualized osseous structures are unremarkable. right sided pic line terminates in the mid svc.What are the key findings of this report? [/INST] <num>. et tube terminates approximately <num> cm above the carina. <num>. no significant interval change in the extent of the moderate pulmonary edema. <num>. slight interval increase in a small left pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrating no 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 acute intrathoracic process. </s>
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<s>[INST] compared to the prior study patient has taken a deeper breath. there are persistent bilateral patchy and rounded opacities which may represent multifocal pneumonia and/or pulmonary edema, although these could also represent coalescing metastatic lesions as seen on previous chest ct. a small right pleural effusion is present. there is no pneumothorax.What are the key findings of this report? [/INST] persistent bilateral rounded and patchy opacities which could represent multifocal pneumonia and/or pulmonary edema versus coalescing metastatic lesions as seen on recent chest ct. </s>
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<s>[INST] tracheostomy tube has been removed. heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. left lower lobe collapse has developed in the interval with small left pleural effusion. minimal atelectasis is noted in the right lower lobe. no pneumothorax is identified. multiple vertebral bodies within the imaged thoracolumbar spine again demonstrate prominent schmorl nodes and mild loss of vertebral height. remote left-sided rib fractures are re- demonstrated.What are the key findings of this report? [/INST] left lower lobe collapse and small left pleural effusion. coexisting infection in the left lower lobe is not excluded. </s>
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<s>[INST] single portable view of the chest is compared to previous exam from earlier the same day at <time> p.m. there is a new left ij central venous catheter with tip likely in the upper svc, although exact delineation of the tip is limited given overlying cardiac leads. it does not appear to terminate below the level of the ra-svc junction. there is no visualized pneumothorax. appearance of the lungs and cardiomediastinal silhouette is otherwise unchanged.What are the key findings of this report? [/INST] new left ij line. no visualized pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumothorax, pleural effusion or pulmonary edema. there is no evidence of fracture within the visualized osseous structures. details of the left shoulder are better characterized on concurrent radiographs of the left shoulder.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] compared to prior radiographs, there has been interval progression of previous described nsip with decreased lung volumes, severe diffuse reticular opacity involving bilateral lungs with basilar predominance. there may be a component of superimposed pulmonary edema and hemorrhage from the procedure from the morning, though difficult to differentiate. the heart size is likely mildly enlarged.What are the key findings of this report? [/INST] interval progression of known nsip. <unk> have superimposed pulmonary edema or hemorrhage from prior procedure. </s>
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<s>[INST] ap upright and lateral views of the chest provided. cardiomegaly is again seen. mild hilar congestion is noted without frank edema. no definite signs of pneumonia, effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] cardiomegaly unchanged. mild hilar congestion. no evidence of pneumonia. </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 is no pleural effusion or pneumothorax. bony structures appear within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] lungs are clear without focal consolidation. the heart is mildly enlarged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. degenerative changes are seen throughout the thoracic spine.What are the key findings of this report? [/INST] mild cardiomegaly without focal consolidation. </s>
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<s>[INST] single portable view of the chest. left-sided pleural effusion is seen both clearing inferiorly and projecting over the mid to upper thoracic cavity. the enlarged mediastinal contour is compatible with mediastinal, para-aortic hematoma identified on ct scan. the cardiac silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] left-sided pleural effusion likely hemorrhagic as well as significant mediastinal hematoma, all better assessed on earlier ct scan and worrisome for aortic rupture. vascular team had already been aware of patient's diagnosis at time of interpretation. </s>
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<s>[INST] mediastinal and hilar widening is consistent with known lymphadenopathy. right upper lobe geographically marginated consolidation as well as left juxta hilar consolidation are consistent with previous radiation treatment. biapical pleural thickening may also be due to this process. a subtle patchy opacity is present at the left lung base, and is not evident on the prior pet-ct. there is also a probable small left pleural effusion.What are the key findings of this report? [/INST] new patchy left lower lobe opacity which could reflect an early focus of pneumonia in the appropriate clinical setting. short-term followup radiographs may be helpful in this regard. mediastinal and hilar lymphadenopathy accompanied by radiation fibrosis. </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 evidence of pneumonia. </s>
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<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s>
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<s>[INST] as compared to the previous radiograph, right chest tube is in unchanged position. the right pneumothorax is slightly larger with no evidence of tension. the right pleural effusion is also somewhat larger compared to the prior. no change in elevation of the left hemidiaphragm. stable appearance of cardiomediastinal silhouette.What are the key findings of this report? [/INST] <num>. slight increase in size of small right pneumothorax with no evidence of tension. <num>. increase in size of right pleural effusion. findings discussed with dr <unk> by dr <unk> at <time> on <unk> via phone, <unk> min after discovery. </s>
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<s>[INST] compared to <unk>, there has been interval removal of the chest tube. there is decreased in left upper lobe and left basal opacity. residual left pleural effusion is small. the lateral pleural abnormality is not seen on today's exam. the right lung is grossly clear. the heart size is mildly enlarged and unchanged from prior. the mediastinal contours are unchanged from prior. surgical clips are seen in the left upper lobe. left subdiaphragmatic drain is seen. no pneumothorax is seen.What are the key findings of this report? [/INST] improved appearance of left pleural effusion with minimal residual effusion. </s>
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