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<s>[INST] the patient is status post cabg and the mediastinum continues to demonstrate the expected postoperative appearance. a right ij catheter terminates within the upper-mid svc. a nasogastric tube courses into the stomach and out of view of the radiograph. as compared to the prior examination, the patient's bilateral pulmonary edema has improved and is now mild. bilateral small pleural effusions with adjacent atelectasis are noted. the upper lung fields are grossly clear.What are the key findings of this report? [/INST] status post cabg with interval improvement in now mild bilateral pulmonary edema. small bilateral pleural effusions with adjacent atelectasis. </s>
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<s>[INST] the cardiac silhouette size is normal. aorta is tortuous. the hilar contours are normal. the pulmonary vascular is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are mild degenerative changes of the thoracic spine. no displaced rib fractures are noted. there is minimal biapical pleural thickening. cholecystectomy clip is noted in the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no displaced rib fractures noted. if there is continued clinical concern for rib fracture, a dedicated rib series is recommended. </s>
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<s>[INST] ap and lateral views of the chest. opacity at the left cardiophrenic angle there is compatible prominent fat pad and lingular scarring as seen on prior ct. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. old posterior right rib fracture is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] patient is somewhat rotated. there are patchy areas of opacity bilaterally which could relate to chronic lung disease. underlying infection, chronic aspiration, or less likely pulmonary edema not excluded. there is elevation of the right hemidiaphragm. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. the aorta is tortuous.What are the key findings of this report? [/INST] patchy reticular opacities bilaterally, most noted in the left mid to lower lung and in the right mid and lower lung, could be relate to chronic lung disease and/or chronic aspiration, however, superimposed infection, less likely mild pulmonary edema not excluded. </s>
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<s>[INST] ap portable chest x-ray in upright position shows normal lung volumes without consolidation or nodules. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary processes. </s>
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<s>[INST] two views of the chest demonstrate clear lungs without effusion, or pneumothorax. the cardiac silhouette is normal in size, the mediastinal contours are normal.What are the key findings of this report? [/INST] normal chest. </s>
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<s>[INST] the patient has been extubated. pleural drains have been removed. right internal jugular central venous catheter is in the low svc. atelectasis in the left lower lung is improving. probable small bilateral pleural effusions blunt the costophrenic sulci. there is no detectable pneumothorax. postoperative mediastinal widening is improving.What are the key findings of this report? [/INST] <num>. no pneumothorax. improving atelectasis in the left mid lung. <num>. likely small bilateral pleural effusions. </s>
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<s>[INST] the lung volumes have decreased with slight increase in peripheral interstitial opacities. no acute focal consolidation or new nodules within the limitations of chest radiograph. the cardiomediastinal contour is stable. blunting of the left costophrenic angle is also stable. no acute osseous abnormalities.What are the key findings of this report? [/INST] worsening fibrotic interstitial lung disease, which limits the sensitivity of chest radiograph for metastases. no definite new pulmonary nodules or masses, but ct may be considered if warranted clinically. </s>
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<s>[INST] the lungs are clear without infiltrate. the cardiac and mediastinal silhouettes are normal. there is minimal right cp angle blunting compatible with either a tiny effusion or is small amount of pleural thickening the bony thorax appears normalWhat are the key findings of this report? [/INST] blunting of the right cp angle otherwise normal chest. </s>
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<s>[INST] compared to the prior repair chest radiograph, there is increased interstitial opacities at the lung bases bilaterally, worst at the right lung base, with no evidence of pulmonary vascular congestion or cardiomegaly. cardiac and mediastinal contours are normal. the solid nodule in the left upper lung field is unchanged from <unk>. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] increased bibasilar interstitial opacities without evidence of pulmonary vascular congestion are more concerning for infection rather than edema. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. multiple small pulmonary nodules, right base subpleural atelectasis, and central bronchial wall thickening seen on the same-day chest ct are not well appreciated on this radiograph. no focal consolidation, pleural effusion, or pneumothorax. congenital coalition of the right first and second ribs is incidentally noted.What are the key findings of this report? [/INST] no focal consolidation. pulmonary nodules and bronchial wall thickening are better demonstrated on the same-day chest ct. </s>
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<s>[INST] moderate loculated left-sided pleural effusion. there is adjacent rounded opacity partially imaged in the left lung. linear opacities in the right upper lobe. the right lung is otherwise clear. no right-sided pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] moderate left-sided effusion with adjacent rounded opacity may reflect pneumonia with parapneumonic effusion or underlying malignancy cannot be excluded. ct thorax is recommended, ideally after the pleural fluid has been drained. </s>
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<s>[INST] there is mild cardiomegaly. apparent mediastinal widening is due to mediastinal lipomatosis. there is no pleural effusion or pneumothorax. note is made of a left central venous catheter with tip terminating in the mid svc. 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] low lung volumes. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. pulmonary vascularity is normal and the lungs are clear. the extreme left costophrenic angle, however, is excluded from the field of view. there is no large pleural effusion or pneumothorax. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] mild left basilar atelectasis is noted. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.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. there is a prominent epicardial fat pad. the lungs appear clear. there is an expansile lytic area along the suspected along the anterior lateral fourth rib, which is incompletely characterized. there are streaky opacities in the adjacent parenchyma. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. no evidence of acute cardiopulmonary disease. <num>. possible lytic lesion in the left fourth rib with adjacent pulmonary parenchymal reaction which may indicate that the lesion is posttraumatic but the possibility of soft tissue mass should be considered. initial further evaluation with dedicated left rib radiographs is suggested. </s>
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<s>[INST] the cardiac silhouette is unremarkable. there is vascular engorgement. the right hilum is more prominent than prior. there is a right lower lobe nodule, at not seen on prior examination.there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] suspected new right lower lobe nodule for which ct is recommended for further evaluation. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate slight hyperinflation. however, there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lung volumes are stable. no overt evidence of focal consolidation, however it cannot be completely excluded in the setting of pulmonary edema. interval worsening of pulmonary edema. stable moderate cardiomegaly. the pleural surfaces are normal. similar to the study from earlier today, the intra-aortic balloon pump reaches the aortic apex which reflect changes in patient posture even if the balloon has not been repositioned. the swan-ganz catheter ends in the descending right pulmonary artery.What are the key findings of this report? [/INST] slight interval worsening of pulmonary edema. intra-aortic balloon tip still impinges on the aortic apex. clinical correlation advised. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. aortic atherosclerotic calcification noted. 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] endotracheal tube ends approximately <num> cm above the carina. cardiomediastinal silhouette is normal. there is no large pleural effusion. there is no pneumothorax. healed left rib fractures seen. lungs are grossly clear. no acute fracture identified.What are the key findings of this report? [/INST] endotracheal tube tip ends approximately <num> cm above the carina. ng tube is in the stomach </s>
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<s>[INST] cardiomediastinal and hilar contours are stable. again seen is pleural fluid in the right apex and along the major fissure. there is no pneumothorax. the patient is status post right upper lobectomy. no new focal consolidation for pneumonia is present. et tube and enteric tube are in standard positions. again seen is a right subclavian catheter with tip terminating in the mid svc.What are the key findings of this report? [/INST] no pneumothorax. right pleural effusion stable. </s>
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<s>[INST] there is a left pigtail chest catheter. a small to moderate left apical and lateral pneumothorax is relatively unchanged since the interventional study. there is no right pneumothorax. there is a small left pleural effusion. the cardiac and mediastinal contours are stable. the right lung is grossly clear.What are the key findings of this report? [/INST] stable appearance of the small to moderate apical and lateral left pneumothorax since the ct procedure performed <num> hours prior. </s>
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<s>[INST] no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. no overt pulmonary edema is seen. subtle rounded opacity projecting over the left lower hemi thorax may represent nipple shadow. this could be confirmed with repeat with nipple markers. bilateral spinal rods are partially imaged and not optimally assessed on this study, however, no obvious spinal rod fracture is seen. no pulmonary edema.What are the key findings of this report? [/INST] no focal consolidation. subtle rounded opacity projecting over the left lower hemi thorax over the left anterior fifth rib may represent nipple shadow. this can be confirmed with repeat with nipple markers. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the left pectoral aicd device is unchanged in position, with the electrodes terminating in the right atrium and right ventricle. the lvad is redemonstrated. median sternotomy wires are intact. the lungs are free of focal consolidations, pleural effusions or pneumothorax. there is no pulmonary edema. cardiomediastinal silhouette remains enlarged.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. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] pa and lateral views of the chest are provided. the heart is mildly enlarged. there is no focal consolidation, effusion, or pneumothorax. there is no sign of pulmonary edema or chf. bony structures are intact. no free air below the diaphragms.What are the key findings of this report? [/INST] no acute findings in the chest. </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 were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous 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 consolidation, effusion, or edema. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] pa and lateral views of the chest were provided. the frontal view is somewhat limited in overall evaluation due to underpenetration in the setting of large body habitus. allowing for this, there is no focal consolidation, effusion, or pneumothorax. no signs of chf. heart and mediastinal contours appear normal. bony structures are intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate hyperexpansion but no focal consolidation, pleural effusion, or pneumothorax. additionally, there is probably a component of emphysema in the lower lobes. the hila are elevated, suggesting scarring. pleuroparenchymal scarring is noted in the apices. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] hyperexpansion. no consolidation. </s>
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<s>[INST] since the prior exam, the right internal jugular venous catheter approach swan-ganz catheter tip has been advanced and now lies within the right main pulmonary artery, well within the mediastinal contours. the left-sided and right-sided chest tubes as well as mediastinal drain has since been removed. otherwise, no significant interval change. persistent lower lung volumes. no focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the heart is mildly enlarged, unchanged. ett in standard position. median sternotomy wires unchanged.What are the key findings of this report? [/INST] swan-ganz catheter in appropriate position. </s>
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<s>[INST] the cardiac silhouette size is normal. the aortic knob demonstrates mild atherosclerotic calcifications. the pulmonary vasculature is normal, and the hilar contours are unremarkable. tiny bilateral pleural effusions have further decreased in size. no focal consolidation or pneumothorax is identified. scarring within the lung apices is re- demonstrated. an inferior vena cava filter is in unchanged position.What are the key findings of this report? [/INST] trace bilateral pleural effusions, decreased in size compared to the previous exam. no new focal opacities to suggest pneumonia. </s>
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<s>[INST] a single portable frontal view of the chest shows no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. the lungs are hyperlucent suggesting emphysema. right super hilar opacity is incompletely assessed. no large effusion or pneumothorax. cardiomediastinal silhouette is grossly unremarkable though calcification of the aorta is noted. bony structures appear grossly intact.What are the key findings of this report? [/INST] left suprahilar opacity incompletely characterized. please correlate with prior imaging studies in this patient with known lung cancer. </s>
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<s>[INST] bilateral pulmonary opacities are overall stable to slightly improved as compared to the prior study. no definite new focal consolidation seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] bilateral pulmonary opacities, overall stable to slightly improved as compared the prior study. </s>
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<s>[INST] ett tip is in standard position. an enteric tube traverses the diaphragm with its tip not seen. the stomach is non-distended. left jugular line is appropriately positioned. dual lead cardiac device is overall unchanged in position with <num> tip ending in the right atrium and the other in the right ventricle. right-sided pigtail catheter projects over the right hemithorax and right mediastinum and appears intact. right upper lobe opacity persists, but lower lung opacities are significantly improved. the right pleural effusion appears resolved. hazy opacification of the left costophrenic angle and the left lung base suggests persistent layering small pleural effusion. no change in retrocardiac opacity which may represent atelectasis, although focal consolidation cannot be excluded in appropriate clinical setting. no pneumothorax. stable appearance of the cardial mediastinal silhouette without cardiomegaly.What are the key findings of this report? [/INST] <num>. improved edema with persistent right upper lobe opacity concerning for concurrent pneumonia. <num>. resolved right pleural effusion. </s>
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<s>[INST] there are low lung volumes. prominence and indistinctness of the hila with perihilar alveolar opacities consistent with moderate pulmonary edema. additional right middle lobe opacity could be due to atelectasis adjacent to large hiatal hernia or pneumonia. there is a large hiatal hernia with retrocardiac air-fluid level seen.no pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are grossly stable. evidence of dish is seen along the spine.What are the key findings of this report? [/INST] moderate pulmonary edema. right middle lobe opacity may be due to atelectasis adjacent to large hiatal hernia versus pneumonia. </s>
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<s>[INST] known right apical pneumothorax measures <num> cm, previously <num> cm. bilateral diffuse lung opacities remain unchanged. right-sided chest tube tip projects over the mediastinum, appears retracted and minimally coiled in the right pleural space compared to the prior radiograph. unchanged cardiomegaly and bilateral pleural effusions with elevation of the left hemidiaphragm. no interval change in bony thorax.What are the key findings of this report? [/INST] stable to minimal interval decrease in size of right apical pneumothorax. right-sided chest tube appears to have moved inferiorly and appears minimally coiled in the right pleural space compared to the prior radiograph. bilateral pleural effusions, left greater than right, bilateral diffuse lung opacities and cardiomegaly remain unchanged. recommendation(s): continued followup recommended. </s>
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<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well-expanded lungs without focal consolidation, effusion, pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. there is 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] ap and lateral chest radiographs were provided. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact. metallic densities, the largest is irregular and <num> mm in size, project over the posterior soft tissues of the right flank.What are the key findings of this report? [/INST] no acute cardiopulmonary process. metallic densities project over the posterior soft tissues of the right flank, correlate with history (shrapnel?) </s>
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<s>[INST] no focal consolidations. no pulmonary edema. stable appearance of the cardio mediastinal silhouette with an electronic device projecting over the left heart. no pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. moderate cardiac enlargement with left ventricular prominence as before. generally widened and somewhat elongated thoracic aorta with calcium deposits in the wall, also unchanged. the pulmonary vasculature is not congested. there is no evidence of pneumothorax on either side in this patient who has undergone ct-guided interventional procedure earlier during the same day.What are the key findings of this report? [/INST] no evidence of post-interventional pneumothorax. </s>
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<s>[INST] the left hemidiaphragm is entirely obscured. increased density over the costophrenic angles on the lateral projection could represent a small effusion or a small focal consolidation in the proper clinical setting. there is no pneumothorax or pulmonary edema. cardiomegaly is mild and unchanged.What are the key findings of this report? [/INST] increased density overlying the posterior costophrenic angle on the lateral projection could represent a small pleural effusion or small focal consolidation in the proper clinical setting. examination is limited due to obscuration of the left hemidiaphragm, possibly due to a pericardiac fat pad. </s>
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<s>[INST] the patient is rotated distorting the appearance of the right thoracic cage. tracheostomy tube is in standard position. right lower hemithorax opacity with silhouetting of the right heart border is consistent with a combination of a small pleural effusion, atelectasis, and residual but improved consolidation from infection. no pneumothorax. asymmetric edema and pulmonary vascular engorgement on the prior exam in the right lung has markedly improved. no frank pulmonary edema. pulmonary vascular engorgement is now more symmetric and minimal.What are the key findings of this report? [/INST] <num>. persistent but markedly improved pneumonia. <num>. small right pleural effusion and atelectasis. <num>. improved edema and bronchovascular engorgement, now minimal in more symmetric. </s>
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<s>[INST] endotracheal tube terminates at the upper margin of the clavicles, and should be advanced for better positioning.enteric tube terminates beyond the diaphragm. right ij sheath terminates at the origin of the svc. right picc line terminates in the mid svc. heart size is stable. left lower lobe collapse and small left pleural effusion are unchanged. significant right lower lobe atelectasis is similar.What are the key findings of this report? [/INST] high position of the endotracheal tube with bilateral lower lobe atelectasis. considered advancement. </s>
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<s>[INST] single portable ap upright chest radiograph demonstrates an oval shaped, poorly defined opacity within the right lower lobe, new relative to examination dated <unk> and <unk>. minor linear atelectasis is present at the left lung base. cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema. imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] opacity within the right lower lobe which could potentially represent a early/focal pneumonia. followup radiographs after antibiotic therapy are recommended to ensure resolution and to exclude the possibility of a lung neoplasm. recommendation(s): followup chest radiograph in <num> weeks after completion of antibiotic therapy to ensure resolution of focal right lower lobe opacity. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is mediastinal and right hilar prominence, new since <unk>, concerning for lymphadenopathy. the heart size is normal. no focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] mediastinal and right hilar prominence, new from <unk>, worrisome for lymphadenopathy. correlation with chest ct advised. </s>
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<s>[INST] a tracheostomy tube is unchanged, within the midtrachea. an enteric tube terminates within the duodenum. a right upper extremity picc is in the distal svc/cavoatrial junction. retained enteric contrast is seen in the left upper quadrant appear there has been an increase in mild pulmonary edema and prominence of the central vasculature. small bilateral pleural effusions are unchanged. there is persistent elevation of the left hemi-diaphragm with overlying atelectasis. there is no pneumothorax. the cardiac and mediastinal contours, including moderate cardiomegaly, are unchanged.What are the key findings of this report? [/INST] increase in mild pulmonary edema with unchanged possible trace right pleural effusion. </s>
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<s>[INST] the diameter of the tracheostomy tube cuff is consistently greater than the expected diameter of the trachea, suggesting tracheomalacia. right picc ends in the low svc. ng tube in the decompressed stomach. complete opacification of the left hemithorax due to left lung collapse is unchanged since at least <unk> and has occurred previously. the left margins of the cardiomediastinal silhouette are obscured and the volume of any left pleural effusion is indeterminate. a small right pleural effusion is new or increased. the right lung is clear. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. tracheostomy with hyperexpanded cuff, likely due to tracheomalacia. <num>. appropriate positioning of right picc and ng tube. <num>. persistent left lung collapse. chronic severely elevated left hemidiaphragm is probably paralyzed or extremely eventrated. <num>. small right pleural effusion. </s>
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<s>[INST] portable semi-erect chest film <unk> at <num> is submitted.What are the key findings of this report? [/INST] increasing patchy opacity at the right medial lung base with lower lung volumes which could reflect worsening atelectasis, although pneumonia or aspiration should also be considered. the right basilar pleural pigtail catheter remains in place. no pneumothorax is appreciated. overall cardiac and mediastinal contours are likely unchanged given differences in inspiration. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. the lungs are hyperinflated, suggestive of emphysema. heart and mediastinal contours are stable with mild cardiomegaly and a calcified tortuous aorta.What are the key findings of this report? [/INST] hyperinflated lungs without radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] left perihilar and left basilar opacities persist, possibly slightly increased compared to the prior study. there is persistent elevation of the right hemidiaphragm. no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable peerWhat are the key findings of this report? [/INST] re- demonstrated left perihilar and left basilar opacities, similar to possibly slightly increased as compared to the prior study. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] mild bibasilar atelectasis. no focal consolidation. </s>
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<s>[INST] the ett is approximately <num> cm above the carina. left ij central venous catheter terminates in cavoatrial junction. the enteric tube terminates in the stomach. the lung volume is small, exaggerating pulmonary vascular markings and the cardiomediastinal silhouette. right lower lobe opacity is grossly unchanged. left lower lobe atelectasis is stable. no new consolidation. small pleural effusion bilaterally is unchanged.What are the key findings of this report? [/INST] stable chest radiograph with pulmonary vascular markings, bibasilar opacities and cardiac silhouette exaggerated by small lung volume. </s>
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<s>[INST] right jugular hemodialysis catheter is unchanged with tip ending in right atrium. the right subclavian catheter is unchanged with tip ending in mid svc. after positioning the patient in erect position, a small layer of pneumothorax is now visible at the right lung base posteriorly and is comparable in size to that described in chest ct of <unk>. right lung base is persistently opacified partially for atelectasis and small pleural effusion alongside the costopleural space. left lung is unchanged and clear. heart is persistently enlarged. there is no pleural effusion on the left lung.What are the key findings of this report? [/INST] small right base posterior pneumothorax after chest tube removal. small right base pleural effusion and atelectasis. </s>
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<s>[INST] the cardiomediastinal contours are stable with calcification of the aortic knob. widening of the right paratracheal stripe is stable since <unk> but new since <unk>. there is no pleural effusion or pneumothorax. patchy opacification at the left lung base may be consistent with atelectasis, aspiration, or pneumonia in the correct clinical setting. the pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] <num>. left lower lobe consolidation which may be consistent with aspiration or pneumonia in the correct clinical setting. <num>. widening of the right paratracheal stripe, which is new since <unk> but stable since <unk>. while this may represent developing tortuosity of mediastinal vasculature, a pa chest radiograph is recommended on a nonurgent basis for further evaluation. </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. a very mild dextroscoliosis of the t-spine noted. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process </s>
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<s>[INST] patient is rotated somewhat to the right. left base linear atelectasis/scarring is seen. the left hemidiaphragm is somewhat elevated with gaseous distension of the stomach beneath. no large pleural effusion or pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. there is moderate to severe compression of vertebral body at the thoracolumbar junction, new since <unk>, but of otherwise indeterminate age.What are the key findings of this report? [/INST] left base linear atelectasis/ scarring. moderate to severe compression of a vertebral body at the thoracolumbar junction, new since <unk> ct, but of otherwise indeterminate age. </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 and there has been interval resolution of left lower lobe and lingular opacities. 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 cardiac size appears enlarged as compared to prior examination. lungs are clear. there is no new focal consolidation. blunting of the left costophrenic angle and increased retrocardiac opacity are likely a combination of increased pleural effusion and atelectasis. there is no definite pneumothorax.What are the key findings of this report? [/INST] <num>. no definite pneumothorax. <num>. interval enlargement of cardiac size could be related to pericardial effusion in the appropriate clinical setting. findings discussed with <unk> and <unk> by <unk> via telephone on <unk> at <time> pm. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. the cardiac silhouette is enlarged due to cardiomyopathy and/or pericardial effusion. patient is status post median sternotomy. a dual-lead left-sided pacer device is seen. the distal aspect of the leads are not seen due to underpenetration at the lower hemithorax. the hemidiaphragms are partially obscured but could relate to underpenetration, although there may also be a right-sided pleural effusion with underlying atelectasis, underlying consolidation cannot be excluded. there is mild prominence of the central pulmonary vasculature which could in part relate to low lung volumes. no pneumothorax is seen.What are the key findings of this report? [/INST] underpenetration of the lung bases which may be related to patient body habitus, and low lung volumes make exam suboptimal. given this, opacity at the right lung base could be due to pleural effusion and atelectasis, underlying consolidation not excluded. left base retrocardiac opacity seen may also be due to atelectasis and/or consolidation. mild central pulmonary vascular prominence. enlarged cardiac silhouette. </s>
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<s>[INST] the patient has now been extubated. the ng tube is been removed. the right internal jugular vein swan-ganz catheter tip lies within the mediastinal contours and appropriately positioned in the main pulmonary artery, slightly more proximal than previously. aeration of the lungs has improved. interval improvement in right pleural effusion, now minimal in size. left pleural effusion has resolved. the heart remains moderately to severely enlarged, overall unchanged. pulmonary vascular congestion is mild and improved. no pneumothorax.What are the key findings of this report? [/INST] <num>. resolved left pleural effusion; improved, now small right pleural effusion. <num>. edema is better, now mild. </s>
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<s>[INST] the lungs are well inflated and grossly clear. there is no focal consolidation. no evidence of pulmonary edema, pleural effusion, or pneumothorax. mild pectus excavatum is incidentally noted. the cardiomediastinal silhouette, hilar contours, pleural surfaces are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographs were obtained. median sternotomy wires are intact. left chest pacemaker has leads terminating in the right atrium and right ventricle. on the frontal view only, there is a subtle area of increased radiodensity in the right upper lobe. there is persistent moderate cardiomegaly with left atrial enlargement. the mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] subtle increase in radiodensity in the right upper lobe. early pneumonia shoulder be considered in the differential diagnosis given clinical presentation. findings were communicated with dr.<unk> at <num>am via telephone on <unk>. </s>
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<s>[INST] portable upright study <unk> at <time> is submitted.What are the key findings of this report? [/INST] there is near complete opacification of the right hemithorax which may reflect a layering effusion with associated lobar atelectasis or worsening pneumonia. the left lung is relatively well inflated with the exception of the retrocardiac region where there is likely compressive atelectasis or aspiration in the setting of a smaller effusion. no pneumothorax is seen. hardware is again seen overlying the lower cervical and upper thoracic spine. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are hyperinflated. again noted is an linearly oriented nodular opacity in the right upper lobe, unchanged since <unk>, with associated right upper lobe volume loss. there is no pleural effusion or pneumothorax. no definite consolidation is identified.What are the key findings of this report? [/INST] <num>. no acute intrathoracic abnormality. <num>. persistent, linearly oriented nodular right upper lobe opacity. although potentially due to scarring, further evaluation with chest ct may be helpful to exclude a slow growing lung adenocarcinoma or indolent infection. </s>
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<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] left pleural pigtail catheter has been removed. there is no consolidation, pleural effusion, or pneumothorax. right apical parenchymal and pleural scarring is unchanged. et tube is approximately <num>-<num> cm above the carina. cardiomediastinal silhouette is normal size and unchanged. dobbhoff tube terminates in the stomach. left subclavian venous line terminates at superior svc.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph </s>
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<s>[INST] pa and lateral views of the chest were obtained. cardiomediastinal silhouette is stable. there is subtle increased retrocardiac opacification anterior to the spine, which may represent atelectasis; however, very early consolidation cannot be excluded. pulmonary vasculature is normal. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] subtle increased opacification on the lateral view posterior to the heart and anterior to the spine likely represents atelectasis; however, very early pneumonia cannot be excluded. </s>
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<s>[INST] ap and lateral radiographs of the chest were acquired. the lung volumes are slightly low, causing accentuation of the pulmonary vasculature. ill-defined opacities thought to be in the lingula, but best seen on the lateral projection, are likely atelectasis, although an infectious process cannot be excluded. otherwise, the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. multilevel degenerative changes of the thoracolumbar spine are noted.What are the key findings of this report? [/INST] <num>. lingular atelectasis, less likely pneumonia. <num>. low lung volumes. </s>
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<s>[INST] pa and lateral views of the chest were obtained. the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the bony structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] since prior there has been improvement of previously seen pulmonary vascular congestion. multiple support tubes and lines and prior are no longer visualized. lung volumes are low. there is no effusion or consolidation. the cardiomediastinal silhouette is within normal limits. degenerative changes seen at the shoulders bilaterally.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a left port is seen terminating at the cavoatrial junction. a left hilar mass consistent with lymphadenopathy and paramediastinal fibrosis is seen. there are also multiple nodules on the right lung consistent with multiple metastases better characterized on ct dated <unk>. there is no pleural effusion.What are the key findings of this report? [/INST] there is little change in the lymphadenopathy and probable hematogenous metastases to the right lung. </s>
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<s>[INST] portable supine ap radiograph of the chest. new et tube terminates <num> cm from the carina. enteric tube terminates in the stomach. there are worsening bilateral interstitial opacities which are predominantly perihilar and basilar. right infrahilar opacity persists. moderate cardiomegaly is unchanged. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. et tube in appropriate position. <num>. moderate cardiomegaly is unchanged and pulmonary edema is worse. </s>
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<s>[INST] compared to <num> minutes prior, no significant changes. the recently placed enteric tube terminates superior to the ge junction with a side-port in the distal esophagus.What are the key findings of this report? [/INST] an enteric tube terminates above the ge junction with a side-port in the distal esophagus. recommend advancing by <num> cm. no other significant change. </s>
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<s>[INST] pa and lateral views of the chest were provided. there is no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous structures appear intact. there is no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there is a small linear opacity at the left base, which likely represents atelectasis. the lungs are otherwise clear. there is no consolidation, edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.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] heart size is normal. the right heart border is not well seen; however, this is unchanged from prior exam and is likely due to mediastinal fat. the hilar contours are unremarkable. the lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are well expanded and clear besides right apical scarring. no pleural effusion. no pneumothorax. there is cardiomegaly, as before. the aorta is calcified, indicating atherosclerosis. the aorta is tortuous. no bony abnormalities.What are the key findings of this report? [/INST] cardiomegaly without acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without effusion, consolidation, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] an endotracheal tube has been placed with the tip terminating approximately <num> cm above the carina at the level of the thoracic inlet. an og tube courses below the diaphragm with the tip terminating in the left upper quadrant, likely within the stomach. the cardiomediastinal silhouette is within normal limits. there is no large pleural effusion or pneumothorax. multiple opacities predominantly in the left mid lung zone may represent multifocal infection or malignancy. there is also retrocardiac opacification and subtle increased density in the right lung base. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] <num>. appropriate position of support devices. <num>. multifocal opacities predominantly in the left mid lung zone could represent multifocal infection or malignant involvement. further evaluation with dedicated ct of the chest is recommended. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a left-sided pacemaker projecting leads into the left atrium and ventricle is unchanged in position and orientation. the heart size is top-normal. the hilar and mediastinal contours are unchanged. the right lung apex is obscured by the patient's chin. mild central pulmonary vascular congestion and pulmonary edema are present. a large hiatal hernia is unchanged. a small left pleural effusion is new.What are the key findings of this report? [/INST] <num>. small left pleural effusion. <num>. central pulmonary vascular congestion with mild pulmonary edema. <num>. large hiatal hernia. </s>
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<s>[INST] the lungs are well aerated and clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiomediastinal and hilar silhouettes are unremarkable.What are the key findings of this report? [/INST] normal chest radiograph </s>
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<s>[INST] chest, portable. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] portable upright radiograph of the chest demonstrates a large amount of intraperitoneal free air lifting the diaphragm off the liver surface. within the upper abdomen, there are severely dilated loops of colon, with the transverse colon measuring up to <num> cm in diameter. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. perforated toxic megacolon secondary to c. difficile colitis. <num>. no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. a subtle opacity at the right heart border likely represents crowding of vascular structures and atelectasis. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear. there is no consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap upright portable chest radiograph is obtained. the lung volumes are low. there is perihilar mid and lower lung streaky opacity which could represent atelectasis and/or atypical pneumonia. no effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] streaky lower lung opacities could represent an atypical pneumonia or atelectasis. </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. no infiltrate </s>
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<s>[INST] there is right middle lobe consolidation. the left lung is clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] new right middle lobe consolidation representing pneumonia. </s>
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<s>[INST] two views were obtained of the chest. the lungs are mildly low in volume giving the appearance of bronchovascular crowding but otherwise clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] lung volumes are low causing bronchovascular crowding. there is right basilar atelectasis. the left ij central venous catheter ends at the cavoatrial junction. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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