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<s>[INST] there has been an interval withdrawal of the right picc line, now seen terminating in the mid svc. no associated pneumothorax is identified. the remainder of the examination is essentially unchanged as compared to the chest radiograph performed <num> hour earlier on the same day.What are the key findings of this report? [/INST] right picc line, now seen terminating in the mid svc. findings were conveyed by dr. <unk> to <unk> at <time> on <unk>, <unk> min after discovery. </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] the lungs are clear without focal opacities, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. elevation the right hemidiaphragm is chronic. no free air beneath the hemidiaphragms.What are the key findings of this report? [/INST] no acute cardiothoracic process. no free air beneath the hemidiaphragms. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is unremarkable. mild pectus deformity. no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no radiographic evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are better expanded. despite this there is improvement in the moderate pulmonary edema. there may be a small right pleural effusion, which is unchanged. there is no pneumothorax focal airspace consolidation. the cardiac silhouette remains mildly enlarged. prominence of the upper mediastinum reflects known mediastinal lymphadenopathy.What are the key findings of this report? [/INST] improved moderate pulmonary edema with a persistent small right pleural effusion. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. there is no pneumomediastinum. no acute osseous abnormalities identified. no free air seen below the diaphragm.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. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are clear. 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] since <num> days prior, mild pulmonary edema and small, bilateral pleural effusions have increased. moderate to severe cardiomegaly is essentially unchanged. upper lung fields are clear. no pneumothorax.What are the key findings of this report? [/INST] increased, mild pulmonary edema and increased, small, bilateral pleural effusions. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. pulmonary hila appear prominent bilaterally. interval decrease in size of small bilateral pleural effusions, left greater than right, with associated improving bibasilar atelectasis. . there are no acute osseous abnormalities.What are the key findings of this report? [/INST] slight improvement in small pleural effusions and accompanying basilar atelectasis. no new foci of consolidation to suggest the presence of pneumonia. prominent hilar contours may reflect prominent pulmonary vascularity or hilar lymphadenopathy in this patient with a history of hepatocellular carcinoma. recommendation: if warranted clinically, contrast-enhanced chest ct could be obtained for further characterization of the hilar structures. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. since the prior study, there is increased interstitial markings and bilateral opacities, predominantly in the perihilar region. the findings suggest pulmonary edema although concurrent infection cannot be excluded. the heart is at least moderately enlarged. there is no pleural effusion or pneumothorax. there is diffuse osteopenia with vertebral body loss of height in the thoracic spine.What are the key findings of this report? [/INST] findings suggest pulmonary edema. concurrent infection cannot be excluded. recommend repeat radiographs after treatment. </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 pneumonia. there is no pleural effusion or pneumothorax. visualized osseous structures are unremarkable, aside from mild scoliosis.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s>
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<s>[INST] pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] normal radiographs of the chest. </s>
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<s>[INST] the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. a right-sided port-a-cath terminates in the low svc.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-supine position. analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. cardiac enlargement, widening of thoracic aorta, and significant right-sided convex scoliosis of the thoracic spine are as before. on the present examination, a permanent pacer capsule is identified in left anterior axillary position seen to be connected to a single intracavitary electrode with termination point compatible with right ventricular apical position. the pulmonary vasculature has not undergone any change, and there is no evidence of pneumothorax on either right or left side. no new infiltrates are seen.What are the key findings of this report? [/INST] single electrode permanent pacer placed, no pneumothorax. </s>
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<s>[INST] ap and lateral views of the chest were provided. the lungs are clear and well inflated. no pneumothorax or pleural effusion. cardiomediastinal silhouette is normal. no displaced rib fractures are seen. the spine aligns normally without compression fracture.What are the key findings of this report? [/INST] no injury seen in the chest. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in upright position. comparison is made with the next preceding studies obtained <num> and <num> hours earlier. marked cardiac enlargement as before. position of right-sided chest tube as well as smaller draining catheter unchanged. unaltered position of previously described left-sided picc line terminating in lower svc and probably approaching right atrium. there is no evidence of pneumothorax. as before, markedly congested vascular pattern in lungs and evidence of bilateral pleural effusion. the congestive vascular pattern persists and may even have increased further. size quantitation of this process on single chest view has limitations.What are the key findings of this report? [/INST] persistent pulmonary congestion and increased pleural effusions. no pneumothorax. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with normal cardiomediastinal contours. the lungs are hyperinflated with flattened diaphragms, suggesting chronic underlying obstructive disease. lungs are clear without focal abnormality. no pleural effusion or pneumothorax. chronic-appearing right-sided rib fractures are again seen. no acute displaced rib fracture is visualized. compression deformity of a mid-thoracic vertebral body is similar to prior. no radiopaque foreign body.What are the key findings of this report? [/INST] <num>. chronic right rib fractures without acute displaced rib fracture. <num>. emphysema. </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] overall unchanged appearance compared to the prior exam. numerous bilateral pulmonary of metastases appear unchanged from the prior exam. probable persistent collapse of the left upper lobe, although not fully assessed without the lateral view. stable elevation of the left hemidiaphragm. stable cardiomediastinal silhouette. no pleural effusion. no pneumothorax. no focal consolidation to suggest pneumonia. no acute osseous abnormality. the stomach is distended. stable appearance of the staghorn calculus in the right kidney.What are the key findings of this report? [/INST] no significant interval change. stable numerous bilateral pulmonary metastases and left upper lobe collapse. </s>
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<s>[INST] there is new opacification at the right lung base. the remainder of the lungs are clear. heart size is normal. mediastinal and hilar contours are stable, but slightly shifted to the left, likely due to patient position. a left port-a-cath is present with tip terminating in the region of the cavoatrial junction.What are the key findings of this report? [/INST] new right base opacification which in the correct clinical setting is compatible with pneumonia. </s>
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<s>[INST] subtle right middle lobe airspace opacity is noted, which have increased from the prior examination. lung volumes are low. there is no large pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] increased opacity at the right medial lung base, which may represent atelectasis versus a developing pneumonia </s>
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<s>[INST] the lungs are normally expanded. retrocardiac opacity worsened between <unk> and <unk>, persists. heart size is exaggerated by ap technique and is likely normal. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left retrocardiac consolidation, increased <unk> to <unk>, warrants ct evaluation. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized. the thoracic spine again curves mildly to the right.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] patient is status post median sternotomy. mild to moderate enlargement of the cardiac silhouette is re- demonstrated. no focal consolidation is seen. there is no large pleural effusion or pneumothorax. mediastinal contours are stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] enlarged cardiac silhouette. no focal consolidation or large pleural effusion. no pulmonary edema. </s>
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<s>[INST] there relatively low lung volumes. the cardiac silhouette remains markedly enlarged. the patient is status post median sternotomy and cardiac valve replacement. there is prominence of the central pulmonary vasculature suggesting mild pulmonary edema, somewhat is slightly increased as compared to the prior study. subtle confluent opacity at the right lung base could relate to vascular congestion although an underlying consolidation is difficult to exclude. no pneumothorax is seen. there are scattered areas of linear atelectasis/scarring.What are the key findings of this report? [/INST] mild pulmonary edema. cardiomegaly. </s>
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<s>[INST] et tube terminates <num> cm above the carina. transesophageal tube terminates in the stomach. lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion.What are the key findings of this report? [/INST] et tube terminates <num> cm above the carina. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. lung volumes are low, with bronchovascular crowding and mild bibasilar atelectasis. a trace right pleural effusion is unchanged. no left pleural effusion or pneumothorax is identified. no rib fracture is seen. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] unchanged trace right pleural effusion. otherwise normal chest radiograph, without acute fracture. </s>
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<s>[INST] since the prior examination, bilateral pleural effusions have resolved. the cardiac silhouette is borderline enlarged. the mediastinal silhouette is unremarkable and unchanged since the prior examination. no focal consolidation is identified. there is no evidence of pulmonary edema.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] chest, pa and lateral. the lungs are clear. moderate cardiomegaly is unchanged. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. unchanged chronic moderate cardiomegaly. </s>
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<s>[INST] the lungs appear hyperinflated. no focal consolidation concerning for pneumonia is detected. there is no pleural effusion or pneumothorax. chronic changes at the right lung apex possibly reflecting scarring are again noted. there is mild central enlargement of the pulmonary arteries. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. the trachea is midline.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. mildly enlarged central pulmonary arteries. <num>. hyperinflated lungs. </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] small right pleural effusion is with likely overlying right base atelectasis. right base opacity most likely due to atelectasis although small area of consolidation is difficult to exclude. the left lung is clear. there is no left pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pneumomediastinum is seen or evidence of free air beneath the diaphragms.What are the key findings of this report? [/INST] small right pleural effusion with overlying atelectasis. right base opacity likely represents combination of pleural effusion and atelectasis, although subtle consolidation is difficult to exclude. no pneumomediastinum or evidence of free air beneath the diaphragms. </s>
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<s>[INST] the lungs are hyperinflated reflecting chronic pulmonary disease. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.What are the key findings of this report? [/INST] emphysema. no pneumonia or pulmonary edema. </s>
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<s>[INST] left-sided chest tube is in satisfactory position. the lung volume is small. right layering pleural effusion is small. left pleural effusion and left lower lobe atelectasis are mild. no pneumothorax. cardiomegaly is severe. stomach is significantly distended.What are the key findings of this report? [/INST] <num>. bilateral mild pleural effusion. no pneumothorax. <num>. significantly distended stomach. </s>
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<s>[INST] since the chest radiograph obtained <num> days prior, there has been interval removal of an enteric tube. lung volumes appear lower with increased crowding of the pulmonary vasculature and atelectasis of the right middle and left lower lobes. small bilateral pleural effusions. moderate cardiomegaly without pulmonary vascular congestion or pulmonary edema is unchanged.What are the key findings of this report? [/INST] increased atelectasis with small bilateral pleural effusions. no clear consolidation identified. </s>
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<s>[INST] the cardiomediastinum has shifted left since prior radiographic examination done <unk> with a left lower lobe collapse. the moderate right pleural effusion and pulmonary edema are both improved however there is residual vascular congestion. the et tube is <num> cm above the carina. there is an ng tube entering the stomach, but tube goes out of view. no pneumothorax.What are the key findings of this report? [/INST] interval left lower lobe collapse with mild mediastinal shift. however, improved right pleural effusion and pulmonary edema </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are clear. no focal consolidation, large effusion or pneumothorax. heart size is normal. mediastinal contour is stable. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged and there is no overt pulmonary edema. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are within normal limits. the aorta is tortuous. the trachea is midline.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] normal heart, lungs, hila, mediastinum, and pleural surfaces.What are the key findings of this report? [/INST] <num>. normal chest radiograph; no evidence of pulmonary embolism. </s>
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<s>[INST] single frontal view of the chest was obtained. the patient is rotated to the left. opacity projecting over the right medial base is felt to likely be due to overlapping vascular structures. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] interval placement of a right-sided chest tube with tip terminating in the left costophrenic angle. lung appears to have re-expanded with no pneumothorax identified. leftsided subcutaneous gas identis stable. faint opacifications in the left lung correspond with areas of atelectasis and contusion, better assessed on the concurrent ct. endotracheal tube terminates at the level of the clavicles. nasogastric tube passes below the left hemidiaphragm and out of view. cardiomediastinal and hilar contours are unremarkable. right lung is clear.What are the key findings of this report? [/INST] interval placement of left chest tube terminating in the left lung base, with reexpansion of lung. no pneumothorax currently evident. </s>
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<s>[INST] in comparison with prior radiograph, there is a new hazy patchy parenchymal infiltrate in the central lateral portion of the right lower lobe which most likely represents intervening superinfection. the remainder of the chronic changes including severe apical scarring which is more prominent on the left and traction to the left side are stable. again seen is stable elevation of the hila bilaterally related to fibrotic changes. cardiac silhouette remains enlarged. there is no evidence of pneumothorax or pleural effusion. the aorta is tortuous. there is demineralization of the spine without evidence of comparison.What are the key findings of this report? [/INST] hazy patchy infiltrate in the central lateral portion of the right lower lobe, new from prior exam and most likely represents intervening superinfection. recommend followup after treatment. these findings were reported to dr. <unk> by dr. <unk> <unk> telephone on <unk> at <unk> hours. </s>
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<s>[INST] the lungs are well-expanded and clear. heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. 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] lung volumes are low which leads to bronchovascular crowding. there is mild pulmonary edema as well as atelectasis at the left lung base. there is asymmetric elevation of the left hemidiaphragm. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are normal. there is a severe compression deformity of the t<num> vertebral body. there is also apparent inferior subluxation of the right humeral head with respect to the glenoid.What are the key findings of this report? [/INST] <num>. low lung volumes with bibasilar atelectasis. no focal consolidation. <num>. mild pulmonary edema. <num>. severe compression deformity of the t<num> vertebral body of unknown chronicity. correlate with focal tenderness. <num>. apparent inferior subluxation of the right humeral head with respect to the glenoid, but this may be projectional. correlate with history of shoulder pain/trauma. </s>
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<s>[INST] compared to chest radiographs from <unk>, there has been interval development of an air-fluid level within the right axilla containing surgical clips, which could represent a developing fluid collection or abscess. upper mediastinal widening has improved, consistent with probable evolving postoperative hematoma. tiny bilateral pleural effusions are unchanged. bibasilar atelectasis has improved. moderate cardiomegaly is stable.What are the key findings of this report? [/INST] <num>. new air-fluid level within the right axilla containing surgical clips, concerning for a developing fluid collection or possible abscess. <num>. improved upper mediastinal widening, consistent with probable evolving postoperative hematoma. <num>. stable tiny bilateral pleural effusions. stable moderate cardiomegaly. <num>. improved bibasilar atelectasis. </s>
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<s>[INST] there has been some interval partial clearing of the alveolar infiltrates however there continues to be lower greater than upper lobe infiltrate. the et tube, right subclavian line, right chest tube are unchanged. there small bilateral pleural effusions. there continues to be dense retrocardiac opacity.What are the key findings of this report? [/INST] interval partial clearing with continued bilateral lower lobe volume loss/ infiltrate/effusion </s>
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<s>[INST] frontal and lateral chest radiographs. there is no focal consolidation, pleural effusion, or pneumothorax. the lungs are hyperinflated. top normal heart size is exaggerated by pectus excavatum. coronary artery stent is in stable position.What are the key findings of this report? [/INST] no cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours remain unchanged. again seen is a moderate-sized right pleural effusion with atelectasis, not significantly changed from prior. the previously seen right apical pneumothorax has resolved, and there is no left pneumothorax. there is no new parenchymal consolidation. the left basilar consolidation is improved on the current study.What are the key findings of this report? [/INST] stable small-to-moderate right pleural effusion with associated consolidation, likely atelectasis. resolution of small right apical pneumothorax. </s>
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<s>[INST] compared to the prior study there is no significant interval change. there is a tiny left lateral pneumothorax with left chest tube in place. again seen are bilateral pulmonary lesions compatible with metastatic disease. mediastinal clips and sternal wires are unchanged. left-sided dual lead pacemaker is unchanged.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] streaky left retrocardiac atelectasis is noted. the lungs are otherwise grossly clear without evidence for consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged from prior exam. diffuse idiopathic skeletal hyperostosis is noted within the visualized thoracic spine. no acute fracture is seen. a right-sided port-a-cath is again noted with the tip terminating in the mid svc. surgical clips overlie the right upper quadrant.What are the key findings of this report? [/INST] left retrocardiac atelectasis without evidence for acute cardiopulmonary process. </s>
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<s>[INST] the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal structures. no pneumonia, no pulmonary edema. no pleural effusions.What are the key findings of this report? [/INST] normal chest radiograph without evidence of pneumonia. </s>
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<s>[INST] ap and lateral views of the chest. low lung volumes seen on the current exam with secondary crowding of the bronchovascular markings. there is no consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. degenerative change is noted at the acromioclavicular joints bilaterally. there is a compression deformity in the upper lumbar spine which was seen in previous exam from <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] blunting of the posterior costophrenic angles is compatible with small bilateral pleural effusions. linear bibasilar opacities are suggestive of atelectasis. superiorly, the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] small bilateral pleural effusions with adjacent atelectasis. superimposed infection is difficult to exclude. </s>
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<s>[INST] pa and lateral views of the chest were provided. suture are again noted in the right lower lung compatible with prior right middle lobectomy. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged 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] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post median sternotomy, ascending aortic replacement and aortic valve replacement. the cardiac silhouette size is mildly enlarged. the mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is identified. there are mild degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] retrocardiac opacity obscures the medial left hemidiaphragm. there is no pneumothorax. there may be trace bilateral pleural effusions. there is moderate bilateral pulmonary vascular congestion and mild to moderate interstitial edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] <num>. retrocardiac opacity could be due to atelectasis or pneumonia. <num>. mild to moderate interstitial edema. </s>
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<s>[INST] there is re- demonstration of moderate to severe cardiomegaly with mild on folding of a calcified thoracic aortic arch. there is re- demonstration of small bilateral pleural effusions with bibasilar atelectasis. there is mild interstitial pulmonary edema. there is no pleural effusion. the bones appear prominently demineralized. left-sided dual lead pacer is unchanged.What are the key findings of this report? [/INST] moderate to severe cardiomegaly, small bilateral pleural effusions and mild interstitial pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest provided. calcified granuloma projects over the right mid lung. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the central venous catheter is in unchanged position. there has been a slight interval increase in the right small pleural effusion compared to the exam from <unk>. there is a moderate left pleural effusion which appears slightly improved compared to the prior exam. the left heart border is obscured by the pleural effusion. the hilar and mediastinal contours demonstrate mild vascular engorgement; however, there is no evidence of pulmonary edema. there is no evidence of a pneumothorax.What are the key findings of this report? [/INST] slight interval increase in the small right pleural and slight interval decrease in the moderate left pleural effusion compared to the prior exam. </s>
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<s>[INST] in comparison to the prior study, there is little difference in the retrocardiac atelectasis. no focal consolidations. granuloma is noted in the left upper hemi thorax. cardiac size is top normal. no pneumothorax. no evidence of free air. deviated trachea is likely from an enlarged thyroid.What are the key findings of this report? [/INST] retrocardiac atelectasis. no focal consolidations concerning for pneumonia. </s>
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<s>[INST] right ij terminating at the mid to lower svc. there is a progressively more prominent right lower lung opacity. the cardiomediastinal silhouette is largely unchanged. no definite pleural effusion is seen.What are the key findings of this report? [/INST] right lower lobe opacity consistent with pneumonia, given the clinical history. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. osseous structures demonstrate no acute abnormality.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 were provided demonstrating no focal consolidation, effusion or pneumothorax. the heart is top normal in size though stable. the mediastinal contour appears normal. imaged osseous structures appear intact, though there is severe degenerative disease at the left shoulder partially imaged.What are the key findings of this report? [/INST] no acute findings in the chest. top normal heart size. degenerative changes of the left shoulder joint. </s>
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<s>[INST] pa and lateral views of the chest provided. a linear density again noted in the left mid lung peripherally is likely a scar or atelectasis. otherwise, lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear with resolution of recently described heterogeneous right lower lobe opacities. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. healed left rib fractures are again demonstrated as well as slight elevation of the left hemidiaphragmWhat are the key findings of this report? [/INST] no current evidence of pneumonia. </s>
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<s>[INST] ap portable upright view of the chest. midline sternotomy wires and left subclavian access dialysis catheter again noted. there is a new right ij central venous catheter with its tip in the mid svc. rightward rotation limits assessment. mild basal atelectasis. no large effusion or pneumothorax.What are the key findings of this report? [/INST] right ij central venous catheter positioned appropriately. </s>
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<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.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. the lungs are clear without focal consolidation or effusion. 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] normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax. note is made of mild rightward convex scoliosis centered at t<num>.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are unremarkable. no pulmonary edema, pleural effusion, pneumothorax, or pneumonia. there is eventration of the right hemidiaphragm.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 pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen. there is no pulmonary edema. scoliosis in the thoracolumbar region is incidentally noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] again, slightly low lung volumes are seen. given this, there is no focal consolidation, pleural effusion, or evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable with the aorta being tortuous. there is no overt pulmonary edema. some degenerative changes are seen along the spine. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the thoracic aorta is tortuous and/or ectatic. the heart is normal in size.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. tortuous thoracic aorta. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar chest examination of <unk>. the heart size is normal. no configurational abnormality is present. thoracic aorta unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present at the lateral and posterior pleural sinuses are free. no evidence of pneumothorax in the apical area on the frontal view. skeletal structures of the thorax grossly within normal limits. in comparison with the next previous study the chest findings are completely unchanged and stable.What are the key findings of this report? [/INST] no evidence of pleurisy, cardiac enlargement or pulmonary congestion in this <unk>-year-old male patient with chest pain for three weeks. </s>
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<s>[INST] left-sided port-a-cath tip terminates in the mid svc. the right-sided chest tube is in unchanged position. there is continued evidence of volume loss in the right lung with slight interval increase in size of the small right pleural effusion. right upper lung field opacification is compatible with patient's known lung cancer with loculated pleural fluid noted along the apex and adjacent postobstructive atelectasis and possible pneumonia. left lung is clear. no pneumothorax is identified. the cardiac, mediastinal and hilar contours are unchanged.What are the key findings of this report? [/INST] slight interval increase in size of small right pleural effusion. persistent right upper lung field opacity representing the patient's known malignancy with loculated effusion at the apex and associated postobstructive atelectasis and possible pneumonia. </s>
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<s>[INST] the left lateral lower ribs and costophrenic angle are excluded from view. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is enlarged including the left atrium, most notable on the lateral radiograph. prominence of the pulmonary outflow tract is unchanged from <unk>. the cardiomediastinal and hilar contours are within normal limits. the trachea is midline. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. cardiomegaly and stable prominence of the pulmonary outflow tract, unchanged from <unk>. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well inflated and clear. no focal consolidation, pleural effusion, or pneumothorax is present. 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] cardiac silhouette size is normal. the aorta appears mildly tortuous. remainder the mediastinal contour is on remarkable. the hila appear prominent bilaterally, which suggests enlargement of the pulmonary arteries. lungs are hyperinflated with marked emphysematous changes seen in the upper lobes. linear and patchy opacities within the lung bases may reflect areas of atelectasis with scarring. no focal consolidation, pleural effusion or pneumothorax is detected. multilevel degenerative changes are noted in the imaged thoracic spine.What are the key findings of this report? [/INST] emphysema with bibasilar linear and patchy airspace opacities, likely atelectasis or scarring, although infection cannot be excluded in the correct clinical setting. enlargement of the pulmonary arteries bilaterally may suggest underlying pulmonary arterial hypertension. </s>
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<s>[INST] pa and lateral views of the chest provided. dual-lead pacer is unchanged in position. the lungs are clear bilaterally. no effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. no bony abnormalities are seen. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] mildly kyphotic positioning slightly limits assessment. the patient is status post median sternotomy. there is moderate enlargement of cardiac silhouette which is unchanged. the aorta is tortuous, similar compared to the previous study. no pulmonary edema is seen. linear opacities within the lung bases are compatible with subsegmental atelectasis. no pleural effusion or pneumothorax is demonstrated. multiple clips are seen projecting over the right axilla. remote right-sided rib fractures are re- demonstrated.What are the key findings of this report? [/INST] bibasilar subsegmental atelectasis. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. the left lung is clear. right hemithorax shows extensive subpleural thickening and opacification particularly at the right lung apex without change. there is no definite pleural effusion or pneumothorax. chest is hyperinflated. calcified pleural plaques are present.What are the key findings of this report? [/INST] stable chronic-appearing volume loss and subpleural thickening and scarring in the right hemithorax, but no definite evidence of acute superimposed disease. </s>
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<s>[INST] single frontal view of the chest demonstrates hyperinflated lungs. within the right upper lobe, an opacification is identified which corresponds to resolving lung abscess, better delineated on ct chest dated <unk>. the cardiomediastinal and hilar contours are unremarkable. when compared to prior examination dated <unk>, there has been no interval change. pulmonary vasculature is normal in appearance. there is no pneumothorax or pleural effusion. visualized osseous structures demonstrate no acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate low lung volumes resulting in a prominent cardiac silhouette and bronchovascular crowding. mildly increased right infrahilar opacity has a possible correlate on lateral view, and may represent atelectasis, but an early developing pneumonia cannot be excluded. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. mildly increased right infrahilar opacity has a possible correlate on lateral view. although this may represent atelectasis, an early developing pneumonia cannot be excluded. <num>. low lung volumes resulting in prominence of the cardiac silhouette and bronchovascular crowding. </s>
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<s>[INST] there are low lung volumes and mild bibasilar atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis. no focal consolidation to suggest pneumonia. </s>
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<s>[INST] there has been expected interval decrease in size of cardiac silhouette with shift of pericardial fluid to the left pleural space now with a moderate left pleural effusion and associated basilar atelectasis. the left lung apex and the right lung are clear. there is no pneumothorax.What are the key findings of this report? [/INST] expected shift of fluid from the pericardial space to the left pleural space, now with moderate left pleural effusion and associated atelectasis. resolution of pneumothorax. </s>
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<s>[INST] study is slightly limited positioning mild to moderate enlargement of the cardiac silhouette is unchanged. the mediastinal and hilar contours are similar with atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is not engorged. streaky opacities the lung bases may reflect areas of atelectasis. small bilateral pleural effusions are present, perhaps increased from the previous study. no pneumothorax. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] mild bibasilar atelectasis and small bilateral pleural effusions </s>
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<s>[INST] frontal and lateral views of the chest. there are streaky left basilar/retrocardiac opacities, potentially due to atelectasis. elsewhere, the lungs are clear. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. median sternotomy wires and mediastinal clips again seen. enteric tube seen passing below the inferior field of view.What are the key findings of this report? [/INST] streaky left basilar opacities, likely atelectasis, although infection cannot be entirely excluded. please clinically correlate. </s>
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<s>[INST] the lungs are clear of consolidation. increased interstitial markings seen on the left laterally are likely due to scarring, unchanged. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. hilar and mediastinal silhouettes are unchanged. heart size is top normal. there is no focal consolidation or pneumothorax. there is minimal blunting of the right costophrenic angle, suggestive of possible trace pleural effusion.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. there is no focal consolidation, effusion, or pneumothorax. heart size appears mildly enlarged. mediastinal contour is normal. imaged osseous structures are intact. a mild dextro scoliosis 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] there has been interval intubation with the tip of the endotracheal tube positioned <num> cm above the carina. also new in the interval is a ng tube with the tip of the gastrostomy tube situated in the left upper quadrant. there is persistent left upper lobe collapse. suture material in the left upper lung is noted. right pleural effusion and fibrotic changes are again noted.What are the key findings of this report? [/INST] endotracheal tube positioned appropriately as is the nasogastric tube. otherwise unchanged. </s>
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<s>[INST] ap and lateral views of the chest. coarse interstitial markings are again noted suggestive chronic underlying lung disease. persistent opacity projects in the posterior segment of the right upper lobe potentially due to scarring. increased opacity at the right lung base and left lung laterally is again compatible with pleural plaques. there is no evidence of effusion. there is no new consolidation. cardiomediastinal silhouette is unchanged. no displaced fracture is identified.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. if high clinical concern for fracture, dedicated rib series could be performed. </s>
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<s>[INST] heart size, mediastinal and hilar contours are within normal limits and without change. lungs are clear, and there are no pleural effusions or acute skeletal findings.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] lungs are well-expanded and clear. no pleural effusion, focal consolidation, edema, or pneumothorax. heart size is normal. mediastinum is not widened. the hila and pleura are unremarkable. mild, broad dextroconvex scoliosis of the lower thoracic spine is unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lung volumes are low. the lung fields are clear. 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] a new right internal jugular central venous catheter terminates likely at the origin of the svc. there is no pneumothorax. in the interim since the prior study, performed approximately four hours earlier, there has been a significant increase in the size of the right-sided pleural effusion, which now layers across the entire right hemithorax. there is probably a left-sided smaller pleural effusion. heart size is markedly enlarged, a chronic finding since as far back as <unk>.What are the key findings of this report? [/INST] <num>. right internal jugular central venous catheter, likely terminates in the extreme upper svc. <num>. marked increase in the size of the right-sided pleural effusion since the prior study <num> hours earlier. <num>. chronic cardiomegaly, given the patient's young age, correlate with history of congenital heart disease. evaluation with echocardiogram should be considered. this would also serve the function of ruling out pericardial effusion. <num>. given the bilateral pleural effusions, underlying infection cannot be ruled out, especially in the bases. </s>
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<s>[INST] allowing for technique, the cardiac and mediastinal silhouettes are within normal limits. there appears to be a left-sided chest tube with the tip in the region of the left cardiophrenic angle. otherwise, the lungs appear essentially clear and without appreciable change compared to the examination from <unk>.What are the key findings of this report? [/INST] no evidence of pleural effusion or pneumothorax. </s>
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<s>[INST] small right apical pneumothorax is slightly increased compared to <unk>. suture material in the right lung. there is no lung consolidation. there is minimal right pleural effusion. cardiomediastinal silhouette is normal size.What are the key findings of this report? [/INST] small right apical pneumothorax is slightly increased compared to <unk>. </s>
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