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<s>[INST] the lungs are well expanded and clear. the mediastinal and hilar contours are normal. the heart is not enlarged. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] portable supine chest radiograph demonstrates clear lungs without effusion, or pneumothorax. a granuloma is seen in the left upper quadrant or left lung base. the endotracheal tube whose tip is no less than <num> cm from the carina, should be advanced <num>cm for more secure positioning. . an ng tube is in place with its tip in the distal esophagus. the cardiac silhouette is normal in size, the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute chest pathology. ett and ng tube should be advanced. </s>
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<s>[INST] overall appearance is similar to the prior examination with pleural thickening in the left lower lung field along with increased density and reticulation in the left lung base as well as similar moderate size left pleural effusion. heart size is difficult to evaluate due to obscuration from surrounding consolidation. the left hilar contour is again prominent. the right lung remains essentially clear except for linear scarring in the base. there is no pneumothorax.What are the key findings of this report? [/INST] overall similar appearance to the prior examination with pleural thickening, left basilar opacification and left hilar fullness from known metastatic adenocarcinoma. again increased density and reticulation in the left lung base could represent either pneumonia, lymphangitic tumor spread or atelectasis. </s>
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<s>[INST] low bilateral lung volumes. no focal consolidation or pneumothorax. mild central pulmonary vascular congestion. minimal increased reticular markings suggests mild reticular edema. the size of the cardiac silhouette is likely normal within limits of projection.What are the key findings of this report? [/INST] pulmonary vascular congestion with minimal reticular edema. </s>
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<s>[INST] patient is kyphotic which slightly limits assessment. heart size appears mild to moderately enlarged. mediastinal and hilar contours are grossly unremarkable. low lung volumes results in crowding of bronchovascular structures without pulmonary edema. minimal patchy opacities in the lung bases likely reflect areas atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </s>
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<s>[INST] frontal and lateral radiographs of the chest were obtained. there is stable appearance of normal heart size and mediastinal contours. again seen are linear opacities in the bilateral lower lobes consistent with atelectasis and scarring. no focal consolidation, pleural effusion or pneumothorax is present.What are the key findings of this report? [/INST] stable atelectasis and scarring with no evidence of pneumonia. </s>
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<s>[INST] as compared to <unk>, pacer leads and position of the impella remain constant. mild pulmonary edema has slightly increased since the prior. small bilateral pleural effusions. moderate cardiomegaly. slight improvement to cardiac. slight worsening of right basal atelectasis.What are the key findings of this report? [/INST] increase in mild pulmonary edema. improved aeration of the left lower lobe with slight worsening of the right lower lobe. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. 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] pa and lateral chest views have been obtained with patient in upright position. comparison is made with the next preceding portable ap single chest view of <unk>. right-sided chest tube remains in place terminating somewhat lower than on the preceding study in the apical area. the second lower right chest tube remains in unchanged position. small amount of right-sided pleural effusion persists blunting the lateral and posterior pleural sinus. no new parenchymal infiltrates are seen, and no significant pneumothorax has developed in the apical area. the left-sided hemithorax remains unchanged with no new infiltrates. as before, there are local rib deformities apparently related to previous old trauma as already observed on previous chest ct.What are the key findings of this report? [/INST] stable appearance of right-sided postoperative small apical pneumothorax and pleural effusion. </s>
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<s>[INST] there is increasing opacification of the right hemithorax, which could represent pneumonia or hemorrhage. there is bilateral low lung volume with persistent elevation of the left hemidiaphragm. slightly greater rightward deviation of the trachea at the level of left upper lobe is observed. the cardiomediastinal silhouette is difficult to discern secondary to bilateral opacification.What are the key findings of this report? [/INST] worsening opacity of the right hemithorax, which can represent pneumonia or hemorrhage. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the cardiomediastinal hilar contours are normal. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] port-a-cath is seen appropriately positioned terminating within the proximal right atrium. the heart is upper normal in size. mediastinal and hilar silhouettes are within normal limits. the pleural surfaces are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] successful placement of left-sided port-a-cath terminating in the right atrium. </s>
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<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a tracheostomy is seen in place.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. there are relatively low lung volumes. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] no definite focal consolidation. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is mildly enlarged. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. mild cardiomegaly. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. elevation of the right hemidiaphragm is chronic. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] as compared to prior chest radiograph from <unk> there has been interval worsening of right pleural effusion. cardiomegaly is stable. pulmonary edema persists. monitoring and support devices remain in unchanged position.What are the key findings of this report? [/INST] bilateral pleural effusions with persistent pulmonary edema. </s>
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<s>[INST] heart size is top normal with mild tortuosity of the thoracic aorta. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. no edema. </s>
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<s>[INST] single portable view of the chest. right picc is no longer visualized. left chest wall dual lead pacing device is again seen. left-sided pleural effusion is essentially unchanged. the lungs are otherwise clear. cardiomediastinal silhouette is stable. degenerative changes again seen at the right shoulder as well as old healed right rib fractures.What are the key findings of this report? [/INST] persistent left-sided pleural effusion without superimposed acute cardiopulmonary process. </s>
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<s>[INST] ap portable semi upright view of the chest. ng tube courses into the left upper quadrant of the distal side port resides at the ge junction. advancement is advised. the endotracheal tube is seen within the lower trachea with its tip <num> cm above the carina. no large consolidation or effusion is seen. cardiomediastinal silhouette appears normal. no definite pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] ng tube tip just beyond the ge junction. advancement is advised. endotracheal tube positioned appropriately. </s>
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<s>[INST] ap upright and lateral views of the chest provided. mild hilar congestion and interstitial edema likely reflect mild congestion. the heart is mildly enlarged. no definite consolidation, effusion or pneumothorax. mediastinal contour stable. bony structures intact.What are the key findings of this report? [/INST] cardiomegaly with mild pulmonary edema. </s>
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<s>[INST] in comparison to prior radiograph from same-day, the right pleural effusion is smaller, however still large in size. there is improved resultant aeration of the right upper lung. the moderate left pleural effusion is not appreciably changed in size. stable appearance of the left upper lung. right upper chest port-a-cath is in an unchanged orientation.What are the key findings of this report? [/INST] interval decrease in size of a still large right pleural effusion status post thoracentesis. moderate left pleural effusion is not appreciably changed. </s>
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<s>[INST] the et tube is <num> cm above the carina. ng tube tip is in the stomach. lung volumes are slightly low. there is slight increase in interstitial markings with possible early infiltrate in the right lower lobe and right upper lobe the right-sided infiltrates have increased compared to priorWhat are the key findings of this report? [/INST] possible early infiltrates on the right. recommend followup </s>
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<s>[INST] the initial radiograph of <time> shows that the feeding tube has been repositioned, however it now coils in the mid esophagus. a moderate right layering pleural effusion with severe right basilar atelectasis are unchanged. left lung areas of linear atelectasis are unchanged. there is no pneumothorax. the followup radiograph of <time> shows that the feeding tube has been advanced further into the distal esophagus, but likely does not clear the ge junction. there are no other significant changes.What are the key findings of this report? [/INST] malpositioned feeding tube coiled in the lower esophagus. stable moderate right pleural effusion with severe right basilar atelectasis. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. aortic calcifications are seen. left upper thorax vascular calcifications are again seen. 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] there is no pneumothorax. lungs are fully expanded and clear. mediastinal and cardiac contours are normal. there is no pleural effusion. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no pneumothorax. normal chest radiograph. </s>
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<s>[INST] compared to the prior radiograph of <unk> the lung volumes are stable. no focal opacity, pleural effusion or pneumothorax. calcified nodules in the left lung are noted. multiplebilateral pulmonary nodules are stable.What are the key findings of this report? [/INST] compared to the prior radiograph of <unk> the lung volumes are stable. no focal opacity, pleural effusion or pneumothorax. calcified nodules in the left lung are noted. multiplebilateral pulmonary nodules are stable. </s>
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<s>[INST] the large left pleural effusion may have slightly increased compared to prior. the linear opacity within the right lower lung likely represent subsegmental atelectasis. the lungs are otherwise clear. cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. there is no pneumothorax. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] slightly increased size of the large left pleural effusion. </s>
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<s>[INST] lungs are clear bilaterally without pleural effusion or pneumothorax. heart size, mediastinal contours and hila are normal. no bony abnormality.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the lungs are clear. there is no consolidation or effusion. the cardiomediastinal silhouette is within normal limits. orthopedic hardware seen in the proximal left humerus. hypertrophic changes are noted in the spine.What are the key findings of this report? [/INST] no radiographic evidence of active disease. </s>
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<s>[INST] no consolidation, pleural effusion, or pneumothorax is identified. cardiomediastinal silhouette is normal size. dextroscoliosis of thoracic spine is similar to before.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable ap chest radiograph. the patient has been extubated and the ng tube removed. right ij catheter is in stable position. mild pulmonary vascular engorgement and interstitial edema have developed in the interim. there is no pneumothorax or large pleural effusion. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] mild interstitial pulmonary edema. </s>
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<s>[INST] heart size is top normal and mediastinal contours are stable. calcification of the aortic knob is similar to prior. upper lung fibrotic changes are similar to prior. mild blunting of the posterior costophrenic angles are consistent with small bilateral pleural effusions. no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] small bilateral pleural effusions. no focal consolidation or pneumothorax. </s>
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<s>[INST] frontal and lateral chest radiograph demonstrate intact median sternotomy wires with interval removal of endotracheal tube, enteric feeding tube, and right ij central venous catheter. mildly hypo inflated lungs with flattening of the diaphragms are noted. small pleural effusion, likely right-sided. pneumothorax. heart size is top normal. mediastinal contour and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.What are the key findings of this report? [/INST] mildly hypoinflated clear lungs with persistent small pleural effusion, likely right-sided. </s>
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<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] stably enlarged postoperative cardiac and mediastinal contours status post median sternotomy. there has been slight interval worsening of mild to moderate interstitial and pulmonary edema. the right hemidiaphragm remains slightly elevated of uncertain significance. no pneumothorax. </s>
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<s>[INST] there is mild left basilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] mild left basilar atelectasis. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] the heart is enlarged. some perihilar edema is present consistent with failure. slightly worse than it was on the prior occasions. bibasilar atelectasis is again seen. contrast is present within the splenic flexure.What are the key findings of this report? [/INST] evidence of failure, marginally worse on prior chest x-ray of <unk>. </s>
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<s>[INST] the inspiratory lung volumes are decreased with resultant accentuation of bronchovascular and cardiomediastinal structures. there is a small left pleural effusion with associated left basilar opacification. there is no significant pulmonary vascular engorgement. the mediastinum is prominent in part due to unfolding of the thoracic aorta. there is minimal calcification of the aortic knob. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] small left pleural effusion with associated left basilar opacification, which in the setting of low lung volumes may represent atelectasis. </s>
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<s>[INST] pa and lateral chest radiograph low lung volumes. cardiomediastinal and hilar contours are stable relative to prior examination. heart is upper limits of normal in size, exaggerated by low lung volumes. lungs are clear without a focal consolidation. there is no pleural effusion, pneumothorax, or evidence of pulmonary edema.What are the key findings of this report? [/INST] no evidence of pneumonia. persistent mildly enlarged heart. </s>
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<s>[INST] right ij central line tip low svc. sternotomy. small bilateral pleural effusions, probably similar. stable right basilar atelectasis. linear band of atelectasis left mid lung. worsened left basilar opacity, likely atelectasis. shallow inspiration.What are the key findings of this report? [/INST] mildly worsened left basilar opacity, likely atelectasis. small pleural effusions. </s>
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<s>[INST] there has been interval removal of a right internal jugular venous line. a tracheostomy tube is in place. a left cardiac pacing device has is leads projecting over the right atrium and ventricle. an abdominal aortic stent is noted in the upper abdomen. there has been interval worsening of bibasilar opacities, right greater the left, and in the right upper lobe concerning for aspiration or aspiration pneumonia. the heart is enlarged, and there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] worsening multifocal pneumonia. </s>
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<s>[INST] the support apparatus is good position and unchanged. there is appears partial left lower lobe collapse. the left-sided pleural effusion has increased when compared to the prior. the right pleural effusion has decreased when compared to the prior. no pneumothorax. the cardiomediastinal silhouette as compared well.What are the key findings of this report? [/INST] persistent partial left lower lobe collapse. increasing left pleural effusion. </s>
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<s>[INST] ap upright frontal and lateral views the chest provided. the lungs appear unchanged from prior. there is speckled calcific density projecting over the right lung base, indeterminate, possibly reflecting chronic aspiration or granulomatous disease. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable with an unfolded thoracic aorta. bony structures appear intact.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] the radiographic technique is slightly apical lordotic. crescentic lucency under the left and right hemidiaphragms are consistent with peumoperitoneum, which appears new since the prior exam. stable bilateral low lung volumes and bibasilar atelectasis. significant interval improvement in the bilateral pleural effusions with the probably only minimal left pleural effusion remaining. right apical pleural scarring, stable. diffuse nonspecific bilateral patchy opacities are unchanged and likely correspond to the ground-glass opacities seen on recent ct which may be from infection. no overt pulmonary edema. no pneumothorax. stable substantial cardiomegaly. mediastinal contours are unchanged. stable slight rightward deviation of the trachea without tracheal lumen narrowing at the level of the clavicles is likely secondary to the left thyroid, as suggested by the recent ct.What are the key findings of this report? [/INST] <num>. pneumoperitoneum, new. <num>. near complete resolution of the bilateral pleural effusions. <num>. left thyroid lesion; see ct report for recommendation. </s>
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<s>[INST] the lungs are clear without focal consolidation. silhouetting of the lower right cardiac margin is due to a fat pad, unchanged. there is no effusion or pneumothorax. the cardiomediastinal silhouette is stable. left shoulder hemiarthroplasty changes are noted. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is within normal limits.mediastinal and hilar contours are unremarkable. there is no evidence for pulmonary edema, pulmonary consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no evidence for active cardiopulmonary disease. no evidence of active or prior tb. </s>
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<s>[INST] the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] small residual right pleural effusion and right basilar atelectasis is slightly worse since the prior study. no new consolidation, pulmonary edema or pneumothorax is seen. the left lung is well expanded and clear. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] mild increase in the small right pleural effusion and right basilar atelectasis. </s>
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<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is a subtle opacity posteriorly on lateral view which likely corresponds to increased lung markings in the left lower lobe. there is no acute osseous abnormality.What are the key findings of this report? [/INST] subtle increased retrocardiac opacity which could represent an early pneumonia in the correct clinical setting. </s>
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<s>[INST] compared with <unk>, an intra-aortic balloon pump has been removed. heart size is normal. cardiomediastinal silhouette is stable. there is no focal consolidation. no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] interval removal of an intra-aortic balloon pump. </s>
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<s>[INST] in comparison with chest radiograph from a few hours earlier, there has been placement of a nasogastric tube that terminates in the proximal stomach. right picc tip terminates in the low svc. mild bibasilar atelectasis, more prominent on the left, is unchanged. otherwise, there is no other relevant change.What are the key findings of this report? [/INST] nasogastric tube terminates in the proximal stomach. </s>
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<s>[INST] a pa and lateral chest radiograph demonstrates well inflated lungs bilaterally. there is no focal opacity. there is no pneumothorax, pleural effusion, or evidence of pulmonary edema. cardiomediastinal and hilar contours are within normal limits.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unremarkable chest radiographic examination. </s>
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<s>[INST] the left chest tube has been removed. there is no evidence of pneumothorax. there is unchanged subcutaneous gas overlying the left hemithorax. the cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. the lungs are clear. there is no evidence of pleural effusion. left posterior <unk> rib fractures are again visualized.What are the key findings of this report? [/INST] <num>. removal of left chest tube. no evidence of pneumothorax. <num>. left fourth-ninth rib fractures. </s>
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<s>[INST] a substantial right perihilar nodule has substantially improved since the prior radiographs with an area of cavitation seen in lieu of a substantial solid nodule. other nodules also appear somewhat less distinct including a cavitating nodule in the right upper lobe which seems surrounded perhaps by slightly less opacity than before. there are no pleural effusions or pneumothorax. mild-to-moderate degenerative changes are similar throughout the thoracic spine.What are the key findings of this report? [/INST] smaller lung nodules since the prior radiographs with increased cavitation. </s>
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<s>[INST] there is a small right apical pneumothorax. the lungs are otherwise clear. there is no mediastinal shift. cardiac silhouette is within normal limits. no rib fractures identified.What are the key findings of this report? [/INST] small right apical pneumothorax. </s>
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<s>[INST] there is prominence of the vascular structures and mild interstitial edema. this is unchanged from the prior exam. there is stable minimal blunting of the costophrenic angles, but no large pleural effusion. there is no evidence of focal consolidation or pneumothorax. the cardiac silhouette is moderately enlarged, which is also unchanged from the prior exam. the hilar and mediastinal contours are normal. there is stable mild vertebral body wedging with associated disc space obliteration in the mid thoracic spine.What are the key findings of this report? [/INST] <num>. stable pulmonary vascular congestion and mild pulmonary edema. <num>. stable moderate cardiomegaly. </s>
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<s>[INST] again noted is a metallic density projecting along the base of the right neck near a central venous catheter that terminates at the cavoatrial junction. the heart is mildly enlarged. the mediastinal and hilar contours are unchanged. there is mild interstitial abnormality suggesting pulmonary vascular congestion, but otherwise the lungs appears clear aside from a similar patchy right basilar atelectasis. there is no definite pleural effusion or pneumothorax. the bones appear demineralized.What are the key findings of this report? [/INST] findings suggesting mild pulmonary vascular congestion. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. 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] right internal jugular catheter tip is at low svc. moderate-to-severe pulmonary edema has worsened since <unk>. heart size is normal and mediastinal and hilar contours are unremarkable. there is no obvious pleural effusion.What are the key findings of this report? [/INST] moderately severe pulmonary edema has worsened since <unk>. dr.<unk> <unk> findings with dr.<unk> by phone at <num>.<unk> pm on <unk> </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] since prior, there has been interval removal of a left picc. there is otherwise no significant change in the appearance of the chest with persistent elevation of the right hemidiaphragm and bibasilar atelectasis. the cardiomediastinal contour is unchanged. tortuosity of the thoracic aorta is also stable.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the lungs are clear. cardiomegaly stable. status post median sternotomy, again noted. no significant pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute pulmonary disease. stable cardiomegaly. </s>
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<s>[INST] pa and lateral views of the chest provided. lungs are clear without signs of pneumonia or chf. no pleural effusion or pneumothorax is seen. the cardiomediastinal silhouette appears within normal limits. bony structures are intact. 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] frontal and lateral chest radiographs demonstrate moderate interstitial pulmonary edema. the heart size is moderately enlarged, there are moderate bilateral pleural effusion. there is no lobar consolidation. the aortic contour is mildly tortuous. embolic coiling material is seen in the mid abdomen on the lateral view.What are the key findings of this report? [/INST] moderate pulmonary edema, cardiac silhouette enlargement, and pleural effusions suggest chf. no evidence of lobar pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. a dual chamber intracardiac device leads end in the expected locations of the right atrium and right ventricle. there is no focal consolidation, pleural effusion or pneumothorax. the patient is status post sternotomy and valve replacement. cardiac and mediastinal silhouettes are unchanged. mild bibasilar opacities are similar to the prior study, which may represent mild chronic lung disease. there is no pleural effusion or pneumothorax. no acute osseous abnormality is identified. there is no free air under the diaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. no change from <unk>. </s>
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<s>[INST] there is a faint tubular density approximately <num> cm in length, projecting over the expected course of the right mainstem bronchus. this would be compatible with a right mainstem bronchus stent, best correlated with details of the procedure. again seen is patchy opacity of both lung bases, slightly increased at the base of the right cardiophrenic region. no pneumothorax is detected. the cardiomediastinal silhouette is unchanged allowing for technical differences. again seen is linear density projecting over the right heart silhouette, of uncertain etiology or significance --? vascular calcification, surgical material, or residual oral contrast, for example, in the neo esophagus. no new focal infiltrate is identified. minimal blunting of the right costophrenic angle is unchanged. oral contrast again noted in the bowel.What are the key findings of this report? [/INST] <num>. stent visualized over right mainstem bronchus. no pneumothorax or pneumomediastinum detected. <num>. bibasilar patchy opacities, possibly minimally worst in the right cardiophrenic region. </s>
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<s>[INST] portable upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] lung volumes remain diminished. no focal airspace consolidation is seen to suggest pneumonia. streaky opacities at the bases likely reflect atelectasis. no pleural effusions or pneumothorax. overall cardiac and mediastinal contours are stable. no evidence of pulmonary edema. </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] frontal and lateral views of the chest were obtained. mild right base atelectasis is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette top-normal to mildly enlarged.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 fully expanded and clear lungs. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there no masses seen in the lung apices.What are the key findings of this report? [/INST] normal chest radiograph. no right apical mass identified. </s>
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<s>[INST] endotracheal tube tip terminates approximately <num> cm from the carina. heart size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. pulmonary vasculature is normal. no pleural effusion, focal consolidation or pneumothorax is seen. no acute osseous abnormalities present.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. standard positioning of the endotracheal tube. </s>
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<s>[INST] there is a diffuse bilateral interstitial thickening, with increased vascular markings and upper re-distribution. there is a more confluent opacity in the right lung base. there is a small right-sided pleural effusion and fluid tracking along the major fissure of the right lung, better seen in the lateral view. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax. aorta is mildly tortuous.What are the key findings of this report? [/INST] increased interstitial marking may be due to fluid overload. superimposed infectious process not excluded. more confluent opacity in the right lung base might be secondary to summation of structures although consolidation is not excluded. </s>
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<s>[INST] a left pacemaker with right atrial and right ventricular leads is appropriately positioned. the lungs are clear. mild cardiomegaly is unchanged. unchanged mild blunting of the right costophrenic angle may be an a tiny pleural effusion or scarring. the mediastinal contours are normal. there is no pneumothorax. anterior wedging of a lower thoracic vertebral body is unchanged.What are the key findings of this report? [/INST] <num>. no acute cardiac or pulmonary process. <num>. stable mild cardiomegaly. <num>. unchanged blunting of the right costophrenic angle is either a tiny effusion or scarring. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are clear. there is no pneumothorax, vascular congestion, or consolidation. there is no pleural effusion. no displaced osseous injury is apparent.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the tip of the endotracheal tube is <num> cm above the carina. left ij line tip is unchanged in the lower svc. nodular opacities over the right lower lung have someone improved, but there is residual diffuse right lung opacity, concerning for persistent pneumonia. the presence of small pleural effusions is assumed. no pneumothorax.What are the key findings of this report? [/INST] diffuse right lung opacities are concerning for persistent pneumonia, which has not worsened since the radiograph on <unk>. </s>
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<s>[INST] pa and lateral views of the chest. there are diffuse hazy opacities, most consistent with mild interstitial pulmonary edema. no pleural effusion or pneumothorax. no focal consolidation. cardiomediastinal and hilar contours are unchanged.What are the key findings of this report? [/INST] mild interstitial pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest. the lateral view is obscured by the patient's arms. compared to most recent study, there is decrease in volume overload. there is no evidence of vascular engorgement or pulmonary edema. mild-to-moderate cardiomegaly is stable. no pleural effusions or pneumothorax. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. mild-to-moderate cardiomegaly without evidence of fluid overload. <num>. no evidence of pneumonia. </s>
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<s>[INST] a left pectoral pacemaker is in place. lung volumes are low. there are stable small bilateral pleural effusions with associated bibasilar atelectasis. interstitial and airspace opacities are likely due to pulmonary edema.What are the key findings of this report? [/INST] no significant interval change in small bilateral pleural effusions with associated bibasilar subsegmental atelectasis. stable mild pulmonary edema. </s>
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<s>[INST] single frontal view of the chest was obtained. exam is limited due to patient motion. the heart is of normal size with normal cardiomediastinal contours. no evidence of overt pulmonary edema, focal consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.What are the key findings of this report? [/INST] exam limited by patient motion. no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] the cardiac silhouette size is normal. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. linear opacities within the left lung base likely reflect subsegmental 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] minimal left basilar subsegmental atelectasis. no radiographic evidence for pneumonia. </s>
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<s>[INST] left-sided chest tube has been removed. there is a small left lateral and inferior pneumothorax. there is some linear atelectasis in the left lower lobe. the left subclavian line is unchanged. feeding tube tip in the proximal stomach is unchanged. cervical hardware is unchanged.What are the key findings of this report? [/INST] small left pneumothorax. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is top normal. there are no pleural effusions or pneumothoraces. the bones are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is top normal. mediastinal and hilar contours are unremarkable. new ill-defined opacities are noted within the both lower lobes and right upper lung field, likely within the superior segment of the right lower lobe. no pulmonary vascular engorgement, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] multifocal patchy opacities may reflect multifocal pneumonia in the correct clinical setting. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. lungs are hyperinflated likely reflecting copd. 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. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is a consolidation in the right upper lobe. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] right upper lobe pneumonia. recommend follow-up radiographs in <num> month after completion of treatment. recommendation(s): recommend follow-up radiographs in <num> month after treatment. </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 previously seen interstitial opacity in the left upper lobe has since resolved, compatible with treated pneumonia. septal lines are no longer seen. additionally, the previously noted suggestion of left hilar lymphadenopathy is no longer apparent. there is persistent elevation the right hemidiaphragm. there are no new areas of focal consolidation. the cardiac silhouette remains mildly enlarged, though, there is no evidence for pulmonary edema. dense calcifications are seen within the aortic valve.What are the key findings of this report? [/INST] resolution of left upper lobe pneumonia. these findings were discussed with dr. <unk> by dr. <unk> at <time> on <unk> by telephone at the time of interpretation. </s>
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<s>[INST] linear, streaky areas of opacity in the left mid to lower lung and possibly at the right lung base are most consistent with subsegmental atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.What are the key findings of this report? [/INST] subsegmental atelectasis/ scarring. no pleural effusion. </s>
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<s>[INST] the alveolar infiltrate is somewhat improved. there continue to be bilateral pleural effusions layering posteriorly. the heart size continues to be moderately enlarged. the et tube is <num> cm above the carina. ng tube tip is in the stomach. mid abdomen skin <unk> are again seen.What are the key findings of this report? [/INST] changing appearance of infiltrates, likely secondary to pulmonary edema. an underlying infectious infiltrate cannot be excluded. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. mild cardiac enlargement is noted accentuated by technique. tortuosity of the thoracic aorta with atherosclerotic calcifications are noted. partially visualized left humeral head orthopedic hardware seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] rotated and lordotic positioning. there is is increased vascular plethora compared with prior film, consistent with chf. patchy opacity left base could reflect atelectasis and/or scarring, but is slightly increased. the extreme costophrenic angles are excluded from the film. there are probable small left-greater-than-right effusions, similar to the prior study. no new area of consolidation is identified.What are the key findings of this report? [/INST] chf, with interstitial edema, increased compared with <num> day earlier. small left greater right bilateral pleural effusions again noted. atelectasis at the left lung base. this is slightly more pronounced than <num> day earlier. the differential diagnosis includes slight increase in the degree of atelectasis versus an early infiltrate. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal to mildly enlarged. no overt pulmonary edema is seen. the aorta is tortuous.What are the key findings of this report? [/INST] top-normal to mildly enlarged cardiac silhouette without pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of consolidation, effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. degenerative changes seen at the acromioclavicular joint.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right internal jugular line ends at low svc and endotracheal tube terminating approximately <num> cm above the carina are appropriate. there is a new opacity at the right lung base, whereas at the left lung base, opacity has increased since <unk> and this may reflect either aspiration or atelectasis. mild-to-moderate left pleural effusion is unchanged. presumed right pleural effusion is mild. bilateral hila and pulmonary vasculature prominence signifies vascular congestion. mildly enlarged heart size and mediastinal contours are stable.What are the key findings of this report? [/INST] increased bibasal lung opacities likely reflect aspiration or atelectasis. mild-to-moderate left pleural effusion is unchanged and presumed right pleural effusion is mild. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate tortuous aorta and large hiatal hernia. however, the lungs are clear. there is no pleural effusion or pneumothorax. degenerative changes of the humeral joints thoracic spine noted. this includes age-interminate compression deformities of the thoracolumbar spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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