QA
stringlengths 65
2.9k
|
|---|
<s>[INST] lungs remain somewhat hyperinflated. there is bibasilar atelectasis/scarring. slight increase an streaky left base opacity could be due to atelectasis versus infection depending on the clinical scenario. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.What are the key findings of this report? [/INST] subtle increase in streaky left base opacity could be due to atelectasis however, infection is not excluded in the appropriate clinical setting. </s>
|
<s>[INST] pa and lateral views of the chest provided. the lungs are clear without focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. bony structures are intact. no free air below the diaphragm. clips are again noted in the right upper quadrant.What are the key findings of this report? [/INST] no signs of pneumonia or other acute intrathoracic process. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear unchanged. patchy nodular opacities in the upper lungs suggest scarring, which is unchanged. a small granuloma projects over the left upper lobe and additional smaller granulomas are also suspected in the vicinity. there is no pleural effusion or pneumothorax. minimal degenerative changes are noted along the mid thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
|
<s>[INST] pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. bilateral opacities seen in <unk> have resolved. stable left apical granuloma is present. cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<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>
|
<s>[INST] ap upright and lateral views of the chest provided demonstrate hyperinflated lungs without focal consolidation, effusion or pneumothorax. the heart and mediastinal contours appear normal. bony structures are intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] the lungs are clear. the cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
|
<s>[INST] single supine ap portable view of the chest was obtained. the right costophrenic angle is not fully included on the image. midline tracheostomy tube is again seen, similar in position. no focal consolidation is seen. there is no large pleural effusion or evidence of pneumothorax. cardiac and mediastinal silhouettes are stable. a vp shunt is partially imaged overlying the left chest.What are the key findings of this report? [/INST] no focal consolidation to suggest pneumonia. </s>
|
<s>[INST] right-sided port-a-cath tip terminates at the cavoatrial junction, unchanged. cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is identified. clips in the right upper quadrant indicate prior cholecystectomy.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] two right-sided pulmonary lesions are again demonstrated. the suprahilar lesion measures approximately <num> x <num> cm. the infrahilar lesion measures <num> x <num> cm. nodularity along the left lung base is likely due to atelectasis. moderately-sized right pleural effusion. no sizable pleural effusion on the left. no pneumothorax. heart size is normal. no evidence of subdiaphragmatic free air. degenerative changes are noted in both shoulders.What are the key findings of this report? [/INST] <num>. no subdiaphragmatic free air. <num>. two dominant right-sided lung nodules, overall similar to <unk>. <num>. moderately-sized right pleural effusion. </s>
|
<s>[INST] streaky bibasilar opacities are again noted likely due to scarring given persistence. the lungs are otherwise clear without consolidation or effusion. there is no pneumothorax. cardiac silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the right ij central venous catheter ends in the proximal right atrium. there is no evidence of pneumothorax. cardiomediastinal silhouette is normal. lung volumes are low with increased opacification at the bilateral lung bases left greater than right, which may represent a combination of atelectasis and pleural fluid.What are the key findings of this report? [/INST] right ij central venous catheter ends in the proximal right atrium. no evidence of pneumothorax. </s>
|
<s>[INST] there is improved aeration of the left lobe. no pneumothorax is seen, and there is no new focal consolidation. heart size is normal.What are the key findings of this report? [/INST] interval improvement and aeration following left vats. no new cardiopulmonary process. </s>
|
<s>[INST] heart size is normal. there is rightward tracheal deviation. there is mild vascular engorgement and perihilar opacities suggestive of mild pulmonary edema. there is a right middle and right lower lobe opacity which could be related to edema, aspiration or infection. there are small bilateral pleural effusions, right greater than left. no pneumothorax is seen. additionally, there is some tracheal deviation to the right, which may be due to thyroid enlargement/goiter.What are the key findings of this report? [/INST] <num>. right middle lobe and right lower lobe opacities likely related to edema, aspiration or infection. recommend re-imaging after diuresis. <num>. mild vascular engorgement and perihilar opacities consistent with mild pulmonary edema. <num>. bilateral pleural effusions, right greater than left. <num>. tracheal deviation to the right, which could be due to thyroid enlargement/goiter. recommend thyroid ultrasound for further evaluation. </s>
|
<s>[INST] study is lordotic in projection. the tracheal stent is unchanged in position. there is now a new right lower lobe bronchus stent, which appears expanded. other than bibasilar atelectasis, the lungs are free of focal consolidations, pleural effusions or pneumothorax. minimal calcification of the aortic arch. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] interval placement of a right lower lobe bronchus stent. no pneumothorax. </s>
|
<s>[INST] lung volumes are lower than on the previous study. the cardiomediastinal and hilar contours remain stable accounting for this fact. mild blunting of the left costophrenic angle is indicative of a small pleural effusion. there is no pneumothorax. bilateral parenchymal opacities have substantially worsened since the prior study. note is made of a stent in the left axilla, likely in the left subclavian vein.What are the key findings of this report? [/INST] worsening pulmonary edema with small left pleural effusion. </s>
|
<s>[INST] ap and lateral views of the chest were performed with patient positioned upright. linear density at the left lung base is most compatible with subsegmental atelectasis and scarring as seen on prior ct chest from <unk>. otherwise, the lungs are clear. no effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] linear density at the left lung base is most compatible with atelectasis/scarring as seen on prior ct chest from <unk>. no convincing signs of pneumonia. </s>
|
<s>[INST] cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. there is mild elevation of the left hemidiaphragm with visualization of gas filled top normal caliber large bowel under the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. mild elevation of the left hemidiaphragm, cause unclear. </s>
|
<s>[INST] the left pigtail catheter has been removed in the interim. the larger pleural drain has been retracted and now terminates in the subpulmonic space there is a kink again noted at the location of the side-port and repositioning is recommended. a moderate to large size pneumothorax is again noted. subcutaneous air is seen along the left chest wall and beneath the pectoralis muscle. the endotracheal tube terminates <num> cm above the carina. an enteric tube courses to the level of the ge junction could be safely advanced <num> cm for positioning within the stomach. bilateral dense consolidations are consistent with aspiration. a subacute left proximal humeral fracture and multiple chronic appearing rib fractures are again noted.What are the key findings of this report? [/INST] <num>. a single kink remains in the left chest tube, repositioning recommended. <num>. enteric tube courses to the level of the ge junction and can be safely advanced <num> cm for positioning within the stomach. <num>. moderate to large pneumothorax. </s>
|
<s>[INST] lung is well inflated and clear. cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there are no bone abnormalities.What are the key findings of this report? [/INST] normal chest x-ray. </s>
|
<s>[INST] the endotracheal tube is appropriately positioned, ending <num> cm above the level of the carina. an enteric catheter courses below the level of the diaphragm and out of the field-of-view inferiorly, not significantly changed. a right picc ends in the upper svc, as before. lung volumes are very low, decreased compared to the prior study from <unk>. mild bibasilar atelectasis is not significantly changed. there is a small left pleural effusion, as before. new widening of the vascular pedicle is likely secondary to venous engorgement. there is no evidence of pulmonary edema. mild-to-moderate cardiomegaly is not significant changed. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. mild bibasilar atelectasis, not significantly changed. <num>. unchanged small left pleural effusion. <num>. increased engorgement of superior mediastinal veins. <num>. unchanged mild to moderate cardiomegaly. </s>
|
<s>[INST] pa and lateral views of the chest provided. lungs are clear. pulmonary vasculature is normal. heart size is normal. mediastinal and hilar contours are normal. there is no pleural effusion.What are the key findings of this report? [/INST] no acute pneumonia. </s>
|
<s>[INST] cardiac size is top normal. low lung volumes exaggerate bibasilar atelectasis as well as the cardiac size. patient is status post median sternotomy and cabg. there are no focal consolidations concerning for pneumonia. no large pleural effusions exist. there is no free air. there is no pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia given low lung volumes. </s>
|
<s>[INST] interval improvement compared to the prior exam on <unk>. small bilateral pleural effusions with adjacent bibasilar atelectasis. no focal consolidation to suggest pneumonia. no pneumothorax. no significant pulmonary edema. moderate but stable cardiomegaly. no significant interval change in the mediastinal and hilar contours. no acute osseous abnormality.What are the key findings of this report? [/INST] <num>. small bilateral pleural effusions with bibasilar atelectasis. <num>. no interval change in the radiographic appearance of the mediastinum. </s>
|
<s>[INST] pa and lateral views of the chest provided. a right picc line terminates at the cavoatrial junction. a right central venous line ends in the right atrium. a right lung base opacity is improved. bibasilar opacities likely represent atelectatic change, however in the appropriate clinical setting could also represent pneumonia. no pneumothorax. bilateral, pleural effusions are unchanged. hilar and cardiomediastinal contours are normal. no rib fractures are definitively visualized.What are the key findings of this report? [/INST] <num>. bibasilar opacities, likely represent atelectatic change, however in the appropriate clinical setting could also represent pneumonia. <num>. bilateral, small pleural effusions are unchanged from <unk>. <num>. a right lung base opacity is greatly improved from <unk>. </s>
|
<s>[INST] cardiac silhouette is upper limits of normal in size. a large hiatal hernia is present, it was not previously visible on the older chest radiograph, but has been described on the barium esophagram from <unk>. lungs are clear except for a small focus of linear scar in the retrosternal region on the lateral view, corresponding to either the middle lobe or lingula. there are no pleural effusions. bones are diffusely demineralized.What are the key findings of this report? [/INST] large hiatal hernia. no acute cardiopulmonary radiographic abnormality. </s>
|
<s>[INST] pa and lateral views of the chest. the lungs are clear of focal consolidation or effusion. cardiac silhouette is mildly enlarged. the thoracic aorta is tortuous. there is increased density adjacent to the superior portion of the mediastinum on the right. this has the appearance of tortuosity of the vessels, especially given that the density is not seen above the clavicle. no acute osseous abnormality identified.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. rounded density in the right paramediastinal region, potentially tortuosity of the great vessels, however given lack of prior or other exam to confirm, nonurgent chest ct is suggested. </s>
|
<s>[INST] the lungs are clear. there is no pneumothorax. the heart and mediastinum are within normal limits. bones and soft tissues are unremarkable.What are the key findings of this report? [/INST] clear lungs with no evidence of pneumonia. </s>
|
<s>[INST] no lung volumes are stable. no evidence of appreciable vascular congestion. the cardiomediastinal and hilar contours are stable. a moderate-to-large hiatal hernia is present. the pleural surfaces are normal. interval removal of right ij catheter. no evidence of pneumothorax.What are the key findings of this report? [/INST] moderate to large hiatal hernia. no acute cardiopulmonary process. </s>
|
<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>
|
<s>[INST] left-sided port-a-cath tip terminates at the svc/right atrial junction, unchanged. heart size remains mildly enlarged. mediastinal and hilar contours are unchanged and within normal limits. lungs are clear. no pleural effusion, pneumothorax, or pulmonary vascular congestion is present. the osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. unchanged position of the left-sided port-a-cath with tip at the junction of the svc and right atrium. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. vague sclerosis along the anterior lateral course of the left second rib may indicate a prior non-displaced fracture. bony structures are otherwise unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
|
<s>[INST] streaky bibasilar opacities likely represent atelectasis. there is no consolidation, effusion or pneumothorax. mild pulmonary vascular congestion. heart size is moderately enlarged. mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. mild pulmonary vascular congestion. <num>. moderate cardiomegaly. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is an inferolateral consolidation in the right upper lobe consistent with pneumonia. elsewhere the lungs appear clear. there are no pleural effusions or pneumothorax. the osseous structures are unremarkable.What are the key findings of this report? [/INST] consolidation in the right upper lobe consistent with pneumonia. </s>
|
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is mild left hilar prominence, unchanged since the prior examination. no definite focal consolidation is identified. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
|
<s>[INST] slightly lower lung volumes seen on the current exam. streaky bibasilar opacities may be secondary to atelectasis. there is possible small right pleural effusion as previously-seen. there is mild pulmonary vascular congestion. cardiac enlargement is stable. no acute osseous abnormalities.What are the key findings of this report? [/INST] lower lung volumes on the current exam with bibasilar atelectasis and possible small right pleural effusion. pulmonary vascular congestion. </s>
|
<s>[INST] et tube terminates <num> cm from the carina. retrocardiac atelectasis is present; however, no focal consolidations are worrisome for pneumonia. there may be a small left pleural effusion. aortic knob is partially calcified. ng tube reaches the gastroesophageal junction but not any further.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. ng tube reaches the gastroesophageal junction. </s>
|
<s>[INST] a left basilar chest tube is unchanged in position. since prior, there is interval increase in size of a small left apical pneumothorax. the cardiomediastinal silhouette is unchanged. there is increased opacification at the left lung base which likely represents a pleural effusion.What are the key findings of this report? [/INST] <num>. interval increase in size of a small left apical pneumothorax. <num>. increased left basilar opacification, likely representing a layering pleural effusion. </s>
|
<s>[INST] pa and lateral chest films: lung volumes are slightly low. allowing for this, lungs appear clear. cardiomediastinal silhouette is unremarkable. there are no pleural effusions or pneumothoraces. bones appear to be intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] lung volumes are normal. lungs are clear without focal consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<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>
|
<s>[INST] minimal opacity in the right infrahilar region could be due to atelectasis from suboptimal inspiratory effort or may represent infection. otherwise, the lungs are clear. the heart size is normal. the mediastinal and hilar contours are unremarkable. there is no pleural abnormality.What are the key findings of this report? [/INST] mild right infrahilar opacity may be atelectasis due to suboptimal inspiratory effort or may represent infection. i recommend to repeat chest radiograph with good inspiratory effort to further resolve this finding. </s>
|
<s>[INST] the lungs are hyperinflated. no focal opacities are identified. mild cardiomegaly is unchanged from prior with significant left atrial contribution. an unfolded aorta with prominent atherosclerotic calcifications at the aortic knob is also unchanged. there is no pleural effusion or pneumothorax. hilar contours are stable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. stable mild cardiomegaly. </s>
|
<s>[INST] the right costophrenic angle is not fully included on the image. given this, no focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] right costophrenic angle not fully included on the image. otherwise, no definite acute cardiopulmonary process. </s>
|
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the mediastinum is not widened. incidental note is made of an azygos lobe.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
|
<s>[INST] persistent low lung volumes. multifocal areas of the opacity are new in the right upper lobe, new in the right middle lobe and worse in the left perihilar region. the heart is top-normal in size. the aorta is unfolded. there is mild interstitial edema.What are the key findings of this report? [/INST] new right upper lobe and lingula opacities are consistent with pneumonia in the correct clinical setting. treatment for pneumonia and follow-up radiographs in <num> weeks are recommended. if the opacities do not resolve ct is recommended. recommendation(s): new right upper lobe and lingula opacities are consistent with pneumonia in the correct clinical setting. treatment for pneumonia and follow-up radiographs in <num> weeks are recommended. if the opacities do not resolve ct is recommended. </s>
|
<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>
|
<s>[INST] lungs are clear aside from minimal basal atelectasis/scarring. no pleural effusion. no focal consolidations concerning for pneumonia. normal heart size. no pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
|
<s>[INST] the lungs are well-expanded. streaky opacities with air bronchograms in the right infrahilar region are overall similar dated <unk> and most likely reflect atelectasis, however are early aspiration in the appropriate clinical setting cannot be excluded without a lateral view. other than minimal left basal atelectasis, which is improved in the interim, the left lung is clear. no edema, effusion, or pneumothorax. slight blunting of the right costophrenic angle may reflect pleural thickening and/or scarring, similar to <unk>. the heart is normal in size, unchanged. the mediastinum is not widened. the descending thoracic aorta may be slightly tortuous and/or ectatic, unchanged.What are the key findings of this report? [/INST] no significant interval change since <unk> with persistent probable right infrahilar atelectasis. </s>
|
<s>[INST] ap upright and lateral views of the chest provided. vp shunt tubing traverses the left hemi thorax. lung volumes are low though allowing for this, there is no definite evidence for pneumonia, edema, effusion or pneumothorax. crowding of bronchovascular markings in the lower lungs and perihilar region does limit the evaluation. 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. vp shunt tubing crosses the left hemi thorax. </s>
|
<s>[INST] single frontal chest radiograph demonstrates unremarkable hilar contours. atherosclerotic calcifications are present in the aortic arch. the cardiac silhouette is not enlarged. there are bibasilar opacifications, left greater than right which may represent atelectasis though superimposed infectious process or aspiration is not excluded. no pneumothorax identified. mild blunting of the bilateral costophrenic angles suggests small bilateral pleural effusions. multilevel degenerative changes are present in the thoracic spine.What are the key findings of this report? [/INST] bibasilar opacification which may reflect atelectasis or pneumonia. clinical correlation is advised. possible trace pleural effusions. </s>
|
<s>[INST] as compared to prior chest radiograph from <unk>, there has been interval placement of a left ij central venous catheter with its tip terminating in the mid to upper svc. et tube now terminates <num> cm above the carina. there has been interval increase of a left moderate to large pleural effusion with improving atelectasis at the left lower lung. there is worsening of a moderate to large right pleural effusion with presumably some atelectasis. pulmonary vasculature remains engorged. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. interval placement of left central ij venous catheter with its tip terminating in the upper-to-mid svc, no pneumothorax. <num>. worsening moderate-large bilateral pleural effusions with improved atelectasis at the left lower lung. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone on <unk> at <time> a.m., at time of discovery. </s>
|
<s>[INST] normal heart size, mediastinal and hilar contours. interval removal of tracheostomy. resolution of previous bilateral parenchymal opacities, now with clear lungs. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] clearing of previously seen parenchymal opacities now with normal chest radiograph </s>
|
<s>[INST] heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. streaky bibasilar airspace opacities are compatible with areas of atelectasis. there are trace bilateral pleural effusions noted posteriorly on the lateral view. no pneumothorax is identified. the patient is status post t<num> through l<num> posterior fusion with intervertebral fusion devices at t<num>/<unk> and t<num>/l<num>. radiopaque embolization material is also demonstrated about the t<num> vertebral body.What are the key findings of this report? [/INST] bibasilar atelectasis with small bilateral pleural effusions. </s>
|
<s>[INST] frontal and lateral radiographs of the chest demonstrate low lung volumes with resulting bronchovascular crowding. there is mild haziness of the bilateral hila, and slight cephalization of pulmonary vasculature, consistent with mild pulmonary edema. there are small bilateral pleural effusions with some adjacent atelectasis. the cardiomediastinal and hilar contours are unchanged.What are the key findings of this report? [/INST] mild haziness of the hilar contours with slight cephalization of pulmonary vasculature and small bilateral pleural effusions, consistent with pulmonary edema. </s>
|
<s>[INST] increased interstitial markings, particularly at the lung bases suggest chronic interstitial lung disease similar as compared to the prior study. minor basilar atelectasis is seen. there is no new focal consolidation. no large pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] chronic lung disease without definite focal consolidation to suggest pneumonia. </s>
|
<s>[INST] heart size, mediastinal and hilar contours are normal. lungs are clear, and there are no pleural effusions or concerning skeletal findings.What are the key findings of this report? [/INST] no radiographic evidence of hilar lymph node enlargement to suggest sarcoidosis. </s>
|
<s>[INST] the right internal jugular vein central venous catheter ends in the upper right atrium. an enteric tube ends off the imaged portion of the screen, likely within the stomach. the endotracheal tube ends at the thoracic inlet. sternotomy wires are intact. there is a large opacity throughout the entire right lung likely representing the patient's pneumonia. the left lung is grossly clear. there is no pleural effusion on the left. evaluation for pleural effusion on the right is limited. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. endotracheal tube ends at the thoracic inlet. <num>. large opacity in the right lung, likely representing pneumonia. at time of attending review, the et tube had been repositioned. </s>
|
<s>[INST] pulmonary vascular congestion is mild. there may be a trace left effusion. there is no focal consolidation 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 pneumonia. </s>
|
<s>[INST] cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] the lung volumes are low. heart size is top normal. the aorta is mildly tortuous. there is no pulmonary vascular congestion, but the presence of low lung volumes causes crowding of the bronchovascular structures. no focal consolidation, pleural effusion or pneumothorax is seen. minimal streaky bibasilar airspace opacities likely reflect atelectasis. several clips are demonstrated in the right upper quadrant of the abdomen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis. </s>
|
<s>[INST] compared with prior radiographs on <unk>, there is slightly improved aeration of the left lung base. there is no significant change in right basilar atelectasis and layering pleural effusion. there is no new focal consolidation. there is no pneumothorax. a right ij catheter terminates at the cavoatrial junction. heart size is top normal, unchanged.What are the key findings of this report? [/INST] no new focal consolidation. unchanged right basilar atelectasis and layering pleural effusion. slightly improved aeration of the left lung base. </s>
|
<s>[INST] frontal and lateral views of the chest were obtained. there is no focal consolidation, pleural effusion, or pneumothorax. blunting of the right costophrenic sulcus is likely due to pleural thickening as seen on prior ct, unchanged, without a right pleural effusion. heart size is normal. mediastinal silhouette and hilar contours are normal. eventration of the right hemidiaphragm again noted.What are the key findings of this report? [/INST] no pneumonia, edema, or effusion. </s>
|
<s>[INST] the lungs are hyperinflated. a small amount of linear atelectasis is present in the right lung base. there is no pleural effusion, pulmonary edema, pneumothorax, or focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. degenerative changes are present in the thoracic spine. clips in the right axilla are compatible with prior lymph node dissection.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
|
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. hilar contours are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] there is increased opacification within the lower lobes bilaterally, consistent with multifocal aspiration pneumonia. the lungs are hyperinflated, consistent with copd. the pulmonary vasculature is normal. there is stable enlargement of the cardiac silhouette. the descending aorta is tortuous, but unchanged. no pleural effusion or pneumothorax is seen. chronic right-sided rib fractures are re- demonstrated.What are the key findings of this report? [/INST] <num>. increased opacification with the lower lobes bilaterally, consistent with multifocal aspiration pneumonia. <num>. hyperinflation consistent with copd. <num>. multiple chronic right-sided rib fractures. </s>
|
<s>[INST] lung volumes are relatively low. surgical chain sutures project over the right mid lung laterally. lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the lung volumes are very low. bibasilar opacities likely reflect atelectasis. there is moderate cardiomegaly. median sternotomy wires appear intact. left chest wall pacer defibrillator has leads terminating in the right atrium and right ventricle. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. low lung volumes with bibasilar atelectasis. <num>. moderate cardiomegaly. </s>
|
<s>[INST] the picc has been removed. patient is known to have severe emphysema. there is persistent consolidation in the left mid and lower lung which is concerning for pneumonia. there is also a small left pleural effusion, similar in extent to recent prior cxr. there is linear opacity in the right mid to upper lung, question atelectasis, new from prior exam. biapical pleural parenchymal scarring is noted. the cardiac and mediastinal contours are not significantly changed. there is no free air beneath the right hemidiaphragm.What are the key findings of this report? [/INST] interval removal of the picc line. non resolving pneumonia in the left mid to lower lung. stable left pleural effusion. followup to resolution is needed in this patient with underlying severe emphysema. </s>
|
<s>[INST] compared to most recent prior exam, there has been interval development of a retrocardiac opacity and small left pleural effusion. no pneumothorax is detected. there is no evidence for pulmonary edema. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] new retrocardiac opacity, which could represent atelectasis, pneumonia or aspiration. new small left pleural effusion. findings reported to dr. <unk> by dr. <unk> by telephone at <time> a.m. on <unk> at the time of discovery of these findings. </s>
|
<s>[INST] pa and lateral views of the chest provided. a single-lead pacer projects over the left axilla with lead tip extending to the region of the right ventricle. midline sternotomy wires and mediastinal clips likely reflect prior cabg. there are multiple left rib deformities which appear grossly unchanged from prior exam. there is underlying presumed pleural parenchymal scarring which is unchanged. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable. there is an old right mid shaft clavicle deformity.What are the key findings of this report? [/INST] scarring in the left lung at the level of the extensive left rib cage deformity. overall, findings are stable and no acute findings to account for patient's complaint hemoptysis. </s>
|
<s>[INST] enteric tube seen appropriate positioned in the gastric body. low lung volumes are noted. bibasilar opacities are likely atelectasis. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] enteric tube within the gastric body. </s>
|
<s>[INST] opacity over the right mid-to-lower lateral lung appears similar, likely corresponding to known loculated pleural effusion; catheter within the effusion appears similarly positioned. right port-a-cath terminates in the low svc, similar to prior. no new consolidation, left effusion, pneumothorax, or pulmonary edema is detected. heart size is persistently enlarged, likely exaggerated by low lung volumes.What are the key findings of this report? [/INST] stable-appearing loculated right pleural effusion with corresponding catheter. </s>
|
<s>[INST] there is biapical scarring. the lungs are otherwise clear without effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the cardiac, mediastinal, and hilar contours appear stable. streaky opacities in the right lower lobe suggest chronic scarring that is unchanged. there is no pleural effusion or pneumothorax. mild degenerative changes are similar along the lower thoracic spine.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
|
<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>
|
<s>[INST] no 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 focal consolidation to suggest pneumonia. </s>
|
<s>[INST] no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. hila are slightly less prominent as compared to the prior study. the patient has reported history of sarcoidosis.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] right-sided port-a-cath tip terminates at the svc/ right atrial junction. lung volumes are persistently low. this accentuates the size of the cardiac silhouette which appears mildly enlarged. the aorta remains tortuous. crowding of bronchovascular structures is present without overt pulmonary edema. patchy opacities are noted in lung bases likely 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] low lung volumes with patchy opacities at the lung bases, likely atelectasis, without focal consolidation. </s>
|
<s>[INST] there is subtle opacification within the retrosternal clear space on the lateral, which may represent a subtle pneumonia. linear opacities at the left lung base likely reflect atelectasis. no additional focal consolidations. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pneumothorax. no pleural effusion.What are the key findings of this report? [/INST] subtle opacification within the retrosternal clear space on the lateral, which may represent a subtle pneumonia. </s>
|
<s>[INST] the lungs are well expanded. opacities are seen overlying the right lower, right middle, left lower, and left middle lung fields, conderning for multifocal pneumonia. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] findings concerning for multifocal pneumonia. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear within normal limits.What are the key findings of this report? [/INST] no evidence for prior or reactivation tuberculosis. </s>
|
<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. there is no evidence of acute focal consolidation, pleural effusions or pneumothoraces. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute focal consolidation concerning for infection identified. </s>
|
<s>[INST] right picc line in place tip in the low svc, stable. heart is enlarged, stable. there is coronary stent in place. there is no pulmonary edema. enlarged central pulmonary arteries, suggest pulmonary arterial hypertension. there is minimal vascular congestion, more prominent. no pleural fluid.What are the key findings of this report? [/INST] cardiac enlargement with minimal vascular congestion. suggestion of pulmonary arterial hypertension. </s>
|
<s>[INST] right-sided central venous catheter tip sits at the lower svc. there is no pneumothorax. the lungs demonstrate a suture chain in the left apex. the heart size is normal as are the mediastinal and hilar contours. a moderate right-sided pleural effusion with underlying associated atelectasis is similar in volume but has become more loculated.What are the key findings of this report? [/INST] increasingly loculated right-sided pleural effusion with associated atelectasis; status post central venous catheter placement without pneumothorax. </s>
|
<s>[INST] there is a dual-lumen dialysis catheter terminating in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear unchanged. there is again moderate cardiomegaly. the aortic arch is partly calcified. there is no pleural effusion or pneumothorax. there is similar patchy opacification of the left cardiophrenic angle and projecting over the posterior lower lobes on the lateral view, but there is no evidence for acute superimposed opacification. left basilar and posterior opacities are probably due to minor atelectasis or scarring. the osseous structures are unremarkable.What are the key findings of this report? [/INST] stable appearance of the chest with no evidence of acute disease. </s>
|
<s>[INST] pa and lateral views of the chest show well expanded and symmetric lungs. cardiomediastinal silhouette including mild cardiomegaly is unchanged. in comparison to the prior examination, however, there is increased diffuse bilateral opacities with perihilar predominance, consistent with worsening mild pulmonary edema. a horizontal linear band of opacification in the mid left lung likely represents a focus of atelectasis. there is no focal consolidation. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. mild cardiomegaly, unchanged. <num>. mild diffuse pulmonary edema has increased. </s>
|
<s>[INST] the patient is status post segmentectomy procedure in the right lower lobe for previous history of lung cancer. surgical clips are present in the right infrahilar region with associated expected volume loss and scarring in this region. new since prior postoperative radiographs are poorly defined, relatively symmetrical nodular opacities in the periphery of the lower lobes just above the diaphragm level. otherwise, the appearance of the lungs and pleura are similar to the prior postoperative chest radiographs. cardiomediastinal contours are unchanged. no acute skeletal findings.What are the key findings of this report? [/INST] bibasilar poorly defined nodular opacities, possibly due to an atypical radiographic appearance of nipple shadows. the differential diagnosis includes focal infectious pneumonia. followup chest radiographs with nipple markers would be helpful in this regard. information has been entered into the radiology communications dashboard on <unk> with the above recommendation. </s>
|
<s>[INST] compared to prior, the lung volumes have minimally improved and there is subsequent bronchovascular crowding. bibasilar atelectasis is greater on the right. there is persistent cardiomegaly. soft tissue anchors are seen in the left humeral head.What are the key findings of this report? [/INST] low lung volumes without definite acute cardiopulmonary process. </s>
|
<s>[INST] pa and lateral views of the chest provided. compared to prior study from <num> days ago, left lung and right upper lung consolidation have essentially cleared. there is persistent right lung base opacity. left retrocardiac opacity likely reflects atelectasis. cardiomegaly is stable. there are no pleural effusions. bilateral internal jugular lines in the low svc. endotracheal tube and nasogastric tube has been removed.What are the key findings of this report? [/INST] overall, much improvement compared to prior study with resolution of left lung and right upper lung consolidation. </s>
|
<s>[INST] frontal and lateral chest radiograph demonstrate left lower lobe consolidation bounded by the left major fissure. in view of the patient's history, this most likely represents pneumonia. there is associated small left pleural effusion with atelectatic changes. the right lung is grossly clear. there is no pneumothorax. the cardiomediastinal and hilar contours are unchanged.What are the key findings of this report? [/INST] left lower lobe consolidation concerning for pneumonia in setting of patient's clinical history. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> on <unk> at the time findings were discovered. </s>
|
<s>[INST] pa and lateral chest radiographs. increased density overlying the spine on the lateral view is more likely due to atelectasis and elevation of the hemidiaphragm compared to prior. there is no definite focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the et tube is unchanged and ends at <num> cm from carina bifurcation. the ng tube is unchanged with tip ending below the diaphragm but not visualized in this chest x-ray. there is increased opacification of the lung for increased bilateral pleural effusion, more conspicuous on the right lung and with mild vascular congestion. heart size is still mildly enlarged. aortosclerosis.What are the key findings of this report? [/INST] increased pleural effusion bilaterally, more conspicuous in the right lung with mild pulmonary congestion. </s>
|
<s>[INST] pa and lateral views of the chest were obtained. lungs are clear. no focal consolidation, effusion, or pneumothorax. heart and mediastinal contours appear normal. bony structures appear intact. right ac joint arthropathy incidentally noted as well as minimal endplate spur formation in the imaged spine.What are the key findings of this report? [/INST] no acute findings. </s>
|
<s>[INST] ap upright and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, there is mild basal atelectasis. no convincing evidence for pneumonia or edema. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. basal atelectasis. </s>
|
<s>[INST] the left heart border is not well-defined, perhaps due to an epicardial fat pad. lung volumes are also low, causing bronchovascular crowding and accentuation of the heart size. no definite focal consolidation identified. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. no definite focal consolidation identified. low lung volumes cause bronchovascular crowding and accentuation of the heart size. <num>. no evidence of pneumothorax. </s>
|
<s>[INST] the lungs are clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. the bony thorax is grossly intact.What are the key findings of this report? [/INST] <num>. no acute cardiac or pulmonary findings. <num>. grossly intact bony thorax. if there is persistent concern for a rib fracture, further evaluation could be performed with a dedicated rib series, including an appropriately placed radiopaque skin marker. </s>
|
<s>[INST] <num> left chest tubes and multiple left lateral rib fractures are again visualized. the right-sided picc line is seen in the mid svc. there is volume loss at the left base with obscuration of the left hemidiaphragm compatible with volume loss/ consolidation. no pneumothorax. the cardiomediastinal silhouette is comparable.What are the key findings of this report? [/INST] no significant interval change. </s>
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.