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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] compared to the prior exam there is no significant interval change. there is no subcutaneous emphysemaWhat are the key findings of this report? [/INST] no subcutaneous emphysema. </s>
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<s>[INST] the lungs are hypoinflated with crowding of vasculature. bilateral perihilar interstitial prominence with small left pleural effusion. no right pleural effusion. no pneumothorax. the heart is top-normal in size and is likely accentuated due to low lung volumes. mediastinal contour and hila are unremarkable.What are the key findings of this report? [/INST] mild pulmonary edema. </s>
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<s>[INST] the lungs are hyperinflated but clear. small calcific densities projecting over the left posterior sixth rib are likely calcified granulomas. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. there is no free air under the diaphragm.What are the key findings of this report? [/INST] no free air under the diaphragm. clear hyperinflated lungs. </s>
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<s>[INST] pa and lateral views of the chest provided. linear platelike atelectasis in the left mid and lower lung noted. otherwise the lungs are clear though lungs appear hyperinflated and lucent suggesting underlying copd. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] as above. no signs of pneumonia. </s>
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<s>[INST] the tip of the right-sided picc line that was previously inside the atrium is now at the level of mid svc. there are no other significant changes compared to the prior study. no pneumothorax.What are the key findings of this report? [/INST] interval adjustment of the right-sided picc line with the tip now terminating in the mid-svc. </s>
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<s>[INST] stable moderate cardiomegaly. mild interstitial pulmonary edema. no focal consolidations. no pleural effusion or pneumothorax is seen. a chronic right clavicular fracture and old right posterior rib fractures are unchanged. degenerative changes are seen within the lumbar spine. no acute fractures.What are the key findings of this report? [/INST] <num>. moderate cardiomegaly with mild interstitial pulmonary edema. <num>. chronic right clavicular fracture. </s>
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<s>[INST] again, there are diffuse interstitial abnormalities, with an upper lobe predominance. they are not significantly changed from the prior chest radiograph or ct. there is no new opacity. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] unchanged diffuse interstitial abnormality. the differential diagnosis includes hypersensitivity pneumonitis or early fibrosis. although pcp infection is less likely, it would be a consideration if the patient is hiv positive. if further evaluation is clinically warranted, could obtain a repeat ct of the chest with thin section reformats. results were discussed with dr. <unk> at <num> p.m. <unk> via telephone by dr. <unk> at the time the findings were discovered. </s>
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<s>[INST] the lungs are hyperexpanded with increased opacification of the right upper and middle lobes with silhouetting of the right cardiac border and retrocardiac opacification on lateral view suggests pneumonia. the mediastinal silhouette and bilateral hemidiaphragms stable. the left lung is clear. no pneumothorax or pleural effusion is present.What are the key findings of this report? [/INST] retrocardiac opacification concerning for pneumonia. repeat radiograph <num> weeks after completion of treatment is recommended to ensure resolution. recommendation(s): repeat chest radiograph <num> weeks after completion of treatment is recommended to ensure resolution. </s>
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<s>[INST] there are bilateral patchy opacities suggestive of pneumonia. no pleural effusions are identified. there is no pneumothorax. heart is top normal size. the aorta is tortuous and mildly calcified. multilevel degenerative changes of the thoracic spine are seen.What are the key findings of this report? [/INST] multifocal pneumonia. follow up in three to four weeks after treatment is recommended. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. the heart size is normal. the cardiac, hilar, 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] the heart normal in size. the mediastinal and hilar contours appear within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate clear lungs bilaterally. the cardiomediastinal and hilar contours are within normal limits. no pneumothorax is identified. no acute osseous abnormality is seen. there is no pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic abnormality is identified. </s>
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<s>[INST] heart size is mildly enlarged with unfolding of the thoracic aorta. cardiomediastinal silhouette and hilar contours are otherwise unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] endotracheal tube tip is in appropriate position <num> cm cranial to the carina. ng tube tip terminates in the gastric body. side port is at the location of the ge junction. left port-a-cath tip terminates in the high right atrium. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is a possible small right-sided pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. appropriate position of the endotracheal tube. <num>. ng tube side port is at the ge junction. recommend advancement by <num> cm. <num>. possible small right pleural effusion. </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. degenerative changes are seen along the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. no subdiaphragmatic free air is identified.What are the key findings of this report? [/INST] no subdiaphragmatic free air. no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable, as are the hilar contours.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are slightly improved when compared to the prior study. there is persistent plate light atelectasis in the left lung base. subtle increased opacity at the right lung base likely reflect an additional area of atelectasis, infection cannot be excluded. the cardiomediastinal contour is within normal limits. no pulmonary vascular congestion appreciated. no pleural effusion seen.What are the key findings of this report? [/INST] minimal increased opacity at the right lung base likely reflects atelectasis. continued attention on followup recommended. </s>
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<s>[INST] ap upright and lateral views of the chest provided. overlying ekg leads are present. there is persistent cardiomegaly with hilar congestion and worsening pulmonary edema compared with prior radiograph. bilateral pleural effusions are small to moderate in size. difficult to exclude a superimposed pneumonia in the lower lungs given increased lower lung opacity. no large pneumothorax. severe degenerative disease at both shoulders, right greater than left.What are the key findings of this report? [/INST] worsening pulmonary edema and pleural effusions, difficult to exclude a superimposed pneumonia in the lower lungs. </s>
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<s>[INST] assessment is mildly limited by patient rotation. heart size is normal. the aorta is tortuous and diffusely calcified. hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are hyperinflated. minimal streaky and patchy opacities are noted at the lung bases likely reflective of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted within the thoracic spine. remote right-sided rib fractures are present.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] two frontal images of the chest demonstrate low lung volumes likely due to poor inspiration. vascular crowding and minimal pulmonary edmea has resolved from previous exam. left basilar atelectasis has improved. bilateral pleural effusions are again seen. cardiomediastinal silhouette is unchanged. there is no pneumothorax. support and maintenance devices are unchanged.What are the key findings of this report? [/INST] resolved pulmonary edema. improving left basilar atelectasis. bilateral small pleural effusions. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate mildly prominent cardiac silhouette likely accentuated by ap technique. calcification is seen in aortic arch. there is no pneumothorax, pulmonary edema, or large pleural effusion.What are the key findings of this report? [/INST] no definite evidence of pulmonary edema. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] no focal consolidations concerning for pneumonia identified. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged, allowing for small differences in technique. there are patchy new basilar opacities with hazy density in the right costophrenic sulcus and more streaky left basilar opacities. these are more typical of atelectasis than pneumonia. there is no evidence for congestive heart failure.What are the key findings of this report? [/INST] streaky and vague basilar opacities, more suggestive of atelectasis than pneumonia, but if pneumonia is a continuing potential clinical concern then short-term followup radiographs could be considered. </s>
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<s>[INST] ap upright and lateral views of the chest are obtained. lungs are essentially clear bilaterally without definite signs of pneumonia or chf. no pleural effusion or pneumothorax is seen. cardiomediastinal silhouette appears grossly unremarkable. degenerative changes are noted in the t-spine with small endplate spurs noted. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are well expanded and clear. there is an area of linear atelectasis at the left lung base. there is otherwise no focal consolidation, pleural effusion or pneumothorax. surgical chain sutures are seen in the right upper lung field. cholecystectomy clips are seen in the right upper quadrant. sutures are seen over the left abdomen. there is no evidence of free air.What are the key findings of this report? [/INST] no acute cardiopulmonary findings. </s>
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<s>[INST] there is opacification of the left hemithorax, with rightward shift of the mediastinum, consistent with a large left effusion. the right lung is clear without effusion, focal consolidation, or pneumothorax. the left heart border is obscured.What are the key findings of this report? [/INST] opacification of the entire left hemithorax, with rightward shift of the mediastinum, consistent with large left effusion. </s>
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<s>[INST] a single ap upright frontal chest radiograph demonstrates asymmetric pulmonary edema greater on the right than the left. there is slightly increased opacification of the left lung base which obscures the left hemidiaphragm compared to the prior study and may represent a small left pleural effusion or atelectasis. in the appropriate clinical setting, underlying consolidation cannot be excluded. the cardiac silhouette is enlarged but stable. the mediastinal and hilar contours are stable and within normal limits. biliary drains are in place in the right upper quadrant of the abdomen. a device is also located in the abdomen, which may be external to the patient or alternatively may represent a nerve stimulator.What are the key findings of this report? [/INST] <num>. asymmetric pulmonary edema. increased opacity in the left lung base likely represents pleural effusion with atelectasis, but underlying consolidation cannot be excluded in the appropriate clinical setting. <num>. stable cardiomegaly. </s>
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<s>[INST] the heart size is at the upper limits of normal. the mediastinal contours appear within normal limits. the hila are full and prominence of the pulmonary vasculature is concerning for vascular congestion. bibasilar opacities likely represent degree of atelectasis with some degree of vascular congetion. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] mildly enlarged heart with vascular congestion. bibasilar opacities most likely atelectasis with some vascular congestion, but underlying early infection is difficult to exclude. </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates slight improvement in bibasalar pleural effusions and adjacent atelectasis. cardiomediastinal and hilar contours are unchanged. a right-sided internal jugular central venous line ends at the cavoatrial junction. there is no pneumothorax. a subdiaphragmatic drain is in unchanged position.What are the key findings of this report? [/INST] bibasalar pleural effusions with adjacent atelectasis is slightly improved from prior. </s>
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<s>[INST] compared to the prior study, there has been an interval linx procedure with a metallic ring at the gastroesophageal junction. however the lungs are clear and there is no pleural effusion or pneumothorax. cardiomediastinal contours are normal.What are the key findings of this report? [/INST] linx device at the gastroesophageal junction. no acute cardiopulmonary process. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. previously seen pulmonary edema and pleural effusions have resolved. heart and mediastinal contours are unchanged with rightward deviation of the trachea. aortic valve replacement hardware is seen. sternal wires appear intact.What are the key findings of this report? [/INST] no radiographic evidence for acute change. </s>
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<s>[INST] a right chest wall port-a-cath is in unchanged position ending in the lower svc. is been interval removal of the right pleural drainage catheter. there is persistent blunting of the right costophrenic angle which may reflect small residual effusion. no focal consolidation, pneumothorax or left pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] single portable view of the chest demonstrates the lungs are well expanded and clear with no evidence of pleural effusion, pneumothorax or focal consolidation. the cardiomediastinal silhouette is unremarkable. there is no evidence of overt pulmonary edema.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 with a left ventricular configuration. the aorta is tortuous. the arch is calcified. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there is new asymmetric opacification of the left suprahilar region concerning for pneumonia. there are perhaps patchy additional vague opacities in the right mid and lower lungs but not as definite.What are the key findings of this report? [/INST] findings suggest pneumonia. </s>
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<s>[INST] ap upright and lateral views of the chest were provided. the heart is mildly enlarged, unchanged with an lv configuration. the lungs are clear. no pneumothorax or effusion. linear density in the right mid lung is stable and likely representing scarring. the bony structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic injury. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] cardiac valve and mediastinal wires are unchanged. mild cardiomegaly is stable. there is a slight increase in hazy opacities bilaterally along with kerley b lines consistent with a mild interstitial pulmonary edema. no pleural effusions or pneumothorax. no focal consolidations.What are the key findings of this report? [/INST] mild interstitial pulmonary edema. </s>
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<s>[INST] assessment is limited by patient rotation and the patient's head obscuring the right mid and upper lung fields. patient is status post median sternotomy. heart size appears at least mildly enlarged. mediastinal and hilar contours are difficult to assess given the degree of rotation. lung volumes are low. patchy opacities are seen in the lung bases, potentially atelectasis. there is crowding of bronchovascular structures with mild pulmonary vascular congestion, perhaps slightly improved in the interval. no large pleural effusion or pneumothorax is detected on this supine exam. remote left-sided rib fractures are present.What are the key findings of this report? [/INST] limited study due to patient positioning and rotation. mild pulmonary vascular congestion, perhaps slightly improved in the interval with bibasilar atelectasis. </s>
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<s>[INST] the patient status post median sternotomy with wires intact. a cardiac conduction device is contiguous with leads which appear to terminate in the right atrium and right ventricle. the ventricular lead has a horizontal orientation. right lower lobe atelectasis is unchanged. the cardiomediastinal silhouette is unremarkable, not widened. no pleural effusion. no evidence of pneumothorax.What are the key findings of this report? [/INST] no evidence pneumothorax. interval placement of a cardiac conduction device. </s>
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<s>[INST] opacity seen in at the left base laterally which may be due to atelectasis. elsewhere, the lungs are clear given relatively low lung volumes. cardiac silhouette is top-normal based on technique. tortuosity of the descending thoracic aorta is noted. radiopaque densities project over the left upper quadrant, incompletely assessed.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear of focal consolidation orsignificant effusion. the cardiomediastinal silhouette is within normal limits. changes seen in the spine without acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] interval development of a new enlarged left pleural effusion with tracking in the fissures. small amount of adjacent left-sided compressive atelectasis. the right lung is clear. no pulmonary edema or pneumothorax. chronic bilateral apical scarring. stable cardiomediastinal contours and hila.What are the key findings of this report? [/INST] <num>. new large left pleural effusion. <num>. cannot adequately evaluate for any processes contributing to the left pleural effusion, and a ct chest could be performed to evaluate underlying structures. </s>
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<s>[INST] the patient is status post recent median sternotomy and coronary artery bypass surgery. cardiomediastinal contours are stable in the postoperative period. since the recent study, support and monitoring devices have been removed, with no evidence of pneumothorax. bibasilar atelectasis is present, left greater than right, with some interval improvement in the left retrocardiac region since the prior study. bilateral small pleural effusions are also noted. there is apparent loculated component of the left effusion at the apex.What are the key findings of this report? [/INST] small pleural effusions and bibasilar atelectasis, left greater than right. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the study is somewhat limited by motion. there is improved aeration at the lung bases with increasing consolidation of the right mid-lung. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] improved aeration of the lung bases with increasing consolidation in the right mid-lung. these findings would be atypical for aspiration. </s>
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<s>[INST] since <unk>, there is interval decrease in the left pleural effusion. the port-a-cath ends at the low svc near the cavoatrial junction. right sided chest tube is visualized. ng tube is removed since <unk>. cardiomediastinal borders and hilar structures are unchanged mediastinal air-fluid level related to recent esophagectomy. there is no pneumothorax.What are the key findings of this report? [/INST] no pneumothorax post chest tube removal. interval decrease in left pleural effusion. </s>
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<s>[INST] the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. compared to the prior chest radiograph of <unk> the lung expansion has improved.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] portable ap semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] right subclavian picc line now has its tip in the distal svc. nasogastric tube is difficult to visualize but is felt to be coursing below the diaphragm with the tip not identified. the left lung is grossly clear. there is volume loss in the right upper lung. no pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are stable. </s>
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<s>[INST] no previous images. the heart is normal in size and lungs are clear without vascular congestion or pleural effusion.What are the key findings of this report? [/INST] no evidence of pneumonia or other acute abnormality. </s>
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<s>[INST] the cardiomediastinal contours are stable and within normal limits. the lungs continue to demonstrate diffuse airspace and intersitial opacities, which show a worsening trend from <unk> to <unk>, but then show improvement from <unk> to present. blunting of the costophrenic angles as well as subtle obscuring of the hemidiaphragms suggests some degree of bibasilar atelectasis and small bilateral pleural effusions. there is no pneumothorax.What are the key findings of this report? [/INST] diffuse airspace and interstitial opacities which worsened from <unk> to <unk>, but improved from <unk> to present; the differential diagnosis includes pulmonary hemorrhage, pulmonary edema, and interstitial fibrosis; correlate with the treatment that brought on the improvement in appearance. </s>
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<s>[INST] the image was obtained in lordotic position somewhat limiting evaluation. the lungs appear well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is s-shaped curvature of the thoracic spine. the included osseous structures are grossly intact.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] the left basilar pigtail catheter has been removed and there has been interval reaccumulation of loculated left-sided pleural effusion, likely with mild superimposed atelectasis given left-sided volume loss. the previously seen left basilar pneumothorax has resolved. parenchymal changes related to emphysema appear stable from prior studies without evidence of focal consolidation or pulmonary edema.What are the key findings of this report? [/INST] <num>. interval reaccumulation of likely loculated left pleural effusion, likely with mild superimposed atelectasis. <num>. no pulmonary edema. </s>
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<s>[INST] a single frontal view of the chest demonstrates a spiculated lesion in the left upper lung zone with a fiducial seed. the lesion measures approximately <num> x <num> cm. it is not significantly changed in size since the recent ct of the chest. no new mass or consolidation is identified. there is no pulmonary edema, pleural effusion, or pneumothorax. the heart is moderately enlarged, unchanged from the prior exam. the mediastinal contours are normal. surgical clips project over the upper mediastinum, also unchanged from the prior exam.What are the key findings of this report? [/INST] <num>. stable left upper lobe mass. <num>. no evidence of pneumonia or pulmonary edema. <num>. stable moderate cardiomegaly. </s>
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<s>[INST] tracheostomy tube is midline. enteric tube has been removed in the interim. left lower lobe collapse has resolved. right basilar atelectasis is slightly more pronounced compared to the prior study. no focal pulmonary consolidation. pulmonary vascular congestion is mild. pleural surfaces are smooth, without sizable effusion or pneumothorax. heart is top-normal in size.What are the key findings of this report? [/INST] <num>. interval resolution of left lower lobe collapse. no new focal consolidation. <num>. mild pulmonary vascular congestion. </s>
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<s>[INST] since the prior chest radiograph, there has been no significant change. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the cardiac size is at the upper limits of normal. a left-sided implantable cardiac device is present with the leads in the right atrium and right ventricle.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] tracheostomy tube in situ with the tip <num> mm proximal to the carina. right-sided picc line in situ with the tip at the cavoatrial junction/proximal right atrium. low lung volumes. the cardiomediastinal shadow is normal. interval improvement in the left parahilar airspace opacification. mild indistinctness of pulmonary vessels suggesting pulmonary edema unchanged. no silhouetting of the hemidiaphragms. no pleural effusions.What are the key findings of this report? [/INST] interval improvement in the left-sided airspace opacification. mild pulmonary edema unchanged. no new airspace consolidation. please take note of the low position of the tracheostomy tube. no pneumothorax. </s>
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<s>[INST] the patient is substantially rotated. the newly placed ng tube can be traced to the level of the ge junction. a left picc line terminates in the mid svc, unchanged. the chin and overlying soft tissues obscures the left lung apex. the differential opacification of the right hemithorax relative to the left may be positional. there is no new consolidation or pleural effusion. the heart mediastinum are within normal limits despite the projection. no right pneumothorax is present.What are the key findings of this report? [/INST] new nasogastric tube can be traced to the level of the ge junction. the exact location of the tip cannot be confirmed on this suboptimal study. a repeat examination with attention to proper patient positioning is suggested. </s>
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<s>[INST] pa and lateral views of the chest were obtained. the heart is normal in size and cardiomediastinal contour is stable. the lungs are symmetrically expanded and clear without focal areas of consolidation. blunting of the right posterior costophrnic sulcus. there is no pneumothorax. previously noted right ij central venous catheter is no longer visualized. ac joint degenerative changes noted.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. blunting of the right posterior costophrenic sulcus may be a tiny right pleural effusion. </s>
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<s>[INST] lung volumes are reduced compared to the previous exam. heart size appears mildly enlarged, increased compared to the previous exam, but this is likely accentuated due to the lower lung volumes. mediastinal contours are unchanged. calcified right mediastinal node is compatible with prior granulomatous disease. there is crowding of the bronchovascular structures, with possible mild pulmonary vascular congestion but no overt pulmonary edema is demonstrated. bibasilar opacities are seen in the lung bases, most compatible with atelectasis, without focal consolidation. no pleural effusion or pneumothorax is visualized. right-sided indentation upon the trachea at the thoracic inlet may reflect an underlying thyroid goiter, and is unchanged. there are multilevel degenerative changes in the thoracic spine. cholecystectomy clips are re- demonstrated in the right upper quadrant of the abdomen.What are the key findings of this report? [/INST] low lung volumes with probable bibasilar atelectasis. </s>
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<s>[INST] the et tube is low-lying, measuring approximately <num> cm above the carina. there is mild cardiomegaly. there is mild pulmonary vascular congestion, with mild pulmoanry edema. otherwise, the hilar and mediastinal contours are normal. consolidations overlying the mid-to-lower right lung likely secondary to pneumonia. enteric tube extends below the diaphragm with the tip in the body of the stomach. there is no evidence of pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] <num>. et tube is low-lying, measuring approximately <num> cm above the carina. <num>. opacities overlying the mid to lower right lung is likely secondary to pneumonia. <num>. mild pulmonary edema. </s>
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<s>[INST] cardiac silhouette size remains moderately enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. patchy opacities within the lung bases likely reflect areas of atelectasis. blunting of the right costophrenic angle likely reflects chronic pleural thickening, as seen previously. no focal consolidation or pneumothorax is identified. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] patchy atelectasis in the lung bases. blunting of the right costophrenic angle likely reflects chronic pleural thickening, without evidence for a pleural effusion. </s>
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<s>[INST] the lungs are clear. a port-a-cath terminates in the low svc/cavoatrial junction. there is no pleural effusion or pneumothorax. no evidence pulmonary edema.old bilateral rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] as compared to <unk>, endotracheal tube is <num> cm from the carina. given for differences in technique and patient rotation, new small to moderate right-sided pleural effusion is layering posteriorly. retrocardiac opacity has improved. mild pulmonary vascular congestion has progressed. no pneumothorax. mild cardiomegaly.What are the key findings of this report? [/INST] ett is <num> cm from the carina mild pulmonary vascular congestion has worsened and note is made of a new small to moderate right pleural effusion. </s>
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<s>[INST] a frontal upright view of the chest was obtained portably. there is no focal consolidation, pleural effusion or pneumothorax. cardiac and mediastinal silhouettes and hilar contours are stable. heart size is normal. there is no evidence of mediastinal widening. eventration of the right hemidiaphragm is similar to the prior studies. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the cardiomediastinal shadow is normal. no pleuropulmonary disease. azygos fissure. no sinister bony lesions.What are the key findings of this report? [/INST] essentially normal chest radiograph. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate slightly lower lung volumes, with increased prominence of the cardiac silhouette and bronchovascular crowding. even allowing for this, the heart is likely mildly enlarged. there are diffusely increased interstitial markings, unchanged from prior. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. unchanged cardiomegaly. <num>. unchanged increased interstitial markings, which can be assessed with dedicated ct chest on a nonemergent, outpatient basis as clinically indicated. </s>
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<s>[INST] heart size is normal. there is increased ap dimension of the chest. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. again, the bones are diffusely demineralized and there is compression deformities of few thoracic vertebral bodies, not significantly changed.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality or pulmonary edema. </s>
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<s>[INST] <num> views were obtained of the chest. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with tortuous aortic contour. right shoulder arthroplasty is incompletely imaged.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] cardiomediastinal silhouette is unremarkable. irregularities at the pleural surface of the left lung base are from the earlier vats. there is a new opacity in left upper lobe which when compared to prior cts could be loculated fluid within the fissure again or a pneumonia. no effusion is seen in the dependent portions of the left lung at this time.What are the key findings of this report? [/INST] question fluid vs pneumonia in the right upper lobe. consider ct. findings discussed with dr <unk> by dr <unk> at <time> pm via telephone. </s>
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<s>[INST] i doubt significant interval change. lines and tubes are similar. there is upper zone redistribution without overt chf and bibasilar atelectasis. no frank consolidation or effusion identified. no pneumothorax detected. possible mild cardiomegaly. cardiomediastinal silhouette is probably similar allowing for differences in positioning. lumbar spine fixation hardware again noted.What are the key findings of this report? [/INST] doubt significant interval change. </s>
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<s>[INST] minimal right base atelectasis seen. there is no focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. right ij access dialysis catheter is noted with its tip in the region of the low svc/ cavoatrial junction. 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] dialysis catheter noted. no signs of pneumonia. </s>
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<s>[INST] the patient is rotated to the left. there are relatively low lung volumes. no definite focal consolidation is seen. there is no pleural effusion or evidence of pneumothorax. the cardiac silhouette is top-normal to mildly enlarged. the aorta is slightly tortuous. there is persistent prominence of the right hilum over multiple prior radiogra radiographs. there is minimal prominence of the pulmonary vasculature which may be due to minimal interstitial edema.What are the key findings of this report? [/INST] low lung volumes and possible minimal interstitial edema. no definite focal consolidation. persistent prominence of the right hilum, chronic </s>
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<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] the endotracheal tube has its tip <num> cm above the carina. advancement by approximately <num>-<num> cm is recommended to place the tip at the thoracic inlet. house staff are aware as subsequent imaging confirms satisfactory positioning. there has been interval appearance of layering left effusion with retrocardiac consolidation suggestive of collapse of the left lower lobe. a superimposed infectious process in the left lower lung cannot be excluded. in addition, there is opacification at the right lung base suggestive of volume loss with at least partial collapse of the right lower and middle lobe. a superimposed infectious process cannot be excluded. no pneumothorax. no pulmonary edema. </s>
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<s>[INST] flattened hemidiaphragms and a deep retrosternal space suggest moderate overinflation. the lung parenchyma shows otherwise normal structure and transparency. there is no evidence for pneumonia or other pathologic parenchymal processes. normal size of the cardiac silhouette. minimal tortuosity of the thoracic aorta.What are the key findings of this report? [/INST] moderate overinflation, but no pneumonia. </s>
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<s>[INST] there are small bilateral pleural effusions, left greater than right, with associated atelectasis. there are no other focal consolidations or overt pulmonary edema. the heart size is normal.What are the key findings of this report? [/INST] bilateral small pleural effusions, left larger than right, with associated atelectasis. recommend radiographic follow-up. </s>
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<s>[INST] the heart size is normal. the mediastinal contours are unremarkable. diffuse hazy ill-defined opacities are noted within both lungs. small bilateral pleural effusions are also noted. no pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] diffuse hazy ill-defined opacities within both lungs with small bilateral pleural effusions. findings may reflect a multifocal pneumonia with superimposed mild pulmonary edema, although given the history of hemoptysis, hemorrhage is not excluded. </s>
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<s>[INST] pa and lateral views of the chest provided. airspace consolidation within the bilateral lower lobes is concerning for pneumonia. there is small right pleural effusion. the upper lungs are well aerated. the cardiomediastinal silhouette appears normal. clips project over the region of the ge junction. mediastinal contour is unremarkable. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] bilateral lower lobe pneumonia with small right pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest were provided. lung volumes are low which somewhat limits the evaluation. there is a linear density in the right perihilar region likely representing atelectasis. a dense nodule in the left lower lung corresponds to a calcified granuloma on prior ct. adjacent linear density likely represents scarring and appears unchanged. no large effusion or pneumothorax is seen. no definite displaced rib fracture is seen. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no definite rib fracture. </s>
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<s>[INST] right picc is no longer seen. subtle bilateral mid lung opacities are better seen on prior ct scan and may represent pneumonia. there is no confluent consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities at.What are the key findings of this report? [/INST] bilateral hazy opacities in the lungs better characterized by pet-ct from earlier the same day may be infectious. </s>
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<s>[INST] two ap views of the chest. the lungs are clear without focal consolidation or large effusion. the cardiomediastinal silhouette is within normal limits for technique. bilateral rib fractures appear old. degenerative changes are seen at the acromioclavicular joints bilaterally.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. minimal right middle lobe atelectasis 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 evidence of free air. expansile lesion seen in the right posterior ninth rib. multiple additional lytic lesions seen within the ribs, better evaluated on concurrent ct. the heart is enlarged. the spinal hardware noted in the mid thoracic spine. there is no focal consolidation. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] no evidence of free air. expansile lesion within the right posterior <num>th rib and other lytic ribs lesions in keeping with myeloma, better evaluated on the concurrent ct. </s>
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<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. mild leftward convex curvature is centered along the lower lumbar spine. bony structures are otherwise unremarkable. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] right base opacity, likely projecting over the anterior right middle lobe, is worrisome for pneumonia. no pleural effusion is seen. there is no pneumothorax. the lungs remain hyperinflated. the cardiac and mediastinal silhouettes are stable. old left-sided rib fractures are again noted.What are the key findings of this report? [/INST] patchy anterior right middle lobe opacity most consistent with pneumonia. recommend followup to resolution. </s>
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<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiac silhouette is mildly enlarged. prosthetic aortic valve is in unchanged position.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] ap upright and lateral views of the chest provided. low lung volumes limit evaluation. allowing for this, there is no focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact. there is 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] the heart size, mediastinal, and hilar contours are normal. there is suggestion of a small apical right pneumothorax, with a pleural line seen below the inferior border of the posterior second rib. the lungs are otherwise clear without pleural effusion or focal consolidation.What are the key findings of this report? [/INST] suggestion of a small right apical pneumothorax. </s>
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<s>[INST] as on the prior study there is a large right effusion and volume loss in the right lower lobe. on the prior exam there was a small amount of opacity in the retrocardiac region. this is now more confluent and is more suspicious for an infectious infiltrate. the upper lobes are relatively clear. the right ij line is unchanged.What are the key findings of this report? [/INST] increased left lower lobe infiltrate. no change in large right effusion. </s>
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<s>[INST] the lungs are clear of focal consolidation, effusion, or vascular congestion. bone island seen in the posterior left fourth rib. the cardiomediastinal silhouette is stable, mild cardiomegaly. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal silhouette is normal. the pleura is unremarkable. the right lung is clear. there is a left perihilar opacification with associated left upper lobe linear atelectasis the could represent pneumonia but given lack of uri symptoms code represent a hilar mass causing obstruction. recommend chest ct for further evaluation.What are the key findings of this report? [/INST] left perihilar opacification with associated left upper lobe linear atelectasis that could represent pneumonia or a left hilar obstructive mass. recommendation(s): recommend ct chest for further evaluation. </s>
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<s>[INST] lungs are well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. no mediastinal widening. no acute osseous abnormality. degenerative changes in the lower thoracic spine are moderate.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] ap and lateral views of the chest show no consolidation, pulmonary edema, or pneumothorax. there is a possible trace left pleural effusion. a small nodule in the left mid lung zone is stable measuring <num> mm and likely due to prior granulomatous disease, as also seen on chest ct from <unk>. cardiac size is at the upper limits of normal. the mediastinal contours are normal.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. possible trace left pleural effusion. <num>. stable left mid lung nodule is likely prior granulomatous disease. </s>
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<s>[INST] dual-lead left-sided pacemaker is seen, unchanged in position, with leads extending to the expected positions of the right atrium and right ventricle. the patient is status post median sternotomy. the lungs remain relatively hyperinflated. there is minimal left base atelectasis/scarring. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is top normal. mediastinal and hilar contours are stable. there is no overt pulmonary edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.What are the key findings of this report? [/INST] no acute cardiopulmonary process recommendation(s): the findings were discussed with <unk>, by <unk>, m.d. on the telephone on <unk> at <time> pm, <num> minutes after discovery of the findings. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. bilateral pleural and diaphragmatic plaques are again seen, consistent with prior asbestos exposure. bibasilar reticular opacities left greater than right may have slightly increased in the interval, consistent with fibrotic interstitial disease. no new focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the hilar contours are stable. the aorta remains calcified and tortuous. the cardiac silhouette is top normal to mildly enlarged.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. bilateral pleural and diaphragmatic plaques again seen consistent with prior asbestos exposure. bibasilar reticular opacities again seen consistent with a fibrotic interstitial lung disease are better evaluated on ct. </s>
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<s>[INST] a tracheostomy tube is unchanged in position. a right picc terminates at the lower svc. the cardiac and mediastinal contours remain within normal limits.there is no pneumothorax, focal consolidation, or pleural effusion.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] there increased interstitial markings in the lungs bilaterally similar to prior. there is some more confluent left basilar opacity projecting posteriorly on the lateral view. there is no large pleural effusion. cardiomediastinal silhouette is grossly unchanged. aortic core valve device and median sternotomy wires are unremarkable.What are the key findings of this report? [/INST] interstitial edema. slightly increased opacity at the left lung base which could be superimposed infection versus atelectasis, to be correlated clinically. </s>
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