QA
stringlengths 65
2.9k
|
|---|
<s>[INST] cardiomegaly is mild. a left pacemaker generator projects over the left chest wall. the lung fields are clear. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] all lines and tubes are unchanged in comparison to the prior chest radiograph. bilateral diffuse airspace opacification have worsened since the prior examination, in keeping with worsening edema. stable mild enlargement of the cardiomediastinal silhouette. no pneumothorax is seen.What are the key findings of this report? [/INST] interval worsening of the moderate to severe pulmonary edema. </s>
|
<s>[INST] ap and lateral views of the chest. the cardiac silhouette is significantly enlarged. instinct pulmonary vascular markings are seen compatible with edema. there is no large effusion. hypertrophic changes are seen in the spine. linear opacity in the left mid lung suggestive of atelectasis.What are the key findings of this report? [/INST] enlargement of cardiac silhouette, compatible with cardiomegaly, noting that component of pericardial effusion would also be possible. mild pulmonary edema. </s>
|
<s>[INST] monitoring devices are still in place and unchanged. heart and aorta profile are unchanged are stable. the lungs are less inflated. the bibasilar pleural effusion is improved, especially on the left base.What are the key findings of this report? [/INST] bibasilar pleural effusion has improved. </s>
|
<s>[INST] moderate cardiomegaly is stable since <unk>. mediastinal widening is likely due to lipomatosis. there is no pulmonary edema. there has been interval improvement of the pre-existing opacities at the right lung base. the small right pleural effusion is stable. mild left lung base atelectasis and a small left pleural effusion persist. there is no pneumothorax. there has been interval removal of a right-sided ij.What are the key findings of this report? [/INST] interval improvement of the pre-existing right lung base pneumonia. </s>
|
<s>[INST] the cardiac and mediastinal silhouettes are stable. patient has a known large hiatal hernia and air-fluid levels seen on the lateral view likely relates to such. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the right side of the upper thoracic trachea appears to take a sharp curve/ angle, stable since at least <unk>.What are the key findings of this report? [/INST] evidence of known large hiatal hernia again seen. air-fluid levels seen on the lateral view likely relate to the hiatal hernia. no definite acute process. </s>
|
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged including moderate unfolding of the thoracic aorta. the heart is at the upper limits of normal size. there is no definite pleural effusion or pneumothorax. air bronchograms can be seen in the medial retrocardiac region which may indicate a subtle left lower lobe opacity. the right humerus shows apparent inferior positioning compared to the glenoid consistent with chronic dislocation not significantly changed since earlier studies.What are the key findings of this report? [/INST] medial left basilar opacity suggested by vague opacity with air bronchograms, but not well evaluated. atelectasis but potentially pneumonia could be considered, although this finding is not a definite source for infection. </s>
|
<s>[INST] pa and lateral views of the chest were provided. there are scattered airspace opacities concerning for pneumonia. no large effusion or pneumothorax seen. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] persistent pulmonary airspace opacities throughout both lungs remain concerning for pneumonia. </s>
|
<s>[INST] compared with the prior study, heart size is top normal, without new focal consolidation, effusion, or pneumothorax. no overt pulmonary edema. rightward curvature of the thoracic spine is again seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no clear evidence of pneumonia. </s>
|
<s>[INST] there are low lung volumes which accentuates the cardiac size. pacemaker with leads and sternal hardware are unchanged. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] compared to the prior chest radiograph, the lung volumes are low. otherwise, the lungs are clear without focal opacity, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] lung volumes are low. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pleural effusion or pneumothorax. no focal consolidation is identified.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
|
<s>[INST] there is no focal consolidation, pleural effusion, or pneumothorax. mild cardiomegaly is unchanged. there is no pulmonary vascular congestion. the cardiac and hilar and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. findings were discussed with dr. <unk> <unk> by phone at <time> p.m. on <unk>. </s>
|
<s>[INST] ap upright and lateral views of the chest provided. overlying ekg leads are present. 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] lung volumes are within normal limits. even allowing for the projection, the heart is mildly enlarged and there is mild prominence of the pulmonary vasculature, particular in the upper lobes consistent with mild pulmonary vascular congestion. no frank pulmonary edema seen. no consolidation or pneumothorax seen. no pleural effusion seen. there is a relatively acute scoliotic curve convex the right centered at the thorax lumbar junction, there may be a compression deformity at this level, this is incompletely evaluated on this ap view only. degenerative changes in the left shoulder.What are the key findings of this report? [/INST] <num>. mild cardiomegaly and pulmonary vascular congestion consistent with mild congestive heart failure but no frank pulmonary edema. <num>. relatively acute scoliotic curve convex the right at the thorax lumbar junction, a compression fracture at this level cannot be excluded. </s>
|
<s>[INST] pa and lateral views of the chest provided. dual-lead pacemaker projects over the right chest wall with leads extending to the region of the right atrium and right ventricle. the heart is mild to moderately enlarged with bilateral pleural effusions and bibasilar compressive atelectasis. the hila are mildly prominent, likely reflecting central congestion. there is no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] mild edema with bilateral effusions and cardiomegaly as well as compressive lower lung atelectasis. </s>
|
<s>[INST] portions of the lateral left lung are not included within the field of view of these radiographs. an endotracheal tube terminates <num> cm above the carina. the side port of an enteric tube projects over the gastric body. lungs are fully expanded and clear. no right pleural effusion or right or left pneumothorax.. heart size is normal. cardiomediastinal and hilar silhouettes are normal. no large fractures within the field of view.What are the key findings of this report? [/INST] portions of the lateral left lung are not included within the field of view. no of acute cardiopulmonary abnormalities or fractures are seen. </s>
|
<s>[INST] ap upright and lateral views of the chest provided.low lung volumes limits assessment. no convincing evidence for pneumonia or edema. there is mild atelectasis in the region of the lingula. no large effusion or pneumothorax. cardiomediastinal silhouette appears grossly within normal limits. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] as above. </s>
|
<s>[INST] the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal.What are the key findings of this report? [/INST] normal chest radiographs. </s>
|
<s>[INST] portable chest radiograph demonstrates interval removal of left ij. the right central line is seen with its tip in the low superior vena cava. the cardiomediastinal hilar contour is unchanged. there is basilar atelectasis with unchanged pulmonary edema. likely bilateral effusions worse on the left. no pneumothorax.What are the key findings of this report? [/INST] no significant clinical changes. </s>
|
<s>[INST] in comparison with study of <unk>, there is some increasing opacification at the left base consistent with clinical impression of pneumonia. some atelectatic changes persist on the right in the lower lungs. no evidence of vascular congestion.What are the key findings of this report? [/INST] apparent left lower lobe pneumonia. </s>
|
<s>[INST] frontal and lateral chest radiographs were obtained. there is a nodule in the superior portion of the left lower lobe that is new compared to study from <unk>. no other focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the heart size is normal. the mediastinal and hilar contours are normal. no bony abnormality is detected.What are the key findings of this report? [/INST] new left lower lobe lung nodule, recommend followup ct scan for better characterization. critical result was entered into the system by dr. <unk> at <time> p.m. on <unk>. </s>
|
<s>[INST] the heart size is mildly enlarged but unchanged. the mediastinal and hilar contours are unremarkable. the lungs are hyperinflated, unchanged. scarring within the lung apices is again noted. no focal consolidation, pleural effusion or pneumothorax is identified. the pulmonary vascularity is normal. severe wedge compression deformity of an upper thoracic vertebral body is new when compared to the prior exam from <unk>. mild loss of height of a mid thoracic vertebral body is unchanged. old right-sided rib fractures are again noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. new severe compression deformity of an upper thoracic vertebral body compared to <unk>. </s>
|
<s>[INST] low lung volumes are noted particularly on the frontal view. the lungs however are clear without consolidation, effusion, or vascular congestion. 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] there is a dual lead pacemaker with tips projecting over the expected location of the heart. the heart is mildly enlarged. there is pulmonary vascular redistribution. there is volume loss at the bases but no focal infiltrate no fractures identified. there is no pneumothorax.What are the key findings of this report? [/INST] no fracture </s>
|
<s>[INST] low lung volumes are again noted. right chest wall port is again seen. the lungs are grossly clear besides bibasilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] ap upright and lateral views of the chest provided. port-a-cath resides over the right chest wall with catheter tip in the low svc region. patient is slightly rotated to the right. mild left basal atelectasis is noted. no definite signs of pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is normal. multiple sclerotic bone lesions compatible with known metastatic disease.What are the key findings of this report? [/INST] no pneumonia. </s>
|
<s>[INST] the lungs are clear. there is no focal 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 cardiomediastinal and hilar contours remain normal. atelectatic changes or scarring is again seen at the left lung base. new widespread airspace opacities are present throughout the left lung, likely pulmonary hemorrhage. there has been interval placement of a fiducial seed in the medial aspect of the left upper lobe. the right lung remains clear. there is no pneumothorax. a left port-a-cath is present with tip terminating in the cavoatrial junction.What are the key findings of this report? [/INST] no pneumothorax. new left upper lobe fiducial placement with left airspace opacities consistent with pulmonary hemorrhage. </s>
|
<s>[INST] single frontal view of the chest demonstrates normal cardiomediastinal silhouette. the lung volumes are slightly low. there is a patchy opacity in the left lung base, probably representing atelectasis, although early infection cannot be excluded in the appropriate clinical setting.What are the key findings of this report? [/INST] patchy opacity in the left lower lobe, which could represent subsegmental atelectasis versus subtle early infection in the appropriate clinical setting. </s>
|
<s>[INST] since the prior exam obtained approximately <num> hours earlier, there is no significant change. again noted is an elevated right hemidiaphragm with a small right pleural effusion and right basilar atelectasis. there is no new consolidation, pulmonary edema, or pneumothorax. mild vascular congestion is stable. the cardiac size is moderately enlarged and unchanged. the thoracic aorta is tortuous with calcifications in the aortic arch. clips are noted in the right axilla. multilevel vertebroplasty changes are present. a stent in the abdominal aorta is unchanged in appearance.What are the key findings of this report? [/INST] no change since the prior radiograph. small stable right pleural effusion and right basilar atelectasis. </s>
|
<s>[INST] interstitial opacities in the right lower lung unchanged since <unk> and in right mid lung which are new is concerning for interstitial pneumonia. mild atelectasis is present in the left lung base. heart size, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] interstitial pneumonia in right mid and lower lung. </s>
|
<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there are new patchy densities in the left lower lung as well as a vague focal new opacity in the left upper lobe. these findings are concerning for pneumonia. vague right upper lobe opacity has mostly resolved, however. there is a small pleural effusion on the left. a round <num> mm diameter focus suggests a very small nodular density of nodule, possibly calcified. the chest is hyperinflated.What are the key findings of this report? [/INST] findings suggesting multifocal pneumonia in the left lung. small suspected calcified nodule in the right lung, not significantly changed. </s>
|
<s>[INST] the lungs are well expanded and clear. there is no evidence of focal consolidation, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette and hilar contours are normalWhat are the key findings of this report? [/INST] no acute cardiopulmonary process </s>
|
<s>[INST] pa and lateral views of the chest were provided. there is minimal atelectasis in the left lung base, likely in the region of the inferior lingula as seen on prior study. there is no new consolidation, effusion, or pneumothorax. no signs of chf. cardiomediastinal silhouette appears normal. bony structures appear intact. mild degenerative changes of the shoulders are noted. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] mild left lung base atelectasis. otherwise unremarkable study. </s>
|
<s>[INST] moderate right pleural effusion with probable lung volume loss and slight shift of the mediastinum rightward, although the patient is rotated as well. no focal consolidation or pulmonary edema. the heart is top-normal in size. the thoracic aorta is slightly tortuous or ectatic. no pneumothorax. no left pleural effusion. the patient's chin obscures complete evaluation of the apices. there is a coronary stent.What are the key findings of this report? [/INST] moderate right pleural effusion. </s>
|
<s>[INST] frontal and lateral chest radiographs demonstrate low lung volumes and unchanged cardiomegaly. the mediastinal silhouette is within normal limits. no focal consolidation, vascular congestion, or pneumothorax is seen. there is a small left pleural effusion. no fracture is identified.What are the key findings of this report? [/INST] no pneumothorax or fracture is identified. there is a small left pleural effusion. </s>
|
<s>[INST] the lungs are clear. mild cardiomegaly and vascular congestion, unchanged. the 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] pa and lateral views of the chest. no prior. lungs are clear. cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] ap and lateral chest radiographs. the right paratracheal stripe is enlarged, which may represent a dilated azygos vein from impeded venous return in the ivc shown on concurrent ct of the abdomen/pelvis. alternatively, this could be lymphadenopathy in this patient with presumed lymphoma. the left hemidiaphragm is elevated from massive splenomegaly with adjacent atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax. excreted contrast within hydronephrotic left kidney is partially imaged. there is no free intraperitoneal air.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no pneumoperitoneum. </s>
|
<s>[INST] ng tube tip straddles the ge junction. stable cardiomegaly. blunting of the left costophrenic angle suggests a left pleural effusion. obscuration of the left hemidiaphragm suggests basilar atelectasis. stable patchy opacities at the right base.What are the key findings of this report? [/INST] ng tube tip straddles the ge junction. </s>
|
<s>[INST] an enteric catheter courses below the level of the diaphragm and out of the field of view inferiorly. the degree of right hemidiaphragm eventration is unchanged. the lungs are clear. there is a left ventricular configuration of the heart. aortic calcifications are noted. there are no pleural abnormalities.What are the key findings of this report? [/INST] <num>. clear lungs. <num>. left ventricular cardiac configuration. </s>
|
<s>[INST] heart appears mildly enlarged. cardiomediastinal contours are unremarkable. there are bibasilar opacities, mainly within the costophrenic angles, most likely representing atelectasis. no pneumothorax is appreciated. subcutaneous air is noted along the left lateral chest wall. there are also multiple rib fractures on the left as previously seen.What are the key findings of this report? [/INST] <num>. left-sided rib fractures with no radiographic evidence of pneumothorax. <num>. bibasilar opacities likely representing atelectasis. </s>
|
<s>[INST] pa and lateral views of the chest were obtained. prominent breast tissue. underpenetration of the lower lungs. there is no focal consolidation, effusion, or pneumothorax. subtle haziness along the right heart border is not confirmed on the lateral view and therefore likely reflects the overlying soft tissues/breast. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
|
<s>[INST] endotracheal tube ends <num> cm from the carina. enteric tube courses through the stomach, however, the tip is not well visualized. moderate-to-severe pulmonary edema is slightly worse compared to chest radiograph done earlier today. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. heart size is normal.What are the key findings of this report? [/INST] moderate-to-severe pulmonary edema has worsened. </s>
|
<s>[INST] the patient is status post sternotomy, coronary artery bypass graft surgery and aortic valve replacement. a dual-lead pacemaker/icd device appears unchanged, with leads terminating in the right atrium and ventricle, respectively. the heart is again moderately enlarged. the mediastinal and hilar contours appear unchanged. there is asymmetric opacification of the right lung more so than left with an interstitial pattern suggesting an asymmetric form of vascular congestion, although overall similar to decreased, particularly in the left lung. posterior patchy basilar opacities are most suggestive of coinciding atelectasis. there is a better defined opacity loculated along the right lower lateral chest wall, suggestive of a loculated pleural effusion. there is also a small pleural effusion on the left. there is no pneumothorax.What are the key findings of this report? [/INST] decreased opacification, particularly in the left lung, suggesting improvement in pulmonary congestion. better definition of basilar opacity suggesting pleural effusions, loculated on the right side to some degree. </s>
|
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is detected. heart and mediastinal contours are stable with possible mild cardiomegaly.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
|
<s>[INST] the et tube terminates <num> cm above the carina. the enteric tube terminates in the stomach. the lung volume is small. no pulmonary edema. increased pulmonary vascular marking is likely exaggerated by small lung volume. left lower lobe atelectasis has increased. left pleural effusion is mild. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] <num>. the et tube terminates <num> cm above the carina. the enteric tube terminates in the stomach. <num>. worsening left lower lobe atelectasis and left pleural effusion. otherwise stable chest radiograph. </s>
|
<s>[INST] since the chest radiographs obtained <num> days prior, there has been a significant increase in left lung atelectasis with leftward mediastinal shift. patient positioning does not account for all apparent mediastinal shift. unable to assess for concomitant left pleural effusions or consolidation. the right lung is fully expanded and clear.What are the key findings of this report? [/INST] subtotal left lung collapse with significant leftward mediastinal shift concerning for an airway obstruction such as an endobronchial lesion, foreign body, or mucous plug. </s>
|
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits within limitation to patient rotation to the left. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded and clear. there is no pleural effusion, pulmonary edema, or focal consolidation. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] lungs are well-expanded and clear. the cardiac silhouette is unchanged. patient is status post cabg and pacemaker/icd device placement with leads ending in the right atrium and right ventricle. median sternotomy wires are intact. no pneumothorax, pleural effusion, or consolidation. no acute displaced rib fractures.What are the key findings of this report? [/INST] no acute displaced rib fractures. if there is ongoing concern for rib fractures, recommend dedicated radiographs of the ribs with a bb marker placed in the location of pain. </s>
|
<s>[INST] the right chest tube is in unchanged position. the right loculated hydropneumothorax is unchanged. no new consolidation in the aerated right lung. the left lung is clear. no left pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] right chest tube in unchanged position. no significant change with the right loculated hydropneumothorax. </s>
|
<s>[INST] a poorly defined opacity has developed in the right infrahilar region, with an adjacent linear opacity. additional patchy opacity is new in the left retrocardiac area. cardiomediastinal contours are within normal limits. small pleural effusions are new compared to the prior radiograph. prominence of the splenic contour is noted in the imaged portion of the upper abdomen.What are the key findings of this report? [/INST] <num>. new patchy and linear lower lung opacities, likely due to atelectasis or acute aspiration given rapid development. <num>. prominent splenic contour. </s>
|
<s>[INST] increased right-sided pleural effusion, now small-moderate. inferior expansion of right apical opacity likely representing a localized effusion. a superimposed infection cannot be excluded and should be considered in the appropriate clinical context. left lung is clear. cardiomediastinal contours are unchanged. no pneumothorax.What are the key findings of this report? [/INST] <num>. small-moderate right pleural effusion. <num>. inferior expansion of known right apical opacity. </s>
|
<s>[INST] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] the pericardial drain and left pleural pigtail basilar catheter are unchanged in position. there continues to be improving aeration in the left mid and lower lung as well as at the right base suggestive of resolving atelectasis. no pneumothorax is appreciated. cardiac and mediastinal contours are likely within normal limits given portable technique. no pulmonary edema. </s>
|
<s>[INST] both lungs are well expanded and clear. there is no evidence of pulmonary edema. heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.What are the key findings of this report? [/INST] normal chest. no pulmonary edema. </s>
|
<s>[INST] the lungs are clear without consolidation or edema. since the prior exam, a small right pleural effusion has developed. there is possibly a tiny left pleural effusion, too. there is no pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged and unchanged.What are the key findings of this report? [/INST] new small right and possibly tiny left pleural effusions. no focal opacity to suggest pneumonia. </s>
|
<s>[INST] as compared to chest radiograph from the same day interval insertion of a dob hoff tube with the tip in the body of the stomach. mild pulmonary vascular congestion with small to moderate effusions and basilar atelectasis unchanged. no pneumothorax.What are the key findings of this report? [/INST] dob hoff tube in the body of the stomach. </s>
|
<s>[INST] the heart is moderately enlarged. the aorta is mildly tortuous. the mediastinal and hilar contours are otherwise unremarkable. the lung volumes are low. within the limitations of technique, the lungs appear clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly. clear lungs. </s>
|
<s>[INST] frontal and lateral views of the chest were performed. no pleural effusion, pneumothorax or focal airspace consolidation. heart size is normal. mediastinal and hilar structures are unremarkable. as before, there is mild hyperexpansion of the lungs consistent with chronic pulmonary disease related to smoking.What are the key findings of this report? [/INST] no acute cardiopulmonary process with hyperinflation. </s>
|
<s>[INST] cardiomediastinal contours are within normal limits without change. a peripheral subcentimeter nodular opacity at level of the right ninth posterior rib corresponds to a peripheral lung nodule on ct abdomen of <unk>. patchy right lower lobe infrahilar opacity with associated bronchial wall thickening is noted. high density material within the liver is consistent with ethiodiolWhat are the key findings of this report? [/INST] patchy right infrahilar opacity with associated bronchial wall thickening, which could be due to aspiration or developing pneumonia. short-term followup radiographs may be helpful in this regard. right lower lobe pulmonary nodule is not fully characterized radiographically but appears to correspond to a lung nodule on older abdominal ct of <unk>. </s>
|
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. height loss of several mid thoracic vertebral bodies is unchanged from prior.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] there is pulmonary vascular congestion with mild interstitial pulmonary edema. heterogeneous opacity at the right lung base could be atelectasis or pneumonia. moderate cardiomegaly is slightly decreased compared to <unk>. the mediastinal contours are normal. aortic calcifications are noted. there are no definite pleural effusions. no pneumothorax is seen. carotid artery calcifications are noted.What are the key findings of this report? [/INST] <num>. mild interstitial pulmonary edema. <num>. decreased moderate cardiomegaly. <num>. heterogeneous right basilar opacity could be atelectasis or pneumonia. </s>
|
<s>[INST] cardiac silhouette size is mildly enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. linear opacities in the right lung base are compatible with areas of subsegmental atelectasis. lungs appear hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. scarring is noted in the lung apices. there are mild to moderate degenerative changes noted in the imaged thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] the heart is again mild to moderately enlarged. the cardiac, mediastinal, and hilar contours appear stable. there is no definite pleural effusion or pneumothorax. although not nearly as striking is the prior study, the pulmonary vascularity is indistinct, and the appearance suggests mild vascular congestion, without definite focal opacity. hemidiaphragms are flattened. fissures are minimally thickened.What are the key findings of this report? [/INST] findings suggesting mild pulmonary vascular congestion. </s>
|
<s>[INST] a dialysis catheter terminates in the upper right atrium. the cardiac, mediastinal and hilar contours appear unchanged. there is a small to moderate effusion on the left with volume loss including elevation of the left hemidiaphragm and opacity probably due to atelectasis. a diffuse mild interstitial abnormality suggests mild congestion that is new since the prior examination. there is no evidence for free air or pneumomediastinum. mild degenerative changes are similar along the mid thoracic spine. the lateral view depicts a tips shunt.What are the key findings of this report? [/INST] findings suggesting mild vascular congestion with a left-sided pleural effusion and probable associated atelectasis. </s>
|
<s>[INST] tracheostomy tube is in unchanged position. there are low lung volumes. the heart size is mildly enlarged, but stable. the aorta remains diffusely tortuous. there is crowding of the bronchovascular structures but no overt pulmonary edema is present. persistent bibasilar airspace opacities are again noted, likely reflective of atelectasis but infection cannot be is fully excluded. no pleural effusion or pneumothorax is detected. left picc tip terminates in the svc.What are the key findings of this report? [/INST] low lung volumes with bibasilar airspace opacities, likely reflecting atelectasis but infection or aspiration cannot be excluded. </s>
|
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is slight pleural thickening along each lateral hemithorax. otherwise, pleural surfaces are unremarkable. the lungs appear clear. there is a thin anterior flowing osteophyte along several lower thoracic levels.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
|
<s>[INST] portable ap chest radiograph demonstrates a left picc terminating in mid svc. the lungs are clear. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] left picc terminates in the mid svc. findings were discussed with <unk> (iv nursing). </s>
|
<s>[INST] pa and lateral views of the chest. no prior. there is no definite consolidation. rounded opacity projecting over the left lung base is thought to represent a nipple shadow. right nipple ring is identified. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. mild vertebral body height loss identified at the mid-to-lower thoracic spine, age indeterminate without prior.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. age indeterminant mild vertebral body height loss in the mid-to-lower thoracic spine. clinical correlation suggested. </s>
|
<s>[INST] no significant interval change. there may be a tiny apical pneumothorax on the right, difficult to assess because soft tissues from the flexed chin obscures portions of the lung apices. bilateral small, greater on the right, pleural effusions are unchanged in the positions of both chest tubes bilaterally are unchanged. dual lead cardiac pacer defibrillator device is unchanged. numerous bilateral pulmonary nodules are also unchanged.What are the key findings of this report? [/INST] no significant interval change, possible tiny apical pneumothorax on the right is hard to assess due to overlying soft tissue from the chin. </s>
|
<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. there is linear scarring at the left base. there is severe thoracic scoliosis, convex to the right. the aorta is tortuous. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is evident. the lungs are hyperinflated. heart and mediastinal contours are stable with moderate cardiomegaly and enlarged calcified tortuous aorta. nodular opacity at the left lung apex appears stable. rightward tracheal deviation is again noted, likely secondary to enlarged left thyroid.What are the key findings of this report? [/INST] stable moderate cardiomegaly and aortic enlargement and tortuosity. hyperinflated lungs. </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] the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] since the prior exam performed one day prior, there is no significant change. again seen is a layering right pleural effusion with associated atelectasis. a left pleural effusion with atelectasis is also unchanged. there is no new consolidation. there is no pulmonary edema or pneumothorax. the tracheostomy tube is <num> cm from the carina. a left internal jugular catheter terminates in the mid svc. a dobbhoff tube is in unchanged position overlying the mid stomach.What are the key findings of this report? [/INST] no significant change in the aeration of the lungs. stable bilateral pleural effusions and bibasilar atelectasis. </s>
|
<s>[INST] mild basilar atelectasis is seen. there is no focal consolidation, pleural effusion, or evidence of pneumothorax. cardiac silhouette is top-normal. mediastinal contours are unremarkable. there may be partial fusion of <num> posterior ribs, seen on the lateral view.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] a left-sided pacemaker and icd, sternal wires, and mediastinal clips are in unchanged position. a linear opacity in the left mid lung zone is unchanged from multiple exams dating to <unk>, likely representing chronic scarring. there is no new opacity to suggest pneumonia. there is no pulmonary edema, pleural effusion, or pneumothorax. the mediastinal contours are normal. the heart size is moderately enlarged, and unchanged.What are the key findings of this report? [/INST] unchanged left mid lung zone scarring. no evidence of pneumonia. results were discussed with dr. <unk> assistant at <time> pm on <unk> via telephone by dr. <unk>. </s>
|
<s>[INST] no focal consolidation, pleural effusion or pneumothorax identified. the size the cardiac silhouette is within normal limits.What are the key findings of this report? [/INST] normal examination; no pneumonia. </s>
|
<s>[INST] cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion. right supraclavicular catheter tip is in the lower svc.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. resolved vascular congestion. </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. an irregular bony focus along the anterior aspect of the right second rib corresponds to prior ct findings. known left-sided rib fractures are not well depicted.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
|
<s>[INST] again seen is a mildly tortuous thoracic aorta. otherwise, the cardiomediastinal silhouettes are stable and within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no evidence of pulmonary vascular congestion there is biapical pleural-parenchymal scarring. there is no pneumothorax or pleural effusion. old healed left tenth rib fracture. unchanged thoracic scoliotic curve.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] left hemodialysis catheter ends in the right atrium. mediastinal clips and sternotomy wires are in appropriate position. mild-to-moderate cardiomegaly is unchanged. mild pulmonary vascular congestion is unchanged. mild left basilar atelectasis with likely tiny left pleural effusion. right lung is clear. no evidence of pneumonia.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
|
<s>[INST] a pigtail drainage catheter coiled in the left posterior costal pleural space is unchanged. moderate left pleural effusion is re accumulated between <unk> and <unk>, but is grossly unchanged since than, accompanied by increase in left lower lobe atelectasis due to worsening atelectasis or, less likely, pneumonia. small right pleural effusion new since <unk> is stable since <unk>. emphysema explains hyperinflation. moderate cardiomegaly is stable.What are the key findings of this report? [/INST] moderate left pleural effusion with left lower lobe atelectasis or pneumonia, grossly unchanged since <unk> study ; posterior left pleural drainage catheter unchanged. small right pleural effusion stable for <num> days, is probably unrelated. chronic moderate cardiomegaly. </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] a portable supine frontal chest radiograph demonstrates interval placement of an endotracheal tube, with right mainstem intubation and mild atelectasis of the left lung. the right lung is clear. the nasoenteric tube courses below the diaphragm and off the inferior edge of the image. a right central line terminates in the mid svc, likely unchanged in position compared to the recent chest radiograph, but now with improved lung volumes. a device projecting over the left scapula may represent a nerve stimulator. surgical clips in the right upper quadrant are likely related to prior cholecystectomy. pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] right mainstem intubation, with mild left sided atelectasis. recommend retraction of the endotracheal tube by approximately <num> cm. ng tube and right ij central venous catheter positioned appropriately. </s>
|
<s>[INST] there is complete opacification of the right hemithorax, which is new from the preprocedure chest radiograph on <unk>. additionally, when compared to the intra-procedural ct images performed earlier on the same date, this represents a new finding. mediastinum is shifted towards the left. left lung is essentially clear. there is no pneumothorax. right ij catheter introducer sheath is noted. et tube terminates <num> cm above the carina. an enteric tube extends the body of the stomach.What are the key findings of this report? [/INST] new complete opacification of the right hemithorax with leftward mediastinal shift, which may represent simple fluid or hemorrhage. </s>
|
<s>[INST] the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiac silhouette is within normal limits. linear calcification on the lateral view is seen in the region of the ascending aorta, likely atherosclerotic. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
|
<s>[INST] tracheostomy tube remains in unchanged position. left-sided port-a-cath tip terminates at the junction of the svc and right atrium. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. deformity of the right third rib is unchanged. gaseous distention of colonic loops of bowel is seen in the upper abdomen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
<s>[INST] single portable view of the chest was obtained. the right ij line terminates in the mid svc. there is no pneumothorax. there are unchanged prominent interstitial markings of the left lung, which is non-specific but may represent chronic scarring. there is mild cardiomegaly with pulmonary vascular congestion and interstitial edema. no focal consolidation is identified. there is no pleural effusion. sternotomy wires and multiple mediastinal clips are unchanged. severe degenerative changes are seen in bilateral shoulders.What are the key findings of this report? [/INST] <num>. right ij terminates in the mid svc. <num>. no significant change to the mild cardiomegaly, mild vascular congestion, and interstitial pulmonary edema. </s>
|
<s>[INST] lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. the patient has known calcified pleural plaques are not well visualized on today's study. no focal consolidation, pneumothorax or pleural effusion seen. mild degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process seen. calcified pleural plaques consistent with prior asbestos exposure. </s>
|
<s>[INST] the patient's chin overlies the medial lung apices. the patient is also somewhat rotated. given the above, there are low lung volumes with persistent elevation of the right hemidiaphragm. no large pleural effusion is seen. the cardiac and mediastinal silhouettes are stable. the patient is status post median sternotomy and cardiac valve replacement. there is left mid lung linear atelectasis/ scarring. mild to moderate interstitial edema is seen.What are the key findings of this report? [/INST] mild to moderate interstitial edema may be slightly exaggerated due to low lung volumes. persistent elevation of the right hemidiaphragm. </s>
|
<s>[INST] portable semi-upright radiograph of the chest demonstrates persistent large right-sided pleural effusion with collapse of the right lower lobe and shift of the mediastinum to the right. again seen are stable appearing diffuse increased interstitial opacities consistent with mild pulmonary edema or lymphangitic spread of lung cancer. there is a small left-sided pleural effusion. multiple nodules are seen in the left lung, but were better evaluated on recent pet-ct. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax. right vp shunt catheter is seen coursing along the right chest, and into the right upper quadrant of the abdomen. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. stable appearing diffuse increased interstitial opacities consistent with mild pulmonary edema differential diagnosis include lymphangitic spread of lung cancer. <num>. persistent large right-sided pleural effusion with collapse of the right lower lobe and shift of the mediastinum to the right. </s>
|
<s>[INST] pa and lateral views of the chest. there is mild left lower lobe plate-like linear atelectasis. no evidence of pneumonia. the heart size is normal. the left hilum is enlarged. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. left hilum is enlarged and was found to have fdg avid lymph node on pet ct on <unk>. suggest chest ct to better assess. </s>
|
<s>[INST] mild pulmonary edema has minimally worsened since <unk>. left pectoral icd device with leads in standard position. patient is following cabg and there is evidence of median sternotomy and intact sternal sutures. moderately enlarged heart size is stable. mediastinal and hilar contours are unchanged. increased retrocardiac density reflecting left lower lung atelectasis or consolidation and small to moderate left pleural effusion is new. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. mild pulmonary edema has minimally worsened since <unk>. <num>. left lower lung and increased retrocardiac density reflecting atelectasis and/or consolidation and small to moderate left pleural effusion is new. </s>
|
<s>[INST] the cardiac silhouette is within normal limits. increased anterior posterior diameter of the chest cage is suggestive of copd. increased opacities at the lung bases bilaterally could reflect atelectasis with a probable component of bronchiectasis, however an early infectious process cannot be entirely excluded. there is no large pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. increased bibasilar opacities likely reflect atelectasis with a possible component of bronchiectasis. an early infectious process, however cannot be entirely excluded in the appropriate clinical setting. <num>. increased anterior posterior diameter of the chest cage is suggestive of copd. findings discussed with <unk> by <unk> via telephone on <unk> at <time> am. </s>
|
<s>[INST] cardiac silhouette size is normal. the aorta remains tortuous and diffusely calcified. mediastinal and hilar contours are unchanged. the pulmonary vasculature is not engorged. linear opacities within the periphery of the right lung base likely reflect areas of scarring. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.