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<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. mild dependent atelectasis is noted at the left lung base. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap upright and lateral chest radiographs were obtained. lung volumes are low. a retrocardiac opacity projects over the spine on the lateral view. no effusion or pneumothorax is present. the heart and mediastinal contours are normal. the lower edge of cervical pedicular screws is present.What are the key findings of this report? [/INST] left lower lobe pneumonia. </s>
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<s>[INST] the lungs are clear. there is minimal right lower lung atelectasis. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions.What are the key findings of this report? [/INST] no acute cardiac or pulmonary findings. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. linear opacity projecting over the right lower lung is compatible with loculated fissure oral fluid seen on prior imaging studies. also noted are small bilateral layering pleural effusions. no evidence of pneumonia, edema or pneumothorax. the cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] small bilateral pleural effusions, with stable appearance of loculated right fissural fluid. no evidence of pneumonia or edema. </s>
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<s>[INST] there is no 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>
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<s>[INST] there has been interval removal of a left-sided pigtail catheter. there is no pneumothorax. the moderate left pleural effusion is increased compared to the prior film, and there is adjacent atelectasis. the remainder of the chest radiograph is stable.What are the key findings of this report? [/INST] <num>. no pneumothorax following catheter removal. <num>. increasing left-sided pleural effusion. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate stable post-operative appearance after right upper lobe vats with appropriate position of right-sided chest tube and no change in the right apical pneumothorax. the cardiac and mediastinal contours are unchanged. the lung parenchyma is unchanged with no new areas of focal consolidation. no contralateral pneumothorax is appreciated.What are the key findings of this report? [/INST] stable post-operative appearance with unchanged right apical pneumothorax and right chest tube. </s>
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<s>[INST] pa and lateral radiographs demonstrate markedly low lung volumes. there is minimal bilateral lower lobe atelectasis. the lungs are otherwise clear. there is no pneumothorax or pleural effusion. the hilar and cardiomediastinal contours are normal. pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. low lung volumes. <num>. no other acute cardiopulmonary process and no pneumothorax. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate midline sternotomy wires and mediastinal clips. there is a left chest wall aicd with lead tip extending to the level of the right ventricle. the heart is mildly enlarged. there is mild pulmonary edema. no large effusion. stable scarring at the right lateral lung base. bony structures are intact.What are the key findings of this report? [/INST] mild pulmonary edema. mild cardiomegaly. </s>
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<s>[INST] ap chest radiograph. there is no focal consolidation, pleural effusion, or pneumothorax. retrocardiac atelectasis is unchanged. there are no overt signs of edema. there is no pleural effusion or pneumothorax. aside from atherosclerotic calcifications in the arch, the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest. a left pacer has leads ending in the right atrium, right ventricle and interventricular vein. there are small bilateral pleural effusions. interstitial irregularity in the periphery of the right lung likely represents scarring. there is no focal consolidation, pulmonary edema, or pneumothorax. there is moderate cardiomegaly.What are the key findings of this report? [/INST] cardiac pacer leads in appropriate position. moderate cardiomegaly. </s>
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<s>[INST] single ap portable radiograph of the chest demonstrates the tip of a dobbhoff tube in the proximal esophagus. interval improvement of the bilateral plate atelectasis indicating improved respiration. no focal consolidation is identified. there is mild eventration of the left hemidiaphragm with a prominent gastric bubble. the right internal jugular catheter is unchanged.What are the key findings of this report? [/INST] unsuccessful placement of dobbhoff tube with the tip projecting over the proximal esophagus. otherwise minimal change compared to the prior radiograph. these findings were relayed to <unk>, at <time>, on the day of the examination. </s>
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<s>[INST] there are low lung volumes. left base opacity is again seen which could be due to pleural effusion and overlying atelectasis, consolidation due to pneumonia or/ and aspiration not excluded. pulmonary vascular congestion persists. the patient is status post median sternotomy and aortic valve replacement. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] aside from subtle decrease in opacity in the left mid lung, there has been no significant interval change. persistent pulmonary vascular congestion and left basilar opacity. stable cardiac and mediastinal silhouettes. </s>
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<s>[INST] single frontal portable chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. chronic interstitial lung changes in the lung bases, right greater than left, are new since <unk>. no pleural effusion or pneumothorax is evident. no displaced rib fractures identified.What are the key findings of this report? [/INST] no acute intrathoracic process. chronic interstitial lung changes in bases, new since <unk>. could be further evaluated with coventional pa and lateral radiograph. alternatively, if clinically indicated could be further evaluated with ct. </s>
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<s>[INST] lung volumes are low. calcified bilateral pleural plaques are re- demonstrated which somewhat limit assessment of the lung parenchyma. heart size is mild to moderately enlarged. superior mediastinal widening is unchanged, and attributable to mediastinal lipomatosis as well as a large right thyroid nodule. elevation of the right hemidiaphragm is unchanged. streaky bibasilar airspace opacities could reflect atelectasis and/or scarring. lung volumes are lower compared to the prior study. there is no new focal consolidation is demonstrated, or overt pulmonary edema. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] mild bibasilar atelectasis or scarring. low lung volumes. calcified bilateral pleural plaques. no definite new areas of focal consolidation is identified. </s>
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<s>[INST] compared with prior radiographs on <unk>, there is no significant change.the lungs are clear without focal consolidation. there is no vascular congestion or edema. no pleural effusion or pneumothorax is seen. cardiac size is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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 acute intrathoracic process. </s>
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<s>[INST] the lungs are again seen to be hyperinflated, with evidence of chronic obstructive pulmonary disease. left mid lung linear scarring is again seen. there is slight increase in interstitial markings bilaterally in the perihilar regions which may relate to differences in technique versus minimal edema.no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] slight interval increase in interstitial markings bilaterally in the perihilar regions, may relate to differences in technique versus minimal edema. copd. no focal consolidation. </s>
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<s>[INST] the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable ap chest radiograph demonstrates new bibasilar interstial edema with mildly increased vascular congestion. no focal consolidation identified. there is opacification of the left hemidiaphragm concerning for atelectasis versus pleural effusion. there is no pneumothorax. the cardiomediastinal contour is unchanged in appearance. an enteric tube is seen descending and an uncomplicated course, its terminal end out of view. chronic deformed right clavicle redemonstrated.What are the key findings of this report? [/INST] mild interstial edema and vascular congestion. </s>
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<s>[INST] ap upright 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] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. linear left basilar opacities are again seen and could represent atelectasis versus scarring. elsewhere, the lungs are clear. there is no consolidation, effusion or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the left costophrenic angle is excluded from the study. interval development of a large right pleural effusion with adjacent atelectasis. left-sided pleural effusion is small, also with adjacent atelectasis. pulmonary vascular congestion is accompanied by asymmetrical right perihilar haziness. heart is top-normal in size. no pneumothorax.What are the key findings of this report? [/INST] <num>. large right and small left pleural effusions with adjacent atelectasis. <num>. right perihilar opacity may represent asymmetrical edema, although aspiration and developing infectious pneumonia are additional considerations. standard pa and lateral chest radiographs would be helpful for complete assessment of this finding when the patient's condition allows. </s>
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<s>[INST] compared with prior radiographs on <unk>, there is no significant change. again seen are low lung volumes with crowding at the hila. there is no focal consolidation to suggest pneumonia. there is no pleural effusion or pneumothorax. the mediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] portable chest radiograph demonstrates two pleural drains terminating in the left apex and posterior left costophrenic angle. there is no pneumothorax. there is a persistent left pleural effusion which appears significantly decreased. bibasilar atelectasis persists. the right lung is grossly clear. the stomach is moderately distended. heart size appears normal.What are the key findings of this report? [/INST] no pneumothorax. </s>
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<s>[INST] previously seen right picc is no longer visualized. basilar consolidations on prior have also resolved. the lungs are clear. there is no large effusion or vascular congestion. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiac silhouette size remains mildly enlarged with prominent epicardial fat pad. mediastinal and hilar contours are unchanged with atherosclerotic calcifications noted at the aortic knob. lungs are hyperinflated with mild emphysematous changes again noted within the upper lobes. there is mild upper zone vascular redistribution without frank pulmonary edema. patchy opacities in the lung bases likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] mild bibasilar atelectasis. mild emphysema. mild pulmonary vascular congestion. </s>
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<s>[INST] the lungs, mediastinum, hilar, heart, pleural surfaces are all normal.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] the endotracheal tube is in satisfactory position, <num> cm from the carina. an enteric tube is present with the tip in the stomach. a left subclavian central venous catheter is present with the tip in the mid svc. these are all unchanged from the prior exam. again, in the right upper lung zone, there is ill-defined rounded <num> mm opacity. the lungs are otherwise clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart is mildly enlarged. sternal wires are intact. a prosthetic valve is unchanged.What are the key findings of this report? [/INST] <num>. satisfactory position of multiple lines and tubes. <num>. rounded opacity in the right upper lung zone. recommend a non-emergent chest ct for further characterization. results were discussed with the neurology resident caring for the patient by dr. <unk> at <time> am on <unk> via telephone <unk> minutes after the findings were discovered. </s>
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<s>[INST] heart size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. no free air is noted under the diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no free air under the diaphragms. </s>
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<s>[INST] pa and lateral views of the chest. mild cardiomegaly, compared with <unk>, the heart size has increased and the left atrium and left ventricle are more prominent. previously seen mild interstitial pulmonary edema has decreased compared with <unk>. aortic valve calcifications. no pleural effusion. no pneumothorax. no infiltration. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] <num>. decrease in pulmonary edema compared with <unk>. no infiltrate. <num>. mild cardiomegaly, compared with <unk>, the heart size has increased and the left atrium and left ventricle are more prominent. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable.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. no prior. there is a moderate-to-large right-sided pleural effusion. there is also likely right middle and lower lobe atelectasis. linear opacity at the left lung base suggestive of atelectasis and there is suggestion of left apical calcified granulomas, but there is no confluent consolidation or left effusion. the cardiomediastinal silhouette is within normal limits. hypertrophic changes are seen in the spine. surgical clips in the right upper quadrant suggest prior cholecystectomy. osseous and soft tissue structures are otherwise unremarkable.What are the key findings of this report? [/INST] moderate-to-large right-sided pleural effusion with components of middle and lower lobe atelectasis. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. lungs are clear despite low lung volumes. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] slight interval improvement in left sided consolidation, likely reflecting resolving asymmetric edema. otherwise, no significant interval change. lung volumes remain low. no change in by lateral atelectasis. pleural effusion, if present, on the left is minimal. no right pleural effusion and no pneumothorax. mild cardiomegaly is unchanged. calcifications aortic knob are unchanged. unchanged position of a single lead cardiac device. surgical clips project over the right axilla supraclavicular region.What are the key findings of this report? [/INST] slight interval improvement in left asymmetric edema. otherwise, no significant change. </s>
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<s>[INST] indistinctness of the pulmonary vasculature and increased interstitial markings are consistent with mild vascular congestion. the heart remains stably enlarged. patient is status post median sternotomy, cabg, and left-sided aicd placement, with leads terminating in the right atrium and right ventricle. external pacer pads are present. no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] mild vascular congestion. . </s>
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<s>[INST] left picc tip terminates in the upper svc. lung volumes are slightly low. heart size remains mildly enlarged. mediastinal contours are unchanged. no pulmonary edema is demonstrated. linear and patchy opacities within the lung bases, as well as along the fissure in the right upper lobe, are minimally worse in the interval. no pleural effusion or pneumothorax is seen, however the right lung apex is obscured due to the patient's neck and chin projecting over this region. mild multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] patchy opacities in the lung bases as well as right upper lobe linear opacity along the fissure, slightly worse in the interval. findings likely reflect atelectasis though infection is not completely excluded. left picc tip in unchanged position in the upper svc. </s>
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<s>[INST] midline sternotomy wires and prosthetic valves are unchanged. the right-sided ij central venous catheter tip sits in the mid svc. the cardiac and mediastinal contours are stable. there continues to be bibasilar atelectasis, more prominent on the right than the left, with a small right pleural effusion. bilateral chest drains are in place; a tiny left pneumothorax is unchanged from prior exam.What are the key findings of this report? [/INST] bibasilar atelectasis, right greater than left, with small right pleural effusion. unchanged tiny left apical pneumothorax. </s>
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<s>[INST] since <unk>, bilateral basilar opacifications appear slightly worse. the heart size is unchanged. all monitoring and support devices are in the appropriate position. no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] slight increase in bilateral basilar opacifications since <unk>. </s>
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<s>[INST] frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] ap portable upright view of the chest. lung volumes are low though lungs are clear. cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] left-sided pacer device is stable in position. there is mild central vascular engorgement without overt pulmonary edema. right lower lobe opacity seen on the frontal view is not well seen on the lateral view and may represent atelectasis or confluence of vascular structures although subtle consolidation is not excluded. 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] compared to the prior study there is no significant interval change in the appearance of the lungs. there is a new dobbhoff catheter with tip in the stomach.What are the key findings of this report? [/INST] dobbhoff tip in the stomach. </s>
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<s>[INST] pa and lateral views of the chest. there are new bilateral opacities, some with central lucency, concerning for multifocal pneumonia. there is no pleural effusion or pneumothorax. the cardiac, mediastinal, and hilar contours are normal. there is no pulmonary vascular congestion. there are no bone lesions identified.What are the key findings of this report? [/INST] multifocal bilateral opacities, some with central lucency, concerning for multifocal pneumonia, possible fungal etiology. suggest chest ct to further characterize. these findings were discussed with <unk> at <time> p.m. on <unk> by telephone. </s>
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<s>[INST] lungs are clear. there is no focal consolidation, effusion, or edema. cardiac silhouette is mildly enlarged. there is tortuosity of the thoracic aorta. hypertrophic changes noted in the spine.What are the key findings of this report? [/INST] mild cardiomegaly without superimposed acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] no pneumothorax detected. probable background copd. surgical clip noted in right upper zone at the site of a right upper lobe nodule, much better depicted on the previous ct scan. left upper lobe ground-glass nodule seen on ct is not readily apparent radiographically. there is probable mild cardiomegaly. no chf, focal infiltrate or gross effusion. minimal atelectasis the cardiophrenic region noted. incidental note made of presumed bone island in the left inferior glenoid.What are the key findings of this report? [/INST] no pneumothorax detected. </s>
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<s>[INST] endotracheal tube has been removed. right subclavian picc line is unchanged, ending in proximal right atrium. lung volumes are increased, mainly for better ventilation of the lung bases. bibasilar atelectasis is reduced in particular at the left base. there is no pleural effusion. there is no pneumothorax. heart size is still moderately enlarged. aorta is mildly elongated as for aortosclerosis.What are the key findings of this report? [/INST] better lung ventilation of the base with reduced atelectasis and without pleural effusion. the et tube has been removed. </s>
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<s>[INST] portable ap upright chest radiograph was provided. there is consolidation of the left lung base with associated pleural effusion. the right lung is clear. the heart is top normal in size though this may be magnified due to portable technique. the mediastinal contour appears normal. the bony structures are intact.What are the key findings of this report? [/INST] basilar consolidation concerning for pneumonia with associated small pleural effusion. </s>
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<s>[INST] pa and lateral views of the chest are provided. lung volumes are somewhat low and there is slight motion artifact. allowing for this, the lungs are clear. no signs of pneumonia or chf. no effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. evidence of a distended esophagus is seen with lucency projecting in the upper right paramediastinal region, likely representing air within the esophagus with some opacity seen more distally which may represent fluid within the esophagus. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] evidence of a dilated esophagus. no focal consolidation. </s>
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<s>[INST] exam is slightly limited secondary to patient positioning and low lung volumes. streaky right basilar opacity is most likely atelectasis. the lungs are otherwise grossly clear. there is no overt edema. there is moderate cardiac enlargement likely accentuated by technique and positioning. median sternotomy wires are intact. degenerative changes are noted at the left shoulder.What are the key findings of this report? [/INST] probable right basilar atelectasis. cardiomegaly without definite superimposed acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral chest radiographs were obtained. a right hickman line terminates in the right atrium. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. a small left pleural effusion is present. there is no pneumothorax.What are the key findings of this report? [/INST] small left pleural effusion. no consolidation to suggest pneumonia. </s>
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<s>[INST] two 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 normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] lungs are clear without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs remain hyperinflated, with flattening of the diaphragms. no focal consolidation is seen. 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] chronic changes in the right upper lung and right perihilar region are again seen. since the prior study, there has been increase in the bibasilar opacities from vertically on the left, worrisome for pneumonia. difficult to exclude a small left pleural effusion. the cardiac silhouette remains mildly enlarged. the aorta is calcified.What are the key findings of this report? [/INST] bibasilar opacities, left greater than right, increased as compared to the prior study raises concern for pneumonia. </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. bony structures are 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] the cardiac, mediastinal and hilar contours are unremarkable. streaky opacity in the right upper lobe suggests minor atelectasis. there are vague focus of increased density where the seventh and ninth ribs intersect and also projecting over the right lower lung. a nearby increased density projects over the right anterior right seventh rib. these findings are new. there are no pleural effusions or pneumothorax. lower thoracic interspaces are moderately narrowed, similar to increased.What are the key findings of this report? [/INST] new densities projecting over the right lower lung and over rib shadows; these may be healed ribs although one may represent a nipple shadow. to examine for a potential pulmonary nodule, initial further evaluation with oblique radiographs is recommended when clinically appropriate. </s>
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<s>[INST] the heart is at the upper limits of normal size. the lung volumes are low. allowing for change in lung volumes, the mediastinal and hilar contours are probably unchanged. the lungs appear clear. there are no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] ap view of the chest provided. compared to prior study from <num> days ago, there is little change. again seen is significant elevation of the right hemidiaphragm, likely secondary to phrenic nerve injury and pleural effusion, unchanged in extent. large right hilar and mediastinal mass is again seen. left lung is essentially clear. mild cardiomegaly appears chronic.What are the key findings of this report? [/INST] no significant change since prior study from <num> days ago. </s>
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<s>[INST] 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 pneumonia. </s>
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<s>[INST] the patient is status post median sternotomy and cabg. left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart is moderately enlarged but unchanged. the aorta is diffusely calcified and tortuous. pulmonary vascularity is not engorged. the lungs remain hyperinflated with flattening of the diaphragms suggestive of underlying chronic obstructive pulmonary disease. there are interstitial changes within the lung bases, with no new focal opacity demonstrated. additionally there is a suggestion of punctate high density material within the right lung base. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] chronic interstitial abnormality within the lung bases which could reflect chronic aspiration given the presence of punctate radiopaque material in the right lung base possibly representing aspirated barium. findings could be better characterized with a dedicated chest ct on a nonemergent basis. </s>
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<s>[INST] pa and lateral views of the chest demonstrates the lungs are well expanded with no evidence of pneumothorax, focal consolidation or pulmonary edema. bilateral apical pleural thickening is again seen. the cardiomediastinal silhouette is stable in appearance.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] two frontal images of the chest demonstrate low lung volumes likely secondary to poor inspiration. there has been interval removal of a right ij central line and the chest tube overlying the heart shadow. there is no pneumothorax or other complication seen. pigtail chest tube remains in appropriate position in the left chest. right picc line is unchanged from prior exam. there is interval improvement in the left pleural effusion. the lungs are otherwise clear. cardiac silhouette is unchanged in size.What are the key findings of this report? [/INST] improved left pleural effusion. cardiac shadow size unchanged. otherwise essentially unchanged chest radiograph. </s>
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<s>[INST] frontal and lateral views of the chest were performed. a left-sided pacemaker is noted with leads terminating in the right atrium and right ventricle. left humeral orthopedic hardware is partially imaged. there is no pleural effusion, pneumothorax or focal airspace consolidation. the cardiac silhouette remains moderately enlarged, similar to <unk>. there is unchanged mild pulmonary edema from the most recent study. aortic arch calcifications are re-demonstrated and the pulmonary arteries are enlarged. multilevel degenerative changes of the thoracic spine are noted.What are the key findings of this report? [/INST] unchanged mild pulmonary edema and moderate cardiomegaly. </s>
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<s>[INST] there is mild cardiomegaly. small bilateral pleural effusions associated with adjacent atelectasis are larger on the right. there is mild vascular congestion. there is no pneumothorax . the osseous structures are unremarkableWhat are the key findings of this report? [/INST] mild vascular congestion and small bilateral effusions </s>
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<s>[INST] left-sided picc line ends in the low svc. the right upper and lower lobe consolidations are unchanged. there are no new consolidations. moderate bilateral pleural effusions, right greater than left, are unchanged. heart size cannot be accurately assessed. mediastinal contours are stable.What are the key findings of this report? [/INST] no appreciable change in multifocal pneumonia. stable moderate bilateral pleural effusions, right greater than left. </s>
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<s>[INST] portable chest radiograph demonstrates apparent widening of mediastinum this is due to patient rotation. cardiomediastinal and hilar contours are unremarkable. low lung volumes with vascular crowding. lungs are clear. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are mildly hypoinflated. no focal consolidation, pleural effusion or pneumothorax is seen. linear atelectasis is noted in the the left lung base. the heart size is normal, and the mediastinal and hilar contours are normal. no acute osseous abnormality is seen. mild degenerative changes of the mid-thoracic spine is seen.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. peg tube projects over the left upper abdomen. 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. no signs of free air below the right hemidiaphragm. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no displaced rib fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced rib fractures identified. recommendation(s): if focal rib pain persists, consider dedicated rib radiographs for further evaluation of fracture. </s>
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<s>[INST] this single view demonstrates no evidence for focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. heart and mediastinal contours are within normal limits.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] normal radiograph of the chest. </s>
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<s>[INST] moderate cardiomegaly is unchanged. the lungs are hyperinflated. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] moderate cardiomegaly without infiltrate </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the et tube terminates at the level of the clavicles. a right subclavian central venous catheter terminates at the superior cavoatrial junction. a nasogastric tube enters the stomach, distal tip not visualized. there is no pneumothorax. lung volumes are low. small layering left pleural effusion is unchanged. a right basilar airspace opacity with air bronchograms is more prominent today. a left basilar retrocardiac airspace opacity has slightly improved following partial re-expansion of the left lower lobe.What are the key findings of this report? [/INST] evolving bibasilar pneumonia, right greater than left, after partial re-expansion of the left lower lobe. stable small layering left pleural effusion. lines and tubes in satisfactory position. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded clear lungs. an area of relative <unk> seen in the frontal view in the left midlung may represent asymmetric soft tissue, or soft tissue mass. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. an area of relative <unk> seen in the frontal view in the left midlung may represent asymmetric soft tissue, or soft tissue mass. recommend correlation with physical examination of the anterior and posterior left hemi thorax. </s>
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<s>[INST] left pigtail pleural drain has been removed. left pleural effusion is smaller. reticular opacity at the right base is unchanged. there is no pneumothorax. the heart is not enlarged. mediastinal contours are normal.What are the key findings of this report? [/INST] left pleural effusion is smaller. reticulated right basilar opacity is unchanged. </s>
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<s>[INST] since the chest radiograph obtained approximately <num> hours prior, there has been interval placement of a dobhoff tube, which passes through the ge junction into the proximal stomach. mild pulmonary edema has improved. right lower lung and left mid lung opacities are unchanged. increased retrocardiac opacities. small left pleural effusion is unchanged.What are the key findings of this report? [/INST] dobhoff tube terminates in proximal stomach. pulmonary edema improved. retrocardiac opacities increased. </s>
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<s>[INST] a frontal view of the chest was obtained portably. low lung volumes result in bronchovascular crowding. there is no focal consolidation or pneumothorax. blunting at the left costophrenic sulcus is unchanged and may be due to a small effusion or pleural thickening. moderate cardiomegaly is unchanged. the mediastinal silhouette with an enlarged aorta is stable. a left humeral head fracture is unchanged.What are the key findings of this report? [/INST] no pneumonia or edema. </s>
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<s>[INST] the lungs continue to appear hyperinflated with somewhat flattened hemidiaphragms consistent with patient's known history of chronic obstructive pulmonary disease. there are increased right upper lobe opacities. otherwise, the lungs are without any other focal consolidations, effusions, or pneumothoraces. cardiomediastinal silhouette remains normal. osseous structures are grossly normal.What are the key findings of this report? [/INST] <num>. increased right upper lobe opacities may be representative of right upper lobe pneumonia. followup radiograph in <num> weeks is recommended to assess for interval change. <num>. hyperexpanded lungs consistent with patient's previously seen chronic obstructive pulmonary disease. these findings were discussed by dr. <unk> with dr. <unk> <unk> telephone at <time> on <unk>. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. known right paraspinal mass is better visualized on recent mri <unk>. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is elevation of the posterior left hemidiaphragm/posterior left diaphragmatic hernia with bowel seen in the lower left hemi thorax. the right lung is hyperinflated suggesting chronic obstructive pulmonary disease. subtle patchy nodular opacity at the right lung base is seen and could represent small focus of infection or pulmonary nodule. further evaluation with chest ct is recommended. the aortic knob is prominent and underlying aneurysmal dilatation may be present, which can also be further assessed on ct. aortic calcifications are seen. the cardiac silhouette is not enlarged. no pneumothorax seen. evidence of dish is seen along the spine. .What are the key findings of this report? [/INST] findings suggesting posterior left diaphragmatic hernia with bowel projecting over the left lower hemi thorax versus elevation of the posterior left diaphragm. subtle patchy opacity at the lateral right lung base could be due to small focus of infection or pulmonary nodule aortic knob appears dilated raising concern for aortic dilatation. above findings can be further assessed on chest ct. </s>
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<s>[INST] a nasoenteric tube is in-situ, the tip appears to be in the stomach. prominent loops of what appears be large bowel are seen in the left upper quadrant. lung volumes are within normal limits. the trachea is central. the cardiomediastinal contour is normal. the heart is not enlarged. no consolidation, pneumothorax or pleural effusion seen.What are the key findings of this report? [/INST] the nasogastric tube terminates in the stomach. </s>
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<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are stable. there is no evidence of free air beneath the diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of free air beneath the diaphragms. </s>
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<s>[INST] when compared to prior, there has been no significant interval change. again seen is retrocardiac opacity with inferior retraction of the left hilum. this has been seen dating back to <unk> and is likely due to scarring. elsewhere, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] chronic retrocardiac opacity suggestive of scarring. no definite superimposed acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. cardiomediastinal silhouette is within normal limits. dual-lead pacing device is seen with lead tips in the right atrium and right ventricle. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal view of the chest was obtained. right ij catheter terminates in the mid svc. moderate cardiomegaly is stable. pleural effusions have increased bilaterally, now with adjacent bibasilar atelectasis. no pneumothorax. large hiatal hernia is similar to prior.What are the key findings of this report? [/INST] interval increase in bilateral pleural effusions, now moderate, with adjacent atelectasis. large hiatal hernia. </s>
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<s>[INST] evaluation was limited due to patient positioning. there is mild bibasilar atelectasis and mild pulmonary edema. cardiomediastinal silhouette minimally enlarged. no acute fractures are identified.What are the key findings of this report? [/INST] mild pulmonary edema and bibasilar atelectasis. </s>
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<s>[INST] pa and lateral views of the chest provided. compared to prior radiograph, there is increased right lower lung opacity, which likely reflect free or loculated pleural effusion, but infectious process cannot be excluded. left mid lung linear streak is again seen, which could be focal atelectasis versus focal bruising related to prior chest tube insertion. cardiomediastinal and hilar contours are otherwise stable.What are the key findings of this report? [/INST] increased right lower lung opacity, likely free/loculated pleural effusion however infectious process such as aspiration cannot be excluded. </s>
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<s>[INST] the lungs are hyperinflated. a <num> cm ovoid opacity in the left midlung field is compatible with the patient's known lung mass. there is no pneumothorax or pleural effusion. the cardiac and hilar contours are within normal limits.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. <num> cm opacity in the left midlung field is compatible with the patient's known lung mass. </s>
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<s>[INST] cardiomediastinal contours are stable in the postoperative. in this patient who is undergone recent median sternotomy and coronary bypass procedure. multifocal patchy and linear atelectasis in the mid and lower lungs has partially improved. no new or worsening lung opacities are identified. small pleural effusions are present bilaterally. small peristernal gas collections are likely a a an expected postoperative finding of a as an incidental finding.What are the key findings of this report? [/INST] improving multifocal atelectasis. small bilateral pleural effusions. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. calcification is seen along the aortic knob. left humeral head hardware is noted.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process. </s>
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<s>[INST] comparison is made to prior study from <unk>. endotracheal tube and feeding tube have been removed. the heart size is within normal limits. there are clear lungs. bony structures are intact.What are the key findings of this report? [/INST] no signs for acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. there are mild aortic knob calcifications. 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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