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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. a focal opacity over the right heart border, unchanged over time, likely represents focal scarring. a posterior round opacity seen on lateral view is not localized on frontal view. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] focal opacity seen posteriorly on lateral view is not localized on frontal view. ct chest would be necessary to exclude malignancy. these findings were entered onto the critical communications dashboard at <unk> on <unk>. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear of focal consolidation or effusion or significant pulmonary edema. the cardiomediastinal silhouette is within normal limits. left chest wall dual-lead pacing device is again seen. median sternotomy wires are identified. aortic valve replacement is also noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lung volumes are low. there is an increased opacity over the right lower lobe silhouetting at the right hemidiaphragm suggestive of a moderate right pleural effusion with adjacent atelectasis. otherwise, the left lung is clear. cardiomediastinal silhouette is normal. fluid is noted in the right minor fissure.What are the key findings of this report? [/INST] there is an increased opacity over the right lower lobe silhouetting at the right hemidiaphragm suggestive of a moderate right pleural effusion with adjacent atelectasis. </s>
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<s>[INST] since the prior examination of <unk>, the lung volumes have improved. heart is mildly enlarged. heterogeneous linear opacities at the right base superimposed on the right hemidiaphragm probably represent residual atelectasis. there is no focal consolidation or pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the lungs are clear and the lung volumes are normal. no pleural effusion, pneumothorax or focal airspace consolidation. heart size is normal. mediastinal and hilar structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and 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] the extreme lung apices are excluded from the field of view. otherwise, the lungs are clear without focal consolidation. the heart size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no pleural effusion or pneumothorax is identified. 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] persistent leftward shift of the cardiac silhouette with dense left retrocardiac opacity indicates volume loss in the left lower lobe. there is likely a small left pleural effusion. there is no pneumothorax or right pleural effusion. the mediastinal and hilar contours remain stable. pulmonary edema has improved. enteric tube is present in standard position. additionally, a left internal jugular line is present with tip in the left brachiocephalic vein. an enteric tube is presentin the stomach with distal tip off the film. an additional catheter is seen overlying the midline overlying the trachea with a dense distal tip, which may correlate to an esophageal temperature probe.What are the key findings of this report? [/INST] persistent left lower lobe collapse with left pleural effusion. right pleural effusion is resolved, as is pulmonary edema. </s>
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<s>[INST] diffuse increase in interstitial markings as well as pulmonary vessel engorgement are suggestive of moderate to severe pulmonary edema. cardiac silhouette is moderately enlarged. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] moderate to severe pulmonary edema. </s>
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<s>[INST] the lungs are normally expanded and clear. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] in comparison to <unk> portable chest radiograph, there is mild improvement of the pulmonary vascular congestion and bilateral interstitial edema. blunted left costophrenic angle is likely due to an obscuring bowel lobe rather than a true left pleural effusion. heart size is moderately enlarged but stable. no consolidation, masses nor nodules are seen.What are the key findings of this report? [/INST] <num>. mild improvement of pulmonary vascular congestion and bilateral interstitial edema since <unk> without complete resolution. <num>. no radiographic evidence of pneumonia. </s>
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<s>[INST] mild hilar enlargement is unchanged since <unk>, and is not likely to represent an active clinically significant problem. the lungs are clear. no effusion, consolidation or pneumothorax is present. heart and mediastinal contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lower lung volumes seen on the current exam. there is no focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. degenerative changes are noted at the left glenohumeral joint. 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] single frontal view of the chest was obtained. bilateral perihilar pulmonary opacities, involving the right lung greater than the left, are consistent with asymmetric pulmonary edema given engorged and indistinct appearance of the pulmonary vessels. aspiration is less likely. no pneumothorax or pneumomediastinum is visualized. no pleural effusion. the heart size is stable. gastric distension is mild to moderate. sternotomy wires are intact.What are the key findings of this report? [/INST] <num>. asymmetric, right greater than left, perihilar opacities, most likely due to asymmetric edema given engorged pulmonary vessels. aspiration is considered less likely. <num>. no pneumothorax or pneumomediastinum. <num>. mild to moderate gastric distention. </s>
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<s>[INST] since <unk> and the removal of the right chest tube, the volume of the moderate size, persistent right pleural space, has decreased, but it now contains a small loculated fluid collection postoperative widening of the apparent right mediastinal contour has been stable since <unk>, probably a fluid collection in the mediastinum or the medial right pleural space. left basal atelectasis has improved. the lungs are otherwise clear. the heart size is normal.What are the key findings of this report? [/INST] <num>. interval development of a small loculated fluid collection in the decreasing, peristent right pleural space, is to be expected, and should give rise to concern for superinfection or bleeding only if the patient manifests the appropriate clinical findings. <num>. stable postoperative mediastinal or right paramediastinal fluid collection. these findings were discussed at length with dr. <unk> by dr. <unk>, by telephone, on the day of the exam at <time> am. </s>
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<s>[INST] there is bilateral hyperexpansion of the lungs as well as bilateral upper lobe volume loss and associated apical scarring. a poorly-defined opacity is identified in the right middle lobe, partially obscuring the right heart border, and is associated with local bronchial wall thickening. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. no bony abnormality is detected.What are the key findings of this report? [/INST] right middle lobe opacity suggestive of pneumonia. a follow up chest x-ray is recommended in <unk> weeks following completion of antibiotic therapy to document resolution. </s>
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<s>[INST] lung volumes are low. cardiomegaly is mild. aortic arch calcifications are noted. the thoracic aorta is mildly tortuous. the lung fields are clear. there is no pneumothorax or pleural effusion. a compression deformity of a lower thoracic vertebral body is mild to moderate and unchanged from <unk>.What are the key findings of this report? [/INST] <num>. mild cardiomegaly, otherwise no acute cardiopulmonary abnormality. <num>. a mild to moderate compression deformity of a mid thoracic vertebral body is unchanged from <unk>. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. streaky opacity in the left lung base likely reflects atelectasis and/or scarring with unchanged mild blunting of the left costophrenic sulcus likely reflective of pleural thickening rather than a small pleural effusion. the remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is normal. moderate multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] streaky opacity in the left lung base appears similar compared to the previous exam, likely reflective of atelectasis and/or scarring and adjacent pleural thickening. </s>
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<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. no fracture is identified. there is no free air below the hemi-diaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there has been progressive worsening of bilateral interstitial opacities from <unk>. given the absence of supporting radiographic evidence for pulmonary edema, this is thought to be compatible with atypical pneumonia. no pleural effusion and the heart size is normal. the mediastinal and hilar contours are unremarkable. no pneumothorax.What are the key findings of this report? [/INST] without supportive radiographic evidence for pulmonary edema, the worsening bilateral interstitial opacities are compatible with atypical pneumonia. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unremarkable chest radiographic examination. </s>
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<s>[INST] the cardiac silhouette is stably prominent. the pulmonary vasculature is mildly indistinct. no definite pleural effusion or pneumothorax is identified. left lower lobe opacity, in the appropriate clinical context, may be consistent with pneumonia. there is mild peribronchial cuffing.What are the key findings of this report? [/INST] possible left lower lobe pneumonia in the appropriate clinical context. follow-up examination can be obtained <unk> weeks after treatment. </s>
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<s>[INST] the patient is intubated, an endotracheal tube is unchanged in appearance compared to the prior study. there are increased bilateral hazy opacities of the lung bases most consistent with pleural effusions. these appear to have increased when compared to the prior study. there is associated increased opacity of the bilateral lung bases, likely reflecting pulmonary edema however infection cannot be excluded. prominence of the bilateral hila is less marked than on the prior study.What are the key findings of this report? [/INST] bilateral pleural effusions have increased when compared to the prior study. persistent bibasilar airspace opacities may reflect pulmonary edema versus infection. </s>
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<s>[INST] the heart size is normal. the cardiomediastinal silhouette and hilar contours are stable. the lungs are clear without focal consolidation, effusion or pneumothorax. no acute bony abnormality is identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the heart size is normal. the hilar and mediastinal contours are normal. bibasilar linear opacities are most compatible with atelectasis, worse at the cardiophrenic angle. trace right pleural effusion. there is no pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] subtle opacity right lung base is likely atelectasis, however a small consolidation cannot be excluded. </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 normal. 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] a right central venous access catheter terminates in the distal svc. a new moderate-to-large right pneumothorax, with an apical and basilar component is identified. two chest tubes enter at the base of the right lung and terminate at the apex, in adequate postion. the cardiomediastinal and hilar contours are within normal limits. mediastinal shift is difficult to asses due to positioning. however, no significant mediastinal shift is identified. the left lung is clear. no definite pleural effusion.What are the key findings of this report? [/INST] new moderate-to-large right pneumothorax. these findings were discussed with <unk> by <unk> via telephone on <unk> at <time> a.m., at time of discovery. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. marked cardiomegaly appears stable. moderate enlargement of the left atrium and the pulmonary vasculature demonstrates an upper zone redistribution pattern. some haze exists in the basal vascularity with some interstitial increased structures, all consistent with mild degree of chronic left-sided chf. thoracic aorta has not changed in size and configuration and calcium deposits exist in the wall at the level of the arch as before. there presently no signs of acute discrete pulmonary parenchymal infiltrates and the on previous examination identified scattered patchy parenchymal densities have disappeared.What are the key findings of this report? [/INST] stable significant cardiac enlargement with evidence of chronic pulmonary congestion but no evidence of acute edema or pleural effusions. the on previous examinations identified suspected pneumonic infiltrates on the right lung base have disappeared. </s>
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<s>[INST] lung volumes are low. there are bibasilar opacities which are non-specific, but compatible with atelectasis. allowing for this, no focal consolidation, pleural effusion or pneumothorax detected. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] low lung volumes. probable bibasilar atelectasis. no chf, effusion, or frank consolidation detected. </s>
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<s>[INST] an enteric tube is new in the interval, with tip in the stomach, though side port is just superior to the gastroesophageal junction, and recommend advancement of the enteric tube for optimal placement. the endotracheal tube terminates approximately <num> cm from the carina at and can be slightly advanced. streaky atelectasis is seen in the left lung base. remainder of the examination is unchanged.What are the key findings of this report? [/INST] <num>. enteric tube tip within the stomach, though side port is superior to the gastroesophageal junction. recommend advancement of the enteric tube by approximately <num> cm for optimal positioning. <num>. endotracheal tube tip remains slightly high in positioning, and suggest advancement by approximately <num>-<num> cm for optimal positioning. recommendation(s): recommend advancement of the enteric tube by approximately <num> cm and the endotracheal by <num> to <num> cm for optimal positioning. </s>
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<s>[INST] small bilateral pleural effusions persist. a new left lower lobe consolidation is best seen on lateral view. no pneumothorax is detected. cardiomegaly and aortic tortuosity persists. the patient is status post cabg with mediastinal clips and median sternotomy wires. the lungs are mildly hyperinflated.What are the key findings of this report? [/INST] new left lower lobe consolidation. findings were reported to <unk> by <unk> by telephone at <time> a.m. on <unk> at the time of discovery of these findings after attending radiologist review. </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 abnormalities identified. </s>
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<s>[INST] two portable views of the chest. first film demonstrates a right mainstem bronchus intubation. the second film demonstrates endotracheal tube tip within <num> cm from the carina. low lung volumes are noted, and the lung bases are excluded from the field of view on the second film. there is widening of the upper mediastinum likely due to low lung volume and supine technique. enteric tube passes off the inferior field of view.What are the key findings of this report? [/INST] endotracheal tube within <num> cm from the carina. this was text paged to the referring physician <unk>. <unk> at <time> p.m. on <unk>. </s>
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<s>[INST] there is increased irregular opacity surrounding a left upper lobe mass corresponding to post-procedural hemorrhage. there is no focal consolidation, effusion or pneumothorax present. cardiac contour remains mildly enlarged.What are the key findings of this report? [/INST] small amount of post-procedural pulmonary hemorrhage. no pneumothorax. </s>
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<s>[INST] single supine ap portable view of the chest was obtained. there has been interval placement of an endotracheal tube, terminating approximately <num> cm above the level of the carina. a nasogastric tube is seen coursing below the level of the diaphragm, inferior aspect not included on the image. left base opacity may be a combination of pleural effusion and atelectasis, underlying consolidation is not excluded. in the interval since the prior study, there has been increased prominence and indistinctness of the hila, consistent with evolving pulmonary edema. no pneumothorax is seen. the cardiac silhouette remains enlarged. cardiac and mediastinal silhouettes are stable. left humeral head is not seen, although not dedicated imaging of the shoulder, query prior trauma/osteolysis.What are the key findings of this report? [/INST] <num>. endotracheal tube terminates approximately <num> cm above the level of the carina. nasogastric tube courses below the level of the diaphragm, inferior aspect not included on the image. <num>. left base opacity may represent a combination of pleural effusion or atelectasis, underlying consolidation not excluded. <num>. pulmonary edema, increased since prior study. </s>
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<s>[INST] heart size is normal. the aorta is diffusely calcified. a small hiatal hernia is again noted. pulmonary vasculature is normal. lungs are slightly hyperinflated. blunting of the right costophrenic angle is relatively unchanged, and could reflect a trace right pleural effusion or pleural thickening. no focal consolidation, left pleural effusion or pneumothorax is present. minimal scarring is noted in the lung apices. extensive fusion hardware within the thoracolumbar spine is noted. multiple sutures are seen within the right lateral abdomen.What are the key findings of this report? [/INST] unchanged blunting of the right costophrenic angle, may reflect pleural thickening or trace pleural effusion. small hiatal hernia. </s>
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<s>[INST] dual lead aicd, unchanged in position. the heart is mildly enlarged. the mediastinal contour is unremarkable. there is no evidence of pneumothorax or pleural effusion. there is no focal consolidation. right-sided axillary clips again seen.What are the key findings of this report? [/INST] mild cardiomegaly. no focal consolidation. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. degenerative changes noted at the left shoulder.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since <unk>, large right pleural effusion is increased with moderate adjacent basilar atelectasis. the left lung is clear. the cardiac silhouette is difficult to assess due to obscuration from the pleural effusion. no pneumothorax. median sternotomy wires are intact and well aligned.What are the key findings of this report? [/INST] <num>. large right pleural effusion with adjacent moderate atelectasis is increased since <unk>. </s>
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<s>[INST] pa and lateral views of the chest provided. no radiopaque foreign body is seen. 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] portable upright radiograph of the chest demonstrates a focal consolidation in the left lower lung that is new since the prior radiograph from <unk> and corresponds to opacity recently seen on prior chest ct from <unk>, and is suspicious for pneumonia. there is no pleural effusion, pulmonary edema or pneumothorax. a large hiatal hernia is again seen. bilateral lung nodules are better characterized on recent prior ct of the chest.What are the key findings of this report? [/INST] <num>. consolidation in the left lower lobe corresponds with previously seen opacity on recent prior chest ct, and remains concerning for pneumonia. <num>. large hiatal hernia. </s>
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<s>[INST] lung volumes are low. the patient is status post median sternotomy and cabg. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are stable. pulmonary vasculature is normal. apart from minimal atelectasis in the left lung base, the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. 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] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] right internal jugular central line continues to have its tip in the distal svc near the cavoatrial junction. overall cardiac mediastinal contours are stable. there is worsening mild interstitial edema. patchy retrocardiac opacity is unchanged. no large effusions. no pneumothorax. linear opacity in the right upper lobe likely reflects scarring. </s>
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<s>[INST] nasogastric tube courses below the diaphragm into the stomach. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] nasogastric tube within the stomach. this study was reviewed with dr. <unk>, <unk> radiologist. </s>
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<s>[INST] a picc line terminates at the cavoatrial junction. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. streaky linear opacities at the left total lung base likely represent atelectasis. the cardiomediastinal silhouette is within normal limits. a moderate hiatal hernia is again noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. moderate hiatal hernia. </s>
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<s>[INST] ap portable semi upright view of the chest. there has been interval removal of the endotracheal tube. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. surgical clips are noted in the right upper abdomen.What are the key findings of this report? [/INST] no acute intrathoracic process </s>
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<s>[INST] portable ap upright chest radiograph is obtained. cardiomegaly with moderate pulmonary edema is noted. evaluation for effusion is limited. no pneumothorax.What are the key findings of this report? [/INST] cardiomegaly with pulmonary edema. </s>
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<s>[INST] there are bilateral pleural effusions, larger on the left than the right. no pneumothorax seen. no evidence of a pneumomediastinum however the small volume of air seen on the prior ct chest is unlikely to be visible on chest radiographs. pacemaker wires are unchanged in appearance compared to the prior study.What are the key findings of this report? [/INST] bilateral pleural effusions, larger on the left. the known pneumomediastinum is not visualized on this radiograph. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. patient is rotated slightly to the right. one to two left apical rounded calcified nodules are again seen, also seen on the prior chest radiograph from <unk>, most consistent with granuloma. bilateral mid lung small rounded calcified granulomas are also again seen. subtle patchy left base opacity is seen, which could be due to atelectasis, although an early consolidation cannot be excluded. no pleural effusion or pneumothorax is esen. cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] subtle patchy left base opacity could be due to atelectasis, although an early consolidation cannot be excluded </s>
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<s>[INST] there are less vascular markings when compared to the previous chest radiograph, and the heart size continues to be mildly enlarged. no pleural effusions, focal consolidation or pneumothorax is seen, and the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] improvement in pulmonary edema. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. minimal linear opacities in both lung bases likely reflect subsegmental atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. please note that the extreme right costophrenic angle is excluded from the field of view. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no radiographic evidence for pneumonia. bibasilar subsegmental atelectasis. </s>
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<s>[INST] compared with prior radiographs on <unk>, there is interval increase in right basilar atelectasis. there is no new focal consolidation or pneumothorax. lung volumes are again low. cardiomediastinal silhouette is unchanged. monitoring and support devices are unchanged.What are the key findings of this report? [/INST] increase in right basilar atelectasis. no other relevant change. </s>
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<s>[INST] the lungs are mildly hyperinflated. there is no focal consolidation, 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] enteric tube traverses the diaphragm, tip not visualized. left picc terminates at the cavoatrial junction. ekg leads overlie the chest. well inflated lungs with no focal consolidation. unchanged hilar and lower lobe vascular congestion with prominence of aortic knuckle. no cardiomegaly. no pleural effusion or pneumothorax. no interval change in bony thorax.What are the key findings of this report? [/INST] no significant interval change. unchanged position of lines and tubes. </s>
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<s>[INST] single frontal view of the chest. there is a right pleural drain with interval decrease in size of a now small right pleural effusion. no pneumothorax. moderate-sized left pleural effusion persists. bibasilar consolidations are unchanged. prominence of the main pulmonary artery is suggestive of pulmonary arterial hypertension. heart size and cardiomediastinal contours are stable.What are the key findings of this report? [/INST] status post right pleural drain placement with interval decrease in size of now small right pleural effusion. moderate left pleural effusion and bibasilar consolidation persist. </s>
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<s>[INST] lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral radiographs of the chest. heart size has increased compared to prior especially since the baseline cxr <unk> <unk>. there is mild pulmonary vascular congestion and mild interstitial pulmonary edema. no focal consolidation. no pleural effusion or pneumothorax. no displaced rib fracture identified.What are the key findings of this report? [/INST] milde congestive heart failure with minimal interstitial pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s>
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<s>[INST] cardiac silhouette size is mildly enlarged with a left ventricular predominance, as seen previously. the mediastinal hilar contours are unchanged and within normal limits. the pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. left rib cage deformities and expansile lesion involving the right eighth rib are re- demonstrated. fusion hardware within the mid thoracic spine is incompletely assessed.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] compared to the prior film, the et tube and ng tube have been removed. the right ij central line remains present, similar in position. inspiratory volumes are improved and the cardiomediastinal silhouette appears significantly smaller. elevated left hemidiaphragm remains present. previously seen dense retrocardiac opacity has improved, with residual patchy opacity still present. minimal patchy opacity in the right cardiophrenic region is new question atelectasis, but attention to this area on followup films is requested. no gross effusion. the extreme inferior right costophrenic angle is excluded from the film. mild vascular plethora could be accounted for low inspiratory volumes. old healed fractures of the left fifth ,sixth and seventh ribs again noted.What are the key findings of this report? [/INST] interval removal of et tube and ng tube. considerable interval improvement in previously seen retrocardiac opacity, though residual patchy opacity remains present. new small right cardiomediastinal patchy opacity -? atelectasis, although attention to this area on followup films is requested to exclude a focus of aspiration pneumonitis or an infectious pneumonic infiltrate. </s>
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<s>[INST] increased opacity at the bilateral lung base representing bibasilar lung collapse. blunting of the costophrenic angles on lateral view suggest small effusion. mild cardiomegaly is seen with vascular congestion. right picc line is stable and ends in the mid svc.What are the key findings of this report? [/INST] bilateral basal lung collapse and pleural effusion. mild cardiomegaly with vascular congestion seen. </s>
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<s>[INST] the lungs are well-expanded and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. the mediastinum is not widened. the hila are unremarkable. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal with mild unfolding of the thoracic aorta. heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. there is mild left base atelectasis. lungs are otherwise clear. pleural surfaces are clear without effusion pneumothorax. there is moderate thoracolumbar dextroscoliosis. no displaced rib fracture is identified. there is moderate thoracic dextroscoliosis.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no displaced rib fracture. </s>
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<s>[INST] heart size, mediastinal and hilar contours are normal. lungs are clear except for a small linear focus of atelectasis or scarring at the left base. no pleural effusion or pneumothorax is evident, and there is no chest radiographic evidence of an acute, displaced rib fracture.What are the key findings of this report? [/INST] no chest radiographic evidence of acute, displaced rib fracture or pneumothorax. if pain is localized to a specific rib, dedicated rib views with markers may be helpful for more complete assessment if warranted clinically. </s>
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<s>[INST] the lungs are well expanded. a retrocardiac opacity is stable since the prior chest radiographs <unk> <unk>. interstitial lung markings likely reflects mild pulmonary vascular congestion, also stable since the prior exam. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is moderately enlarged, similar to the prior exam.What are the key findings of this report? [/INST] no new opacity concerning for pneumonia. </s>
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<s>[INST] a dual lead pacemaker is noted with tips in the right atrium and right ventricle. a right internal jugular approach venous catheter is noted tip terminating in the cavoatrial junction. the patient is post cabg with median sternotomy wires in place. aortic valve replacement is also noted, as well as heavy mitral annular calcifications. the heart size is moderately enlarged. pulmonary arteries are chronically enlarged. there is no pneumothorax. there is a small left pleural effusion. there is no right pleural effusion. interval worsening of pulmonary edema, now moderate. there are no new focal consolidations concerning for pneumonia.What are the key findings of this report? [/INST] interval worsening of pulmonary edema, now moderate, with a new small left pleural effusion. these findings are consistent with heart failure. </s>
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<s>[INST] continued low lung volumes are seen without changes, and small effusions are seen bilaterally. no focal consolidation is seen. the cardiac and mediastinal contours are unchanged from previous chest radiograph.What are the key findings of this report? [/INST] atelectasis and small pleural effusions are seen bilaterally. </s>
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<s>[INST] heart size is normal. there is prominence of the main pulmonary artery. 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] <num>. no evidence of current or past tb. <num>. prominence of the main pulmonary artery, which could be normal. however, may suggest pulmonic stenosis in the appropriate clinical setting. </s>
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<s>[INST] the lungs remain well inflated. there is no consolidation, effusion or pneumothorax. blunting of the right costophrenic angle is unchanged. multiple healed rib fractures are also stable. there are no new contour abnormalities of the heart or mediastinum.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. 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>
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<s>[INST] pa and lateral views of the chest were obtained. midline sternotomy wires are again noted. the left ij central venous catheter has been removed. there is improved aeration in the lung bases as compared with the prior exam. the heart is markedly enlarged, which appears grossly stable compared with prior exam. there is no sign of pneumonia or overt chf. bony structures are intact. aortic calcifications noted.What are the key findings of this report? [/INST] stable cardiomegaly without signs of pneumonia or chf. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. streaky opacity within the right lung base may reflect atelectasis although an area of developing infection cannot be completely excluded. there is no pleural effusion or pneumothorax. no acute osseous abnormalities are detected.What are the key findings of this report? [/INST] streaky opacity in the right lung base could reflect atelectasis though infection cannot be completely excluded. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. the lungs appear clear. there is possibly a very small pleural effusion on the left although doubted. the bones appear demineralized. there is a remodeled prior fracture deformity of the proximal right humerus with impaction. vertebroplasty site along the lumbar spine is not completely characterized.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are unremarkable. ill-defined patchy opacities are noted within the right upper lobe concerning for pneumonia. minimal atelectasis is seen within the left lower lobe. no pleural effusion, pulmonary vascular congestion, or pneumothorax is present. moderate multilevel degenerative changes are seen within the thoracic spine with anterior bridging osteophytes. multiple clips in the right upper quadrant indicate prior cholecystectomy.What are the key findings of this report? [/INST] right upper lobe pneumonia. recommendation(s): follow up radiographs after treatment are recommended to ensure resolution of this finding. </s>
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<s>[INST] heart size is normal. moderate sized hiatal hernia is present with otherwise normal appearance of the mediastinal and hilar contours. lungs and pleural surfaces are clear.What are the key findings of this report? [/INST] moderate hiatal hernia. no evidence of aspiration or pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest with dedicated views of the rib ribs were obtained for a total of <num> images. lung volumes are slightly low, resulting in bronchovascular crowding. there is mild bibasilar atelectasis. no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal allowing for lung volumes. no free air is seen under the diaphragm. no displaced rib fracture is seen. there is mild loss of thoracic vertebral body height in the mid thoracic spine of unknown chronicity. acromioclavicular joint arthropathy is seen with calcification adjacent to the humeral head, which may represent calcific tendinopathy.What are the key findings of this report? [/INST] <num>. no focal consolidation. <num>. no displaced rib fracture. <num>. loss of vertebral height in the mid thoracic spine may be degenerative, but exact chronicity is unknown. correlate with site of patient's pain. </s>
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<s>[INST] pa and lateral views of the chest. mild cardiomegaly is stable. the lungs are clear. there is no evidence of pleural effusion or pneumothorax. cardiac, mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] bilateral lower lobe collapse and right lateral loculated pleural abnormality are likely not significantly changed since <unk> given differences in inspiration. there are layering bilateral effusions. no pulmonary edema. overall cardiac and mediastinal contours are stable. endotracheal tube continues to have its tip <num> cm above the carina. a large bore left internal jugular catheter and right internal jugular catheter are unchanged in position. a nasogastric tube is seen coursing below the diaphragm with the tip not identified. no pneumothorax. </s>
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<s>[INST] heart size is decreased since prior exam. new retrocardiac opacity, atelectasis versus infiltrate. no effusion. thoracolumbar curve. ivc filter in place.What are the key findings of this report? [/INST] new retrocardiac opacity, atelectasis versus infiltrate. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. left brachiocephalic vascular stent is re- demonstrated. previously seen right sided dual lumen central venous catheter has been removed. partially imaged is cervical fusion hardware. mild loss of height of <num> vertebral bodies at the thoracolumbar junction is unchanged.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] 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] a frontal upright view of the chest was obtained portably. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. blunted right costophrenic angle likely reflects pleural scarring. there is minimal left basilar atelectasis. heart size is normal. mediastinal silhouette and hilar contours are normal. no displaced rib fracture is seen. no free air under the diaphragm. partially imaged in anterior cervical spinal fusion hardware.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] left pectoral pacemaker has leads terminating in the right atrium and right ventricle. the lungs are clear without focal consolidation, pleural effusion or pneumothorax. the heart is not enlarged. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the patient is status post sternotomy and previous bypass surgery. the heart is moderately enlarged. the configuration is the same with some relative prominence of the left ventricular contour to the left and posteriorly. left atrial enlargement is also present but of more moderate degree. previously described coronary calcifications and multiple surgical clips related to bypass surgery appear unchanged. again noted is an upper zone re-distribution pattern with distended vessel in the upper pulmonary area and some interstitial edema on the bases with perivascular haze and a few peripheral lymph lines. also noted is accentuated visibility of both minor and major fissure related to some wetness in the pleural spaces. there is evidence of some mild degree of chronic pulmonary congestion, may have increased slightly, but there is no significant advancement into interstitial edema and no central alveolar edema can be identified. no new discrete pulmonary parenchymal infiltrates are present. no pneumothorax is seen in the apical area. in comparison with the next previous examination of <unk>, there may be a mild degree of progression of chf. same can be stated when comparison is extended to the chest examination of <unk>.What are the key findings of this report? [/INST] mild degree of chronic chf in patient, moderate cardiomegaly status post bypass surgery. no new acute infiltrates are seen and no major pleural effusions can be identified. </s>
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<s>[INST] lung volumes remain low. cardiac silhouette size is top normal in size, unchanged. mediastinal contour is unremarkable. crowding of bronchovascular structures is present without overt pulmonary edema. streaky and patchy bibasilar airspace opacities most likely reflect atelectasis. no focal consolidation, pleural effusion or pneumothorax is present.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis. </s>
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<s>[INST] no focal consolidation, pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. stent is partially imaged but not well assessed, in the upper abdomen. there is possible minimal pulmonary vascular congestion.What are the key findings of this report? [/INST] possible minimal pulmonary vascular congestion. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] minimal left lower lobe atelectasis is noted. there is no focal consolidation, pneumothorax, pleural effusion, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.What are the key findings of this report? [/INST] no radiographic evidence for acute cardiopulmonary process or pulmonary metastatic disease. </s>
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<s>[INST] pa and lateral chest radiograph demonstrates subtle increased opacity at the right lung base. cardiomediastinal and hilar contours appear stable. heart is within the upper limits of normal in size. there is no overt pulmonary edema. there is no pleural effusion or pneumothorax. a left chest dual lead pacer is identified, its leads in stable position. osseous structures demonstrates no acute abnormality.What are the key findings of this report? [/INST] subtle opacity at the right lung base which may reflect very early infectious process. there is no overt pulmonary edema. </s>
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<s>[INST] compared with prior radiographs on <unk>, the area of the ascending aorta and right hila appears more prominent, likely slightly dilated ascending aorta due to poor inspiratory effort, however lymphadenopathy cannot be excluded.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. heart size is normal.What are the key findings of this report? [/INST] no pneumonia. prominence of the area of the ascending aorta and right hila is likely due to poor inspiratory effort, however repeat chest x-ray with full inspiration is recommended to exclude new lymphadenopathy. recommendation(s): recommend repeat radiographs with full inspiration. </s>
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<s>[INST] compared to the prior chest radiograph and <unk>, the lung volumes have decreased which causes crowding of the bronchovascular structures. right lower lobe in the retrocardiac region opacity most likely atelectasis, however, superimposed infection cannot be excluded. the cardiac and mediastinal contours are stable. there is no pleural effusion pneumothorax.What are the key findings of this report? [/INST] bilateral lower lobe opacities most likely represent atelectasis, however, infection cannot be excluded in the appropriate clinical setting. repeat radiographs with a deeper inspiration could be obtained if clinically indicated. </s>
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<s>[INST] compared to the prior study. there is no significant interval change. there continues to be a large bore right-sided central line with tip in the svc. there is bilateral basilar subsegmental atelectasis, but no frank infiltrate.What are the key findings of this report? [/INST] no significant change. </s>
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<s>[INST] in comparison with chest radiographs from <unk>, there is little overall change. bibasilar and left retrocardiac opacities are stable, likely reflecting atelectasis, though superimposed pneumonia cannot be definitively excluded in the appropriate clinical setting. no new focal consolidation. no pneumothorax. small bilateral effusions are stable. there is mild central vascular congestion with overt pulmonary edema. gaseous distention of loop of bowel in the left upper quadrant, presumably stomach, is unchanged.What are the key findings of this report? [/INST] <num>. persistent bibasilar and retrocardiac opacities likely represent atelectasis, though superimposed pneumonia cannot be definitively excluded in the appropriate clinical setting. <num>. unchanged probable small pleural effusions. <num>. mild central vascular congestion without overt pulmonary edema. </s>
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<s>[INST] again seen is a right upper lobe mass, unchanged, and consistent with known lung carcinoma. a patchy opacity is seen on the lateral view, posteriorly, which is unchanged since recent examination, and in the appropriate clinical context, may represent pneumonia. no definite corresponding abnormalities are seen on the frontal radiograph. the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. no definite pleural effusion is identified.What are the key findings of this report? [/INST] largely unchanged examination of the chest since <unk> aside from resolution of pleural effusion. </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.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear, no acute consolidation or pulmonary edema. heart size is top normal. no pleural effusions or pneumothorax. bilateral pleural effusions have resolved. prior median sternotomy and cabg.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there bilateral alveolar infiltrates lower lobe greater than upper lobe central greater than peripheral but increased slightly compared to the study from the prior day. lung volumes are low there is a small right effusion there compressive changes at the basesWhat are the key findings of this report? [/INST] slight progression of bilateral lower lobe infiltrates </s>
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<s>[INST] there is a left lower lung opacity silhouetting the left cardiac border. some of this is thought to be due to a fat pad given similar appearance on <unk> however it is more conspicuous on today's exam. cardiomediastinal silhouette is otherwise unremarkable. no acute osseous abnormalities.What are the key findings of this report? [/INST] opacity silhouetting the left cardiac margin in part due to prominent pericardial fat pad although is more prominent when compared to remote prior exam which raises the possibility of superimposed parenchymal consolidation. </s>
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