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<s>[INST] pa and lateral views of the chest provided. clips in the right upper quadrant noted. 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 lungs are clear. there is elongation of the descending aorta. the heart size is stable. no pulmonary edema, pneumothorax, or pneumonia. prominence of the right hilum is stable dating back to <unk>, though can be further assessed by nonemergent ct. unchanged appearance of the known left rib fracture and thoracic compression fractures.What are the key findings of this report? [/INST] no acute cardiopulmonary process. prominence of the right hilum is stable but can be further assessed by nonemergent chest ct. </s>
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<s>[INST] mild basilar atelectasis is seen without focal consolidation. mild thickening along the right inferolateral pleura is stable. no new focal consolidation is seen. there is no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. evidence of dish is seen along the thoracic spine.What are the key findings of this report? [/INST] no significant interval change. evidence of dish seen along the thoracic spine which can place patient at increased risk for hyperextension injury. if there is clinical concern for acute traumatic injury, ct is more sensitive. </s>
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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] 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] the cardiac silhouette is enlarged. no large airspace consolidation is seen but evaluation is limited by the patient's body habitus and portable technique. there is likely mild interstitial pulmonary edema. there is no pneumothorax.What are the key findings of this report? [/INST] cardiomegaly and mild interstitial edema suggestive of chf, correlate clinically. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. the cardiac and mediastinal contours are normal. there is no pneumoperitoneum.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] the lung volumes are lower. mild pulmonary edema with moderate cardiomegaly is noted. there may be a small right pleural effusion which demonstrates loculation laterally and a small left pleural effusion. there is no pneumothorax. accounting for differences in technique, the mediastinum is unchanged. linear areas of scarring are seen in the left mid lung. the most inferior sternotomy wire is fractured.What are the key findings of this report? [/INST] mild pulmonary edema with low lung volumes. </s>
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<s>[INST] ap upright image of the chest. the lungs are hyperinflated and demonstrate severe ephysematous changes. linear densities are seen at the bilateral medial lung bases. given patient's history and without being able to demonstrate to the contrary, these findings likely reflect pulmonary edema with underlying parenchymal distortion from emphysema. there is no pleural effusion or pneumothorax. the right heart is mildly enlarged, but the overall heart size is not enlarged.What are the key findings of this report? [/INST] linear bibasilar densities likely reflecting pulmonary edema with underlying parenchymal distortion from emphysema. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. density suggesting orthopedic hardware projects over the left glenoid fossa.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. there is likely mild bibasilar atelectasis secondary to low lung volumes. no focal opacity is identified. the cardiomediastinal silhouette, hila contours are stable given differences in inspiration. the previously noted lung nodules are not clearly seen and better assessed on cta chest from <unk>. a left-sided port-a-cath terminates at the caval atrial junction. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. no evidence of acute cardiopulmonary process. <num>. previously noted lung nodules better assessed on prior ct chest from <unk> and follow-up recommendations per ct remain. </s>
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<s>[INST] a portable frontal chest radiograph demonstrate an unchanged cardiomediastinal silhouette, which is top-normal in size. bilateral opacities are consistent with moderate pulmonary edema. no definite focal consolidation or pneumothorax is identified. there are likely trace bilateral pleural effusions.What are the key findings of this report? [/INST] moderate pulmonary edema. </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.previously described small calcifications in the left upper lung are no longer identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] low lung volumes are noted with bibasilar opacities which are likely subsequent to atelectasis. superiorly the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] bibasilar opacities which are likely secondary to atelectasis in the setting of low lung volumes. infection cannot be entirely excluded. if desired, repeat with improved inspiratory effort could be attempted to further clarify. </s>
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<s>[INST] the patient's chin overlies the medial lung apices. the patient appears to be kyphotic in position. mediastinum appears somewhat prominent, although there is suggestion that the patient may have a dilated esophagus and the mediastinum is not well evaluated. if patient able, suggest dedicated pa and lateral views for further and better evaluation and/or comparison with prior studies. there is left <unk> and <unk> opacity which could be due to atelectasis, aspiration and/or infection. no large pleural effusion. no evidence of pneumothorax. cardiac silhouette is top normal to mildly enlarged. what appear to be chain sutures are noted in the left upper to mid abdomen. there is gaseous distention of bowel partially imaged in the left upper quadrant/abdomen, not well assessed.What are the key findings of this report? [/INST] patchy left <unk> and <unk> opacity could be due to atelectasis, infection and/or aspiration. there is prominence of the mediastinum, which may relate to a dilated esophagus. this could be further assessed on the dedicated pa and lateral views if patient able and also comparison with prior studies. chest ct is pending. </s>
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<s>[INST] pa and lateral views of the chest provided. the previously noted right upper lobe opacity as nearly cleared in the interval with only minimal residual linear density in the right upper lung. the heart remains mildly enlarged. lung volumes are low with mild platelike atelectasis in the left lower lung. no large effusion or pneumothorax. the aorta is unfolded. no hilar congestion. bony structures are intact.What are the key findings of this report? [/INST] no acute findings. </s>
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<s>[INST] there are small bilateral pleural effusions. superiorly, the lungs are clear. there is no focal consolidation or pulmonary edema. moderate cardiac enlargement is again noted. median sternotomy wires are intact and mediastinal clips are noted. degenerative changes are seen at the right shoulder. prior left picc is no longer visualized.What are the key findings of this report? [/INST] small bilateral pleural effusions. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pneumothorax is seen. probable small pleural effusions bilaterally noted only on the lateral view. the cardiac and mediastinal silhouettes are unchanged. there is increased pulmonary vascularity bilateral but no evidence of pulmonary congestion or edema.What are the key findings of this report? [/INST] no acute cardiopulmonary process or evidence pneumonia. probable small pleural effusions bilaterally. </s>
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<s>[INST] interval intubation with et tube in the right mainstem bronchus resulting in complete collapse of left lung. the right lung volume is small and clear. the left and right ij catheters are unchanged.What are the key findings of this report? [/INST] complete left lung collapse as a result of right mainstem bronchus intubation. </s>
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<s>[INST] single frontal view of the chest. the heart has a left ventricular configuration. the mediastinal contours are otherwise unremarkable. minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis. no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] minimal blunting of the left costophrenic angle could represent a small pleural effusion or atelectasis. </s>
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<s>[INST] ap portable upright view of the chest. overlying ekg leads are present. cardiomegaly is again noted with interval development of hilar congestion and mild interstitial pulmonary edema. asymmetric opacity in the right lung is concerning for a superimposed pneumonia. no large effusion is seen. no pneumothorax. bony structures appear intact.What are the key findings of this report? [/INST] mild cardiomegaly, hilar congestion, probable mild interstitial pulmonary edema. right-sided pulmonary opacities concerning for pneumonia. </s>
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<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal contours are within normal limits. there is no subdiaphragmatic free air. no acute osseous abnormalities are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal contours are normal still mildly deviated to the left. the left lung is clear. there is no pleural effusion. large right pneumothorax is stable. surgical chain in the right apex is again noted. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] stable large right pneumothorax </s>
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<s>[INST] compared to the prior study, the overall appearance is quite similar. cardiomegaly, interstitial edema, left lower lobe collapse and/or consolidation remain present. no definite interval change. minimal blunting of both costophrenic angles is again noted. no pneumothorax detected.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs. subtle right infrahilar opacity with corresponding increased opacity projecting over the heart on lateral view may represent an early right middle lobe pneumonia. there is no pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable.What are the key findings of this report? [/INST] probable right middle lobe pneumonia. followup chest radiograph in <unk> weeks after treatment is recommended document resolution if warranted clinically. </s>
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<s>[INST] pa and lateral views of the chest provided. density lateral to the aortic arch is most likely due to degenerative change at the <unk> costochondral junction. bibasilar opacities on the frontal view without correlates on lateral view most likely represent atelectasis. there is no effusion or pneumothorax. heart size is top-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 cardiopulmonary process. density lateral to the aortic arch is most likely due to degenerative change at the left <unk> costochondral junction. recommendation(s): repeat radiographs with apical lordotic views to exclude underlying parenchymal abnormality at the left lung apex. </s>
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<s>[INST] ap portable single view of the chest shows new left subclavian picc with tip ending in upper svc. lung volume is still low with increased bilateral perihilar opacification and vascular pedicle distension due to mild pulmonary edema. heart size is mildly enlarged since <unk>. there is no pleural effusion or pneumothorax. healed left posterior rib fractures are unchanged since <unk>.What are the key findings of this report? [/INST] correct positioning of new left subclavian picc without pneumothorax. new mild bilateral pulmonary edema with mild cardiomegaly. </s>
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<s>[INST] a moderate right pleural effusion has increased in size and changed distribution now seen layering at the apex likely related to patient's position. increased pulmonary opacification, right greater than left, has increased since yesterday likely representing pulmonary edema. opacification at the right medial base could represent atelectasis, although consolidation is also possible. the cardiomediastinal silhouette is unchanged. no pneumothorax.What are the key findings of this report? [/INST] <num>. right pleural effusion has increased and redistributed compared with yesterday's exam likely relating to position. <num>. increased opacity in the right lung likely pulmonary edema; although, consolidation is also possible. </s>
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<s>[INST] low lung volumes are noted. the lungs are grossly clear without confluent consolidation, large effusion or edema. the cardiomediastinal silhouette is grossly stable. tortuosity of the thoracic aorta is again noted. eventration of the right hemidiaphragm is seen. chronic appearing deformity of the proximal right humerus suggests prior fracture.What are the key findings of this report? [/INST] low lung volumes without superimposed acute cardiopulmonary process. </s>
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<s>[INST] the patient is status post right upper lobectomy with stable right apical pneumothorax with a right apical chest tube remaining in place. again demonstrated is widening of the superior mediastinum which developed postoperatively and is likely due to shifting of the mediastinum secondary to volume loss from right upper lobectomy. there is no focal consolidation concerning for pneumonia. there is no large pleural effusion. a right subclavian central venous catheter terminates in the low svc. the endotracheal tube is in appropriate position, with tip <num> cm cranial to the carina.What are the key findings of this report? [/INST] unchanged right apical pneumothorax. unchanged widening of the superior mediastinum likely due to volume loss from right upper lobectomy. </s>
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<s>[INST] the lungs are well expanded and clear. the cardiomediastinal silhouette, hila, and pleural surfaces are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no radiographic evidence of pneumonia. this is a normal chest radiograph. </s>
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<s>[INST] pa and lateral views of the chest provided. aicd is unchanged with leads extending to the region the right atrium right ventricle. the subtle opacity seen on earlier exam in the right mid to lower lung is less conspicuous and overall lung volumes are improved. therefore, findings most likely attributable to atelectasis. on the current exam, there is no convincing evidence for pneumonia. no pleural effusion or pneumothorax. no convincing signs of edema. cardiomediastinal silhouette unchanged. bony structures are intact.What are the key findings of this report? [/INST] improved lung volumes with decrease conspicuity of right lower lung opacity, therefore, findings more compatible with atelectasis. </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] the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lungs are well expanded. streaky left lower lobe opacities are likely atelectasis. there is no pneumothorax or pleural effusions. cardiomediastinal silhouette is top normal. the imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] left basilar opacity, likely atelectasis. </s>
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<s>[INST] pa and lateral views of the chest were provided. a double-barrel port-a-cath overlies the left chest wall with catheter tip extending to the level of the low svc. heart size is normal. no focal consolidation, effusion or pneumothorax. there is no frank pulmonary edema, though mild hilar congestion is likely present. bony structures appear intact. no free air below the right hemidiaphragm. dish-related changes of the t-spine noted.What are the key findings of this report? [/INST] possible mild hilar congestion. otherwise, unremarkable. </s>
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<s>[INST] pa and lateral views. mild cardiomegaly and a tortuous, calcified aorta are again seen. aortic tortuosity is likely in part related to dextroconvex thoracic scoliosis. hilar contours are stable. there is unchanged mild linear atelectasis or scarring in the left mid and lower lung fields, including the left lateral costophrenic angle. there is no evidence for pulmonary consolidation, pulmonary edema, or pleural effusion. degenerative changes are again seen in the spine. there appears to be mild anterior wedging of several mid thoracic vertebral bodies, unchanged on but evaluation of vertebral body height is limited by scoliosis. right glenohumeral arthroplasty is again partially visualized.What are the key findings of this report? [/INST] no evidence for active cardiopulmonary disease. </s>
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<s>[INST] opacity projecting over the right hemithorax persist, which could be due to chronic inflammatory or infectious process, underlying neoplastic process not excluded. subtle left base opacity also persists. . no large pleural effusion is seen. there is no pneumothorax. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] opacity projecting over the right hemithorax persists, grossly stable to possibly slightly increased given differences in inspiration. </s>
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<s>[INST] enteric tube tip is in the mid stomach. very shallow inspiration accentuates heart size. mildly increased pulmonary vascularity. . bibasilar opacities are new, may represent atelectasis, consider pneumonia if clinically appropriate. probable small pleural effusions. no pneumothorax. calcific tendinopathy left shoulder.What are the key findings of this report? [/INST] enteric tube tip in the mid stomach. increased heart size with borderline pulmonary vascularity. probable small pleural effusions. bibasilar opacities, likely atelectasis, consider pneumonia if clinically appropriate. </s>
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<s>[INST] the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there effusion or pneumothorax. no fracture is identified.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s>
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<s>[INST] the lungs are well expanded and clear. mediastinal contours, hila, and cardiac silhouette are normal. no pneumothorax or pleural effusion. blunting of the right costophrenic angle is unchanged from previous chest ct, seen to correspond to pleural thickening.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are hypoinflated with crowding of vasculature. there is mild cephalization of vasculature. subtle retrocardiac opacity is noted. no pleural effusion or pneumothorax. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. limited assessment of the osseous structures are notable for severe degenerative changes of bilateral humeral heads with osteophyte formation, and joint space narrowing. no displaced rib fracture.What are the key findings of this report? [/INST] <num>. vascular congestion with mild cardiomegaly. <num>. retrocardiac opacity is worrisome for pneumonia in the appropriate clinical setting. differential includes asymmetric vascular congestion. </s>
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<s>[INST] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] a left pleural basilar pigtail catheter remains in place. there is persistent retrocardiac consolidation likely reflecting atelectasis, although pneumonia or aspiration cannot be excluded. more patchy opacity at the right base is also unchanged. lung volumes are slightly lower with crowding of the pulmonary vasculature but no overt pulmonary edema. no pneumothorax. </s>
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<s>[INST] the cardiomediastinal and hilar contours are within normal limits allowing for slight accentuation by low lung volumes. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] an endotracheal tube is in satisfactory position, approximately <num> cm from the carina. an enteric tube courses in the left mid hemithorax. this may due to deviation of the esophagus, though could be in the left main stem bronchus and into a posterior left lower lobe bronchi. there is complete opacification of the left hemithorax in this patient status post left pneumonectomy. the cardiomediastinal silhouette is deviated leftward. a component of consolidation or fluid is difficult to exclude. the right lung is clear without a consolidation or pulmonary edema. there is no right pleural effusion or pneumothorax. there is no definite left pneumothorax. old rib deformities are noted on the left which may relate to a prior procedure. they appear well corticated. no definite acute fractures identified.What are the key findings of this report? [/INST] <num>. complete opacification of the left hemithorax status post pneumonectomy. <num>. uncertain positioning of the enteric tube. it may be in a deviated esophagus, though could be in the left main stem bronchus. results were discussed with dr. <unk> <unk> dr. <unk> at <time> p.m. on <unk> via telephone by dr. <unk>. at the time these findings were discussed, the enteric tube had been pulled. </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.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart is normal in size, and there is no pulmonary edema. there is an enteric tube which terminates in the stomach. gaseous distention of bowel loops in the upper abdomen is compatible with known small bowel obstruction seen on the same day ct. right upper quadrant abdominal surgical clips are noted.What are the key findings of this report? [/INST] enteric tube terminating in the stomach. dilated bowel loops in the upper abdomen reflect known small bowel obstruction as seen on the same day ct. </s>
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<s>[INST] compared to the examination obtained <unk>, pulmonary edema has resolved. a focal nodular opacity projecting over the anterior left fifth rib is likely a nipple shadow. hyperinflation of the lungs suggests chronic obstructive pulmonary disease. moderate biapical scarring is again noted. a focal opacity within the right apex was new in <unk>, but is unchanged since and does therefore not reflect active infection. no pleural effusion or pneumothorax.. heart size is normal. cardiomediastinal and hilar silhouettes are normal. a vertebral body compression deformity in the mid to upper thoracic spine is unchanged since at least <unk>.What are the key findings of this report? [/INST] no radiographic evidence of intrathoracic malignancy or active infection. compared to <unk>, pulmonary edema has resolved. severe emphysema. </s>
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<s>[INST] the heart size is mildly enlarged but unchanged. the aortic knob is calcified. mediastinal and hilar contours are within normal limits. the pulmonary vascularity is not engorged. the lungs are hyperinflated with flattening of the diaphragms compatible with copd. no focal consolidation, pleural effusion or pneumothorax is identified. diffuse demineralization the osseous structures is noted. clips in the right upper quadrant of the abdomen are present. on the lateral view, rounded calcifications within the upper abdomen are within a tortuous splenic artery.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] patient is extremely rotated, which limits evaluation. within the limitations, there is no obvious large conslidation, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged, and appears to be within normal limits.What are the key findings of this report? [/INST] extremely limited exam with no overt cardiopulmonary abnormality. </s>
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<s>[INST] heart size is normal. the aorta is mildly tortuous. hilar and mediastinal contours are otherwise unchanged. pulmonary vasculature is not engorged. linear opacities in the lung bases likely reflect areas of subsegmental atelectasis or scarring. scarring is also noted in the upper lobes bilaterally. no focal consolidation, pleural effusion or pneumothorax is present. previously described opacity projecting over the level of the undersurface of the aortic arch appears to correlate to a calcified mediastinal lymph node. degenerative changes are seen in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. previously described focal opacity projecting over the undersurface of the aortic arch correlates with a calcified mediastinal lymph node, likely the sequela of prior granulomatous disease. <unk>, md </s>
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<s>[INST] left-sided dual chamber pacemaker is noted with leads terminating in the right atrium and right ventricle, unchanged. heart size is normal. the mediastinal and hilar contours are within normal limits. the lungs are clear. no pleural effusion or pneumothorax is identified. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] frontal and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable without visualized displaced rib fracture.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. the aorta is mildly tortuous. mediastinal and hilar contours are otherwise unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is demonstrated. mild degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] there is mildly enlarged and the cardiac silhouette. a prosthetic aortic valve is noted. the median sternotomy wires appear intact. no focal consolidation, pleural effusion or pneumothorax. fusion hardware is partially imaged in the lower cervical spine.What are the key findings of this report? [/INST] mild cardiomegaly. no acute process </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] ap upright and lateral chest radiographs demonstrates clear lungs bilaterally. no focal consolidation concerning for pneumonia is identified. cardiomediastinal and hilar contours are stable in appearance. no overt pulmonary edema is identified. there is no pleural effusion or pneumothorax. note is made of a left brachiocephalic stent in unchanged position. no free air is seen under bilateral diaphragms.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] heart is top-normal in size. mediastinal contours normal. there is no pleural effusion or pneumothorax. lung volumes are low. there is basilar opacity on the lateral view raising the concern for consolidation, possibly on the right. the left lung is grossly clear. no acute osseous abnormality seen.What are the key findings of this report? [/INST] basilar opacity seen on lateral view raising the concern for consolidation, possibly at the right lung base. </s>
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<s>[INST] pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac 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] heart size is normal. the mediastinal and hilar contours are normal. significant multifocal consolidation is similar to prior. bilateral pleural effusions are slightly increased. no pneumothorax. no significant change.What are the key findings of this report? [/INST] no significant change in multifocal pneumonia and bilateral pleural effusions. </s>
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<s>[INST] right-sided port-a-cath is seen, terminating in the region of the mid svc. there is elevation of the right hemidiaphragm. patchy opacity seen in the left lung base as well as the right lung apex could be due to multifocal pneumonia or metastatic disease. no priors for comparison. there is elevation of the right hemidiaphragm. the cardiac silhouette is not enlarged. the mediastinal and hilar contours are unremarkable.What are the key findings of this report? [/INST] patchy opacities projecting over the left lung base and right lung apex could be due to multifocal pneumonia or metastatic disease. elevated right hemidiaphragm. </s>
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<s>[INST] cardiac conduction device is contiguous with cardiac leads. the patient status post median sternotomy with wires intact. lung volumes are low and there is bibasilar atelectasis. the lung bases are not entirely imaged on the lateral view. lung fields are clear.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 provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. prominent anterior spurs noted throughout the mid to lower t-spine. 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] endotracheal tube tip is in standard position, terminating approximately <num> cm from the carina. cardiac and mediastinal contours remain unchanged with the heart size top-normal. there is crowding of bronchovascular structures due to low lung volumes without overt pulmonary edema. patchy bibasilar airspace opacities likely reflect atelectasis, new in the interval. no large pneumothorax or pleural effusion is detected.What are the key findings of this report? [/INST] endotracheal tube in standard position. low lung volumes with bibasilar atelectasis. </s>
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<s>[INST] heart is moderate to severely enlarged. mediastinal and hilar contours are unremarkable. there is no pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is seen. minimal atelectasis is noted in the lung bases. degenerative changes are noted throughout the thoracic spine as well as involving both acromioclavicular joints.What are the key findings of this report? [/INST] cardiomegaly without evidence of congestive heart failure. minimal bibasilar atelectasis. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. dual lead left-sided pacer device is again seen with leads extending to the expected positions of the right atrium and right ventricle.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a single lead pacemaker terminates in the left ventricle. the pulmonary vasculature is normal. a rounded opacity seen in the right upper lobe is again worrisome for carcinoma. there is no focal airspace consolidation to suggest pneumonia. the cardiac silhouette is moderately enlarged, slightly increased, without central vascular congestion or pulmonary edema. there is no pleural effusion or pneumothorax. dense calcifications are seen throughout the aorta.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process, specifically no evidence of heart failure. <num>. rounded opacity within the right upper lobe concerning for carcinoma. </s>
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<s>[INST] endotracheal tube tip is low lying, terminating <num>-mm from the carina. an enteric tube is noted with tip and side port in the stomach. re- demonstrated is a consolidative opacity in the right lung base which remains concerning for pneumonia. there is likely a small right pleural effusion. patchy opacity in the left lung base is also noted, slightly more pronounced compared to the previous exam, and could reflect atelectasis or additional area of infection. the remainder of the exam is unchanged. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. low lying endotracheal tube terminating <num>-mm from the carina, and recommend interval withdrawal. enteric tube within the stomach. <num>. persistent right basilar opacity concerning for pneumonia with small right pleural effusion. retrocardiac opacity is slightly worse in the interval, and could reflect worsening atelectasis though additional site of infection is not excluded. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] one portable upright chest x-ray. chest tube seen ending in the medial lower right hemithorax. no pneumothorax is seen. small bilateral pleural effusions are unchanged. there is left lower lobe atelectasis. the right internal jugular catheter and endotracheal tubes have been removed. the previously seen nodule in the left lung is not well seen on this study. no consolidation.What are the key findings of this report? [/INST] <num>. no pneumothorax. chest tube is in the medial lower right hemithorax. <num>. unchanged small bilateral pleural effusions. left lower lobe atelectasis. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no focal consolidation to suggest pneumonia. </s>
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<s>[INST] compared to <unk>, the left moderate pleural effusion and small right pleural effusion is decreased in size. possible loculated effusion bordering right pleura is unchanged in size. moderate cardiomegaly is unchanged in size. an area of focal consolidation in the right upper lobe is concerning for pneumonia.What are the key findings of this report? [/INST] possible right upper lobe pneumonia.improved bilateral pleural effusions since <unk>. unchanged right loculated effusion. recommendation(s): the findings were discussed by dr. <unk> with dr. <unk> on the telephone on <unk> at <time> pm, <num> minutes after discovery of the findings. </s>
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<s>[INST] a right port-a-cath terminates in the lower svc. bilateral hilar lymphadenopathy is noted, compatible with known lymphoma and similar to <unk>. the lungs themselves are grossly clear, without lobar consolidation, large pleural effusion, or pneumothorax. the patient is status post median sternotomy and mitral valve replacement. the cardiomediastinal silhouette is otherwise unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] left sided dual-chamber aicd/pacemaker device is noted with leads terminating in the right atrium and right ventricle, unchanged. severe enlargement of the cardiac silhouette is re- demonstrated, compatible with cardiomegaly and a moderate to large pleural effusion. mediastinal and hilar contours appear relatively unchanged. there is a new focal opacity within the right upper lung field. additionally there is mild pulmonary edema, with small bilateral pleural effusions, slightly progressed in the interval. assessment of the lung apices is limited due to obscuration by the patient's chin. no large pneumothorax is identified but assessment is limited. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. focal opacity within the right upper lung field likely reflects pneumonia though asymmetric pulmonary edema may have a similar appearance. <num>. there is a background of mild pulmonary edema which appear slightly progressed compared to the prior study with small bilateral pleural effusions. <num>. enlargement of the cardiac silhouette is compatible with a combination of cardiomegaly and moderate to large pericardial effusion. </s>
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<s>[INST] endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. the patient is rotated to the right. dense right lower paratracheal opacity measuring <num> point <num> by <num> cm may represent a calcified node. no focal consolidation is seen. there is no large pleural effusion. there is calcified and tortuous. the cardiac silhouette is top-normal to mildly enlarged. multiple old left-sided rib fractures are seen.What are the key findings of this report? [/INST] endotracheal tube is seen, terminating approximately <num> cm above the level of the carina. the patient is rotated to the right. dense right lower paratracheal opacity measuring <num> point <num> by <num> cm may represent a calcified node. no focal consolidation is seen. there is no large pleural effusion. multiple old left-sided rib fractures are seen. </s>
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<s>[INST] the heart is again mild to moderately enlarged. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. there may be minor right infrahilar atelectasis but no definite pneumonia or pulmonary edema.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 slightly unfolded. the mediastinal and hilar contours otherwise are unremarkable. there is minimal atelectasis in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. 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] heart size is top normal. the mediastinal and hilar contours are unremarkable. no pulmonary edema is present. there is no focal consolidation, pleural effusion or pneumothorax. streaky left lower lobe opacity may reflect atelectasis. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] streaky left lower lobe opacity likely reflects minimal atelectasis. </s>
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<s>[INST] a right internal jugular central venous catheter is noted with the catheter tip in the proximal right atrium. lung volumes are low. bilateral small pleural effusions with adjacent atelectasis have increased. mild vascular congestion has also increased. cardiac and mediastinal silhouettes are otherwise stable with atherosclerotic calcifications noted at the aortic arch.What are the key findings of this report? [/INST] interval increase in bilateral small pleural effusion, bibasilar atelectasis, and mild pulmonary venous congestion. </s>
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<s>[INST] the left-sided picc line terminates in the mid/lower svc. lung volumes are low. there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. no acute osseous abnormalities identified, are preserved shin of the distal right clavicle is chronic, potentially posttraumatic.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unchanged with several rim calcified lesion is again noted in the region the left thyroid gland, as noted previously. pulmonary vasculature is not engorged. calcified granuloma in the left mid lung field is unchanged. lungs are hyperinflated. no focal consolidation, pleural effusion or pneumothorax is present. moderate to severe multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] patient is status post median sternotomy and cabg. heart size is normal. the aorta remains tortuous. the mediastinal and hilar contours are otherwise unchanged. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is present. 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] ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. on this single frontal view examination the imaged field was directed more to the lower chest apparently requested. this was the major concern of a localized small pneumothorax. the apical area of the thorax is not included in the image field. thus, it is unclear whether the patient has been extubated or if the egt has been pulled back to the neck region. previously described ng tube remains in position. the upper left-sided chest tube again points towards the apical area, but the ultimate tip is cut off. the lower positioned chest tube terminating at the level of the diaphragm remains in unchanged position and the low loculated small pneumothorax cavity has not changed in size significantly. the right hemithorax remains unchanged.What are the key findings of this report? [/INST] stable chest findings, no evidence of major pneumothorax. </s>
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<s>[INST] the left lower pneumonia has resolved, and now there is no focal consolidation, pneumothorax or pulmonary edema noted. the cardiac and mediastinal silhouettes are within normal limits, and there are no bony abnormalities noted.What are the key findings of this report? [/INST] the left lower lobe pneumonia has resolved, and no acute cardiopulmonary process is identified radiographically. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. no pulmonary edema is seen.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 the left picc. there is no focal consolidation, pleural effusion or pneumothorax. there is a small amount of bibasilar atelectasis. elevation of the left hemidiaphragm is unchanged. heart size is normal. mediastinal silhouette is normal with mild aortic knob calcifications. pulmonary vasculature is normal. cervical spinal hardware is incompletely evaluated on this study.What are the key findings of this report? [/INST] no pneumonia, edema or effusion. </s>
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<s>[INST] the cardiac silhouette size is mildly enlarged. the patient appears to be status post right lower lobectomy with multiple chain sutures and clips noted in the right hilum. rightward mediastinal shift is compatible with volume loss in the right lung. linear opacities within the right mid lung field likely reflects scarring. no focal consolidation, pleural effusion or pneumothorax is identified. lungs are hyperinflated with flattened diaphragms. there is no pulmonary vascular congestion. diffuse demineralization of the osseous structures is present.What are the key findings of this report? [/INST] postsurgical changes in the right lung without evidence of acute cardiopulmonary abnormality. probable copd. </s>
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<s>[INST] the left lower lobe opacification has improved. no new consolidation. the pulmonary vasculature and hila are normal. no pleural effusion or pneumothorax. the cardiac silhouette is normal. the prominent aortic knob consistent with history of aortic aneurysm is unchanged.What are the key findings of this report? [/INST] improved left lower lobe pneumonia. </s>
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<s>[INST] moderate to severe bilateral pleural effusions and bibasilar consolidations, left side has increased in size from prior. bilateral chest tubes are in place. right sided picc line, tip in the svc. mild pulmonary edema. stable left sided rib fractures. healed right sided rib fractures. multiple compression fractures in the thoracic and lumbar spine. innumerable osseous lucencies consistent with known multiple myeloma. cardiomediastinal silhouette is obscured. this preliminary report was reviewed with dr. <unk>, <unk> radiologist.What are the key findings of this report? [/INST] moderate to severe bilateral pleural effusions and bibasilar consolidations, left side has slightly worsened from <unk>. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the lung volumes are low. allowing for technique, the cardiac, mediastinal and hilar contours appear unchanged. the heart size is difficult to evaluate. aside from a linear opacity projecting over the left mid lung, suggesting minor lingular atelectasis or scarring, the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.What are the key findings of this report? [/INST] low lung volumes with no definite evidence of acute disease. minor left basilar atelectasis and lingular scarring or atelectasis. </s>
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<s>[INST] one portable upright ap view of the chest. right picc line ends at the cavoatrial junction. sternotomy wires and mitral valve hardware is seen. the right lung is clear. there is increased opacity at the left lung base, likely representing effusion with associated atelectasis. no pneumothorax.What are the key findings of this report? [/INST] likely left pleural effusion with associated atelectasis but cannot rule out pneumonia. </s>
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<s>[INST] improved opacification of the right lung base with stable bibasilar atelectasis. stable mild cardiomegaly. no pleural effusions.dilated ascending aorta, unchanged.What are the key findings of this report? [/INST] improved right basilar opacity without new consolidation to raise concern for pneumonia. </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. the previously seen small left apical pneumothorax, right base consolidation and small right pleural effusion have resolved in the interval.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right chest drain overlies the right mid hemithorax. no pleural effusion or pneumothorax. small right chest wall emphysema relates to the chest tube placement. upper lobe predominant emphysematous and bullous changes are redemonstrated. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] emphysema. no pneumothorax. </s>
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<s>[INST] compared with the prior radiograph, there is a persistent veil -like opacity over the left hemithorax, with a crescent of air surrounding the aortic arch, in keeping with continued left upper lobe collapse. left hilum and mediastinum are enlarged, as seen on the prior study, compatible with patient's known mass with hilar and mediastinal adenopathy. there is a trace left pleural effusion. right lung is clear without pneumothorax. marked scoliosis the thoracic spine is again seen.What are the key findings of this report? [/INST] persistent left upper lobe collapse, with a similar appearing large left hilar mass and trace left pleural effusion. no pneumothorax identified. </s>
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<s>[INST] the cardiomediastinal silhouette is normal. the hila and pleura are unremarkable. on lateral view there is increased opacification in the retrocardiac region not appreciated on frontal view which could likely represent crowding secondary to low lung volumes on the right clinical setting pneumonia cannot be excluded. there are no pleural effusions or pulmonary edema. . there is mild right basilar atelectasis.What are the key findings of this report? [/INST] retrocardiac opacification on lateral view that may represent vascular crowding versus pneumonia. </s>
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<s>[INST] the lungs are well-expanded. bilateral pleural effusions, more prominent on the left compared to the right. slight interval improvement of the left pleural effusion compared to the prior exam. adjacent bibasilar atelectasis. slight increased vascular prominence at the bilateral lung bases. no focal consolidation or pulmonary edema. normal cardiomediastinal silhouette. no pneumothorax. no acute osseous abnormality.What are the key findings of this report? [/INST] <num>. bilateral pleural effusions, left greater than right. <num>. no focal consolidation to suggest pneumonia. <num>. slight increased vascular prominence at the lung bases without evidence of cardiomegaly. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. previously seen left upper lobe pneumonia has resolved in the interval.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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