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<s>[INST] a right internal jugular line is seen at the origin of the svc. a left chest tube is unchanged in position. there is minimal decrease in a left apical pneumothorax. small bilateral pleural effusions are stable. there is persistent vascular engorgement. no other significant changeWhat are the key findings of this report? [/INST] minimal decrease in left apical pneumothorax. no other significant change </s>
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<s>[INST] lung volumes are hyperinflated and there is flattening of the diaphragm, suggestive of copd. the cardiomediastinal and hilar contours are within normal limits. there is no focal consolidation, pleural effusion or pneumothorax. on the lateral view, suprahilar bronchial wall thickening corresponds to the abnormalities on chest ct scans over the past <num> months, presumably chronic bronchial inflammation, not an acute condition.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are clear without focal consolidation concerning for pneumonia. line vascularity is within normal limits. the upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since the prior exam, the left pleural catheter has been removed. the remainder of the support devices are unchanged. wwo right-sided chest tubes are in place. an enteric drain is noted with the tip just beyond the hemidiaphragms. a right subclavian central venous catheter ends in the mid svc. a left picc terminated in the mid svc. the mild pulmonary edema has improved. mild edema persists. there is no new consolidation. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] <num>. mild pulmonary edema, slightly improved from the prior exam. <num>. interval removal of the left pleural drain. </s>
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<s>[INST] pacer is in left anterior axillary position with intact leads along the expected course to the right atrium and right ventricle. there is no pneumothorax or other related complication. there is mild pulmonary edema and bibasilar atelectasis. there are persistent small-to-moderate bilateral pleural effusions. cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] pacer leads in appropriate position. mild pulmonary edema with bilateral pleural effusions. </s>
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<s>[INST] again seen is hyperinflation and parenchymal distortion consistent with copd. also again seen is marked cardiomegaly with prominence of the main pulmonary artery and a calcified, slightly unfolded aorta. probable mitral annulus calcifications. there is upper zone redistribution and mild vascular plethora, without overt chf. possible minimal blunting of left costophrenic angle, less than on <unk>. no focal consolidation or gross effusion is identified. severe glenohumeral osteoarthritis this is seen bilaterally. marked deformity of the humeral head raises the question of humeral head osteonecrosis in both shoulders.What are the key findings of this report? [/INST] <num>. hyperinflation, consistent with copd. <num>. marked cardiomegaly, unchanged. <num>. mild vascular plethora, less pronounced than in <unk>. <num>. no focal opacity to suggest an acute pneumonic infiltrate on this ap view. <num>. interval improvement in small left effusion, with residual minimal blunting of the left costophrenic angle. <num>. severe glenohumeral osteoarthritis bilaterally. possibility of bilateral humeral head osteonecrosis cannot be excluded. </s>
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<s>[INST] the lungs are well expanded and clear. there is no pneumothorax. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions.What are the key findings of this report? [/INST] no acute cardiac or pulmonary process. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top normal. mediastinal contours are unremarkable. there is slight prominence of the left hilum, and underlying prominent lymph nodes or small consolidation is not excluded. dedicated pa and lateral views would be helpful for further evaluation.What are the key findings of this report? [/INST] mild prominence of the left hilum is non-specific, underlying prominent lymph node or small consolidation not excluded. dedicated pa and lateral views would be helpful for further evaluation. </s>
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<s>[INST] the lungs are well expanded and clear bilaterally with no areas of focal consolidation. previously seen pneumonia has completely resolved. there is no pleural effusion, pneumoperitoneum or pneumothorax. cardiomediastinal silhouette is within normal limits. the pleural surfaces are unremarkable. there are stable mild degenerative changes seen along the thoracic spine.What are the key findings of this report? [/INST] complete resolution of previously seen pneumonia. </s>
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<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute chronic process. </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 acute cardiopulmonary abnormality. </s>
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<s>[INST] moderate cardiomegaly is re- demonstrated. the mediastinal contour is similar with atherosclerotic calcifications noted at the aortic knob. the pulmonary vasculature is not engorged. retrocardiac opacity may reflect atelectasis though infection is not excluded, and findings are not substantially changed since the previous radiograph. blunting of the left costophrenic sulcus also suggests a small left pleural effusion. no pneumothorax is identified. marked degenerative changes are seen involving both shoulders.What are the key findings of this report? [/INST] retrocardiac opacity may reflect atelectasis or infection, not substantially changed in the interval. trace left pleural effusion. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. low lung volumes again seen on the current exam with discoid atelectasis at the left lung base. lungs are clear of large confluent consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are well expanded and clear, without focal infiltrates or vascular congestion. the heart is normal in size. the aorta is moderately widened and elongated and additionally, there are calcifications at the level of the arch, unchanged in comparison with next preceding study. there is mild biapical thickening of the pleural structures, also unchanged. no significant skeletal abnormalities can be identified on routine pa and lateral radiographs are identified. no pleural effusion or apical pneumothorax is present.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. findings overall unchanged since most recent chest radiograph in <unk>. </s>
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<s>[INST] right ij access dialysis catheter again noted with tip in the region of the cavoatrial junction. the lungs are grossly clear bilaterally. cardiomediastinal silhouette is stable. tiny pleural effusions likely present. no convincing signs of congestion or edema. no focal consolidation concerning for pneumonia. no pneumothorax. degenerative changes are again noted at the shoulders.What are the key findings of this report? [/INST] stable cardiomegaly with probable tiny pleural effusions. dialysis catheter in place. no convincing evidence for pneumonia. </s>
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<s>[INST] the cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. no focal consolidation or pleural effusion is seen. there is no pneumothorax. no acute osseous abnormalities are visualized.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. stent in the trachea and likely bilateral mainstem bronchi was better seen on prior exam. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] interval placement of an endotracheal tube which projects <num> cm in the carina. a feeding tube extends below the level of the diaphragms but beyond the field of view of this radiograph. relatively low lung volume on the left is noted. there is new pulmonary vascular engorgement without frank pulmonary edema. no pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is still within normal limits.What are the key findings of this report? [/INST] interval placement of an endotracheal tube and feeding tube as described above. new pulmonary vascular congestion. asymmetric low lung volume on the left of uncertain etiology. </s>
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<s>[INST] ill-defined airspace opacity in the right mid and lower lungs corresponds to the right perihilar mass with extension inferiorly which may represent postobstructive pneumonia within the right middle lobe. prominence of the right middle mediastinal border suggests enlargement of the ascending aorta.What are the key findings of this report? [/INST] <num>. right lower lung airspace opacity may represent a postobstructive pneumonia of the right middle lobe related to the right hilar mass. <num>. prominence of the right mediastinal contour suggests enlargement of the ascending aorta, top-normal on the prior ct measuring up to <num> cm. </s>
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<s>[INST] redemonstrated is a paucity of vessels seen within the bilateral upper zones, consistent with the patient's known emphysema. as compared to the prior examination, there has been an increase in the overall density of the bilateral lower lobes, which likely represents a developing pneumonia. there is no pleural effusion, pneumothorax, or pulmonary edema identified. the heart size is normal. mediastinal contours are normal.What are the key findings of this report? [/INST] <num>. increased bibasilar opacities, which likely represents a developing pneumonia. recommend follow up chest radiographs in <unk> weeks following the completion of antibioic therapy to document resolution. <num>. stable biapical emphysematous changes. findings were communicated by dr. <unk> to dr. <unk> <unk> telephone at <time>am on <unk>, <num> minutes after discovery. </s>
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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] pa and lateral views of the chest provided. a nodular opacity projecting over the right lower lung may represent a nipple shadow. otherwise the lungs are clear. cardiomediastinal silhouette appears normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] as above. </s>
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<s>[INST] chest x-ray from <unk> at <time> and targeted review of chest ct from <unk>. again seen are multiple left-sided rib fractures and a pigtail catheter at the left lung base. there is a small left effusion with minimal atelectasis at the left base. there is a small to moderate size pneumothorax seen at the left lung base against the lower left chest wall and, on lateral view, seen anteriorly. minimal lucency along the left mediastinum could also be due to the pneumothorax. the mediastinum remains midline, unchanged in configuration. on the right, there is a small effusion, with minimal right basilar atelectasis. there is relative lucency along the right chest laterally. unless there is reason to suspect a right-sided pneumothorax, there is most likely represents artifact due to overlying soft tissue contours. upper zone redistribution, but no overt chf. there is background hyperinflation, consistent with copd. of note, there is a <num> mm nodule in the right mid/lower zone laterally, which corresponds to the nodule described on the <unk> ct scan for which repeat chest ct in <unk> months is recommended.What are the key findings of this report? [/INST] pigtail catheter at left lung base, with small pleural effusion, minimal basilar atelectasis, and small to moderate-size pneumothorax. the effusion appears slightly larger. as the bulk of the pneumothorax is seen only on the lateral view, comparison to the most recent prior study is limited. left-sided rib fractures again noted. small right pleural effusion and minimal atelectasis at right base, unchanged. lucency at right lateral lung base. unless there is reason to suspect a right-sided pneumothorax, this most likely represents artifact due to overlying soft tissue contours. if there is concern for right-sided pneumothorax, then an additional frontal view obtained at end- expiration of the respiratory cycle could help for further assessment. pulmonary nodule in the right mid/lower right lung, also seen on the recent ct scan. as suggested on the chest ct report, repeat chest ct in <unk> months is recommended. background copd. recommendation(s): if there is concern for right-sided pneumothorax, then an additional frontal view obtained at end- expiration of the respiratory cycle could help for further assessment. pulmonary nodule in the right mid/lower right lung. as suggested on the report for the recent chest ct, repeat chest ct in <unk> months is recommended. </s>
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<s>[INST] there is right lateral pleural thickening, similar compared to prior. new blunting of the left lateral and posterior costophrenic angles are compatible with small effusion. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. right chest wall dual lead pacing device is again noted. median sternotomy wires are again noted.What are the key findings of this report? [/INST] new small left pleural effusion. otherwise, no change. </s>
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<s>[INST] the lungs are clear focal consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is stable. tortuosity of the descending thoracic aorta with atherosclerotic calcifications is again noted. hypertrophic changes are noted in the spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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] ap upright and lateral chest radiograph was provided. there is a moderate right pleural effusion with right basilar likely compressive atelectasis. minimal left basilar platelike atelectasis noted. a left chest wall port catheter tip ends in the lower svc. osseous structures are unremarkable.What are the key findings of this report? [/INST] moderate right pleural effusion/atelectasis. linear atelectasis at the left base. </s>
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<s>[INST] few strands of atelectasis or fibrosis left lung base. right lung clear. no effusions. normal heart size, pulmonary vascularity.What are the key findings of this report? [/INST] few strands of left basilar atelectasis or fibrosis. </s>
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<s>[INST] underlying trauma board and other external artifact partially obscure the view. single supine ap portable view of the chest was obtained. endotracheal tube is seen, terminating approximately <num> cm above the carina. an enteric tube is seen coursing below the diaphragm, the inferior aspect not included on the image. there are low lung volumes, which accentuate the bronchovascular markings. the cardiomediastinal silhouette is likely accentuated by low lung volumes and ap supine technique, although this will be further evaluated on pending ct torso. possible patchy left base opacity versus related to overlying external artifact. no large pleural effusion or pneumothorax is seen. no displaced fracture identified.What are the key findings of this report? [/INST] <num>. endotracheal tube in appropriate position. <num>. an enteric tube courses below the diaphragm, inferir aspect not included on the image. <num>. low lung volumes accentuate the bronchovascular markings and the cardiomediastinal silhouette, which will be further evaluated on pending ct. <num>. possible left base retrocardiac opacity versus external artifact. </s>
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<s>[INST] the cardiac and mediastinal silhouettes are stable. multiple calcified mediastinal and hilar lymph nodes are again seen. right mid to to lower lung scarring is again seen. since the prior study, there is increased opacity projecting over the right lower lobe raising concern for pneumonia. no pleural effusion or pneumothorax is seen. mild left base atelectasis noted.What are the key findings of this report? [/INST] increased opacity at the right lung base concerning for right lower lobe pneumonia. recommend followup to resolution. </s>
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<s>[INST] the patient is status post median sternotomy, cabg, and aortic valve replacement. the lungs are hyperinflated with flattening of the diaphragms suggestive of copd. the heart remains mildly enlarged. aortic knob is calcified. the mediastinal and hilar contours are unchanged, with mild pulmonary vascular congestion again noted. small right pleural effusion is similar in size compared to the previous exam, with adjacent compressive atelectasis. no left-sided pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] similar appearance of small right pleural effusion with adjacent right basilar atelectasis and mild pulmonary vascular congestion. </s>
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<s>[INST] left port-a-cath terminates in the low svc. there is mild-to-moderate interstitial pulmonary edema. no focal consolidations to suggest pneumonia. stable enlargement of the cardiac silhouette. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. left port-a-cath terminates in the low svc. <num>. mild-to-moderate pulmonary edema. </s>
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<s>[INST] the lungs are clear but hypoinflated, accentuating the cardiac contour and pulmonary vasculature. no evidence of pneumonia. no pleural effusion or pneumothorax. retrocardiac opacity is likely atelectasis, but may represent aspiration or pneumonia in the appropriate clinical setting.What are the key findings of this report? [/INST] retrocardiac opacity is likely atelectasis, but may represent pneumonia or aspiration. </s>
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<s>[INST] tip of the endotracheal tube is in good position. the remaining support devices are in good position. the moderate right-sided effusion and adjacent atelectasis has slightly improved there is improved aeration medially of the right lower lobe. the right lung remains clear. no pneumothorax.What are the key findings of this report? [/INST] slight interval improvement of right moderate effusion and adjacent atelectasis. </s>
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<s>[INST] pa and lateral views of the chest were compared to previous exam from <unk>. better inspiratory effort seen on the current exam. faint linear bibasilar opacities, however, seen only on the frontal. there is no effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] linear bibasilar opacities suggestive of atelectasis. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] right-sided port-a-cath is seen terminating in the region of the proximal svc, similar to prior. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. hilar contours are stable. mediastinum is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap portable upright view of the chest. lungs are hyperinflated and clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. a hair clip is seen overlapping with the superior mediastinum.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral radiographs of the chest. the study is somewhat limited by soft tissue attenuation. stable mildly enlarged heart siz. the mediastinal and hilar contours are normal. no focal consolidation. no definite pleural effusion or pneumothorax. persistent mild vascular congestion.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] heart size is mildly enlarged, unchanged. mediastinal and hilar contours are similar. pulmonary vasculature is not engorged. subsegmental atelectasis is noted in both 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] interval placement of a right picc, the tip projecting over the upper svc. the tip of the endotracheal tube projects over the mid thoracic trachea. a nasogastric tube extends below the level of the diaphragms but beyond the field of view of this radiograph. no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] the tip of the new right picc line projects over the upper svc. advancement by approximately <num> cm would place the tip in the region of the cavoatrial junction. </s>
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<s>[INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs. no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings, specifically no signs of pneumothorax. </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 cardiomediastinal and hilar contours are within normal limits. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there are slightly low lung volumes on the frontal view. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is eventration of the right hemidiaphragm with bowel seen beneath. cardiac and mediastinal silhouettes are stable. there is compression of a vertebral body at the thoracolumbar junction, which is likely without significant interval change since the prior study.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. compression of a moderate-to-severe compression of a vertebral body at the thoracolumbar junction, stable since the prior study. </s>
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<s>[INST] ap upright and lateral views of the chest provided demonstrate no focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. bony 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] severe cardiomegaly is unchanged. no focal consolidation is seen concerning for pneumonia. no convincing evidence for edema. mild congestion difficult to exclude. there is no pleural effusion or pneumothorax. aicd leads again noted extending to the region the right atrium, right ventricle and coronary sinus. no acute bony abnormality. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] severe cardiomegaly and possible mild congestion. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette and hilar contours are normal. the pleural surfaces are normal without effusion or pneumothorax. heart is mildling englargedWhat are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] a left pectoral cardiac pacer has single lead terminating in the right ventricle. moderate cardiomegaly is unchanged. the patient is status post interval thoracentesis on the right with a marked decrease in extent of right pleural effusion, with minimal residual fluid at the base. a moderate left pleural effusion on the left persists, with associated atelectasis. there is no pneumothorax.What are the key findings of this report? [/INST] marked decrease in right pleural effusion status post thoracentesis. </s>
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<s>[INST] there are low lung volumes. increased interstitial markings and indistinct pulmonary vasculature is consistent mild pulmonary edema. there is a moderate right pleural effusion and a trace left pleural effusion, which creates the visible disparity in opacity of the hemithoraces. moderate cardiomegaly is noted. mediastinal clips pacemaker, inserts are noted.What are the key findings of this report? [/INST] mild pulmonary edema. moderate right and trace left pleural effusions. </s>
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<s>[INST] post right upper lobectomy. stable moderate partially loculated right-sided effusion and persistent right juxta hilar opacity. interval increase in subsegmental atelectasis of the left base.What are the key findings of this report? [/INST] post right upper lobectomy with similar appearance of the right hemi thorax but slight interval increase in left basilar atelectasis. </s>
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<s>[INST] patient is rotated. single portable semi-erect frontal chest radiograph demonstrates hypoinflated lungs. heterogeneous opacity within the right lower lobe is most consistent with atelectasis however differential includes pneumonia in the appropriate clinical setting. no pleural effusion or pneumothorax. persistent mild cardiomegaly. mediastinal contour and hila are unremarkable. calcified tortuous aorta is again noted. limited assessment of the upper abdomen is within normal limits.What are the key findings of this report? [/INST] <num>. heterogeneous right lower lobe opacity is most consistent with atelectasis however differential includes pneumonia in the appropriate clinical setting. <num>. persistent mild cardiomegaly. </s>
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<s>[INST] lung volumes are low, which results in bronchovascular crowding. mild bibasilar atelectasis is present. the heart is mildly enlarged. the aorta is tortuous. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. rounded calcification projecting over the region of the aortic arch is stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral chest radiographs demonstrate clear lungs without a focal consolidation. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pulmonary edema, pleural effusion, or pneumothorax. no air under the right hemidiaphragm. degenerative changes are noted within the thoracic spine, vertebral body of heights appear preserved.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] pa and lateral views of the chest demonstrate intact median sternotomy and cerclage wires, with a prosthetic aortic valve, in appropriate position, unchanged since the prior study. the lungs are well expanded and clear, with no pleural effusion, pulmonary edema, pneumothorax, or focal airspace consolidation. the heart is top normal in size.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal and the lungs are clear. scarring within the lung apices is present. there is no pleural effusion or pneumothorax. no acute osseous abnormalities visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary process seen. </s>
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<s>[INST] the lungs are clear without evidence of consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. there is no free air below the hemidiaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomegaly. evidence of previous cabg. fracture of the third sternal wire from the top (unchanged compared to prior). no airspace consolidation. no suspicious pulmonary nodules or masses. osteopenic appearance of the spine. kyphotic deformity of the mid thoracic spine.What are the key findings of this report? [/INST] no pneumonia. no pulmonary edema. </s>
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<s>[INST] bilateral areas of opacification and consolidation are essentially unchanged from the prior study of <unk>. the endotracheal tube ends <num> cm from the carina, and the right-sided picc line ends in the low svc. there is no pneumothorax or pleural effusion. the cardiomediastinal silhouette is mildly enlarged.What are the key findings of this report? [/INST] unchanged bilateral areas of opacification and consolidation. </s>
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<s>[INST] frontal and lateral views of the chest are obtained. the patient is status post median sternotomy and cabg. dual-lead left-sided pacemaker is again seen, relatively stable in position. the cardiomediastinal silhouette is stably enlarged. there are small bilateral pleural effusions, left greater than right. interval removal of previously seen right internal jugular central venous catheter.What are the key findings of this report? [/INST] bilateral pleural effusions. enlarged cardiac silhouette. no definite focal consolidation, although left-sided consolidation would be difficult to exclude. </s>
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<s>[INST] cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. there is minimal atelectasis in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. mild scoliosis of the lumbar spine, convex to the left is noted.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 were compared to previous exam from <unk>. linear opacity at the lung bases is most suggestive of atelectasis. there is, however, somewhat patchy but still linear opacity in the right upper lung on the frontal exam, not clearly located on the lateral. the lungs are otherwise clear. there is no effusion. cardiomediastinal silhouette is within normal limits as are the osseous and soft tissue structures.What are the key findings of this report? [/INST] patchy but somewhat linear opacity in the right upper lung, this could be due to atelectasis; however, early, developing infiltrate is also possible. clinical correlation suggested. </s>
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<s>[INST] the heart size is normal. the mediastinal and hilar contours are similar compared to the prior study. previous pattern of pulmonary edema has improved. linear opacities within the lung bases likely reflect atelectasis. there is no focal consolidation, pleural effusion or pneumothorax. there are multilevel degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] bibasilar atelectasis. previously noted pulmonary edema has nearly completely resolved. </s>
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<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal 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] pa and lateral views of the chest provided. left chest wall port-a-cath again seen with catheter tip extending to the region of the low svc near the cavoatrial junction. significant opacification of the right hemi thorax is again noted which likely represent a combination of airspace consolidation with a small to moderate pleural effusion. there is a small new left pleural effusion. crowding of bronchovascular tear in the left lower lung with mild atelectasis noted. heart size is difficult to assess. no large pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] as above. <unk>, md </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] endotracheal tube tip terminates approximately <num> cm from the carina. orogastric tube side hole is within the stomach, and the distal aspect of the tube courses off the inferior borders of the film. heart size is borderline enlarged. there is moderate pulmonary edema with perihilar haziness and vascular indistinctness. no large pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] moderate pulmonary edema. support tubes in standard positions. </s>
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<s>[INST] lung volumes are normal. lungs are clear.no pleural effusion. no pneumothorax. pulmonary vasculature is normal. heart size is normal and unchanged. mediastinal and hilar contours are normal. unchanged widening of the intercostal space between left ribs <num> and <num>.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] mild bronchial wall thickening is new from prior studies in suggests bronchitis or small airways disease, particularly in the setting of moderate hyperinflation. prominence of the right lower lobe vasculature is similar to multiple prior studies. there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette, including severe cardiomegaly and a left pectoral dual-chamber pacemaker, is unchanged.What are the key findings of this report? [/INST] <num>. bronchial wall thickening suggesting bronchitis or small airways disease with associated hyperinflation. <num>. no focal consolidation. <num>. unchanged severe cardiomegaly. </s>
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<s>[INST] the heart size is normal. the aorta is diffusely calcified. mediastinal and hilar contours are normal. lungs are hyperinflated. linear opacities in the lung bases either reflect scarring or atelectasis. no large pleural effusion or pneumothorax is identified though the costophrenic angles are not completely encompassed on the field of view. 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] frontal and lateral views of the chest. exam is limited by motion on the lateral view. engorged pulmonary vasculature is again seen. there is no evidence of an effusion. asymmetric right basilar opacity is again seen, although less conspicuous on today's exam. degree of cardiomegaly is similar. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] persistent right basilar opacity, potentially atelectasis or focal region of pneumonia. pulmonary vascular congestion and cardiomegaly, similar to prior. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] increased heart size, pulmonary vascularity, stable. bilateral pleural effusions, moderate on the left, probably mild on the right, is stable. bibasilar opacities are similar, likely atelectasis. pneumonitis, particularly on the left, cannot be excluded in the appropriate clinical setting. left picc line with tip in the mid svc. radiopaque density projected over upper abdomen.What are the key findings of this report? [/INST] stable exam, with probable bibasilar atelectasis, bilateral pleural effusions. pneumonitis cannot be excluded in the appropriate clinical setting. </s>
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<s>[INST] in the interval since the prior study, extensive bilateral airspace opacities have developed throughout both lungs. differentials for this appearance would include acute pulmonary edema, ards or extensive multifocal pneumonia. moderate right pleural effusion, probable small left pleural effusion. left lower lobe atelectasis. left internal jugular and subclavian catheter is terminating in the proximal and mid svc respectively. a tracheostomy is in-situ.What are the key findings of this report? [/INST] interval development of extensive bilateral airspace opacity/consolidation. </s>
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<s>[INST] supine portable ap view of the chest provided. midline sternotomy wires and cardiac valve as well as mediastinal clips are in place. bibasilar atelectasis, left greater than right with small pleural effusion noted. cardiomediastinal silhouette appears grossly unremarkable. no pneumothorax. no bony abnormalities. the endotracheal tip resides <num> cm above the carina. ng tube courses into the left upper quadrant.What are the key findings of this report? [/INST] bibasilar atelectasis, left greater than right with small left effusion. findings are better assessed on same-day chest ct performed concurrently. et and gastrostomy tubes positioned appropriately. </s>
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<s>[INST] moderate cardiomegaly and tortuous aorta are grossly unchanged. moderate pulmonary edema was not present in the prior study. there is no pneumothorax. if any there is a small right effusion. hd catheter is in standard positionWhat are the key findings of this report? [/INST] moderate pulmonary edema. </s>
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<s>[INST] lung volumes are low, and prominent central pulmonary vessels reflect mild pulmonary vascular congestion and edema. there is no focal consolidation, pleural effusion or pneumothorax. the heart is normal in size. vertebral body height loss in the mid-thoracic spine is compatible with given history of prior osteomyelitis of the thoracic spine.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and edema. </s>
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<s>[INST] lung volumes are low, and the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal. no displaced rib fractures are seen. vertebral body height loss in the mid-lower thoracic spine is again noted, and degenerative changes are seen in the right shoulder.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced rib fractures are seen. if clinical concern for rib fracture is high, dedicated rib series or ct is more sensitive. </s>
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<s>[INST] pa and lateral views of the chest provided. mild bibasilar atelectasis. a right lower lobe opacity projecting over the lung bases may represent pleural disease or may be parenchymal. no pleural effusion or pneumothorax. hilar contours are normal.What are the key findings of this report? [/INST] an opacity projecting over the lung bases may represent pleural disease or may be parenchymal. ct may be useful given the patient's pleural in interstitial lung disease. </s>
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<s>[INST] frontal and lateral views of the chest are compared to previous exam from <unk>. blunting of the lateral costophrenic angles bilaterally is most suggestive of pleural thickening. relatively low lung volumes are seen as on prior. there is no new consolidation, nor pulmonary vascular congestion. the cardiac silhouette is mildly enlarged, similar to prior. degenerative changes are noted at the left shoulder as well as mild compression deformity of the mid thoracic spine, which is unchanged. there is minimal opacity in the left mid lung projecting over the superior aspect of the cardiac shadow similar to prior and could represent scarring.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits. tiny calcifications project over the right scapular, unchanged from the prior exam.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary or chronic granulomatous disease. </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] ap and lateral views of the chest. the lungs are clear without consolidation or pleural effusion. the cardiomediastinal silhouette is stable. no acute osseous abnormalities detected noting old healed left lateral rib fractures and lower thoracic vertebroplasty changes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes is slightly low. the lungs are clear. no focal consolidation, edema, effusion, or pneumothorax. the heart size is normal. the mediastinum is not widened. the trachea and bilateral mainstem bronchi appear normal in caliber. levoconvex scoliosis of the thoracic spine is mild. no acute osseous abnormality. no evidence of a radiopaque foreign body.What are the key findings of this report? [/INST] no evidence of radio-opaque foreign body in the airways. the lungs are clear. </s>
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<s>[INST] no focal consolidation or pleural effusion is detected. no pneumothorax is seen. heart size is top normal. mediastinal contours are within normal limits with mild aortic tortuosity. thyroidectomy clips are again noted.What are the key findings of this report? [/INST] no focal consolidation. </s>
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<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart is mild to moderately enlarged. the mediastinal and hilar contours appear unchanged including unfolding of the thoracic aorta. the lungs appear clear. there are no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] there is unchanged extensive subcutaneous emphysema as well as pneumomediastinum. a left chest tube is in unchanged position. presence of pneumothorax is difficult to evaluate given the extensive subcutaneous emphysema but no definite large pneumothorax or mediastinal shift is present. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] no significant interval change with extensive subcutaneous emphysema and pneumomediastinum. no definite large pneumothorax or mediastinal shift with left chest tube in place. </s>
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<s>[INST] pa and lateral chest radiographs demonstrate multiple right posterolateral healed rib fractures. the lungs are clear. the visualized cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap view of the chest. there is a new small left pleural effusion. possible left basilar atelectasis or pneumonia. no pneumothorax. the cardiomediastinal hilar contours are stable.What are the key findings of this report? [/INST] new small left pleural effusion and left basilar atelectasis but in the appropriate clinical setting pneumonia can be considered. </s>
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<s>[INST] the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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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] on upright portable chest radiograph there is continued increased lucency of the right upper lung; however, the pleural fold is no longer evident. there is persistent bilateral subcutaneous gas in the soft tissues of the neck as well as persistent trace pneumomedistinum at the level of the trachea. lungs are clear. no pleural effusion. cardiac and hilar contours are unremarkable.What are the key findings of this report? [/INST] equivocal findings of right pneumothorax. persistent pneumomediastinum or subcutaneous emphysema. </s>
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<s>[INST] the lung volumes are somewhat low. infrahilar haziness on the right appears slightly more prominent compared to prior studies, and is present posteriorly on the lateral view, possibly reflecting pneumonia in the appropriate clinical setting. there is no pleural effusion, pneumothorax, or overt pulmonary edema. the cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] more conspicuous right infrahilar haziness could potentially represent pneumonia in the appropriate clinical setting. no evidence of pneumothorax. </s>
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<s>[INST] right internal jugular central venous catheter tip terminates in the region of the low svc. no pneumothorax is identified. there has been interval improvement in aeration of the lung bases with residual patchy bibasilar opacities, likely atelectasis. no large left pleural effusion is present. the right costophrenic angle is excluded from the field of view. cardiac and mediastinal contours are unchanged.What are the key findings of this report? [/INST] right internal jugular central venous catheter tip terminates in the region of the low svc. no pneumothorax. </s>
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<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is demonstrated. clips are noted within the right breast about a <num> mm nodular opacity, which appears to correlate with post treatment changes on the prior mammogram. mild degenerative changes are seen within the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are not significantly changed since most recent examination. the iabp has been removed. there is progressed edema. the lungs are clear. no definite pleural effusion or pneumothorax is identified.What are the key findings of this report? [/INST] mildly progressed edema since the most recent comparison. </s>
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<s>[INST] the cardiomediastinal hilar contours are stable with moderate to severe cardiomegaly. dilated mediastinal vessels are chronic in appearance. left lower lobe consolidation is a combination of atelectasis and pleural effusion, although infection is not excluded. a small right pleural effusion is likely, and right basilar consolidation, reflecting atelectasis or pneumonia, is increased. there is no pneumothorax. ett is in standard position. enteric tube is seen coursing towards the stomach with distal tip not captured on the current study. internal jugular line is present with tip terminating in the mid to low svc.What are the key findings of this report? [/INST] <num>. increase in right basilar consolidation, which may reflect atelectasis or pneumonia, with a small right pleural effusion. <num>. stable appearance of the left base, with consolidation and small left pleural effusion. </s>
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