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<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the is slight leftward tracheal deviation is related to a known thyroid goiter. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. thin, oblique and linear opacity seen at the base of the right lung is most likely some atelectasis. biapical scarring is noted.What are the key findings of this report? [/INST] no penumonia. </s>
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<s>[INST] compared with prior radiographs on <unk>, there is increased vascular engorgement and early pulmonary edema. there is no large pleural effusion. lung volumes are low, with right lower lobe atelectasis, similar to prior. there is no new focal consolidation or pneumothorax. cardiomediastinal silhouette is similar to prior. a right ij catheter terminates in the low svc.What are the key findings of this report? [/INST] increased vascular engorgement and early pulmonary edema. no large pleural effusion. no pneumonia. </s>
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<s>[INST] two views were obtained of the chest. the lungs are somewhat low lung volume with left pleural effusion and basal atelectasis noted. best seen on the lateral view is an extrapleural based opacity emerging from the chest wall, likely at the <num>nd rib articulation with the sternum which is consistent with progression of the known chest wall metastatic lesion. multiple bilateral pulmonary nodular opacities compatible with metastases are better seen on prior pet/ct. there is no pneumothorax. the heart is top normal size, with otherwise normal cardiac and mediastinal contours.What are the key findings of this report? [/INST] <num>. increased opacity at left second costosternal articulation is consistent with progression of left chest wall metastasis. muliple pulmonary nodules also again consistent with metastatic disease. <num>. small to moderate left pleural effusion and 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.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the endotracheal tube terminates at the clavicular junction approximately <num> cm from the carina. there has been placement of a nj tube which most likely terminates at the pylorus. there is a ng tube, positioned within the stomach. compared to the prior radiographs, bilateral pleural effusions appear slightly improved; however, this could be due to patient being positioning differences. there is no pneumothorax or definite focal consolidation. cardiomediastinal silhouette is stable.What are the key findings of this report? [/INST] nj tube with the tip terminating most likely near the pylorus. </s>
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<s>[INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. there is compression deformity of a mid thoracic vertebral body, age indeterminate.What are the key findings of this report? [/INST] <num>. no radiographic evidence for acute cardiopulmonary process. <num>. unexplained compression deformity of the mid thoracic vertebral body, age indeterminate. evaluation for subtle retropulsion is limited on this study. clinical correlation for pain at this level is recommended. consideration of underlying pathology, such as malignancy or metabolic disorder, is recommended. these findings and recommendations were discussed with dr. <unk> by dr. <unk> by telephone at <num>:<unk> a.m. on <unk> at the time of discovery of these findings. additional recommendation for further evaluation for underlying cause were discussed with dr. <unk> by dr. <unk> by phone at <time> a.m. on <unk> after attending radiologist review. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothorax. no definite clavicular or rib fracture is identified, though this examination is not tailored for evaluation osseous injuries. if there is significant concern for fracture, dedicated views of the ribs and clavicles can be obtained.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. no definite fracture identified. </s>
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<s>[INST] the heart size is normal. the aorta remains tortuous but unchanged. mediastinal and hilar contours otherwise are unremarkable. lungs are clear without focal consolidation. 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 process. </s>
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<s>[INST] an airway stent is noted within a right lower lobe bronchus, best visualized on the lateral view. an air-fluid level within the right lower lobe corresponds to a cavitary lesion as noted on the previous ct. small right pleural effusion is again noted along with a large right perihilar mass with resultant right lower lobe atelectasis. mediastinal lymphadenopathy with widening of the right paratracheal stripe is re- demonstrated. heart size is difficult to assess but appears mildly enlarged, similar compared to the prior exam. a moderate size hiatal hernia is again noted. left lung is clear. no pneumothorax is identified. no displaced fractures are seen. no free air is seen under the diaphragms.What are the key findings of this report? [/INST] <num>. air-fluid level in the right lower lobe corresponds to known cavitary lesion as seen on the prior chest ct. <num>. small right pleural effusion, right perihilar mass, and right lower lobe atelectasis are all similar compared to the prior radiograph. <num>. unchanged mediastinal lymphadenopathy. </s>
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<s>[INST] there is a moderate-to-large right pleural effusion, layering on today's study given supine technique, likely not significantly changed compared to the prior radiograph from <unk>. moderate right and mild left lower lung atelectasis is noted. mild-to-moderate cardiomegaly is not significantly changed. there is no pneumothorax. note is made of midline sternotomy and cabg, as before. old left rib fractures are noted.What are the key findings of this report? [/INST] <num>. moderate-to-large right pleural effusion, likely not significantly changed allowing for differences in technique. <num>. bibasilar atelectasis, right greater than left. <num>. mild-to-moderate cardiomegaly, not significantly changed. </s>
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<s>[INST] the lungs are hypoinflated, causing crowding of the pulmonary vasculature. there are linear opacities at the bases, likely atelectasis. 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] hypoinflated lungs with bilateral probable atelectasis. however, early pneumonia in the proper clinical setting cannot be fully excluded. </s>
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<s>[INST] frontal and lateral views of the chest. lung volumes are low, exaggerating heart size. upper mediastinal contours are normal. no focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no focal consolidation. </s>
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<s>[INST] pa and lateral views of the chest. no prior. low lung volumes are seen. linear opacities at the lung bases, left greater than right are most suggestive of atelectasis; however, a component of consolidation cannot be excluded. cardiomediastinal silhouette is within normal limits. superiorly, the lungs are clear. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] bibasilar opacities, left greater than right, potentially due to atelectasis given low lung volumes, however, component of infection cannot be excluded. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is stable. mild acromioclavicular degenerative changes are seen bilaterally.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral chest radiograph demonstrates clear lungs bilaterally. cardiomediastinal and hilar contours are within normal limits. no evidence of pulmonary edema. there is no pneumothorax or pleural effusion. osseous structures demonstrates no acute abnormality.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] fractured cerclage wires around left ribs and marked elevation of the left hemidiaphragm date back to <unk>. there is stable blunting at the right costophrenic angle. lungs are otherwise clear. the heart size is normal. the hilar and mediastinal contours are normal.What are the key findings of this report? [/INST] left lung clear despite chronic, elevated hemidiaphragm, function indeterminate. </s>
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<s>[INST] single frontal view of the chest was obtained. the heart is of top normal size, exaggerated by low lung volumes. mild interstitial edema is present. no focal pulmonary consolidation, pleural effusion, or pneumothorax. the osseous structures are unremarkable. no radiopaque foreign bodies.What are the key findings of this report? [/INST] mild interstitial edema. </s>
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<s>[INST] small-to-moderate residual right-sided pleural effusion is seen, without evidence of pneumothorax. trace left effusion may also be present. heart is top normal in size with normal cardiomediastinal contours. asymmetric opacification of the right base could be due to incomplete reexpansion.What are the key findings of this report? [/INST] no pneumothorax and small-to-moderate residual right-sided pleural effusion. </s>
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<s>[INST] a right port-a-cath tip ends in the lower svc. right perifissural opacity corresponds to known fdg avid lesion, better appreciated on the pet-ct from <unk>. no focal consolidation to suggest pneumonia. no pleural effusion, edema, or pneumothorax. the cardiomediastinal silhouette is normal. the descending thoracic aorta is mildly tortuous. no acute osseous abnormality.What are the key findings of this report? [/INST] <num>. no focal pneumonia. <num>. right perifissural opacity appears to correspond to known fdg avid lesion on pet-ct from <unk>. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. artifacts from multiple external lines and supporting devices are present. linear, tubular appearing opacity crossing the left lower lobe is likely external as well or might represent subsegmental atelectasis.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] hyperinflation of the lungs suggests copd. minimal streaky left basilar opacity may reflect atelectasis or aspiration. no focal consolidation or pneumothorax. blunting the of the left costophrenic angle posteriorly suggests a small effusion. the pulmonary vasculature is not engorged. the cardiomediastinal silhouette is stable with prominence of the tortuous thoracic aorta and mild calcification of the aortic knob. the hilar contours are within normal limits. there is new deformity of the left lower lateral ribs compared to the prior <unk> study concerning for nondisplaced or minimally displaced rib fractures. thoracic kyphosis and degenerative changes of the thoracic spine are redemonstrated.What are the key findings of this report? [/INST] <num>. new deformity of the left lower lateral ribs compared to <unk> may represent nondisplaced or minimally displaced rib fractures in the setting of recent trauma. <num>. small left pleural effusion and left basilar streaky opacity, possibly atelectasis or aspiration. </s>
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<s>[INST] there is minor basilar atelectasis. no definite focal consolidation is seen. there is no large pleural effusion or evidence of pneumothorax. the cardiac silhouette is not enlarged. mediastinal contours are sharp. again, there is right paratracheal opacity without mass effect on the aorta, likely representing prominent vasculature. degenerative changes are seen at the shoulder joints but not optimally evaluated on this study.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] of note, the patient has been suffering from hepatic hydrothorax secondary to liver cirrhosis with two recent thoracentesis on <unk> and <unk>. compared to our prior radiograph on <unk>, there is a large right-sided pleural effusion with associated right lower lobe atelectasis. patchy airspace and interstitial opacities are noted throughout the left lung, suggestive of pulmonary edema, significantly worse from <unk>. there is no left-sided pleural effusion. there is no evidence of subdiaphragmatic free air. old right lower lateral right fractures are noted.What are the key findings of this report? [/INST] large right-sided pleural effusion and worsening pulmonary edema in the left lung. </s>
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<s>[INST] an esophageal stent appears unchanged. there is also a stent along the left mainstem bronchus that appears unchanged. the cardiac, mediastinal and hilar contours appear stable there is no pleural effusion or pneumothorax. the lungs appear clear. the chest is hyperinflated. there has been no significant change.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] frontal and lateral views of the chest demonstrate low lung volumes, which accentuate bronchovascular markings. there is no pleural effusion, focal consolidation, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is stable. compression deformities in the thoracic and lumbar spine are unchanged. surgical clips seen in the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is near complete resolution of right upper lobe opacity, with minimal linear opacities remaining, representing resolving pneumonia or atelectasis. no acute airspace or interstitial opacity. the cardiomediastinal silhouette is within normal limits. no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] interval near complete resolution of the right upper lobe consolidation, with minimal residual linear opacities representing resolving/residual infection or atelectasis. no chest radiographic evidence of new infection. </s>
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<s>[INST] evaluation of the lateral radiograph is somewhat limited as patient could not elevate his arms. left perihilar pulmonary edema is new and the left pleural effusion is now larger. the marked consolidation in the left lower lobe has been present since at least <unk>. right lower lobe atelectasis is not significantly changed. the cardiac silhouette is obscured by the left lower lobe opacity but is likely still borderline enlarged. the mediastinal silhouette appears normal. lung volumes are low. there is no pneumothorax. the left picc line and right hd catheter terminate in the svc.What are the key findings of this report? [/INST] <num>. asymmetric pulmonary edema reflected in left perihilar edema with a moderate left pleural effusion which is now bigger. <num>. severe left basal consolidation, present since at least <unk>, probably atelectasis, less likely unresolved pneumonia. </s>
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<s>[INST] the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications are seen at the aortic arch. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no focal consolidation. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there is similar mild relative elevation of the right hemidiaphragm. there is no pleural effusion or pneumothorax. streaky opacity in the left lower lung is most consistent with minor atelectasis. otherwise the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] both lungs are well expanded and clear. there are no opacities concerning for pneumonia, atelectasis or edema. heart size, mediastinal and hilar contours are normal. there is no pleural abnormality.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] pa and lateral radiographs of the chest depict bilateral small pleural effusions, left greater than right, which were not present on the most recent available comparison study from <unk>. there is marked cardiomegaly, which also appears to be new from <unk>. multifocal peripheral opacities on both sides may represent a process involving the pleura, parenchyma, or both. there is no pneumothorax or pulmonary edema. note is made of bilateral widening of the glenohumeral joint spaces, which may be indicative of rotator cuff laxity.What are the key findings of this report? [/INST] <num>. bilateral pleural effusions, left greater than right. <num>. moderate-to-severe cardiomegaly. <num>. peripheral parenchymal or pleural opacities bilaterally. <num>. these findings appear to be new at least since <unk> when the lung bases were visualized on the ct. further evaluation with chest ct is recommended. <num>. bilateral widening of the glenohumeral joint spaces may be indicative of rotator cuff laxity. correlation with history and physical examination is recommended. </s>
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<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] pa and lateral views of the chest. in the left costophrenic angle is a new opacity peripherally. no other consolidations are seen. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] left lower lobe peripheral opacity may represent pulmonary infarct given history of pulmonary emboli or possibly small pleural effusion. pneumonia could be considered in the right clinical scenario. </s>
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<s>[INST] a frontal upright portable view of the chest was obtained. increased opacity at the right lung base is pleural effusion and adjacent atelectasis, worse or in a different distribution compared to <unk> but improved from <unk>. the right upper lung zone and left lung are clear. there is no pneumothorax. cardiac and mediastinal silhouettes are stable allowing for patient rotation.What are the key findings of this report? [/INST] <num>. no pneumothorax. <num>. right effusion and atelectasis are increased from <unk>, but improved from <unk> after thoracentesis. findings were discussed with dr. <unk> by phone at <time> p.m. on <unk>. </s>
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<s>[INST] the known dominant metastatic lesion in the right upper lobe is increased, now measuring <num> cm compared to <num> cm on prior ct. other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph. no evidence of pneumonia. no pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] the known dominant metastatic lesion in the right upper lobe is increased, now measuring <num> cm compared to <num> cm on prior ct. other known subcentimeter metastatic pulmonary lesions are not well seen on this radiograph. no evidence of pneumonia, pleural effusion or pneumothorax. </s>
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<s>[INST] ap portable upright view of the chest. bibasilar opacities are most compatible with atelectasis, difficult to exclude subtle pneumonia/ aspiration. no large effusion or pneumothorax. heart size cannot be reliably assessed. mediastinal contour appears unchanged allowing for slight rotation. bony structures are intact.What are the key findings of this report? [/INST] bibasal opacities likely atelectasis, difficult to exclude subtle pneumonia/aspiration. </s>
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<s>[INST] frontal and lateral views of the chest are obtained. there has been interval removal of a right-sided picc. the lung volumes are relatively low. there is minimal left base atelectasis. mild elevation of the right hemidiaphragm is seen. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. surgical clips are seen in the lateral right upper-to-mid abdomen.What are the key findings of this report? [/INST] minimal left base atelectasis. mild elevation of the right hemidiaphragm which is similar to that seen on <unk>. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] the heart size is increased. there is increased hazy vasculature in bilateral pleural effusions that are now moderate to large in size, right greater than left there is patchy alveolar infiltrates bibasilar consolidations are again seen the right central line with tip in the right atrium is unchanged. left-sided chest tube is unchanged.What are the key findings of this report? [/INST] worsened fluid status </s>
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<s>[INST] stable cardiomegaly and tortuosity of the thoracic aorta. no new areas of consolidation to suggest the presence of pneumonia, and no evidence of pleural effusion.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] ap and lateral views of the chest were reviewed. right breast mass, rather than lower lobe pneumonia, is probably responsible for added radiodensity to the right chest laterally, since no corresponding pulmonary abnormality is seen on the lateral view. apparent enlargement of the cardiomediastinal and hilar contours is due at least in part to positioning. a <num>mm wide oval opacity projecting over the right tracheobronchial angle is probably a dilated azygos vein. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation. gaseous distension of colonic loops in the left upper quadrant and mid abdomen are noted.What are the key findings of this report? [/INST] lungs probably clear. </s>
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<s>[INST] the heart size is within normal limits. the mediastinal and hilar contours are normal. the lungs are clear. 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] frontal and lateral radiographs of the chest with bilateral nipple markers show clear lungs with no evidence of nodules. there is mild hyperinflation with flattening of the diaphragms, consistent with chronic lung disease. cardiac and mediastinal contours are normal. mild bilateral apical thickening is seen. no pneumothorax or pleural effusion is seen.What are the key findings of this report? [/INST] no evidence of lung nodules. no acute infection. </s>
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<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are normal. the lungs are clear. there is no pleural effusion or pneumothoraxWhat 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 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] frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. <num>mm round opacities projecting over each <unk> anterior interspace are probably nipple shadows, but because they are of different attenuation, their identity should be confirmed with shallow oblique views employing nipple markers. the lungs are otherwise clear. 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] patchy opacities in the right lung is increased compared to <unk>, concerning for worsening pneumonia. moderate right pleural effusion is stable. there is persistent right lower lobe collapse. mildly enlarged cardiac silhouette is unchanged. multiple left rib fractures are noted.What are the key findings of this report? [/INST] patchy opacities in the right lung is increased compared to <unk>, concerning for worsening pneumonia. </s>
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<s>[INST] the cardiac silhouette is enlarged. there is mild pulmonary edema, possibly mildly improved since the most recent examination. no definite new consolidation is identified. there is mild bibasilar atelectasis. a right-sided chest port is in stable position, terminating in the right atrium. there is no definite pleural effusion or pneumothorax.What are the key findings of this report? [/INST] pulmonary edema without definite consolidation. </s>
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<s>[INST] the heart size is the upper limit of normal. no consolidation, pleural effusion or pulmonary edema is seen. hiatal hernia is again seen and unchanged from previous chest radiograph.What are the key findings of this report? [/INST] no lung parenchymal abnormalities. </s>
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<s>[INST] pa and lateral chest films were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size remains unchanged and is within normal limits. rather prominent general dilatation and elongation of the thoracic aorta. multiple focal wall calcifications most prominent in the aortic arch remain unchanged. no new contour abnormalities have developed. the pulmonary vasculature is not congested. there is no evidence of significant left atrial enlargement as can be judged on the lateral view. the on previous examination seen postoperative scar formations in the right lower lobe area have further regressed including the local thickenings of the pleura along the lower right lateral chest wall. there is no evidence of any pleural effusion accumulating in either lateral or posterior pleural sinuses. no pneumothorax is seen in the apical area on the frontal view. comparison is extended to the preoperative pa and lateral chest examination of <unk>. comparison of cardiac structures and pulmonary vasculature does not indicate that the patient has developed significant chf symptoms.What are the key findings of this report? [/INST] regression of postoperative scar formations after removal of small cell carcinoma. no evidence of new infiltrates. no signs of cardiac enlargement or pulmonary congestion. rather marked general widening of thoracic aorta remains stable. </s>
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<s>[INST] single portable view of the chest. the lungs are grossly clear without focal consolidation, large effusion or pulmonary vascular congestion. there is moderate cardiomegaly. atherosclerotic calcifications are noted at the aortic arch.What are the key findings of this report? [/INST] cardiomegaly without acute cardiopulmonary process. </s>
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<s>[INST] the left hemidiaphragm is somewhat obscured, which may be due to overlying body habitus, although atelectasis or small pleural effusion is not excluded. the right lung is clear. the cardiac and mediastinal silhouettes are unremarkable. no pneumothorax is seen. there is no overt pulmonary edema.What are the key findings of this report? [/INST] obscuration of the left hemidiaphragm which may be due to overlying soft tissue, however, a small pleural effusion is not excluded. dedicated pa and lateral views would likely be helpful for further evaluation if patient able. </s>
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<s>[INST] patient is status post median sternotomy and mitral valve replacement. heart size, mediastinal and hilar contours are normal. lungs are well expanded and grossly clear. no pleural effusion or acute skeletal finding.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] the heart is enlarged as previously. bilateral patchy opacities seen especially in the right lung with no interval change. et tube is above the carina. ng tube is in the fundus of the stomach.What are the key findings of this report? [/INST] no interval change. </s>
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<s>[INST] lung volumes are very low, with bibasilar atelectasis. no focal consolidation. small right pleural effusion. no pleural effusion on the left. no pneumothorax. cardiomediastinal contours are normal. no subdiaphragmatic free air. no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. bibasilar atelectasis in the setting of low lung volumes. <num>. small right pleural effusion. </s>
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<s>[INST] heart size is normal. stable tortuosity of the thoracic aorta. normal hilar contours. stable elevation of the left hemidiaphragm with an unchanged opacity at the left costophrenic angle, consistent with a known, fat containing diaphragmatic hernia. normal pleural surfaces. clear lungs.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest were provided. small residual blunting at the right cp angle likely reflects a small pleural effusion and mild basilar atelectasis. otherwise, the lungs are clear. cardiomediastinal silhouette is normal. bony structures appear intact.What are the key findings of this report? [/INST] minimal residual right pleural effusion and basilar atelectasis. </s>
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<s>[INST] portable frontal chest radiograph demonstrates mild cardiomegaly, unchanged. bilateral opacifications most consistent with atelectasis mildly increased when compared to chest radiograph dated <unk>. pleural effusion is indeterminate. an enteric tube is seen terminating <num> cm above the level of the carina in appropriate position. a left picc terminates in the mid to low superior vena cava. no pneumothorax.What are the key findings of this report? [/INST] bibasilar atelectasis mildly increased. </s>
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<s>[INST] supine portable ap view of the chest was provided. an endotracheal tube is seen with its tip residing approximately <num> cm above the carina. the lung volumes are low which limits the evaluation with probable bronchovascular crowding at the lung bases. there is equivocal opacity in the left upper lung which may reflect patient rotation. no supine evidence for effusion or pneumothorax. no definite bony abnormalities are seen. the cardiomediastinal silhouette is poorly assessed.What are the key findings of this report? [/INST] limited exam as stated. appropriately positioned endotracheal tube. equivocal left upper lung opacity which could reflect patient rotation. </s>
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<s>[INST] the right costophrenic angle is not fully included on the image. given this, there is opacity at the left costophrenic angle with lateral left base opacity which may be due to pleural effusion with atelectasis and/or pleural thickening. no definite focal consolidation is seen. the cardiac and mediastinal silhouettes are stable. there may also be a trace right pleural effusion/pleural thickening. no pneumothorax is seen.What are the key findings of this report? [/INST] left costophrenic angle not fully included on the image. opacity at the peripheral bilateral lung bases, left greater than right, may be due to pleural effusions and/or pleural thickening. </s>
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<s>[INST] frontal and lateral views of the chest. no pleural effusion, pneumothorax or focal airspace consolidation. no free air under the diaphragm. heart is moderately enlarged but unchanged. there is an epicardial fat pad. mediastinum and hilar structures are unremarkable. vascular stent is seen projecting over the left neck.What are the key findings of this report? [/INST] no acute cardiopulmonary process with stable moderate cardiomegaly. </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] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with top-normal heart size. 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 well-expanded and clear. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. the mediastinum is not widened. no acute osseous abnormality.What are the key findings of this report? [/INST] no focal pneumonia. </s>
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<s>[INST] the cardiac silhouette is mildly enlarged. the hilar contours are within normal limits. there is minimal atelectasis at the right lung base. blunting of the bilateral costophrenic angles is likely secondary to a small amount of pleural effusion. lungs are otherwise clear. there is no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] blunting of the bilateral costophrenic angles is likely secondary to a small amount of pleural effusion. otherwise, no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube has been withdrawn and is now appropriately positioned approximately <num> cm above the level of the carina. as compared to the prior examination performed <unk> min earlier, there has been no relevant interval change. all remaining lines and tubes are in unchanged locations.What are the key findings of this report? [/INST] interval repositioning of an et tube which now terminates <num> cm above the level of the carina. </s>
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<s>[INST] frontal and lateral chest radiograph demonstrates unremarkable cardiomediastinal and hilar contours. lungs are clear. no pleural effusion or pneumothorax identified.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 and hila are normal. there is no pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
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<s>[INST] frontal and lateral chest radiograph demonstrate well expanded and clear lungs. there is no focal consolidation. the cardiac and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] a left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. there is mild enlargement of cardiac silhouette, unchanged. aortic knob calcifications are re- demonstrated. the pulmonary vasculature is normal, and the hilar contours are within normal limits. known nodule in the lingula is better assessed on the prior ct. no focal consolidation, pleural effusion or pneumothorax is present. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the patient has a history of previous bypass surgery. sternal wires had to be removed related to necrotic processes in the sternum requiring removal of manubrium. multiple surgical clips can still be identified in the anterior mediastinum and along the anterior left-sided chest wall. there is very mild cardiac enlargement postoperatively and apparently unchanged in comparison with the next previous available examination of <unk>. the pulmonary vasculature is not congested and there is no evidence of any acute pulmonary infiltrate. very mild blunting of the lateral pleural sinuses is present, seen on the frontal views, but apparently unchanged since <unk>. the lateral pleural sinuses are free. one can, however, identify a few linear and patchy infiltrates in the left lower lung base, lateral and posteriorly, which are slightly more prominent than they were <unk> years ago. it is impossible to decide whether they represent scar formations or to some degree represent infectious processes. it is recommended to treat the patient for the ongoing infection and schedule him for a followup examination in about two to three weeks.What are the key findings of this report? [/INST] grossly unchanged chest findings. probably old scar formations, possibly with some subtle new infiltrates on the left base. followup examination after two to three weeks is recommended. </s>
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<s>[INST] enteric tube tip is in the mid stomach, new since prior exam. left picc line tip not well seen, likely near cavoatrial junction. shallow inspiration. very shallow inspiration accentuates heart size. there is prominent left cardiophrenic angle fat pads. there are small bilateral pleural effusions, more apparent. mild bibasilar opacities, likely atelectasis tubing is projected over right abdomen. shallow inspiration accentuates pulmonary vascularity. thoracic curve convex to the right.What are the key findings of this report? [/INST] enteric tube tip in the mid stomach. shallow inspiration accentuates heart size, pulmonary vascularity. mild bibasilar opacities, likely atelectasis. </s>
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<s>[INST] portable ap upright radiograph demonstrates patchy opacity at the left lower lung zone which may reflect aspiration or alternatively atelectasis. lungs are otherwise clear with no focal opacity convincing for pneumonia. vascular congestion and distended azygos vein are noted, and potentially might represent volume overload, mild cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. no air under the right hemidiaphragm is visualized. no large pleural effusion is seen. osseous structures demonstrates no acute abnormality.What are the key findings of this report? [/INST] no air under the right hemidiaphragm. patchy opacity at the left lower lung zone may reflect aspiration or alternatively atelectasis. mild volume overload. </s>
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<s>[INST] et tube is present, with tip at the carina and an overinflated cuff. an enteric tube is present with tip and sideholes in the stomach. lung volumes are low with resultant bronchovascular crowding. the heart size is likely normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. there is no focal consolidation concerning for pneumonia. there is no overt pulmonary edema.What are the key findings of this report? [/INST] <num>. ett at the carina with overinflated cuff. recommend retraction by <num> cm for more appropriate placement. <num>. enteric tube in appropriate position. <num>. low lung volumes but clear. </s>
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<s>[INST] interstitial markings are diffusely prominent bilaterally but no focal consolidation suggestive of pneumonia is seen. fullness in this central pulmonary vasculature is exaggerated because of low lung volumes and no definite vascular congestion or hilar mass is seen. the heart is at the upper limits of normal in size and the aorta is mildly uncoiled. proliferative osteophytes are seen in the mid and lower thoracic spine but no fracture is visible.What are the key findings of this report? [/INST] diffuse prominence/ irregularity of interstitial markings without focal consolidation. the findings may indicate underlying pulmonary fibrosis or other diffuse disease. no definite findings to account for chest pain. </s>
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<s>[INST] as compared to the previous radiograph, there is no relevant change. moderate asymmetry of the rib cage, due to healed rib fractures and marked scoliosis. normal size of the cardiac silhouette. marked tortuosity of the thoracic aorta. no evidence of hilar or mediastinal lymphadenopathy. lung parenchyma appears normal, without signs of nodular or fibrotic changes. no pleural effusions.What are the key findings of this report? [/INST] no evidence of sarcoid. </s>
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<s>[INST] a supine frontal chest radiograph demonstrates interval repositioning of the endotracheal tube, which remains within the right mainstem bronchus. there is slightly improved aeration of the left hemithorax, though volume loss and leftward shift of the mediastinum is persistent. right base consolidation has increased. this could be due to recent aspiration, or developing pneumonia the remainder of the exam is largely unchanged.What are the key findings of this report? [/INST] <num>. persistent right mainstem intubation, with slightly improved aeration of the left hemithorax, although volume loss and leftward shift of the mediastinum is persistent. at the time of this dictation, the tube had already been repositioned. <num>. worsening right basal consolidation followed for possible aspiration pneumonia. </s>
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<s>[INST] chest, ap and lateral. there is no significant interval change from the prior study. again noted is chronic of changes related to copd with extensive parenchymal scarring and bilateral calcified pleural plaques. blunting of the bilateral costophrenic angles is also chronic. there is no airspace consolidation. the hilar and cardiomediastinal contours are normal. there is dense calcification of the aortic valve, aortic annulus, and mitral annulus. there is no pneumothorax. pulmonary vascularity is normal.What are the key findings of this report? [/INST] <num>. no evidence of widened mediastinum or other acute cardiopulmonary process. <num>. chronic lung changes consistent with copd and extensive calcified pleural plaques. </s>
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<s>[INST] both lungs are well expanded and clear. there are no lung opacities of concern. heart size is normal. mediastinal and hilar contours are unremarkable. both pleural spaces are normal.What are the key findings of this report? [/INST] clear lungs. no acute or chronic lung disease. </s>
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<s>[INST] the lungs are clear. there is no focal consolidation, edema, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] a single portable frontal chest radiograph was obtained. a moderate left-sided pleural effusion has increased since <unk>. a small right-sided effusion may be slightly smaller. there is no new consolidation or pneumothorax. the aortic arch remains calcified. right internal jugular catheter remains at the cavoatrial junction. enteric catheter extends inferiorly out of the field of view. a left-sided subclavian stent is unchanged.What are the key findings of this report? [/INST] stable small right and increasing small to moderate left pleural effusions. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal. there is no free air under the diaphragm. no acute osseous abnormality. oral contrast is seen within the large bowel, presumably from a study performed at another institution.What are the key findings of this report? [/INST] no pneumonia or pneumothorax. </s>
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<s>[INST] lines and tubes: left upper lateral chest wall pacemaker and pacer wires appear intact. lungs: low lung volumes with mild vascular prominence without lobar consolidation. pleura: there is no pleural effusion or pneumothorax mediastinum: there is cardiomegaly and aortic knob calcification. bony thorax: sternotomy sutures and multiple surgical clips project over the mediastinum. ekg leads project over the chest wall.What are the key findings of this report? [/INST] low lung volumes with mild pulmonary edema, no lobar consolidation. </s>
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<s>[INST] the right-sided port-a-cath tip terminates in the low svc. cardiomediastinal silhouette is normal. no focal consolidation, pleural effusions, or pneumothorax.What are the key findings of this report? [/INST] port-a-cath in place. no pneumonia. </s>
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<s>[INST] portable supine ap view of the chest. the endotracheal tube ends below the thoracic inlet <num> cm above the carina. enteric tube ends of the inferior edge of the film. there are bilateral diffuse patchy opacities representing pulmonary edema. no pleural effusions or pneumothorax are seen. the heart is mildly enlarged.What are the key findings of this report? [/INST] <num>. endotracheal tube is in appropriate position. <num>. moderate pulmonary edema. </s>
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<s>[INST] blunting of the left costophrenic angle appears similar as compared to ct from <unk> consistent with mediastinal fat and possibly subtle pleural thickening. the cardiac silhouette remains enlarged. mediastinal contours are stable. moderate pulmonary vascular congestion is seen. no pneumothorax is seen.What are the key findings of this report? [/INST] moderate pulmonary vascular congestion and persistent cardiomegaly. </s>
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<s>[INST] the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs are well expanded without focal consolidation. right apical scarring is again noted with subsequent upward retraction of the right hilum. a right subclavian approach central venous catheter is present with tip terminating in the right atrium. surgical clips at the right axilla are noted. the patient is status post right mastectomy. the upper abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. chronic changes after right mastectomy and radiation treatment to the right chest wall. </s>
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<s>[INST] there are low lung volumes. bibasilar streaky and linear opacities likely reflect atelectasis. remainder of the lungs are otherwise clear. no pleural effusion or pneumothorax is present. the heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. there is no pulmonary vascular congestion. mild degenerative changes are seen in the thoracic spine. no free air is seen under the diaphragms.What are the key findings of this report? [/INST] bibasilar atelectasis. </s>
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<s>[INST] on the aforementioned comparison, the patient was noted to have an opacity at the left lung base for which dedicated chest x-ray was recommend. again seen on lateral, is a heterogenous opacity overlying anterior lower thoracic spine. there was a left mild pleural effusion seen on <unk> radiograph but has since resolved. the descending aorta is ectatic. the heart size is normal.What are the key findings of this report? [/INST] heterogenous opacity at the lower lung base which could reflect aspiration or pneumonia, routine oblique views of the chest are recommended to further characterize this abnormality. </s>
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<s>[INST] single ap portable chest radiograph demonstrates unremarkable mediastinal contours. cardiac silhouette is enlarged. hazy pulmonary vasculature is identified with faint patchy opacities in the perihilar and upper lung zones suggests a mild degree of pulmonary edema. retrocardiac opacities likely represent atelectasis, though developing infectious process cannot be excluded in the appropriate clinical setting. minimal blunting of the right costophrenic angle may reflect a small pleural effusion though this area is not well evaluated due to overlying medical devices. no osseous abnormalities identified.What are the key findings of this report? [/INST] mild pulmonary edema with retrocardiac capacity likely representing atelectasis though cannot exclude infection. possible small riht pleural effusion. </s>
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<s>[INST] the tip of an infuse-a-port projects over the mid svc, unchanged. there is no pneumothorax. small bilateral pleural effusions left greater than right are unchanged. minimal bibasilar subsegmental atelectasis is stable. mild cardiac enlargement despite the projection is unchanged. mediastinal contours are stable.What are the key findings of this report? [/INST] no appreciable interval change in small bilateral pleural effusions, left greater than right, and bibasilar subsegmental atelectasis. stable cardiomegaly. </s>
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<s>[INST] the right costophrenic angle is no longer blunted. there is minimal streaky density at the right base consistent with scarring or subsegmental atelectasis as before. the patient is status post median sternotomy and mvr. mediastinal structures are unchanged. a right subclavian catheter remains in place. it terminates in the region of the lower superior vena cava. the bony thorax is grossly intact.What are the key findings of this report? [/INST] no active pulmonary disease. line placement as described. </s>
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<s>[INST] ap chest radiograph again demonstrates moderate right pneumothorax, slightly larger from <time> a.m.. increasing subcutaneous emphysema is seen tracking up the right hemithorax into the supraclavicular fossa. supraclavicular approach right subclavian line is in stable position as is the et tube and ng tube. bibasilar opacification is worse now on the left. there is no large pleural effusion.What are the key findings of this report? [/INST] <num>. slightly enlarged right pneumothorax. increasing subcutaneous emphysema in right hemithorax. <num>. bibasilar opacificaiton, most consistent with pneumonia has worsened on the left. impression item #<num> was discussed by dr. <unk> with dr. <unk> at <time> a.m. on <unk>. </s>
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<s>[INST] there is a new dobhoff tube with the tip at the gastroesophageal junction. again visualized is a left subclavian central venous catheter with the tip at the superior cavoatrial junction. median sternotomy wires appear intact. bibasilar opacities are visualized, greater on the left than the right. there is mild pulmonary edema. cardiac silhouette appears stable and enlarged.What are the key findings of this report? [/INST] dobbhoff tube tip is at the gastroesophageal junction. otherwise, no change in comparison to prior study from earlier the same day. it is worth noting that the opacity at the left lung base is likely representative of atelectasis but a developing pneumonia must be excluded in the proper clinical setting. </s>
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<s>[INST] there are low lung volumes. there is congestion of the pulmonary vasculature in the upper lungs, without overt edema. there small are bilateral effusions. there is no pneumothorax. the cardiomediastinal silhouette is moderately enlarged, similar prior examWhat are the key findings of this report? [/INST] pulmonary vascular congestion in the upper lungs without overt edema. small bilateral pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest were obtained. heart is normal size, and cardiomediastinal silhouette is unchanged. lungs are well expanded. there is subtle increased density as compared to the prior examination, best seen on the lateral radiograph superimposed over the spine along the major fissure. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] subtle increased opacity in a lower lobe, clinically correlate. </s>
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<s>[INST] again seen is diffuse bilateral peribronchial thickening with bronchiectasis, worst in the right upper lung, similar in distribution as compared to the prior study, in keeping with history of cystic fibrosis. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] persistent diffuse bilateral peribronchial thickening and areas of bronchiectasis, in keeping with history of cystic fibrosis. no new focal consolidation seen. </s>
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<s>[INST] enteric tube terminates in the gastric fundus. a left picc line tip terminates at the mid svc. as compared to prior chest radiograph from <unk>, there has been interval improvement of right basal opacity, atelectasis and small pleural fluid still remain on the right. on the left, there appears to be less layering of pleural fluid, positional differences may contribute to this change. there is no pneumothorax.What are the key findings of this report? [/INST] enteric tube terminates in gastric fundus. </s>
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<s>[INST] lung volumes are slightly low. this accentuates the size of the cardiac silhouette which is mildly enlarged. mediastinal and hilar contours are normal. lungs are clear. no focal consolidation, 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] indwelling support and monitoring devices are stable and in appropriate position. mild pulmonary edema is worse than on <unk>. a moderate to large left-sided pleural effusion is increased from <unk>. postoperative mediastinum is unchanged. no pneumothorax.What are the key findings of this report? [/INST] <num>. mild pulmonary edema is worse than on <unk>. <num>. moderate to large left-sided pleural effusion is increased from <unk>. </s>
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