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<s>[INST] a single lead pacemaker is in-situ, unchanged in position compared to the prior study. there is unchanged moderately severe cardiomegaly. prominence of the pulmonary vasculature is similar in degree when compared to the prior study. no frank pulmonary edema is seen. no pleural effusion seen. no consolidation or pneumothorax seen.What are the key findings of this report? [/INST] findings consistent with congestive heart failure. overall appearances are grossly unchanged compared to the prior study. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of pneumothorax. </s>
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<s>[INST] no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is no overt pulmonary edema. the cardiac and mediastinal silhouettes are unremarkable. the hilar contours are stable. multiple old left-sided rib fractures are again seen. partially imaged is degenerative change at the left shoulder joint. degenerative changes seen at the right acromioclavicular joint.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses below the diaphragm, terminating in left upper quadrant ; side port appears to be at the level of the gastroesophageal junction, consider advancement so that it is well within the stomach. right subclavian central venous catheter terminates in the low svc. no evidence of pneumothorax is seen. the lungs are hyperinflated appear blunting of the costophrenic angles may be due to small pleural effusions. possible pleural plaque is seen particularly over the right upper to mid hemi thorax. the cardiac and mediastinal silhouettes are unremarkable. .What are the key findings of this report? [/INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube courses into the left upper quadrant, however, the distal side port appears to be at the level of the gastroesophageal junction, consider advancement so that it is well within the stomach. right subclavian central venous line terminates in the low svc without evidence of pneumothorax. possible small bilateral pleural effusions. </s>
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<s>[INST] pa and lateral views of the chest demonstrate well-expanded and clear lungs. the heart is normal in size and cardiomediastinal contour is unremarkable. s-shaped scoliosis and status post fixation rods noted. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic abnormality. </s>
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<s>[INST] frontal and lateral radiographs of the chest demonstrate streaky opacities at the bilateral bases, consistent with atelectasis. there is no pneumothorax. there is a small left-sided pleural effusion. the cardiomediastinal hilar contours are unchanged. 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] frontal lateral radiographs of the chest demonstrate normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] low lung volumes are present. the patient's chin obscures evaluation of the lung apices. there is evidence of volume loss in the right lung with elevation and tenting of the right hemidiaphragm. postsurgical changes from prior right upper lobectomy are again noted. there is crowding of the bronchovascular structures, and fluffy opacification about the perihilar regions, more so on the right, may suggest mild pulmonary vascular engorgement or an infectious process. previously noted diffuse hazy opacification in the right lung has improved. there is continued mild cardiomegaly. the mediastinal contours are unchanged. there is no large pleural effusion or pneumothorax. partially imaged is a right humeral head prosthesis.What are the key findings of this report? [/INST] limited study. postsurgical changes in the right lung following right upper lobectomy. perihilar fluffy opacities, right greater than left, may reflect mild pulmonary vascular engorgement but an infectious process or aspiration cannot be excluded. consider repeat pa and lateral chest radiographs when the patient can take a deeper inspiration. </s>
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<s>[INST] cardiac silhouette size is normal. mild atherosclerotic calcifications are noted at the aortic knob. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is detected. no acute osseous abnormality is visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates a small apical pneumothorax on the left and a likely loculated lateral left-sided hydro-pneumothorax. stable appearing interstitial abnormality in the right lung may represent pulmonary edema versus dissemination of tumor. again seen is a discrete metastatic mass in the right upper lobe.What are the key findings of this report? [/INST] small left-sided apical pneumothorax and loculated lateral left-sided hydropneumothorax. </s>
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<s>[INST] right-sided port-a-cath is unchanged terminating in the low svc. mediastinal contours, hila, and cardiac borders are normal. lung volumes are low with left lower lobe atelectasis. no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] pa and lateral views of the chest were reviewed. heart size is top normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. lungs are well expanded. there is no focal consolidation concerning for pneumonia. right glenohumeral degenerative changes are seen, along with multilevel degenerative changes with anterior bridging osteophytes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. lung volumes are low which results in crowding of the bronchovascular structures. no overt pulmonary edema is present. patchy opacities are demonstrated in the lung bases, as seen on the previous radiograph, and not substantially changed. no pleural effusion or pneumothorax is present. no acute osseous abnormalities demonstrated. mild degenerative changes are noted to the thoracic spine.What are the key findings of this report? [/INST] continued bibasilar patchy opacities. this may reflect atelectasis but pneumonia is not excluded. no pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest provided. clips are noted projecting over the upper abdomen. the lungs are clear. no signs of pneumonia, edema, effusion or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm. gas-filled dilated loop of small bowel projects over the left upper quadrant.What are the key findings of this report? [/INST] no acute intrathoracic process. no free air though there are dilated small bowel loops in the left upper quadrant. </s>
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<s>[INST] as compared to chest radiograph from <num> day prior, the dual lead pacemaker with the tips in the right atrium and right ventricle. mild pulmonary edema has resolved. mild cardiomegaly. small right and moderate left pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] dual lead pacer with the tips in good position. improved pulmonary edema. </s>
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<s>[INST] the lungs are hyperinflated. there is diffuse patchy opacification of both lungs, slightly worse compared to <unk> and likely due to mild pulmonary edema. the small left pleural effusion shows minimal improvement from the prior scan. additionally, there is a small spiculated nodule in the left mid-lung that could reflect a round opacification overlying a mid-thoracic vertebral body. stable cardiomegaly. calcification of the aortic arch. no other acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. slight improvement of small left-sided pleural effusion <num>. small left pulmonary nodule with spiculated appearance. recommend further evaluation with a ct scan. </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. no subdiaphragmatic air identified.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 without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. surgical clips in the right upper quadrant suggest prior cholecystectomy.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear. there is no consolidation, effusion, or edema. aortic valve replacement is again seen as well as a left chest wall dual lead pacing device. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] since the previous examination, the endotracheal tube, nasogastric tube, and right internal jugular venous access catheter have been removed. cardiomegaly is unchanged. left basilar/retrocardiac opacity is probably minimally progressed, and air bronchograms previously seen in this region are no longer visualized which may indicate a degree of mucous plugging. there is increased right retrocardiac opacity suggestive of increased atelectasis and/or consolidation. however, no evidence of interstitial edema. osseous structures appear unchanged. multiple surgical clips are seen in the soft tissues of the left chest wall.What are the key findings of this report? [/INST] interval removal of lines and tubes. increased bibasilar opacities suggestive of atelectasis and/or consolidation. </s>
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<s>[INST] compared to the prior study there is no significant interval change. the et tube is <num> cm above the carinaWhat are the key findings of this report? [/INST] no change. </s>
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<s>[INST] no significant interval change. no focal consolidation, pneumothorax, or pleural effusion. the cardiomediastinal silhouette is within normal limits. stable appearance of the hila and pleura.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap upright and lateral views of the chest were provided. lung volumes are low. there is no clear sign of pneumonia or chf. known pulmonary nodules seen on prior ct are too small to visualize on radiograph. cardiomediastinal silhouette appears stable. bony structures appear intact with ac joint arthropathy noted bilaterally.What are the key findings of this report? [/INST] limited, negative for acute abnormality. please note, known lung nodules as seen on prior ct compatible with metastatic disease, cannot be clearly visualized on radiograph. </s>
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<s>[INST] compared with the prior radiograph, the degree of right pulmonary edema has decreased, and overlying surgical <unk> of been removed. severe atelectasis of the left lower lobe and left pleural effusion are unchanged. cardiomegaly is stable, as are intact median sternotomy wires and mediastinal clips. thoracostomy tube is unchanged.What are the key findings of this report? [/INST] interval decrease in the degree of pulmonary edema, with no change in the left lower lobe atelectasis and left pleural effusion. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal contour is normal. extensive flowing osteophyte formation is noted in the visualized thoracic spine.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] there is a left-sided hemodialysis catheter which appears unchanged. the patient is status post coronary artery bypass graft surgery. the heart is at the upper limits of normal size. the mediastinal and hilar contours appear unchanged. the aorta is diffusely calcified. mild hyperinflation is present. there is no definite pleural effusion or pneumothorax. the lungs appear clear. the bones are probably demineralized to some degree with similar mild degenerative changes along the mid thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] the lungs are normally expanded and clear without focal opacity to suggest pneumonia. a left port-a-cath has its tip terminating near the superior cavoatrial junction. tracheostomy tube terminates approximately <num> cm from the carina. the cardiomediastinal silhouette, hilar contours and pleural surfaces are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary abnormality. </s>
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<s>[INST] patient is status post median sternotomy and cabg. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is top-normal in size to mildly enlarged. mediastinal contours are unremarkable. no pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. analysis is performed in direct comparison with the next preceding portable chest examination of <unk>. it is noted that a chest ct has been performed during this latest examination interval during the late evening of <unk>. comparison of the two portable chest examinations demonstrates the presence of a pigtail ending pleural drainage catheter that has been inserted in the lower left lateral chest wall and projects now with the terminating pigtail end close to the vertebral column, presumably located in the posterior pleural sinus. this finding coincides with a marked increase of the left-sided density resulting in a practically complete left-sided white-out of the chest as identified on this single view examination. no pneumothorax can be identified. position of previously described right internal jugular approach central venous line is unaltered and the degree of mediastinal shift towards the right also appears unchanged. no new parenchymal abnormalities in the right hemithorax.What are the key findings of this report? [/INST] marked progression of left-sided pleural and mediastinal densities. comparison with the findings made during the chest ct examination concern exists that the placed pigtail drainage catheter is not effective. referring physician, <unk> was paged at <time> p.m. </s>
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<s>[INST] portable semi-upright frontal view of the chest. the endotracheal tube ends <num> cm above the carina. one of two upper enteric tubes terminates off of the radiograph and the other is seen at least to the gastroesophageal junction. a right internal jugular line ends in the mid svc and a right subclavian line ends in the low svc. bilateral pigtail chest tubes are in unchanged position. no pulmonary edema or vascular congestion. small bilateral pleural effusions and bibasilar atelectasis are unchanged. no pneumothorax. normal heart and mediastinal contours.What are the key findings of this report? [/INST] low lung volumes and small bilateral pleural effusions are unchanged. no pulmonary edema. </s>
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<s>[INST] marked enlargement of the cardiac silhouette is unchanged. based on older chest ct of <unk>, this may potentially represent a combination of cardiomegaly and pericardial effusion. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for symmetrical mild biapical scarring. 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. unchanged enlargement of the cardiac silhouette as described above. </s>
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<s>[INST] ap portable view of the chest was obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are unremarkable. hilar contours are also within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are very low, resulting in bronchovascular crowding. cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. there has been interval removal of the right upper extremity picc. no free air is seen beneath the right hemidiaphragm. bilateral nephrostomy tubes are partially imaged.What are the key findings of this report? [/INST] <num>. no consolidation. <num>. no free air seen beneath the right hemidiaphragm. </s>
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<s>[INST] interstitial pulmonary edema, cardiomegaly, and small bilateral pleural effusions are new since <unk>. no pneumonia. a right picc terminates in the low svc, unchanged. no pneumothorax.What are the key findings of this report? [/INST] pulmonary edema and small bilateral pleural effusions, new since <unk>. </s>
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<s>[INST] mild cardiomegaly is unchanged. hilar and mediastinal contours are normal. haziness at the left lung base is unchanged and likely due to a large epicardial fat pad. the crescentic region of scarring in the left upper lobe is unchanged. no focal consolidation, pleural effusion, or pneumothorax. surgical clips overlying the left midlung are in the left breast, as seen on the recent ct chest.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] normal heart size and hilar contours. slight leftward deviation of the upper trachea. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. slight leftward deviation of the head upper trachea could be related to thyroid enlargement, correlate with exam. <num>. normal lungs </s>
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<s>[INST] a right port-a-cath is unchanged with the tip in the low svc. a left subclavian central venous catheter is unchanged with the tip in the mid svc. the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the mediastinal contours are normal. the heart size is at the upper limits of normal, though unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process; specifically, no evidence of pneumonia. </s>
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<s>[INST] mild left base atelectasis is seen. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. aortic arch calcification is seen. previously seen pulmonary edema has significantly improved in the interval, with no overt pulmonary edema seen currently.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lung volumes are markedly low which accentuates bronchovascular markings. streaky bibasilar opacities likely represent atelectasis. there may be a small left pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] markedly low lung volumes. streaky basal opacities likely reflect atelectasis however infection should be considered in the appropriate setting. </s>
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<s>[INST] pa and lateral views of the chest provided. elevated right hemidiaphragm again noted with platelike right basal atelectasis. prominence of the right pulmonary hilum is unchanged and as seen on recent ct chest is due to prominent right hilar vasculature. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact.What are the key findings of this report? [/INST] no evidence of pneumonia. right basal atelectasis. stable prominence of the right pulmonary hilum, reflecting prominent vasculature. <unk>, md </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] frontal and lateral chest radiograph demonstrates well expanded lungs. there is no focal consolidation or pleural effusion. no mass or nodule is identified. the heart is top-normal in size. the mediastinal and hilar contours are otherwise within normal limits. the visualized osseous structures are unremarkable. no pneumothorax.What are the key findings of this report? [/INST] no findings to explain leukocytosis. </s>
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<s>[INST] left-sided pacer and single lead are unchanged in position. a residual right ventricular pacing lead overlies the heart however the right generator has been removed. mild to moderate cardiomegaly is stable. the cardiomediastinal and hilar contours are within normal limits. the pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumothorax, pulmonary edema or focal consolidation. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. aside from streaky opacification of the right costophrenic sulcus suggesting minor atelectasis or scarring, the lungs appear clear. there is no definite pleural effusion. there is an eventration of the right hemidiaphragm with associated left basilar opacity which is probably attributable to associated atelectasis. scoliosis appears unchanged.What are the key findings of this report? [/INST] patchy basilar opacities most suggestive of atelectasis with no definite evidence for acute disease. </s>
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<s>[INST] the cardiomediastinal silhouettes are normal. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] normal chest x-ray. </s>
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<s>[INST] marked cardiomegaly is unchanged. the mediastinal and hilar contours are stable. previous pattern of pulmonary vascular congestion has improved. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] marked cardiomegaly with continued improvement in previous pattern of pulmonary vascular congestion. </s>
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<s>[INST] parenchymal scarring related to prior asbestosis exposure is relatively unchanged since <unk>. pleural plaques are again noted. blunting of the right costophrenic angle may represent a tiny pleural effusion or chronic pleural scarring. there is no focal opacity, pulmonary edema or pneumothorax.What are the key findings of this report? [/INST] parenchymal scarring and pleural calcifications are unchanged. no concerning findings. recommendation(s): clinical followup. </s>
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<s>[INST] lung volumes are low. however there is clear increased alveolar opacity involving the left lower lobe. the right lung is relatively clear. the heart size is unchanged in continues to be mildly enlargedWhat are the key findings of this report? [/INST] increased left lower lobe infiltrate </s>
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<s>[INST] ap and lateral radiographs of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac silhouette is normal appearing. compared to the prior radiographs, there is unchanged apical thickening bilaterally. the osseous structures and soft tissues are grossly normal.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] exam is limited due to patient position and low lung volumes. superior mediastinum and lung apices are obscured. no overt signs of edema or pneumonia. no large effusion or pneumothorax. no gross bony abnormality.What are the key findings of this report? [/INST] limited, as above. </s>
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<s>[INST] compared with <unk>, inspiratory volumes are lower, with bibasilar patchy opacities. there is minimal blunting of the right costophrenic angle, consistent with a small effusion. no overt chf. pleural parenchymal thickening along the superolateral portion of both hemithoraces, right greater the left , is noted, unchanged . the heart is not enlarged. aorta is calcified. the left hemidiaphragm is elevated, with underlying loop of gas distended bowel (probable gastric fundus). no free air is detected beneath the diaphragm. distended loops of bowel noted in the upper abdomen, but the abdominal gas pattern not effectively evaluated.What are the key findings of this report? [/INST] <num>. no free air detected beneath the diaphragms. <num>. bibasilar patchy opacities and trace right pleural effusion. the differential diagnosis includes atelectasis, early infiltrate or aspiration. </s>
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<s>[INST] the patient is rotated. low lung volumes exaggerate the mediastinal contours and result in bronchovascular crowding. an area of heterogeneous opacity in the right lung base is seen. no pneumothorax or pleural effusionWhat are the key findings of this report? [/INST] heterogeneous right basilar opacity may represent atelectasis, atelectasis or aspiration. followup pa and lateral chest radiographs are recommended for more complete assessment when the patient's condition permits. </s>
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<s>[INST] pa and lateral views of the chest provided demonstrate midline sternotomy wires and a prosthetic cardiac valve. the lungs are clear. no signs of pneumonia or chf. no effusion or pneumothorax. the imaged osseous structures are intact. retained barium is noted within the left colon in the upper abdomen. there is a dextroscoliosis of the t-spine incidentally noted.What are the key findings of this report? [/INST] no signs of pneumonia. </s>
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<s>[INST] enteric tube is seen terminating in the mid hemithorax to the left of midline and may be within the mid-to-distal esophagus with side port above the level of the carina. recommend repositioning so that it terminates within the stomach. endotracheal tube is seen, terminating approximately <num> cm above the level of the carina, somewhat high in position. dual-lead right-sided pacemaker is seen with leads extending in expected positions of the right atrium and right ventricle. the patient is rotated somewhat to the left. the cardiac silhouette is top normal. the aorta is calcified and tortuous. there are left greater than right subtle perihilar opacities which may be due to mild edema, although infectious process or aspiration is not excluded, particularly on the left.What are the key findings of this report? [/INST] <num>. endotracheal tube high in position, as above. nasogastric tube also high in position; repositioning recommended. these findings were discussed with dr. <unk> at <time> a.m. on <unk> via telephone. <num>. left greater than right infrahilar opacities may be due to aspiration, although mild underlying pulmonary edema or infection not excluded. </s>
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<s>[INST] pa and lateral views of the chest were obtained. an aicd is unchanged with lead extending into the expected level of the right ventricle. the heart appears intervally enlarged which given the short interval raises concern for pericardial effusion. correlation with echo is advised. lungs are clear without focal consolidation, effusion, or pneumothorax. no signs of pulmonary edema. mediastinal contour appears normal. hilar configuration is normal. bony structures intact.What are the key findings of this report? [/INST] interval enlargement of the cardiac silhouette which given the short interval is concerning for development of a pericardial effusion. correlate with echocardiogram. </s>
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<s>[INST] images are poorly penetrated. cardiac borders are not well defined though heart size is likely enlarged. vascular congestion is present with enlarged azygous vein. there is no pneumothorax. probable small pleural effusions are if likely present. mediastinal widening is likely due to a combination of vascular engorgement and mediastinal fat deposition.What are the key findings of this report? [/INST] cardiomegaly, pulmonary vascular congestion and small pleural effusions. when the patient's condition permits, standard pa and lateral chest radiographs are recommended to better assess mediastinal widening. </s>
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<s>[INST] slight asymmetric lucency overlying the right lung base with a deep sulcus sign likely reflects the small right pneumothorax seen on ct and appears similar compared to the previous chest radiograph. lung volumes remain low with patchy opacities in the lung bases, compatible with atelectasis on the left and contusion with atelectasis on the right. cardiac, mediastinal and hilar contours are within normal limits. no evidence of mediastinal shift. there is no pulmonary edema. multiple right-sided rib fractures are better assessed on the recent ct. right humeral head remains anteriorly dislocated and a right scapular fracture is incompletely imaged.What are the key findings of this report? [/INST] small right pneumothorax is likely not substantially changed allowing for differences in technique. </s>
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<s>[INST] the cardiac silhouette is unremarkable. in comparison to the prior examinations, there is a large right pleural effusion. associated atelectasis is noted. no definite consolidation is seen. there is no pneumothorax.What are the key findings of this report? [/INST] new large right pleural effusion. </s>
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<s>[INST] lung volumes are slightly increased with residual bibasilar atelectasis. mild pulmonary edema is improved from <unk>. the left apical mass-like opacity is unchanged. multiple vague opacities may represent combination of atelectasis and edema or evolving pneumonia. a small left pleural effusion is likely improved from <unk> but difficult to assess given differences in technique. no substantial right pleural effusion. postoperative mediastinal contours and cardiac borders are stable.What are the key findings of this report? [/INST] <num>. small left pleural effusion likely slightly improved from <unk>. <num>. mild pulmonary edema improved from <unk>. <num>. vague bilateral opacities could represent developing pneumonia or combination of atelectasis and pulmonary edema. </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation or effusion. cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] right-sided port-a-cath tip terminates in proximal right atrium, unchanged. cardiac silhouette size is top normal. the mediastinal and hilar contours are similar with prominence of the pulmonary arteries as seen previously suggestive of underlying pulmonary arterial hypertension. lungs are hyperinflated with emphysematous changes again noted in the upper lobes. small left pleural effusion is noted. there is no pneumothorax. remote left-sided rib fractures are re- demonstrated.What are the key findings of this report? [/INST] small left pleural effusion. emphysema. no focal consolidation to indicate pneumonia. </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. no displaced fracture seen. however, please note that if high clinical concern for rib fracture, dedicated rib series or chest ct is more sensitive.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there is no focal consolidation, pleural effusion, or pneumothorax. there is mild pulmonary vascular congestion without frank pulmonary edema. subsegmental atelectasis noted are right greater the left bases. the cardiomediastinal silhouette is enlarged with prominence of the right hilum, consistent with the known right hilar lymphadenopathy.What are the key findings of this report? [/INST] mild pulmonary vascular congestion without frank edema. basilar atelectasis. no consolidation detected. unchanged cardiomegaly and prominence of the right hilum. </s>
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<s>[INST] pa and lateral views of the chest were provided demonstrating a small left pneumothorax without evidence of tension. no focal consolidation, effusion is seen. no signs of edema. the cardiomediastinal silhouette is normal. bony structures appear intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] small left apical pneumothorax without evidence of tension. findings were posted and flagged to the ed dashboard at the time of initial review. </s>
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<s>[INST] there is a left retrocardiac opacity which reflects a moderate left pleural effusion and associated atelectasis. there is a small right pleural effusion. there is a right perihilar opacity in the region of prior pneumonia. the heart size is normal.What are the key findings of this report? [/INST] <num>. moderate left and small right pleural effusions with associated atelectasis. <num>. right perihilar opacity in the region of prior pneumonia. recommend repeat chest radiograph in <num> weeks to assess resolution. </s>
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<s>[INST] compared to the prior study there is no significant interval changeWhat are the key findings of this report? [/INST] no change </s>
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<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear of focal consolidation. minimal left basilar scarring versus atelectasis is identified. 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] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral views of the chest. there are low lung volumes which crowd the pulmonary vasculature. there is bibasilar atelectasis. no large focal consolidation is seen. there is no pleural effusion or pneumothorax. there is mild cardiomegaly. the mediastinal and hilar contours are normal.What are the key findings of this report? [/INST] low lung volumes. no large focal consolidation. </s>
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<s>[INST] portable single frontal chest radiograph was obtained with the patient in upright position. the patient is status post extubation and removal of the swan-ganz line. there has been interval removal of a left chest tube with no pneumothorax. there is volume loss in the left lower lobe with elevation of the left hemidiaphragm. slight blunting of the right costophrenic angle could represent a small pleural effusion. the cardiomediastinal silhouette is stable in the postop period.What are the key findings of this report? [/INST] <num>. left lower lung volume loss with elevation of the left hemidiaphragm. <num>. small right pleural effusion. </s>
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<s>[INST] the radiograph from <time> hours shows no change in the position of pre-existing bilateral chest tubes, right subclavian central venous catheter, and metallic fragments from the known gunshot wounds. the left lung remains almost completely atelectatic with increased leftward deviation of the heart and mediastinum, indicating worsening atelectasis. a pneumothorax is still present. the right lung remains clear, and the tiny right apical pneumothorax is stable. the followup radiograph from <time> hours shows worsening near complete left lung atelectasis and an increased left pneumothorax. the patient has also been intubated, and the endotracheal tube tip is just distal to the clavicles. the tiny right apical pneumothorax has resolved. the most recent radiograph from <unk> hours shows marked re-expansion of the left lung with substantial decrease in the left pneumothorax, which has essentially resolved. there is now a combination of left midlung subsegmental atelectasis and re-expansion pulmonary edema. the right lung remains clear.What are the key findings of this report? [/INST] consecutive radiographs initially show worsening of the known left pneumothorax and near complete atelectasis of the left lung with subsequent re-expansion of the left lung on the most recent radiograph. the left pneumothorax has resolved, and there is now left mid lung subsegmental atelectasis and re-expansion pulmonary edema. the patient has been intubated with the et tube terminating at the level of the clavicles. the tiny right apical pneumothorax has resolved. </s>
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<s>[INST] compared to the prior study. there is no significant interval change. the left-sided picc line terminates in the lower svc. there is no focal infiltrate.What are the key findings of this report? [/INST] no infiltrate. </s>
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<s>[INST] the lung volumes are hyperexpanded, compatible with copd and emphysema. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. the previously described right lung base opacity has resolved from <unk>. increased lucency of the right lower lung zone is unchanged. the heart is normal size. there is no pulmonary edema. the mediastinal and hilar contours are unremarkable. old bilateral rib fractures are noted.What are the key findings of this report? [/INST] copd/emphysema without a superimposed acute process. </s>
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<s>[INST] portable semi-upright radiograph of the chest demonstrates low lung volumes. the cardiac silhouette is unremarkable and stable since the prior examination. the mild engorgement of the pulmonary vasculature in comparison to the most recent study. left basilar opacity may represent atelectasis versus pneumonia.What are the key findings of this report? [/INST] left basilar opacity may represent atelectasis versus pneumonia. </s>
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<s>[INST] frontal and lateral chest radiographs demonstrates hyperinflated lungs. the cardiomediastinal contour is within normal limits. lungs are clear without focal areas of consolidation. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of pneumonia. </s>
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<s>[INST] lungs are well expanded. the cardiac silhouette is enlarged, stable. the aorta appears mildly tortuous. no pneumothorax, pleural effusion, or consolidation. chronic deformity of the right shoulder appears unchanged.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] compared to most recent prior exam, there has been no significant interval change. moderate cardiomegaly and mild pulmonary vascular congestion is again seen. blunting of the costophrenic angles on lateral view only is seen, likely secondary to known small pleural effusions or pleural scarring from prior pleural effusions. no focal consolidation or pneumothorax is seen. aortic calcifications are again noted. dual-chamber pacemaker leads and hardware appear similar in position.What are the key findings of this report? [/INST] stable chest radiographs. </s>
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<s>[INST] there is a large bore right subclavian line with tip at the cavoatrial junction. the heart size is mildly enlarged. the lungs are clear without infiltrate or effusion.What are the key findings of this report? [/INST] no focal infiltrate. </s>
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<s>[INST] heterogeneous and calcified right lower lung opacity is chronic and corresponds to a pleural based mass, dating back to the chest ct from <unk>. the remainder of the lungs are clear. there is no pulmonary edema. no pleural effusion or pneumothorax. a tracheostomy tube is in place.What are the key findings of this report? [/INST] no evidence of pneumonia. chronic calcified heterogeneous right lower lobe mass. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal, allowing for portable technique. small linear opacities in the lung bases are most consistent with atelectasis. 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] ap and lateral views of the chest. again seen are mild interstitial opacities suggestive of interstitial edema. on the lateral view, there is increased opacity projecting over the lower lobes not definitively identified on the frontal noting that the left lung base is not well evaluated due to overlying soft tissues. superiorly the lungs are clear. there is no effusion. cardiac silhouette is stable with multiple clips and median sternotomy wires. surgical clips also seen in the neck on the right. trachea is deviated to the right at the thoracic inlet similar to prior. degenerative changes seen at the left shoulder.What are the key findings of this report? [/INST] limited exam. possible lower lobe opacity, potentially on the left. this could represent infection in the proper clinical setting. </s>
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<s>[INST] single portable view of the chest is compared to previous exam from earlier the same day. there is a new right ij central line with tip in the mid svc. again seen is elevation of the right hemidiaphragm, similar to prior. there is no visualized pneumothorax. cardiac silhouette is stable.What are the key findings of this report? [/INST] new right ij line in appropriate position. no pneumothorax. </s>
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<s>[INST] heart size is normal. the aorta is tortuous as before. 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] frontal and lateral views of the chest demonstrate low lung volumes. there is no pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unchanged. mild-to-moderate cardiomegaly is again noted. there is no pulmonary edema. multiple surgical clips project over hilar and mediastinal silhouette. sternotomy wires are in place. remote right-sided rib fractures are visualized.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] ap and lateral views of the chest. prior right picc and left internal jugular central line are no longer visualized. the lungs are clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality noted. surgical clips in the right upper quadrant suggest prior cholecystectomy. no free air seen below the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the endotracheal tube has been withdrawn with tip now lying approximately <num> cm from the carina. an orogastric tube again remains within the stomach. the cardiac, mediastinal and hilar contours are unchanged. patchy opacities are present within both lung bases, likely atelectasis. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] interval withdrawal of the endotracheal tube with tip now in standard position. </s>
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<s>[INST] no focal consolidation is seen. a punctate millimetric linear radiopaque structure projecting at the level of the right diaphragm on the lateral view has been present since at least <unk>. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the heart size, mediastinal, and hilar contours are normal. mild left lower lung opacity seen on the prior radiograph has resolved. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] possible left pleural effusion is seen. there is more atelectasis at the left lower lung. lower lung volumes on this examination, otherwise the cardiomediastinal silhouette is unchanged. nodules and mass burden is unchanged since previous examination.What are the key findings of this report? [/INST] more atelectasis at the left lower lung then previous radiograph. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are clear of consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. surgical clips project over the anterior neck.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiac silhouette is normal in size. there is slight prominence at the level of the ap window.What are the key findings of this report? [/INST] clear lungs. no focal consolidation to suggest pneumonia. slight prominence at the ap window, underlying lymphadenopathy not excluded and could be further evaluated for on ct. findings emailed to the ed qa nurses on <unk> at <time> pm. </s>
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<s>[INST] opacity at the right cardiophrenic angle somewhat more conspicuous on the current exam, in addition, there is more discrete opacity projecting over the heart on the lateral view. the lungs are hyperinflated but otherwise clear. there is no effusion or edema. cardiomediastinal silhouette is stable. median sternotomy wires and mediastinal clips are again noted. sclerotic focus in the right humeral head is unchanged, likely enchondroma or prior infarct.What are the key findings of this report? [/INST] hyperinflated lungs with superimposed right middle lobe opacity, suspicious for pneumonia in the proper clinical setting. </s>
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<s>[INST] left-sided pacer device is unchanged in position. the patient is status post median sternotomy. there is mild interstitial pulmonary edema. there is a small right pleural effusion. no definite focal consolidation is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] interstitial edema and small right pleural effusion. </s>
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<s>[INST] cardiomediastinal contours are normal. faint opacity in the right upper lobe could represent atelectasis or developing pneumonia. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] faint opacities in the right upper lobe could represent atelectasis or developing pneumonia </s>
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<s>[INST] ap and lateral views of the chest. there has been significant interval enlargement of the right-sided pleural effusion which is primarily loculated laterally. there is a moderate left-sided effusion which has also increased since prior. underlying consolidation particularly at the left lung base cannot be excluded. superiorly the lungs are clear. cardiomediastinal silhouette is unchanged. median sternotomy wires are again seen with fracture through the wire which is <unk> from the top, unchanged. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] large right effusion which has increased in size and is largely loculated laterally. enlargement of moderate left effusion since prior. underlying consolidation particularly on the left cannot be excluded </s>
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<s>[INST] pa and lateral views of the chest provided. severe dextroscoliosis is again seen. there is no focal consolidation to suggest pneumonia. left lung base opacity is unchanged. small amount of pleural effusion is seen bilaterally. right-sided central catheter terminates in the cavoatrial junction, position unchanged.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] heart size is mildly enlarged. the aorta is slightly tortuous. mediastinal contours are unremarkable. no focal consolidation or pneumothorax is present. the pulmonary vasculature is normal. minimal blunting of the left costophrenic sulcus on the frontal view may be due to a trace left pleural effusion or pleural thickening. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] blunting of the left costophrenic angle on the frontal view may be due to a small pleural effusion or pleural thickening. </s>
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<s>[INST] moderate enlargement of cardiac silhouette is unchanged. the mediastinal and hilar contours are stable. there is no pulmonary vascular congestion. minimal atelectasis is seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. multilevel degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] bibasilar atelectasis. </s>
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<s>[INST] right internal jugular central venous catheter tip terminates in the mid svc. no pneumothorax is identified. enteric tube is present which courses into the stomach, with the tip off the inferior borders of the film. lung volumes are low. this accentuates the size of the cardiac silhouette which appears mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. there are streaky opacities in the lung bases most likely reflective of atelectasis. an intravenous catheter projects over the left neck. there are no acute osseous abnormalities. there is marked gaseous distention of the stomach.What are the key findings of this report? [/INST] <num>. right internal jugular central venous catheter in the mid svc. no pneumothorax. <num>. enteric tube in standard position within the stomach, however the stomach appears to be markedly distended with air. <num>. low lung volumes with bibasilar atelectasis. </s>
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