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<s>[INST] the heart size is normal. the hilar mediastinal contours are normal. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. mild eventration of the right hemidiaphragm is stable.What are the key findings of this report? [/INST] no acute intrathoracic abnormalities identified. </s>
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<s>[INST] no subdiaphragmatic free air is identified. again noted is is stably enlarged cardiac silhouette. the pulmonary vasculature and mediastinal silhouette are unchanged since the recent examination with mild vascular congestion. no definite consolidation, pleural effusion, or pneumothorax is identified. cervical hardware is again noted.What are the key findings of this report? [/INST] no subdiaphragmatic free air. mild vascular congestion </s>
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<s>[INST] the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. an endotracheal tube is in appropriate position <num> cm above the level of the carina. an enteric feeding tube courses midline with tip just entering into the stomach and side port above the level of the diaphragm.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. enteric feeding tube suggest entering into stomach. <num>. endotracheal tube in appropriate position. recommendation(s): consider advancing enteric feeding tube <num>-<num> cm for better positioning. </s>
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<s>[INST] single portable semi-erect frontal image of the chest. the et tube terminates <num> cm above the carina. the balloon on the ett is noted to be overinflated and is distending the trachea. the lungs are well expanded. no focal opacity is seen. very mild pulmonary edema is seen. bilateral pleural effusions have slighltly improved from prior exam. there is no pneumothorax. cardiomediastinal silhouette is top normal in size.What are the key findings of this report? [/INST] <num>. et tube <num> cm above the carina. <num>. balloon on the ett overinflated and distending the trachea. <num>. very mild pulmonary edema with slight interval improvement of bilateral pleural effusions. these findings were communicated to dr. <unk> at <time> a.m. on <unk> by phone. </s>
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<s>[INST] frontal and lateral views of the chest. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiographs. </s>
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<s>[INST] there is no focal consolidation, pleural effusions or pneumothorax. there is mild bronchial wall thickening, which may be due to asthma or bronchitis. cardiomediastinal silhouette is within normal limits. surgical clips are noted in the right upper quadrant. no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. mild bronchial wall thickening, which may be due to chronic asthma or acute bronchitis. </s>
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<s>[INST] the lungs are mildly hypoinflated with crowding of vasculature and mild vascular congestion. left lower lobe atelectasis is present with elevation of left hemidiaphragm. chronic blunting of the right costophrenic angle is noted. no left pleural effusion. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable.What are the key findings of this report? [/INST] <num>. mild vascular congestion. <num>. chronic small right pleural effusion versus pleural thickening. <num>. left lower lobe atelectasis with elevation of left hemidiaphragm. </s>
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<s>[INST] pa and lateral views of the chest. the lungs are clear without consolidation or effusion. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process, no evidence for pneumonia. </s>
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<s>[INST] single ap upright portable view of the chest was obtained. a subtle nodular opacity projecting over the anterior right first ribs measuring <num> cm and appears to have a lucent margin, suggesting that it is outside the patient. recommend clinical correlation for external artifact or any skin markings (mole/sking tag) at this site. suggest repeat radiograph with marker overlying any skin tags and oblique views to exclude a pulmonary nodule. there is mild bibasilar atelectasis. no pleural effusion or pneumothorax. the cardiac silhouette is top normal to mildly enlarged. the aorta is tortuous. no evidence of free air is seen beneath the diaphragm. there are multiple air distended loops of bowel, partially imaged.What are the key findings of this report? [/INST] <num>. no evidence of free air beneath the diaphragms. <num>. nodular opacity projecting over the right upper hemithorax with thin lucent margins, suggest that it is external to the patient. recommend clinical correlation for external artifact or skin tag/mole and recomend repeat with marker overlying any skin findings as well as oblique views to exclude an underlying pulmonary nodule. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. the bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] ap and lateral views of the chest. the lungs are clear of confluent consolidation, effusion, or pulmonary vascular congestion. calcified mediastinal and hilar lymph nodes are again seen. cardiac silhouette is stable in configuration. median sternotomy wires are again noted. no acute osseous abnormalities are identified. chronic deformity of the proximal right humerus suggests prior fracture.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. the lungs are clear. the cardiomediastinal silhouette is normal. there is no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the et tube is <num> cm above the carina. the tip of the et tube is against the right side of the trachea. the ng tube is coiled in the stomach. there is dense retrocardiac opacity that is likely combination of consolidation, volume loss, and effusion. there is mild pulmonary vascular redistribution. there is small right effusion.What are the key findings of this report? [/INST] no change. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no evidence for pneumothorax or pleural effusion, and the lungs appear clear. the osseous structures appear within normal limits.What are the key findings of this report? [/INST] no evidence of injury. </s>
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<s>[INST] there is a small right pleural effusion tracking superiorly into the minor fissure, essentially unchanged allowing for differences in technique. the known right infrahilar lung mass is partially obscured by adjacent atelectasis. interstitial opacities within the aerated portion of the right lower lung could potentially represent lymphangitic carcinomatosis. severe emphysematous changes including right greater than left apical bullae are noted. heart size is top-normal. cardiomediastinal and hilar silhouettes are unchanged.What are the key findings of this report? [/INST] probably unchanged small right pleural effusion. </s>
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<s>[INST] portable supine ap radiograph of the chest shows low lung volumes and mild to moderate bilateral pleural effusions, left greater than right, with adjacent atelectasis. underlying infection cannot be completely excluded. median sternotomy wires and corevalve are in place. the aorta is tortuous and calcified. the pulmonary vessels are prominent and ill defined with hazy opacities bilaterally, compatible with pulmonary edema. emphysematous changes are redemonstrated with scattered rounded lucencies throughout both upper lungs. there is no pneumothorax. the osseous structures are grossly unremarkable.What are the key findings of this report? [/INST] mild to moderate bilateral pleural effusions, left greater than right, and moderate pulmonary edema. bibasilar airspace opacities may reflect atelectasis but infection is not excluded. </s>
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<s>[INST] lung volumes are low, which leads to bronchovascular crowding. no focal consolidation is identified. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. osseous structures are grossly intact.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] again seen is a right subclavian picc line, tip over distal svc. allowing for technical differences, the cardiomediastinal silhouette is probably unchanged. the previously identified nodular densities are less pronounced than on the prior study, though faint residua are visible. bibasilar opacities -- ? atelectasis -- prior again seen, last pronounced. no new nodular density, frank consolidation, or effusion is identified. probable tiny calcified granuloma adjacent to the lower right trachea, unchanged.What are the key findings of this report? [/INST] as above </s>
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<s>[INST] the heart size is within normal limits; the mediastinal contours demonstrate a tortuous aorta, exaggerated by patient rotation. the lungs demonstrate left basilar consolidation. there is no pneumothorax. no displaced rib fracture is present.What are the key findings of this report? [/INST] left lower lobe consolidation, in the appropriate clinical setting is compatible with pneumonia; an additional consideration is pulmonary infarct; follow-up imaging to document resolution would be recommended. </s>
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<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. right cervical rib is incidentally noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] the cardiac, mediastinal and hilar contours are normal. the pulmonary vasculature is normal. the lungs are well inflated and 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 process. </s>
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<s>[INST] heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiac and mediastinal silhouettes are normal. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] lungs are clear without consolidation, effusion, or pneumothorax. mediastinum, hila and pleural surfaces are unremarkable. heart size is normal.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. the patient remains intubated, the ett terminating in the trachea <num> cm above the level of the carina. no pneumothorax is seen. heart size remains unchanged. no increased pulmonary congestion. the on the next previous examination of <unk> identified left lower infiltrate, partially in retrocardiac position, persists rather unchanged. there is no evidence of pleural effusion as the left lateral pleural sinus remains free. there is no reoccurrence of any infiltrate in the right hemithorax.What are the key findings of this report? [/INST] stable chest findings, no evidence of pneumothorax, but persistent left lower lobe infiltrate, probably representing pneumonia. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. the lung is are hyperinflated with bibasilar lucency consistent with bullous emphysema, as seen on prior ct. no focal consolidation, pleural effusion, or pneumothorax. no radiopaque foreign body.What are the key findings of this report? [/INST] bullous emphysema, similar to prior. no acute cardiopulmonary process. </s>
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<s>[INST] in comparison to the most recent study, there has been increase in size of the left pleural effusion, with considerable new increased density at the left lung apex, which may represent loculated pleural fluid. some residual lucency is seen at the uppermost left lung apex raising the question of a residual hydro pneumothorax versus a small area of residual aeration at the lung apex. there is likely underlying compressive atelectasis the left lung. again seen is a left chest tube coursing along the base and medial side of the left lung. vascular congestion is similar to the prior examinations. focal consolidation is not excluded. incidental note is made of degenerative change at the left shoulder, with focal hydroxyapatite/calcific tendonitis.What are the key findings of this report? [/INST] increasing left pleural effusion, possibly loculated. likely underlying compressive atelectasis. focal consolidation may be underlying. a small pneumothorax cannot be excluded. if clinically indicated, ct scan can be obtained for more detailed evaluation. the right lung remains grossly clear, with minimal blunting of the costophrenic angle but no gross effusion. </s>
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<s>[INST] comparison is made to the ct scan from <unk>. heart size is within normal limits. lungs are clear. there is no focal consolidation or pleural effusions. bony structures are grossly intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. there is diffuse increase in interstitial markings, as also noted on prior studies, although there appears to be slightly increased prominence in the upper lobes as compared to the prior study, although similar as compared to <unk>. it is noted that at that time, atypical superimposed infection could not be excluded. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] increased interstitial markings bilaterally in this patient with known chronic lung disease; however, appear more prominent as compared to the prior study from <unk>, although similar compared to <unk>; chronic lung disease, superimposed infectious process difficult to exclude, although no lobar pneumonia seen. </s>
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<s>[INST] two views of the chest were obtained and compared to study from <unk>. the lungs are low in volume with streaky opacities in the lower lobes, similar in appearance to the previous study, most compatible with atelectasis. the cardiomediastinal structures are unremarkable.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s>
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<s>[INST] there is mild cardiomegaly and thoracic aortic calcifications but no pulmonary edema. there is mild right basilar atelectasis and degenerative changes of the thoracic spine (dish). there is no pleural effusion or pneumonia and no evidence of pneumothorax.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s>
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<s>[INST] pa and lateral views of the chest provided. an azygous fissure is again noted. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. anterior spurs are noted in the mid to low t-spine. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] frontal and lateral views of the chest. moderately severe cardiomegaly is similar to prior with enlargement of the left atrium. mediastinal contours are otherwise unremarkable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] stable moderately severe cardiomegaly. no focal consolidation or pulmonary edema. </s>
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<s>[INST] there has been interval removal of a left-sided chest tube. left picc terminates at the cavoatrial junction. ekg leads overlie the anterior chest wall. the lung volumes remain low with interval improvement in bibasilar patchy opacities. persistent but improving left-sided subcutaneous emphysema. no large pneumothorax present. likely small left pleural effusion. bony thorax is unchanged.What are the key findings of this report? [/INST] interval removal of left-sided chest tube with no large pneumothorax, a small left pleural effusion. low lung volumes with improving bibasilar atelectasis and improving left subcutaneous emphysema. </s>
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<s>[INST] the inspiratory lung volumes are slightly decreased. there is mild anterior eventration of the right hemidiaphragm. hazy opacification at the bilateral lung bases on the frontal view is due to underpenetration of soft tissues. no focal air space opacity concerning for pneumonia is detected. there is no pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. there is no hilar adenopathy.What are the key findings of this report? [/INST] normal chest radiograph. no evidence of adenopathy. </s>
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<s>[INST] the cardiac silhouette is enlarged. a pacemaker is in place, with the leads terminating in the regions of the right ventricle and right atrium. in comparison to the prior examinations, pulmonary edema is significantly improved. there is no pleural effusion or pneumothorax. no definite focal consolidation is identified.What are the key findings of this report? [/INST] cardiomegaly without definite edema. </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. bb marks the site of pain along the right lower lateral rib cage without underlying displaced fracture seen. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. no acute displaced fracture seen. if there is further concern dedicated rib series may be performed to further assess. </s>
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<s>[INST] the visualized lung fields are clear without any focal opacity, pleural effusion or pneumothorax. mild cardiomegaly is again noted, and a tortuous aorta is again seen. the mediastinal silhouette is stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest. no pleural effusion, pneumothorax or focal airspace consolidation. normal cardiac, mediastinal, hilar, and pleural structures. there is a mild levoscoliosis.What are the key findings of this report? [/INST] normal chest radiograph. </s>
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<s>[INST] an ng tube terminates below the diaphragm with the tip projecting over the stomach but the side port likely at the gastroesophageal junction. the cardiomediastinal and hilar contours are stable. the aorta is minimally tortuous. streaky opacity at the base of the right lung likely reflects atelectasis. there is no pneumothorax, pulmonary edema or pleural effusion.What are the key findings of this report? [/INST] ng tube has its tip projecting over the stomach but the side port is at the ge junction. consider advancing <num>-<num> cm for ideal positioning. right basilar patchy atelectasis. </s>
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<s>[INST] opacity projecting over the lingula likely reflects components of post-obstructive pneumonia as well as edema/hemorrhage from recent procedure. this opacity obscures the left heart border, but the heart size is likely normal. mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no pneumomediastinum is present.What are the key findings of this report? [/INST] <num>. no pneumomediastinum or pneumothorax. <num>. lingular opacity reflects post-obstructive pneumonia and/or post-treatment changes. </s>
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<s>[INST] heart size is top normal. mediastinal and hilar contours are unremarkable. apart from subsegmental atelectasis in the right lung base, the 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] no acute cardiopulmonary abnormality. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. cardiac and mediastinal silhouettes are stable and unremarkable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] bedside ap radiograph of the chest demonstrates improved aeration as well as persistent postoperative mediastinal widening. there is a persistent small left pleural effusion and associated left basilar atelectasis. the swan-ganz catheter has been removed, but the sheath remains in place. an endotracheal tube terminates no less than <num> cm above the carina. an orogastric tube terminates in the stomach, although this could be advanced by <num>-<num> cm to ensure that the side port is also beyond the gastroesophageal junction.What are the key findings of this report? [/INST] persistent small left pleural effusion and stable post-operative mediastinal widening. </s>
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<s>[INST] portable semi-erect chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] the tracheostomy tube remains in satisfactory position with the tip approximately <num> cm above the carina. a right subclavian picc line has its tip in the proximal to mid svc. persistent consolidation at the lung bases, right greater than left, worrisome for pneumonia or aspiration. overall cardiac and mediastinal contours are stable. no pneumothorax. the patient is status post left mastectomy with surgical clips in the left axilla consistent with prior lymph node dissection. </s>
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<s>[INST] the right ij central venous catheter has been removed. the enteric tube terminates in the stomach. no pneumonia. there is a right apical opacification that is difficult to see due to the overlying ribs and does not has typical appearance of pneumonia. the lungs are clear. the hila and pulmonary vasculature are normal. no pleural abnormalities or pneumothorax. the cardiomediastinal silhouette is normal and unchanged. no fractures.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] the patient is status post cabg. sternotomy wires are intact and appropriately aligned. stable enlargement of the cardiomediastinal silhouette. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the heart is at the upper limits of normal size. there is a confluent opacity in the medial right middle lobe, consistent with pneumonia, as well as suspected additional opacities in the lower lobes. upper lung fields appear clear. trace pleural effusions are difficult to exclude. there is no pneumothorax. bony structures are unremarkable.What are the key findings of this report? [/INST] findings consistent with pneumonia. follow-up chest radiographs are recommended to show resolution within eight weeks. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. 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] new retrocardiac opacities are seen on lateral view, corresponding to the left lower lobe, are likely due to atelectasis. mild pulmonary congestion is noted. the heart size is normal. no pulmonary edema or pneumothorax.What are the key findings of this report? [/INST] retrocardiac opacities are likely atelectasis. </s>
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<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures appear normal.What are the key findings of this report? [/INST] no evidence of acute disease. </s>
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<s>[INST] multiple prior radiographs dated back to <unk>. moderate cardiomegaly has been stable compared to prior exams dated back to <unk>. diffuse opacities are seen throughout the left hemi thorax, predominantly overlying the mid left lung. a left-sided ij is seen, with the tip likely in the ipsilateral brachiocephalic/internal jugular vein junction. a right-sided hemodialysis catheter is seen, terminating in the right atrium, unchanged in position compared to the prior exam. there is no large pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] left-sided ij line terminates likely in the left ipsilateral brachiocephalic vein/internal jugular vein junction. diffuse opacities overlying the mid left lung, may be secondary to pneumonia. </s>
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<s>[INST] the right-sided chest drain has been removed. small residual right apical pneumothorax measuring <num> mm in the craniocaudal plane. the mediastinum is central. no left-sided pneumothorax. the cardiomediastinal shadow is normal. no airspace consolidation. no pleural effusion. mild spondylotic changes of the thoracic spine.What are the key findings of this report? [/INST] small residual right apical pneumothorax. </s>
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<s>[INST] no interval change in right pleural effusion since <unk> chest ct. two small rounded lung nodules, one in the right upper lobe and one in the right lower lobe are better characterized on chest ct. no change in mild bibasilar atelectasis. interval decrease in vascular congestion. no pneumothorax or new focal opacity. heart size, mediastinal and hilar contours are normal. no bony abnormality.What are the key findings of this report? [/INST] <num>. stable mild bibasilar atelectasis. <num>. no interval change in small right pleural effusion as seen on chest ct, <unk>. <num>. no pneumonia. </s>
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<s>[INST] single frontal ap view of the chest provided with patient positioned upright. a dialysis catheter is again seen extending into the right atrium. the heart remains markedly enlarged. pulmonary edema persists with increase in confluent opacity at the right lower lung which could represent a superimposed pneumonia. no effusion or pneumothorax seen. mediastinal contour is stable. bony structures are intact.What are the key findings of this report? [/INST] diffuse pulmonary edema with increased confluence of opacity in the right lower lung, raising potential concern for a superimposed pneumonia. </s>
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<s>[INST] even allowing for the ap technique and low lung volumes, the heart is probably mildly enlarged. a right subclavian central venous catheter is in the proximal svc. bibasilar opacities likely represent atelectasis. there is no focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] <num>. low lung volumes and mild cardiomegaly. <num>. no evidence of pulmonary edema or pneumonia. <num>. central venous catheter terminates in the proximal svc. </s>
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<s>[INST] heart size is normal with a mildly tortuous aorta. hilar contours are normal. lungs are clear. there is no pleural effusion or pneumothorax. severe degenerative changes are noted in bilateral shoulders. a slight indentation of the trachea on the right at the level of the thoracic inlet is suggestive of enlarged thyroid.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia. <num>. slight indentation of the right aspect of the trachea at the level of thoracic inlet, suggestive of enlarged thyroid. </s>
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<s>[INST] single portable supine frontal chest radiographdemonstrates interval placement of right ij cvl with tip in lower svc. the lungs are mildly hypoinflated with crowding of vasculature. heterogeneous opacity in the lingula and right lower lobe are again noted. intermittent areas of linear atelectasis is present within the right mid lung. no apical cap. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits. s shaped curvature of the thoracolumbar spine is noted.What are the key findings of this report? [/INST] <num>. status post placement of right ij cvl with tip in lower svc. no pneumothorax. <num>. heterogeneous lingular and right lower lobe opacities are worrisome for pneumonia or aspiration pneumonia. </s>
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<s>[INST] lung volumes are decreased when compared to the prior study. the patient is intubated, the tip of the ended tracheal tube is <num> cm above the level of the carina. a nasoenteric tube terminates below the left hemidiaphragm but the tip is not visualized. a dual lumen port-a-cath terminates in the distal svc. there is left lower lobe atelectasis. probable right middle lobe atelectasis also. no pneumothorax. no consolidation or pleural effusion seen.What are the key findings of this report? [/INST] low lung volumes, otherwise unchanged appearances when compared to the prior study. </s>
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<s>[INST] ap portable upright view of the chest. a left picc terminates at the mid svc, now appropriately oriented. the heart size is normal. the hilar and mediastinal contours are within normal limits. again seen is mild elevation of the right hemidiaphragm. there is no pneumothorax, focal consolidation, or pleural effusion.What are the key findings of this report? [/INST] left picc terminating at the mid svc, now properly oriented. </s>
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<s>[INST] portable upright view of the chest demonstrates left pic catheter projecting over mid svc. <unk>-mm distal end of the catheter appears hyperdense, which is likely due to catheter folding on itself. no pneumothorax. tracheostomy tube is in place. the patient is status post medial sternotomy. lung volumes are low. no pleural effusions. the upper lung heterogeneous opacities are unchanged. increased airspace opacities in the right lung base are noted. left upper lung is essentially clear with the exception of the left lung base opacities. there is widening of the mediastinum and prominence of descending aorta, which likely relates to patient's positioning and is more conspicuous since prior.What are the key findings of this report? [/INST] <num>. left pic catheter projects over mid svc, however, its distal <num> mm tip appears hyperdense, which is likely due to catheter folding on itself. <num>. widened mediastinum and prominent descending aorta, more conspicuous since prior, which likely relates to patient positioning. repeat chest radiograph is recommended with better positioning to assess for possible underlying pathology. <num>. right lung opacities have been slightly increased since <unk> exam, and likely reflect multifocal infection in the appropriate clinical setting. findings discussed with dr. <unk> at <time> a.m., <unk> by phone at the time of discovery. </s>
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<s>[INST] the lungs are well expanded. the area of chronic right upper lobe bronchiectatic change is again noted, similar prior exam. there has been interval increase in the right pleural effusion from prior exam. no new mass or consolidation is seen. there is no left effusion or pneumothorax the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] <num>. interval increase in right pleural effusion. <num>. stable right upper lobe area of bronchiectatic change. given the increasing pleural effusion and bronchiectatic change, this raises a question of a possible underlying malignancy. chest ct is indicated for further evaluation for malignancy. </s>
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<s>[INST] frontal and lateral views of the chest. streaky opacity identified at the left lung base. there is blunting of posterior costophrenic angles suggestive of small effusions, right greater than left. there is no pulmonary vascular redistribution and elsewhere the lungs are clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected.What are the key findings of this report? [/INST] small bilateral effusions. streaky left basilar opacity potentially due to atelectasis however infection could be considered in the proper clinical setting. </s>
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<s>[INST] there is increased consolidation of left lung base in the retrocardiac region compared to <unk>. mild pulmonary vascular congestion and probable small bilateral pleural effusion is similar to prior. mildly enlarged cardiomediastinal silhouettes is stable. et tube terminates <num> cm above the carina. transesophageal tube courses below the diaphragm and out of view. right picc probably terminates at low svc. a right internal jugular swan-ganz catheter terminates in proximal right pulmonary artery. impella device terminates in the left ventricle.What are the key findings of this report? [/INST] <num>. there is increased consolidation of left lung base. this is commonly due to atelectasis, however pneumonia is not excluded in the appropriate clinical setting. <num>. mild pulmonary vascular congestion and bilateral pleural effusions are similar to prior. </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] there is no significant change and decreased volume and left basal opacity consistent with left lower lobe collapse. bilateral small pleural effusions are unchanged with subsegmental right basilar atelectasis. the pulmonary vasculature is normal. the cardiac and mediastinal contours are notable for enlargement of the aortic knob contour, consistent with known dissection. retrocardiac opacity likely reflect a combination of atelectasis and known large hiatal hernia.What are the key findings of this report? [/INST] <num>. unchanged left lower lobe collapse. <num>. abnormal aortic knob contour, consistent with patient's known aortic dissection is not enlarging. </s>
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<s>[INST] right apical scarring is unchanged from <unk>. there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. the heart size is normal. the aorta is tortuous, unchanged. the cardiac and hilar contours are within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. results were relayed to dr. <unk> by phone at <time> p.m. on <unk>. </s>
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<s>[INST] the tip of the nasogastric tube ends in the upper esophagus, approximately <num> cm from the ge junction. the dense retrocardiac opacity appears unchanged. the heart remains enlarged. there is no pneumothorax. the picc line is in grossly unchanged position, with the tip at least at the level of the cavoatrial junction.What are the key findings of this report? [/INST] nasogastric tube ends in the upper esophagus, approximately <num> cm from the ge junction. this should be advanced prior to use. recommendation(s): nasogastric tube ends in the upper esophagus, approximately <num> cm from the ge junction. this should be advanced prior to use. </s>
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<s>[INST] the heart is enlarged. lung volumes are decreased. engorgement of the pulmonary vessels suggests mild pulmonary edema. blunting of the left costophrenic angle is likely secondary to a small pleural effusion. there is no focal consolidation or pneumothorax.What are the key findings of this report? [/INST] <num>. engorgement of the pulmonary vessels suggests mild pulmonary edema. <num>. small left pleural effusion. </s>
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<s>[INST] lung volumes are low leading to crowding of the bronchovascular structures. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. median sternotomy wires are again noted.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s>
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<s>[INST] ap single view of the chest has been obtained with patient in sitting semi-upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the previously described left-sided pigtail end drainage catheter remains in unchanged position. the previously remaining significant pleural effusion has now been drained almost completely. the left-sided diaphragmatic contour can again be identified. there are some linear densities in the left lower lung base suggestive of atelectasis. the right-sided hemithorax remains unchanged and is normal.What are the key findings of this report? [/INST] effective removal of left-sided pleural effusion, no evidence of pneumothorax. </s>
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<s>[INST] frontal and lateral views of the chest. the lungs are hyperinflated. surgical chain sutures projected over the left apex. the lungs are clear of consolidation or effusion. cardiac silhouette is enlarged but unchanged. hilar contours remain stable. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s>
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<s>[INST] small bilateral pleural effusions are seen. mildly increased interstitial markings bilaterally suggests mild pulmonary vascular congestion. no definite focal consolidation is seen. the cardiac silhouette is mildly enlarged. mediastinal contours are unremarkable. no pneumothorax is seen.What are the key findings of this report? [/INST] small bilateral pleural effusions, mild pulmonary vascular congestion, and mild cardiomegaly. </s>
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<s>[INST] compared to the prior study, no significant changes. substantial bilateral pleural effusions with fissural components, right greater the left, are persistent. heart size is normal without pneumothorax. mild interstitial edema is unchanged. no focal consolidation concerning for pneumonia.What are the key findings of this report? [/INST] <num>. unchanged substantial bilateral pleural effusions, right greater than left. <num>. no focal consolidation concerning for pneumonia. </s>
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<s>[INST] pa and lateral views of the chest provided. there is mild central congestion without frank pulmonary edema. no effusion or pneumothorax. no pneumonic consolidation is seen. the heart and mediastinal contour appear normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] mild central congestion without frank pulmonary edema. </s>
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<s>[INST] a frontal upright view of the chest was obtained portably. since <unk>, there is increased hazy bibasilar and perihilar opacification with kerley b lines, azygous distention, and small pleural effusions, compatible with mild interstitial edema. the cardiac silhouette is probably unchanged allowing for differences in technique. no pneumothorax. the mediastinal silhouette is stable. subclavian artery calcifications noted.What are the key findings of this report? [/INST] mild interstitial pulmonary edema, new from <unk>. </s>
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<s>[INST] the lung volumes are low. the cardiac contour is accordingly difficult to assess, also given a large right-sided pleural effusion and a moderate to large left-sided one. parenchymal opacification is probably associated with associated volume loss and atelectasis. there is no pneumothorax.What are the key findings of this report? [/INST] bilateral pleural effusions. </s>
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<s>[INST] <num> views were obtained of the chest. the lungs are well expanded and clear without pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. gastric band is noted in the left upper quadrant with appropriate orientation.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] heart size, mediastinal and hilar contours are normal. no new areas of consolidation are identified in either lung, and there are no pleural effusions. high-grade compression deformity in lower thoracic spine is without change.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s>
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<s>[INST] cardiac silhouette size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. no displaced rib fracture is identified. mild degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. no displaced rib fracture identified. recommendation(s): if there is continued concern for rib fracture, consider a dedicated rib series </s>
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<s>[INST] frontal and lateral views of the chest provided. aicd is in unchanged position with lead tips extending into the right atrium and right ventricle. patient is rotated to her left. multiple mediastinal clips are noted. the lungs are clear. there is a known left lower lobe posterior basal mass-like consolidation as seen on prior ct of the chest from <unk> and <unk> which likely accounts for the posterior opacity on the lateral view. a tiny right pleural effusion is difficult to exclude. no pneumothorax is seen. no definite bony abnormality. a chronic-appearing deformity of the right shoulder likely reflects old injury.What are the key findings of this report? [/INST] stable left lower lobe opacity likely reflects known mass lesion in this region. possible tiny right effusion. </s>
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<s>[INST] pa and lateral views of the chest. no prior. the lungs are clear of 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. no infiltrate. </s>
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<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest are obtained. the right costophrenic angle is not included on the frontal image. there is mild prominence of the vasculature, consistent with mild pulmonary edema. trace blunting of the bilateral costophrenic angle suggests trace pleural effusions. no focal consolidation or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. multiple old bilateral rib fractures are again noted. degenerative changes are seen along the spine.What are the key findings of this report? [/INST] mild pulmonary edema and trace bilateral pleural effusions. </s>
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<s>[INST] the patient is status post median sternotomy and aortic valve replacement. the inferior-most mediastinal wire is broken, unchanged. heart size remains mildly enlarged. aorta is tortuous. atherosclerotic calcifications are again demonstrated at the aortic knob. lung volumes are lower compared to the previous exam. mild pulmonary vascular congestion is noted. patchy right basilar opacity likely reflects an area of atelectasis. no pleural effusion is identified. assessment of the lung apices is limited by the patient's neck and chin projecting over in these areas, but no large pneumothorax is identified. there are mild degenerative changes noted in the thoracic spine.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and patchy right basilar opacity, likely atelectasis. pneumonia is not completely excluded and clinical setting. </s>
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<s>[INST] the heart is mildly enlarged. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] heart size and cardiomediastinal contours are normal. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s>
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<s>[INST] the lungs are clear and the lung volumes are normal. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is normal size. the mediastinal and hilar structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] there has been interval placement of a ng tube terminating in the stomach with most proximal side port appropriately placed beyond the gastroesophageal junction. stable left chest port-a-cath terminating in the right atrium. no pneumothorax. the lungs are well-expanded and clear. mediastinal contours, hila, and heart borders are normal. no pleural effusions.What are the key findings of this report? [/INST] ng tube terminates in the stomach. </s>
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<s>[INST] three portable views of the chest. left chest wall dual lead pacing device again seen with leads in unchanged position. the lungs are clear of consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is unchanged noting unfolding of the descending thoracic aorta. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. no displaced rib fracture is seen.What are the key findings of this report? [/INST] <num>. normal appearance of the heart and lungs. no pneumothorax. <num>. no rib fracture is identified. however, this is a particularly insensitive test for the detection of subtle rib fractures. if there is continued clinical concern, a dedicated rib series with a skin marker at the location of the patient's pain is recommended. </s>
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<s>[INST] there has been little change since the prior study. lung volumes are low and heart mediastinum are stable. no pleural effusions, focal consolidation, or pneumothorax. the right midline tip projects over the right humerus and terminates at the level of the axillary vein, unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] left picc and right sided central venous catheter tips remain in unchanged positions. cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. numerous clips are noted in the left upper quadrant of the abdomen. oral contrast material is seen within bowel loops within the upper abdomen with several scattered air-fluid levels.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] the lungs are clear aside from mild perihilar atelectasis. the cardiac, hilar and mediastinal contours are normal. no pleural abnormality is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. no focal consolidation is seen. there is mild left base linear atelectasis/scarring, in the similar location as that seen on the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal radiograph of the chest. an et tube ends <num> cm above the carina. an enteric tube passes below the diaphragm and out of view. heart is top normal in size. extensive, symmetric airspace opacification is most likely moderately severe pulmonary edema. no pleural effusions or pneumothorax. calcified lymph nodes are noted in the right hilum.What are the key findings of this report? [/INST] moderate pulmonary edema. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. right pleural effusion with a relatively rounded contour is stable in appearance, possibly slightly decreased. adjacent atelectasis is seen. the left lung is clear. no pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] stable configuration of right pleural effusion which may be minimally decreased in size. </s>
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<s>[INST] frontal and lateral chest radiographs again demonstrate severe cardiac enlargement. extensive consolidation in the right lung is most likely due to pneumonia, involving predominantly upper and middle lobes. of note the patient had a right lower lobe pneumonia in <unk>. <unk>. there is also mild pulmonary edema. there may be trace pleural effusions versus pleural thickening. no pneumothorax is appreciated.What are the key findings of this report? [/INST] <num>. extensive pneumonia right lung <num>. mild pulmonary edema. </s>
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