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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are hyperinflated with areas of scarring noted in both lung bases. blunting of the costophrenic sulci bilaterally likely reflects chronic pleural thickening rather than pleural effusions. no focal consolidation, pleural effusion or pneumothorax is identified. multiple old right-sided rib fractures are again noted. coils are seen within the left upper quadrant of the abdomen. no acute osseous abnormality is demonstrated.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size is normal. the aorta appears mildly tortuous. remainder the mediastinal contour is on remarkable. the hila appear prominent bilaterally, which suggests enlargement of the pulmonary arteries. lungs are hyperinflated with marked emphysematous changes seen in the upper lobes. linear and patchy opacities within the lung bases may reflect areas of atelectasis with scarring. no focal consolidation, pleural effusion or pneumothorax is detected. multilevel degenerative changes are noted in the imaged thoracic spine.Write the impressions of this report findings [/INST] emphysema with bibasilar linear and patchy airspace opacities, likely atelectasis or scarring, although infection cannot be excluded in the correct clinical setting. enlargement of the pulmonary arteries bilaterally may suggest underlying pulmonary arterial hypertension. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart remains moderately enlarged. dense mitral annular calcifications are re- demonstrated, and there is unchanged enlargement of the main pulmonary artery. mild pulmonary vascular engorgement appears slightly improved compared to the prior study. aeration of the lung bases is also improved. no large pleural effusion or pneumothorax is identified, though there is trace blunting of the right costophrenic angle laterally. no pneumothorax is identified. no acute osseous abnormalities seen.Write the impressions of this report findings [/INST] mild pulmonary vascular engorgement, slightly improved when compared to the prior exam. improved aeration of the lung bases with resolution of the previously noted bibasilar airspace opacities. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a nasogastric tube courses below the diaphragm into the stomach but could be advanced for more optimal positioning as the side hole is above the diaphragm. there is no focal consolidation, pleural effusion or pneumothorax. there are nodular opacities in the right upper lobe. the cardiomediastinal silhouette is normal. dilated loops of bowel are noted in the incompletely imaged abdomen.Write the impressions of this report findings [/INST] <num>. nasogastric tube in the proximal stomach with the side hole above the diaphragm. recommend advancement for more optimal positioning. <num>. nodular opacities in the right upper lobe for which further evaluation with ct is recommended. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear of consolidation, effusion, or pulmonary edema. callus from healed anterior left fifth through seventh rib fractures are identified as well as prominent extrapleural fat on the right laterally. left chest wall pacing device is again seen. cardiac silhouette is moderately enlarged similar prior.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-erect chest radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] feeding tube courses below the diaphragm and the tip is not identified. the endotracheal tube continues to have its tip <num> cm above the carina. the right brachiocephalic svc stent and ascending right ventricular cannula are both unchanged in position. right upper lobe patchy opacity and fainter developing opacities at both lung bases are concerning for multifocal pneumonia. the left upper and mid lung remains clear. no pulmonary edema. overall cardiac and mediastinal contours are stable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest were provided. there is mild plate-like left basilar atelectasis. otherwise, the lungs are clear. cardiomediastinal silhouette stable. bony structures intact. clips in the right upper quadrant.Write the impressions of this report findings [/INST] no acute process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since chest radiographs obtained <num> days prior, no significant changes are appreciated. moderate right pleural effusion with adjacent atelectasis and small left pleural effusion are unchanged. lungs are otherwise clear without focal consolidation. cardiomediastinal and hilar silhouettes are unchanged. heart size is top-normal.Write the impressions of this report findings [/INST] moderate right and small left pleural effusions are unchanged over a week. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the right picc has been retracted with the tip now terminating in the upper-to-mid svc. the appearance of the chest is otherwise unchanged from chest radiograph performed earlier the same day with evidence of right-sided volume loss, mild pulmonary vascular congestion and mild bibasilar atelectasis.Write the impressions of this report findings [/INST] right picc retracted with tip terminating in the upper-to-mid svc. findings were reported by dr. <unk> to iv nurse, <unk>, via telephone at <time> a.m. on <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate decrease in right-sided pleural fluid. associated opacification of the right lung has improved. no pneumothorax. right-sided pleural catheter in similar position. the left lung is clear.Write the impressions of this report findings [/INST] interval decrease in right pleural effusion which is now moderate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. moderate degenerative changes in the thoracic spine.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. mild-to-moderate enlargement of the cardiac silhouette is not significantly changed. the mediastinal contours are unchanged. there are no pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] <num>. no acute cardiac or pulmonary process. <num>. unchanged mild-to-moderate cardiac enlargement. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lung volumes remain slightly low, with unchanged. position of. enteric tube. mild vascular congestion, right pleural effusion, bibasilar atelectasis, greater on the right, an extensive. right hemi thorax postsurgical changes are stable. spinal hardware is unchanged. the cardiomediastinal silhouette is also stable.Write the impressions of this report findings [/INST] no significant change in appearance of the chest since the prior study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are unchanged, with the heart size appearing within normal limits. the pulmonary vascularity is not engorged. no focal consolidation, pleural effusion or pneumothorax is visualized. multiple clips are demonstrated within the left axilla and clips are also seen projecting over the right lower hemithorax and left chest.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> an endotracheal tube is in appropriate position, terminating approximately <num> cm above the level of the carina. a nasogastric tube courses through the esophagus, below the diaphragm and out of view. the lungs are well-expanded. there is indistinctness of the hilar structures and peribronchial cuffing. hazy opacities are present in the bilateral lower lungs. the heart is top-normal in size. mediastinal vascular clips and chain sutures in the left apex are related to prior wedge resection, along with a rounded opacity in the left upper lobe.Write the impressions of this report findings [/INST] <num>. monitoring and support devices are in appropriate position. <num>. moderate pulmonary edema. <num>. rounded opacity in the left upper lobe warrants further evaluation with conventional radiographs after resolution of acute symptoms. recommendation(s): recommend conventional pa and lateral chest radiographs for further evaluation of left upper lobe rounded opacity after resolution of acute symptoms. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were obtained. there are relatively low lung volumes. cardiac and mediastinal silhouettes are stable. no definite focal consolidation, pleural effusion, or evidence of pneumothorax is seen. there is central pulmonary vascular engorgement. coronary artery stenting is noted.Write the impressions of this report findings [/INST] possible mild central pulmonary vascular engorgement. no definite focal consolidation seen. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right lung base appears elevated. moderate right pleural effusion is not significantly changed from prior exam. right apical opacity corresponds to a mass lesion seen on <unk> ct exam, stable. focal density projecting over the lateral aspect of the right lower lung zone, represents a calcified granuloma. left lung is clear. no left pleural effusion or pneumothorax is seen. hilar and mediastinal silhouettes are unremarkable. heart size is normal.Write the impressions of this report findings [/INST] <num>. moderate right pleural effusion is not significantly changed from <unk> exam. <num>. stable appearance of right upper lobe opacity corresponding to mass lesion, better characterized on ct exam of <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are bilateral pleural effusions, small on the left and moderate on the right with adjacent atelectasis. there is pulmonary vascular congestion without overt edema. enlargement of the cardiac silhouette is similar to prior although detailed evaluation is limited. dense mitral annular calcifications are seen. median sternotomy and left chest wall single lead pacing device are again noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] bilateral pleural effusions with pulmonary vascular congestion, slightly improved since prior exam. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. diaphragms appear slightly flattened possibly due to hyperinflation. there are no acute skeletal abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were performed. a right subclavian catheter terminates within the right atrium. there is no pleural effusion, pneumothorax or focal airspace consolidation. moderate pulmonary vascular congestion has persisted or recurred. atelectasis is again seen at the left lung base. the cardiac silhouette is moderately enlarged, unchanged from the prior study. the mediastinal contours are normal.Write the impressions of this report findings [/INST] chronic or recurrent mild cardiac decompensation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. partially imaged lower neck may demonstrate soft tissue swelling, right greater than left, although this is not well assessed on this study.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. neck not well assessed on this study. there could be soft tissue swelling of the lower neck although this is not well assessed on this study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation or effusion. cardiomediastinal silhouette is within normal limits. median sternotomy wires are again noted. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest were obtained. subtle <num> mm rounded opacity projecting over the right lower lung is grossly stable as compared to the prior study and may relate to nipple shadow; however, suggest confirmation with repeat with nipple markers. otherwise, no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture is seen.Write the impressions of this report findings [/INST] subtle ovoid <num>-<num> mm nodular opacity projecting over the right lung base only seen along the frontal images, not on the other frontal images, most likely a nipple shadow or artifact, similar in appearance as compared to the prior study. similar size. findings can be further assessed with repeat with nipple markers. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the et tube has been advanced, and now terminates just distal to the clavicular heads. there has also been interval placement of a nasogastric tube which terminates in the stomach. a new retrocardiac left lower lobe opacities may be due to atelectasis or aspiration. cardiomegaly is stable.Write the impressions of this report findings [/INST] new left lower lobe retrocardiac airspace opacity which may be due to aspiration or atelectasis. stable cardiomegaly. lines and tubes in satisfactory position. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> large right pleural effusion is slightly increased in size compared to the previous study. trace left pleural effusion is likely unchanged in the interval. compressive bibasilar atelectasis is re- demonstrated. the heart size is difficult to assess given the presence of the large right pleural effusion. atherosclerotic calcifications are noted diffusely throughout the thoracic aorta. no pulmonary vascular congestion is present. there is no pneumothorax. no acute osseous abnormality is detected.Write the impressions of this report findings [/INST] slight interval increase in size of large right pleural effusion and relatively unchanged trace left pleural effusion. bibasilar compressive atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax. osseous structures are unremarkable. tips stent is noted in the upper abdomen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right chest wall port is again noted with the catheter tip in the right atrium. aside from minor scarring, including apical calcifications, the lungs are clear with no consolidation. there is no pleural effusion, or pneumothorax. cardiomediastinal silhouette is normal. no acute fractures are identified. mild vertebral compression din the mid thoracic spine is again noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are low. there is opacification of the right lower hemi thorax. the right hemidiaphragm appears elevated and the mediastinum appears slightly shifted rightward, suggesting volume loss. on the lateral view, no definite large pleural effusion is identified. there is increased opacification on the lateral view of the lower portions of the spine. no pneumothorax. the left lung is clear. the heart appears slightly enlarged. exaggerated rightward deviation of the thoracic trachea on the frontal view may be positional. the descending aorta appears slightly tortuous. multilevel degenerative changes are mild of the visualized thoracic spine. there is nonspecific gaseous distension of visualized bowel loops in the left upper quadrant. no acute osseous abnormality.Write the impressions of this report findings [/INST] right lower hemithorax opacification which may reflect consolidation and/or atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a <num> to <num> mm nodular opacity projecting over the left mid lung field. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no displaced fracture seen.Write the impressions of this report findings [/INST] <num> to <num> mm nodular opacity projecting over the left mid lung field. recommend shallow obliques or chest ct for further evaluation for possible underlying pulmonary nodule. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a right internal jugular central venous catheter ends in the mid svc. a dobbhoff tube is seen ending within the upper portion of the stomach, although the proximal portion of its floppy end is in the distal esophagus. previously, the entirety of the dobbhoff tube ended within the lower esophagus. lung volumes remain very low, although slightly improved compared to the prior study from <unk>. there is minimal bilateral lower lobe atelectasis. apparent enlargement of the cardiac silhouette is likely at least partially attributable to low lung volumes. the mediastinal contours are unchanged. there are no definite pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] <num>. dobbhoff tube has been slightly advanced, although a portion of its floppy tip continues to end in the distal esophagus. recommend advancing. <num>. persistent low lung volumes with subsegmental bibasilar atelectasis. findings were discussed with dr. <unk> by dr. <unk> at <time> p.m. via telephone on the day of the study, immediately after discovery of the finding. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable chest radiograph demonstrates a pleural drain in constant position. there is no pneumothorax. there has been no recurrence of left pleural effusion. blunting of the right posterior close costophrenic angle is consistent with a small pleural effusion. there is no new focal consolidation. the cardiomediastinal and hilar contours are unchanged in appearance. there is no overt pulmonary edema. a biliary drain and stent is incompletely visualized in the right upper quadrant. when compared to prior films dated <unk>, there has been no appreciable radiographic change to explain new tachypnea/tachycardia.Write the impressions of this report findings [/INST] no radiographic findings to explain new tachycardia/tachypnea. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. the aortal appears mildly tortuous with an calcifed aortic knob. the hilar and mediastinal contours are normal. the lungs demonstrate no focal consolidations concerning for pneumonia. there is no evidence of pleural effusion or pneumothorax. mild bibasilar atelectasis is persistent. old right rib fractures are again seen. the previously noted slight contour abnormality of the left <num>th rib is not definitely seen on this exam. no new displaced rib fractures are identified.Write the impressions of this report findings [/INST] no focal consolidations concerning for pneumonia identified. the previously noted contour deformity of the left <num>th rib is not definitively seen on this exam, however there is further clinical concern, dedicated rib films would be recommended for further evaluation. no evidence of a pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right chest wall pacing leads and in the right atrium and right ventricle, unchanged. the heart is top-normal in size. prominence of the left mediastinum is unchanged and may represent pulmonary artery enlargement. the lungs are grossly clear. there is no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well-expanded and clear. cardiomediastinal hilar contours are unchanged. the aorta is mildly tortuous. there is no pneumothorax, pleural effusion, or consolidation.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiograph demonstrates stable cardiomediastinal silhouette. when compared to prior study, multiple rib fractures are again seen. previously seen opacification of the left lung base appears to project over tenth left lateral rib and which does not appear localized within the lung parenchyma. a right chest port is identified terminating in the mid svc. re- demonstration of right prior clavicular fracture.Write the impressions of this report findings [/INST] previously seen left lung base opacity projects over the left tenth rib laterally and which does not appear to be localized within lung parenchyma. lungs are otherwise clear. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with atherosclerotic calcifications along the thoracic aorta. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal.Write the impressions of this report findings [/INST] normal chest radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. clear lungs. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright chest radiograph obtained. port-a-cath resides over the right chest wall with catheter tip extending into the expected location of the superior vena cava. the lungs are clear bilaterally without focal consolidation, effusion, or signs of pneumothorax. upper lobe lucency is compatible with known emphysema. the heart and mediastinal contours appear normal. bony structures are intact. there are old right rib cage deformities again noted.Write the impressions of this report findings [/INST] emphysema without superimposed pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided port-a-cath tip terminates in at the svc/right atrial junction. cardiac, mediastinal and hilar contours are normal. scarring within the lung apices is re- demonstrated. no focal consolidation, pleural effusion or pneumothorax is present. compression deformities of several upper and mid thoracic vertebral bodies are unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. left port-a-cath tip at the junction of the svc and right atrium. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is top 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.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> chest, pa and lateral. the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal.Write the impressions of this report findings [/INST] normal radiograph of the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate cardiomegaly is stable. severe pulmonary edema has worsened. there is no pneumothorax. lines and tubes are in unchanged standard position. there are probably bilateral small effusions. skin <unk> project in the right upper quadrant of the abdomen. catheter also projects in the right upper quadrant of the abdomen.Write the impressions of this report findings [/INST] worsening severe pulmonary edema </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. the aorta is noted to be tortuous. the heart size is at the upper limits of normal. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap and lateral views of the chest. there are indistinct pulmonary vascular markings bilaterally. more conspicuous right basilar opacity has slightly progressed since prior. there are bilateral effusions, larger on the right than on the left. cardiac silhouette is enlarged but unchanged. no acute osseous abnormality is identified.Write the impressions of this report findings [/INST] pulmonary edema and bilateral right greater than left effusions. more focal opacity at the right lung base may represent a superimposed infection. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap portable upright view of the chest. the lungs are hyperinflated. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.Write the impressions of this report findings [/INST] no acute intrathoracic process </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compared to the prior study there is no significant interval change.Write the impressions of this report findings [/INST] no change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there appears to be interval increase in the right pleural effusion and atelectasis adjacent to the pleural effusion compared to the prior exam, and approaching the volume prior to the thoracentesis on the scan from <unk>. there is no pneumothorax. no new focal consolidations are identified. there is stable bilateral pulmonary edema. note is made of slightly more prominent scarring/atelectasis at the left lung base, in comparison to the radiograph from <unk>. the heart is moderately enlarged, stable compared to exams dating back to at least <unk>. there is a pacemaker with leads in appropriate position. there is a replaced mitral valve.Write the impressions of this report findings [/INST] interval increase in the right-sided pleural effusion and adjacent atelectasis approaching the volume seen prior to the thoracentesis on <unk>. these findings were discussed with dr. <unk> at <time>pm, by telephone, on the day of the exam by dr. <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is mildly enlarged but likely similar to prior study given differences in technique. the mediastinal contours demonstrate calcified atherosclerotic disease at the aortic knob and a mildly tortuous aorta, following the curvature of a mildly dextroscoliotic spine. the previously described right mid lung opacity has resolved. in the retrocardiac region, there is increased opacity. there is no large pleural effusion or pneumothorax. severe degenerative changes are seen in the bilateral glenohumeral joints. scoliosis and compressive deformities appear likely unchanged.Write the impressions of this report findings [/INST] <num>. retrocardiac density may represent atelectasis, but pneumonia is not excluded. <num>. new vague nodular focus in the right lung, possibly a true lung nodule such as primary carcinoma. evaluation with chest ct is recommended when clinically appropriate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left picc tip terminates in the upper svc. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. there is minimal atelectasis in the lung bases. no large pleural effusion or pneumothorax is present. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] left picc tip in the upper svc. mild bibasilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were obtained. heart size is top normal. no focal consolidation, effusion, pneumothorax is seen. no signs of heart failure. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] top normal heart size. otherwise normal. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is moderate pulmonary vascular congestion and mild to moderate edema. there are small to moderate bilateral pleural effusions. there is no pneumothorax. cardiomegaly is mild-to-moderate. imaged osseous structures are intact.Write the impressions of this report findings [/INST] small to moderate bilateral pleural effusions, mild to moderate pulmonary edema, and cardiomegaly suggest chf. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> compare to prior, there has been interval advancement of the enteric tube with its tip terminating in the upper stomach. there is no significant interval change. lateral aspect of the left lower hemi thorax is excluded from the examination but the other pleural surfaces are normal. lungs are clear. borderline cardiomegaly unchanged. incidental note is made of large lymph node calcifications in the mediastinum and right hilus.Write the impressions of this report findings [/INST] feeding tube in the upper stomach. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are hyperinflated, compatible with chronic lung disease. there is no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. scarring/chronic atelectasis at the left lung base is unchanged. the heart is normal size. the mediastinal and hilar contours are unremarkable. a left pectoral pacemaker, sternotomy wires and mediastinal clips are constant. chronic appearing right-sided rib fractures are noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. right apical pneumothorax is slightly improved. allowing for differences in patient positioning, the right-sided effusion is probably similar in volume. no focal consolidation. mitral valve ring appears in similar location. left shoulder calcific tendonitis appears similar to prior exam.Write the impressions of this report findings [/INST] <num>. right apical pneumothorax is slightly improved. <num>. allowing for differences in patient positioning, the right-sided effusion is probably similar in volume. <num>. mitral valve ring appears in similar location. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a right pleural effusion has decreased in size, now very small. cardiac size remains enlarged. lung volumes are lower when compared to prior studies contributing to the crowded vasculature. no focal opacities concerning for infection and no pneumothorax.Write the impressions of this report findings [/INST] no evidence of pneumonia. decreasing right pleural effusion, now small in size. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient is status post median sternotomy and cabg. cardiac silhouette size remains top normal. mediastinal and hilar contours are similar. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. partially imaged is spinal fusion hardware within the thoracolumbar spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient has a tracheostomy. a new picc line terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours open are probably unchanged although the cardiac contour is partly obscured by a new moderate left-sided pleural effusion with probable opacification of portions of the left lower lobe and lingula. more superiorly the left lung remains clear. the right lung also remains clear. there is no evidence for pleural effusion on the right side.Write the impressions of this report findings [/INST] new left-sided pleural effusion with opacifications probably attributed atelectasis. infection does not need to be invoked to explain this appearance but is not excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> mild cardiomegaly is unchanged compared to the prior exams dated back to <unk>. there is mild pulmonary vascular congestion, otherwise the hilar and mediastinal contours are normal. there is no pleural effusion or pneumothorax. redemonstrated are hyperinflated lungs with an enlarged retrosternal air space, consistent with copd. subtle opacity at the right lung base may represent pneumonia. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] subtle opacity at the right lung base may be concerning for pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest. improved inspiratory effort seen on the current exam. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> median sternotomy wires intact and aligned. left pectoral pacemaker with leads terminating in the right atrium, right ventricle, and left coronary sinus. stable cardiomegaly with pulmonary vascular congestion. no evidence of acute, focal pneumonia.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are normal. the lungs demonstrate consolidation of the right middle lobe. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] right middle lobe pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> mild cardiomegaly is unchanged. the mediastinal and hilar contours are unremarkable. there is been interval resolution of the previously seen mild fluid overload. minimal blunting of the costophrenic angles posteriorly on the lateral view is compatible with small pleural effusions. there is no focal consolidation or pneumothorax. no acute osseous abnormalities are detected.Write the impressions of this report findings [/INST] small bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. no focal consolidations concerning for infection are identified. there is mild chronic elevation of the left hemidiaphragm with minimal left basilar linear atelectasis. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no focal consolidations concerning for pneumonia. stable chronic elevation of the left hemidiaphragm. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single ap upright portable view of the chest was obtained. the patient is rotated slightly to the right. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. no evidence of free air is seen beneath the diaphragms.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. no evidence of free air beneath the diaphragms. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> patient rotated as well as with head in the flexed position obscuring view of the right apex. allowing for this, no focal opacity concerning for pneumonia is identified. mediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. the osseous abnormality is seen.Write the impressions of this report findings [/INST] no focal opacity concerning for pneumonia is identified. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size remains mildly enlarged. the aorta is diffusely calcified and mildly tortuous, unchanged. hilar contours are normal, and no pulmonary vascular congestion is present. lungs remain hyperinflated compatible with underlying emphysema. small bilateral pleural effusions are noted along with streaky atelectasis at the lung bases. no pneumothorax is present. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] small bilateral pleural effusions with bibasilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> no large pleural effusion is seen although trace pleural effusion be difficult to exclude. right base opacity is worrisome for pneumonia. there is moderate pulmonary vascular congestion. no pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] no large pleural effusion, trace pleural effusion difficult to exclude. right base opacity worrisome for pneumonia. moderate pulmonary vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. no free air below the right hemidiaphragm. no signs of pneumomediastinum. bony structures are intact.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> no focal consolidation is seen. there is mild basilar atelectasis. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. mediastinal contours are unremarkable. some degenerative changes are seen along the spine which overall appear grossly mild.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided demonstrating no focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size is borderline enlarged. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormality is visualized.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> tracheostomy is in standard position. a right central venous catheter terminates in the low superior vena cava. a right picc terminates in the expected location of the right subclavian vessels. right upper lung linear opacities likely represent atelectasis. subtle opacity over the right lower lung field may represent atelectasis, aspiration, or a small focus of infection. retrocardiac linear opacity likely represents atelectasis. no pleural effusion or pneumothorax is detected on these views. heart size is enlarged but may be exaggerated by ap technique and low lung volumes. there is mediastinal venous fullness. the aorta is tortuous and calcified.Write the impressions of this report findings [/INST] subtle hazy opacity over the right mid-to-lower lung field, which most likely represents atelectasis, but a small focus of infection cannot be excluded. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright view of the chest was provided. lungs are clear bilaterally. no effusion or pneumothorax is seen. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiographs with the patient in the upright position were reviewed. comparison was made to the immediate prior exam of <unk>. the cardiac, mediastinal and hilar silhouettes are stable. scar formation in the left upper lobe, and surgical clips are expected post-lobectomy and are stable. a mild degree of left diaphragmatic elevation is unchanged and expected post lobectomy. there are no new infiltrates, no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] unchanged chest radiograph with no radiographic evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. partial right lower lobe atelectasis and subsegmental left lower lobe atelectasis are noted. probable tiny right apical pneumothorax. no pleural effusion. again seen are multiple right-sided rib fractures.Write the impressions of this report findings [/INST] again seen are multiple right-sided rib fractures. partial right lower lobe atelectasis and subsegmental left lower lobe atelectasis. probable tiny right apical pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. heart size remains moderately enlarged. the aorta is tortuous. low lung volumes are present. there is crowding of bronchovascular structures with mild pulmonary vascular engorgement. patchy atelectasis is seen in the lung bases. no focal consolidation, pleural effusion or pneumothorax is identified. thoracolumbar fusion hardware is incompletely imaged. osseous structures are diffusely demineralized. remote fractures of the right-sided ribs are noted. extensive degenerative changes of both glenohumeral joints are re- demonstrated.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion and bibasilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is elevation of left hemidiaphragm with subtle left lower lobe opacity. small left pleural effusion. no right pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. an endotracheal tube is <num> cm above the level of the carina, in appropriate position. an enteric feeding tube courses midline with tip out of field of view and side port below the level of the diaphragm. limited evaluation of the osseous structures are unremarkable. no displaced rib fracture.Write the impressions of this report findings [/INST] <num>. subtle left lower lobe opacity with elevation of left hemidiaphragm is most consistent with atelectasis. <num>. small left pleural effusion. <num>. endotracheal tube in appropriate position. recommendation(s): clinical correlation for superimposed left lower lobe infection is recommended. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is within normal limits. descending thoracic aorta is tortuous. no acute osseous abnormalities identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest demonstrate well-expanded and clear lungs. heart is normal in size, and mediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. known pneumomediastinum is much better appreciated on the chest ct from earlier today. the upper abdomen is unremarkable.Write the impressions of this report findings [/INST] pneumomediastinum is better appreciated on the ct and is very subtle on the radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size remains mildly enlarged. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. <num> mm nodular density projecting over the left lung base remains unchanged, and no focal consolidation is demonstrated. streaky atelectasis is seen in the left lung base. lungs are hyperinflated. no pleural effusion or pneumothorax is identified. the bones are diffusely demineralized. surgical clip is noted in the right upper quadrant of the abdomen.Write the impressions of this report findings [/INST] streaky left basilar atelectasis. unchanged <num> mm nodular opacity projecting over the left lung base. again this could be projectional artifact or reflect a small nodule. consider ct for further assessment if there is high clinical concern. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a tracheostomy tube appears properly positioned though partially obscured by the patient's o<num> mask. there is no pneumothorax, focal consolidation, or pleural effusion. mild bibasilar atelectasis is exaggerated by low lung volumes.Write the impressions of this report findings [/INST] tracheostomy appears appropriately positioned but partially obscured by an o<num> mask. no pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube terminates left upper quadrant, in expected location of the stomach. right internal jugular central venous catheter terminates in the low svc. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there are low lung volumes. left mid lung subsegmental atelectasis is seen.Write the impressions of this report findings [/INST] endotracheal tube terminates approximately <num> cm above the level of the carina. enteric tube terminates in the left upper quadrant, expected location of the stomach. subsegmental left mid lung atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the picc line on the right has migrated slightly more proximally with the distal lead tip now in the proximal svc. heart size is within normal limits. there is a left retrocardiac opacity and a small left-sided pleural effusion. there is no signs for acute pulmonary edema or pneumothoraces. calcified granulomas are seen within the left upper lobe.Write the impressions of this report findings [/INST] as above. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> endotracheal tube tip terminates <num> cm cephalad to the carinal. right picc tip projects over the right axilla, unchanged. right ij tip projects over the cavoatrial junction. bilateral aeration is slightly improved with decreased patchy airspace opacities. heart is mildly enlarged. mediastinal silhouette is not widened. there is no pneumothorax.Write the impressions of this report findings [/INST] mildly improved bibasilar aeration. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since prior chest x-ray, the patient has apparently ingested a screw, which now overlies the left upper abdomen. the previously identified paper binder overlies the lower left abdomen. the cardiomediastinal contours are within normal limits. the bilateral hila are unremarkable. the lungs are clear without focal consolidation. there is no evidence of pulmonary vascular congestion. there is no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] <num>. interval ingestion of a screw, now overlying the left upper abdomen. re- demonstration of the previously ingested paper binder more inferiorly. <num>. no acute cardiopulmonary process </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable semi-upright radiograph of the chest demonstrates interval increase in pulmonary edema, worse on the right. probable small left-sided pleural effusion. engorged mediastinal veins and azygus vein, increased from prior, resulting in widening of the superior mediastinum. there is no pneumothorax.Write the impressions of this report findings [/INST] bilateral pulmonary edema, worse on the right. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is slight interval decrease of the right apical pneumothorax since the study from earlier the same day. the patient is status post median sternotomy. increased opacity at the left lung base is slightly improved. bilateral midlung areas of linear atelectasis or scarring is also stable. there is stable mild cardiomegaly. small bilateral pleural effusions.Write the impressions of this report findings [/INST] slight interval decrease of known right apical pneumothorax. slightly improved left lower lobe atelectasis. stable mild cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> tracheostomy tube is in adequate position. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. old rib fractures are noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable supine chest radiograph demonstrates clear lungs bilaterally. no focal consolidation is identified. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pneumothorax, pleural effusion, or pulmonary edema. there is no air under the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute intra thoracic abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>