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<s>[INST] portable ap upright chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] there is a moderate to large right-sided pleural effusion with substantial volume loss in the right lower lung with probable collapse of the right middle and a portion of the right lower lobes. the left lung remains well inflated and clear. no evidence of pulmonary edema. a feeding tube is seen coursing below the diaphragm with the tip not identified. assessment of the cardiac and mediastinal contours is difficult given due to marked patient rotation on the current study. overall, when compared to the most recent prior study, there is no significant interval change. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates mildly hyperinflated lungs with minimal flattening of the hemidiaphragms. the cardiomediastinal and hilar contours are unremarkable. there is a new nodular density of <num>-<num> cm within the right mid lung adjacent to the right hulim not seen previously on exam dated <unk> and concerning for a substantial lung nodule. there are additional heterogeneous interstitial abnormalities bilaterally suggesting an interstitial process.What are the key findings of this report? [/INST] suspicious new nodular focus in the right lung, possible malignancy. evaluation with chest ct is recommended. chest ct would also be useful to evaluate an interstitial abnormality. these findings were communicated to the ordering physician through the online clinical portal inforadiology for nonurgent findings. </s> |
<s>[INST] slightly lordotic positioning. cardiomediastinal silhouette is enlarged, but grossly unchanged. mild prominence of the pulmonary arteries is similar to the prior study. there is upper zone redistribution, without overt chf. there is a small to moderate size left pleural effusion, with underlying left lower lobe collapse and/or consolidation. the effusion appears larger and the consolidation more dense than on the prior study. again seen is patchy opacity in the right cardiophrenic angle, essentially unchanged --<unk> differential diagnosis includes infection versus aspiration or early infiltrate. a small right effusion appears new.What are the key findings of this report? [/INST] upper zone redistribution, without overt chf, similar to the prior study. cardiomegaly, unchanged. small to moderate left effusion and left lower lobe collapse and/or consolidation have increased. patchy opacity in the right cardiophrenic region is is unchanged. small right effusion appears new. </s> |
<s>[INST] supine portable ap chest radiograph is obtained. the tip of the endotracheal tube resides approximately <num> cm above the carina. the ng tube is coiled in the left upper abdomen. clips in the right upper quadrant noted. lung volumes are low, though the lungs appear clear without focal consolidation, effusion, or supine evidence of signs of pneumothorax. cardiomediastinal silhouette appears grossly unremarkable. the imaged osseous structures appear grossly intact.What are the key findings of this report? [/INST] appropriately positioned endotracheal and nasogastric tubes. otherwise, unremarkable. </s> |
<s>[INST] pa and lateral views of the chest. right ij central venous catheter is no longer seen. prior right lower lobe consolidation has cleared. the lungs are now clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lungs are fully expanded and clear. heart size is normal. cardiomediastinal and hilar silhouettes and pleural surfaces are normal. no evidence of intrathoracic malignancy.What are the key findings of this report? [/INST] no radiographic evidence intrathoracic metastatic disease or other significant cardiopulmonary abnormality is. </s> |
<s>[INST] the heart appears mildly enlarged. the mediastinal and hilar contours appear within normal limits. 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. borderline cardiomegaly. </s> |
<s>[INST] the lungs are well expanded and clear. the cardiomediastinal silhouettes, hilar contours, and pleural surfaces are normal. surgical clips in the anterior mediastinum are seen as far back as <unk>. no pleural effusion or pneumothorax is present.What are the key findings of this report? [/INST] normal radiograph of the chest. </s> |
<s>[INST] asymmetric increased density and interstitial vascular prominence at the right lung base compared to the left lung base. otherwise, the lungs are clear. no pleural effusion. no pneumothorax. the descending aorta is tortuous, but stable compared to the prior exam. the cardiomediastinal silhouette and hila are unchanged. no acute osseous abnormality.What are the key findings of this report? [/INST] asymmetric interstitial markings and increased density in the right lower lung, which may represent an early pneumonia given the patient's clinical symptoms. vascular congestion is also possible but less likely in the absence of cardiomegaly. </s> |
<s>[INST] bilateral lower lobe predominant mild interstitial opacities continue to improve. there is minimal increase in bronchial wall thickening. no new focal opacity is detected. the heart is not enlarged. mediastinal contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. mild rightward curvature of the thoracolumbar spine is unchanged.What are the key findings of this report? [/INST] continued improvement in bilateral interstitial abnormalities. no evidence of pneumonia. </s> |
<s>[INST] ap upright and lateral views of the chest were obtained. vague opacity is noted in the left lower lobe, concerning for an early pneumonia. there is also subtle opacity in the right middle lobe. overall, findings suggest multifocal pneumonia. trace fluid tracks along the fissural planes. the upper lobes appear well aerated. overall, cardiomediastinal silhouette is stable. a mid thoracic compression deformity is unchanged. no new compression fractures.What are the key findings of this report? [/INST] subtle opacities in the lower lungs compatible with multifocal pneumonia. </s> |
<s>[INST] pa and lateral views of the chest provided. right chest wall single lead pacer is again noted with single lead extending into the region of the right ventricle. midline sternotomy wires and prosthetic cardiac valve are again seen. the heart remains moderately enlarged. the mediastinal contour is normal. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax seen. no signs of congestion or edema. imaged bony structures are intact. no free air below the right hemidiaphragm seen.What are the key findings of this report? [/INST] moderate cardiomegaly unchanged. no convincing signs of edema or pneumonia. </s> |
<s>[INST] ap upright chest radiograph is compared to radiograph performed approximately <num> hours prior. there has been placement of a right basal pigtail chest tube with interval decrease in size of a right pleural effusion now moderate in volume. no pneumothorax. otherwise unchanged.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] ap upright and lateral. there are low lung volumes, but the lungs are clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] interval insertion of an endotracheal tube in good position. the remaining support devices are in good position. previously described right apical pneumothorax is smaller and less apparent. improved aeration in the left lung base. otherwise, the lungs are unchanged and clear.What are the key findings of this report? [/INST] endotracheal tube is in good position. </s> |
<s>[INST] portable ap chest radiograph. the right pigtail catheter has been removed and replaced with a right chest tube which terminates in standard position. the lung has re-expanded and minimal, if any, air remains in the pleural cavity. bibasilar opacifications consistent with pneumonia are unchanged. subcutaneous emphysema tracking along the right hemithorax into the supraclavicular fossa is again noted. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. right pigtail catheter replaced by chest tube in standard position. right lung has reexpanded. <num>. bibasilar pneumonia as seen on multiple prior radiographs. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged reflecting mediastinal and hilar masses without clear change. pulmonary nodules appears similar. medial right suprahilar density with volume loss appears unchanged. there is no substantial pleural effusion. surgical clips are widespread in the upper abdomen. multiple vertebroplasties have been performed.What are the key findings of this report? [/INST] similar appearance of the chest with no definite superimposed findings. </s> |
<s>[INST] focal airspace opacity silhouetting the right heart border is noted posteriorly on the lateral view and is suggestive of the lying consolidation. bibasilar atelectasis is noted. the upper lungs are grossly clear. no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] right lower lobe pneumonia </s> |
<s>[INST] scattered radiation related to patient's size obscures the image; however, the cardiomediastinal and hilar contours remain stable. there appears to be increased haziness at the right base obscuring the right hemidiaphragm. there is no pneumothorax.What are the key findings of this report? [/INST] increased haziness at the right base which may be related to patient position or may be atelectasis with pleural effusion. </s> |
<s>[INST] pa and lateral views of the chest are provided. lungs are clear. cardiomediastinal silhouette is normal. bony structures are intact.What are the key findings of this report? [/INST] no acute findings in the chest. </s> |
<s>[INST] the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. the lungs are clear. there is no pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities seen.What are the key findings of this report? [/INST] normal chest radiograph. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate well-expanded lungs. again seen is a focal opacity at the right lower lobe, which represents a combination of a moderate-sized pleural effusion and adjacent atelectasis, and is slightly improved from the prior study dated <unk>. there is persistent atelectasis of the right middle lobe, which is seen as far back as <unk>. the aorta is tortuous. there is a small left-sided pleural effusion. the cardiomediastinal and hilar contours are unchanged.What are the key findings of this report? [/INST] moderate-sized pleural effusion with adjacent atelectasis at the right lung base is slightly improved from the prior study. </s> |
<s>[INST] there are increased bilateral pleural effusions, mild increase in cardiomegaly, and increased alveolar infiltrates bilaterally. the appearance of the lines and tubes are unchanged.What are the key findings of this report? [/INST] fluid overload. </s> |
<s>[INST] there is a new left pleural pigtail catheter present with a significant decrease in amount of left pleural fluid, now barely perceptible with only a small amount of pleural fluid noted laterally. mild atelectasis in the left lower lung zone. no pneumothorax is identified however there is a prominent skin fold which projects over the left lung apex and extends beyond the thoracic cage. there is a trace right pleural effusion with overlying atelectasis. unchanged pulmonary vascular congestion. the size of the cardiac silhouette is enlarged. degenerative changes around both shoulders.What are the key findings of this report? [/INST] interval placement of a left pigtail catheter with significant decrease in the left pleural effusion with only a small amount fluid seen along the left lateral pleural space. no pneumothorax is identified. trace right pleural effusion with subjacent atelectasis. </s> |
<s>[INST] heart size is top-normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear except for linear bibasilar atelectasis or scar. no pleural effusion or pneumothorax is seen. posterior lumbar fusion hardware is seen. dual-chamber pacer projects over the heart.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. mediastinal contours are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lung volumes are low and exaggerate the pulmonary vascular markings. et tube is in the lower trachea at <num> cm from the carina. right ij tip is in the upper svc. enteric tube traverses to the stomach. while the heart size is exaggerated due to technique, it is still enlarged. the superior mediastinum also appears prominent. there is enlargement of the pulmonary arteries and azygous vein. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] <num>. et tube in place in the lower trachea. <num>. lung volumes are extremely low. the heart and pulmonary arteries appear significantly enlarged, raising suspicion for a cardiac etiology. </s> |
<s>[INST] lung volumes are slightly decreased, and given this, there is an unchanged appearance to a basilar predominant edema and interstitial opacity superimposed upon emphysema, without significant pleural effusion, or pneumothorax. the cardiac silhouette remains mildly enlarged, mediastinal contours are unchanged without evidence of central venous engorgement.What are the key findings of this report? [/INST] given slight decrease in lung volumes, basilar prominent pulmonary edema and interstitial opacity is unchanged from <unk>. differential diagnosis is unchanged including atypical infection, acute interstitial pneumonitis, and is unlikely to be cardiogenic pulmonary edema. </s> |
<s>[INST] sternotomy wires appear intact and appropriately aligned. the lungs are well expanded and clear. no pulmonary edema. heart size is normal. no pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] dobbhoff tube is present and mild minimally coiled within the stomach, terminating in the gastric fundus. an endotracheal tube terminates <num> cm above the carina. a right and left central line are unchanged within the mid to distal superior vena cava. there is persistent left lower lobe collapse. a presumed small left pleural effusion is unchanged. the cardiac silhouette is mildly enlarged and the mediastinal contours are unchanged. dense mitral annular calcifications are appreciated. there is a paucity of air within the imaged upper abdomen. there is no free air on this semi erect study.What are the key findings of this report? [/INST] unchanged dobbhoff tube position. </s> |
<s>[INST] pa and lateral views of the chest were obtained. suture material is again noted in the right mid to upper lung. there is mild pulmonary edema without large pleural effusions or pneumothorax. the heart is within normal limits for size. mediastinal contour is normal. hilar vascular engorgement is noted. hardware partially visualized at the right proximal humerus. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] 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.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the heart is normal in size. the cardiac, mediastinal and hilar contours are within normal limits. the lungs are clear. there is no pneumothorax or pleural effusion. lumbar spinal fusion hardware is partially visualized. there is no change from prior radiographs <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] bilateral breast implants are seen. normal heart size, pulmonary vascularity. few biapical blebs, stable. no infiltrates. no pleural fluid.What are the key findings of this report? [/INST] no acute findings. </s> |
<s>[INST] heart size is mildly enlarged. the aorta is slightly tortuous with atherosclerotic calcifications noted at the knob. the pulmonary vasculature is not engorged. the hilar contours are normal. lungs are clear without focal consolidation, pleural effusion or pneumothorax. <num> mm calcified granuloma is seen in the left upper lobe. there are no acute osseous abnormalities. remote right distal clavicular fracture is noted.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] no focal consolidation is seen. there is minor linear left base atelectasis/ scarring. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top-normal. the mediastinal contours are unremarkable. no pulmonary edema is seen.What are the key findings of this report? [/INST] top-normal cardiac silhouette. otherwise, no acute cardiopulmonary process. </s> |
<s>[INST] a left-sided pacemaker remains in place. a right upper lobe consolidation with a component of volume loss is unchanged. small bilateral pleural effusions are unchanged, left greater than right. an airspace opacity at the left lung base may be due to infection and/or atelectasis. there is no pneumothorax. the cardiomediastinal silhouette is stable. right costophrenic angle opacification could be due to vessels or atelectasis, but the possibility of superimposed pneumonia would have to be considered in the appropriate clinical setting.What are the key findings of this report? [/INST] unchanged right upper lobe consolidation which is most compatible with pneumonia. stable retrocardiac airspace opacity which may be due to atelectasis or infection. stable small bilateral pleural effusions, left greater than right. </s> |
<s>[INST] lordotic positioning. there are low inspiratory volumes. heart size is at the upper limits of normal, but not frankly enlarged. there is upper zone redistribution and vascular plethora, consistent with mild chf. it is possible that the right hemidiaphragm is elevated. in addition, there is atelectasis and probably a small amount of fluid at the right base. there is patchy opacity in the retrocardiac region, consistent with left lower lobe collapse and/or consolidation. no gross joint effusion. note is made of surgical <unk> overlying the upper abdomen.What are the key findings of this report? [/INST] bibasilar atelectasis and right pleural effusion. the possibility of underlying pneumonic consolidation cannot be excluded. mild chf. </s> |
<s>[INST] a new nasogastric tube tip terminates within the stomach. re-demonstrated is a moderate-to-large left pleural effusion. left basilar opacification likely reflecting compressive atelectasis is again seen, though infection or aspiration is not excluded. right lung is grossly clear. there are low lung volumes. no pneumothorax is identified, and there is no right-sided pleural effusion.What are the key findings of this report? [/INST] nasogastric tube tip is within the stomach. </s> |
<s>[INST] the trachea is deviated rightward secondary to an enlarged thyroid. hazy opacities are seen in the right upper lobe, right lower lobe, and left lower lobe. these appears similar to the opacities seen on the recent ct scan, and likely represent an atypical infection. it does not appear to be worsening. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] <num>. multifocal pneumonia appears similar to recent ct scan and likely represents a viral or bacterial infection. would recommend serial chest radiographs until resolved. <num>. stable rightward tracheal deviation secondary to known enlarged thyroid. </s> |
<s>[INST] the lungs are well inflated and clear. no pleural effusion or pneumothorax. heart size, mediastinal contour, and hila are unremarkable. a left upper extremity access picc line terminates in the upper svc. bony structures are intact. note is made of clips and ivc filter in the upper abdomen.What are the key findings of this report? [/INST] <num>. left picc tip in upper svc. <num>. no acute intrathoracic process. </s> |
<s>[INST] since prior, there has been interval resolution of the previously seen bilateral pleural effusions. the lungs are now clear. the cardiomediastinal silhouette is within normal limits. surgical clips noted within the lower neck on the right as well as in the upper abdomen. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] right-sided port-a-cath terminates in the upper svc without evidence of pneumothorax.there is slight blunting of the left costophrenic angle which may be due to a trace pleural effusion with overlying atelectasis. subtle opacity at the left mid lung is nonspecific, underlying infection not excluded. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] trace left pleural effusion. left mid to lower lung opacity is nonspecific but in the appropriate clinical setting, could relate to pneumonia or small airways disease. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] two frontal images of the chest again demonstrate significant volume loss in the right pulmonary apex and thickened pleura. this could represent remote tb infection but is also concerning for a new neoplastic process. there is also some right upper lobe atelectasis and a small pleural effusion in the major fissure on the right. there are no major changes to the bilateral pleural effusions. chest tube is seen again in place on the right. cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] marked volume loss in right apex which could be old tb but is concerning for a neoplastic process. </s> |
<s>[INST] et tube tip lies approximately a <num> cm above the carina. ng tube tip extends beneath diaphragm, off film. no pneumothorax detected. cardiomediastinal silhouette is enlarged, but unchanged. hazy opacity at right base with underlying collapse and/or consolidation an increased retrocardiac density are also similar to the prior film. vascular plethora with interstitial edema and vascular blurring is also overall similar to the prior film.What are the key findings of this report? [/INST] appearance is overall similar to the film from <unk> at <time>. cardiomegaly, chf, bibasilar opacities are again seen, similar to the prior film. </s> |
<s>[INST] there are increased interstitial markings and increased size of small bilateral pleural effusions, greater on the left than the right. the left lower lobe is opacified and consolidation cannot be excluded. no pneumothorax is seen. the pulmonary vasculature is engorged, which is new from the prior study. the patient is status post median sternotomy with the inferior-most sternal wire broken, but alignment is preserved. the cardiac silhouette is mildly enlarged with calcified aortic knob and descending thoracic aorta, unchanged. the mediastinal contours are unchanged with marked tortuosity of the thoracic aorta. a left pectoral dual-lead pacemaker is unchanged in position, with leads terminating in the right atrium and right ventricle as well as epicardial leads implanted in the cardiac apex.What are the key findings of this report? [/INST] increased interstitial edema and small bilateral pleural effusions, greater on the left than the right, suggesting heart failure. possible new left lower lobe pneumonia. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate clear lungs. the heart, mediastinal and hilar contours are normal. no pleural abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral chest views were obtained with patient in upright position. there is moderate cardiac enlargement. the enlargement involves mostly the left ventricle which is prominent to the left and posteriorly. the thoracic aorta is generally widened and elongated most prominently in the mid portion of the descending aorta which bulges towards the left. there exists a few calcifications in the wall of the aorta at the level of the arch but no other local contour abnormalities are identified. the pulmonary vasculature is not congested. no signs of acute or chronic pulmonary abnormalities are seen, and the lateral and posterior pleural sinuses are free. no pneumothorax is present in the apical area. rather advanced degenerative changes are seen in the mid portion of the thoracic spine with multiple disc degenerations and prominent osteophytic reactions which at times are bridging. there is no evidence of vertebral body compression fracture or marked scoliosis. our records do not include a previous chest examination available for comparison.What are the key findings of this report? [/INST] moderate cardiac enlargement mostly involving the left ventricle. this exists together with a generally widened and elongated thoracic aorta. the rather isolated left ventricular enlargement is suggestive of volume overload possibly related to aortic valve incompetence, as there is no evidence of pulmonary congestion or acute infiltrates. referral to cardiologist to evaluate described radiographic cardiac abnormalities is recommended. </s> |
<s>[INST] since the chest radiograph obtained approximately <num> hours prior, the retrocardiac consolidation and left pleural effusion have increased in size. lung aeration is minimally improved. pulmonary vasculature remains prominent. no other significant changes.What are the key findings of this report? [/INST] worsening retrocardiac consolidation and left pleural effusion are concerning for a persistent left lower lobe pneumonia. </s> |
<s>[INST] heart size is borderline enlarged. the mediastinal contour for is unchanged. there is probable mild pulmonary vascular congestion without overt pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is present. hypertrophic changes are seen within the imaged thoracic spine.What are the key findings of this report? [/INST] probable mild pulmonary vascular congestion. no definite focal consolidation to suggest pneumonia. </s> |
<s>[INST] lungs are well expanded and clear. there is no pleural effusion or pneumothorax. heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac silhouette is mildly enlarged. the aorta is tortuous. kyphoplasty/vertebroplasty of a mid thoracic vertebral body is incidentally noted. no displaced fracture is identified.What are the key findings of this report? [/INST] enlarged cardiac silhouette. no focal consolidation. </s> |
<s>[INST] aside from right lower lobe atelectasis, the lungs are clear. the hilar and cardiomediastinal contours are normal. there is no pneumothorax. there is no pleural effusion. pulmonary vascularity is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] as compared to prior chest radiograph from earlier today, pulmonary vascular congestion has improved. the cardiac silhouette is mildly enlarged. there is no focal consolidation or pneumothorax. previously identified density projecting over the spine beneath the left hemidiaphragm, is not seen on current examination. trace effusions are seen bilaterally.What are the key findings of this report? [/INST] interval improvement of pulmonary vasculature congestion. previously identified density projecting over the spine beneath the left hemidiaphragm is not visualized. </s> |
<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> |
<s>[INST] frontal and lateral views of the chest were obtained. streaky bilateral mid lung linear atelectasis is seen. right basilar opacity may be due to atelectasis, although an early infectious process is not excluded in the appropriate clinical setting. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] minimal bilateral mid lung linear atelectasis/scarring. subtle patchy right basilar opacity may be due to atelectasis, although an early infectious process is not excluded in the appropriate clinical setting. </s> |
<s>[INST] patient is status post right mastectomy and bilateral axillary lymph node dissection. additionally, there has been apparent wedge resection in the inferior segment of the lingula. cardiomediastinal contours are stable in appearance. heterogeneous opacities in the right mid and lower lung are new compared to the prior chest radiograph and apparently new since a more recent thoracic spine radiograph of <unk>. several healed rib fractures are present in the right hemithorax and it is possible that a component of the opacities are related to the chest wall and pleura. there is no evidence of pleural effusion or pneumothorax. severe compression deformity at t<num> has been treated by vertebroplasty in the interval. mild compression deformities at t<num> and t<num> are radiographically unchanged since <unk>.What are the key findings of this report? [/INST] new heterogeneous opacities in the right mid lung, possibly due to a combination of parenchymal, pleural and rib abnormalities in the setting of a healed right rib fractures. consider chest ct for more complete characterization. </s> |
<s>[INST] patient is status post median sternotomy. heart size is mildly enlarged but similar. lung volumes are low with patchy opacities in the lung bases likely reflective of atelectasis. no focal consolidation, large pleural effusion or pneumothorax is present. crowding of bronchovascular structures is present.What are the key findings of this report? [/INST] low lung volumes with bibasilar atelectasis. </s> |
<s>[INST] right picc is again seen with tip overlying the upper svc. left pigtail catheter is no longer visualized. there is near complete opacification of the left hemi thorax. there is no pneumothorax. the right lung is grossly unremarkable noting mild blunting of the right lateral costophrenic angle potentially due to small effusion.What are the key findings of this report? [/INST] interval progression of left-sided pleural effusion with near complete opacification of the left hemi thorax. prior left pigtail catheter is no longer visualized. </s> |
<s>[INST] pa and lateral chest radiographs demonstrate clear lungs bilaterally. there is no focal consolidation convincing for pneumonia. cardiomediastinal and hilar contours are within normal limits. there is no evidence of pneumothorax, pleural effusion, or pulmonary edema. imaged upper abdomen is without air under the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic abnormality </s> |
<s>[INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. no evidence of retained tooth fragments is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no evidence of retained tooth fragments on this exam. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the heart is of normal size with unremarkable cardiomediastinal contours. lung volumes are low and small right atelectasis is present. lungs are otherwise clear without focal or diffuse abnormality. no pleural effusion or pneumothorax is identified. the catheter of a right chest wall port, which has been accessed, terminates in the right atrium. the osseous structures are unremarkable.What are the key findings of this report? [/INST] low lung volumes with atelectasis. no pleural effusion. </s> |
<s>[INST] the cardiomediastinal and hilar contours are normal. subtle increase in opacities in the right lung base, overlying the right lower lobe in the lateral view, are worrisome for pneumonia. no edema, pleural effusion or pneumothorax is seen.What are the key findings of this report? [/INST] right lower lobe pneumonia. recommend followup chest radiographs in six to eight weeks after treatment to document resolution. findings discussed with dr.<unk> on <unk>. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette. there is mild enlargement of the hila. a left lower lobe consolidation is concerning for pneumonia. there is a peculiar constellation of linear structures in the right lung extending from the right hilus, where it is thicker, to the periphery. these structures are of unclear etiology. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. left lower lobe pneumonia. <num>. peculiar constellation of linear structures in the right lung, of unclear etiology. unless there are pertinent findings in the clinical history to explain this, a ct chest may be required for further evaluation. the timing of the this ct, however, should be dictated by progression of the left lower lobe pneumonia. these findings were communicated via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>. </s> |
<s>[INST] pa and lateral views of the chest provided. a catheter projects over the right chest wall with its tip residing in the region of the superior vena cava. the heart is moderately enlarged. mild central hilar congestion is noted. streaky opacity persists in the left upper lobe which likely represents a scarring at the site of previous pneumonia. no definite effusion or pneumothorax. bony structures are intact. mild compression deformities in the mid-to-lower t spine again noted.What are the key findings of this report? [/INST] mild-to-moderate cardiomegaly. streaky left upper lobe opacity likely scarring in the setting of old pneumonia. mild central hilar congestion. </s> |
<s>[INST] ap portable upright view of the chest. dialysis catheter again seen terminating in the region of the right atrium. midline sternotomy wires and mediastinal clips are again noted. a peg tube projects over the left upper quadrant. clips are noted in the right upper quadrant. bilateral pigtail chest tubes are in place as on prior. tracheostomy tube projects over the superior mediastinum. cardiomegaly is unchanged. there is mild retrocardiac opacity which appear similar to prior and may represent left lower lobe consolidation with possible small effusion. right lung is grossly clear without significant pleural effusion. hila appear somewhat congested. no frank pulmonary edema. no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] lines and tubes in place. retrocardiac opacity may represent persistent pneumonia and small pleural effusion. </s> |
<s>[INST] ap upright and lateral views of the chest provided. lungs are clear. no large effusion or pneumothorax. heart size appears stably enlarged. mediastinal contour is normal. chronic deformity of the sternum noted. mid thoracic compression deformities are unchanged.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] frontal and lateral views of the chest are obtained. there is a small right pleural effusion. no definite focal consolidation is seen. the left lung is clear. there is no left pleural effusion. no evidence of pneumothorax is seen. the cardiac silhouette remains mildly enlarged without overt pulmonary edema. mediastinal and hilar contours are stable.What are the key findings of this report? [/INST] small right pleural effusion with overlying atelectasis. mild cardiomegaly persists. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. again seen, there are bibasilar opacities which may be due to chronic atelectasis/scarring, similar in appearance compared to prior. no definite focal consolidation is seen. no large pleural effusion or pneumothorax is seen. the cardiac silhouette is mild-to-moderately enlarged. the aorta is calcified and tortuous.What are the key findings of this report? [/INST] bibasilar opacities, most likely representing scarring/atelectasis. </s> |
<s>[INST] endotracheal tube terminates <num> cm above level the carina. enteric tube courses in the left upper quadrant terminating in the proximal stomach, however, side port appears in the distal esophagus. there has been interval placement of right internal jugular venous catheter which terminates at the cavoatrial junction without evidence of pneumothorax. there are low lung volumes. patchy left perihilar and left basilar opacities are nonspecific but could be due to atelectasis or aspiration. subcentimeter left upper lobe calcified nodules likely present calcified granulomas. no pleural effusion is seen. cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] right internal jugular central venous catheter terminates at the cavoatrial junction without evidence of pneumothorax. enteric tube has withdrawn somewhat, with side port now in the distal esophagus, distal tip in the proximal stomach. suggested advancement so that the side port is well within the stomach. subtle left perihilar and left basilar patchy opacities are nonspecific could be due to atelectasis or aspiration. </s> |
<s>[INST] lungs are hyperinflated with flattening of the diaphragms. heart size is normal. aortic knob calcifications are present. mediastinal contour is unremarkable. there is mild perihilar haziness and vascular indistinctness compatible with mild pulmonary edema. no focal consolidation, pleural effusion or pneumothorax is demonstrated. <num> mm nodular opacity within the left apex appears new in the interval. hypertrophic changes are demonstrated within the thoracic spine.What are the key findings of this report? [/INST] mild pulmonary edema. <num> mm nodular opacity projecting over the left apex, not clearly demonstrated on the previous exams. this can be further assessed with a chest ct on a nonemergent basis. </s> |
<s>[INST] evaluation of the lateral radiograph is limited due to oblique patient positioning. apparent mild improvement in a persistent moderate right pleural effusion is likely related to differences in patient positioning on the current study compared to <unk>. underlying right basilar atelectasis is unchanged. the left lung is grossly clear. there is no pneumothorax. right apical scarring appears symmetrical. the cardiac, mediastinal and hilar contours are within normal limits and unchanged. embolization coils project along the right anterior mediastinum. a large radiopaque lesion in the right hepatic lobe is compatible with the patient's known hcc status post tace.What are the key findings of this report? [/INST] mild apparent improvement in moderate right pleural effusion is likely related to patient positioning. stable right basilar atelectasis. </s> |
<s>[INST] borderline heart size, more prominent since prior. normal pulmonary vascularity. no edema. mild bibasilar opacities, more prominent on the right,, likely atelectasis. . no effusion. no pneumothorax.What are the key findings of this report? [/INST] mild bibasilar opacities, likely atelectasis. </s> |
<s>[INST] again seen are posterior fixation hardware in the thoracic spine, unchanged in position. elevation of the right diaphragm appear unchanged since <unk>. minimal right pleural effusion is seen. the lungs are clear. there is no evidence for pulmonary edema or focal pneumonia. the heart size is normal. the mediastinum and hilar contours are unchanged and normal.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] the endotracheal tube ends <num> cm above the carina. an orogastric tube ends off of the radiograph. pulmonary vascular congestion is new since <unk>. bibasilar opacities are most consistent with atelectasis. the cardiac and mediastinal contours are stable. three sternotomy wires are fractured, unchanged since <unk>. no pleural effusion or pneumothorax identified.What are the key findings of this report? [/INST] pulmonary vascular congestion is new since <unk>. appropriate endotracheal tube and nasogastric tube placement. </s> |
<s>[INST] pa and lateral chest radiographs are taken with the patient in the upright position. heart is of top normal size. cardiomediastinal silhouette is unremarkable. lungs are hyperexpanded and clear with no evidence of focal consolidation to suggest pneumonia. no pleural effusions. no pneumothorax. normal pulmonary vasculature.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia. </s> |
<s>[INST] mild to moderate enlargement of the cardiac silhouette is re- demonstrated. the mediastinal and hilar contours are similar. mild pulmonary pulmonary edema persists. unchanged ill-defined opacities are again seen within the right mid lung field and left upper lobe and perihilar regions without new focal consolidation. no pleural effusion or pneumothorax is detected.What are the key findings of this report? [/INST] no substantial interval change from the prior study. persistent mild pulmonary edema. unchanged opacities in the left upper lobe, left perihilar region and right mid lung field concerning for multifocal pneumonia. </s> |
<s>[INST] there is a moderate right and a small left pleural effusion with adjacent atelectasis. the cardiomediastinal silhouette and hilar contours are unchanged, with mild cardiomegaly. there is mild pulmonary edema. no pneumothorax is seen.What are the key findings of this report? [/INST] <num>. moderate right and small left pleural effusions with atelectasis at the bases. <num>. mild pulmonary edema and cardiomegaly. </s> |
<s>[INST] the lungs are clear. there is no focal consolidation, effusion, or edema. 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> |
<s>[INST] ap and lateral chest radiographs are provided. lung volumes are low. there is crowding of the pulmonary vasculature in the upper lung zones. patchy opacities at the bases may represent atelectasis; however, underlying infectious process cannot be excluded. the previously seen left lower lobe opacity is less conspicuous on the current study. cardiomediastinal silhouette is unremarkable allowing for the ap view. there are no concerning osseous lesions.What are the key findings of this report? [/INST] low lung volumes with bibasilar opacities which may represent atelectasis; however, underlying infectious shows process cannot be excluded. </s> |
<s>[INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. a faint linear density abuts the left heart border likely a small area of platelike atelectasis or scarring. 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> |
<s>[INST] the cardiac, mediastinal and hilar contours appear stable. there are no pleural effusions or pneumothorax. the lungs appear clear. an anterior flowing syndesmophyte is noted along mid through lower thoracic levels.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] ap upright 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> |
<s>[INST] there is a right picc line terminating at the cavoatrial junction, unchanged. cardiomediastinal silhouette is stable. there has been worsening of bilateral effusions, right side greater than left. underlying consolidation would be difficult to exclude. there is no pneumothorax. bones in the upper abdomen are grossly unremarkable.What are the key findings of this report? [/INST] increase in size of bilateral effusions. superimposed consolidation however cannot be excluded. </s> |
<s>[INST] patient is status post radiofrequency ablation of <num> left lung nodules in the area of the lingula lobe.there is new opacity of the left mid lung consistent with hemorrhage and postoperative changes of the lingular lobe. there is also significant volume loss in the left hemithorax with elevation of the left hemidiaphragm with atelectasis of the left lower lobe. patient is status post previous right lower lobe wedge resection with postoperative changes in the right base. no pleural effusion or pneumothorax or pneumomediastinum is seen. cardiac silhouette is enlarged and likely unchanged given differences in technique and position.. the stomach is distended.What are the key findings of this report? [/INST] new opacity of the left mid lung consistent with hemorrhage and postoperative changes in the lingula. left lower lobe atelectasis with volume loss in the left lung. no pneumothorax or pneumomediastinum. </s> |
<s>[INST] since prior, with there has been development of opacities in the left mid lung as well as the right base, findings could represent aspiration. the heart and mediastinal contours are unchanged. there is no pleural effusion or pneumothorax. a right picc ends in the distal svc.What are the key findings of this report? [/INST] developing opacities in the left mid lung and right base could represent aspiration in the correct clinical setting. </s> |
<s>[INST] ap upright 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. scoliosis is similar to prior. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and unremarkable. chronic pulmonary vascular engorgement is again seen. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no displaced fracture seen. if high clinical concern for rib fracture, consider dedicated rib series, which is more sensitive. </s> |
<s>[INST] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no effusion or pneumothorax. the cardiomediastinal silhouette is normal. osseous and soft tissue structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there has been a slight interval improvement in the pulmonary vascular congestion and bilateral pulmonary edema. no definite focal consolidation is seen. there is no pneumothorax or definite pleural effusion. there is moderate cardiomegaly, stable compared to exams dated back to at least <unk>. the hilar and mediastinal contours are unchanged.What are the key findings of this report? [/INST] <num>. no new definite opacities suggestive of pneumonia identified. <num>. slight interval improvement of the bilateral pulmonary vascular congestion and pulmonary edema. </s> |
<s>[INST] the et tube is in stable position, terminating <num> cm above the carina. there is stable position of right chest pacer device with associated dual leads projecting in unchanged position approximately over the right atrium and right ventricle. multiple median sternotomy wires and mediastinal surgical clips are again seen. left chest tube is in stable position. enteric tube again seen in stable position with tip projecting of left hemidiaphragm, consistent with known large hiatal hernia. there is a pa catheter are in stable position. there is leftward rotation on the current radiograph. the cardiomediastinal silhouette is unchanged. in comparison to prior radiograph, there is increased opacification at the right lung base and indistinctness of the right lateral cp angle, consistent with new small right layering pleural effusion. there is no left effusion. there is continued retrocardiac opacification obscuring the left hemidiaphragm, consistent with ongoing left lower lobe volume loss, possibly atelectasis. there is no evidence of pulmonary vascular congestion. there is no pneumothorax.What are the key findings of this report? [/INST] stable lines and tubes. new small right layering pleural effusion, may represent small hemothorax. otherwise no significant interval changes. </s> |
<s>[INST] heart size is top-normal. the aorta remains mildly tortuous. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. numerous punctate calcifications throughout the lungs are unchanged. no focal consolidation, pleural effusion or pneumothorax is seen. there mild degenerative changes in the thoracic spine. possible loose body is noted in the right glenohumeral joint.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. numerous punctate calcifications throughout the lungs remain unchanged, likely due to healed infection such as varicella. </s> |
<s>[INST] patient is status post median sternotomy and cabg. heart size is normal. coronary artery stenting is noted. the aorta is tortuous. mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. lungs are hyperinflated. subsegmental atelectasis in the lung bases is present without focal consolidation. no pleural effusion or pneumothorax is seen. moderate degenerative changes are noted in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] pa and lateral chest radiographs demonstrate clear lungs. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] normal chest radiographs. </s> |
<s>[INST] semi-erect portable ap view of the chest are provided. there has been interval placement of a endotracheal tube which terminates approximately <num> cm above the carina. there is no pneumothorax. an enteric tube projects below the left hemidiaphragm and terminates in the expected location of the stomach. lung volumes are low and causes crowding in the central bronchovascular structures. opacities in the lung bases likely represents atelectasis. there is no large effusion. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] portable frontal radiograph of the chest demonstrates low lung volumes. heart size is normal with normal mediastinal and hilar contours. focal opacity at the left lung base. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] focal opacity at the left lung base could reflect atelectasis, aspiration or pre-existing mass. recommendation further evaluation with conventional pa and lateral radiographs. </s> |
<s>[INST] pa and lateral views of the chest provided. dual lead aicd appears unchanged in position. there is no focal consolidation, edema or pneumothorax. trace right pleural effusion is noted. cardiomediastinal silhouette is stable with top-normal heart size. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] top normal heart size with trace right pleural effusion. </s> |
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