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<s>[INST] the lungs are clear without focal opacity, pulmonary edema, pleural effusion or pneumothorax. the cardiac and mediastinal contours are normal. no acute osseous abnormality identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] mild cardiomegaly is chronic. the hilar and mediastinal contours are normal. a left-sided transvenous pacer lead ends in the right atrium. the lungs are well expanded and clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] left-sided pacer ends in the right atrium. no complications. </s> |
<s>[INST] pa and lateral views of the chest. there is no focal consolidation, pleural effusion, or pneumothorax. the cardiomediastinal hilar contours are normal. there is slight increase in interstitial markings which may represent chronic interstitial lung disease. there is deviation of the trachea at the thoracic inlet to the right likely from an enlarged left thyroid lobe.What are the key findings of this report? [/INST] increased interstitial markings may represent chronic interstitial lung disease. no acute abnormality. </s> |
<s>[INST] lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clips noted in the upper abdomen. posterior fixation hardware is partially visualized in the cervical spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap portable upright view of the chest. midline sternotomy wires, aicd and lvad again noted. the lvad appears in unchanged position. feeding tube and picc line has been removed. the heart remains stably enlarged. the right lung is clear. apparent blunting of the left cp angle could reflect small left pleural effusion. mediastinal contour is stable. no pneumothorax. bony structures intact.What are the key findings of this report? [/INST] stable cardiomegaly with probable left pleural effusion. lvad in place. </s> |
<s>[INST] the ett terminates <num> cm above the carina. there is a right ij, which terminates in the mid svc. the ng tube courses below the diaphragm, however the tip is not visualized. sternotomy wires appear intact and appropriately aligned. the bilateral pleural effusions with bibasilar atelectasis are unchanged. moderate pulmonary edema also unchanged. heart size is stable. the mediastinal and hilar contours are stable. no pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. all lines and tubes in appropriate positioning. <num>. unchanged moderate pulmonary edema, bilateral pleural effusions and compressive atelectasis. </s> |
<s>[INST] cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the cardiomediastinal silhouette is stable. an opacity at the right lung base likely represents atelectasis and adjacent eventration of the diaphragm, not significantly changed from multiple prior examinations. lungs remain markedly hyperexpanded. vascular calcifications are dense. there is no evidence of pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] from chest radiograph earlier today further significant interval decrease in the right-sided pleural effusion with essentially complete resolution. minimal basal atelectasis in the right lung. the left lung is relatively clear. the heart is not enlarged. tiny right apical pneumothorax.What are the key findings of this report? [/INST] further significant interval decrease in right-sided effusion with essentially complete resolution. tiny right apical pneumothorax. </s> |
<s>[INST] an et tube is present. the tip is not well delineated but is probably similar in position, approximately <num> cm above the carina. an ng tube is present, tip beneath diaphragm, off film. a left subclavian central line is present, tip over svc/ra junction or possibly upper right atrium. bibasilar opacities and smallright-greater-than-left bilateral effusions with vascular plethora are similar to the prior study. as before, while this may reflect pulmonary edema, the differential could include a pneumonic infiltrate.What are the key findings of this report? [/INST] doubt significant interval change compared <num> day earlier. </s> |
<s>[INST] pa and lateral radiographs of the chest. there is unchanged enlargement of the cardiac silhouette. there is pulmonary vascular congestion and pulmonary edema. there are bilateral moderate pleural effusions. bibasilar opacities are likely compressive atelectasis; however, underlying pneumonia is not excluded. no pneumothorax. no displaced rib fracture identified, although dedicated rib series or ct are more sensitive.What are the key findings of this report? [/INST] evidence of fluid overload with pulmonary edema and bilateral pleural effusions. no fracture seen, please note dedicated rib series or chest ct are more sensitive. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates mildly hypoinflated lungs with crowding of vasculature and mild left lower lobe atelectasis. no pleural effusion or pneumothorax. the heart is mildly enlarged. mediastinal contour and hila are unremarkable.limited assessment of the upper abdomen is within normal limits.What are the key findings of this report? [/INST] <num>. mild left lower lobe atelectasis. no evidence of pneumonia. please refer to same day ct chest for further details. <num>. mild cardiomegaly. </s> |
<s>[INST] postoperative cardiomediastinal silhouette and hilar contours are stable. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process; specifically, no evidence of pneumonia. </s> |
<s>[INST] ap single view of the chest has been obtained with patient in semi-upright position. patient is now intubated, the ett terminating in the trachea <num> cm above the level of the carina. an ng tube has been passed and reaches well below the diaphragm. the positions of the diaphragms is more elevated than before related to the recent surgery. this results in crowded appearance of the pulmonary vasculature and some degree of perivascular haze. however, no evidence of large pleural effusions as the lateral sinuses remain acute. also, there is no evidence of pneumothorax in the apical area. right internal jugular approach central venous line is seen to terminate in the right-sided mediastinum at the level of the carina. this corresponds to the mid portion of the svc.What are the key findings of this report? [/INST] increased pulmonary congestion. poor inspirational effort, but no evidence of pneumothorax, acute infiltrates or massive pleural effusion. </s> |
<s>[INST] pa and lateral views of the chest provided. lung volumes are low limiting assessment. allowing for this, 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. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.What are the key findings of this report? [/INST] no focal consolidation. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. there is bibasilar atelectasis, most prominent at the left lung base. increased opacity in the left lower lobe could reflect early pneumonia. there are probable small bilateral pleural effusions. no pneumothorax is identified.What are the key findings of this report? [/INST] bibasilar atelectasis, worse on the left. increased opacity in the left lower lobe could reflect early pneumonia. clinical correlation recommended and short interval follow up recommended to document resolution. </s> |
<s>[INST] pa and lateral views of the chest. left chest wall dual lead pacing device is again seen with leads in stable position. the lungs are clear of focal consolidation or effusion. there is no pneumothorax. cardiomediastinal silhouette is stable. no acute osseous abnormality. no free air seen below the diaphragm.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] allowing for differences technique cardiomediastinal silhouette is unchanged. bilateral parenchymal opacities right more than left have slightly progressed as compared to the examination and given the short time interval and asymmetry are likely due superimposed edema. there is no large effusion or pneumothorax.What are the key findings of this report? [/INST] progression of bilateral hazy opacities likely represents increased edema on a background of interstitial lung disease. </s> |
<s>[INST] tip of the left-sided port-a-cath terminates in the mid svc. right greater than left pleural-parenchymal scarring is overall similar to <unk>. coarsening of the interstitial markings is most pronounced at the lung bases, consistent with interstitial lung disease. no new consolidation to suggest pneumonia. no pleural effusion or pneumothorax. cardiomediastinal contours are normal.What are the key findings of this report? [/INST] <num>. no acute pneumonia. <num>. bibasilar reticular opacities, likely due to underlying interstitial lung disease. </s> |
<s>[INST] pa and lateral views of the chest. no prior. there is blunting of the posterior costophrenic angles and the lateral left costophrenic angle as well. the lungs are clear of consolidation or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] small bilateral pleural effusions. no other acute process in the chest. </s> |
<s>[INST] the view is lordotic. the heart is at the upper limits of normal size. the aorta is moderately tortuous. the mediastinal and hilar contours appear unremarkable. there is a patchy opacity in the right costophrenic sulcus, probably atelectasis, although it is difficult to exclude a small pleural effusion. no definite pleural effusion is seen, however. there is no pneumothorax.What are the key findings of this report? [/INST] no definite acute disease. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. the bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] the lungs are well-expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. again seen is a dual-lead left-sided aicd with leads extending to the expected positions of the right atrium and right ventricle. minimal thickening of the minor fissure is again seen. the cardiac silhouette is again top normal to mildly enlarged with mild prominence of the central pulmonary vasculature without overt pulmonary edema. no large pleural effusion is seen. there is no evidence of pneumothorax. there is mild bibasilar atelectasis without focal consolidation seen. mediastinal and hilar contours are stable.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] lung volumes are relatively low. bibasilar opacities are likely secondary to atelectasis. superiorly, lungs are clear. there is no large effusion or overt edema. the cardiomediastinal silhouette is grossly within normal limits and portable technique and low lung volumes. no acute osseous abnormalities.What are the key findings of this report? [/INST] no definite acute cardiopulmonary process. </s> |
<s>[INST] the lungs are well expanded without focal opacities. the cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] a large right-sided pleural effusion with balanced mass effect and probable associated atelectasis has developed since the prior radiographs. the left lung remains clear. the lateral view suggests a small pleural effusion on the left. there is no pneumothorax. a healed left posterolateral eighth rib fracture appears unchanged.What are the key findings of this report? [/INST] large new right-sided pleural effusion. </s> |
<s>[INST] bilateral pulmonary edema mildly increased from prior, now affecting the apex. the right moderate subpulmonic effusion is seen. the cardiomediastinal silhouette is unchanged from prior.What are the key findings of this report? [/INST] mildly increased pulmonary edema and moderate right subpulmonic effusion. </s> |
<s>[INST] lung volumes are low which leads to bronchovascular crowding. there is atelectasis at the left lung base. scattered opacities are seen in the right upper lung zone compatible with metastatic disease, which are better assessed on prior ct from <unk>. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. a left upper extremity picc terminates at the cavoatrial junction, as before.What are the key findings of this report? [/INST] <num>. low lung volumes with atelectasis at the left lung base. no focal consolidation. <num>. known bilateral pulmonary metastases better evaluated on prior ct chest <unk> <unk>. <num>. picc terminating in the cavoatrial junction. </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] right picc terminates in the upper svc. icd is seen with leads terminating in the expected locations of the right atrium and right ventricle. there is no pleural effusion or pneumothorax. no definite consolidation is seen. the lungs are hyperinflated as compared to prior. apical calcifications are seen with ct correlate done <unk>. cardiomediastinal silhouette is stable in appearance as compared to <unk>.What are the key findings of this report? [/INST] no new findings to explain the interval white count rise on this pa and lateral chest radiograph </s> |
<s>[INST] lungs are fully expanded and clear. no pleural abnormalities. heart size is intervally enlarged, but remains normal. cardiomediastinal and hilar silhouettes are normal.What are the key findings of this report? [/INST] normal chest. </s> |
<s>[INST] pa and lateral views of the chest demonstrate the lungs are well expanded, with a hazy opacity in the right lung base with mild peribronchial cuffing. the heart is top normal in size. no focal consolidation is identified. there is no effusion and no pneumothorax.What are the key findings of this report? [/INST] findings compatible with mild pulmonary edema. however, please note that the differential could include other causes of increased interstial markings, including infectious infiltrates. </s> |
<s>[INST] heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear. within the imaged portion of the upper abdomen, distended loops of bowel are incompletely imaged and cannot be fully evaluated.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary radiographic abnormality. <num>. incompletely imaged bowel distention in upper abdomen. if symptoms are referable to the abdomen, dedicated abdominal radiographs would be suggested. </s> |
<s>[INST] there is however a new moderate right pneumothorax along with new subcutaneous air in the neck and pectoral regions bilaterally. there is no significant shift of the mediastinal structures at this time. lucency is also noted under the left hemidiaphragm and may be representative of a subpulmonic portion of the pneumothorax. the swan-ganz catheter, endotracheal tube, and bilateral chest tubes have since been removed. a right ij sheath appears in place with the tip at the junction of the right subclavian and internal jugular veins. post-surgical changes are again noted with intact cabg wires. there is a small left pleural effusion; otherwise, the lungs are without focal consolidation. cardiac silhouette appears stable.What are the key findings of this report? [/INST] new moderate right pneumothorax with new bilateral air in the neck and chest subcutaneous tissues. while there is no significant shift of the midline structures at this time, close continued followup is recommended. these findings were discussed by dr. <unk> with <unk> via telephone at <time> a.m. on <unk>. </s> |
<s>[INST] there is minimal left basilar atelectasis without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are unchanged. pulmonary vascularity is normal. minimal right basilar patchy opacity likely reflects atelectasis, and blunting of the right costophrenic angle appears chronic, likely due to either a small pleural effusion or pleural thickening/scarring. there is no pneumothorax. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no interval change from the prior exam without acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs are hyperinflated. there is a region of consolidation in the lingula. there also regions of increased opacity in the retrocardiac region and at the right lung base confirmed on the lateral view. superiorly the lungs are clear with suggestion of underlying emphysema. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality.What are the key findings of this report? [/INST] emphysema with regions of consolidation in the left upper lobe and potentially bilateral lower lobes compatible with pneumonia. recommend repeat after treatment to document resolution. </s> |
<s>[INST] the inspiratory lung volumes are appropriate. no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax is detected. the pulmonary vasculature is not engorged and there is no evidence of pulmonary edema. cardiac silhouette is normal in size. the mediastinal and hilar contours are within normal limits. port-a-cath terminates at the level of the mid svc. degenerative changes are noted along the mid thoracic spine.What are the key findings of this report? [/INST] no radiographic evidence of an acute cardiopulmonary process. these findings discussed with <unk> by dr. <unk> <unk> telephone on <unk> at <time> p.m., time of discovery. </s> |
<s>[INST] pa and lateral view of the chest demonstrates clear lungs. the cardio mediastinal silhouette and hilar contours are unremarkable. there is no pleural effusion, edema or pneumothorax. no rib fractures are identified.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. no evidence of rib fracture although chest x-rays are insensitive and dedicated rib films are recommended corresponding to the spot of the patient's pain if there is clinical concern. </s> |
<s>[INST] there is a small left pleural effusion. bibasilar consolidations are demonstrated. paucity of the pulmonary vasculature consistent with known history of emphysema. slight improvement of postoperative left chest wall subcutaneous emphysema. left pleural drain is in place. no pneumothorax. slight improvement of pneumomediastinum. degenerative changes of thoracic spine.What are the key findings of this report? [/INST] <num>. no pneumothorax. slight improvement of left chest wall subcutaneous emphysema. <num>. small left pleural effusion. <num>. bibasilar consolidations could represent atelectasis or pneumonia in the appropriate clinical setting. <num>. stable emphysema. </s> |
<s>[INST] lower lung volumes seen on the current exam. the lungs remain clear of focal consolidation, effusion, or edema. the cardiomediastinal silhouette is stable. bilateral hilar enlargement compatible with underlying adenopathy, better characterized on prior ct.What are the key findings of this report? [/INST] no acute cardiopulmonary process. recommendations for followup per prior chest ct. </s> |
<s>[INST] compared to the prior study there is no significant interval change. there continues to be a pneumopericardium. the surrounding appearance of the lungs is unchanged. moderate cardiomegaly is unchanged et tube and ng tube are unchanged.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] severe patchy alveolar pulmonary edema has slightly improved compared to <num> hr prior. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size. right picc terminates in low svc. dobbhoff tube terminates in the stomach.What are the key findings of this report? [/INST] severe alveolar pulmonary edema is slightly improved compared to <num> hr prior. differential also includes pulmonary hemorrhage, ards, and multifocal pneumonia. </s> |
<s>[INST] insertion of a right-sided pigtail catheter. no pneumothorax. minimal interval decrease in the moderate right-sided pleural effusion. given for differences in technique the left pleural effusion has not significantly changed. there is basal atelectasis. no interstitial edema. moderate cardiomegaly.What are the key findings of this report? [/INST] no pneumothorax after right pigtail catheter insertion. slight interval decrease in the right-sided moderate effusion. </s> |
<s>[INST] there is a tracheostomy in-situ. , unchanged in appearance compared to a prior chest radiograph from <unk>. lung volumes are unchanged. there is unfolding of the thoracic aorta, unchanged compared to the prior study. no consolidation, pneumothorax or pleural effusion seen. there is mild cardiomegaly with prominence of the pulmonary vasculature consistent with mild congestive heart failure. there is a large distended air filled loop of bowel in the central upper abdomen consistent with a markedly distended sigmoid colon. no free air seen.What are the key findings of this report? [/INST] findings consistent with mild congestive heart failure. </s> |
<s>[INST] cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is. lungs are clear. no pleural effusion or pneumothorax is demonstrated. no acute osseous abnormality.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap portable upright view of the chest. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact.What are the key findings of this report? [/INST] no acute intrathoracic process </s> |
<s>[INST] cardiomediastinal contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkableWhat are the key findings of this report? [/INST] no acute cardiopulmonary abnormalities </s> |
<s>[INST] the lungs are mildly hypoinflated with crowding of vasculature. no pneumothorax. interval increase in size of a small right and moderate left pleural effusion with fluid in the left major fissure. left basilar opacity noted. aortic arch calcifications are present. right hilar prominence is stable. visualized cardiomediastinal silhouette is unremarkable. right picc tip in the low svc.What are the key findings of this report? [/INST] <num>. interval increase in small right and moderate left pleural effusion. <num>. left basilar opacity may represent combination of pleural effusion and atelectasis however superimposed infection cannot be excluded. clinical correlation recommended. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph. a preliminary read was provided via telephone by dr. <unk> to dr. <unk> at <unk> on <unk>. </s> |
<s>[INST] again seen is a right internal jugular central line at the cavoatrial junction. a nasogastric tube courses into the stomach. drains are present over the left hemithorax. compared to the prior radiograph, there has been no change in the appearance of the lung parenchyma. the cardiomediastinal silhouette is also stable. there is a layering left effusion, similar to the prior exam.What are the key findings of this report? [/INST] no change compared to the prior study. </s> |
<s>[INST] pa and lateral views of the chest provided. patient is status post cervical spinal fusion. fiducial seeds within a right infrahilar mass with adjacent linear scarring are unchanged. moderate atelectatic changes at the right lung base are unchanged. mild elevation of the hemidiaphragm is stable. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] right infrahilar mass with peripheral linear scarring and fiducial seeds is unchanged. no new masses. </s> |
<s>[INST] heart size is normal. cardiomediastinal contour is unchanged. there is mild prominence of the central pulmonary vasculature and re- demonstration of mildly increased reticulation with some fluid seen tracking along the right major fissure. there is no dense consolidation. pleural surfaces are clear without effusion or pneumothorax.What are the key findings of this report? [/INST] mild interstitial pulmonary edema and vascular congestion. no dense consolidation to suggest pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there has been no significant interval change since the prior study. again, there are relatively low lung volumes and mild elevation of the right hemidiaphragm. the cardiac and mediastinal silhouettes are unremarkable. interstitial opacities in the mid-to-lower lung fields are stable consistent with known interstitial lung disease.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] the lungs are clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is top-normal in size. mediastinum is not widened. the descending thoracic aorta is slightly tortuous, unchanged. these thoracic spine is mildly curved to the right. the lumbar spine is slightly curved to the left. multilevel degenerative changes are identified within the thoracic spine including anterior osteophytes and loss of intervertebral disc height. mild retrolisthesis of vertebral bodies in the lower thoracic and upper lumbar spine appear similar to the scout image on the chest ct from <unk>.What are the key findings of this report? [/INST] <num>. no focal pneumonia. <num>. top-normal heart size. <num>. multilevel degenerative changes. </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] pa and lateral views of the chest. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. osseous structures are unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the right internal jugular line ends in satisfactory position with tip in the mid-to-distal svc. enteric tube is in standard position coursing towards the stomach with tip off the film. the et tube is in satisfactory position, although the diameter of the et tube is only one-third of the diameter of the trachea. cardiomediastinal and hilar contours are stable. there is no pneumothorax. bilateral pleural effusions are worsening. extensive air space opacification of the right lung is unchanged; however, there is increasing left lung opacification, now involving most of the left lung. heterogeneity of the consolidation suggests a nodular component. there is also mild pulmonary edema.What are the key findings of this report? [/INST] <num>. widespread multifocal pneumonia, worsening on the left. possiblle pulmonary nodules. <num>. et tube appears small given the size of the trachea. clinical correlation is recommended. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. lungs are well expanded and clear. there is no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal and the lungs are clear. no pleural effusion or pneumothorax is seen. there are mild degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] an endotracheal tube terminates approximately <num> cm above the carina. an orogastric tube courses below the diaphragm, tip projects over the gastric fundus. the cardiac silhouette is enlarged. there is no focal consolidation pneumothorax.What are the key findings of this report? [/INST] endotracheal tube terminates approximately <num> cm above the carina. repositioning recommended if felt necessary. findings discussed with dr. <unk> <unk> telephone on <unk> at <time> am. </s> |
<s>[INST] frontal and lateral chest radiographs were obtained. extensive subcutaneous emphysema is again present within the chest wall and neck. a left chest tube remains in place. a small left medial pneumothorax persists, without evidence of tension. there is also a possible small right apical pneumothorax. the cardiomediastinal silhouette and hilar contours are stable. there is a persistent increased opacity at the left lower lobe. multiple left sided rib fractures are again visualized.What are the key findings of this report? [/INST] <num>. persistent small medial left pneumothorax. <num>. possible left lower lobe pneumonia and less likely pulmonary hemorrhage. <num>. extensive subcutaneous emphysema in the chest and neck with multiple left-sided rib fractures. </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] linear opacities in the bilateral lower lobes most likely represent atelectasis. the lung volumes are low and there is no focal consolidation, pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable. there is no free air beneath the hemidiaphragms.What are the key findings of this report? [/INST] no acute cardiopulmonary process, specifically no free intraperitoneal air. </s> |
<s>[INST] the heart is stably enlarged. mild central pulmonary vascular congestion and early interstitial pulmonary edema are present. no focal consolidation, or pneumothorax. small right pleural effusion. sternal wires and a prosthetic cardiac valve are unchanged in position.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and early interstitial pulmonary edema, with a stably enlarged heart. small right pleural effusion. </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] lungs are fully expanded and clear without consolidations or effusions. heart size is normal. cardiomediastinal and hilar silhouettes are normal. pleural surfaces are normal.What are the key findings of this report? [/INST] no radiographic evidence of pneumonia or other significant cardiopulmonary abnormalities. </s> |
<s>[INST] the lungs are clear of airspace or interstitial opacity. the cardiomediastinal silhouette is unremarkable. no pleural effusions or pneumothorax. no acute or aggressive osseus changes.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lungs are clear. no pleural effusion, pneumothorax or focal airspace consolidation. heart is mildly enlarged but unchanged from at least <unk>. no pulmonary edema. mediastinal and hilar contours are unremarkable. a severe compression deformity of the lower thoracic spine is unchanged from <unk>.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. note is made of stable asymmetric right pleural capping.What are the key findings of this report? [/INST] no pneumonia. </s> |
<s>[INST] two views were obtained of the chest. the lungs are well expanded and clear. minimal apical pleural thickening is unchanged. old left rib fractures are noted. the 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] an et tube is present. the tip now lies immediately above the thoracic inlet, overlying the level of the c<num>/t<num> disc space and should be advanced by a <num> cm to lie at the level of the lower clavicular heads. the right ij central line is present, tip over distal svc. an ng tube is present, tip and side-port overlying the stomach. multiple tapes, drains or other radiopaque iatrogenic devices are again noted to overlie the right mid abdomen. there are low inspiratory volumes and the right hemidiaphragm is again elevated. there is probable vascular plethora. there is collapse and/or consolidation at the left long base, with air bronchograms, with some interval improvement compared with <unk>. no definite consolidation at the right base. no gross effusion.What are the key findings of this report? [/INST] <num>. et tube tip now lies immediately above the thoracic inlet. clinical correlation regarding advancement is requested. advancement by <num> cm would be expected but the et tube tip at the level of the lower clavicular heads. this position would also lie approximately <num> cm above the carina. <num>. left base collapse and/or consolidation slightly improved compared with <unk>. right base atelectasis is probably similar allowing for differences in positioning. </s> |
<s>[INST] the patient is rotated somewhat to the right.mild lateral left atelectasis is seen without definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. loss of height of the l<num> vertebral body is again seen, query slightly progressed compared to the prior study.What are the key findings of this report? [/INST] no acute cardiopulmonary process.loss of height of the l<num> vertebral body is again seen, query slightly progressed compared to the prior study. </s> |
<s>[INST] single frontal view of the chest in semi-erect position demonstrates stable position of a dual-channel central venous catheter with tip terminating in the upper right atrium. the patient is slightly rotated to the left. cardiomediastinal silhouette is within normal limits. multiple clips are seen overlying the right apex. rightward upper tracheal displacement is related to known enlarged left thyroid lobe as seen on ct dated <unk>. the lungs are clear with trace, if any, basilar atelectasis. there is no pneumothorax, vascular congestion, or pleural effusion. multiple remote fractures are seen on the left posteriorly, unchanged.What are the key findings of this report? [/INST] no definite evidence to suggest pneumonia or fluid overload. </s> |
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] stable appearance of the <num> mm right lower lung nodular opacity, likely a vessel on end. no additional focal consolidations to suggest pneumonia. no pulmonary edema. normal appearance of the cardiomediastinal silhouette. no pleural effusion. no pneumothorax.What are the key findings of this report? [/INST] <num>. no focal consolidations to suggest pneumonia. <num>. stable <num> mm nodular opacity within the right lower lung, likely a vessel on end. </s> |
<s>[INST] the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. there is no lung nodule or mass. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no pulmonary lesion or other acute abnormality. </s> |
<s>[INST] single frontal chest radiograph demonstrates endotracheal tube terminating at the level of the clavicles. enteric catheter courses below the left hemidiaphragm and out of view. cardiomediastinal contours are unremarkable. prominence of the bilateral pulmonary arteries. increased opacification in the left lower lung is concerning for infiltrate. in addition, there is a sharply marginated opacification in the right upper lung better assessed on the concurrent chest ct concerning for malignancy.What are the key findings of this report? [/INST] <unk> medical support devices. left lower lung opacification concerning for infection/aspiration. right upper lung opacification is concerning for malignancy. enlarged bilateral pulmonary arteries suggests pulmonary arterial hypertension. </s> |
<s>[INST] there are chronic emphysematous changes in the lungs with persistent scarring at the left apex similar to the prior study. there is no evidence of focal infiltrate to suggest pneumonia. there is no pleural effusion or pneumothorax. heart size is normal. the mediastinal hilar contours are normal. the aorta is calcified. there are surgical clips in the left axilla. surgical clips also project in the right upper quadrant.What are the key findings of this report? [/INST] <num>. no evidence of pneumonia or other acute cardiopulmonary abnormality. <num>. emphysema. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. dual-lead left-sided pacemaker is again seen with leads extending to the expected positions of the right atrium and right ventricle. the cardiac silhouette is top normal. the aorta is tortuous. there is minimal left greater than right bibasilar atelectasis. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the aorta is tortuous and calcified. some degenerative changes are seen along the spine, similar to prior.What are the key findings of this report? [/INST] minimal left base atelectasis. otherwise, no acute cardiopulmonary process. </s> |
<s>[INST] ap portable upright view of the chest. overlying ekg leads are present. underpenetration somewhat limits assessment. there is minimal linear density in the region of the left lower lobe which may represent mild left lower lobe atelectasis, difficult to exclude an early pneumonia. right lung is clear. cardiomediastinal silhouette is stable. no acute bony abnormalities.What are the key findings of this report? [/INST] subtle streaky opacity in the left lower lobe may represent atelectasis versus early pneumonia. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no overt pulmonary edema is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral views of the chest are provided. there are moderate bilateral pleural effusions with bilateral lower lobe opacities which could represent atelectasis versus pneumonia. also noted is mild pulmonary edema with engorgement of the hilar vasculature. no pneumothorax is seen. the heart size cannot be assessed. bony structures are intact.What are the key findings of this report? [/INST] moderate bilateral effusions with lower lobe consolidations, likely representing atelectasis/pneumonia. mild pulmonary edema is likely also present. </s> |
<s>[INST] frontal and lateral views of the chest. as on prior, there is dense consolidation at the left lung base obscuring hemidiaphragm. this may be due to a combination of consolidation, atelectasis and effusion. hiatal hernia suspected. the right lung remains clear. <num> separate right subclavian lines are identified with the larger catheter seen with tip terminating in the right atrium. the smaller catheter tip is not clearly delineated on the current exam. degenerative changes in the spine without acute abnormality.What are the key findings of this report? [/INST] dense left basilar opacity similar to previous exam which may be due to a combination of effusion, atelectasis and consolidation. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the cardiac and mediastinal silhouettes are stable. minor basilar atelectasis is seen without definite focal consolidation. there is no pleural effusion or pneumothorax. minimal biapical pleural thickening is again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap portable upright view of the chest. there has been interval removal of multiple lines and tubes. previously noted pulmonary edema has resolved significantly. the heart remains top-normal in size. the mediastinal contour is normal. there is equivocal mild interstitial edema. no large effusion or pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] top normal heart size with equivocal mild interstitial edema. </s> |
<s>[INST] pa and lateral views of the chest were obtained. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. nodular densities in the mid lungs bilaterally likely represent nipple shadows. cardiomediastinal silhouette is stable. bony structures are intact. no free air is seen below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] ap view of the chest provided. compared to prior study, there is no significant change. bibasilar opacities are again seen, likely pneumonia, unchanged since prior study. there are no large pleural effusions. endotracheal tube is in appropriate position. new nasogastric tube is seen coursing towards the stomach and out of view.What are the key findings of this report? [/INST] <num>. stable bibasilar opacities, concerning for pneumonia. <num>. new nasogastric tube in appropriate position. </s> |
<s>[INST] a new opacity is seen in the right lower lobe posteriorly that is likely a new focal pneumonia new metal clips are projected against the right breast tissue and right lower border of the mediastinum after mastectomy. the position of the right port-a-cath and spinal stimulator are unchanged there is no pleural fluid the cardiac size and mediastinum profile are unchanged.What are the key findings of this report? [/INST] new opacity in the right lower lobe, posteriorly, related to focal pneumonia. there is no pleural fluid. </s> |
<s>[INST] pa and lateral views of the chest demonstrate clear lungs at this time. the upper lobe opacity has resolved. cardiac size is normal. aorta is slightly tortuous but otherwise unremarkable. there is no pleural effusion or pneumothorax. apical scarring/pleural thickening is noted bilaterally.What are the key findings of this report? [/INST] resolution of left upper lobe pneumonia. </s> |
<s>[INST] the patient is relatively kyphotic in position. the lungs are relatively hyperinflated, suggesting chronic obstructive pulmonary disease. no definite focal consolidation is seen. there is no large pleural effusion or pneumothorax. prominence of the hila suggests central pulmonary vascular engorgement. there is subtle increase in interstitial markings bilaterally which can be seen with mild interstitial edema although may relate to underlying copd. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous.What are the key findings of this report? [/INST] no focal consolidation. central pulmonary vascular engorgement with possible mild interstitial edema. copd. </s> |
<s>[INST] degree of bilateral parenchymal opacities have progressed. there is no large effusion. moderate cardiac enlargement is similar compared to prior. no acute osseous abnormalities.What are the key findings of this report? [/INST] diffuse bilateral parenchymal opacities worse since last month's exam. findings may reflect worsening pulmonary edema noting that superimposed infection is entirely possible. </s> |
<s>[INST] left subclavian picc line ends in lower svc. there is no pneumothorax. lungs are moderately inflated and clear, except for linear atelectasis at the right lung base, also with minimal blunting of the right costophrenic angle, which can be due to small pleural effusion of pleural thickening. cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] normal left subclavian picc line placement without pneumothorax. small right lung base atelectasis. </s> |
<s>[INST] the lungs are clear. the cardiac silhouette is moderately enlarged. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] cardiomegaly without acute cardiopulmonary process. </s> |
<s>[INST] frontal ap upright chest radiograph was provided. there is suture material in the right mid lung with circumferential pleural thickening, unchanged from prior exam. there is a generally stable appearance of the right hemithorax compared with prior and no new consolidations are identified. the left lung remains clear. there is no pneumothorax. the cardiomediastinal silhouette is stable. the bony structures are intact.What are the key findings of this report? [/INST] stable peripheral opacities in the right lung compatible with pleural thickening with evidence of prior lung resection. please refer to subsequent ct chest for further details. </s> |
<s>[INST] endotracheal tube is in place roughly <num> cm cranial to the carina. heart size is normal. hilar contours are unremarkable. calcifications are noted in the aortic knob. there are diffuse, hazy opacities throughout the right lung, lingula and left lower lobe with loss of the left hemidiaphragm border with possible small effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. endotracheal tube in appropriate position. <num>. multifocal pneumonia, as above with small left-sided effusion. </s> |
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