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<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiac silhouette is moderately enlarged, and unchanged from the prior exam. the mediastinal contours are normal. a pacemaker is present with the wires in unchanged position. noted is a wire extending through a duplicated svc and terminating within the coronary sinus.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. stable moderate cardiomegaly. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. patchy and linear opacity in left lower lobe opacity may reflect atelectasis, but infection or aspiration cannot be completely excluded. the right lung is clear. no pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. mild anterior wedging of a vertebral body at the thoracolumbar junction is unchanged.What are the key findings of this report? [/INST] linear and patchy opacity in the left lower lobe may reflect atelectasis but infection or aspiration cannot be completely excluded. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the lungs are well expanded and clear, without focal consolidation, pleural effusion or pneumothorax. heart size is normal. the mediastinal silhouette and hilar contours are normal. no osseous abnormality is identified.What are the key findings of this report? [/INST] normal chest radiographs. </s> |
<s>[INST] heart size is top normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] no focal opacities or consolidations are seen. cardiomediastinal silhouette is top normal, unchanged. bones are intact.What are the key findings of this report? [/INST] no acute cardiothoracic process. </s> |
<s>[INST] an apparent opacity overlying the left hemi thorax is due to a large hiatal hernia identified on the ct abdomen pelvis of the same date. there is no focal consolidation, pleural effusion, or pneumothorax. bibasilar atelectasis is mild. the heart is mildly enlarged. evaluation of the chest cage after trauma is not optimal on ct, but there are no apparent osseous abnormalities.What are the key findings of this report? [/INST] <num>. suboptimal evaluation of the chest cage after trauma. however, within this limitation, no apparent osseous abnormalities. <num>. no focal consolidation, effusion, or pneumothorax. <num>. please refer to the dedicated ct abdomen and pelvis report of the same date for further findings. </s> |
<s>[INST] the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no focal consolidation or nodule, pneumothorax, or pleural effusion. the examination is unchanged in comparison to the <unk> examination.What are the key findings of this report? [/INST] no new pulmonary nodule or mass. </s> |
<s>[INST] rounded opacity in the left upper chest represents loculated fluid within left major fissure, is similar. there is a small left pleural effusion, not appreciably changed. small left apical pneumothorax is stable. mildly more prominent left basilar opacity, likely atelectasis. there is minimal new right basilar atelectasis.What are the key findings of this report? [/INST] stable small left apical pneumothorax. stable loculated fluid in the left major fissure. no significant change in free-flowing left pleural fluid component. increased left basilar opacity, likely atelectasis. </s> |
<s>[INST] endotracheal tube is in standard position measuring approximately <num> cm from the carina. enteric tube courses into the stomach, with tip off the inferior borders of the film. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lungs are clear. remote left-sided rib fractures are noted.What are the key findings of this report? [/INST] standard positioning of endotracheal and enteric tubes. no acute cardiopulmonary abnormality. </s> |
<s>[INST] ap supine view of the chest. the right ij central venous line is in place with its tip at the superior cavoatrial junction. the endotracheal tube is in appropriate position ending <num> cm in the carina. the enteric tube extends off the imaged portion however the side port is above the ge junction. a wedge shaped opacity in the right hilar region is unchanged consistent with collapse of the superior segment of the right lower lobe. there is an apparent central, right juxtahilar mass. small amount of pleural fluid is observed in the right minor fissure.What are the key findings of this report? [/INST] <num>. placement of right ij central venous line with its tip at the superior cavoatrial junction. no evidence of complication. <num>. side port of enteric tube is above the ge junction, recommend advancing. <num>. superior segment of right lower lobe is collapsed, with an adjacent right hilar opacity raises concern for underlying mass. recommend ct for further evaluation as this could represent a neoplasm such as carcinoid or lymphoma, or an agressive infection in this patient with hiv infection. these findings were discussed with dr. <unk> by dr. <unk> at <time>am on <unk>. </s> |
<s>[INST] there has been no significant interval change. re- demonstrated is diffuse increase and interstitial markings bilaterally consistent with chronic lung disease, grossly stable. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] no significant interval change. </s> |
<s>[INST] a new ng tube is present; however, the left side port is not clearly seen and may be above the ge junction. advancement of this ng tube is recommended. asymmetric pulmonary opacities, right greater than left is again present consistent with pulmonary edema. bibasilar atelectasis is present and unchanged. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. asymmetric pulmonary edema. <num>. ng tube courses to the stomach but the last side port is not clearly seen. advancement is recommended to assure proper placement. </s> |
<s>[INST] dense airspace consolidation is seen in the superior segment of the right lower lobe, consistent with pneumonia. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a right-sided port-a-cath is noted.What are the key findings of this report? [/INST] dense consolidation in the superior segment of the right lower lobe concerning for pneumonia. </s> |
<s>[INST] a pleural tube projects over the right hemi thorax. there is a small right apical pneumothorax. surgical material is seen projected over the right chest. there is some widening of the mediastinum due to vascular engorgement that is not surprising in the post operative setting. the heart is mildly enlarged and the hilar contours are normal. there is a small left pleural effusion and no pneumothorax.What are the key findings of this report? [/INST] small right apical pneumothorax. there findings were communicated to dr. <unk> by telephone at the time of discovery by dr. <unk>. </s> |
<s>[INST] the cardiac silhouette remains markedly enlarged. mediastinal contours are stable there is likely a tortuous aorta. the right costophrenic angle is not completely included in the image. given this, no pleural effusion is seen. there is no focal consolidation or evidence of pneumothorax.What are the key findings of this report? [/INST] right costophrenic angle not completely included on the image; given this, no pleural effusion seen. persistent enlargement of the cardiac silhouette without overt pulmonary edema. </s> |
<s>[INST] single portable view of the chest. extremely low lung volumes seen on the current exam which limits evaluation. in addition, the patient's hair projects over the left upper lung which also contributes to limitation. right basilar opacity may be due to atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] limited exam as above, consider repeat exam with better inspiratory effort. </s> |
<s>[INST] compared with <unk>, there is new opacification of the right mid and lower zones, likely reflecting a moderately large, right effusion, with underlying collapse and/or consolidation and obscuration of the right hemidiaphragm. the right heart border is also obscured. there is vascular plethora in the right upper zone which may be secondary to compressive atelectasis. no pneumothorax is detected. a single surgical clip or fiducial is seen at the right lung base medially, with note made of interval change in position. the cardiomediastinal silhouette remains grossly midline and, where visible, is similar to the prior study. the left lung is grossly clear, without chf or frank consolidation. there is minimal atelectasis/ scarring at the left lung and possible slight blunting of left costophrenic angle, similar to the prior study.What are the key findings of this report? [/INST] new opacification of right mid and lower zones, likely reflecting the presence of pleural fluid. the extent of any underlying atelectasis, infection, tumor, and the position of the right hemidiaphragm is difficult to assess on this examination. the degree of opacification is also new compared with a chest ct from <unk>. vascular plethora in the right upper zone, without evidence of chf in the left lung, likely secondary to compressive atelectasis. left base atelectasis and minimal left minimal blunting of left costophrenic angle is not significantly unchanged. </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.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] there is interval worsening of right-sided pneumonia, predominantly within the superior segment of the right lower lobe as well as some involvement of the lateral basal segment. no pneumothorax or significant pleural effusion is seen. the heart size is normal.What are the key findings of this report? [/INST] interval worsening of right lower lobe pneumonia. </s> |
<s>[INST] frontal and lateral chest radiographs demonstrate similar size to globose enlargement of the cardiac silhouette consistent with known pericardial effusion, accounting for differences in technique. linear atelectasis and retrocardiac opacity is not significantly changed from <unk>. there are small bilateral pleural effusions, also unchanged. the mediastinal contours remain normal. the pulmonary vasculature is normal.What are the key findings of this report? [/INST] unchanged enlargement of the cardiac silhouette from pericardial effusion, small bilateral pleural effusions, and basilar atelectasis, without pulmonary edema. </s> |
<s>[INST] a tracheostomy tube is in unchanged position, <num> cm from the carina. a left internal jugular central venous catheter terminates in the mid svc. an ng tube is seen coarsening below the diaphragm with the tip of the field of view. a large right and moderate left pleural effusion are not significantly changed. the known right apical mass is stable. the lung volumes are lower in comparison to prior exam with accentuation of bibasilar atelectasis. there is no overt pulmonary edema. there is no new consolidation. there is no pneumothorax.What are the key findings of this report? [/INST] no significant change from the chest radiograph performed one day earlier. stable bilateral pleural effusions. </s> |
<s>[INST] as compared to <unk>, the left basal atelectasis has likely slightly decreased. the small right-sided effusion and right middle/lower lobe atelectasis have not significantly changed. no interstitial edema. no pneumothorax.What are the key findings of this report? [/INST] right effusion, and middle/lower lobe atelectasis are stable. slight decrease in left atelectasis. </s> |
<s>[INST] right internal jugular central venous catheter tip terminates in the mid svc. no pneumothorax is present. moderate cardiomegaly is again noted. the mediastinal and hilar contours are unchanged. there is mild pulmonary vascular congestion, new since the prior study. there continued bibasilar patchy airspace opacities, not substantially changed in the interval. no large pleural effusion is present.What are the key findings of this report? [/INST] right internal jugular central venous catheter tip in the mid svc. no pneumothorax. mild pulmonary vascular congestion. </s> |
<s>[INST] pa and lateral chest radiographs. the lungs are clear. there is no pulmonary nodule, pleural effusion, or pneumothorax. the cardiac, hilar, and mediastinal contours are normal. surgical clips at the level of the diaphragm are from prior nissen fundoplication .What are the key findings of this report? [/INST] no radiographic evidence of intrathoracic metastasis. </s> |
<s>[INST] the heart size, mediastinal, and hilar contours are unremarkable. again noted is left basilar atelectasis. the left hemidiaphragm appears somewhat obscured, but no definite consolidation is identified. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] small atelectasis at the left lung basis. otherwise unremarkable chest radiograph. . </s> |
<s>[INST] underlying trauma board partially obscures the view. allowing for this, lung volumes are low but without focal opacities. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. no displaced fracture is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] there is mild left basal atelectasis. otherwise, the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiomediastinal silhouette appears normal. the aorta appears tortuous but stable. mild atherosclerotic calcifications are noted at the aortic arch. kyphoscoliosis of the thoracic spine is again noted.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. analysis is performed in direct comparison with the next preceding similar study of <unk>. moderate cardiac enlargement, similar as on previous study. no typical configurational abnormality is seen; however, a double contour on the frontal view within the cardiac shadow suggests some at least moderate dilatation of the left atrium. dilated and elongated thoracic aorta with calcium deposit in the wall at the level of the arch as before. no local aortic contour abnormalities are identified. no evidence of acute discrete local pulmonary parenchymal infiltrates. mildly increased interstitial pattern on the lung bases, similar as they existed before. in addition, there exists some mild thickening of the pleural spaces bilaterally, and very mild degree of blunting of the lateral and posterior pleural sinuses. significant pleural effusions, however, are not identified and there is no pneumothorax in the apical area. since the preceding examination, the patient has received a left-sided permanent pacer in anterior axillary position connected to one intracavitary electrode seen to terminate in the right ventricle touching the anterior right ventricular wall at the beginning of the outflow tract. the position is acceptable.What are the key findings of this report? [/INST] new single electrode pacer in place, moderate cardiac enlargement as before. slightly increased wetness of the pleural spaces, but no evidence of advanced interstitial or alveolar edema and no new discrete pulmonary parenchymal infiltrates. </s> |
<s>[INST] ap portable semi upright view of the chest. lower lung opacities appear most compatible with atelectasis. lungs appear otherwise clear. cardiomediastinal silhouette appears grossly unremarkable. bony structures are intact.What are the key findings of this report? [/INST] basal atelectasis. </s> |
<s>[INST] heart size is borderline enlarged. mediastinal hilar contours are unremarkable. pulmonary vasculature is normal. there is minimal atelectasis in the left lower lobe. right lung is clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] mild left lower lobe atelectasis. otherwise, no acute cardiopulmonary process. </s> |
<s>[INST] two views of the chest were obtained. the lungs are relatively well expanded with small left pleural effusion as seen on outside hospital ct from <unk>. nodular opacity in the right mid lung could reflect an infectious process. the heart is normal in size with normal cardiomediastinal contours.What are the key findings of this report? [/INST] <num>. small left pleural effusion. <num>. right upper lung nodular opacity could reflect a developing infectious process. follow up radiograph in <num> weeks is recommended to assess resolution after treatment. </s> |
<s>[INST] interval placement of a right pigtail catheter with significant decrease in the size of the right pleural effusion. there is a persisting small right pleural effusion with overlying atelectasis. no pneumothorax identified. minimal atelectasis at the left lung base. the size of the cardiac silhouette is enlarged but unchanged. a left chest wall power injectable port-a-cath is present.What are the key findings of this report? [/INST] interval placement of a right pigtail catheter with a significant decrease in size of the right pleural effusion. no pneumothorax identified. </s> |
<s>[INST] pa and lateral views of the chest were provided. port-a-cath residing over the right chest wall is unchanged, with catheter tip extending to the region of the mid svc. lungs are clear. no signs of pneumonia or chf. cardiomediastinal silhouette is normal. no pleural effusion or pneumothorax. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute findings in the chest. </s> |
<s>[INST] mild to moderate enlargement of the cardiac silhouette is unchanged. the aorta remains unfolded. previous pattern of mild pulmonary edema has essentially resolved. lungs remain hyperinflated. previously noted bilateral pleural effusions have also resolved. there is no focal consolidation or pneumothorax. enlargement of the hila bilaterally appears similar, right larger than left. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] <num>. resolution of previously seen pulmonary edema and small bilateral pleural effusions. <num>. bilateral hilar enlargement concerning for underlying lymphadenopathy. please see subsequent chest cta report for further details. </s> |
<s>[INST] cardiac silhouette size is normal. the mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs remain clear. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] ap upright and lateral views of the chest were obtained. no picc line is identified. lung volumes are low, which limit evaluation. bibasilar atelectasis and tiny pleural effusions are present. there is no overt chf. there is no definite sign of pneumonia. cardiomediastinal silhouette appears stable. unfolded thoracic aorta again noted containing atherosclerotic calcifications. the imaged osseous structures appear intact. gas-filled bowel in the upper abdomen is noted.What are the key findings of this report? [/INST] bibasilar atelectasis, tiny pleural effusions. no picc line seen. </s> |
<s>[INST] cardiomediastinal silhouette is stable. lung volumes remain low. there is no focal consolidation. there is no pulmonary edema or pleural effusion. . no pneumothorax.What are the key findings of this report? [/INST] lungs are clear. </s> |
<s>[INST] mild cardiomegaly has been stable compared to multiple prior exams dating back to <unk>. the hilar and mediastinal contours are unremarkable. small bilateral pleural effusions are persistent. there is mild bibasilar atelectasis. there is no evidence of a pneumothorax.What are the key findings of this report? [/INST] mild bibasilar atelectasis. no evidence of pneumothorax. </s> |
<s>[INST] <num> views were obtained of the chest. large area of consolidation of the posterior right upper lobe and in smaller volumes of the right lower lobe is compatible with pneumonia. small right pleural effusion is likely. left lower lobe consolidation has largely cleared since <unk>. background emphysema is also noted. there is no pneumothorax. heart and mediastinal contours are unremarkable.What are the key findings of this report? [/INST] extensive right sided pneumonia. </s> |
<s>[INST] mild pulmonary vascular congestion has increased. there is also fluid along the minor fissure and very small left effusion. the cardiac silhouette remains mildly enlarged. no acute focal consolidation. no pneumothorax.What are the key findings of this report? [/INST] mild pulmonary vascular congestion and trace left effusion. no acute pneumonia. </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] the lung parenchyma is markedly abnormal, with multiple bilateral pulmonary opacifications, perihilar scarring, and areas of retraction of volume loss consistent with fibrosis. known pulmonary nodules are better seen in prior ct. there is persistent deviation of the trachea to the right. cardiomediastinal silhouette is unchanged. patient is status post cabg.What are the key findings of this report? [/INST] no new opacification to suggest pneumonia. </s> |
<s>[INST] right chest wall port is seen with catheter tip at the ra-svc junction. there are small bilateral pleural effusions which are new since prior. linear left basilar opacity seen on the frontal view may be due to atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified. surgical clips seen in the mid upper abdomen similar to prior.What are the key findings of this report? [/INST] new small bilateral effusions. otherwise, no change. </s> |
<s>[INST] no focal consolidation is seen. 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] interval removal of left chest tube since <unk>. stable appearance of left lung abnormality with left hemidiaphragm elevation, nodular and pleural thickening, small layering pleural effusion, and left basilar atelectasis since <unk>. the heart size is unchanged. the right lung is clear. no pneumothorax.What are the key findings of this report? [/INST] <num>. interval removal of left chest tube since <unk>. no pneumothorax. <num>. left lung abnormality is essentially unchanged since <unk>. </s> |
<s>[INST] sternotomy. right ij central line tip in low svc. very shallow inspiration. left chest tube has been removed. no pneumothorax. mildly improved left basilar opacity. probable tiny left pleural effusion, improved. mild right basilar opacity, likely atelectasis, more prominent.What are the key findings of this report? [/INST] mildly improved left basilar opacity. mildly worsened right basilar opacity. </s> |
<s>[INST] since prior, the overall size of the right pleural effusion is unchanged. pleural pigtail remains at the right base. cardiac and mediastinal contours are stable. left lung is grossly clear. there is no pulmonary edema or pneumothorax.What are the key findings of this report? [/INST] right pleural effusion essentially unchanged in size. </s> |
<s>[INST] again seen is a moderate right hydro pneumothorax and a right porta cath. compared to the prior study there is no significant changeWhat are the key findings of this report? [/INST] no change </s> |
<s>[INST] lung volumes continue to be low with small bilateral pleural effusions and bibasilar atelectasis. the cardiac silhouette continues to be severely enlarged with unchanged pulmonary vascular engorgement. the right ij and left ij central venous line are unchanged and in upright position. the et tube and gastric tube both have been removed.What are the key findings of this report? [/INST] low lung volumes with small bilateral effusions. </s> |
<s>[INST] there is minimal decrease in the extent of the pulmonary edema. unchanged pleural effusions and bibasilar opacities, greater on the left. underlying pneumonia cannot be excluded in the proper clinical context. no pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.What are the key findings of this report? [/INST] persistence of, but minimally decreased pulmonary edema. </s> |
<s>[INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] unremarkable chest radiographic examination. </s> |
<s>[INST] heart size is normal. calcified left hilar lymph node and calcified nodule in the left mid lung field are unchanged, compatible with prior granulomatous disease. aortic knob calcifications are present. the mediastinal and hilar contours are otherwise unremarkable. pulmonary vasculature is not engorged. right basilar and left lateral pleural calcifications are present suggestive of prior asbestos exposure. no focal consolidation, pleural effusion or pneumothorax is seen. patchy opacities in the lung bases likely reflect atelectasis. there are mild degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] mild atelectasis at the lung bases. no focal consolidation to suggest pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is continued mild increase in interstitial markings bilaterally suggesting moderate pulmonary edema. there is an opacity along the lateral left mid-to-lower hemithorax which may be due to pleural thickening, also seen on the prior study. superomedial to this, there is patchy opacity in the left mid lung seen on the prior study, although new since <unk>. there may be trace bilateral pleural effusions as blunting of the posterior costophrenic angles is seen on the lateral view. no pneumothorax is seen. there has been interval decrease in right base opacity. the cardiac and mediastinal silhouettes are stable and unremarkable. previously seen dense calcifications over the mid mediastinum are no longer seen. left axillary stent is also not seen, but may not be included on the image.What are the key findings of this report? [/INST] <num>. mild-to-moderate interstitial pulmonary edema. <num>. interval decrease in right base opacity. <num>. left mid-to-lower lung opacity which may represent loculated pleural effusion or possibly pleural thickening with pulmonary opacity has persisted since <unk>. the findings may relate to loculated pleural effusion or other pulmonary lesion. given that findings have persisted since <unk>, recommend chest ct followup. </s> |
<s>[INST] there is no pneumothorax. the previously seen pneumoperitoneum is slightly reduced in volume. the previously seen left chest tube has been removed. lungs are well expanded and clear bilaterally with no focal consolidation or pleural effusion. the cardiomediastinal silhouette is stable and within normal limits. the pleural surfaces are unremarkable. numerous surgical clips are seen in the left axilla. clips are seen in the right upper quadrant, consistent with recent right nephrectomy.What are the key findings of this report? [/INST] no pneumothorax. decreasing pneumoperitoneum. </s> |
<s>[INST] left chest wall pacer leads are in standard position in the right atrium, right ventricle and through the coronary sinus. median sternotomy wires appear intact. bibasilar predominent interstitial opacities likely reflect moderate interstitial pulmonary edema. heart size is mildly enlarged. there is worsening atelectasis at the left base. there is no large pleural effusion or pneumothorax. the aortic arch is calcified.What are the key findings of this report? [/INST] increased mild cardiomegaly and bibasilar interstitial opacities suggesting pulmonary edema in the setting of congestive heart failure. </s> |
<s>[INST] the lungs are clear. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size.What are the key findings of this report? [/INST] no acute cardiopulmonary process </s> |
<s>[INST] the patient is rotated to the right. there are persistent opacities in both lung bases, somewhat more conspicuous in the right mid lung on the frontal radiograph although not confirmed on the lateral radiograph. the small anterior loculated collection seen <unk> has resolved. the small pleural effusion has resolved. the cardiomediastinal silhouette and hilar contours are normal. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. persistent bilateral lower lung opacities are somewhat more conspicuous in the right mid lung and may represent atelectasis however, infection is not excluded. <num>. the small anterior loculated fluid collection, and small pleural effusion have resolved. </s> |
<s>[INST] portable ap upright chest radiograph was provided. an ng tube courses into the left upper quadrant. a right arm picc line is seen with its tip poorly visualized. there is left <unk> atelectasis. vague opacity again seen in the right lower lung, a component of which may represent aspiration. no pneumothorax is seen. the cardiomediastinal silhouette appears grossly unremarkable. no large effusion is seen. bony structures are intact.What are the key findings of this report? [/INST] ng tube extends into the left upper quadrant. tip of picc line poorly visualized. . basilar opacities most compatible with atelectasis and or aspiration. </s> |
<s>[INST] there is a round mass in the left lingula laterally measuring <num> x <num> x <num> cm. there are numerous subcentimeter nodules diffusely distributed throughout bilateral lungs. there is no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal size.What are the key findings of this report? [/INST] there is a round mass in the left lingula measuring <num> x <num> x <num> cm. there are numerous subcentimeter nodules diffusely distributed throughout bilateral lungs. findings are is highly suspicious of malignancy. differential includes, but not limited to, germ cell tumors. infection such as mycoplasma and miliary tb is possible although less likely. ct chest is recommended for further evaluation. </s> |
<s>[INST] mild to moderate cardiomegaly is again noted with calcification of the aortic knob. pulmonary edema appears slightly worse in the interval, now mild to moderate in degree with vascular indistinctness, perihilar haziness, and upper zone vascular redistribution. streaky bibasilar airspace opacities, more so on the right common may reflect atelectasis. small bilateral pleural effusions are noted. no pneumothorax is seen.What are the key findings of this report? [/INST] interval worsening of mild to moderate pulmonary edema with small bilateral pleural effusions and probable bibasilar atelectasis. </s> |
<s>[INST] single frontal view of the chest was obtained. heart size is normal. cardiomediastinal contours are stable. small linear opacity at the right lung base is consistent with atelectasis. the lungs are otherwise clear without focal consolidation, pleural effusion, or pneumothorax. side port of the ng tube is at the gastroesophageal junction.What are the key findings of this report? [/INST] <num>. side port of the ng tube is at the gastroesophageal junction and should be advanced by <num> cm for position within the stomach. <num>. small right lung base atelectasis. findings were communicated via phone call by <unk> to <unk> on <unk> at <unk> am. </s> |
<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is within normal limits.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] the lungs well expanded and clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the cardiac silhouette is upper limits of normal. sternotomy wires are seen. there is a persistent opacity within the right lower lobe which may represent atelectasis or infiltrate, stable. follow-up to resolution is recommended. patchy opacity along the left lateral base has also developed. no pneumothoraces are seen.What are the key findings of this report? [/INST] as above. </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. bony structures are unremarkable.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary disease. </s> |
<s>[INST] increased interstitial markings are noted without confluent consolidation. there trace bilateral pleural effusions. moderate to severe cardiomegaly is similar compared to prior. no acute osseous abnormality.What are the key findings of this report? [/INST] mild pulmonary edema and small bilateral pleural effusions. </s> |
<s>[INST] heart size is normal. the mediastinal and hilar contours are <unk> allowing for slight tortuosity and unfolding of the no chf, focal infiltrate or effusion is detected. no pneumothorax identified. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no evidence of pneumonia. </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.What are the key findings of this report? [/INST] no pneumothorax. </s> |
<s>[INST] pa and lateral views of the chest. there is evidence of prior, remote median sternotomy with wires in place. the lungs are clear of consolidation or effusion. there is partial obscuration of the right heart border which may be due to slight pectus deformity. no acute osseous abnormality detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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] heart size is borderline enlarged. mediastinal and hilar contours are unremarkable. pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities are visualized.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] lung volumes are low. cardiac silhouette is upper limits normal in size accounting for this factor. low lung volumes accentuate the bronchovascular structures. there is no evidence of pulmonary edema. bibasilar retrocardiac opacities are present with some associated volume loss, particularly in the right lower lobe with inferior displacement of right hilum and right major fissure. these findings have slightly progressed since the prior radiograph. no definite pleural effusion.What are the key findings of this report? [/INST] <num>. no evidence of pulmonary edema. <num>. bibasilar atelectasis, right greater than left. </s> |
<s>[INST] pa and lateral views of the chest. cardiomegaly is stable. aorta is tortuous but not dilated. mild left basialar atelectasis. hyperinflation of the lungs with flattening of the diaphragms. the lungs, mediastinal, and pleural surfaces are normal. there is no evidence of pneumonia. no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] <num>. stable cardiomegaly. <num>. mild left basilar atelectasis. <num>. hyperinflation of the lungs with flattening of the diaphragms suggesting possible obstructive lung disease. </s> |
<s>[INST] a left-sided chest wall pacer is noted with leads overlying the right atrium and ventricle, unchanged in their position. the cardiac size is difficult to approximate, but appears persistently enlarged. interval increase in the degree of now moderate to severe pulmonary edema. streaky bibasilar opacities likely reflect atelectasis, although superimposed infection is difficult to exclude. bilateral moderate pleural effusions are noted, increased bilaterally from the prior examination.What are the key findings of this report? [/INST] persistent cardiomegaly with worsening of now moderate to severe pulmonary edema and moderate bilateral pleural effusions. </s> |
<s>[INST] portable ap upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] left basilar chest tube remains in place with stable appearance to the left hemithorax with more focal opacity in the left suprahilar region in an area of recent ablation and a lateral pleural abnormality which may reflect loculated fluid in this patient with known lung malignancy. the right lung remains grossly clear. heart is unchanged in size. no pulmonary edema. no pneumothorax. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the imaged upper abdomen is unremarkable. the bones are intact.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are well expanded and clear. linear left basilar opacities are likely atelectasis or scarring. old right-sided rib fractures are noted. there is no pleural effusion or pneumothorax. the heart is normal in size with normal aortic contour.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] small bilateral pleural effusions are unchanged from the prior study. no focal consolidation or pneumothorax is present. the pulmonary vasculature is prominent with fluid in the fissures. the cardiac silhouette is top normal in size. the mediastinal and hilar contours are unchanged. there are multiple pathological rib fractures and diffuse osseous sclerosis, unchanged. there has been interval placement of a nasogastric tube.What are the key findings of this report? [/INST] stable small bilateral pleural effusions. no focal consolidation. </s> |
<s>[INST] frontal and lateral views of the chest. the lungs remain clear of consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is stable. hypertrophic changes are seen in the spine suggestive of diffuse idiopathic skeletal hyperostosis.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] tripolar left chest wall pacer device again noted with leads extending to the region the right atrium, right ventricle and coronaries sinus. the heart is mildly prominent with a small pericardial effusion seen on same-day ct exam. hila appear mildly congested without frank pulmonary edema. no signs of pneumonia, effusion or pneumothorax. mediastinal contour is unchanged. no acute bony abnormalities. compression deformities of the thoracolumbar spine are unchanged.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] sternotomy wires are intact and aligned. the lungs are clear. mild cardiomegaly with prominent epicardial fat is unchanged. there is no pneumothorax. bony spurring at the inferior aspect of the left glenohumeral joint has increased. old healed left rib fractures are unchanged.What are the key findings of this report? [/INST] clear lungs. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.What are the key findings of this report? [/INST] normal chest radiograph </s> |
<s>[INST] the lung volumes are low; however, no focal consolidations concerning for infection are identified. there is no pleural effusion or pneumothorax. the heart size is normal. the hilar and mediastinal contours are unremarkable. there is a small hiatal hernia.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] lower lung volumes are noted. blunting of the left lateral costophrenic angle is likely due to combination of rotation with prominent mediastinal fat as seen on ct scan. superiorly, the lungs are clear. there is no pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heterogeneous airspace opacity of the right lower lobe is consistent with pneumonia.the remainder of the lungs are clear. no pleural effusion or pneumothorax. cardiomediastinal contour is normal.What are the key findings of this report? [/INST] right lower lobe pneumonia </s> |
<s>[INST] lungs are fully expanded and clear. no pleural abnormalities. heart size is normal. cardiomediastinal and hilar silhouettes are normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] single portable supine chest radiograph demonstrates interval improvement in aeration. bilateral pleural effusions have decreased in the interim. there is scattered subsegmental atelectasis. a rounded opacity in the right mid lung is likely loculated pleural fluid. the cardiac silhouette remains enlarged, the mediastinal contours are unchanged. mild pulmonary edema is unchanged. the patient is intubated, the tip of the endotracheal tube lies <num> cm from the level of the carina. an ng tube is in place, the tip is not seen. a right chest port is unchanged in position, the tip is at the cavoatrial junction.What are the key findings of this report? [/INST] interval improvement in aeration, and decrease in size of bilateral pleural effusions, with remnant loculated pleural effusion in the right mid lung. </s> |
<s>[INST] the heart size, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.What are the key findings of this report? [/INST] no acute cardiopulmonary process. within the limitations of chest radiography, no evidence of pneumomediastinum. </s> |
<s>[INST] normal mediastinal and hilar contours. heart is top-normal in size, unchanged. lungs are clear. normal pleural surfaces. no evidence of free air.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. no free air. </s> |
<s>[INST] right ij central line and right ij picc present, both with tips overlying the distal svc. et tube tip approximately <num> cm above the c sign rib arina. ng tube extending beneath the diaphragm, off the film. mild prominence of the cardiomediastinal silhouette is similar to the prior film, with an apparent pericardial drain in place. no pneumomediastinum detected. again seen are bilateral layering effusions, slightly larger on the left on the left side, with underlying collapse and or consolidation. these are similar, possibly slightly larger than on the prior film. slight vascular plethora is suspected.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] the lungs are clear without focal consolidation, effusion, or edema. cardiomediastinal silhouette is within normal limits. old healed right lateral rib fractures are noted.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </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] heart size remains moderately enlarged but unchanged. the mediastinal contour is similar. there is mild pulmonary edema. low lung volumes are present with minimal atelectasis at the lung bases. no pleural effusion or pneumothorax is present. diffuse idiopathic skeletal hyperostosis is present within the thoracic spine.What are the key findings of this report? [/INST] mild pulmonary edema. </s> |
<s>[INST] there is a single-lead pacemaker device terminating in the right ventricle. the cardiac, mediastinal and hilar contours appear unchanged. the lungs appear clear. there is no pleural effusion or pneumothorax. there is no definite bony abnormality. a pacemaker partly obscures the course of the lateral and anterior left third rib and this study does not constitute a complete rib series.What are the key findings of this report? [/INST] no evidence of injury. </s> |
<s>[INST] low lung volumes persists, and left hemidiaphragm elevation and mild pleural effusion are associated with left lower lobe atelectasis. no consolidation is seen. cardiac silhouette is mildly enlarged with unchanged mild pulmonary edema. right picc line has been repositioned with the tip ending in the lower svc. median sternotomy wires are intact.What are the key findings of this report? [/INST] mild cardiomegaly with pulmonary edema. no signs of pneumonia. </s> |
<s>[INST] the patient is status post coronary artery bypass graft surgery. a central venous catheter has been removed. the heart is mildly enlarged. the aorta is tortuous. the mediastinal and hilar contours appear unchanged. pleural effusions have resolved. basilar opacities have also almost fully resolved, although there is still patchy density projecting over the lingula and perhaps the left lower lobe. this could be seen as a residual atelectasis or scarring, although an infectious etiology is difficult to completely exclude in the appropriate setting. mild degenerative changes are present along the thoracic spine.What are the key findings of this report? [/INST] <num>. no evidence of congestive heart failure. <num>. patchy basilar opacities, which are probably compatible with residual improved atelectasis, which was more extensive on the prior examination, although an infectious etiology cannot be completely excluded by this study. </s> |
<s>[INST] moderate dextroconvex thoracic scoliosis is unchanged. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. no evidence of focal lung consolidation. views of the upper abdomen are unremarkable.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] ap upright and lateral views of the chest were provided. dual-lead pacer is unchanged with leads extending to the region of the right atrium and right ventricle. the lungs are hyperinflated, though appear clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
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