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<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] there are relatively low lung volumes. there is persistent blunting of the costophrenic angle suggesting trace pleural effusions. minimal bibasilar atelectasis is seen. there is no focal consolidation or pneumothorax. the cardiac and mediastinal silhouettes are stable and unremarkable.What are the key findings of this report? [/INST] low lung volumes with persistent blunting of the costophrenic angles may be due to trace pleural effusions. minimal bibasilar atelectasis. </s> |
<s>[INST] again seen is moderate-to-severe cardiomegaly, overall unchanged compared to the prior exam. there is evidence of mild pulmonary vascular congestion as well as diffuse mild bilateral pulmonary edema. there is an area of increased consolidation at the right lower lobe, concerning for a superimposed infection. there is a small right pleural effusion. there is no evidence of a pneumothorax. the visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] severe cardiomegaly with mild pulmonary vascular congestion and diffuse bilateral pulmonary edema, with increased consolidation at the right lower lobe concerning for pneumonia. small right pleural effusion. </s> |
<s>[INST] a right pigtail catheter projects over the right hemithorax in unchanged position. cardiomediastinal and hilar contours are stable. no focal consolidation, or pleural effusion. a right apical pneumothorax has nearly resolved.What are the key findings of this report? [/INST] right pigtail catheter is stable. a right apical pneumothorax has nearly resolved. </s> |
<s>[INST] there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. a left-sided port-a-cath terminates within the distal svc. no free air seen below the diaphragm.What are the key findings of this report? [/INST] no evidence of acute cardiopulmonary process. </s> |
<s>[INST] right-sided dual chamber pacemaker with leads terminating in the right atrium and right ventricle is in unchanged position. cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. no acute osseous abnormalities demonstrated.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. heart size is mildly enlarged. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] low lung volumes cause bronchovascular crowding and bibasilar atelectasis. small lung nodules consistent with metastasis are better seen on prior ct. there is probably mild vascular congestion. if any there are small bilateral pleural effusions. bibasilar airspace opacities best appreciated on the lateral view represent atelectasis. the cardiomediastinal silhouette is stable with moderate cardiomegaly and tortuous aorta.What are the key findings of this report? [/INST] <num>. low lung volumes. <num>. bibasilar airspace opacities likely represent atelectasis, less likely pneumonia, depending upon the clinical circumstances <num>. minimal vascular congestion <num>. small lung nodules are better seen on prior ct consistent with metastasis </s> |
<s>[INST] there is no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. mild scarring at the right base is unchanged.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] no focal consolidation, effusion, or pneumothorax. the heart is top normal in size. mild dextroconvex curvature of the thoracic spine is unchanged. mediastinum is not widened.What are the key findings of this report? [/INST] no focal pneumonia. </s> |
<s>[INST] left-sided port-a-cath is in place with tip terminating in the lower superior vena cava with no visible pneumothorax. homogeneous opacity in right lung apex with associated traction bronchiectasis and upward retraction of the right hilum is consistent with post-radiation changes in this patient with history of previous radiation therapy to this region. approximately <num>-cm diameter nodule in left suprahilar region is seen to better detail on prior ct of <unk>, which demonstrated several additional pulmonary nodules bilaterally, previously attributed to pulmonary metastases.What are the key findings of this report? [/INST] no focal areas of consolidation are identified within the lungs to suggest the presence of pneumonia, but standard pa and lateral chest radiographs may be helpful for more complete assessment of the lungs when the patient's condition permits. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. the heart is top normal size and cardiomediastinal contours are stable. the lungs are clear without focal consolidation, pleural effusion, or pneumothorax. calcification of the aortic knob is similar to prior. bilateral acromioclavicular and glenohumeral joint degenerative changes are mild.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] single portable view of the chest. the lungs are grossly clear without large confluent consolidation or definite effusion. the cardiomediastinal silhouette is within normal limits. there is tortuosity of the descending thoracic aorta. the bones appear diffusely demineralized, but without acute osseous abnormality visualized. surgical clips identified in the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the patient is status post sternotomy and probably coronary artery bypass graft surgery. the lowermost sternal wire again shows dishiscences which are unchanged. the cardiac, mediastinal and hilar contours appear stable. a vague opacity obscuring the lingula is not very striking. the lung volumes are low, probably explaining crowding of lung markings at the lung bases. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] vague a lingular opacity although not very striking. if pneumonia is a clinical concern short-term followup pa and later lateral radiographs may be helpful but findings are not highly convincing for pneumonia. </s> |
<s>[INST] heterogeneous right lower lobe opacities are concerning for an infectious process. a <unk>-mm nodular opacity projecting over the right mid lung on the frontal radiograph is new compared to the prior study from <unk>, possibly also infectious in nature, although a pulmonary nodule is not excluded. there is minimal left lower lung atelectasis. mild cardiomegaly is not significantly changed. the mediastinal contours are normal. blunting of the right costophrenic angle could be due to a small pleural effusion. there is no pneumothorax.What are the key findings of this report? [/INST] <num>. right lower lobe pneumonia. a right mid lung nodular opacity could also be infectious in nature, although a followup radiograph after antibiotic therapy is recommended to exclude an underlying pulmonary nodule. <num>. unchanged mild cardiomegaly. <num>. possible small right pleural effusion. pertinent findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on <unk>. </s> |
<s>[INST] frontal and lateral radiographs of the chest demonstrate a large hiatal hernia with adjacent atelectasis, grossly unchanged from the prior exam. atelectasis is also noted at the right base. the cardiomediastinal and hilar contours are unchanged. there is no pneumothorax, pleural effusion, or consolidation.What are the key findings of this report? [/INST] <num>. no acute cardiopulmonary process. <num>. large hiatal hernia with adjacent atelectasis. </s> |
<s>[INST] ap upright portable chest radiograph obtained. there is diffuse pulmonary edema with bilateral pleural effusions. no pneumothorax. bony structures are intact with degenerative changes again noted at the right shoulder with old deformity.What are the key findings of this report? [/INST] pulmonary edema with small bilateral effusions. </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] <num> views were obtained of the chest. the lungs are low in volume but clear. there is no pleural effusion or pneumothorax. 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] the tracheostomy is unchanged in position. there is increasing opacity at the right base, which may represent a developing pneumonia or atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is stable. the pulmonary vasculature is normal. there are no pleural effusions and no pneumothorax.What are the key findings of this report? [/INST] increasing right basilar opacification, which may represent a developing pneumonia or atelectasis. </s> |
<s>[INST] the cardiac silhouette is top normal to mildly enlarged. the mediastinal contours are unremarkable. no focal consolidation, pleural effusion, evidence of a pneumothorax is seen. there is minimal left base atelectasis. no overt pulmonary edema is seen. mild degenerative changes are seen along the spine.What are the key findings of this report? [/INST] top-normal to mildly enlarged cardiac silhouette without overt pulmonary edema. no pleural effusion seen. </s> |
<s>[INST] the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] pa and lateral views of the chest. again seen are retrocardiac opacities, which are unchanged. this may represent pneumonia in a correct clinical setting. no other focal consolidations are seen. no pneumothorax or pleural effusion. the cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] unchanged left retrocardiac basilar opacities, which may represent pneumonia. recommend follow-up to resolution. </s> |
<s>[INST] persistent low lung volumes. interval worsening of bilateral diffuse hazy lung opacities. unchanged bilateral pleural effusions, right greater than left with cardiomegaly. left-sided pacemaker and <num> associated pacer wires appear intact. sternotomy sutures and surgical clips project over the mediastinum as before. there is diffuse mild osteopenia with no significant interval change in the bony thorax.What are the key findings of this report? [/INST] interval mild worsening of pulmonary edema with new hazy opacities in the right lung likely representing alveolar edema versus aspiration pneumonitis. </s> |
<s>[INST] the cardiac, mediastinal and hilar contours appear unchanged. blunting of the left costophrenic sulcus suggests a small new effusion, with none identifiable on the right side. streaky basilar opacity seen posteriorly are suggestive of minor atelectasis. otherwise, lungs appear clear. there is no pneumothorax.What are the key findings of this report? [/INST] small pleural effusion on the left only. </s> |
<s>[INST] the lungs are clear with no evidence of a consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. post-cabg changes are noted with intact median sternotomy wires. no acute fractures are identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] single ap upright portable view of the chest was obtained. again, there is diffuse increase in interstitial markings, similar as compared to prior but new since <unk>, could be due to viral or atypical pneumonia. no lobar consolidation is seen. there is no evidence of pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable.What are the key findings of this report? [/INST] diffuse increase in interstitial markings similar to prior, possibly slightly decreased in the right upper <unk>, <unk> be due to viral or atypical infection. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. lungs are hyperinflated without focal consolidation. no pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] heart size and mediastinal contours are within normal limits. there is atherosclerotic calcification of the aortic arch. bilateral fibronodular apical scarring is slightly more prominent on the right. the lungs are clear. no evidence of pulmonary vascular congestion or pulmonary edema and no pleural effusion. osseous structures show mild degenerative changes of the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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 displaced fracture is identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lung volumes are unchanged compared to the prior study. the endotracheal tube is unchanged in position, terminating level clavicles. an orogastric tube terminates in the stomach, the side port is at the level of the gastroesophageal junction. a right internal jugular catheter terminates in the proximal svc. there is persistent mild cardiomegaly and prominence of the bilateral hila with upper lobe vascular congestion. appearances are consistent with pulmonary vascular congestion, no overt pulmonary edema. trace bilateral pleural effusions. no consolidation or pneumothorax seen.What are the key findings of this report? [/INST] the orogastric tube terminates in the stomach, the side port is at the level of the gastroesophageal junction. background changes of pulmonary vascular congestion. </s> |
<s>[INST] there is massive cardiomegaly present. pacemaker is in unchanged position. no significant effusion. ct localization peribronchial cuffing is noted consistent with some congestive change. no good evidence of pneumonia.What are the key findings of this report? [/INST] no good evidence of a pneumonia. some congestive changes suggested although some of this may reflect the technique </s> |
<s>[INST] ap portable upright view of the chest. cardiomegaly is unchanged with significant enlargement of the main pulmonary artery, unchanged. there is increased opacity in the left lung base consistent with moderate pleural effusion and atelectasis, cannot exclude pneumonia. a small right pleural effusion is also present. upper lung lucency is suggestive of emphysema. a nodular opacity projects over the right upper lung which appear stable from multiple prior exams. no pneumothorax. a right proximal humeral hardware is partially imaged. widening of the left ac joint with elevated left distal clavicle is unchanged compatible with an old grade <num> ac joint separation.What are the key findings of this report? [/INST] <num>. bilateral pleural effusions with left basal atelectasis, cannot exclude pneumonia. <num>. probable underlying emphysema. <num>. additional chronic changes as described above. </s> |
<s>[INST] the cardiac silhouette size is normal. the mediastinal and hilar contours are unchanged, without evidence of hilar lymphadenopathy. again demonstrated are bi apical linear opacities suggestive of scarring with architectural distortion, unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. aeration of the lung bases appears improved compared to the prior chest radiograph. no acute osseous abnormalities are seen.What are the key findings of this report? [/INST] no definite evidence for aspiration pneumonia. unchanged scarring and architectural distortion within the lung apices. </s> |
<s>[INST] lung volumes are low, accentuating the pulmonary vasculature. the presence of interstitial edema, focal consolidation or aspiration is difficult to discern given the low lung volumes and prominent soft tissue. there is at least some atelectasis at the left base. size of the cardiac silhouette is enlarged by low lung volume.What are the key findings of this report? [/INST] limited exam by low lung volumes. mild pulmonary edema cannot be excluded. </s> |
<s>[INST] hardware seen in the left clavicle. chest tube has been removed. there are multiple left rib fractures again seen. atelectasis in lungs bilaterally is unchanged. no pneumothorax. no pleural effusion. cardiomediastinal and hilar contours are normal.What are the key findings of this report? [/INST] no pneumothorax identified. multiple rib fractures on the left and bilateral atelectasis. </s> |
<s>[INST] there is interval placement of a dobbhoff tube with its tip in the stomach. a right picc is in the mid svc. skin <unk> along the left shoulder and two screws in the left humeral head are new. the cardiomediastinal silhouette is stable. lungs are clear. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] interval placement of a dobbhoff tube with tip in the stomach. </s> |
<s>[INST] compared to the prior study there is no significant interval change.What are the key findings of this report? [/INST] no change. </s> |
<s>[INST] lungs are well-expanded, without focal opacities. cardiomediastinal and hilar contours unremarkable. there is no pleural effusion pneumothorax. the ng tube is seen with both the tip and side port beyond the gastroesophageal junction. dilated loop of colon is a known cecal volvulus better seen in prior ct performed at outside institution.What are the key findings of this report? [/INST] appropriate placement of the ng tube. dilated loop of colon is a known cecal volvulus better seen in prior ct performed at outside institution. </s> |
<s>[INST] there are low lung volumes. there is a hazy opacity at the right lung base which may represent atelectasis but an infectious process cannot be excluded. cardiomediastinal silhouette is slightly enlarged, similar to prior exam. there is no pneumothorax or pleural effusion.What are the key findings of this report? [/INST] hazy opacity at the right lung base which may represent atelectasis but an infectious process is not excluded. </s> |
<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. streaky left retrocardiac opacities most likely represents atelectasis. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified. a stimulator device is seen in the left anterior chest wall. left hemidiaphragm is elevated.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] extensive, diffuse bilateral parenchymal opacities persist and are overall unchanged since at least <unk>. no pneumothorax. the cardiomediastinal silhouette is unchanged without evidence of cardiomegaly.What are the key findings of this report? [/INST] diffuse bilateral parenchymal opacities are unchanged. </s> |
<s>[INST] the lungs are symmetrically expanded and well aerated without focal consolidation concerning for pneumonia, pleural effusion or pneumothorax. the pulmonary vasculature is not engorged. the cardiac silhouette is top normal in size. the thoracic aorta is unfolded and tortuous. as a result, the mediastinum appears prominent, but otherwise within normal limits. the trachea is deviated to the right by the aortic arch.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] there is pulmonary edema with basilar opacity likely atelectasis. no pneumothorax. heart size appears stable. left effusion, possibly small right effusion noted.What are the key findings of this report? [/INST] pulmonary edema with small effusions. </s> |
<s>[INST] pa and lateral views of the chest provided demonstrate no 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> |
<s>[INST] the pacemaker and leads are unchanged in appropriate position. tortuous aorta with calcified aortic knob is again present. the heart size is also mildly enlarged. pulmonary vasculature remains prominent. bibasilar atelectasis also remains. no large pleural effusion is present. no pneumothorax is seen.What are the key findings of this report? [/INST] perivascular congestion suggesting early failure. no large pleural effusion. </s> |
<s>[INST] is increased volume loss at both bases. in addition, there is an increased area of opacity in the right upper lobe compatible with small/early infiltrate.What are the key findings of this report? [/INST] impression new small infiltrate right upper lobe. </s> |
<s>[INST] heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is mild elevation of the right hemidiaphragm which is chronic with adjacent subsegmental atelectasis in the right middle lobe. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no radiographic evidence for pneumonia. </s> |
<s>[INST] cardiac, mediastinal and hilar contours are normal. lungs are hyperinflated but clear. pulmonary vasculature is normal. no pleural effusion, focal consolidation, or pneumothorax is visualized. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the heart is normal in size. the mediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. patchy lingular opacity is probably due to minor scarring. otherwise, the lungs appear clear. moderate degenerative changes are noted along the thoracic spine.What are the key findings of this report? [/INST] no evidence of acute disease. </s> |
<s>[INST] lung volumes are low with crowding of bronchovascular markings. there is discoid atelectasis of the bilateral upper lungs. opacities in the retrocardiac region also likely represent atelectasis. there is no overt pulmonary edema. the heart is at least top normal in size. apparent widening of the mediastinum is likely secondary to a combination of vascular congestion and adjacent atelectasis, with an acute mediastinal process felt less likely in the absence of any chest pain. there may be a small amount of pleural fluid on the left. there is no right pleural effusion. there is no pneumothorax. repeat with better respiratory effortWhat are the key findings of this report? [/INST] <num>. no overt pulmonary edema. discoid atelectasis of the bilateral upper lungs. retrocardiac opacities, also likely representing atelectasis. <num>. apparent widening of the mediastinum, likely secondary to a combination of vascular congestion and adjacent atelectasis, with an acute mediastinal process felt less likely in the absence of any chest pain. however, repeat ap radiograph with better inspiration is recommended. this preliminary report was reviewed with dr. <unk>, <unk> radiologist. recommendation(s): repeat ap radiograph with better inspiration. </s> |
<s>[INST] a dialysis catheter terminates in the upper atrium as before. the heart is again moderately enlarged. the mediastinal and hilar contours appear unchanged. there is again perihilar fullness and hazy central pulmonary vascularity which suggests mild vascular congestion that appears unchanged. mild relative elevation of the right hemidiaphragm compared to the left is similar. there is no definite pleural effusion or pneumothorax. mild degenerative changes are noted along the thoracic spine.What are the key findings of this report? [/INST] findings suggestive of mild background fluid overload with perhaps a slight increase. </s> |
<s>[INST] compared to most recent prior exam, there has been little interval change. right lower lung opacity is similar in extent but decreased in density compared to prior. no pneumothorax is seen. endotracheal tube, right internal jugular catheter, and esophageal catheter are similarly positioned with esophageal catheter tip out of view.What are the key findings of this report? [/INST] persistent slightly improved right lower lung opacity. </s> |
<s>[INST] lung volumes are somewhat improved compared to the prior study. the trachea is central. the cardiomediastinal contour is unchanged. heart size is at the upper limits of normal. prominence of the bilateral hila and pulmonary vascular structures is less apparent than on the prior study. no frank pulmonary edema. no pleural effusion seen. degenerative changes in the thoracic spine.What are the key findings of this report? [/INST] interval improvement in lung volumes likely resulting in less convincing evidence of congestive heart failure. no frank pulmonary edema seen. </s> |
<s>[INST] the lung volumes are low. in comparison to prior study, missing short segment of the right posterior fifth rib, left acromioclavicular joint osteoarthritis, and bilateral glenohumeral joint arthritis are again seen; however, there is increased lucency and thinning of the posterior seventh rib when compared to most recent <unk> chest radiograph that may represent worsening osteoporosis given patient's debilitated and wheelchair-bound state. there are no sclerotic bone lesions noted. there is mild cardiomegaly with mild pulmonary vascular congestion and cephalization of pulmonary vessels without overt pulmonary edema. bibasilar subsegmental atelectasis are also noted. no pneumothorax seen. old fracture of the right fifth posterior rib unchanged from prior chest radiograph.What are the key findings of this report? [/INST] <num>. mild cardiomegaly, fluid overload, without overt pulmonary edema. <num>. stable osteoarthritis of the bilateral glenohumeral joint, severe left acromioclavicular joint osteoarthritis, increased lucency of the ribs(particularly the right seventh posterior rib) that may represent worsening osteoporosis in a debilitated and wheelchair-bound patient. recommendation(s): recommend ct scan if there is clinical suspicion for malignancy or pathological fractures. </s> |
<s>[INST] pa and lateral views of the chest were obtained. an aicd is unchanged in position with lead tip extending into the right ventricle region. midline sternotomy wires are again seen. there is interstitial pulmonary edema with bilateral small pleural effusions. heart size is stable and within normal limits. central hilar engorgement is noted. no pneumothorax. bony structures are intact.What are the key findings of this report? [/INST] mild pulmonary edema with small bilateral pleural effusions. </s> |
<s>[INST] cardiac silhouette size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is not engorged. no focal consolidation, pleural effusion or pneumothorax is detected. elevation of the right hemidiaphragm is unchanged. multiple clips are again noted in the right paramediastinal region.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </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. pectus excavatum deformity of the sternum is noted. dish related changes of the t-spine or also present. 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] enteric tube tip is in the proximal stomach. endotracheal tube tip <num> cm above carina. normal heart size, pulmonary vascularity. no pneumothorax. small right pleural effusion is stable. lungs are clear. chronic posttraumatic or postsurgical change distal right clavicle.What are the key findings of this report? [/INST] enteric tube tip in the proximal stomach. </s> |
<s>[INST] the cardiomediastinal and hilar contours are stable with fullness of the right cardiophrenic angle, stable since the prior study, and likely representing prominent mediastinal fat. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits.What are the key findings of this report? [/INST] no acute cardiopulmonary process. dr. <unk> <unk> these results with dr. <unk> <unk> telephone on <unk>. </s> |
<s>[INST] lung volumes are low. heart size is mildly enlarged but unchanged. mediastinal and hilar contours are unremarkable. there is crowding of the bronchovascular structures without overt pulmonary edema. minimal patchy opacities in the lung bases likely reflect atelectasis. there is no focal consolidation. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] low lung volumes with mild bibasilar atelectasis. </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 displaced fracture is seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] again seen are chronic interstitial changes predominantly in the right lower and left mid and lower lungs. however, there is increased density of opacification in the right lower hemithorax concerning for developing infection. considerations include atypical infection, though asymmetric pulmonary edema is possible. given history of lung malignancy, lymphangitic carcinomatosis is also a consideration. underlying fibrotic changes are grossly similar with predominantly paramediastinal and lingular distribution. no pneumothorax or significant pleural effusion is seen. the heart size is enlarged, however, unchanged. of note, on the ct of <unk>, there was a small pericardial effusion. there are atherosclerotic calcifications of the aortic arch.What are the key findings of this report? [/INST] diffuse interstitial opacities increased predominantly in the right lower lung, concerning for developing infection. given history of lung carcinoma, however, lymphangitic spread of carcinoma as well as asymmetric pulmonary edema are possibilities. </s> |
<s>[INST] elevation of the right hemidiaphragm is chronic. the cardiac, mediastinal and hilar contours are unchanged with similar postradiation paramediastinal changes. mild atelectasis is noted within the right lung base. the left lung is clear. blunting of the left costophrenic angle posteriorly is unchanged, and likely reflects chronic pleural thickening. no pulmonary edema 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. chronic elevation of the right right hemidiaphragm and unchanged blunting of the left costophrenic sulcus suggestive of chronic pleural thickening. </s> |
<s>[INST] ap upright and lateral views of the chest were obtained. midline sternotomy wires and prosthetic cardiac valve are noted. lung volumes are low. heart is mildly enlarged. there is mild interstitial edema. no large effusion is seen. overall mediastinal contour is prominent though this could be due to vascular ectasia. bony structures are intact.What are the key findings of this report? [/INST] mild interstitial edema and mild cardiomegaly. </s> |
<s>[INST] the cardiomediastinal and hilar contours are stable. there is no pneumothorax or large pleural effusion. there lung volumes are slightly low with mild bibasilar atelectasis, but there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. left subclavian and ng tubes are in standard positions. ett appears slightly low, but the chin is down.What are the key findings of this report? [/INST] no significant change in heart and lungs or support devices since the most recent prior study. </s> |
<s>[INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. a <num> cm nodular opacity overlying the inferior endplate of the mid thoracic vertebral body is likely an osteophyte.What are the key findings of this report? [/INST] no evidence of pneumonia. </s> |
<s>[INST] frontal and lateral views of the chest were obtained. there is minimal left base atelectasis. dual-lead left-sided pacemaker is again seen with leads in the expected positions of the right atrium and right ventricle. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette enlarged. the aorta is calcified and tortuous. the bones are osteopenic. possible trace fluid in major fissure.What are the key findings of this report? [/INST] no focal consolidation to suggest pneumonia. </s> |
<s>[INST] lung volumes are low. heart size is mildly enlarged. aorta is slightly tortuous. there is crowding of the bronchovascular structures without overt pulmonary edema. a patchy opacity is noted within the left lower lobe concerning for pneumonia. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected.What are the key findings of this report? [/INST] patchy opacity in the left lower lobe concerning for pneumonia in the correct clinical setting. recommendation(s): follow up radiographs after treatment are recommended to ensure resolution of this finding. </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] 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. leads from a spinal stimulator device are seen projecting over the lower thoracic and upper lumbar spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] the swan-ganz catheter tip is near the origin of the right middle lobe pulmonary artery. it can be withdrawn approximately <num> cm to be in more standard position. a right picc line is seen, terminating in the mid to lower svc. midline sternal wires are intact and well aligned. the cardiac silhouette is stably enlarged. there is mild vascular congestion, overall similar the most recent examination. there are bilateral pleural effusions, moderate on the left and small on the right. associated bibasilar atelectasis also seen. there is no pneumothorax.What are the key findings of this report? [/INST] swan-ganz catheter tip projects near the origin of right middle lobe pulmonary artery and can be withdrawn approximately <num> cm to be in more standard position. </s> |
<s>[INST] frontal and lateral chest radiograph demonstrates hypoinflated lungs with crowding of vasculature and bilateral lower lobe atelectasis.subtle left lower lobe opacity is noted. ill-defined opacity projecting over the right lung apex is new. heart size, 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>. subtle left lower lobe opacity may represent early pneumonia in the appropriate clinical setting. <num>. new opacity in right lung apex. follow up chest radiograph when clinically stable in <num> weeks is recommended to assess for interval resolution. if finding persists at this time a dedicated ct chest is recommended. </s> |
<s>[INST] there is relative elevation of the right hemidiaphragm with right basilar atelectasis. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. surgical clip projects over the right upper quadrant.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] heart size and cardiomediastinal contours are within normal limits. elevation of the right hemidiaphragm is chronic. no focal consolidation, pleural effusion, or pneumothorax detected.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] patient is status post median sternotomy with clips projecting over the right axillary region. cardiac silhouette size remains moderately enlarged, unchanged. the aorta is tortuous. mild pulmonary vascular congestion is demonstrated with worsening patchy and linear bibasilar airspace opacities compatible with increased atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. multiple chronic right-sided rib fractures are again demonstrated. osseous structures are diffusely demineralized with loss of height of several lower thoracic vertebral bodies, unchanged.What are the key findings of this report? [/INST] increased bibasilar atelectasis and mild pulmonary vascular congestion. </s> |
<s>[INST] the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] compared with <unk>, there has been resolution of pulmonary vascular congestion and edema.the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. mild cardiomegaly is unchanged.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] portable semi-erect chest radiograph <unk> at <time>What are the key findings of this report? [/INST] interval appearance of bibasilar airspace opacities and a layering left effusion. findings could reflect atelectasis although aspiration or pneumonia should also be considered. interval resolution of pulmonary edema. stable cavitary nodular opacity in the right upper lung. heart remains enlarged. mediastinal contours are difficult to assess given marked patient rotation on the current study. </s> |
<s>[INST] an ng tube remains in unchanged position overlying the proximal jejunum. the left picc line has been removed. there has been interval improvement in mild pulmonary vascular congestion. bibasilar atelectasis is unchanged. no focal consolidation or pneumothorax is present. the cardiomediastinal silhouette is unchanged.What are the key findings of this report? [/INST] interval improvement in mild pulmonary edema. </s> |
<s>[INST] support lines and tubes are unchanged in appearance when compared to the prior study. the cardiomediastinal contour is unchanged with persistent prominence of the bilateral hila. no consolidation, pneumothorax or pleural effusion seen. a focal airspace opacity in the left lower lung is likely due to atelectasis but continued attention on followup.What are the key findings of this report? [/INST] focal airspace opacity in the left lower lung likely due to atelectasis but continued attention on followup is recommended. </s> |
<s>[INST] lungs are well inflated and clear bilaterally with no suspicious lesions or masses. there is no pleural effusion or pneumothorax. there is mild stable cardiomegaly without evidence of failure. the aorta is mildly tortuous and calcified. pleural surfaces are unremarkable.What are the key findings of this report? [/INST] no evidence of remote or recurrent tuberculosis. </s> |
<s>[INST] there has been no interval change in the appearance of the chest compared to the prior radiograph obtained approximately <unk> min earlier. patient is status post median sternotomy and cabg. a left-sided pacer device is noted with lead terminating in the right ventricle. mild enlargement of the cardiac silhouette is present. the aorta is tortuous. mediastinal and hilar contours are within normal limits. pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. moderate multilevel degenerative changes are present in the thoracic spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s> |
<s>[INST] heart size is normal. mediastinal contours are unremarkable with mild prominence of the hila bilaterally. streaky bibasilar airspace opacities likely reflect atelectasis. there is no pulmonary vascular engorgement. no pneumothorax or pleural effusion is present. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] mild bibasilar atelectasis. normal cardiac silhouette size, without evidence for thoracic aortic enlargement. </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] portable upright chest radiograph <unk> at <time> is submitted.What are the key findings of this report? [/INST] there has been slight worsened of mild to moderate pulmonary edema. more rounded opacity in the right upper lobe is felt to more likely be related to pulmonary edema rather than representing aspiration or developing pneumonia. overall cardiac and mediastinal contours are stable. no pneumothorax. no large effusions. </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. an old right mid shaft clavicle deformity is noted. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no acute intrathoracic process. </s> |
<s>[INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s> |
<s>[INST] lung volumes are low. the heart size is borderline enlarged. the mediastinal and hilar contours are unremarkable, and there is no pulmonary vascular congestion. streaky opacities in the lung bases may reflect atelectasis. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.What are the key findings of this report? [/INST] low lung volumes limit assessment of the lung bases. streaky bibasilar opacities likely reflect atelectasis. if there is continued concern for infection, then repeat pa view with improved inspiratory effort is suggested. </s> |
<s>[INST] pa and lateral views of the chest were obtained. the lungs appear clear bilaterally without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette appears normal. bony structures are intact. no free air below the right hemidiaphragm is seen.What are the key findings of this report? [/INST] no signs of pneumonia. </s> |
<s>[INST] pa and lateral views of the chest provided. lung volumes are low with basilar opacities, most likely atelectatic. no effusion or pneumothorax. heart size is difficult to assess. mediastinal contour is normal. bony structures are intact. no free air below the right hemidiaphragm. clips in the upper abdomen are again noted.What are the key findings of this report? [/INST] low lung volumes with basilar atelectasis. no convincing signs of pneumonia. </s> |
<s>[INST] pa and lateral views of the chest are obtained. midline sternotomy wires and mediastinal clips are again noted. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is stable. bony structures are intact. eventration of right hemidiaphragm is again noted. no free air below the right hemidiaphragm.What are the key findings of this report? [/INST] no acute intrathoracic 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 cardiomediastinal silhouette, pulmonary vasculature, and aorta are within normal limits. the lungs are clear. there is no pleural effusion. there has been placement of a right internal jugular line with tip terminating in the low superior vena cava. there is no pneumothorax. visualized osseous structures are unremarkable.What are the key findings of this report? [/INST] unremarkable right central venous line. no evidence of pneumothorax. </s> |
<s>[INST] there is left lower lobe airspace opacity, without pleural effusion or pneumothorax. moderate scoliosis of the thoracic spine is present. the cardiac and mediastinal contours are normal.What are the key findings of this report? [/INST] <num>. left lower lobe airspace opacity, consistent with pneumonia. <num>. thoracic scoliosis. </s> |
<s>[INST] right perihilar opacity is re- demonstrated and grossly stable, given differences in lung volume. no new focal consolidation is seen. possible trace right pleural effusion. no pneumothorax is seen. the cardiac and mediastinal silhouettes are stable as compared to <unk>. dual lead left-sided aicd is stable in position. right pleurx catheter is seen extending into the medial right lower hemi thorax.What are the key findings of this report? [/INST] no significant interval change. persistent right hilar/perihilar opacity and possible trace right pleural effusion are overall stable. </s> |
<s>[INST] pa and lateral chest radiographs. there is persistent elevation of the right hemidiaphragm which is more pronounced than on priors. small right pleural effusion is new. however, there is no evidence of pulmonary edema. the heart size is normal. again noted is the abnormal contour of the right apex which may represent fibrotic changes.What are the key findings of this report? [/INST] small right pleural effusion in the setting of elevated right hemidiaphragm which has been present on prior exams but is slightly more pronounced. if there is further concern for an underlying abnormality, chest ct can be considered. however, no evidence of pulmonary edema. findings were discussed by dr. <unk> with dr. <unk> by phone at <time> p.m. on <unk>. </s> |
<s>[INST] ap portable upright view of the chest. patient is intubated and tip of the endotracheal tube resides <num> cm above the carina. an ng tube courses into the left upper abdomen. midline sternotomy wires are again noted. there is an aicd with leads extending into the region of the right atrium and right ventricle. the heart remains stable e enlarged. small bilateral pleural effusions are present with lower lung opacities concerning for aspiration versus pneumonia. hilar congestion and mild pulmonary edema is noted. no definite pneumothorax. bony structures appear intact.What are the key findings of this report? [/INST] as above. </s> |
<s>[INST] new extensive opacification of bilateral lung fields is most consistent with severe pulmonary edema. areas of nodularity in the left upper lung and right lung base may represent a superimposed infectious process or large pulmonary nodules, as seen on recent abdomen pelvis ct. repeat chest radiographs or chest ct following diuresis are recommended for further evaluation. numerous support devices include an enteric tube terminating within the stomach, a prostatic mitral valve, <num> intact median sternotomy wires, and multiple mediastinal clips.What are the key findings of this report? [/INST] severe pulmonary edema. considering the nodular quality have some of the opacities, short-term followup radiographs would be helpful to contents insure resolution and to exclude the possibility of coexisting infection, vasculitis, or neoplasm. recommendation(s): followup chest radiographs or chest ct following diuresis are recommended to evaluate for resolution of areas of nodularity. </s> |
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