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<s>[INST] portable frontal view of the chest. two right chest tubes have been removed. a tubular lucency in the right lung apex likely represents the track of the prior chest tube. no definite pneumothorax is identified. there is persistent diffuse consolidation of the right lung and at least a moderate right pleural effusion. multiple nodules in the left lung corresponds to known metastatic cancer. the mediastinal and cardiac contours are unchanged.What are the key findings of this report? [/INST] interval removal of two right chest tubes. no definite pneumothorax. </s>
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<s>[INST] there is minor left basilar atelectasis without definite focal consolidation. . no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.What are the key findings of this report? [/INST] minor left basilar atelectasis without definite focal consolidation. </s>
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<s>[INST] single frontal view of the chest was obtained. right atrial, right ventricular, and left ventricular pacer defibrillator leads of a left chest wall generator terminate in stable position. moderate sized right pleural effusion is unchanged. no pneumothorax or evidence for pulmonary edema. moderate cardiomegaly is stable.What are the key findings of this report? [/INST] unchanged moderate right pleural effusion. </s>
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<s>[INST] the lungs are hyperexpanded. heart size is normal. the aorta is calcified, indicating atherosclerosis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. left basilar atelectasis. lungs are otherwise clear. no pleural effusion or pneumothorax is seen. there are multilevel degenerative changes of the visualized spine.What are the key findings of this report? [/INST] no acute cardiopulmonary abnormality. </s>
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<s>[INST] low lung volumes with kyphosis of the thoracic spine causing sub optimal assessment of the lung bases. linear opacities in the left lower lobe extending to the hilum are new. moderate hiatal hernia. no pleural effusions or pneumothorax.What are the key findings of this report? [/INST] probable left lower lobe pneumonia pe </s>
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<s>[INST] frontal and lateral chest radiograph demonstrate clear lungs with no focal consolidation. there is minimal left basilar atelectasis. heart size is enlarged but stable when compared to chest radiograph dated <unk>. there is mild rightward deviation of the trachea secondary to tortuous aortic arch which is stable and exaggerates the width of the mediastinum. there is no pleural effusion or pneumothorax.What are the key findings of this report? [/INST] no pneumonia. </s>
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<s>[INST] single portable view of the chest was compared to previous exam from <unk>. previously identified right ij line is no longer visualized. the lungs remain clear noting right basilar atelectasis. cardiomediastinal silhouette is within normal limits for technique. osseous and soft tissue structures are grossly unremarkable.What are the key findings of this report? [/INST] no acute cardiopulmonary process. </s>
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<s>[INST] frontal and lateral views of the chest were obtained. a dual-lead left-sided pacemaker is seen with leads in the expected positions of the right atrium and right ventricle. the lungs remain hyperinflated with flattening of the diaphragms, suggesting chronic obstructive pulmonary disease. there appears to be blunting of the posterior costophrenic angles which may be related to copd; however, trace pleural effusions may be present. the cardiac silhouette is top normal. the aortic knob is calcified. again, there may be mild vascular congestion, similar to prior.What are the key findings of this report? [/INST] possible mild vascular congestion, similar to prior. slight blunting of the posterior costophrenic angles could relate to copd, although trace pleural effusions are not excluded. </s>
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<s>[INST] the study is degraded by motion, which limits the assessment of the lateral view. within this limitation, there is no evidence of focal consolidation, pleural effusion or pneumothorax. heart size is top-normal. no acute osseous abnormalities identified.What are the key findings of this report? [/INST] no acute cardiopulmonary process within the limitations of this motion degraded study. </s>
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<s>[INST] low lung volumes significantly limit assessment. there is mild perihilar vascular prominence likely representing congestion. there is no definite focal consolidation, pleural effusion, or pneumothorax. there is an abnormally widened mediastinal contour, minimally changed from <unk>. evaluation of the cardiac silhouette is limited there is no free intraperitoneal air. posterior spinal fusion hardware is noted overlying the lower thoracic and upper lumbar vertebral bodies. there is no fracture.What are the key findings of this report? [/INST] as above. please refer to subsequent ct chest for further details. </s>
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<s>[INST] multiple support devices are in unchanged position from the prior exam including a swan-ganz catheter with the tip in the distal main pulmonary artery. two hemostats are in unchanged position overlying the mediastinum. bilateral chest tubes are present. a right pleural effusion is unchanged in size. there is no left pleural effusion. there is no consolidation, pulmonary edema, or pneumothorax. very mild pulmonary edema present on the prior radiograph has resolved. the mediastinal contours are minimally widened and unchanged from prior exams. the cardiac silhouette is normal.What are the key findings of this report? [/INST] <num>. stable small right pleural effusion. <num>. resolution of mild pulmonary edema. <num>. unchanged position of multiple support devices. <num>. no new consolidation. </s>
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<s>[INST] there is a dense left alveolar infiltrate most marked in the lower lobes but extending to the mid lung with some hazy alveolar infiltrate in the left upper lung there is increased lung markings at the right base. compared to the film from <num> days ago of the extent of the alveolar infiltrates increased on the left patient's history bronchiectasis and these dilated airspaces are seen within the lung parenchyma on the leftWhat are the key findings of this report? [/INST] worsened left infiltrate </s>
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<s>[INST] since the prior study, there has been development of large opacity projecting over most of the left hemi thorax with mediastinal shift to the left. the left diaphragm is obscured. the right lung is clear. no right pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are not well assessed due to the left hemithorax opacification.What are the key findings of this report? [/INST] interval development of large opacity projecting over the left hemi thorax with mediastinal shift to the left worrisome for lung collapse with possible underlying pleural effusion and consolidation. no pneumothorax seen. clear right lung. findings were discussed with dr. <unk> on <unk> in person after the conclusion of the study. </s>
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<s>[INST] pa and lateral views of the chest provided. midline sternotomy wires are noted. in this patient with recent pneumonia, there is overall improvement. mild residual reticular opacities are noted with a perihilar distribution raising potential concern for mild edema. no large effusion or pneumothorax. cardiomediastinal silhouette appears stable. bony structures are intact. clips noted in the upper abdomen.What are the key findings of this report? [/INST] interval improvement with mild perihilar reticular opacity which could represent edema or atypical infection. </s>
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<s>[INST] there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. no free air. no radiopaque foreign body identified. right upper quadrant cholecystectomy clips again seen.What are the key findings of this report? [/INST] no acute cardiopulmonary process. no radiopaque foreign body identified. </s>
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<s>[INST] evaluation is limited due to poor inspiratory effort and patient positioning. within this limitation, the lungs are underinflated with resultant bronchovascular crowding. there is increased opacification at the right lung base which is likely due to atelectasis. no significant pleural effusion or pneumothorax is detected. the right hilum appears more dense and rounded than the left but is difficult to assess due to low lung volumes and rightward rotation. the cardiac silhouette is likely within normal limits for size allowing for low lung volumes. the trachea is slightly deviated to the right by the aortic knob, which is ill-defined. the mediastinal contours are within normal limits. the visualized upper abdomen is unremarkable. there is generalized loss of height of several thoracic vertebral bodies.What are the key findings of this report? [/INST] low lung volumes. right basilar opacity is likely atelectasis. asymmetry of right hilar structures may be due to accentuation of vessels by rotation and low volumes, but a mass cannot be excluded radiographically. followup pa and lateral chest radiographs are recommended with improved positioning and deeper inspiratory level when the patient's condition permits in order to re-evaluate the right hilus. </s>
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<s>[INST] the lung volumes remain low. the cardiac, mediastinal and hilar contours are stable, although it is difficult to resolve the cardiac contour. there is a new perihilar fullness, upper zone re-distribution, and hazy opacity suggesting pulmonary vascular congestion. in addition, the left hemidiaphragm is more obscured suggesting that possibly there is a developing left lower lobe or lingular process. there is no pneumothorax.What are the key findings of this report? [/INST] findings suggesting mild vascular congestion as well as a potential focal process developing in the left lower lobe. standard pa and lateral radiographs could be helpful to evaluate further if clinically indicated versus a short-term followup radiograph and clinical correlation. </s>
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<s>[INST] portable semi-erect chest film <unk> at <time> is submitted.What are the key findings of this report? [/INST] status post median sternotomy with stable cardiac and mediastinal contours. interval appearance of mild perihilar and interstitial edema. no large effusions. no pneumothorax. prominent pulmonary arteries are unchanged and may reflect underlying pulmonary arterial hypertension. clinical correlation is advised. </s>
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<s>[INST] two views were obtained of the chest. the lungs are well expanded and 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>
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