FINDINGS:
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<s>[INST] What are the key findings of this report? [INST] within the limitations of technique, the cardiac, mediastinal and hilar contours are probably within normal limits. the lungs appear clear aside from minimal suspected right basilar atelectasis associated with a mildly elevated right hemidiaphragm. there is no pleural effusion or pneumothorax. no free air is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. 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. </s> |
<s>[INST] What are the key findings of this report? [INST] portable ap view of the chest and upper abdomen performed. there has been interval placement of an ng tube with its tip poorly visualized, though appearing to extend into the proximal stomach. consider slight advancement for more optimal positioning. otherwise, no change. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior study from <unk>. the feeding tube, left-sided port-a-cath are unchanged in position. there is some tortuosity of thoracic aorta. there are chain sutures in the right lower lung field. there are no signs for focal consolidation, pleural effusion or overt pulmonary edema. there is some atelectasis at the lung bases, left greater than right. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are stable. there is no pleural effusion. there has been a slight increase in the right apical pneumothorax, now measuring <num> cm, with expected post-operative changes in the right hemithorax. a right chest tube is present in standard position. there is no focal consolidation concerning for pneumonia. again demonstrated is mild bibasilar atelectasis. </s> |
<s>[INST] What are the key findings of this report? [INST] a left chest tube has been removed in the interim. the patient is status post a right lower lobe superior segmentectomy for metastatic adenocarcinoma of colonic origin. there is a small to moderate right pleural effusion which has decreased from prior. fluid can be seen tracking along the right chest wall and minor fissure, suggesting partial loculation. there is no pneumothorax. the cardiac and mediastinal contours are unchanged and normal. left lung is clear. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the patient is after right segmentectomy. a <num>-cm pneumothorax is visualized at the right lung apex. there is no evidence of tension. a right chest tube is in expected position. mild postoperative atelectasis at the right lung base. moderate cardiomegaly, minimal blunting of the left costophrenic sinus, likely caused by a small basal atelectasis. moderate cardiomegaly and tortuosity of the aorta. no overt pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] single portable supine chest radiograph was provided. an endotracheal tube projects in the trachea approximately <num> cm above the carina. nasogastric tube courses below the diaphragm into the stomach. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. clips are seen in the right upper quadrant. there are no displaced fractures. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. normal lung volumes. normal appearance of the cardiac silhouette. minimal tortuosity of the thoracic aorta. no pleural effusions. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral views of the chest provided. midline sternotomy wires are again noted. there is a prosthetic cardiac valve. mild elevation of the right hemidiaphragm again noted. the lungs are clear without focal consolidation, large effusion or pneumothorax. no convincing signs of edema though central congestion is difficult to exclude. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] normal cardiomediastinal and hilar contours. fully expanded, clear lungs. no evidence of pneumonia, pleural effusion, or pneumothorax. no definite osseous or soft tissue abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear aside from minimal streaky right lower lobe opacities compatible with mild atelectasis. there is no evidence of pneumonia, pneumothorax, or pleural effusion. cardiac silhouette is normal in size. calcifications of the aortic knob are noted. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. leftward deviation of the trachea at the thoracic inlet is noted. no acute osseous abnormalities. surgical clips noted in the right upper quadrant. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal contours are stable with mild cardiomegaly. the lungs are clear. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. mediastinal contour is unremarkable. hilar contours are unchanged and the pulmonary vasculature is not engorged. patchy airspace opacities are noted in both lung bases concerning for multifocal pneumonia. no pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. cholecystectomy clips are demonstrated in the right upper quadrant of the abdomen. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiographs demonstrate mild cardiomegaly with associated pulmonary vascular congestion. subtle focal opacity in the right infrahilar region. there is no appreciable pleural effusion or pneumothorax. the visualized upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. clips are noted in the right upper quadrant. 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. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. mediastinal and hilar contours are stable compared to the prior ct. bilateral calcified pleural plaques and pleural thickening also appear similar to the prior ct. however, an irregularly marginated nodular opacity in the right lower lobe at the level of the right ninth posterior rib with the junction of the right fourth anterior rib appears larger than on the prior ct scan, although direct comparison is difficult due to modality differences. however, when compared to a prior chest radiograph of <unk>, this appears to be new. there are no definite pleural effusions. bones are diffusely demineralized, in keeping with the patient's advanced age. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart size is normal. previously seen pneumomediastinum appears to have resolved. mediastinal and hilar contours are otherwise unchanged. there is no pulmonary vascular congestion. calcified bilateral pleural plaques are again seen with unchanged pleural thickening and chronic loculated pleural effusion within the right lung base and right apex. multifocal opacities within the left mid lung field peripherally, as well as within both lower lung fields appear progressed when compared to the prior radiograph, and the opacities in the left lung appear more severe than compared to the prior chest ct. no pneumothorax is seen. numerous clips are demonstrated within the gastroesophageal region. </s> |
<s>[INST] What are the key findings of this report? [INST] 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. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiographs were provided. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is top normal. the mediastinal silhouette is unremarkable. there are no acute fractures. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart size is normal. the mediastinal and hilar contours are unchanged. diffuse coarse interstitial opacities are most pronounced within the periphery of the right upper lung field and left lung base concerning for a chronic interstitial lung disease which appears relatively unchanged compared to the prior exam. no pulmonary edema is visualized, and no pleural effusion or pneumothorax is seen. multilevel degenerative changes are noted in the thoracic spine. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest demonstrate interstitial pulmonary edema, unchanged from prior exam. underlying interstitial lung disease cannot be excluded. hilar and mediastinal silhouette are unchanged. heart size is top normal. there is no focal consolidation or pneumothorax. right costophrenic angle is blunted, suggestive of trace pleural effusion. visualized osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. no prior. low lung volumes are noted. lungs are clear without consolidation or effusion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. again, low lung volumes are seen with secondary crowding of the bronchovascular markings. the lungs are clear of consolidation or effusion. the cardiomediastinal silhouette is within normal limits. mild s-shaped thoracolumbar scoliosis is seen. no acute osseous abnormalities detected. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were obtained demonstrating clear well expanded lungs without focal consolidation, effusion, or pneumothorax. heart and mediastinal contours are normal. bony structures are intact. no free air below the right hemidiaphragm. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral radiographs of the chest demonstrate normal heart size. the cardiomediastinal silhouette and hilar contours are normal. the lungs are clear. no pleural effusion or pneumothorax. no displaced rib fracture identified. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear without consolidation or edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. again there are degenerative changes in the spine with flowing anterior osteophytes. </s> |
<s>[INST] What are the key findings of this report? [INST] there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified, hypertrophic changes again seen in the spine. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well-expanded and clear. no pulmonary edema. no pneumothorax. the hilar and pleural surfaces are unremarkable. the cardiomediastinal silhouette is normal. anterior flowing osteophytosis of the mid thoracic spine is again noted on the lateral view. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are within normal limits. lung volumes are decreased. there is no focal consolidation, pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are grossly clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. the heart is normal in size, and the mediastinal contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac silhouette is not enlarged. mediastinal contours are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] left anterior chest wall biventricular icd is in place. aortic and mitral valve replacements project over the heart. postoperative cardiomediastinal silhouette is otherwise unchanged. mild central vascular congestion without frank interstitial edema. low lung volumes but lungs are otherwise clear. no large effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to a previous radiograph, there is no substantial change in appearance of the pleural effusion. the pleural effusions are better appreciated on today's lateral radiograph. they are small and limited to the posterior aspects of the costophrenic sinuses. unchanged appearance of the cardiac silhouette. status post valvular replacement and sternotomy. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to previous study from <unk>. heart size is within normal limits. aortic valve is seen. there is some atelectasis at the lung bases and a small left-sided pleural effusion. low lung volumes are seen. there are no signs for overt pulmonary edema or pneumothoraces. </s> |
<s>[INST] What are the key findings of this report? [INST] previous median sternotomy noted. a dual lead pacemaker and valve prosthesis are unchanged in appearance compared to prior study. a right-sided picc is unchanged in appearance terminating likely in the right atrium. an endotracheal tube and nasogastric tube are unchanged in appearance. lung volumes remain low. probable layering pleural effusion at the left lung base with associated atelectasis. the right lung is clear. </s> |
<s>[INST] What are the key findings of this report? [INST] bilateral low lung volumes. small left pleural effusion unchanged from previous. otherwise lungs are clear. cardiac size is normal. there is no pneumothorax. again seen is the median sternotomy wires and valve replacements. there is a left pectoral pacemaker with right atrial and right ventricular leads and an epicardial lead. tip of et tube unchanged in position and is projecting between the clavicles measuring <num> cm above the carina. dobbhoff tube with tip in the duodenum. right picc with tip in the cavoatrial junction. </s> |
<s>[INST] What are the key findings of this report? [INST] transvenous right atrial biventricular pacer defibrillator leads follow standard placements. patient has had aortic and mitral valve replacements.lungs are clear. heart size normal. no pneumothorax or effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] nasogastric tube tip terminates in the left upper quadrant, in the expected region of the stomach. sternal wires are intact and aligned. aortic and mitral valve replacements are in stable position. dual-chamber pacemaker leads are stable. lung volumes are low. cardiomediastinal silhouette is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] left chest wall biventricular aicd is present. the patient is status post median sternotomy and cardiac valve replacements. the tip of the endotracheal tube projects over the supraclavicular region, <num> cm from the carina. there is a left pleural effusion with subjacent atelectasis. minimal right basilar atelectasis is also noted. no pneumothorax. the size of the cardiac silhouette is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval removal of a swan-ganz catheter, enteric tube and endotracheal tube from <unk>. a right basilar chest tube, mediastinal drain and epicardial leads are unchanged. the patient is status post median sternotomy with intact sternal wires. aortic and mitral valve prostheses are again seen. there is no definitive evidence of pneumothorax. the inspiratory lung volumes remain low, but improved from <unk>. mild residual bibasilar atelectasis is seen, improved from <unk> with decreased size of small pleural effusions. there is no pulmonary edema. the cardiomediastinal silhouette is prominent but within normal post-operative range. </s> |
<s>[INST] What are the key findings of this report? [INST] significant decrease in bilateral interstitial pulmonary abnormality compared to <unk>. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. patient has history of tavr. </s> |
<s>[INST] What are the key findings of this report? [INST] mild enlargement of the cardiac silhouette is similar. the aorta is tortuous. patient is status post tavr, in unchanged position. diffuse increased interstitial opacities are re- demonstrated suggestive of chronic interstitial lung disease. more focal opacities within the lung bases likely reflect areas of atelectasis. no pleural effusion or pneumothorax is present. no definite pulmonary edema is identified. partially imaged is lumbar spine fusion hardware. </s> |
<s>[INST] What are the key findings of this report? [INST] opacity in left lung base most likely represent atelectasis. otherwise, the lungs are clear without pulmonary edema, pleural effusion or pneumothorax. there are multiple calcified pleural plaques. the cardiac contours are normal. the aorta is calcified. asymmetry of the breast tissues is stable since <unk>. there is spinal hardware. </s> |
<s>[INST] What are the key findings of this report? [INST] patient is status post tavr. since the prior study, there is interval increase in pulmonary vascular markings suggesting vascular congestion/minimal interstitial edema, superimposed on chronic lung disease. mild basilar atelectasis is seen without definite focal consolidation. no large pleural effusion or pneumothorax. the cardiac silhouette is mildly enlarged. the aorta is calcified and tortuous. </s> |
<s>[INST] What are the key findings of this report? [INST] patient is status post tavr. cardiomediastinal silhouette is unremarkable. there is no pulmonary edema or focal consolidation. prominence of peripheral and basilar interstitial markings is noted. no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. previously seen calcified pleural plaques are not well visualized on current exam. </s> |
<s>[INST] What are the key findings of this report? [INST] status post tavr. mild interval increase in the pulmonary vascular and interstitial markings, in keeping with mild pulmonary interstitial edema superimposed on chronic lung disease. small left pleural effusion. no pneumothorax identified. the size the cardial mediastinal silhouette is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there is chain suture at the right apex and a surgical clips at the left apex. the lungs are slightly hyperexpanded. the cardiomediastinal silhouette and hilar contours are stable. there is no cardiomegaly. there is no large pleural effusion or pneumothorax. apical thickening is stable. well circumscribed opacity in the retrocardiac region on the lateral radiograph anterior to the aorta is likely a distended lower esophagus with retained enteric material or a hiatal hernia. chronic left rib fractures are redemonstrated. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest <unk> at <time> are submitted </s> |
<s>[INST] What are the key findings of this report? [INST] lungs are hyperinflated with severe emphysema again noted and diffuse chronic interstitial opacities. more focal opacity within the left lower lobe periphery is compatible with the known lesion seen on the prior ct. no large pleural effusion or pneumothorax is present. heart size is normal. diffuse atherosclerotic calcification of aorta is noted. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] a port-a-cath terminates in the mid superior vena cava. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. streaky opacities at each medial lung base are not necessarily due to pneumonia. airway inflammation or atelectasis could yield this appearance. chronicity is uncertain since no prior studies are available to compare; short-term follow-up radiographs may be helpful if symptoms were to persist. </s> |
<s>[INST] What are the key findings of this report? [INST] no overall change compared to the prior exam. the lungs are well-expanded and clear. no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. stable cardiomediastinal silhouette, hila, and pleura. stable mildly tortuous descending aorta. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest. no prior. there is slight increased opacity identified at the right lung base medially, localizing to the lower lobe on the lateral exam. elsewhere, lungs are clear. there is no effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] bilateral airspace opacities are again identified. opacification of the right lower lung is unchanged, the right midlung opacification is increased, in the left mid and lower lung opacification has improved. there is a small to moderate layering right pleural effusion. there is no pneumothorax or pulmonary edema. moderate cardiomegaly is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] supine frontal view of the chest. lung volumes are normal. lungs are clear except for linear atelectasis or scar at the left base. no consolidation, pleural effusion, or pneumothorax. heart size is top normal with left ventricular configuration. thoracic aorta is tortuous. there is no osseous abnormality. there is no free air underneath the diaphragms. </s> |
<s>[INST] What are the key findings of this report? [INST] small volume pneumoperitoneum seen on the lateral radiograph. increased heart size, mildly improved. borderline pulmonary vascularity, similar. bibasilar opacities are stable on the left, mildly improved on the right. mild bilateral pleural effusions. </s> |
<s>[INST] What are the key findings of this report? [INST] improved bilateral perihilar opacities. mild right pleural effusion. bibasilar opacities, likely atelectasis, consider infection if clinically appropriate. </s> |
<s>[INST] What are the key findings of this report? [INST] the tip of the right picc line extends to the mid svc. there is no focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. surgical clips project over the right axilla. bony structures appear normal. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. lungs are well inflated and clear. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. axillary clips are noted bilaterally. </s> |
<s>[INST] What are the key findings of this report? [INST] et tube is seen with tip approximately <num> cm from the carina. enteric tube passes below the inferior field of view. low lung volumes are noted. parenchymal opacities are seen bilaterally, right greater than left likely due to edema, infection or aspiration not excluded. layering effusion would be difficult to exclude. left lateral rib fractures are suspected. no obvious pneumothorax on this portable film. the cardiomediastinal silhouette is grossly within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] normal lung volumes. no pleural effusions. no pneumothorax. healed right rib fractures. borderline size of the cardiac silhouette. moderate tortuosity of the thoracic aorta. no pulmonary edema. no pneumonia. left pectoral pacemaker in correct position. </s> |
<s>[INST] What are the key findings of this report? [INST] the film is centered at the level of the hemidiaphragms, with exclusion of the apices. the tip of the ng tube lies coiled in the gastric fundus. (note is made that the original wet reading referred to positioning in the body of the stomach, but the distal portion of the ng tube is actually coiled in the fundus. ) aside from minimal bibasilar atelectasis, the visualized portion of the lungs is grossly clear. catheter or other tubing coiled over the right mid abdomen is compatible with a drain placed on <unk>. </s> |
<s>[INST] What are the key findings of this report? [INST] right port-a-cath terminates in the right atrium. heart size is normal. slight interval widening of the mediastinum may be accentuated by non-upright positioning and may reflect increased intravascular volume with mild distension of the mediastinal veins. the aortic knob contour is unchanged. lungs are clear. pleural surfaces are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. inferior right upper lobe consolidation is worrisome for pneumonia. left lung is clear. no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. hilar contours are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] portable chest radiograph demonstrates a new enteric tube descending and uncomplicated course, its terminal end within the expected location of the stomach. the side port appears to be at the gastroesophageal junction. recommend advancing <num> cm for standard position. a right picc is seen terminating at the mid svc. the cardiomediastinal contour is stable. the lungs appear unchanged with no new focal consolidations. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] tracheostomy tube remains in stable position with tip terminating within the mid trachea though with evaluation somewhat limited by motion and positioning. right basilar atelectasis is improved since <unk>. there are several stable scattered areas of mild opacification throughout with no focal opacities. the cardiomediastinal and hilar contours are stable. heart size is normal. there are no pleural effusions or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] single portable view of the chest. extremely low lung volumes are seen. patchy opacities seen in the lungs bilaterally, specifically in the right mid lung and at the bilateral bases which could be chronic. tracheostomy tube is identified. cardiomediastinal silhouette is within normal limits for technique and low inspiratory volumes. no acute osseous abnormality is detected. mid thoracic dextroscoliosis is noted. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the tracheostomy tube is in unchanged position. there is improved ventilation of the lung parenchyma, notably at the right lung base. the size of the cardiac silhouette continues to be enlarged and atelectatic opacities at both lung bases persist. no pleural effusions. </s> |
<s>[INST] What are the key findings of this report? [INST] single ap upright portable view of the chest was obtained. midline tracheostomy tube is again seen. there are low lung volumes. there are mild perihilar and right lower lung opacities, decreased from the prior study. the perihilar opacification may relate to fluid overload, although more confluent opacity at the right lung base could be due to infection or aspiration. no large pleural effusion is seen. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are stable as compared to <unk> with the cardiac silhouette top normal to mildly enlarged, likely accentuated by ap technique. </s> |
<s>[INST] What are the key findings of this report? [INST] a single portable ap chest radiograph is limited by patient rotation and low lung volumes. tracheostomy tube remains in the upper trachea. perihilar and right lower lobe opacities are similar to prior exams in <unk>. no large pleural effusion is present. there is no pneumothorax. the cardiac and mediastinal contours are unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] ap and lateral views of the chest. tracheostomy tube is seen in place. mild cardiomegaly is unchanged. there are bibasilar opacities that may represent atelectasis; however, aspiration or pneumonia cannot be ruled out. correlate clinically. no large pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] tracheostomy tube is seen in situ and is in a standard position. both lung volumes are low. perihilar and lower lung opacity is new and is concerning for aspiration or asymmetric pulmonary edema considering very rapid development over last <num> hours. minimal left perihilar and lower lung opacities are seen but are obscured by the cardiomediastinal silhouette due to the rotation of patient. assessment of cardiomediastinal silhouette was limited because of low lung volumes and rotation of patient. right pleural effusion is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] semi-upright portable ap view of the chest obtained. tracheostomy tube is again noted projecting over the superior mediastinum. lung volumes are low. increased bronchovascular markings could reflect airways inflammation. no lobar consolidation. no effusion or definite sign of pneumothorax. cardiomediastinal silhouette is stable. bony structures appear grossly intact. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval placement of a left-sided chest tube which terminates in the left axillary soft tissues outside of the rib cage. small post-procedural left chest wall subcutaneous emphysema is new since the prior exam. there has been interval re-expansion of the left lung with a residual moderate left pneumothorax. all remaining support devices are in satisfactory position. small pneumopericardium is unchanged. the right lung remains clear. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiac silhouette is severely enlarged. the patient is status post median sternotomy. there is minor atelectasis the right lung base. no pleural effusion or pneumothorax. no evidence of pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] the right-sided drainage tube has been removed. there is no pneumothorax or pleural effusion. there is stable mild-to-moderate cardiomegaly. new increased opacification of the left lung base is likely atelectasis due to low lung volumes or possibly early pneumonia in the proper clinical setting. there is no focal consolidation or pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] focal consolidation in the left lower lung, which appears new. stable cardiomegaly, consistent with known pericardial effusion. no pneumothorax, pulmonary edema, or pleural effusion. interval placement of a pericardial drain. sternotomy wires and cardiac valve prosthesis appear intact and unchanged in position. </s> |
<s>[INST] What are the key findings of this report? [INST] focal linear opacities are noted in the medial right upper lobe, potentially scarring. otherwise, the lungs are clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. no pulmonary edema, pleural effusion, or pneumothorax. no focal consolidations are noted. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear without consolidations or pulmonary edema. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the signs suggesting pulmonary edema have mildly decreased. the size of the cardiac silhouette remains enlarged and the aortic arch is tortuous. no pleural effusions. no pneumothorax. unchanged position of the central venous access line. </s> |
<s>[INST] What are the key findings of this report? [INST] portable upright frontal view of the chest. there is bibasilar atelectasis. right, greater than left, air space opacities represent mild to moderate pulmonary edema. the patient is rotated which makes evaluation of the mediastinum difficult; however, it appears widened. the heart is mildly enlarged. there is no large pleural effusion or pneumothorax. no acute osseous abnormality is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of earlier in this date, there is little overall change. continued enlargement of the cardiac silhouette with some mild elevation of pulmonary venous pressure. central catheter remains in place. </s> |
<s>[INST] What are the key findings of this report? [INST] portable supine frontal view of the chest. a new left subclavian line ends at the confluence of the brachiocephalic veins. mild to moderate pulmonary edema is unchanged. the mediastinum is widened. the heart is mildly enlarged. blunting of the right costophrenic angle may represent a small pleural effusion. no pneumothorax is identified. there is no free air beneath the hemidiaphragms. no acute osseous abnormality is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart size is within normal limits. there is enlargement of the left hilus. increased density at the right apex is indeterminate but may represent overlapping shadows of rib, clavicle and vertebral transverse process. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is present. unremarkable appearance of thoracic aorta, no mediastinal abnormalities are seen. the pulmonary vasculature is normal. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly unremarkable. our records do not include a previous chest examination available for comparison. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear besides streaky opacity in the right midlung likely due to atelectasis. there is no focal consolidation, effusion, or edema. moderate cardiomegaly is noted. median sternotomy wires are intact and mediastinal clips are noted. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged with top-normal heart size and slightly unfolded thoracic aorta again noted. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were provided. the lungs appear clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. the imaged osseous structures are intact. there is no free air below the right hemidiaphragm. </s> |
<s>[INST] What are the key findings of this report? [INST] again seen is a right ij sheath overlying the proximal svc. an ng tube is present the tip likely overlies the gastric fundus. inspiratory volumes are low. the cardiac silhouette is enlarged, but unchanged sternotomy wires and mediastinal clips are noted there is engorgement of the central vascular sure, upper zone redistribution, diffuse vascular plethora and vascular blurring, and peribronchial cuffing consistent with chf and interstitial edema. again seen is increased retrocardiac opacity consistent with left lower lobe collapse and/or consolidation. is also patchy opacity at the right lung base similar to the prior film. there is a small to moderate left-sided effusion pleural effusion and a small right pleural effusion. these are essentially unchanged, possibly slightly larger on the right. </s> |
<s>[INST] What are the key findings of this report? [INST] when compared to prior radiographs, an endotracheal tube and right internal jugular sheath remain in place. a nasogastric tube is noted below the diaphragm with its tip not included on the field of view, however unchanged in position from prior. there is worsening of bilateral pulmonary edema with slightly worsening bilateral pleural effusions, slightly worse on the right. new atelectasis in the right lung base. no focal consolidation. no pneumothorax. mediastinal structures are unchanged. this preliminary report was reviewed with dr. <unk>, <unk> radiologist. </s> |
<s>[INST] What are the key findings of this report? [INST] right internal jugular central venous sheath projects over the upper svc. a gastric tube is present, extending into the body of the stomach. the patient is status post median sternotomy. interval removal of the endotracheal tube. a small left pleural effusion with adjacent atelectasis is unchanged. increased perihilar and right lower lung zone opacities, possibly reflective of pulmonary edema. no pneumothorax identified. the appearance of the cardiomediastinal silhouette is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] there is streaky density at the lung bases consistent with subsegmental atelectasis. there is no definite focal consolidation. the patient is status post median sternotomy as before. mediastinal structures are unchanged. an endotracheal tube and right internal jugular sheath remain in place. a nasogastric tube has been advanced and now terminates below the diaphragm in the region of the gastric fundus or body. </s> |
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