FINDINGS:
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<s>[INST] What are the key findings of this report? [INST] pa and a lateral chest radiograph demonstrates well expanded and clear lungs bilaterally. no focal opacities identified. mediastinal and hilar contours are within normal limits. osseous structures are without acute abnormality. no evidence of pneumothorax or pleural effusion. </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 within normal limits. no configurational abnormality is present. unremarkable appearance of thoracic aorta for age. no local contour abnormalities are present. mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. skeletal structures of the thorax grossly within normal limits. there exists no prior chest examination or records available for comparison. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral views of the chest provided. bilateral pleural effusions are present, right greater than left, moderate in overall size. there is also likely compressive lower lobe atelectasis. there may be mild interstitial pulmonary edema. the cardiomediastinal contour is stable. no pneumothorax. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiac size is top-normal. tortuous aorta is unchanged. small bilateral effusions have almost completely resolved. the lungs are hyper inflated. there is no evidence of pulmonary edema or consolidations. there is no pneumothorax. there are mild degenerative changes in the thoracic spine and kyphosis </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest demonstrate normal lung volumes without pleural effusion, focal consolidation or pneumothorax. ascending aorta remains prominent. aortic arch calcifications are noted. descending aorta is tortuous. heart is normal in size. there is no pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. large right loculated pleural effusion with subsequent atelectasis at the right lung bases. unchanged appearance of the left lung and of the upper right lung. unchanged normal size and appearance of the cardiac silhouette, unchanged hilar and mediastinal contours. </s> |
<s>[INST] What are the key findings of this report? [INST] a radiograph centered in the lower chest was obtained for assessment of a nasogastric tube, which terminates within the proximal stomach. the exam does not include the entirety of the right lung and could be repeated if there is clinical concern for acute pulmonary abnormality. within the imaged portion of the chest, note is made of mild cardiomegaly and improving lung parenchymal opacities as compared to <unk>. small left pleural effusion is also noted. </s> |
<s>[INST] What are the key findings of this report? [INST] endotracheal tube appears in position with the tip in the mid trachea. an enteric tube traverses the stomach. right-sided central venous catheter appears stable with the tip at the proximal right atrium. again noted is a moderate left pleural effusion with adjacent atelectasis. consolidation is again noted in the right lower lobe and may reflect site of pulmonary infection. additionally, left lung reticular opacities with septal thickening, better delineated on dedicated ct, are slightly improved and may represent edema with possible coexisting infection or hemorrhage. the right upper lung continues to be spared. cardiac and medistinal contours are stable. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] ap and lateral views of the chest show absence of the two right-sided chest tubes that were present on yesterday's exam. minimal fluid with some loculated air remains over the right lower lung laterally, probably in the pleural space. there is some consolidation along the course of the upper of the two removed tubes. the left lung remains clear. subcutaneous emphysema at the base of the right neck has not increased in extent. mediastinal contours are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, there is little change in the appearance of the opacification along the right lower chest wall with some hazy extension medially, consistent with substantial right pleural effusion, much of which is apparently loculated. left lung is clear. </s> |
<s>[INST] What are the key findings of this report? [INST] the endotracheal tube has been advanced, the tip now terminating <num>-cm above the carina, which may be related to position of the head and neck. an enteric tube has been pulled back from <unk>, with the tip now terminating at the diaphragm in the left upper quadrant, likely in the proximal stomach. a left internal jugular central venous catheter and right supraclavicular approach dual-chamber dialysis catheter are unchanged in position. the appearance of the chest is otherwise similar to the prior exam with diffuse infiltrative parenchymal opacities throughout the left lung and consolidated right lower lung. small pleural effusions are likely present. no pneumothorax is seen. the cardiac silhouette is normal in size. the mediastinal contours are within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] right internal jugular central venous catheter ends in the mid svc. endotracheal tube ends <num> cm from the carina, in appropriate position. the enteric tube ends in the stomach with the last side port at the ge junction. there is no significant change in extent and appearance of the generalized left-sided and right basal parenchymal opacity with air bronchograms. no new opacities. unchanged size of the cardiac silhouette. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior study from <unk>. there is again seen a right-sided central venous line, a left picc line and a left-sided chest tube, stable. there are again seen diffuse airspace opacities bilaterally, more confluent in the left lung and at the right base. these appear stable. no pneumothoraces are identified on either side. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were provided. interstitial opacities are again seen in the lungs in a similar overall pattern suggesting chronic fibrosis. a component of superimposed edema cannot be excluded. small bilateral effusions are present. cardiomediastinal silhouette is stable. bony structures are intact. a chronic deformity of the right seventh rib is again noted. </s> |
<s>[INST] What are the key findings of this report? [INST] the enodtracheal tube is slightly high, <num> cm from the carina, with the chin in the flexed position. an enteric tube is present with the tip in the stomach. two central venous catheters are in unchanged position. since prior exam, there is increased opacity at the right base. the extensive parenchymal opacities on the left are unchanged. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] et tube has been removed. central venous lines are unchanged in position. the diffuse left and right lower lobe opacities are unchanged. no large pleural effusion or pneumothorax. cardiomediastinal and hilar contours are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are stable. there has been interval increase in the right pleural effusion with a rounded contour concerning for loculation. there is no left pleural effusion. there is no pneumothorax. there is no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] extensive bilateral, however, predominantly left-sided interstitial lung opacities are overall slightly worse compared to the prior exam. there is also increased opacification at the right lung base. small bilateral pleural effusions are persistent. there is no evidence of a pneumothorax. there is a right-sided central venous dialysis line which terminates at the cavoatrial junction. an ng tube extends below the diaphragm with the tip in the body of the stomach. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to previous study from <unk>. there are again seen diffuse airspace opacities throughout both lung fields with some sparing of the right upper lobe. endotracheal tube, feeding tube, central venous catheters are all unchanged in position. there are no pneumothoraces. overall, these findings appear stable. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the very extensive left-sided and right basal parenchymal opacities are unchanged in severity and extent. no evidence of new parenchymal opacities. unchanged size of the cardiac silhouette. unchanged monitoring and support devices. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, no relevant change is seen in the extent and distribution of the pre-existing parenchymal opacities. the monitoring and support devices as well as the size of the cardiac silhouette are also unchanged. unchanged position of the pericardial drain. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is unchanged evidence of rib absence on the right. pre-existing effusion on the right has minimally decreased. normal appearance of the left lung and of the cardiac silhouette. component of the biliary stent visible on the chest radiograph is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] since prior, there has been no substantial change to bilateral parenchymal lung opacities, left greater than right. cardiomediastinal and hilar contours are unchanged. port ends in the low svc as does a left picc line. ngt enters the stomach and courses off of the radiograph. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, both central venous access lines have been removed. they have been replaced by a right internal jugular vein hemodialysis catheter. the catheter is in correct position. no pneumothorax. unchanged bilateral parenchymal opacities in the lung parenchyma. </s> |
<s>[INST] What are the key findings of this report? [INST] redemonstrated are <num> apical and <num> basal right-sided chest tubes, unchanged in position. stable, subcutaneous emphysema is again noted. there is currently no visualized pneumothorax or pleural effusion. the right lung demonstrates decreased lung volumes, with an associated diffuse increase in density. the left lung is grossly normal in appearance. the heart size is normal. mediastinal contours are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, the tip of the dobbhoff tube again is in the mid to lower stomach. the right ij dialysis catheter has been removed. left subclavian catheter extends to the upper portion of the svc. the patient has taken a somewhat better inspiration with the bilateral areas of ground-glass and reticular opacification, slightly improved. healing rib fractures on the right again noted. </s> |
<s>[INST] What are the key findings of this report? [INST] redemonstrated are bilateral, multifocal patchy airspace opacities compatible with a diffuse infectious process. as compared to the prior examination, the right lung is slightly better aerated, whereas the left lung is essentially unchanged in appearance. there is no evidence of significant pleural effusion, pneumothorax, or frank pulmonary edema. the cardiomediastinal silhouette is stable. a right central venous line, ngt, and ett are again seen in their expect locations. redemonstrated are several subacute left rib fractures, better evaluated on the prior rib series. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. right pleural effusion with a relatively rounded contour is stable in appearance, possibly slightly decreased. adjacent atelectasis is seen. the left lung is clear. no pneumothorax. the cardiac and mediastinal silhouettes are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the earlier study of this date, there has been a right thoracentesis with removal of a substantial amount of pleural fluid. no evidence of pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval placement of an et tube terminating at the thoracic inlet, approximately <num> cm above the carina, which should be advanced for more stable seating. an enteric tube courses below the diaphragm and out of view on this image. there is diffuse reticular nodular opacification of the left lung with slightly improved aeration of the lower lung from the most recent prior study. the right upper lung is well aerated. there is heterogeneous opacification at the right lung base and obscuration of the right hemidiaphragm consistent with consolidation, unchanged. the cardiomediastinal silhouette appears enlarged. a dual chamber right supraclavicular approach dialysis catheter is unchanged, ending at the cavoatrial junction. </s> |
<s>[INST] What are the key findings of this report? [INST] an endotracheal tube is in satisfactory position approximately <num> cm from the carina. an enteric tube courses below the diaphragm with the tip out of field of view. a right internal jugular catheter is unchanged with the tip in the mid-to-upper svc. extensive parenchymal opacities throughout the entire left lung and in the right middle and lower lung zones are similar to the prior exam. there is no new opacity. there are likely tiny bilateral pleural effusions. there is no pneumothorax. the cardiomediastinal silhouette is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, no relevant changes seen in extent and appearance of the relatively generalized left sided and right basal parenchymal opacity, both with rather extensive air bronchograms. no new parenchymal opacities. unchanged size of the cardiac silhouette. unchanged monitoring and support devices. </s> |
<s>[INST] What are the key findings of this report? [INST] normal cardiomediastinal and hilar contours. interstitial opacities at the costophrenic angles bilaterally, new since the remote prior study from <unk>. no pneumothorax or pleural effusion. degenerative changes throughout the thoracic spine. there is no free intraperitoneal air. </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 clear. nodules seen on prior chest ct are not well seen on the current radiograph. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. constant absence of any manifestations potentially suggestive of metastatic pulmonary or thoracic disease. unchanged appearance of the cardiac silhouette and the lung parenchyma. no pleural effusions. </s> |
<s>[INST] What are the key findings of this report? [INST] stable left effusion and left base consolidation. left chest tube <num> placed. linear atelectasis in the right base. cardiomegaly as previously. </s> |
<s>[INST] What are the key findings of this report? [INST] no significant interval change since <unk>. there is persistent moderate to large left-sided partially loculated pleural effusion, not significantly changed compared to <unk>, though increased compared to <unk>, since removal of the pigtail catheter. the right lung is well expanded and clear. mediastinal contours, hila and cardiac silhouette are stable from <unk>. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] a portable frontal chest radiograph demonstrates interval increase in a previously seen left pleural effusion, now large with only a small amount of aerated lung in the left lung apex. this appears to exert mass effect upon the mediastinum, which is now shifted to the right. the right lung appears normally aerated without focal consolidation, pleural effusion, or pneumothorax. there is no appreciable left-sided pneumothorax. the visualized upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the left mid to lower lung opacification now has a bulging contour. this likely represents a combination of dense atelectasis from collapse of superior segment of the lower lobe and small to moderate pleural effusion rather than loculated pleural effusion. the remaining left lung is clear without consolidation. the right lung is clear without consolidation. the hila and pulmonary vasculatures are grossly unchanged. no pneumothorax. the cardiomediastinal silhouette is unchanged. no fractures. </s> |
<s>[INST] What are the key findings of this report? [INST] there is a moderate loculated left pleural effusion and left basilar atelectasis. left pleural thickening is better assessed on pet-ct performed earlier on same day. a right upper lobe of consolidation is better evaluated on ct. there is no frank pulmonary edema. there is no pneumothorax. no chest tube is visualized. </s> |
<s>[INST] What are the key findings of this report? [INST] left basilar chest tube is unchanged in position. moderately-sized left pleural effusion appears slightly increased from the prior study on <unk>. no pleural effusion on the right. there is no pneumothorax. pulmonary vascular congestion is mild. mild cardiomegaly. </s> |
<s>[INST] What are the key findings of this report? [INST] the change since the previous exam. left pleural effusion. again seen. right lower lobe atelectasis also seen. the heart is enlarged and the aorta is tortuous as previously. </s> |
<s>[INST] What are the key findings of this report? [INST] a small left-sided pleural effusion is new from <unk>, unexplained. no pleural effusion on the right. no pneumothorax. there is no consolidation or pulmonary edema. aorta is tortuous. mild cardiomegaly is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval removal of the left-sided pigtail drainage catheter. moderate to large left-sided pleural effusion is loculated and larger than on <unk>. opacification at the left lung base is unchanged from <unk>. the right lung is well expanded and clear. mediastinal contours, hila, and cardiac silhouette are stable from <unk>. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] stable left pleural effusion. stable left basilar consolidation. left chest tube. no pneumothorax. remainder normal. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are hyperinflated. the large left pleural effusion has increased in size. there is only minimal aeration within the left upper lung. faint right basilar opacities noted. right lung is otherwise clear. no pulmonary edema. heart size is difficult to assess, however the cardiomediastinal silhouette appears stable compared to the scout images dated <unk>. pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] interval removal of various support and monitoring devices with residual right internal jugular vascular sheath in place. no evidence of pneumothorax. stable postoperative appearance of cardiomediastinal contours. persistent bibasilar retrocardiac atelectasis and small pleural effusions. </s> |
<s>[INST] What are the key findings of this report? [INST] redemonstrated is a cardiac monitoring device in projection over the left heart, possibly a reveal monitor. there is mild cardiomegaly and mild pulmonary edema, slightly progressed since <unk>. there is no focal lung consolidation and no pneumothorax. there is a small right pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral radiograph demonstrates stable dextroscoliosis with apex at the thoracolumbar junction. the aorta is tortuous. otherwise, mediastinal, hilar and cardiac contours are unremarkable. bibasilar increased lung markings likely reflect early pulmonary edema. deformity of right upper ribs and the right glenohumeral joint is unchanged compared to <unk>. there is a cardiac monitoring device projecting over the left heart, possibly a reveal monitor. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the earlier study of this date, the swan-ganz catheter has been pulled back so that the tip lies within the mediastinum portion of the right pulmonary artery. the tip of the iabp measures approximately <num> cm below the top of the transverse arch of the aorta. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the patient has been intubated. the tip of the endotracheal tube projects <num> cm above the carina. pre-existing severe pulmonary edema has slightly improved. there is partial atelectasis of the left lower lobe. no larger pleural effusions. borderline size of the cardiac silhouette is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal and hilar contours are unchanged, with the heart size is top normal. the aorta remains tortuous and minimally calcified. previously noted mild pulmonary edema has resolved with the pulmonary vascularity now appearing not engorged. trace left pleural effusion is noted. previously seen right pleural effusion appears resolved. there is no pneumothorax or focal consolidation. multilevel degenerative changes in the thoracic spine are again noted. deformity of the right shoulder and upper ribs is unchanged. a cardiac monitoring device is re- demonstrated in the left anterior chest wall. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral radiographs of the chest demonstrate a small right-sided pleural effusion with adjacent atelectasis. there is no vascular congestion. the cardiomediastinal contours are approaching the preoperative baseline. there is no pneumothorax. incidental note is made of a chronically dislocated right shoulder. </s> |
<s>[INST] What are the key findings of this report? [INST] single frontal view of the chest provided. there is a mild atelectasis of the left lung base. blunting of the right costophrenic angle could be due to a trace right pleural effusion. no focal consolidation, or pneumothorax. there is prominent superior right mediastinal contour, likely from the tortuosity of great vessels as seen on the c-spine ct of the same day. the cardiac silhouette is normal. imaged bones are intact. no free air below the right hemidiaphragm is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] moderate-to-severe cardiomegaly is not associated with pleural effusions or pulmonary edema, but there is vascular engorgement. some component of this may be due to aggressive fluid resuscitation. the patient has a right-sided dialysis catheter two lumens terminating in the ivc and right atrium respectively. there is a retrocardiac opacity concerning for pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral views of the chest provided. lungs are clear. no focal consolidation, effusion or pneumothorax is seen. the cardiomediastinal silhouette is 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 views of the chest demonstrate low lung volumes without pleural effusion, focal consolidation or pneumothorax. the hilar and mediastinal silhouettes are unremarkable. heart size is top normal. there is no pulmonary edema. partially imaged upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] multifocal opacities are seen involving the left upper and lower lobes, as well as the right lower lobe. the cardiac silhouette appears enlarged, stable. hilar contours are unchanged. median sternotomy wires are intact. no pneumothorax or pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] ap and lateral upright views of the chest were provided. midline sternotomy wires and mediastinal clips are again noted. the heart remains mildly enlarged. there appears to be mild interstitial edema without effusion or pneumothorax. no definite signs of pneumonia. a vague nodular left upper lobe opacity appears new from prior study, atypical in appearance for pneumonia. consider non-emergent ct to further assess. </s> |
<s>[INST] What are the key findings of this report? [INST] patient is status post median sternotomy.subtle right base opacity and left upper lung opacity have improved compared the prior study. no definite new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. severe compression deformity at the lower thoracic spine is re- demonstrated. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral chest radiograph demonstrates multi focal opacifications consistent with multilobar pneumonia involving largely the right hemithorax. there is increased density within bilateral apices for which attention on followup is recommended. cardiomediastinal and hilar contours are otherwise stable. there is no pleural effusion. patient is status post median sternotomy. wires appear intact. no acute osseous abnormality is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] portable semi-upright radiograph of the chest demonstrates a borderline enlarged cardiac silhouette. multifocal opacities involving the left upper and bilateral lower lobes have improved since the prior examination but are persistent. no definite pleural effusion or pneumothorax is identified. median sternotomy wires are intact and well aligned. hilar contours are unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is rotated to the left. the patient is status post median sternotomy and cabg. there is mild to moderate interstitial edema. no definite focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac silhouette is enlarged. the aortic knob is calcified. the bones are diffusely osteopenic. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is borderline enlarged. the aorta is tortuous. mediastinal and hilar contours are unremarkable. pulmonary vasculature is normal. lung volumes are slightly low. streaky opacities are demonstrated the lung bases. there appears to be slight blunting of the costophrenic angles bilaterally, suggestive of tiny pleural effusions. no pneumothorax is identified. there are moderate degenerative changes seen in the thoracic spine. no displaced fracture is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] low lung volumes are noted with secondary crowding of the bronchovascular markings. there is no confluent consolidation. no obvious effusion or pneumothorax on this film with exclusion of the left costophrenic angle. cardiomediastinal silhouette is stable. </s> |
<s>[INST] What are the key findings of this report? [INST] the et tube is <num> cm the carina. enteric tube courses to at least the level of the ge junction and then beyond the field of view. left subclavian central venous catheter is in the mid svc. there is no pneumothorax. lung volumes are low with significant bibasilar atelectasis especially at the left lower lobe. right basilar opacification is slightly improved. moderate cardiomegaly is unchanged. mild pulmonary edema is improved. </s> |
<s>[INST] What are the key findings of this report? [INST] the tip of the endotracheal tube projects over the mid thoracic trachea, approximately <num> cm from the carina. a right internal jugular central venous catheter tip extends to the superior cavoatrial junction. persisting bilateral small to moderate moderate layering pleural effusions with overlying atelectasis. no pneumothorax identified. the size of the cardial mediastinal silhouette is enlarged but unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] increase in the size of the bilateral pleural effusions, now small to moderate in extent. there are overlying opacities which likely reflect atelectasis and/or consolidation. no pneumothorax identified. the size the cardiac silhouette is enlarged but unchanged. there is calcification of the mitral annulus. a right internal jugular central venous catheter is present, the tip projecting over the superior cavoatrial junction. marked degenerative changes of the right shoulder. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. mediastinal contours, elevated, distorted left hilus, and cardiac silhouette are stable from <unk>. calcified pleural plaque adjacent the aortic arch again noted. no pneumothorax or pleural effusion. elevation of the left hemidiaphragm and left chest wall thoracotomy is stable from <unk>. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, there is little change. there is tortuosity of the descending thoracic aorta without evidence of vascular congestion, pleural effusion, acute focal pneumonia or appreciable enlargement of the cardiac silhouette. </s> |
<s>[INST] What are the key findings of this report? [INST] dual lead pacemaker in situ with the lead tips in the appropriate positions. the cardiomediastinal contour is normal. no left-sided pneumothorax. possible small left-sided pleural effusion. no airspace consolidation or suspicious pulmonary nodules or masses. presumed surgical material in relation to the anteromedial aspect of the right hemidiaphragm (? previous morgagni hernia repair). spondylotic changes of the cervical and thoracic spine. degenerative changes of the shoulder girdles. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been no significant interval change since the prior study. postoperative and postradiation changes are stable. status post left upper lobectomy. leftward deviation of the trachea is stable. no new focal consolidation is seen. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs remain hyperinflated with flattening of the diaphragms and increased retrosternal clear space compatible with copd. cardiac silhouette size is normal. the aortic knob is calcified. mediastinal and hilar contours are within normal limits. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is demonstrated. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, there is little overall change in the appearance of the heart and lungs. specifically, no evidence of pneumothorax following the procedure. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are hyperinflated, similar in appearance when compared to the prior study. pleural thickening or scarring at the right lung base. no consolidation, pneumothorax or pleural effusions seen. surgical clips noted at the right hilum. visualized bony structures are unremarkable in appearance. </s> |
<s>[INST] What are the key findings of this report? [INST] there is a left-sided chest tube which terminates along the medial left lung with a small left apical pneumothorax, overall similar to the prior exam. there is a small amount of subdiaphragmatic free air significantly improved compared to the prior exam. the heart size is normal. the hilar and mediastinal contours are normal. there has been interval improvement in the mild pulmonary edema. mild bibasilar atelectasis is persistent. there may be a small left pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. the lungs are hyperinflated but they remain clear without focal consolidation. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] interval placement of a fiducial seed at the site of a left upper lobe lung nodule with no evidence of pneumothorax. the known nodule has been more fully evaluated by recent chest ct, and newly present poorly defined opacities surrounding the nodule probably represent hemorrhage in the setting of recent procedure. heart is normal in size. pulmonary vascular congestion is accompanied by interstitial edema. new patchy lower lobe opacities may be due to patchy atelectasis or aspiration. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are within normal limits. the lungs are hyperinflated. there are interstitial linear and reticular opacities in both lungs, likely consistent with emphysema. there are no focal consolidations, pleural effusions or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post left upper lobe lobectomy. there is a left-sided chest tube which terminates in the medial left hemithorax. there is a small left pneumothorax. subdiaphragmatic free air. the lungs appear fairly well expanded; however, mild pulmonary vascular congestion and interstitial edema is unchanged. the heart size is top normal. the hilar and mediastinal contours are otherwise unremarkable. there is subcutaneous free air. </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. no focal consolidation, pleural effusion, or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded. there is an ill-defined opacity in the right lower lung region with apparent obscuration of the right heart margin, suggesting right middle lobe consolidation. there is also consolidation along the right cardiophrenic angle. otherwise, there are increased interstitial opacities and kerley b lines, most prominent in both lower lung regions. bilateral hilar engorgement is also apparent. there is no pleural effusion or pneumothorax. cardiac sihouette is within normal limits. the sternotomy wires are intact. a prosthetic aortic valve is present. </s> |
<s>[INST] What are the key findings of this report? [INST] multiple median sternotomy wires are identified. the cardiomediastinal silhouettes are stable, within normal limits. the bilateral hila are unremarkable. slight opacity at the right cardiophrenic angle likely reflects crowding of normal bronchovascular structures. otherwise, the lungs are clear without focal consolidation. mild interstitial prominence, with prominent interlobular septa, is compatible with pulmonary vascular congestion. there is no frank pulmonary edema. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart size is normal. the hilar and mediastinal contours are within normal limits. there is no pneumothorax, focal consolidation, or pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] the entire right hemithorax is opacified, largely due to pleural effusion, but there is also a component of underlying pulmonary edema and atelectasis. this is a dramatic change compared to the prior radiograph performed yesterday evening, which suggests re-expansion pulmonary edema. the left lung is essentially clear. there is no pneumothorax. left heart border is unremarkable. no acute osseous abnormalities. the vp shunt is unchanged in position. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post right upper lobectomy with unchanged right hilar opacity along the resection margin, grossly similar compared with the prior ct. heart size is moderately enlarged, increased compared to the previous chest radiograph. pulmonary vasculature is not engorged. mediastinal contour is similar. new left basilar opacity is demonstrated with a small to moderate size left pleural effusion. no pneumothorax is identified. there is diffuse demineralization of the osseous structures with multiple compression deformities re- demonstrated, not substantially changed from the previous ct. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac silhouette size remains mild to moderately enlarged. the aorta is tortuous. right juxtahilar mass resulting in right middle lobe collapse appears unchanged compared to the previous exams. lungs are hyperinflated with emphysematous changes again demonstrated. small bilateral pleural effusions persist. left lower lobe atelectasis is again noted, and no new focal areas of consolidation are present. scarring within the lung apices is re- demonstrated. the patient is status post right upper lobectomy. no pneumothorax is present. multiple compression deformities within the mid and lower thoracic and upper lumbar spine are unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the chest tube on the right has been removed. there is a substantial air-fluid level that has newly occurred in the right apical lung (fluidopneumothorax). there also is a substantial amount of intrafissural fluid. on the left, the lung volume has increased, but there is a newly appeared small left pleural effusion. the size of the cardiac silhouette is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. postoperative changes of right upper lobectomy are again seen. the lungs are hyperinflated but clear of consolidation. the appearance of the cardiomediastinal silhouette is unchanged with fullness in the suprahilar region on the right as previously seen. no acute osseous abnormality is identified. compression deformities in the upper lumbar spine are as previously seen. </s> |
<s>[INST] What are the key findings of this report? [INST] small right pleural effusion persists. there has been interval resolution of the left pleural effusion. the amount of air within the right apical postsurgical air-fluid collection has decreased. no focal consolidation is seen. the left lung is both compensatorily and pathologically hyperinflated. heart and mediastinal contours are stable, with top normal heart size, aortic tortuosity and calcification. mid thoracic vertebral body compression deformity appears unchanged since at least <unk>. </s> |
<s>[INST] What are the key findings of this report? [INST] post-interventional densities in the right upper lobe, presumably caused by parenchymal bleeding. no evidence of pneumothorax. mild fluid overload. moderate cardiomegaly and tortuosity of the thoracic aorta. skin folds along the left chest wall. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the patient is now after right upper lobectomy. there is a moderate right post-resection pneumothorax. the right chest tube is in situ. there are mild perihilar postoperative parenchymal opacities. no evidence of tension. normal appearance of the left lung. moderate cardiomegaly that is unchanged. mild tortuosity of the thoracic aorta. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the right perihilar opacity is almost unchanged in extent and appearance. the opacity is rounded and adjacent to the minor fissure. the opacity also cannot completely be differentiated against a structure of the right hilus. the differential diagnosis should not only include pneumonia, but also the possibility of a part solid neoplasm, potentially associated with right hilar adenopathy. this finding should best be confirmed or excluded by ct. at the right lung base, mild peribronchial thickening persists. the left lung is normal. bilateral apical thickening is symmetrical. the presence of bilateral dorsal minimal pleural effusions cannot be excluded. borderline size of the cardiac silhouette without evidence of pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the post-operative right-sided chest tube is in unchanged position. the air-fluid level that pre-existed is no longer visible, the right lung is substantially better expanded than on the previous image. however, there still is a millimetric apical pneumothorax. moreover, mild post-operative parenchymal opacities are seen at the medial aspects of the lung bases. unchanged appearance of the cardiac silhouette. unchanged moderate tortuosity of the thoracic aorta. unchanged normal appearance of the left lung. </s> |
<s>[INST] What are the key findings of this report? [INST] a right pleural catheter ends in the right perihilar region, as before. there is a substantially increased moderate right hydropneumothorax. a trace left pleural effusion is new. there is minimal bilateral lower lobe atelectasis. post-operative changes are seen in the right perihilar region, as before. the heart size is normal. wedge compression deformities within the thoracic spine are not significantly changed compared to radiographs dating back through <unk>. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart size is normal. the hilar and mediastinal contours are normal. the lungs are clear without evidence of focal consolidations concerning for pneumonia. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well inflated and clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] there are low lung volumes. there is elevation of the right hemidiaphragm and opacity projecting over the majority of the right lung. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiac, mediastinal, and hilar contours are normal. lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. pulmonary vasculature is normal. no acute osseous abnormality is detected. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the prior study, the patient has taken a much poorer inspiration. diffuse increased prominence of pulmonary markings most likely reflects vascular congestion, though some of this could be a manifestation of low lung volumes. multiple streaks of atelectasis are seen at the bases. on the lateral view, there is suggestion of some coalescence of opacification in the retrocardiac region. this could possibly reflect a developing consolidation in the appropriate clinical setting. </s> |
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