FINDINGS:
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<s>[INST] What are the key findings of this report? [INST] portable semi-upright radiograph of the chest demonstrates low lung volumes with associated bronchovascular crowding. there is slight increase in plate-like atelectasis at the right lung base. moderate cardiomegaly is unchanged. the patient is status post cabg. possible slight improvement in left basilar opacity may be due to positioning of the patient. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. patient is status post median sternotomy and cabg. there are low lung volumes. mild bibasilar atelectasis is seen without definite focal consolidation. there is slight blunting of the right costophrenic angle, and trace pleural effusion is not excluded. the cardiac and mediastinal silhouettes are stable. there may be minimal pulmonary vascular congestion. there is an old fracture of the right-sided posterolateral sixth rib. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded, without focal opacities. there might be mild bilateral hilar vascular engorgement but no focal opacities. cardiomediastinal contour is unremarkable. there is no pleural effusion or pneumothorax. no subdiaphragmatic free air is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post median sternotomy. there are postsurgical changes in the left perihilar region and anterior mediastinum. there is additional streaky density in the lingula and left lung base consistent with subsegmental atelectasis and possibly a small area of consolidation in the posterior portion of the left lung base. in addition, the posterior costophrenic sulci are blunted. no pneumothorax is seen. the right lung is clear. mediastinal structures are stable. the bony thorax appears intact. </s> |
<s>[INST] What are the key findings of this report? [INST] interval removal of <num> chest tubes, without evidence of pneumothorax. persistent left perihilar and retrocardiac opacities are not significantly changed compared to previous. no large pleural effusions. stable appearance of sternotomy wires. the cardiopericardial silhouette is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. there is no consolidation or edema. previously seen left basilar opacity from exam <num> days prior has resolved. trace left pleural effusion remains. median sternotomy wires are intact. mediastinal clips are again noted. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] there is an abnormal mediastinal convex contour centered at the ap window, better seen on the lateral view in the anterior mediastinum, corresponding with previously-seen mediastinal mass. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the heart size normal. </s> |
<s>[INST] What are the key findings of this report? [INST] left perihilar and retrocardiac opacities persist. the right lung remains clear. the patient is status post median sternotomy. the heart and mediastinal structures are otherwise unremarkable and unchanged. there are no concerning bone findings. </s> |
<s>[INST] What are the key findings of this report? [INST] the mediastinal drains are in satisfactory position. the right ij catheter terminates in mid svc. the sternotomy wires are intact without evidence of dehiscence. no pulmonary edema, pneumothorax, pleural effusion, or consolidation. the cardiomediastinal silhouette is mildly enlarged compared to prior, consistent with postoperative changes. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. anterior mediastinal mass obscuring the aortic arch and ap window on the frontal view with prominence of the right lower mediastinal contour appears grossly unchanged. hilar contours are similar. lungs are clear. pulmonary vasculature is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities detected. </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 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] a right internal jugular sheath has been removed. sternotomy wires, mediastinal clips and an aortic valve prosthesis are constant. substantial infrahilar atelectasis has improved from <unk>. the small left pleural effusion is unchanged in volume. mild pulmonary edema and the right pleural effusion have resolved. the heart is borderline enlarged but unchanged, accounting for differences in technique. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] a single portable supine view of the chest was obtained. trauma board partially obscures the view. heart is normal size and cardiomediastinal contour is unremarkable. lungs are clear. there is no large effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there is again seen a left-sided subclavian line in unchanged position. there has been interval placement of surgical hardware projecting over the cervical spine, consistent with patient's recent c<num> corpectomy. the cardiomediastinal contours are stable. the bilateral hila are normal in appearance. the lungs are clear without evidence of focal consolidation. there is no evidence of pulmonary vascular congestion, pneumothorax, or effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, the cardiac silhouette remains at the upper limits of normal in size. some indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. no acute focal pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, there are lower lung volumes. pulmonary vascular congestion continues to improve. mild bilateral pleural effusions are again seen. nasogastric tube has been removed. right ij catheter tip again extends to the mid-to-lower portion of the svc. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the pre-existing pulmonary edema has progressed. the edema is now moderate in severity. no pleural effusions. moderate cardiomegaly persists. at the time of dictation and observation, <time> p.m., on <unk>, the referring physician, <unk>. <unk>, was paged for notification. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, no relevant change is seen. the monitoring and support devices are constant. constant extent of the small bilateral pleural effusions and the subsequent areas of atelectasis. constant mild fluid overload. no new focal parenchymal opacities. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] et tube tip is difficult to visualize. it it is approximately <num> point <num> cm above the carina. ng tube tip is off the film, at least in the stomach. right ij line tip is at the cavoatrial junction. left-sided picc line is no longer visualized. there is volume loss at both bases. there is small bilateral pleural effusions. there is pulmonary vascular redistribution. the alveolar edema is decreased compared to prior </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 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] a lingular opacity in left mid lung zone consistent with pneumonia. cardiomediastinal silhouette and hila are normal. there is no pleural effusion and no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral chest radiograph demonstrates hyperexpanded lungs. there is increased opacity projecting over the left lung base laterally with a configuration raising the possibility of extrapleural lesion. lungs are otherwise clear without a focal consolidation convincing for pneumonia. heart size is upper limits of normal. there is no evidence of pulmonary edema. no pleural effusion. there is no pneumothorax. surgical clips project over the left upper outer chest. </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. 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] the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] left-sided picc terminates overlying the expected location of the left basilic or brachial vein, malpositioned. right lateral approach chest tube terminates overlying the right lung apex. there is a moderate right pleural effusion. there are ill-defined right basilar opacities which may be compatible with atelectasis versus an infectious process. there is moderate pulmonary interstitial edema. there is cardiomegaly. there is no osseous abnormality. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the tip of the endotracheal tube projects <num> cm from the carina. a feeding tube projects over the gastric body. the tip of a right internal jugular central venous catheter projects over the cavoatrial junction. several mediastinal drains are noted. low bilateral lung volumes. a retrocardiac opacity likely reflects postsurgical atelectasis. no pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is enlarged but unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. there is no focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] right picc line terminates over medial left clavicle head. sternotomy with avr. right ij central line tip in the low svc. shallow inspiration. there are tiny bilateral pleural effusions, similar. minimal bibasilar atelectasis. no pneumothorax. normal heart size, pulmonary vascularity. minimal retrosternal air, consistent with recent surgery. </s> |
<s>[INST] What are the key findings of this report? [INST] right ij central venous catheter is unchanged with tip projecting over the cavoatrial junction. multiple median sternotomy wires are re- demonstrated. since the prior study, the enteric and endotracheal tubes have been removed. additionally, the midline mediastinal drain has been removed. there are low lung volumes. the cardiomediastinal silhouette is stable. the hila are within normal limits. left basilar atelectasis is minimally improved. there may be a trace left pleural effusion. there is no right pleural effusion. there is no focal lung consolidation, or pulmonary edema. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiographs were obtained. the lungs are fully expanded and clear. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lung volumes are normal. normal size of the cardiac silhouette. normal hilar and mediastinal contours. no evidence of pneumonia, pleural effusions or pulmonary edema. no other abnormalities are noted. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post median sternotomy and cabg. left-sided dual-chamber pacemaker device is noted with leads terminating in the right atrium and right ventricle. the heart size is normal, and the mediastinal and hilar contours are unremarkable. the pulmonary vascularity is normal. there is no focal consolidation or pneumothorax. minimal retrocardiac atelectasis is seen. on the lateral view, there appears to be blunting of the costophrenic angle posteriorly on the right suggestive of a small effusion. there are no acute osseous abnormalities. degenerative changes of the thoracic spine are present. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were obtained. lateral view is markedly limited due to the patient's arm overlying the field of view. on the frontal radiograph, the lung volumes are low which also limits the evaluation, though allowing for this, there is no definite sign of pneumonia or chf. no large pleural effusion or pneumothorax is seen. the heart and mediastinal contour appear normal. there are atherosclerotic calcifications along the aortic knob. the imaged bony structures appear intact. </s> |
<s>[INST] What are the key findings of this report? [INST] there relatively low lung volumes. no focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac is mildly enlarged. </s> |
<s>[INST] What are the key findings of this report? [INST] a left port-a-cath terminates within the mid svc. lower lung volumes are noted, leading to crowding of the bronchovascular structures. mild atelectasis is seen at the left lung base. a calcified lymph node is again noted within the aorticopulmonary window. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the patient is status post median sternotomy, and cardiomediastinal silhouette is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] the right port-a-cath reservoir projects over the right chest and is currently accessed; the catheter tip ends in the lower svc. there has been interval placement of sternotomy wires, which are intact. the heart size is within normal limits and the mediastinal hilar contours do not appear widened. calcified ap window node again seen. the lungs demonstrate left bailar opacity which is more linear in configuration on the lateral view. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there are low lung volumes. the lungs are clear. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is unremarkable. left central line terminates in the right atrium. median sternotomy wires and mediastinal clips are noted. a calcified lymph node is noted in the ap window. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post median sternotomy. right-sided port-a-cath tip terminates in the right atrium. lung volumes are low. this accentuates the cardiac silhouette size which is likely mildly enlarged. calcified mediastinal nodes are re- demonstrated reflective of prior granulomatous disease. mediastinal and hilar contours are otherwise unremarkable. there is no pulmonary vascular congestion. patchy bibasilar airspace opacities most likely reflect atelectasis. there is no pleural effusion or pneumothorax. no acute osseous abnormalities detected. </s> |
<s>[INST] What are the key findings of this report? [INST] right pectoral infusion port terminates in upper svc. sternotomy wires are intact. lung volume is low. mild bibasilar opacities likely reflect atelectasis. calcification at the ap window likely reflect calcified lymph nodes in a unchanged from before. there is no large pleural effusion or pneumothorax. mild cardiomegaly is similar to before. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is a calcified prevascular lymph node. there is no pleural effusion or pneumothorax. a left chest port-a-cath terminates at the level of the upper svc, as before. patient is status post median sternotomy. </s> |
<s>[INST] What are the key findings of this report? [INST] patient is status post median sternotomy. right-sided port-a-cath tip terminates in the upper svc, unchanged. cardiac silhouette remains moderately enlarged but unchanged. multiple calcified mediastinal lymph nodes are again demonstrated suggestive prior granulomatous disease. the mediastinal and hilar contours are otherwise unremarkable. lung volumes are persistently low with streaky atelectasis seen in the right lung base. no focal consolidation, pleural effusion or pneumothorax is seen. the pulmonary vasculature is not engorged. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiograph demonstrate a right chest port, its tip which projects within the upper superior vena cava, unchanged in position relative to prior study. median sternotomy wires appear intact. cardiomediastinal silhouette appears stable relative to prior examination. heart size is mildly enlarged. there is no evidence of pulmonary edema. nodular opacities within the in right infrahilar region likely reflect vascular shadows. lung volumes are low. bibasilar atelectasis is moderate. there is no focal opacity convincing for infectious process. calcification on the ap window could be due to calcified nodes. no large pleural effusion or pneumothorax is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] portable frontal view of the chest demonstrates low lung volumes. there is no pneumothorax. the left costophrenic angle is obscured, suggestive of a small pleural effusion. retrocardiac opacity is noted, more conspicuous from prior exam. there is no right pleural effusion. there is apparent thickening of the minor fissure. calcified lymph nodes within the ap window are again noted. the hilar and mediastinal silhouettes are unchanged. the heart size is top normal. there is no pulmonary edema. port-a-cath tip projects over cavoatrial junction. partially imaged upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low, leading to crowding of the bronchovascular structures. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or frank pulmonary edema. the heart remains moderately enlarged, although this is accentuated by ap technique and low lung volumes. calcified ap window node is again noted. a right-sided port-a-cath terminates within the upper-mid svc, unchanged in position from the prior exam. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, there has been the development of areas of opacification at the left base most likely reflecting atelectasis and mild effusion. in the appropriate clinical setting, supervening pneumonia would have to be considered. port-a-cath remains in place. </s> |
<s>[INST] What are the key findings of this report? [INST] single frontal view of the chest demonstrates a right port-a-cath in unchanged position, terminating at the cavoatrial junction. median sternotomy wires are present, along with surgical clips in the left upper quadrant. the heart is mildly enlarged, but stable compared with prior examinations, with redemonstration of calcified mediastinal lymph nodes. a rounded opacity in the lower left lung likely correlates to a calcified granuloma as seen on ct of the chest from <unk>. there is no evidence of pneumonia, pleural effusion, pneumothorax or overt pulmonary edema. the lung volumes are low, accentuating bibasilar atelectasis. no subdiaphragmatic free air is present. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post median sternotomy. right-sided port-a-cath is again seen without significant change in position, terminating at the cavoatrial junction. again, there are low lung volumes and minimal bibasilar atelectasis. ovoid calcification projecting over the left mediastinum is again seen. subcentimeter left lower lung rounded calcification is stable and may represent a calcified granuloma. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. there is no overt pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiographs were provided. lung volumes are significantly low. there is no focal consolidation, pleural effusion or pneumothorax. there is bibasilar atelectasis. the cardiomediastinal silhouette is unchanged. median sternotomy wires are intact. a right chest wall port-a-cath terminates at the cavoatrial junction. there is no free air under the hemidiaphragms. osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] single portable view of the chest. right chest wall port is again seen. streaky left basilar and right upper lung opacities are seen suggestive of atelectasis or scarring. calcified mediastinal nodes are again seen. cardiomediastinal silhouette is within normal limits. no acute osseous abnormality detected. </s> |
<s>[INST] What are the key findings of this report? [INST] right-sided port-a-cath terminates in the mid svc as before. heart is top-normal in size. mediastinal and hilar contours are within normal limits. lung volumes are low over the lungs are clear without focal consolidation, effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] ap portable upright view of the chest. right chest wall port-a-cath again noted with catheter tip extending to the upper svc region. midline sternotomy wires are again noted. there is a calcified ovoid structure projecting over the mediastinum likely a calcified lymph node. there is mild basilar atelectasis noted bilaterally. no focal consolidation concerning for pneumonia. no large effusion or pneumothorax is seen. cardiomediastinal silhouette is stable. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] a port-a-cath terminating in the upper part of the superior vena cava appears unchanged since the more recent of the prior two studies. the patient is status post sternotomy. a calcified prevascular lymph node appears unchanged. the cardiac, mediastinal and hilar contours appear stable. the lung volumes are low. streaky basilar opacity consistent with minor scarring is similar in the lingula. there is no substantial parenchymal opacity. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post median sternotomy again with a top normal-sized cardiac silhouette and mildly tortuous thoracic aorta. hilar contours are unremarkable. lung volumes are low with right base atelectasis as well as increased focal retrocardiac opacity with lateral posterior lower lobe correlate. right-sided port-a-cath is again demonstrated terminating at the cavoatrial junction. there is no pleural effusion or pneumothorax. there is no overt pulmonary edema. calcified mediastinal lymph nodes are again noted. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. no new focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. peripheral opacity in the left lung base appears improved from the prior study, and may represent residual atelectasis with scarring. heart and mediastinal contours are stable with unchanged calcified aorticopulmonary window lymph node compatible with prior granulomatous disease. right-sided port-a-cath is similarly positioned. sternal wires appear intact on these views. the patient is status post cabg. </s> |
<s>[INST] What are the key findings of this report? [INST] single portable view of the chest. low lung volumes are seen with secondary crowding of the bronchovascular markings. left chest wall port is seen with catheter tip within the right atrium. there is no large confluent consolidation or large effusion. calcified bilateral hilar nodes are identified. cardiomediastinal silhouette is within normal limits for technique and low inspiratory volume. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low, limiting evaluation of the lung bases, with perihilar atelectasis. within this limitation, no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. the aorta is tortuous. heart size is difficult to evaluate in the setting of markedly low lung volumes. a right-sided port-a-cath tip projects at the level of the cavoatrial junction, as seen previously. density in the aortopulmonary window appears similar compared to prior and likely corresponds to calcified nodes, as seen on prior ct. sternal wires appear intact. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post sternotomy. a port-a-cath terminates at the cavoatrial junction. the heart is at the upper limits of normal size. a calcified lymph node is seen along the aortopulmonary window. the cardiac, mediastinal and hilar contours do not appear significantly changed. the lung volumes are low. there is persistent patchy opacification in the left lower lobe, which appears somewhat more dense and compressed, perhaps coinciding with differences in lung volumes rather than a true interval change however. in fact, left basilar opacities are more similar to <unk>, where lungs volumes were somewhat lower than on the more recent prior examination. there is no pleural effusion or pneumothorax. bony structures are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post sternotomy. a port-a-cath terminates in the right atrium. the heart is mildly enlarged. calcified mediastinal lymph nodes are unchanged. the lung volumes are low. streaky basilar opacities suggest minor atelectasis. there is no pleural effusion or pneumothorax. cholecystectomy clips project over the right upper quadrant. </s> |
<s>[INST] What are the key findings of this report? [INST] ap portable upright view of the chest. midline sternotomy wires and mediastinal clips are again noted. there is a right chest wall port-a-cath with its tip in the mid svc. a calcific density in the region of the ap window corresponds with a calcified lymph node on prior ct. lung volumes are low limiting evaluation. there is bibasilar atelectasis with bronchovascular crowding. no convincing signs of pneumonia though evaluation is limited. no large effusion or pneumothorax. heart size is difficult to assess. mediastinal contour is stable. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] single ap view of the chest. right chest wall port is again seen, catheter tip not clearly identified due to motion. the lungs are grossly clear. mild left basilar atelectasis versus scarring again noted. cardiomediastinal silhouette is within normal limits. calcified ap window nodes are seen. osseous and soft tissue structures are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] right chest wall port-a-cath terminates in the upper svc. postoperative mediastinum, including calcified left suprahilar lymph node, and cardiomegaly are unchanged from <unk>. bibasilar atelectasis is mild. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral views of the chest provided demonstrate clear well-expanded lungs without focal consolidation, effusion, or pneumothorax. there is no free air below the right hemidiaphragm. cardiomediastinal silhouette is normal. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiograph demonstrates well expanded lungs. there is no focal consolidation. no appreciable pleural effusion is identified. there is mild cardiomegaly without pulmonary edema. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart is again mildly enlarged with a left ventricular configuration. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. cholecystectomy clips project over the right upper quadrant. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. there is minimal patchy opacity in the left lung base. this likely reflects atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] the right mid lung linear opacity is less prominent than on prior examination. the lungs are well expanded. moderate cardiomegaly is stable. the mediastinal contour and hila are unchanged. no pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is mild to moderately enlarged but unchanged. mediastinal contour is unremarkable. there is mild pulmonary vascular engorgement with unchanged fullness of both hila. streaky opacity in the retrocardiac region may reflect atelectasis. small bilateral pleural effusions are noted. there is no pneumothorax. no acute osseous abnormalities demonstrated. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. hilar congestion is noted with mild interstitial edema. no large effusion or pneumothorax. no focal consolidation concerning for pneumonia. the heart is mildly enlarged. the mediastinal contour is stable. imaged osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] ap portable upright view of the chest. overlying ekg leads noted. lung volumes are low. bronchovascular crowding is noted. relative prominence of the hila may reflect hypoventilatory status. mild hilar congestion is difficult to exclude. no large effusion. mild left basal atelectasis. no large pneumothorax. bony structures are intact. cardiomediastinal silhouette unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] there is no focal consolidation, pleural effusion or pneumothorax. mild to moderate cardiomegaly. the mediastinal and hilar contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] again seen is mild pulmonary edema and trace bilateral pleural effusions, similar to prior. cardiomegaly is stable. there is no focal consolidation. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] moderate cardiomegaly is re- demonstrated. mediastinal contour is unchanged. there is crowding of bronchovascular structures due to low lung volumes, but there is mild pulmonary edema demonstrated along with trace bilateral pleural effusions. no focal consolidation or pneumothorax is seen. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] a linear opacity at the periphery of the right midlung may represent atelectasis or mucoid impaction. no focal consolidation to suggest pneumonia. streaky opacity at the left lung base could be due to atelectasis. mild pulmonary vascular congestion has slightly improved compared to <unk>. no pleural effusion or pneumothorax. mild cardiomegaly is stable. </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 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] the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema is seen. there is no displaced fracture. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. patient has known mediastinal and hilar lymphadenopathy, better seen on recent ct. there has been improvement in the opacities in the upper lobes and the right middle lobe. chronic changes of fibrosis in the upper lobes are noted. no new findings. </s> |
<s>[INST] What are the key findings of this report? [INST] since the prior exam, there is little change. biapical fibrotic changes and mediastinal and hilar lymphadenopathy are stable, and compatible with the patient's diagnosis of sarcoidosis. there is no new focal infiltrate to suggest pneumonia. there is no pleural effusion or pneumothorax. the heart size is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] extensive reticular interstitial opacities, predominantly in the lung apices, are unchanged and are consistent with fibrotic changes from sarcoidosis. minor fissure remains elevated. no pleural effusion, pneumothorax or focal airspace consolidation.there is persistent elevation of the left hemidiaphragm. hilar and mediastinal lymphadenopathy is unchanged. heart is top normal in size. there is no evidence for pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. upper lobe scarring with upward retraction of the hila again noted consistent with provided history of sarcoidosis. there is no consolidation concerning for pneumonia. no large effusion or pneumothorax. heart size is normal. mediastinal contour stable. 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 were obtained. again seen are diffuse increased interstitial markings bilaterally overall, grossly stable. prominence of the right hilum is stable. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. </s> |
<s>[INST] What are the key findings of this report? [INST] based on this portable film, there has been no significant interval change. biapical fibrotic changes mediastinal and hilar adenopathy are compatible with patient's known diagnosis of sarcoidosis. there is no superimposed acute consolidation. cardiac silhouette is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal contours are stable with cardiac size top normal, the mediastinum is widened as before due to lymphadenopathy. enlargement of the hilum bilaterally right greater than left, due to lymphadenopathy is stable. chronic peribronchial opacities, scarring go loss of volume in the upper lobes and in the lower lobes right greater than left is stable. there is no pneumothorax or pleural effusion. the osseous structures are unremarkable </s> |
<s>[INST] What are the key findings of this report? [INST] diffuse interstitial abnormality in the lungs, predominantly in the upper lobes as seen on prior ct chest, is consistent with fibrosis from known sarcoidosis. patchy opacity at the left base may represent soft tissue, however, can also be infection superimposed on chronic lung disease. cardiomediastinal silhouette appears unchanged given differences and technique. there is no pleural effusion or pneumothorax. the osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] again seen is diffuse interstitial abnormality with predominance in the upper lobes consistent with patient's known history of sarcoidosis. the previously seen opacity at the left base is no longer present and was likely due to artifact. there is no definite focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is unchanged. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] coarse interstitial opacities in the upper lobes bilaterally are indicative of underlying fibrotic changes secondary to chronic sarcoid. comparing to prior studies there is no new focal consolidation to suggest pneumonia. no pleural effusion or pneumothorax. no evidence of pulmonary edema. heart size and mediastinal contours are within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are persistently low. the heart size remains mildly enlarged but unchanged. mediastinal contour is similar. bilateral hilar enlargement compatible with lymphadenopathy is again noted. increased interstitial markings are noted diffusely, but more so within the upper lobes, and not substantially changed in the interval, likely reflective of patient's known sarcoidosis with fibrotic changes. no focal consolidation, pleural effusion or pneumothorax is clearly evident. there may be mild pulmonary vascular congestion. no acute osseous abnormality is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] again, there is a diffuse interstitial abnormality most marked in the upper lobes with associated bronchiolectasis, similar to the prior exam, and compatible with the patient's history of sarcoidosis. enlargement of the hila, due to lymphadenopathy, is unchanged. there is no focal opacity, pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is unchanged, and normal. </s> |
<s>[INST] What are the key findings of this report? [INST] interval extubation. lung volumes are relatively low. a <num> cm nodular opacity in the lateral left lung is unchanged. central lucency is raises the possibility of cavitation. a linear density projecting over the left heart border is unchanged. trace left pleural effusion. top normal heart size is unchanged. cardiomediastinal hilar silhouettes are unchanged. a median sternotomy wires are midline, some fractured, unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] an endotracheal tube terminates <num> cm above the carina. lung volumes are low with bibasilar atelectasis. linear density projecting over the lateral left heart border may reflect a dense focus of linear atelectasis or pleural plaque. there is an apparent <num> cm cavitary lesion with a relatively thick rim in the lateral mid left lung. mild cardiomegaly with pulmonary vascular congestion. the <num> most superior median sternotomy wires are fractured in multiple places. pleural effusions are small, if any. </s> |
<s>[INST] What are the key findings of this report? [INST] cervical collar projects over the neck and lung apices. no focal consolidation, pleural effusion, pneumothorax, or pulmonary edema is seen. heart and mediastinal contours are within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] diffuse prominence of interstitial markings and vascular congestion noted. unchanged biapical pleural thickening. the right hilum is prominent. the heart is mildly enlarged. no focal consolidation is identified. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well-expanded. bibasilar atelectasis is mild. no focal consolidation, effusion, edema, or pneumothorax. the heart is moderately enlarged. median sternotomy wires appear intact. mediastinal clips are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are within normal limits. lung volumes are slightly low; however, there is no focal consolidation, pleural effusion, pulmonary edema or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. the right costophrenic sulcus is incompletely imaged. the lungs are well expanded and clear without focal consolidation, pleural effusion or pneumothorax. heart size is normal. mediastinal silhouettes and hilar contours are normal. no upper abdominal or osseous abnormality is identified. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest show decreased lung volumes. there is no focal opacity, pleural effusion or pneumothorax. elevation of the right hemidiaphragm is unchanged. mild cardiomegaly is stable. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear with no evidence of consolidation, effusion, or pneumothorax. cardiac silhouette is moderate-to-severely enlarged. post-sternotomy wires are noted as well as a mitral valve prosthesis. no acute fractures are identified. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiographs were obtained. the patient is status post median sternotomy with intact wires for prior aortic valve replacement. a left chest pacemaker has leads terminating in the appropriate locations in the right atrium and right ventricle. there is bilateral interstitial edema and pulmonary vascular congestion that is increased from prior study on <unk>. there is chronic scarring at the left lung base. the heart is moderately enlarged, but stable in size. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is status post placement of a left-sided dual-chamber pacemaker, with leads terminating in the expected locations of the right atrium and right ventricle. there is no evidence of pneumothorax. cardiomegaly is stable in appearance allowing for lower lung volumes, the latter also accentuate the pulmonary vascularity. new linear foci of atelectasis have developed in both lower lobes. calcified granulomas are present in the right upper lobe without change. note is made of previous median sternotomy and aortic valve replacement. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low, which produces bronchovascular crowding. moderate cardiomegaly is stable, as are the continuous pacemaker lead positions. no evidence of pulmonary edema or effusions. no focal consolidation concerning for pneumonia. intact median sternotomy wires. calcified granulomas in the right upper lung have not changed. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the signs indicative of pulmonary edema have improved. there is still mild degree of fluid overload, severity has decreased in the interval. calcified granulomas in the right upper lobe. no pleural effusion. moderate cardiomegaly, normal position of the pacemaker leads. status post cabg with correct alignment of sternal wires. </s> |
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