FINDINGS:
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<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 silhouette is top-normal. the aorta is slightly tortuous. no pulmonary edema is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] compared to the prior study there is no significant interval change. </s> |
<s>[INST] What are the key findings of this report? [INST] since the prior radiograph, there has been interval placement of a right ij introducer and an enteric tube. an endotracheal tube terminates approximately <num> cm above the carina. within the lungs, there are diffuse bilateral parenchymal opacities, which likely represents pulmonary edema. however, there may also be focal opacification of the right upper lobe, which is concerning for superimposed aspiration/pneumonia. the heart to is enlarged, which may be partially due to ap technique, but it has been noted as far back as <unk>. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] moderate cardiomegaly is stable. severe pulmonary edema has worsened. there is no pneumothorax. lines and tubes are in unchanged standard position. there are probably bilateral small effusions. skin <unk> project in the right upper quadrant of the abdomen. catheter also projects in the right upper quadrant of the abdomen. </s> |
<s>[INST] What are the key findings of this report? [INST] compared to the prior study there is no significant interval change. </s> |
<s>[INST] What are the key findings of this report? [INST] right picc again seen with tip in the mid to lower svc. low lung volumes again noted with probable right basilar atelectasis. superiorly, the lungs are clear. the cardiomediastinal silhouette is stable. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the prior radiograph, the patient's fluid overload has improved. cardiac size remains moderately enlarged. bibasilar atelectasis, particularly in the right middle lobe is still present, but also improving overall. a picc line terminates at the cavoatrial junction. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. the heart is of top normal size, exaggerated by low lung volumes and ap technique. pulmonary vasculature is unremarkable. lungs are clear without focal or diffuse abnormality. no pleural effusion or pneumothorax. osseous structures are unremarkable. no radiopaque foreign body. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiographs demonstrate no focal consolidation, pleural effusion, or pneumothorax. also there is a soft tissue calcification in the left axilla, possibly representing a calcified node. extensive vascular calcifications are also seen. the cardiac, hilar, and mediastinal contours are normal. the aorta is tortuous. </s> |
<s>[INST] What are the key findings of this report? [INST] endotracheal tube is seen terminating approximately <num> cm above the level of carina. the aorta is calcified and tortuous. the cardiac silhouette is mildly enlarged. there are bilateral opacities, particularly perihilar, which may be due to underlying fluid overload, although underlying infection is not excluded. no large pleural effusion or pneumothorax is seen. amorphous calcification is seen projecting over the soft tissue in the left axilla. </s> |
<s>[INST] What are the key findings of this report? [INST] single portable chest radiograph was provided. compared to the most recent prior study, the lung volumes are low. again seen is interstitial prominence, likely representing pulmonary edema superimposed on background of emphysema. there are no pleural effusions or pneumothorax. the heart remains enlarged. no focal consolidations are identified. calcification in the left axilla is stable. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral chest radiographs were obtained. increased interstitial abnormality could be due to mild pulmonary edema, although low lung volumes complicate this assessment. dual lumen central venous catheter terminates with its distal tip in the superior cavoatrial junction. no definite pleural effusion is seen. there is no pneumothorax with unchanged minimal left apical pleural thickening. the heart is top normal in size with tortuous aorta contour. coarse calcifications in the left axilla could be a calcified lymph node or intra-articular body within the left glenohumeral joint are unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. previously noted endotracheal tube has been removed. there is a calcification in the left axilla, possibly corresponding to a lymph node, unchanged. coarsened interstitial markings are increased from prior exam, which may represent interstitial edema, though an atypical pneumonia cannot be excluded. no lobar consolidation is seen. there may be a tiny left pleural effusion. the heart and mediastinal contours appear stable. no acute bony abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. prominence of interstitial markings again seen may be due to chronic lung disease with superimposed mild edema. right mid lung patchy opacity is seen which could relate to prominent vasculature; however, a focus of infection is not excluded. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are stable. amorphous calcification in the left axilla is again seen. </s> |
<s>[INST] What are the key findings of this report? [INST] prominence of the interstitial markings is once again present and likely due to pulmonary edema superimposed on emphysema. cardiac silhouette is again top normal in size. no pleural effusion or pneumothorax. no convincing evidence of pneumonia. coarse calcifications in the left axilla could be due to calcified lymph node and is unchanged from multiple prior studies. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. the heart size is accentuated due to the presence of low inspiratory lung volumes, appearing borderline enlarged. mediastinal and hilar contours are normal. no pulmonary edema is demonstrated. assessment of the lung bases is limited by low lung volumes. patchy opacities in both lower lobes may reflect atelectasis. no right pleural effusion is demonstrated, and no large left pleural effusion is seen, though a small left pleural effusion is not completely excluded. no pneumothorax is detected. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest. no prior. the lungs are clear of focal consolidation or 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] the heart size is at the upper limits of normal. the mediastinal contours are not widened. the lungs continue to demonstrate mild vascular congestion and bibasilar opacities. there is no large pleural effusion or pneumothorax. examination of the ribs shows no displaced fracture. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. cardiomediastinal silhouette and hilar contours appear unremarkable. the lungs appear clear. no obvious pleural effusion or pneumothorax. no apparent rib fractures. </s> |
<s>[INST] What are the key findings of this report? [INST] rounded calcified density approximately <num> cm x <num> cm adjacent to the right main stem bronchus and superior to the right hilus appears unchanged. no new focal opacity, pleural effusion, pneumothorax, or pulmonary edema. heart size, mediastinal contours and hila are otherwise normal. no bony abnormality. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. left chest wall port-a-cath is noted with catheter tip in the region of the upper svc. the lungs are clear bilaterally. no focal consolidation, large effusion or pneumothorax is seen. tiny surgical clips are noted in the right axilla. no signs of congestion or edema. bony structures are intact. no free air below the right hemidiaphragm. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are now clear. the cardiomediastinal silhouette is normal. no acute osseous abnormality identified. </s> |
<s>[INST] What are the key findings of this report? [INST] patchy right upper lung opacity seen on the frontal view is worrisome for pneumonia. the left lung is clear. 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] pa and lateral views of the chest provided. lungs are not well inflated. on the lateral view projecting in the right middle lobe or lingula there is increased density which could be atelectasis. no pleural effusion or pneumothorax. cardiomediastinal contours are normal. punctate hilar opacities, likely represent calcified hilar lymph nodes. </s> |
<s>[INST] What are the key findings of this report? [INST] slightly lower lung volumes seen on the current chest x-ray when compared to prior. opacities at the bilateral cardiophrenic angles are most compatible fat pads seen on interval ct scan. the lungs are clear without consolidation, effusion, or vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] moderate enlargement of cardiac silhouette is again noted. the mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. minimal linear opacities in the lung bases and periphery of the right upper lobe likely reflect areas of atelectasis. no focal consolidation, pleural effusion or pneumothorax is present. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright view of the chest provided. there is no focal consolidation, effusion, or pneumothorax. moderate cardiomegaly is unchanged. no pulmonary edema. no free air below the right hemidiaphragm is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] the lung volumes are low. bilateral pleural effusions are seen. the extent is better appreciated on the lateral than on the frontal radiograph. staple lines in the upper abdomen. the gastric bubble is not clearly visualized. unchanged areas of atelectasis. no pulmonary edema. no pneumonia. right pectoral pacemaker in situ. </s> |
<s>[INST] What are the key findings of this report? [INST] lungs are well expanded and clear. heart size, mediastinal and hilar contours are normal. no new concerning skeletal abnormalities are detected. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest demonstrate fully expanded and clear lungs. there is no pneumothorax or pleural effusion. cardiomediastinal and hilar contours are normal. pleural surfaces are unremarkable. </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. </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. the visualized osseous structures are unchanged with superior endplate compression in an upper thoracic level. </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. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are free of focal consolidations, pleural effusions or pneumothorax. there is no pulmonary edema. cardiomediastinal silhouette is within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] lungs are clear. cardiomediastinal silhouette is normal. no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomegaly is mild. no overt features of cardiac decompensation. bibasilar atelectasis has not changed appreciably since <unk>, corroborated by chest cta at that time. the could be a very small right pleural effusion. unfolding of the thoracic aorta with associated calcific atherosclerotic changes. marked chest wall deformity. cortical bony erosions of the humeri bilateral suggesting renal osteodystrophy. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are normally 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] heart size is enlarged but stable. mediastinal contours demonstrate pulmonary vascular congestion. unfolded aorta is again noted. since the prior radiograph, new bibasilar patchy opacities could represent atelectasis, however pneumonia is not excluded. no large pleural effusion or pneumothorax. small amount of fluid is seen in the right minor fissure. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest. there is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph. in the right middle and lower lung, this are two rounded, slightly spiculated nodules that likely represent metastasis. the left lung appears relatively clear. there is no pleural effusion or pneumothorax. the cardiac, and mediastinal contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. cardiomediastinal silhouette and hilar contours are normal. lungs are clear. pleural surfaces are clear without effusion or pneumothorax. </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 pneumomediastinum is seen. at the very inferior aspect of the image, a partially imaged screw is seen, better depicted on abdomen radiograph. </s> |
<s>[INST] What are the key findings of this report? [INST] ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study obtained <num> hours earlier during the same day. ap single view of the chest demonstrates poor inspirational effort with relatively high-positioned diaphragms. no evidence of new abnormalities. no pneumothorax in the apical area and no evidence of subdiaphragmatic air in this patient. there is no evidence of any remaining radiopaque foreign body on this chest examination. </s> |
<s>[INST] What are the key findings of this report? [INST] diffused increased interstitial markings are most prominent within the left lower lobe, in correlate with subpleural fibrosis on the reference ct abdomen and pelvis examination. increased lung volumes may explain the apparent improvement in the diffuse interstitial abnormality, or alternatively, that the patient may have been in mild pulmonary edema yesterday. bilateral hilar enlargement may be secondary to lymphadenopathy or dilated pulmonary arteries. there is no lobar consolidation, pneumothorax, or large pleural effusion. the heart size is top-normal. the thoracic aorta is heavily calcified. </s> |
<s>[INST] What are the key findings of this report? [INST] ap and lateral views of the chest are obtained. multiple rounded calcified opacities in the left lower lung correspond to calcified granulomas. the right lung is clear. no focal consolidation, pleural effusion, or pneumothorax is seen. the aortic knob is calcified. the cardiac and mediastinal silhouettes are unremarkable. lucency under the right hemidiaphragm is consistent with pneumoperitoneum seen on preceding ct abdomen and pelvis. patient is status post cholecystectomy with surgical clips seen in the right upper quadrant. partially imaged are air-distended loops of bowel, better assessed on ct. </s> |
<s>[INST] What are the key findings of this report? [INST] there is ill definition of the left hemidiaphragm with hazy increased opacity in this region that likely represents a combination of volume loss and effusion there is minimal pulmonary vascular redistribution there is no definite infiltrate. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear without focal consolidation or effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable, the lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present. </s> |
<s>[INST] What are the key findings of this report? [INST] ap upright and lateral views of the chest are provided. there is top normal heart size with mild hilar congestion and apparent cephalization of the pulmonary vasculature in the upper lobes of the bilateral lungs. there is no overt edema, large effusion, or pneumothorax. there is no definite evidence of pneumonia. the nodular opacities in the right perihilar region are likely end on pulmonary vessels. a compression fracture of the lower thoracic vertebral body is again seen and grossly unchanged from chest radiograph <unk> 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 provided. there is mild atelectasis in the lower lungs. no convincing evidence for pneumonia or edema. no large effusion or pneumothorax. cardiomegaly is mild. the hila appear stable and overall contour. bony structures are intact. no free air below the right hemidiaphragm peer </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal silhouettes are within normal limits. the bilateral hila are unremarkable. the lungs are clear. there is no pulmonary vascular congestion. there is no pneumothorax or pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] left lower lobe opacity is improving peripherally, but appears more confluent in the central left retrocardiac region. lungs are otherwise clear, and there are no definite pleural effusion. cardiomediastinal contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were obtained. lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony 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 well inflated 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] in comparison to <unk> chest radiograph, there has been significant improvement of the small right apical pneumothorax with near-resolution. the bilateral (right greater than left) small pleural effusions and left basal atelectasis are again seen and are unchanged in comparison to most recent study. stable moderate cardiomegaly without overt pulmonary edema. right picc line is in stable position at the cavoatrial junction. median sternotomy wires are intact and aligned. the replaced mitral valve is visualized and in stable position. </s> |
<s>[INST] What are the key findings of this report? [INST] when compared to <unk> portable chest radiograph, the left ij has been removed and there is a new small right apical pneumothorax. the small left pleural effusion, moderate right pleural effusion has increased in size when compared to most recent study. there is moderate cardiomegaly without overt pulmonary edema. tip of the right picc line terminates at the cavoatrial junction. sternotomy wires are aligned and intact. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, the right chest tube has been removed and there is no evidence of pneumothorax. nasogastric tube and et tubes have also been removed. bibasilar opacification is consistent with small pleural effusions and atelectatic change. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the right internal jugular vein catheter has been removed. the cardiac silhouette continues to be mildly enlarged and the replaced valve is clearly visible. there is evidence of small bilateral pleural effusions restricted to the costophrenic sinus as well as of mild areas of bilateral atelectasis. no pneumothorax on the current examination. no evidence of pneumonia. mild tortuosity of the thoracic aorta. </s> |
<s>[INST] What are the key findings of this report? [INST] there is new diffuse opacification at the right upper lobe with associated volume loss. there is also new increased opacification at the right lower lobe. the left pleural effusion has improved, but there is a probable small left pleural effusion with associated atelectasis. cardiomediastinal and hilar contours are stable with mild cardiomegaly. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. known left rib defect. unremarkable appearance of the lung parenchyma, in particular there is no evidence of pneumonia. central venous access line and inferior cava filter are in unchanged position. no pleural effusions. no other acute lung changes. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, there has been placement of a right subclavian catheter that extends to the upper-to-mid portion of the svc. no change in the appearance of the hemodialysis catheter. no evidence of acute pneumonia or vascular congestion. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac silhouette remains mildly enlarged. the mediastinal and hilar contours are within normal limits. previously noted opacity within the right upper lobe has somewhat improved with residual linear opacities likely reflecting subsegmental atelectasis. additionally, aeration of the left lung base is improved and subsegmental atelectasis in the left lower lobe is noted. no pleural effusion or pneumothorax is identified. inferior vena cava filter is partially imaged. </s> |
<s>[INST] What are the key findings of this report? [INST] again is seen a left-sided double-lumen central venous catheter with tip at the lower svc. the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. an ivc filter is in place. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. cardiomediastinal silhouette and hilar contours are unremarkable. a tunneled dialysis catheter is seen terminating in the right atrium. the patient has an ivc filter in place. no pleural effusion or pneumothorax is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] again appreciated is a left subclavian dialysis catheter with the tip in an unchanged location in the right atrium. the cardiomediastinal and hilar silhouette is unremarkable. there is minimal left sided atelectasis and trace right sided pleural effusion. an ivc filter projects over the mid abdomen. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the pre-existing right upper lobe parenchymal opacity has almost completely resolved. however, there is a newly appeared left-sided pleural effusion of moderate extent. the effusion is not associated with a substantial elevation of the left hemidiaphragm. however, atelectasis at the left lung base has developed. unchanged borderline size of the cardiac silhouette. the course of the dialysis catheter is constant. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiographs demonstrate opacification in the right upper and possibly right lower lobes. left base atelectasis/scarring is also seen. left upper lobe bronchial wall thickening may be present. double-lumen central venous catheter terminates in the right atrium. ivc filter is noted. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. large bore central catheter terminates in the right atrium, in similar position to prior. ivc filter has a stable orientation. heart size and cardiomediastinal contours are normal. linear opacity in the right mid lung is unchanged and consistent with atelectasis. no focal consolidation, pneumothorax, or substantial pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] single frontal view of the chest. a new left subclavian large bore dialysis catheter terminates in the right atrium. the patient is in a kyphotic position with respect to the radiograph. the heart size and cardiomediastinal contours are normal. the lungs are clear. the pulmonary vascular markings are normal. no pleural effusion or pneumothorax. an ivc filter is in similar position to prior. persistent left posterior rib defect. </s> |
<s>[INST] What are the key findings of this report? [INST] moderate cardiomegaly with interval increase in bibasilar atelectasis. there is a possible right pleural effusion. the differential could include elevation of the right hemidiaphragm laterally. mild upper zone redistribution, without overt chf. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] no significant interval change. lung volumes remain slightly low, but are slightly improved. small right pleural effusion with adjacent atelectasis and silhouetting of the right hemidiaphragm is overall unchanged. no pneumothorax. mild cardiomegaly is unchanged. no edema or focal consolidation. </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. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiac, mediastinal, and hilar contours are normal. pulmonary vascularity is normal. the lungs are clear. no pleural effusion or focal consolidation is present. no acute osseous abnormalities are visualized. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. projecting over the right lower lung is a possible lung nodule suggested by a nodular focus measuring about <num> mm in diameter. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were obtained. a right arm picc line is seen with its tip terminating at the level of the svc. lung volumes are low. the lungs appear clear. cardiomediastinal silhouette is stable. bony structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] a right picc is present, and is visible to the level of the junction of the right subclavian and brachiocephalic veins, but the tip is not confidently visualized on this radiograph. it could potentially be obscured by an indwelling right internal jugular vascular catheter. if warranted clinically, an oblique view could be obtained to better visualize the catheter. widening of mediastinum is likely due to mediastinal lipomatosis given extensive mediastinal fat present on prior thoracic mri spine study of <unk>. cardiac silhouette is enlarged but stable in size. lungs are clear except for a linear focus of atelectasis in the left mid lung region. postoperative changes are present within the spine. </s> |
<s>[INST] What are the key findings of this report? [INST] there is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. pleural thickening is unchanged from <unk>. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest views are obtained with patient in upright position. analysis is performed in direct comparison with the next preceding similar study of <unk>. the heart size is within normal limits. sizable apical fat pad is observed on the left base does not obscure the diaphragmatic contour or the left lateral pleural sinus. aorta is unremarkable and unchanged in comparison. 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. no pneumothorax in the apical area. mild degree of degenerative changes mostly in the mid portion of the thoracic spine, but no other remarkable skeletal abnormalities are identified. comparison with the next preceding study of <unk>, demonstrates stable chest findings. thus, no evidence of new acute infiltrates. </s> |
<s>[INST] What are the key findings of this report? [INST] ap and lateral views of the chest. linear opacity at the left lung base most suggestive of atelectasis. the lungs are otherwise essentially clear. blunting of the posterior costophrenic angle on the left may represent trace effusion. cardiac silhouette is within normal limits noting prominent left cardiophrenic fat pad, unchanged. no acute osseous abnormality detected. </s> |
<s>[INST] What are the key findings of this report? [INST] . lung volumes are slightly low, with compressive changes at the bases. cardiomediastinal silhouette is within normal limits. there is no focal consolidation, pleural effusion, or pneumothorax. there is no free air under the diaphragm. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size, mediastinal and hilar contours are normal. lungs and pleural surfaces are clear. no acute skeletal findings. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal and hilar contours are within normal limits. aorta is tortuous. low lung volumes with relative elevation of the right hemidiaphragm. clear lungs. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] there is a moderate right pleural effusion with overlying atelectasis. the left lung is clear. the cardiac and mediastinal contours are normal. the hilar structures are unremarkable. degenerative changes of the cervical spine are better evaluated on the prior mri. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, the patient has taken a slightly better inspiration. the cardiac silhouette is within upper limits of normal in size. there is indistinctness of engorged pulmonary vessels, consistent with elevated pulmonary venous pressure. opacification at the right base is consistent with pleural effusion and compressive atelectasis. less prominent atelectatic changes with smaller effusion is seen on the left. in the appropriate clinical setting, supervening pneumonia would have to be considered. </s> |
<s>[INST] What are the key findings of this report? [INST] single supine ap portable view of the chest was obtained. endotracheal tube is seen, terminating approximately <num> cm above the level of the carina; recommend withdrawal by approximately <num> cm for a more optimal positioning. a nasogastric tube is seen terminating at the gastroesophageal junction. recommend advancement several centimeters so that it is well within the stomach. there is prominence of the hila which may be due to pulmonary vascular engorgement. patchy opacities are seen in the right upper and mid lung zone as well as at the left mid to lower lung which could be due to multifocal infection or possibly atelectasis or aspiration. no pleural effusion or pneumothorax is seen. the cardiac silhouette is top normal to mildly enlarged. mediastinal contours are stable. endotracheal tube is slightly low in position at <num> cm above the level of the carina, recommend withdrawal by approximately <num> cm. nasogastric tube terminates at the gastroesophageal junction. recommend advancement by several centimeters so that it is well within the stomach. findings and recommendations were discussed with dr. <unk> at <num>:<unk> p.m. on <unk> via telephone, <num> minutes after discovery. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior study from <unk>. there is again seen elevation of an increased density over the left hemidiaphragm. this is unchanged since the prior study. there is calcification of thoracic aorta. there is some atelectasis versus developing infiltrate at the right base. no pneumothoraces are identified. there is mild pulmonary edema. </s> |
<s>[INST] What are the key findings of this report? [INST] since the recent study of a few hours earlier, there has been improvement in the extent of pulmonary edema. otherwise, no relevant short-interval change. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior study from <unk>. there is increased density at the left base and elevation of the left hemidiaphragm. this has worsened since the prior study. there remains mild prominence of pulmonary interstitial markings, suggestive of mild pulmonary edema. no pneumothoraces are seen. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior radiographs dating back to <unk>. there is again seen elevation of the left hemidiaphragm and increased density projecting over the left retrocardiac area. there is mild pulmonary edema and there is persistent increased density at the right base suggestive of atelectasis versus infiltrate or aspiration. no pneumothoraces are seen. there has been no interval change. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size and cardiomediastinal contours are normal. there is calcification of the aortic knob. diffuse interstitial prominence is consistent with pulmonary vascular congestion, possibly superimposed on a chronic interstitial process. indistinct appearance of the posterior costophrenic angles is consistent with small bilateral pleural effusions. no focal consolidation or pneumothorax. left lower rib fracture appears minimally displaced. </s> |
<s>[INST] What are the key findings of this report? [INST] compared to <unk>, there has been clearing of right lung base pneumonia. there is mild residual opacity at the right lung base. there is no pleural effusion or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. </s> |
<s>[INST] What are the key findings of this report? [INST] a portable frontal chest radiograph demonstrates a normal cardiomediastinal silhouette and well-aerated lungs. relative lucency of the upper lungs is suggestive of emphysema. slightly increased focal opacity in the right lateral lung is suggestive of an infectious process. left base atelectasis is noted. no pleural effusion or pneumothorax is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. compared to prior study, the right lung base appears more clear. there are no new areas suspicious for pneumonia. heart size is normal. there is no pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] there is bilateral interstitial edema and pulmonary vascular congestion. the heart is moderately enlarged. small right and moderate left pleural effusions are seen. retrocardiac opacity may represent pneumonia in the appropriate clinical setting. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear without focal consolidation, pleural effusion or pneumothorax. there is no pulmonary edema. right apical scarring is noted, likely from post-treatment changes. the heart is enlarged. the mediastinal contours are normal. clips project over the right breast. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and hyperinflated lungs without focal consolidation, pleural effusion, or pneumothorax. right apical scarring is again noted, likely on the basis of radiation therapy in the setting of previous right mastectomy. the visualized upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the right ij line is in unchanged position and terminates at the cavoatrial junction. there is pulmonary edema which has not significantly changed compared to the prior radiograph performed yesterday evening. there is no evidence of pneumonia, substantial pleural effusions or pneumothorax. heart size remains enlarged. some residual oral contrast is noted in the left upper quadrant. </s> |
<s>[INST] What are the key findings of this report? [INST] portable ap upright chest film <unk> at <time> is submitted. </s> |
<s>[INST] What are the key findings of this report? [INST] semi-upright portable view of the chest demonstrates low lung volumes without pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. large hiatal hernia is noted. bibasilar opacities are better seen on ct chest of the same date. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiac silhouette size is mildly enlarged, similar to the previous exam. the aorta is mildly tortuous. mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. lungs are hyperinflated. patchy right basilar opacity is improved compared to the previous study, but may reflect recurrent pneumonia. no pleural effusion or pneumothorax is present. the osseous structures are diffusely demineralized without acute osseous abnormality detected. remote right mid clavicular fracture is again seen. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is mildly enlarged. the aorta is tortuous. pulmonary vasculature is not engorged. hilar contours are unchanged. lungs are hyperinflated. new focal opacity is seen within the left lower lobe as well as patchy nodular opacity within the left lower lobe, findings concerning for multifocal pneumonia. no pleural effusion or pneumothorax is identified. there are no acute osseous abnormalities. deformity of the right mid clavicle compatible a remote fracture is re- demonstrated. </s> |
Subsets and Splits