FINDINGS:
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<s>[INST] What are the key findings of this report? [INST] previously noted right basilar opacity has improved. streaky bibasilar opacities likely represent atelectasis. otherwise no consolidation, sizeable effusion or pneumothorax. heart appears mildly enlarged, although this may be due to portable technique. there are healed right-sided rib fractures. </s> |
<s>[INST] What are the key findings of this report? [INST] there is interval development of patchy increased density at the left base concerning for pneumonia. there is minimal bibasilar scarring or subsegmental atelectasis as well. the heart and mediastinal structures are unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size remains mildly enlarged. mediastinal and hilar contours are unchanged. pulmonary vasculature is not engorged. lungs remain hyperinflated with flattening of the diaphragms. scarring within the right lower lobe is unchanged. remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. no acute osseous abnormalities present. remote fracture of the right mid clavicle is again noted. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiomediastinal and hilar contours are stable with mild tortuosity of the descending aorta. there is no pleural effusion or pneumothorax. hyperinflation and flattened hemidiaphragms may be indicative of a chronic pulmonary process. a <num> mm density is seen in the left lower lung, stable since the prior study and probably a calcified granuloma, is likely of no clinical significance. note is made of an old right clavicular fracture. </s> |
<s>[INST] What are the key findings of this report? [INST] the lung volume is small. the left lower lobe consolidation has improved. no pulmonary edema or pulmonary venous congestion. small left pleural effusion and atelectasis are unchanged. right lower lobe atelectasis is unchanged. moderate cardiomegaly is unchanged. mediastinal silhouette is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal silhouette is unchanged as compared to prior dated <unk>. note is made of healed right clavicular fracture. linear opacity in right lower lung is unchanged since <unk> radiograph. no pleural effusion or pneumothorax is seen. </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] pa and lateral views of the chest are compared to previous exam from <unk>. the lungs are clear. there is no pneumothorax 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] as compared to the previous radiograph, the current image shows no evidence of consolidation, effusion, or pneumothorax. the size of the cardiac silhouette is normal. there are no pleural effusions. multiple ecg leads are still present. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well-expanded. ill-defined opacities are seen in the left lower lung with obscuration of the left hemidiaphragm margin. a small left-sided pleural effusion is also present. the right lung again shows a bandlike opacity along its upper lobe unchanged from prior and compatible with fibrosis. there is no new opacity in the right lung. there is no right-sided effusion. no pneumothorax is identified. the heart is not enlarged. </s> |
<s>[INST] What are the key findings of this report? [INST] chest, pa and lateral. compared to the prior study, there is even more heterogeneous opacity in the left lower lobe, obscuring the left hemidiaphragmatic contour. there are some new mostly linear opacities at the right lung base, likely atelectasis, but aspiration cannot be ruled out. stable mild cardiomegaly is present. the aoritc knob appears moreprominent on this exam, but this is likely an artifact due to slight rotation. aortic calcifications are stable. copd with extensive background bullous change and right apical pleural thickening and parenchymal scarring is again noted. r.l hilar retraction and prominent hila with a tapered appearance suggestive of pulmnary hypertension again noted. no pneumothorax or gross pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] chronic changes in the right upper lung and right perihilar region are again seen. since the prior study, there has been increase in the bibasilar opacities from vertically on the left, worrisome for pneumonia. difficult to exclude a small left pleural effusion. the cardiac silhouette remains mildly enlarged. the aorta is calcified. </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 displaced rib fracture is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] lung volumes are low. heart and mediastinal contours appear similar compared to prior with mild cardiomegaly. no focal consolidation, pleural effusion, or pneumothorax is detected. there has been interval decrease in pulmonary vascular congestion. </s> |
<s>[INST] What are the key findings of this report? [INST] mild cardiomegaly is present. mediastinum and pulmonary vasculature are mildly congested, though i do not see evidence of frank pulmonary edema. increased retrocardiac density and minimal right lower lung opacity suggests bi-basal atelectasis, left side more than right. left pleural effusion is minimal. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient has undergone cabg, the sternal wires are in correct alignment. an area of non-characteristic pleural thickening is seen at the lateral bases of the left lung. in addition, better seen on the lateral than on the frontal radiograph, there is a minimal left pleural effusion. also better depicted on the lateral image is fluid marking of the fissural structures as well as mild peribronchial cuffing. in combination with moderately enlarged cardiac silhouette, mild interstitial edema is likely. at the time of dictation and observation, <time> a.m., on the <unk>, the referring physician, <unk>. <unk>, covered by dr. <unk>, was paged for notification. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there are new bilateral pleural effusions of mild-to-moderate extent. the signs of massive centralized pulmonary edema are seen in almost unchanged manner. increasing retrocardiac atelectasis. unchanged monitoring and support devices. </s> |
<s>[INST] What are the key findings of this report? [INST] an endotracheal tube tip terminates at the thoracic inlet, approximately <num> cm from the carina. an orogastric tube tip and side port are both below the diaphragm, within the stomach. the patient is status post median sternotomy and cabg. mild to moderate cardiomegaly is demonstrated. aortic knob calcifications are present. diffuse alveolar opacities are noted in both lungs, most reflective of moderate to severe pulmonary edema. there are likely trace bilateral pleural effusions. no pneumothorax is seen. retrocardiac opacity could reflect atelectasis, though aspiration or infection cannot be excluded. there are no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is top normal with redemonstration of post-surgical mediastinal contour. hilar contours are unremarkable. lungs are clear. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. minimal improvement of the transparency at the level of the retrocardiac lung areas, likely reflecting decreased left effusion. on the right, the effusion is also minimally decreased. no new parenchymal opacities. no signs of overt pulmonary edema. unchanged appearance of the cardiac silhouette. </s> |
<s>[INST] What are the key findings of this report? [INST] portable ap single view semi-erect chest x-ray shows interval improvement of bilateral pulmonary edema, now minimal, but still more severe to the right. bilateral bibasilar pleural effusion is minimal' left base opacity is likely atelectasis. ng and et tubes have been removed. heart size is still mildly enlarged in patient with history of cardiac surgery as denoted by sternal wires. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] single upright portable view of the chest demonstrates interval improvement in asymmetric right pulmonary edema, which is now moderate in severity. the heart size is top normal, and median sternotomy wires are noted. no focal consolidation concerning for pneumonia is identified and there is no pneumothorax. likely small bilateral pleural effusions are present. </s> |
<s>[INST] What are the key findings of this report? [INST] heart size is normal. mediastinal and hilar contours are unchanged. pulmonary vasculature is normal. streaky opacity in the left lung base likely reflects atelectasis and/or scarring with unchanged mild blunting of the left costophrenic sulcus likely reflective of pleural thickening rather than a small pleural effusion. the remainder the lungs are clear without focal consolidation, pleural effusion or pneumothorax. pulmonary vasculature is normal. moderate multilevel degenerative changes are noted in the thoracic spine. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to prior study from <unk>. there is cardiomegaly. there are numerous calcified mediastinal and hilar lymph nodes as well as calcified granulomas. there is a left retrocardiac opacity and left-sided pleural effusion. no pneumothoraces are seen. </s> |
<s>[INST] What are the key findings of this report? [INST] no previous images. relatively low lung volumes, but no evidence of pulmonary edema, pleural effusion, or acute focal pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] again low lung volumes contribute to bibasilar opacities which could be atelectasis, but certainly pneumonia should be considered. right ij line terminates in the low svc. no pneumothorax. median sternotomy wires, mediastinal clips, and cardiac silhouette are all stable. possible small bilateral pleural effusions may be present. crowding of the bronchovascular structures persists, and mild pulmonary vascular engorgement may be present. patient is status post cabg and median sternotomy. </s> |
<s>[INST] What are the key findings of this report? [INST] an ap and lateral view of the chest shows no focal airspace consolidation, pleural effusion, pulmonary edema, or pneumothorax. the right hemidiaphragm is mildly elevated, and unchanged from the prior exam. the patient is status post a median sternotomy and aortic valve replacement. the wires are intact. the cardiomediastinal silhouette is unchanged. a large osseous spur is noted at the right gleno-humeral joint and unchanged from prior exams. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest. there is elevation of the right hemidiaphragm. there is a small right pleural effusion. there is mild pulmonary edema. no pneumothorax. sternotomy wires and mediastinal clips are stable. there is at least mild cardiomegaly. there is an unchanged right glenoid spur. </s> |
<s>[INST] What are the key findings of this report? [INST] no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are stable with postoperative cardiac sillouhette and postsurgical hardware. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval placement of a tunneled dialysis catheter with the tip terminating in the low right atrium. a left picc has been slightly retracted with the tip now terminating at the level of the carina in the mid svc. the patient is status post median sternotomy. the inspiratory lung volumes remain extremely low. there is increased opacification of the right lung base in comparison to the most recent prior study likely reflecting a combination of increased pleural fluid and underlying atelectasis. left basilar atelectasis is unchanged. a small left pleural effusion is also noted with slightly increased left basilar atelectasis. no pneumothorax is detected. the cardiomediastinal silhouette is incompletely evaluated due to bibasilar opacification but is likely unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, there is increasing opacification at the right base with silhouetting of the hemidiaphragm and meniscus formation, consistent with pleural effusion and volume loss in the lower lung. less prominent retrocardiac opacification with blunting of the left costophrenic angle, consistent with volume loss in the lower lobe and small pleural effusion. central catheter remains in position in this patient with intact midline sternal wires following cabg procedure. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest are provided demonstrating midline sternotomy wires, mediastinal clips, and prosthetic cardiac valve. there is slight elevation of the right hemidiaphragm which is stable. the heart remains top normal in size with interval development of mild interstitial edema. the hilar vasculature is congested. no pneumothorax. tiny right pleural effusion noted. no clear signs of pneumonia. bony structures are intact. degenerative spurring along the inferior right glenohumeral joint again noted. </s> |
<s>[INST] What are the key findings of this report? [INST] mild-to-moderate pulmonary edema has slightly worsened. the vessels are also more prominent and the heart contour still enlarged. the lung volumes are very low with bibasilar atelectasis and probable accompanying small pleural effusion. this patient had prior sternotomy for cabg. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison to the prior radiograph, a single semi-erect portable view of the chest demonstrates significantly lower lung volumes. bibasilar opacities are most consistent with atelectasis, although in the correct clinical setting, pneumonia could certainly be considered. there are possible small bilateral pleural effusions. patient is status post median sternotomy and cabg. cardiac size is exaggerated by the ap view as well as the lower lung volumes but given these appears relatively stable. crowding of the bronchovascular structures is present, with possible mild pulmonary vascular congestion. no pneumothorax. heterotopic ossification is again noted along the inferior margin of the right glenoid. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal radiograph of the chest demonstrates low lung volumes with elevation of the right hemidiaphragm as seen previously. there is no focal consolidation, pneumothorax, significant pulmonary edema or pleural effusion. the right subclavian line ends in the mid svc. median sternotomy wires are unchanged in position. the heart size is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest views were obtained with patient in upright position. analysis is performed in direct comparison with the next preceding available chest examination of <unk>. the heart is mildly enlarged. there is a prominence of the left ventricular contour to the left and posteriorly, but there is no evidence of marked left atrial enlargement. the thoracic aorta is mildly widened and shows calcium deposits in the wall at the level of the arch. there is no local contour abnormality of the thoracic aorta. pulmonary vasculature is not congested. there is a moderately elevated right-sided diaphragm, a finding which coincides with a deformity of the third and fourth rib posteriorly suggesting an old right-sided thoracotomy. as this also coincides with a mild elevation of the right-sided hilar structures, these findings are compatible with a previously performed right upper lobectomy as indicated in the requisition. there is no evidence of new acute pulmonary infiltrates on either side nor is there evidence of pleural effusion in the lateral or posterior pleural sinuses. no other significant skeletal abnormalities within the thorax area as the previously described rib deformities. mild cardiac enlargement mostly involving the left ventricle in this elderly female patient, but no signs of acute pulmonary vascular congestion. described changes in right hemithorax compatible with right upper lobectomy. no evidence of reoccurrence of pulmonary malignancy or signs of metastases. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiograph demonstrate low lung volumes. relative to prior radiograph dated <unk>, there has been little interval changes. the right hemidiaphragm appears elevated. the heart is enlarged though stable when compared to prior study. hilar and mediastinal contours are within normal limits. lungs demonstrate no focal opacity convincing for pneumonia. several healed right rib fractures are noted. no acute osseous abnormality is detected. there is no pneumothorax or pleural effusion. </s> |
<s>[INST] What are the key findings of this report? [INST] there is stable elevation of the right hemidiaphragm. the heart is enlarged, as before. the mediastinal hilar contours are within normal limits. the lungs are essentially clear. there is no focal consolidation, pleural effusion or pneumothorax. multiple healed rib fractures are again seen. </s> |
<s>[INST] What are the key findings of this report? [INST] compared to chest radiographs from <unk>, there is little overall change. lung volumes remain low. the right hemidiaphragm is persistently elevated. mild cardiomegaly is stable compared to prior study. mediastinal and hilar contours are stable. there is no focal consolidation, pleural effusion or pneumothorax. several healed right rib fractures are noted. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, there is little interval change. persistent opacification at the right base laterally that could represent a minimal pleural effusion or pleural scarring with mild atelectatic change. no evidence of vascular congestion or acute focal pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. surgical clips overlie the right paratracheal/mediastinal region. there is a small right pleural effusion with overlying atelectasis, underlying consolidation is not excluded. the left lung is clear. there may be minimal central pulmonary vascular engorgement. the cardiac silhouette is top normal. mediastinal contours are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] compared to chest radiographs from <unk>, right lower lobe pneumonia has resolved. no new focal consolidation. there is no pleural effusion, but there is a new, small rounded region of pleural or extrapleural thickening projecting over the anterolateral aspect of the right sixth rib where there appears to be at least one nondisplaced fracture. clinical correlation advised. cardiomediastinal and hilar silhouettes are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] a right lower lobe consolidation demonstrates discrete air bronchograms. the left lung is clear. lung volumes are normal. cardiomediastinal and hilar contours are normal. the pleural surfaces are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] right lower lobe opacity persists, although may be minimally less dense compared to the prior study. please note that radiographic resolution is not yet expected as the prior radiograph was performed only <num> days earlier. no new consolidation. there is no pulmonary edema, pleural effusion or pneumothorax. cardiomediastinal contours are normal. no acute osseous abnormalities. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral radiographs of the chest were acquired. the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen. there is no free air under the diaphragm. </s> |
<s>[INST] What are the key findings of this report? [INST] left-sided pacemaker device is noted with leads terminating in the right atrium and right ventricle. the patient is status post median sternotomy, aortic valve replacement, and cabg. cardiac silhouette size is normal. the aorta is tortuous and diffusely calcified. mediastinal and hilar contours are unchanged with fullness of the right superior mediastinal contour compatible with a thyroid goiter. there is no pulmonary edema. linear opacity within the left lung base likely reflects scarring, and appears unchanged. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is detected. mild loss of height of a mid thoracic vertebral body is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral chest radiographs. basilar opacity overlies the lower spine on the lateral view. there is also some indistinctness in the right lung base on the frontal view. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. </s> |
<s>[INST] What are the key findings of this report? [INST] a portable frontal chest radiograph again demonstrates severe cardiomegaly, likely unchanged compared to <unk>. low lung volumes exaggerate cardiomediastinal size. there is mild left greater than right basilar atelectasis, as well as mild pulmonary edema. no focal consolidation, large pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] new trans subclavian right ventricular pacer lead is continuous from the left pectoral generator. mild vascular engorgement. severe enlargement of the cardiac silhouette is worsened since <unk>, but cephalization of engorged pulmonary vessels has probably improved. lungs are clear. no pneumothorax, mediastinal widening or pleural effusion is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. moderate cardiomegaly is noted. central hilar congestion is noted with mild interstitial edema. there is a calcified granuloma projecting over the right lateral mid lung. no large effusions are seen though there is trace fluid tracking along the major fissure. no pneumothorax. mild atherosclerotic calcification is seen along the aortic knob. the imaged bony structures appear intact. </s> |
<s>[INST] What are the key findings of this report? [INST] the patient is rotated somewhat to the left. there is partial obscuration of the left hemidiaphragm with left base consolidation seen. subtle opacity at the right costophrenic angle on the frontal view may be due to overlying soft tissue versus additional site of consolidation. no large pleural effusion is seen but it would be difficult to exclude a trace left pleural effusion. there is no evidence of pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] no focal consolidation is seen. minimal basilar atelectasis is noted. 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] in comparison with the study of <unk>, there are mild atelectatic changes at the left base. no evidence of acute focal pneumonia or vascular congestion. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal and hilar contours are within normal limits. the heart size is normal. there is no pulmonary edema. linear opacities within the lung bases are compatible with areas of subsegmental atelectasis. no focal consolidation, pleural effusion or pneumothorax is identified. no acute osseous abnormality is seen. </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. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema. compression deformity of mid thoracic vertebral body is stable. </s> |
<s>[INST] What are the key findings of this report? [INST] ap portable upright view of the chest. lungs appear clear though hyperinflated. no focal consolidation, effusion or pneumothorax. no overt edema. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded. there is no focal consolidation or pneumothorax. stable right apical pleural thickening. the small left pleural effusion has resolved. the cardiomediastinal silhouette is within normal limits. the imaged upper abdomen is unremarkable. </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 displaced rib fracture is identified. partially imaged area of sclerosis in the proximal left humerus may represent bone infarct or possibly enchondroma. </s> |
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal and hilar contours appear stable. there is a trace pleural effusion on the left, but none on the right. minimal left basilar atelectasis is noted, but otherwise, the lung fields appear clear. there is no parenchymal edema. </s> |
<s>[INST] What are the key findings of this report? [INST] right pectoral infusion port terminates in cavoatrial junction. moderate bilateral pleural effusions are similar to <unk>.dobhoff has been removed. bibasilar atelectasis is also similar to before. cardiomediastinal silhouette is within normal size limits. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest provided. there is mild blunting of the bilateral costophrenic angles posteriorly on the lateral view there is no focal consolidation, or pneumothorax. the cardiomediastinal silhouette is normal. no free air below the right hemidiaphragm is seen. surgical clips are seen in the left axilla. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are hypoinflated with crowding of vasculature and bibasilar atelectasis. interval increase in bilateral pleural effusions. lower lobe opacity is noted. no pneumothorax. heart size, mediastinal contour, and hila are unremarkable. aortic arch calcifications are present. a right porta cath tip is in the right atrium. an enteric feeding tube tip is at the level of the gastroesophageal junction. </s> |
<s>[INST] What are the key findings of this report? [INST] a left pectoral pacemaker is unchanged with dual leads terminating in the right atrium and right ventricle as before. the patient is status post median sternotomy. the cardiac silhouette is enlarged but stable. the mediastinal contours remain prominent with tortuosity of the thoracic aorta and calcification of the aortic knob, which is stable. reticular nodular opacities predominantly in the lower lobes on the right greater than the left likely reflect chronic interstitial changes. there is no focal consolidation concerning for pneumonia, pleural effusion or pneumothorax on this single frontal view. no overt pulmonary edema is seen. </s> |
<s>[INST] What are the key findings of this report? [INST] a single portable ap upright view of the chest was obtained. patient appears rotated. pacemaker over the left chest, leads unchanged in positions. cardiomediastinal silhouette is stable. there is no focal consolidation, pleural effusion, or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] pa and lateral radiographs of the chest demonstrate pacemaker with leads in appropriate position. aorta is tortuous. the patient has had a median sternotomy. while there are no focal areas of opacities that are concerning for consolidation or infectious process. bilateral <unk> opacities, potentially scarring are unchanged. there are several areas of linear atelectasis, particularly in the left mid lobe. no pleural effusion or pneumothorax is present. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded and clear. cardiac size is top-normal. cardiomediastinal and hilar contours are otherwise unremarkable. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded. a small sliver of fluid is seen in the minor fissure. the lungs are otherwise clear. cardiomediastinal silhouette is unremarkable. there is no pneumothorax or pleural effusion. visualized osseous structures are unremarkable. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities. </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 stable. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded and clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal cardiomediastinal contours. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded. a vague opacity is noted in the left mid lung field, obscuring the left heart border, and confirmed in the lateral views projecting over the heart. no other focal opacities are identified. there is no pleural effusion or pneumothorax. no rib fractures are identified. </s> |
<s>[INST] What are the key findings of this report? [INST] left-sided pacer device is noted with leads terminating in the right atrium and right ventricle. moderate cardiomegaly is present. the aorta is mildly tortuous. mild upper zone vascular redistribution is present without overt pulmonary edema. streaky right basilar opacities may reflect atelectasis, however infection cannot be completely excluded. minimal blunting of the costophrenic angles bilaterally could be due to pleural thickening or trace bilateral pleural effusions. no pneumothorax or focal consolidation is present. there are mild degenerative changes noted in the thoracic spine. orthopedic hardware within the region of the right shoulder is not completely imaged on this examination. remote right-sided rib fracture is demonstrated. </s> |
<s>[INST] What are the key findings of this report? [INST] median sternotomy wires are intact. the heart is mildly enlarged. the aorta is tortuous. there is mild pulmonary vascular congestion. there is no focal consolidation to suggest pneumonia. linear opacity at the right lung base is most consistent with atelectasis. there is no pleural effusion or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. mild spinal curvature appears unchanged. the bones are probably demineralized to some degree. mid thoracic degenerative changes are stable and mild to moderate in severity. </s> |
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest were obtained. subtle linear opacity projecting over either the right middle lobe or lingula on the lateral view is not well seen on the frontal view that may represent atelectasis, although an early infectious process is not excluded. no focal consolidation is seen elsewhere. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are grossly stable. the patient is rotated slightly to the right. </s> |
<s>[INST] What are the key findings of this report? [INST] faint right lung interstitial opacities and with stable prominence of the azygos vein are most likely due to pulmonary edema. a bandlike opacity projecting over the right mid lung corresponds to right middle lobe bronchiectasis and atelectasis. there is no pneumothorax or pleural effusion. stable moderate cardiomegaly despite the projection is present. </s> |
<s>[INST] What are the key findings of this report? [INST] a new right internal jugular central venous catheter terminates in the lower superior vena cava. there is no pneumothorax. the cardiac, mediastinal and hilar contours appear stable. there is no pleural effusion on the right but there is a suggestion of a small pleural effusion on the left with increased, confluent but focal opacity obscuring the left heart border, probably within the lingula. </s> |
<s>[INST] What are the key findings of this report? [INST] localizing history was not provided. there is a mildly displaced fracture at the posteriolateral aspect of the right eighth rib. no additional rib fractures are clearly identified. no fracture seen on the left. there is slightly increased opacity at the left lung base on the frontal view, likely representative of atelectasis. the cardiac and mediastinal silhouettes appear within normal limits. there no focal pulmonary opacities, pleural effusions, or pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] endotracheal tube is seen with tip approximately <num> cm from the carina. enteric tube passes below the field of view and the tip is not included. low lung volumes are noted with secondary crowding of the bronchovascular markings. no large confluent consolidation identified. prominence of the cardiomediastinal silhouette is likely accentuated by low lung volumes. </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] in comparison with the study of <unk>, the tip of the endotracheal tube remains about <num> cm above the carina. nasogastric tube extends well into the stomach. there has been the development of increased opacification at the left base, probably related to volume loss in the lower lobe and associated effusion. however, in the appropriate clinical setting, superimposed pneumonia would have to be seriously considered. the right lung is essentially clear. </s> |
<s>[INST] What are the key findings of this report? [INST] a tracheostomy is again in place. the cardiac, mediastinal and hilar contours appear stable allowing for small differences in orientation. there is no pleural effusion or pneumothorax. the lungs appear clear. </s> |
<s>[INST] What are the key findings of this report? [INST] there is tiny benign calcified granuloma in the left upper lung. postoperative changes right shoulder. . normal heart size, pulmonary vascularity. no infiltrates. </s> |
<s>[INST] What are the key findings of this report? [INST] the elliptical density in the right lower lobe is consistent with the mass seen on the prior ct. there is now hazy veil-like opacity surrounding this lesion, which likely represent layering pleural effusion. linear atelectasis is noted on the left. there is no pneumothorax. the heart size is unchanged. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the prior chest radiograph, there is been a slight interval improvement in the right pleural effusion, as well as more significant improvement in the bibasilar atelectasis. the known right middle lobe mass is now more conspicuous. there is a stable, small left pleural effusion with adjacent atelectasis. the upper lungs are clear without focal consolidation or pneumothorax. the heart size is normal. mediastinal and hilar contours are normal. </s> |
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no focal lung consolidation. partially visualized gastrostomy tube in the left upper quadrant. gallstones noted in the right upper quadrant. </s> |
<s>[INST] What are the key findings of this report? [INST] small right pleural effusion is stable to slightly increased compared to prior and tracks into the fissures. opacity in the right mid to lower lung field is new compared to <unk>. retrocardiac linear opacities likely represent basilar atelectasis. small right upper lobe perihilar opacity appears stable. heart and mediastinal contours are stable. no pneumothorax is detected. </s> |
<s>[INST] What are the key findings of this report? [INST] a new nasogastric tube has been placed. the current tube shows a normal course and a correct position in the proximal parts of the stomach. there is no evidence of complications, notably no pneumothorax. the other monitoring and support devices and the remaining appearance of the radiograph is constant. </s> |
<s>[INST] What are the key findings of this report? [INST] there has been interval placement of a right ij approach tunneled hd catheter, the tip of which projects over the expected location of the right atrium. lung volumes remain somewhat low, and there is interval increase in bibasilar airspace opacity, right greater than left, concerning for right lower lobe pneumonia. small-moderate right greater than left pleural effusions are increased. there is no pneumothorax. the cardiac silhouette is top normal for size, and unchanged from prior. mediastinal contours remain normal. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. the monitoring and support devices are constant. moderate cardiomegaly with minimal fluid overload. retrocardiac atelectasis, combined to a small left pleural effusion. volume loss in the middle lobe. no newly appeared focal parenchymal opacities. no evidence of pneumonia. </s> |
<s>[INST] What are the key findings of this report? [INST] the lungs are clear, the cardiomediastinal silhouette and hila are normal. there is a tiny right pleural effusion. there is right hemidiaphragm eventration. nodular, rounded opacity at the left lung base likely represents nipple shadow. </s> |
<s>[INST] What are the key findings of this report? [INST] comparison is made to the prior study performed at <time> a.m. on <unk>. there is a right-sided catheter with the distal lead tip at the cavoatrial junction. there is a left ij central venous line with the distal lead tip in the mid svc. the endotracheal tube tip is <num> cm above the carina. the feeding tube whose distal tip is below the ge junction. these tubes are all unchanged in position. there is stable cardiomegaly. there is mild improved aeration at the lung bases. there remain bilateral pleural effusions. there are no signs for overt pulmonary edema or pneumothoraces. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the monitoring and support devices are constant. constant size of the cardiac silhouette. constant right basal opacity, consisting of a combination of atelectasis and parenchymal consolidation. no new opacities. no pneumothorax. no larger left pleural effusion (the lateral parts of the left sinus are not included on the image). </s> |
<s>[INST] What are the key findings of this report? [INST] the endotracheal tube terminates no less than <num> cm above the carina. an orogastric tube terminates within the stomach with the side port near the gastroesophageal junction. a left internal jugular central venous line terminates in the mid svc. a right subclavian triple-lumen catheter terminates in the lower svc. there has been interval reduction in heart size as well as marked improvement in pulmonary edema. small bilateral pleural effusions are slightly smaller. there is a persistent left retrocardiac opacity. there is no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. the monitoring and support devices, including the nasogastric tube, the left internal jugular vein catheter and the right double-lumen catheter, are unchanged. borderline size of the cardiac silhouette. extensive right lower lung opacities, combined to a right pleural effusion. left retrocardiac atelectatic changes, accompanied by a small left pleural effusion. no newly appeared parenchymal opacities. no pneumothorax. </s> |
<s>[INST] What are the key findings of this report? [INST] in comparison with study of <unk>, there has been placement of an endotracheal tube with the tip approximately <num> cm above the carina. the left swan-ganz catheter tip is in the proximal pulmonary artery. hemodialysis catheter tip remains in the right atrium. left ij catheter is in the region of the juncture with the left subclavian vein. abdominal drains are seen bilaterally. nasogastric tube extends only to the lower thoracic esophagus. it could be advanced <unk>-<num> cm, which was conveyed to dr. <unk> by the resident on-call. mild indistinctness of pulmonary vessels suggests some elevated pulmonary venous pressure. </s> |
<s>[INST] What are the key findings of this report? [INST] the tip of the endotracheal tube is <num> cm above the carina. this could be pulled back <num> cm for more optimal placement. the right-sided central line has the distal lead tip in the cavoatrial junction, stable. the right ij central line has the distal lead tip in the mid svc. it is pulled back slightly; it is now oblique to the svc wall. there are again seen bilateral pleural effusions and left retrocardiac opacity. there is likely an unchanged element of mild fluid overload, stable. the nasogastric tube side port is again at the ge junction. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, there is no relevant change. pleural effusions bilaterally, right more than left, the distribution of which has changed, but not their overall extent. in the interval, the patient has been extubated. the other monitoring and support devices remain in place. unchanged size of the cardiac silhouette. unchanged mild fluid overload. </s> |
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the monitoring and support devices are unchanged. the lung volumes have increased, likely reflecting increased ventilatory pressure. the pre-existing combination of a right parenchymal opacity and diffusion has decreased in extent and severity. the retrocardiac lung parenchyma has also slightly increased in transparency. no evidence of new parenchymal opacities. a left pleural effusion is not present. in the left perihilar areas, there is minimal peribronchial cuffing and an increase in diameter of the vascular structures, so that mild pulmonary edema cannot be excluded. </s> |
Subsets and Splits