FINDINGS:
stringlengths
64
2.52k
<s>[INST] What are the key findings of this report? [INST] in comparison with the study of <unk>, there is slightly better inspiration. the left hemidiaphragm is not sharply seen and there is hazy opacification at the left base. this suggests a possible atelectasis and effusion. monitoring and support devices are unchanged. </s>
<s>[INST] What are the key findings of this report? [INST] comparison is made to previous study from <unk>. there is an endotracheal tube whose distal tip is <num> cm above the carina, appropriately sited. there is a left ij line with distal lead tip in the mid svc slightly oblique to the svc wall. there is a right-sided subclavian catheter with the distal lead tip in the distal svc. the heart size is within normal limits. there are bilateral pleural effusions and a left retrocardiac opacity. there is no overt pulmonary edema or pneumothoraces. </s>
<s>[INST] What are the key findings of this report? [INST] endotracheal tube, nasogastric tube, right hemodialysis catheter and right-sided surgical drain are in unchanged position with interval removal of left-sided swan with sheath still within the left internal jugular vein. asymmetric right greater than left pulmonary edema and moderate pleural effusion are unchanged with progressive right sided volume loss and rightward shift of the mediastinum over the past <unk> films. the heart size is top normal in size with normal cardiomediastinal contours. </s>
<s>[INST] What are the key findings of this report? [INST] the patient has been extubated since the last exam. the right central line and left jugular line are in the same position. there is a feeding tube. the surgical catheter in the upper right abdomen has been also removed. stability of the left mild pleural effusion with atelectasis, but worsening of the mild pleural effusion and atelectasis on the right. the mediastinal and cardiac contours are stable and normal. there is no pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded and clear. the cardiomediastinal silhouette is unremarkable. there is no evidence of pneumothorax, pulmonary edema, pleural effusion or focal pneumonia. </s>
<s>[INST] What are the key findings of this report? [INST] the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. no acute osseous abnormalities identified. density suggesting orthopedic hardware projects over the left glenoid fossa. </s>
<s>[INST] What are the key findings of this report? [INST] the lungs are well-expanded, hyperinflated and clear. no focal consolidation, effusion, edema, or pneumothorax. the heart is normal in size. no acute osseous abnormality. </s>
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. prior right picc is no longer visualized. the lungs are clear without focal consolidation, effusion, pulmonary vascular congestion or pneumothorax. cardiomediastinal silhouette and hilar contours are stable. no acute osseous abnormality is identified. </s>
<s>[INST] What are the key findings of this report? [INST] frontal and lateral radiographs of the chest demonstrate stable top normal heart size. the mediastinal silhouette and hilar contours are normal. linear opacities in the left lower lung zone are consistent with atelectasis. no pleural effusion or pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] postoperative changes including: median sternotomy wires, vascular postoperative clips and mild scarring overlying the anterior heart (on the lateral). there are no pulmonary consolidations, pneumothorax or pleural effusions. there are no pleural effusions. the aorta is markedly ectatic. on the lateral, a bochdalek hernia is seen, confirmed on ct. </s>
<s>[INST] What are the key findings of this report? [INST] lungs are clear without focal consolidation. there is moderate emphysema particularly at the upper lobes. the cardiomediastinal silhouette and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. a right shoulder arthroplasty is unchanged. </s>
<s>[INST] What are the key findings of this report? [INST] compared with the prior radiograph, pulmonary arteries appear enlarged, with perihilar interstitial markings, compatible with pulmonary edema. the heart size is normal. there is no pneumothorax, large pleural effusion, or focal consolidation. partially imaged right shoulder hardware is unchanged since the prior chest radiograph. </s>
<s>[INST] What are the key findings of this report? [INST] a single frontal view of the chest shows linear opacities at the bilateral bases, greater on the right than the left. these are stable from prior exams and most consistent with atelectasis or scarring. no new opacities identified. the lung volumes are low. there is no pulmonary edema, pleural effusion, or pneumothorax. the cardiomediastinal silhouette is normal. a tracheostomy tube is present approximately <num> cm from the carina. </s>
<s>[INST] What are the key findings of this report? [INST] single portable view of the chest. correlation is made to previous exam from <unk>. there is stable left basilar opacity which silhouettes the hemidiaphragm, potentially due to any combination of effusion and atelectasis or consolidation. linear opacity at the right lung base is suggestive of atelectasis. tracheostomy tube is in stable position. cardiac silhouette is stable as are the osseous and soft tissue structures. </s>
<s>[INST] What are the key findings of this report? [INST] a frontal semi-upright view of the chest was obtained portably. the tracheostomy is in standard position. lung volumes are very low, resulting in bronchovascular crowding. atelectasis is seen at the right lung base. there is no large pneumothorax or pleural effusion. cardiac and mediastinal silhouettes are stable. no acute osseous abnormality is identified. </s>
<s>[INST] What are the key findings of this report? [INST] tracheostomy tube is again seen with tip terminating approximately <num> cm from the carina, in unchanged position. a left subclavian venous access catheter projects over the lower svc. low lung volumes bilaterally. heart size and mediastinal contours appear unchanged. no significant change in mild interstitial pulmonary edema or plate-like atelectasis bilaterally. no pleural effusion. osseous structures are unchanged. </s>
<s>[INST] What are the key findings of this report? [INST] comparison is made to previous study from <unk>. there is a left ij central line with the distal lead tip in the mid svc slightly oblique to the svc wall. there are opacities at the lung bases consistent with atelectasis. there are no pneumothoraces. there is no overt pulmonary edema. </s>
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the patient has received a dobbhoff catheter. the course of the catheter is unremarkable, the tip of the catheter projects over the middle parts of the stomach. no evidence of complications, notably no pneumothorax. otherwise, the radiograph is unchanged. </s>
<s>[INST] What are the key findings of this report? [INST] as compared to the previous radiograph, the patient has received a nasogastric tube. the course of the tube is unremarkable, the tip of the tube is not included on the image. there is no evidence of complication, notably no pneumothorax. slightly increasing extent of a pre-existing left basal atelectasis. otherwise, unchanged appearance of the heart and the lung parenchyma. </s>
<s>[INST] What are the key findings of this report? [INST] new left subclavian line ends in cavoatrial junction. new interstitial pulmonary edema is mild. basilar atelectatic bands are unchanged. mediastinal and cardiac contour are within normal limits. pleural effusion is mild if any. there is no pneumothorax. tracheostomy ends <num> cm above carina. </s>
<s>[INST] What are the key findings of this report? [INST] lung volumes are low causing bibasilar atelectasis. tracheostomy is in unchanged position. no focal opacities concerning for an infectious process. small pleural effusions bilaterally. </s>
<s>[INST] What are the key findings of this report? [INST] tracheostomy tube is in standard position. there is no evidence to suggest aspiration or pneumonia or pulmonary edema. lung volumes are relatively low. there is no evidence of pleural effusion. stomach is grossly distended with air. heart size, mediastinal and hilar contours are normal. </s>
<s>[INST] What are the key findings of this report? [INST] frontal and lateral radiographs of the chest demonstrate well expanded, clear lungs. the cardiomediastinal and hilar contours are unremarkable. there is no pneumothorax, pleural effusion, or consolidation. </s>
<s>[INST] What are the key findings of this report? [INST] frontal and lateral views of the chest. linear left basilar opacities that is unchanged from prior and may represent atelectasis or scarring. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected. surgical clips seen in the upper abdomen. </s>
<s>[INST] What are the key findings of this report? [INST] minor left base atelectasis/scarring is seen. there is persistent blunting of the right costophrenic angle. there is no new focal consolidation. no pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. </s>
<s>[INST] What are the key findings of this report? [INST] there is no focal consolidation or pneumothorax. there may be a small right pleural effusion. the cardiomediastinal silhouette is normal. a biliary drain is partially visualized over the right upper quadrant. </s>
<s>[INST] What are the key findings of this report? [INST] cardiomediastinal contours are within normal limits and without change. areas of linear atelectasis are present at both lung bases. additional slightly more confluent opacity overlies the lower thoracic spine corresponding to the right retrocardiac region on the pa view. no pleural effusion or pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] single portable radiograph of the chest. there has been interval removal of right internal jugular catheter with the left picc projecting into the right atrium. it should be pulled back by approximately <num> cm to be appropriately positioned in the low svc. in comparison to the prior examination, there is otherwise no relevant change with similar lung volumes and no new consolidation identified. no pneumothorax is seen. </s>
<s>[INST] What are the key findings of this report? [INST] heart size is normal. aorta is mildly tortuous. the pulmonary vasculature is normal and the hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. the pulmonary vasculature is normal. clips are demonstrated within the right upper quadrant of the abdomen. </s>
<s>[INST] What are the key findings of this report? [INST] pa and lateral views of the chest were provided. the lung volumes are low with bibasilar atelectasis. the possibility of pneumonia in the lower lungs is therefore suboptimally assessed. the mid to upper lungs appear well aerated. the cardiomediastinal silhouette appears grossly stable. the previously noted picc line has been removed. a drainage catheter projects over the right upper quadrant. no free air below the right hemidiaphragm. bony structures are intact. </s>
<s>[INST] What are the key findings of this report? [INST] the heart is normal in size. the mediastinal and hilar contours appear stable. there is no pleural effusion or pneumothorax. the lungs appear clear. </s>
<s>[INST] What are the key findings of this report? [INST] single frontal view of the chest was obtained. there has been placement of a right internal jugular central venous catheter terminating at the low svc. no evidence of pneumothorax is seen. minor linear left basilar atelectasis/scarring is again seen. there is no focal consolidation or pleural effusion. cardiac and mediastinal silhouettes are stable. </s>
<s>[INST] What are the key findings of this report? [INST] single frontal view of the chest was obtained. there is linear lateral left lower lobe opacity likely representing atelectasis/scarring. no focal consolidation seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. partially imaged residual contrast is seen in the bowel in the left upper quadrant presumed from upper gi series with small bowel follow-through performed one day prior. </s>
<s>[INST] What are the key findings of this report? [INST] pa and lateral radiographs of the chest demonstrate clear lungs and normal hilar and cardiomediastinal contours. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. </s>
<s>[INST] What are the key findings of this report? [INST] as compared to chest radiograph from <num> day prior, right-sided ij catheter has been removed. right sided picc remains near the cavoatrial junction/low svc. moderate bilateral pleural effusions, given for differences in positioning are not changed. moderate cardiomegaly. no substantial pulmonary congestion. no pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] the lungs are hypoinflated with crowding of vasculature. new retrocardiac opacity causing obscuration of the left hemidiaphragm is noted. stable small bilateral pleural effusions. no pneumothorax. top-normal heart size is accentuated due to low lung volumes. mediastinal contour is unremarkable. mild prominence of the right hilus is most likely due to patient rotation and superimposed atelectasis and scarring. </s>
<s>[INST] What are the key findings of this report? [INST] since earlier same day chest radiograph, the tip of a new endotracheal tube is seen <num> cm above the carina. worsening of left retrocardiac atelectasis is noted with stable bilateral small pleural effusions. lung volumes remain low. top-normal heart size is accentuated by low lung volumes. prominence of right hilus is likely due to scarring and atelectasis, better seen on reference ct chest. </s>
<s>[INST] What are the key findings of this report? [INST] since earlier same day chest radiograph, new feeding tube is seen in the stomach and continues out of view. the tip of an endotracheal tube is seen <num> cm above the carina. unchanged positioning of the right internal jugular central line. the known <num> abdominal drains are incompletely seen. lungs are clear with low volumes. the previously described moderate left retrocardiac atelectasis and small bilateral pleural effusions are unchanged. stable moderate cardiomegaly. no pneumothorax. </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 and unremarkable. </s>
<s>[INST] What are the key findings of this report? [INST] the lung volumes are normal. a right pectoral port-a-cath is in correct position. the tip of the intravascular component of the catheter projects over the mid svc, and according to the lateral image, is correctly positioned. there is an azygous lobe as normal anatomic variant. no evidence of pneumothorax. normal size of the cardiac silhouette. no pleural effusions. no plain radiographic evidence of metastatic lung disease. </s>
<s>[INST] What are the key findings of this report? [INST] multiple bilateral pulmonary masses are again noted, similar to that seen on <unk>. there is no new opacity suggestive of a focal infection. heart appears prominent consistent with known fat-pad. no acute fractures are identified. </s>
<s>[INST] What are the key findings of this report? [INST] interval increase in retrocardiac airspace opacification may represent atelectasis, aspiration, or early pneumonia, depending upon the clinical setting. multiple large rounded pulmonary nodules are similar to prior studies from <unk> and consistent with patient's known pulmonary amyloid. there is no pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is within normal limits. </s>
<s>[INST] What are the key findings of this report? [INST] heart size remains mildly enlarged. the mediastinal and hilar contours are within normal limits. pulmonary vasculature is not engorged. minimal blunting of the costophrenic angles posteriorly on the lateral view suggests 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] the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. there are no pleural effusions or pneumothorax. bony structures are unremarkable. </s>
<s>[INST] What are the key findings of this report? [INST] the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] chest pa and lateral radiographs demonstrate unremarkable mediastinal, hilar, and cardiac contours. the lungs are clear. no pleural effusion or pneumothorax evident. </s>
<s>[INST] What are the key findings of this report? [INST] lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax. </s>
<s>[INST] What are the key findings of this report? [INST] again visualized is the large posterior left lung mass overlying the spine, better visualized on the recent ct. the multiple metastatic nodules are also better characterized on the recent ct. bilateral lower lung predominant interstitial opacities are present, similar to <unk> radiograph. there are stable small bilateral pleural effusions. the cardiomediastinal silhouette is stable in appearance. the bilateral hilar enlargement is due to adenopathy, unchanged from prior. the pulmonary vasculature is normal. no pneumothorax is seen. </s>
<s>[INST] What are the key findings of this report? [INST] the cardiac silhouette is stable in size. again noted is prominence of the hila consistent adenopathy seen on prior ct. a left posterior lower lobe mass is again seen, as demonstrated by opacity overlying the spine on the lateral view, better assessed on recent ct. multiple metastases are better identified on chest ct. a right-sided bochdalek hernia is again demonstrated. again seen is left basilar opacity, not significantly changed since recent examination. subtle blunting of the posterior left costophrenic angle may be due to a trace pleural effusion or pleural thickening. </s>
<s>[INST] What are the key findings of this report? [INST] pa and lateral radiographs of the chest demonstrate focal opacities in the right upper lobe and left lower lobe. the hilar and cardiomediastinal contours are normal. there is no pneumothorax or pleural effusion. pulmonary vascularity is normal. </s>
<s>[INST] What are the key findings of this report? [INST] a frontal supine view of the chest was obtained portably. the endotracheal tube ends <num> cm above the carina. the upper enteric tube follows the expected course, ending below the diaphragm, although the tip is not visualized. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. cardiac and mediastinal silhouette and hilar contours are normal allowing for lung volumes. </s>
<s>[INST] What are the key findings of this report? [INST] the cardiac, mediastinal, and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs appear clear. </s>
<s>[INST] What are the key findings of this report? [INST] when compared to prior, lower lung volumes are seen with secondary crowding of the bronchovascular markings. the lungs remain clear without consolidation, effusion, or overt pulmonary edema. the cardiomediastinal silhouette is stable. no acute osseous abnormalities. </s>
<s>[INST] What are the key findings of this report? [INST] there are low lung volumes compared to prior study. there is a slightly increased haziness at the lung bases; however, this may be due to lower lung volumes. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable. the aorta is tortuous and unchanged. </s>
<s>[INST] What are the key findings of this report? [INST] the cardiac silhouette size is normal. aorta is tortuous. the hilar contours are normal. the pulmonary vascular is normal. the lungs are clear. no pleural effusion or pneumothorax is present. there are mild degenerative changes of the thoracic spine. no displaced rib fractures are noted. there is minimal biapical pleural thickening. cholecystectomy clip is noted in the right upper quadrant of the abdomen. </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>