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<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are within normal limits. the lungs show no consolidation or overt evidence of pulmonary edema. retrocardiac opacity medially is compatible with hiatal hernia. old appearing left upper rib fractures are present. there are also fractures of right upper ribs, including posterior right <unk> and <num>th ribs, likely old, but not clearly seen on the prior chest radiograph. correlate clinically for acuity. there is no large pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. fractures of right upper ribs, including posterior right <unk> and <num>th ribs, likely old, but not clearly seen on the prior chest radiograph. correlate clinically for acuity. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there has been very little definite change over the past several days in the extent of upper lobe vascular redistribution and mild interstitial abnormality in the lower lungs reflecting bronchial wall thickening. heart is normal size and there is no pleural effusion.Write the impressions of this report findings [/INST] no significant interval change. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lines and tubes: left-sided picc terminates at the cavoatrial junction. lungs: well inflated and clear. pleura: there is no pleural effusion or pneumothorax mediastinum: persistent cardiomegaly and prominence of hilar vasculature. bony thorax: prosthetic cardiac valve sternal sutures and surgical clips remain unchanged in position.Write the impressions of this report findings [/INST] no lobar consolidation or pleural effusion. stable cardiomegaly and prominence of hilar vasculature. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a port-a-cath terminates in the lower superior vena cava. the cardiac, mediastinal and hilar contours appear stable. an opacity projecting over both the soft tissues of the left axilla and upper chest suggests an artifact. streaky opacity along a moderately elevated right hemidiaphragm is most consistent with minor atelectasis. there is mild predominantly perihilar congestive change but no focal opacification. there is no pleural effusion or pneumothorax. there is again severe degenerative change involving the right glenohumeral joint, which is incompletely characterized.Write the impressions of this report findings [/INST] findings consistent with mild vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is normal. osseous and soft tissue structures demonstrate no acute abnormality.Write the impressions of this report findings [/INST] normal chest x-ray. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is linear atelectasis at the left lung base. no focal consolidation is identified. the cardiomediastinal silhouette and hilar contours are stable. there is no pleural effusion or pneumothorax. left chest pacemaker and leads are in unchanged positions.Write the impressions of this report findings [/INST] minimal atelectasis at the left lung base. no focal consolidation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> again seen is a right picc line with tip terminating in the mid svc. cardiomediastinal and hilar contours remain stable. there is improvement in the left basilar opacity. a small left pleural effusion persists. there is no right pleural effusion. there is no pneumothorax. a new right basilar opacity is present, likely atelectasis, although pneumonia cannot be excluded.Write the impressions of this report findings [/INST] new right basilar opacity, which may represent pneumonia in the correct clinical setting. improvement in left basilar opacity, with persistent small left pleural effusion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient is rotated to the left. the cardiac silhouette is top-normal. the lungs are relatively hyperinflated. no focal consolidation, pleural effusion, or evidence of pneumothorax is seen. thoracic kyphosis and multilevel degenerative changes are again seen.Write the impressions of this report findings [/INST] the patient is rotated to the left. otherwise, no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiomediastinal contour is unchanged. there is no pneumothorax or pleural effusion. left lower lobe linear atelectasis and elevation of the left hemidiaphragm is noted. there is a right lower lobe opacity present dating back to <unk> but more apparent on the current study.Write the impressions of this report findings [/INST] right lower lobe opacity, concerning for pneumonia in the correct clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right picc terminates in mid svc. left pectoral pacemaker has its leads terminating in right atrium and right ventricle. cardiac silhouette is mildly enlarged. prosthetic heart valve and median sternotomy wires are in unchanged position. there is no consolidation, pleural effusion, or pneumothorax.Write the impressions of this report findings [/INST] right picc terminates in mid svc. no radiographic evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is normal. previously noted pneumonia within the left lower lobe has resolved. no new focal consolidation, pleural effusion or pneumothorax is demonstrated. sutures are seen within the left upper quadrant of the abdomen.Write the impressions of this report findings [/INST] resolution of previously noted left lower lobe pneumonia. no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> symmetric bilateral opacifications with lower lobe predominance, increased from previous examination without significant cardiomegaly.Write the impressions of this report findings [/INST] appearance consistent with congestive heart failure although in the appropriate clinical setting pneumonia could be considered. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities. anterior cervical fixation hardware it is partially visualized.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. mediastinal and hilar contours are normal. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax. no acute osseous abnormalities.Write the impressions of this report findings [/INST] normal chest radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is right pectoral pacemaker with a lead terminating at right ventricle. pulmonary vessel congestion is similar to prior. bilateral small to moderate pleural effusions and compressive atelectasis of lung bases are also similar to prior. cardiomediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] there is right pectoral pacemaker with a lead terminating at right ventricle. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> bilateral diffuse fluffy opacities are increased from previous examination suggestive of pulmonary edema. loss of visualization of the bilateral hemidiaphragms suggests layering effusions. stable cardiomegaly. an impacted fracture of the left humeral surgical neck with periosteal new bone formation and dislocation of the humerus from glenoid is chronic.Write the impressions of this report findings [/INST] moderate pulmonary edema and layering pleural effusion. in view of extensive pulmonary changes, this impossible to exclude super infection. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is increased opacification involving the right infrahilar region with increased density overlying the spine on lateral view. the cardiomediastinal silhouette is normal. there is no pleural effusion or pneumothorax. there is no acute osseous abnormality.Write the impressions of this report findings [/INST] right lower lobe pneumonia. recommend four to six week follow-up radiograph to assess for resolution. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear.the cardiac, hilar and mediastinal contours are normal.no pleural abnormality is seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest demonstrate low lung volumes without focal consolidation, pleural effusion or pneumothorax. hilar and mediastinal silhouettes are unchanged. heart size is normal. there is no pulmonary edema.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation to suggest pneumonia. a <num> x <num> cm left lower lobe calcified granuloma is unchanged from <unk>. no pleural effusion or pneumothorax. heart size is top-normal. thoracic aorta is tortuous. atherosclerotic calcifications in the aortic arch have developed in the interim. wedge compression deformity involving a lower thoracic vertebral body is also unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiograph increased moderate enlargement of the cardiac silhouette due to moderate cardiomegaly and/or pericardial effusion. there has been interval removal of a right-sided central venous catheter. patient is status post cabg with intact sternal wires. there is a moderate left pleural effusion with adjacent atelectasis. previously right pleural effusion is decreased in size. no focal opacity is identified concerning for pneumonia. no overt pulmonary edema is seen. visualized osseous structures are without acute abnormality.Write the impressions of this report findings [/INST] moderate left pleural effusion largely unchanged when compared to most recent study dated <unk>. interval increase, moderate cardiomegaly and/or pericardial. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> low lung volumes and lordotic view accentuate bronchovascular markings. the mediastinal contours are unchanged with smooth borders. the hila are unremarkable. heart size is top normal. the lungs are clear. no pleural effusions or pneumothorax.Write the impressions of this report findings [/INST] no substantial change, widened mediastinum is likely related to body habitus and vascular structures. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a left-sided pacemaker and multiple leads are seen and are in appropriate position. the patient is status post median sternotomy and cabg. the heart is enlarged. there is a small to moderate right pleural effusion, which is possibly loculated. opacity in the right lower lobe could represent consolidation due to pneumonia. there is no evidence of pneumothorax. there is no evidence of pulmonary edema.Write the impressions of this report findings [/INST] small to moderate right, possibly loculated, pleural effusion. opacity in the right lower lobe could represent consolidation due to pneumonia. recommend follow up to resolution. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is streaky retrocardiac opacity. the lungs are otherwise clear. cardiac silhouette is top-normal in size. no acute osseous abnormalities.Write the impressions of this report findings [/INST] streaky retrocardiac opacity which is likely atelectasis. no definite acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. right upper extremity access picc line is noted with its tip in the upper svc. the lungs appear clear without focal consolidation, large effusion or pneumothorax. cardiomediastinal silhouette appears stable. mild pulmonary vascular congestion persists. bony structures are intact. no pneumothorax or large effusion.Write the impressions of this report findings [/INST] picc line positioned appropriately. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiomegaly and the pulmonary vascular congestion again seen, mildly improved since the previous exam of <unk>. there is increased opacity in both the right and left lower lobes. an underlying pneumonia or aspiration cannot be excluded. surgical clips over the left upper ex seen as previously.Write the impressions of this report findings [/INST] improved chf. bilateral lower lobe opacities </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> dialysis catheter terminates at the cavoatrial junction. 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.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. there are clips in the left hilar region from prior surgery. the lungs are clear. no evidence of pneumonia. the heart size is top normal. no pleural effusion or pneumothorax. no pulmonary vascular congestion or pulmonary edema.Write the impressions of this report findings [/INST] no evidence of pneumonia. no vascular congestion or pulmonary edema. these findings were discussed with dr. <unk> at <num> p.m. on <unk> by telephone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap portable supine view of the chest. pigtail chest tube has been placed at the left lung base. there has been interval expansion of the left lung with no significant residual left effusion. no pneumothorax.Write the impressions of this report findings [/INST] significant re-expansion of the left lung status post left chest tube placement. no pneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the position of the lines and tubes is similar compared to prior. the appearance of the lungs is slightly worsened with bilateral pleural effusions that are small in size the layer posteriorly and hazy alveolar infiltrates bilaterally right greater than left. there is pulmonary vascular redistribution ill definition of the vasculature.Write the impressions of this report findings [/INST] slightly worsened fluid status. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiomediastinal silhouette is within normal limits. lungs are clear. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient has been extubated. the dobhoff tube on multiple sequential images is coiled within the oropharynx. interval removal of the left subclavian catheter. right greater than left parenchymal lung opacities are improved since the most recent chest radiograph. no pneumothorax. re demonstration of the known right clavicular fracture.Write the impressions of this report findings [/INST] <num>. the dobhoff tube on multiple sequential images is coiled within the oropharynx, and should be repositioned. <num>. interval improvement of the bilateral lung opacities. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion, pulmonary vascular congestion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits. there is no change from <unk>.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well inflated and clear. heart size is normal and mediastinal contours are unremarkable. no pleural effusion or pneumothorax. osseous structures are intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. there is no focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette appears stable and normal. bony structures are intact.Write the impressions of this report findings [/INST] no signs of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> subtle right upper lobe opacity may be due to overlap of structures versus a small pneumonia. no definite focal consolidation is seen elsewhere. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. nipple shadows are incidentally noted.Write the impressions of this report findings [/INST] subtle right upper lobe opacity may be due to overlap of structures versus a small pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> illdefined opacity with air bronchograms in the right lower lung corresponding to the opacity in posterior inferior lung overlying spine on the lateral view suggests right lower lobe pneumonia. left lung is clear. there is no pleural effusion. heart size, mediastinal and hilar contours are normal.Write the impressions of this report findings [/INST] right lower lobe pneumonia. dr. <unk> was called on <unk> at <time> p.m. and the findings were discussed by phone. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart is of normal size with normal cardiomediastinal contours. density projecting behind the heart is compatible with a moderate size hiatal hernia, similar to prior. patchy retrocardiac opacity is compatible with atelectasis, although infection is not excluded. no pneumothorax. osseous structures are unremarkable. no radiopaque foreign body.Write the impressions of this report findings [/INST] patchy retrocardiac opacity compatible with atelectasis, although infection cannot be excluded in the correct clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax, fracture or dislocation. limited assessment of the abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. the lungs appear clear. the bones appear demineralized. post-traumatic deformity appears unchanged along the proximal left humerus. as noted previously, there is a recent left distal clavicle fracture. in addition, on this study, irregular nondisplaced lucency in the medial left clavicular head are consistent with a fracture, although these are similar and retrospect to a recent prior ct of the cervical spine from <unk>, although hard to visualize on recent prior dedicated left shoulder radiographs.Write the impressions of this report findings [/INST] no evidence of acute disease. non-displaced fractures of the proximal and distal portions of the clavicle, but not significantly changed. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> et tube, enteric tube, bilateral chest tubes, left-sided central venous line are all unchanged in position. prosthetic cardiac valve is also visualized. there is a small left apical pneumothorax measuring <num> mm. diffuse pulmonary edema and left pleural effusion are slightly improved compared to the prior radiograph. stable cardiomegaly. no interval change in bony thorax, sternal sutures remain unchanged.Write the impressions of this report findings [/INST] small left apical pneumothorax measuring <num> mm. rest of the findings are unchanged compared to <unk> except for mild improvement in pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views of the chest are provided. since the prior exam, there is increased consolidation in the right upper lobe, which could represent hemorrhage or pneumonia. otherwise, no significant change. the cardiomediastinal silhouette is stable. bony structures are intact.Write the impressions of this report findings [/INST] increased consolidation in the right upper lobe, otherwise unchanged. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright view of the chest. there is mild cephalization of the vessels as well as mild pulmonary vascular engorgement but no overt pulmonary edema. heart size is top normal. no pleural effusions or pneumothorax. no focal opacities concerning for pneumonia.Write the impressions of this report findings [/INST] mild elevation in pulmonary venous pressure with no overt pulmonary edema. no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap single view of the chest has been obtained with patient in sitting semi-upright position. in comparison with the next preceding chest examination of <unk>, the ett has been removed. previously existing chest tube on the left side and advanced from below has been removed. no pneumothorax has developed in the apical area. mild obscuration of left-sided diaphragm suggestive of some postoperative small amount of pleural effusion, but no other new abnormalities are identified. a right-sided internal jugular approach central venous line remains in place. its termination point projects into the upper portion of the right atrium. this position is unchanged compared with the previous study.Write the impressions of this report findings [/INST] no evidence of pneumothorax following chest tube removal. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no new focal consolidation. small bilateral pleural effusions are present. the nodules seen on recent chest ct are not well visualized by radiograph. there is no pneumothorax. the heart and mediastinum are within normal limits. regional bones and soft tissues are unremarkable.Write the impressions of this report findings [/INST] no new consolidation. small bilateral pleural effusions. small pulmonary nodules are not well seen radiographically. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the patient is status post median sternotomy and cabg. heart remains moderate to severely enlarged but unchanged. the aorta is tortuous and diffusely calcified. there is mild pulmonary vascular congestion. small bilateral pleural effusions are re- demonstrated, not significantly changed from prior, right greater than left. no pneumothorax is identified. mild bibasilar atelectatic changes are seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion with small bilateral pleural effusions. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since the prior exam, the lung volumes are lower, with a new opacity at the right base with associated elevation of the right hemidiaphragm. no other consolidation is identified. there is no pulmonary edema, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] right basilar opacity, most consistent with a new pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> note is made colonic bowel gas between the liver and the right hemidiaphragm. there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral views chest were performed. the lung volumes are low, resulting in vascular crowding. there is no pleural effusion, pneumothorax or focal airspace consolidation. bibasilar atelectasis is appreciated. the cardiac silhouette remains top normal in size. the aorta is enlarged. the hilar contours are normal. there are no acute osseous abnormalities seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process with an enlarged aorta. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. lungs are clear. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are detected.Write the impressions of this report findings [/INST] normal chest radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single portable view of the chest. no prior. low lung volumes are noted. left chest wall port is seen with catheter tip at the ra/svc junction. there is a rounded opacity projecting over the right lower lung. there is some adjacent consolidation in the right mid to lower lung as well. left lung is grossly clear. the cardiomediastinal silhouette is within normal limits. radiopaque densities projected over left right upper quadrant as well as a right upper quadrant surgical clips.Write the impressions of this report findings [/INST] nodular/masslike opacity at the right lung base which may represent a combination of mass or consolidation secondary to infection. correlation with older films would be useful. alternatively, ct scan could be performed. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. the lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. the heart and mediastinal contours are normal. an area of calcification projecting over the lower thoracic spine likely is a intervertebral body disc at this level. bony structures are otherwise unremarkable.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there are relatively low lung volumes that accentuate the bronchovascular markings. basilar atelectasis is seen without definite focal consolidation. there is no large pleural effusion or pneumothorax. the cardiac silhouette is top normal. the mediastinal contours are unremarkable. there is a displaced mid right clavicular fracture with approximately <num> cm of bony overriding and with inferior displacement of the distal fracture fragment by approximately one shaft width. partially imaged hardware in the mid to distal left clavicle is noted.Write the impressions of this report findings [/INST] displaced right midclavicular fracture. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are low. right suprahilar and right upper lobe nodules are again seen. bibasilar and perihilar fullness most likely represents atelectasis in the setting of low lung volumes. no pleural effusion or pneumothorax is detected on this single view. heart size is normal. aortic tortuosity is again seen.Write the impressions of this report findings [/INST] low lung volumes, slightly limiting evaluation, with no radiographic evidence for acute process on this single view. lung nodules as seen previously. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no pleural effusion, pneumothorax or focal air airspace consolidation. the heart size is normal. the mediastinal contours and hilar structures are unremarkable. there is no pneumomediastinum.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest were obtained. there is blunting of the left cp angle with mild left basilar opacity which could represent atelectasis or possibly an early pneumonia. there is mild cephalization suggesting mild interstitial edema. the heart size is top normal. aorta is somewhat unfolded with atherosclerotic calcifications. bony structures appear intact.Write the impressions of this report findings [/INST] mild interstitial edema, top normal heart size, small left effusion, and basilar opacity likely atelectasis versus pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest radiograph demonstrates a dual lead left chest pacer device, its leads which appear intact and in unchanged position relative to prior examination. patient is status post median sternotomy with aortic valve replacement. heart size is enlarged though stable relative to prior examination. there is no evidence of pulmonary edema. lungs appears slightly hyperinflated to suggest underlying emphysematous changes. a nodule in the right upper lung zone is unchanged since <unk>, most compatible with granuloma. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute intrathoracic abnormality. cardiomegaly without pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral chest radiographs demonstrate near total opacification of the left hemithorax, compatible with a large pleural effusion. the left lower lobe is completely collapsed. there is minimal aeration of the apical left upper lobe, in the left lung is otherwise atelectatic. the left pleural fusion exerts mass effect upon the mediastinum, with rightward shift of mediastinal structures. the left lung appears clear, without right pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. surgical clips in the left axilla are consistent with previous axillary lymph node dissection .Write the impressions of this report findings [/INST] large left pleural effusion near complete atelectasis of the left lung and evidence of mass effect with rightward shift of mediastinal structures. the findings are concerning for malignant pleural disease and have been more fully assessed by outside chest ct of earlier the same date. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left chest tube projects over the left lung base. small left pneumothorax is stable. previously seen small left pleural effusion has resolved. apical component of the pneumothorax is stable and the pleural space previously occupied by pleural effusion is now replaced with basilar pneumothorax. bilateral lungs are clear. cardiomediastinal silhouette is normal size. right coronary artery stent is in unchanged position.Write the impressions of this report findings [/INST] small left pneumothorax is stable. previously seen small left pleural effusion is resolved. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single frontal view of the chest again demonstrates multifocal pneumonia which has worsened from prior. the bilateral consolidations are denser and have resulted in obscuration of the left hemidiaphragm and left heart border. probable worsening of pulmonary edema is seen as well. the small left pleural effusion is unchanged and there is no pneumothorax.Write the impressions of this report findings [/INST] worsening multifocal pneumonia and pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. the mediastinal and hilar contours are unremarkable. the pulmonary vasculature is normal. lungs are clear. no pleural effusion or pneumothorax is seen. degenerative changes with anterior osteophytes are noted within the thoracic spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a tracheostomy is in place. the endogastric tube courses inferiorly out of the field of view. there is noted to be a left-sided chest tube in place. widespread subcutaneous emphysema is seen throughout practically all the visualized soft tissues. the heart size is large, but stable. the mediastinal and hilar contours are unchanged. a right-sided central venous catheter tip is seen at the lower svc. the overlying soft tissue emphysema limits assessment of the lung consolidations. there is no large pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] lines and tubes in place; extensive subcutaneous emphysema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest views were 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. no typical configurational abnormality is seen. thoracic aorta mildly widened and elongated but no local contour abnormalities are identified and no wall calcifications are seen. 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. in comparison with the next previous chest examination of <unk>, no significant interval change can be identified.Write the impressions of this report findings [/INST] stable chest findings within normal limits, thus no evidence of acute pneumonic infiltrates in this <unk>-year-old female patient with fever and cough. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were obtained demonstrating low lung volumes which limit evaluation. there is mild left retrocardiac linear density which is likely atelectasis. no definite signs of pneumonia or chf. no pleural effusion or pneumothorax. overall, heart size appears within normal limits. the mediastinal contour is normal. bony structures are intact. no definite signs of free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] limited, negative. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate cardiomegaly is a stable. swan-ganz catheter tip is in the left main pulmonary artery. et tube is in standard position. enteric tube is out of view below the diaphragm. moderate pulmonary edema is unchanged. improved aeration of the lower lobes. there is no pneumothorax. pacer leads are in standard position. sternal wires are aligned.Write the impressions of this report findings [/INST] swan-ganz catheter tip in the left main pulmonary artery. improved aeration of the lower lobes stable pulmonary edema </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours are normal. lungs are clear and the pulmonary vasculature is normal. no pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] normal chest radiograph. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] unremarkable chest radiographic examination. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> previously noted right basilar opacity has increased and likely represents increase atelectasis, perhaps due to aspiration. left basilar opacity appears stable and likely a combination of small pleural effusion and adjacent atelectasis. upper lung <unk> are clear. tracheostomy is noted in place.Write the impressions of this report findings [/INST] increased right basilar opacity, likely representing atelectasis and perhaps due to aspiration. an overlying infectious process must be excluded in the proper clinical setting. otherwise little change with stable left basilar opacity suggesting a small left pleural effusion and atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single portable upright chest radiograph demonstrate save rotated patient. the heart is mildly enlarged. perihilar bilateral patchy opacities as well as indistinct central vessels are most suggestive of pulmonary edema. there is no large pleural effusion. mediastinal and hilar contours are stable relative to prior radiograph dated <unk>. osseous there is demonstrate chronic appearing multiple left-sided rib deformities.Write the impressions of this report findings [/INST] cardiomegaly with pulmonary edema, progressed since prior study dated <unk>. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size appears moderately enlarged, increased from prior. the mediastinal and hilar contours are within normal limits. mild perihilar haziness and vascular indistinctness compatible with mild pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] moderate cardiomegaly, increased from prior, with mild pulmonary vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> normal heart size, mediastinal and hilar contours. no focal consolidation, pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> indistinct pulmonary vascular markings are seen. there are bibasilar left-greater-than-right and left perihilar patchy regions of consolidation. external respiratory device overlies the left upper lung. there is no large effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] pulmonary vascular congestion. bilateral left greater than right patchy regions of consolidation compatible pneumonia in the proper clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are without focal consolidation, pleural effusion, or pneumothorax. the visualized upper abdomen is unremarkable. again seen is a healed fracture of the lateral left ninth rib and deformity of the left humeral head, unchanged.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. unchanged appearance of left humeral head and lateral left ninth rib osseous deformities. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided pacemaker is noted with leads terminating in expected positions of the right atrium and right ventricle. there are small bilateral pleural effusions. there is no pneumothorax. the lungs are otherwise clear. the cardiac, mediastinal and hilar contours are stable.Write the impressions of this report findings [/INST] <num>. no pneumothorax. <num>. left-sided pacemaker is in adequate position. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is mildly enlarged. there are small bilateral pleural effusions. the hilar and mediastinal contours are normal. there is diffuse bilateral opacification and interstitial thickening, with evidence of vascular engorgement, most likely secondary to pulmonary edema. there are small bilateral pleural effusions. there is no pneumothorax. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] findings most suggestive of moderate pulmonary edema. small bilateral pleural effusions. mild cardiomegaly. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> normal heart size. a convex margin to the right mediastinum likely reflects dilation of the ascending thoracic. no focal consolidation, pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] <num>. dilation of the ascending aorta could be related to hypertension or aortic stenosis, correlate clinically. <num>. no acute pulmonary process </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lower lung volumes are seen on the current exam with secondary crowding of the bronchovascular markings. the lungs are grossly clear. the cardiomediastinal silhouette is stable. old posterior left rib fractures are identified.Write the impressions of this report findings [/INST] limited exam without acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> no significant interval change. lungs are well-expanded. no focal consolidation, edema, effusion, or pneumothorax. the heart is normal in size. mediastinal contours are unchanged. mild s curvature of the thoracic spine is also unchanged. surgical clips in the left upper and central abdomen are unchanged. no acute osseous abnormality.Write the impressions of this report findings [/INST] no pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is silhouetting of the bilateral hemidiaphragms suggestive of a moderate right and a small left pleural effusion. bulky, lobulated densities seen in the anterior and middle mediastium. there is also increased density in the subcarinal region and associated narrowing of the left mainstem bronchus. pathcy opacity seen a the right lung apex. no focal opacities are noted in the left lung. multiple thoracic vertebral compression fractures are also noted. surgical clip seen in the neck on the left.Write the impressions of this report findings [/INST] bulky mediastinal masses compatible with patient's history of lymphoma. moderate right and small left pleural effusions. patchy opacity the right lung apex. see report from ct performed the came day for additional details. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> as compared to <unk>, there are increasing bilateral pleural effusions. bibasal moderate atelectasis have also increased. mild cardiomegaly. no pneumothorax.Write the impressions of this report findings [/INST] worsening bilateral moderate pleural effusions and bibasal opacities likely increasing atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> left-sided port-a-cath tip terminates within the upper svc. cardiac silhouette size is normal. mediastinal and hilar contours are unremarkable. lungs are clear. no pleural effusion or pneumothorax is seen. there is no pulmonary vascular congestion. no acute osseous abnormalities are detected. dense material is noted within colonic loops of bowel within the upper abdomen, likely reflecting residual oral contrast material. a stent is partially imaged within the right upper quadrant of the abdomen.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a right-sided ij which terminates in the low svc. overall, there appears to be slight interval increase in the opacity projecting over the left hemithorax with opacification of the left lung base and obscuration of the left hemidiaphragm. the right lung base opacity appears to have minimally improved in the interim. there is no evidence of a pneumothorax.Write the impressions of this report findings [/INST] slight interval increase in the left lung opacification. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are well expanded. an eventration of the right hemidiaphragm is better seen in the lateral view. also in the lateral view, there is a triangular opacity obscuring the posterior right costophrenic sulcus and silhouetting out the posterior margin of the right hemidiaphragm which corresponds to a fat containing bochdalek hernia better characterized in prior chest ct. linear opacities along the left lung base are compatible with subsegmental atelectasis. otherwise, no other focal parenchymal opacities are identified. there is no pleural effusion or pneumothorax. degenerative changes of the thoracic spine with calcification of the anterior longitudinal ligament are present. cardiac size is normal. the cardiomediastinal and hilar contours are unremarkable.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. eventration of the right hemidiaphragm and posterior right-sided bochdalek's hernia are better characterized in prior chest ct. left basilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. a linear density again noted in the left mid lung peripherally is likely a scar or atelectasis. otherwise, lungs are clear. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volumes are unchanged compared to the prior study. platelike atelectasis of the left lung base is similar in appearance. no consolidation, pneumothorax or pleural effusion seen. no free air seen under the diaphragm. catheter tubing in the left lower abdomen is incompletely visualized but likely represents a gastrostomy tube.Write the impressions of this report findings [/INST] no significant interval change when compared to the prior study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a single portable frontal radiograph of the chest was acquired. there is a new left picc, with its tip in the mid right atrium. there is subsegmental right infrahilar atelectasis. the lungs are otherwise clear. the heart size is normal. the mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] <num>. new left picc tip in the mid right atrium. recommend repositioning. <num>. no acute cardiopulmonary process. pertinent findings were discussed with dr. <unk> by dr. <unk> at <time> a.m. via telephone on the day of the study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> 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 unremarkable.Write the impressions of this report findings [/INST] no acute intrathoracic abnormalities identified. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the bilateral pleural effusions, lower lobe volume loss, and dense lower lobe opacity compatible with a combination of volume loss/infiltrate/effusion. the heart continues to be moderately enlarged. there is mild vascular redistribution.Write the impressions of this report findings [/INST] chf, slightly worse than on the prior study. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> since <unk>, mild pulmonary edema, small bilateral pleural effusions and bilateral lower lung atelectasis (left side more than right), have improved. mildly enlarged heart size, mediastinal and hilar contours are stable. there is no pneumothorax.Write the impressions of this report findings [/INST] since <unk>, mild pulmonary edema, small effusions and left lower lung atelectasis have improved. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> mild cardiomegaly is stable. mediastinal and hilar contours are unchanged with a prominent left hilar density corresponding with minimally enlarged left pulmonary artery (with preservation of normal diameter centrally), better evident on cta performed <unk>. lungs are clear. moderate peribronchial cuffing identified consistent with reported history of asthma and upper respiratory infection. no focal pulmonary opacification identified. multilevel degenerative change detected.Write the impressions of this report findings [/INST] no evidence of pneumonia. peribronchial thickening may represent asthma or bronchitis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac, mediastinal and hilar contours appear unchanged. there is patchy new left basilar opacity slightly silhouetting the hemidiaphragm on the left; the lateral view in particular depicts a more widespread patchy opacity in the left lower lobe, however, for which atelectasis or pneumonia could be considered. there is no definite effusion or pneumothorax. moderate-to-severe rightward convex curvature centered along the upper thoracic spine with associated deformities among the chest wall appears similar.Write the impressions of this report findings [/INST] increased left lower lobe opacification, but potentially due to atelectasis. pneumonia or inflammatory process of lower airways could also be considered, however, as potential etiologies. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> cardiac silhouette size is normal. mediastinal and hilar contours are normal. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. minimal streaky atelectasis is seen in the left lung base. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. no prior. the lungs are clear. there is no pneumothorax or effusion. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is normal. the aorta remains tortuous. the mediastinal and hilar contours are otherwise within normal limits. pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. mild degenerative changes are seen in the thoracic spine. a fiducial marker again projects over the midline t<num>-t<num> intervertebral disc space.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right chest port-a-cath tip extends to the right atrium. a gastric tube extends into the stomach. focal consolidation in the medial left lower lung zone likely corresponds to the previously described left lower lobe pneumonia. new patchy opacities at the right lung base may also reflect foci of infection. no pleural effusion or pneumothorax identified. the size the cardiomediastinal silhouette is within normal limits. calcification of the aortic arch is noted.Write the impressions of this report findings [/INST] new bibasilar opacities likely reflect the provided clinical history of left lower lobe pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unremarkable. no free air seen below the diaphragm.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size. no displaced fracture is identified.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>