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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>> there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities identified. a drain is seen within the region of the right axilla.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>> Write the impressions of this report findings [/INST] ap and lateral chest shows substantial improvement in lung volumes and complete resolution of any pulmonary edema or consolidation. moderate cardiomegaly is chronic but there is no evidence of acute cardiac decompensation and, no adenopathy or 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>> since prior, there are new bilateral parenchymal opacities. specifically there is focal consolidation lateral to the left hilum and silhouetting of the medial left hemidiaphragm with a retrocardiac opacity. increased interstitial opacities are seen scattered throughout both lungs. cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] diffuse bilateral parenchymal opacities with more confluent consolidation in the left lower lobe and left perihilar region. infection would be of greatest concern given rapid interval development. followup will be necessary to ensure 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>> ap semi upright and lateral views of the chest provided. lung volumes are low with right basal atelectasis noted. no convincing evidence for pneumonia edema, effusion or pneumothorax. heart size is top-normal. mediastinal contour is normal. bony structures appear grossly intact.Write the impressions of this report findings [/INST] right basal atelectasis, top normal heart size, otherwise unremarkable. </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 removal of a left-sided internal jugular central venous line. a ventriculoperitoneal shunt is incompletely imaged, unchanged in appearance. the patient is status post tracheostomy with the tip of the tracheostomy tube terminating approximately <num> cm above the level of the carina. lung volumes remain low with crowding of the bronchovascular structures. there is persistent mild cardiomegaly and central pulmonary vascular congestion. bibasilar atelectasis, left greater than right, is slightly improved from prior examination. the upper lungs are grossly clear without lobar consolidation or pneumothorax. no large pleural effusion is presentWrite the impressions of this report findings [/INST] persistent mild cardiomegaly and central pulmonary vascular congestion, slightly improved from the prior examination. bibasilar atelectasis, also slightly 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>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. upper lobe lucency and splaying of bronchovasculature is concerning for underlying emphysema. 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>> a right upper lobe lesion is again seen with two radiopaque fiducial markers. no pneumothorax is present. there is no focal consolidation or effusion.Write the impressions of this report findings [/INST] marked right apical lesion status post fiducial placement without 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>> unilateral interstitial and alveolar pattern in the left lung is accompanied by left-sided volume loss and a moderate left pleural effusion. there is a suggestion of a possible left hilar mass, difficult to assess on this portable radiograph. right lung and pleural surfaces are clear.Write the impressions of this report findings [/INST] unilateral combined alveolar and interstitial pattern in the left lung with associated volume loss and left pleural effusion. these findings raise the possibility of a central malignancy with associated lymphangitic carcinomatosis and possible postobstructive pneumonia and atelectasis. contrast enhanced ct may be helpful for further assessment if not already 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 provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.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>> there is a new small left pleural effusion. opacity at the left lung base also appears new. the right chest wall port-a-cath ends in the right atrium. atherosclerotic calcification of the aortic arch and tortuosity of the descending thoracic aorta is unchanged. stable cardiomediastinal contours. the right lung is clear.Write the impressions of this report findings [/INST] new small left pleural effusion with left lower lobe opacity suspicious for pneumonia given the clinical history. </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 silhouette size is normal. mediastinal and hilar contours are normal. lungs are essentially clear. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities.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>> compared to the prior study there is no significant interval change.Write the impressions of this report findings [/INST] no 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>> the cardiac, mediastinal and hilar contours appear stable. the heart is again moderately enlarged. the aorta is markedly tortuous. the lung bases appear better aerated than on the prior examination, although on this study, there is perhaps mild upper zone re-distribution of pulmonary vasculature suggesting pulmonary venous hypertension. pleural effusions have mostly or fully cleared. there is marked kyphotic curvature with similar but incompletely assessed deformities at the thoracolumbar junction.Write the impressions of this report findings [/INST] findings which may suggest mild vascular congestion but generally improved aeration at the lung bases including substantial resolution of suspected 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>> portable semi-upright radiograph of the chest demonstrates low lung volumes resulting in bronchovascular crowding. there is stable appearing pulmonary edema. no substantial pleural effusion is seen. there is no pneumothorax. the left-sided subclavian line ends in the mid svc. dobbhoff tube is seen with the tip in the stomach.Write the impressions of this report findings [/INST] dobbhoff tube ends in the stomach. </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 airspace consolidation. heart is normal size. the mediastinal and hilar structures are unchanged. perihilar prominence is 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>> the right lung is clear without pleural effusion. the moderate left pleural effusion has slightly improved. left basilar opacity remains, likely atelectasis. a tiny left apical pneumothorax remains unchanged. stable cardiomegaly.Write the impressions of this report findings [/INST] <num>. slight decrease in size of moderate left pleural effusion with persistent adjacent left basilar atelectasis and or consolidation. <num>. stable tiny left apical 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 cardiomediastinal and hilar contours are within normal limits. the lungs are well-expanded and clear. there is no 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>> pa and lateral views of the chest. there is no focal consolidation, pneumothorax, or pleural effusion. the cardiac and mediastinal contours are normal.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>> left-sided aicd is stable in position. there are low lung volumes. prominence of the central pulmonary vasculature likely accentuated by low lung volumes and ap technique. patchy right basilar opacity may be due to combination of vascular structures and low lung volumes but a consolidation is not excluded in the appropriate clinical setting. no large pleural effusion or pneumothorax. calcified ventricular aneurysm is again seen. cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] low lung volumes which accentuate the bronchovascular markings. however, consolidation is not excluded at the right lung base. </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 mitral valve replacement. the cardiac, mediastinal and hilar contours appear unchanged. there is no pleural effusion or pneumothorax. bilaterally, calcified pleural plaques are unchanged. a wedge resection site is noted in the right mid lung with a staple line. mild peripheral reticulation at the lung bases is probably unchanged allowing for differences in technique. the chest is hyperinflated. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute 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>> the lungs are well inflated and clear. no focal consolidation, effusion, or pneumothorax is present. cardiac and mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. findings were discussed with dr. <unk>via telephone at <unk> on <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>> heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.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 clear. again noted is stable flattening of the left hemidiaphragm dating back to <unk> but new from <unk>. cardiac and mediastinal silhouettes are normal. no pneumothorax. no acute fractures are identified.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>> portable ap upright chest radiograph was obtained. low lung volumes limit evaluation. heart size appears top normal and stable. left mid lung linear density is likely atelectasis. no definite signs of pneumonia or overt chf. no large pleural effusions or pneumothorax. there is an old left rib cage deformity along the left fifth posterior arch.Write the impressions of this report findings [/INST] low lung volumes, mild cardiomegaly. otherwise unremarkable. </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>> chest, ap and lateral. there is dense, somewhat linear opacity in the right lower lobe in a pattern similar to, but increased from the prior radiograph. there is minimal left lower lobe atelectasis. the lungs are otherwise clear. mild cardiomegaly is chronic. the mediastinum is unremarkable. there is no pneumothorax or pleural effusion. the pulmonary vascularity is normal.Write the impressions of this report findings [/INST] right lower lobe opacity is likely atelectasis however superimposed pneumonia cannot be fully excluded. given chronicity, ct should be considered to more fully evaluate. this recommendation was emailed to the ed qa nurses. </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 supine chest radiograph. nasogastric tube courses into the stomach. endotracheal tube terminates <num> cm above the carina and should not be advanced any further. while it is likely in satisfactory position, it is difficult to ascertain on this image if the head is flexed or extended. the lungs are slightly low in volume. multifocal interstitial and parenchymal abnormalities are nonspecific and could reflect asymmetric pulmonary edema with a slight left-sided predominance. fullness of the ap window and hila may reflect coexistent adenopathy, which could be confirmed with post-treatment radiographs. there is no pleural effusion or pneumothorax. the heart is enlarged, particularly the left atrium given splaying of the carina.Write the impressions of this report findings [/INST] <num>. multifocal interstitial and parenchymal abnormality may reflect asymmetric edema <num>. et tube is <num> cm above the carina and should not be advanced further; though the exact tube position is uncertain given unclear head position. <num>. fullness of hila and ap window can be reassessed after treatment. findings discussed with dr. <unk> by dr. <unk> by phone at <unk> on <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>> frontal and lateral views of the chest were compared to previous exam from <unk>. biapical scarring is again noted. the lungs are otherwise clear without consolidation or large effusion. cardiac silhouette is enlarged but stable. osseous and soft tissue structures are unremarkable.Write the impressions of this report findings [/INST] cardiomegaly, but 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>> low lung volumes with mild to moderate pulmonary edema and pulmonary vascular congestion. moderate cardiomegaly. large pleural effusions. no pneumothorax. retrocardiac opacity is likely atelectatic lung.Write the impressions of this report findings [/INST] moderate 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 demonstrate low lung volumes, which accentuate bronchovascular markings. there is no focal consolidation, pleural effusion, or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is a tubular opacity in the left mid lung at the <unk> posterior rib level. partially imaged upper abdomen is unremarkable.Write the impressions of this report findings [/INST] low lung volumes. tubular opacity in the left mid lung very likely represents superimposition of normal vessels and less likely a vascular malformation of mucous plugging. repeat radiographs with shallow oblique views may be helpful for further assessment. </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 is normal in size. diffuse calcification of the aorta is noted. there is an opacity in the right lung base which may reflect atelectasis. a small right pleural effusion is present. the left lung is clear. no pulmonary edema is present. there is no pneumothorax. clips are seen in the right upper quadrant of the abdomen.Write the impressions of this report findings [/INST] right basilar opacity, possibly atelectasis, with small right pleural effusion, though pneumonia cannot be excluded. </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>> the chronic opacification at the right lung base is essentially unchanged. there is no new consolidation concerning for pneumonia. no pleural effusion or pneumothorax. cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] chronic consolidation in the right upper lobe. no evidence of pneumonia or heart failure. </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>> patient is status post single chamber icd placement with the lead terminating in the floor of the right ventricle. no pneumothorax, mediastinal widening, or pleural effusions are seen. the heart size top normal. the hila and pleura. no focal consolidations or pleural effusions are seen.Write the impressions of this report findings [/INST] patient is status post single-chamber icd placement lead terminating in the floor of the 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>> frontal and lateral chest radiographs demonstrate a mild airspace abnormality on the lateral view only, without effusion or pneumothorax. a right chest mediport is in place with its tip seen in the right atrium. note is made of diffuse osseous metastatic disease, better evaluated on mri performed same day. the heart size is normal, the mediastinal contours are normal.Write the impressions of this report findings [/INST] <num>. airspace abnormality posteriorly on the lateral view, suspect pneumonia. if desired, this could be confirmed with oblique views. <num>. right chest mediport with its tip in the right atrium. <num>. osseous metastatic disease. findings were called to dr. <unk> at <time>pm on <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>> the heart continues to be moderately enlarged. there is minimal pulmonary vascular redistribution. there small bilateral effusions have decreased compared to prior. overall the aeration is better but there still continues to be some volume loss in bilateral lower lobesWrite the impressions of this report findings [/INST] slight 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>> compared to the prior study from <unk>, there is increased vascular congestion at the hila with no discernible interstitial opacities or upper zone distribution, however bilateral basilar opacities and retrocardiac opacity is increased, and may simply represent atelectasis. previously noted hiatal hernia is no longer seen. no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] interval increase in pulmonary vascular caliber at the hila with no pleural effusions or signs of pulmonary edema. this raises the concern for pulmonary embolism in the appropriate 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 port-a-cath in place. shallow inspiration. strand of fibrosis right lung base stable. no consolidations. old rib fractures. normal heart size, pulmonary vascularity.Write the impressions of this report findings [/INST] no acute changes. </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>> crowding of the bronchovascular structures is likely due to low lung volumes. no focal consolidations concerning for pneumonia. no pleural effusion or pneumothorax. top-normal heart size. a congenital appearing abnormality of the right first and second ribs is noted with an osseous syndesmosis between the two anteriorly.Write the impressions of this report findings [/INST] no acute cardiopulmonary process given low lung volumes. </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 were obtained. low lung volumes result in bronchovascular crowding. there is no focal consolidation, pleural effusion, or pneumothorax. heart size is normal. mediastinal silhouette and hilar contours are normal allowing for lung volumes. no osseous abnormality is identified.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>> areas of increased opacification overlying the right lung. could be postsurgical. not of typical appearance for pneumonia, however given the significant underlying architectural distortion of the right lung this may represent an infectious process in the proper clinical setting. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is stable.Write the impressions of this report findings [/INST] interval increase in irregular opacification of the right lung which may represent an infectious process superimposed on markedly abnormal underlying lung architecture 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>> heart size is normal. mediastinal and hilar contours are within normal limits. lungs are clear. pulmonary vascularity is normal. no pleural effusion or pneumothorax is present. no acute osseous abnormalities are present.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>> pa and lateral views of the chest provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen.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>> there are low lung volumes, which accentuate the bronchovascular markings. given this, subtle lateral left base opacity is seen which may be due to atelectasis, underlying consolidation is difficult to exclude. no focal consolidation is seen on the right. no large pleural effusion is seen. there is no pneumothorax. the cardiac and mediastinal silhouettes are unremarkable. there may be minimal pulmonary vascular congestion, likely accentuated by low lung volumes. an ovoid radiopaque structure is seen overlying the epigastric region, to the left of midline, not seen on the lateral view, and may be external to the patient.Write the impressions of this report findings [/INST] low lung volumes, which accentuate the bronchovascular markings. subtle lateral left base opacity may be due to atelectasis although a focal consolidation is not excluded in the appropriate 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>> single frontal view of the chest. tracheostomy, ng feeding tube, large bore right ij catheter, left subclavian central venous catheter, and right pleural catheter are in stable position. lung volumes remain low and there is persistent elevation of the right hemidiaphragm. there is no new consolidation, effusion, or pneumothorax. heart size and mediastinal contours are stable.Write the impressions of this report findings [/INST] little interval change with persistent low lung volumes and elevation of the right hemidiaphragm. </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 hypoinflated with bibasilar atelectasis. there is elevation of the left hemidiaphragm. apparent mild cephalization is accentuated by low lung volumes. trace right pleural effusion is present. no left pleural effusion or pneumothorax. heart size, mediastinal contour and hila are unremarkable. limited assessment of the osseous structures are notable for thoracolumbar degenerative changes with anterior osteophytes and endplate sclerosis.Write the impressions of this report findings [/INST] <num>. trace right pleural effusion. <num>. elevation of left hemidiaphragm may be related to diaphragmatic eventration, or diaphragmatic paralysis. <num>. low lung volumes with bibasilar 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>> mild cardiomegaly is unchanged. mediastinal and hilar contours are similar. lungs are well expanded and clear. pulmonary vasculature is normal. no focal consolidation, pleural effusion or pneumothorax is present. diffuse sclerosis of the osseous structures is compatible with osseous metastases.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. diffuse sclerotic metastases. </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 clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.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>> right-sided port-a-cath in the low svc. the lungs are clear. the cardiomediastinal contours are unremarkable. no pleural effusions or pneumothorax. no displaced rib or pathologic fractures of the thoracic spine.Write the impressions of this report findings [/INST] no displaced rib fractures. no acute cardiopulmonary process. note chest radiograph has limited assessment of bony detail, if symptoms persist rib views or ct thorax should 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 remain hyperinflated. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes 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>> the lungs are free of focal consolidations, pleural effusions or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities are identified.Write the impressions of this report findings [/INST] 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>> the lungs are normally expanded and clear. there is no focal airspace opacity to suggest pneumonia on this single projection. previous left basilar opacity is resolved. the heart is moderately enlarged as before. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] stable moderate cardiomegaly. 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 cardiomediastinal and hilar contours are within normal limits. the aorta is mildly tortuous and calcified. the 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>> right port-a-cath tip terminates in the proximal right atrium. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal.Write the impressions of this report findings [/INST] right port-a-cath tip terminates in the proximal right atrium. </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 moderately enlarged. there is pulmonary vascular congestion with diffuse bilateral moderate pulmonary edema. there are small bilateral pleural effusions. adjacent opacities are likely secondary to atelectasis; however, an acute infectious process cannot be excluded. there is no evidence of a pneumothorax. the visualized osseous structures are grossly unremarkable.Write the impressions of this report findings [/INST] <num>. moderate pulmonary edema. <num>. small bilateral pleural effusions with adjacent opacities likely secondary to atelectasis; however, an acute infectious process cannot be excluded. </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. hila and cardiomediastinal contours are normal. there is no pleural effusion or pneumothorax. a well-circumscribed <num> mm oval density overlying the left posterior <num>th rib is unchanged from radiograph in <unk>. surgical clips overlie the right upper quadrant consistent with prior cholecystectomy.Write the impressions of this report findings [/INST] <num>. no evidence of pneumonia. <num>. left mid lung density unchanged from <unk>. if clinical concern for malignancy, a ct could be obtained for further evaluation. </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 lung volume remains low but there is no focal lung abnormality on either side. mediastinal fat is interposed between the cardiac apex and base of the left lung. right subclavian infusion port terminates in the low svc. there is no large pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no focal consolidations concerning for pneumonia 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 cardiomediastinal silhouette and pulmonary vasculature are normal. there is no pleural effusion or pneumothorax. no subdiaphragmatic air is identified. the lungs are clear.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>> there is no evidence of focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the heart and mediastinal contours are normal.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>> lung volumes are normal and lungs are clear. there is stable elevation of the left hemidiaphragm. no pleural effusion, pneumothorax or focal airspace consolidation worrisome for pneumonia. heart is normal size. no pulmonary edema. mediastinal and hilar contours are unremarkable. sternotomy wires and mediastinal clips are constant. an electronic device projects over the left chest wall.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 radiographs of the chest demonstrate a left chest wall pacemaker generator with appropriately positioned right atrial and ventricular leads. cardiac size is normal. hilar and mediastinal contours are within normal limits, and a calcified aortic knob is seen. the lungs are clear and mildly hyperinflated. no pleural effusion or pneumothorax. mild biapical scarring is noted.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 compared to previous exam from <unk>. the lungs are clear without consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. 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>> there are increasing, tiny nodular opacities at the lung bases, greater on the right there is no pneumothorax. the cardiac silhouette and mediastinal contours are within normal limits for technique. there are no concerning bone findings.Write the impressions of this report findings [/INST] bibasilar pulmonary opacities concerning for a chronic infectious 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>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.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>> 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 provided. left chest wall pacer device is again seen with leads extending into the right atrium, right ventricle and coronaries sinus. cardiomegaly is again noted. there is no evidence of pneumonia or edema. no large effusion or pneumothorax. bony structures appear intact. no free air below the right hemidiaphragm peerWrite the impressions of this report findings [/INST] cardiomegaly without evidence of pneumonia or 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>> left chest wall pacer is again seen. the lungs are clear without focal consolidation, effusion or edema. cardiac silhouette is enlarged but stable. median sternotomy wires again noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] cardiomegaly 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>> the patient is significantly rotated, limiting assessment of the mediastinum. given this limitation, the cardiomediastinal and hilar contours appear stable. the heart size is mildly enlarged. the aorta is tortuous. there is no pneumothorax or large pleural effusion. the lungs are well expanded. there is no focal consolidation concerning for pneumonia. a hiatal hernia is again noted.Write the impressions of this report findings [/INST] no focal consolidation concerning for pneumonia. please note that cross-sectional imaging would be more sensitive for the detection of malignancy. </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. clips in the right hilum and right costophrenic angle represent post-right upper and middle lobectomy. right apical pleural drain has been placed. the air has decreased in right apical hydropneumothorax and has now filled with fluid. the remaining right lung is unchanged. the left lung is clear. no left pleural effusion or pneumothorax. no evidence of pneumonia. right-sided subcutaneous air has decreased.Write the impressions of this report findings [/INST] right apical pleural drain placed with less air in the pleural space and now more fluid filled. decrease in subcutaneous air. 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>> two views of the chest demonstrate unchanged sternal wires and an aortic valve prosthesis. the mediastinum is normal in contour. the heart is top-normal in size, unchanged compared to <unk>. there is minimal, if any, central vascular congestion without frank pulmonary edema. no focal consolidation, pleural effusion, or pneumothorax is seen. the visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] <num>. no focal consolidation. <num>. unchanged heart size, top-normal. minimal, if any, central vascular congestion without frank 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>> pa and lateral views of the chest <unk> at <time> are submitted.Write the impressions of this report findings [/INST] lungs are well inflated without evidence of focal airspace consolidation to suggest pneumonia. no pulmonary edema, pleural effusions or pneumothorax. overall cardiac and mediastinal contours are within normal limits. no acute bony 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 cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well-expanded. previously seen hazy opacity in the right lower lobe is improved on the current exam but not completely resolved. pulmonary vasculature is within normal limits.Write the impressions of this report findings [/INST] improvement in recently seen right lower lobe opacity without complete 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>> ap upright and lateral views of the chest were obtained. lungs are clear bilaterally without focal consolidation, effusion, or pneumothorax. cardiomediastinal silhouette is normal. bony structures are intact. no free air below the right hemidiaphragm.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>> 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.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 chest radiographs demonstrate a normal cardiomediastinal silhouette. there is subtle left infrahilar opacity, concerning for pneumonia. no definite focal consolidation, pleural effusion, or pneumothorax is identified. the visualized upper abdomen is unremarkable.Write the impressions of this report findings [/INST] left infrahilar opacity concerning for 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>> frontal and lateral views of the chest. the lungs are clear of focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. atherosclerotic calcifications noted at the aortic arch. left chest wall single lead pacing device is identified. degenerative changes in the spine without acute osseous abnormality.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 provided. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. a catheter projects over the left upper abdomen.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 volume remains low. there is no new consolidation. no pneumothorax or large pleural effusion is identified. mildly enlarged cardiac silhouette is unchanged.Write the impressions of this report findings [/INST] no notable 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>> frontal and lateral views of the chest. a right pleurx catheter has been removed. right pleural effusion is stable with similar appearance of widespread right lung parenchymal opacities. left pleural effusion appears slightly increased, also with widespread parenchymal opacities. no pneumothorax. moderately severe cardiomegaly is similar to prior.Write the impressions of this report findings [/INST] stable right and slightly increased left pleural effusions status post removal of right pleurx catheter with stable widespread parenchymal opacities. findings may represent persistent asymmetric pulmonary edema but metastatic pulmonary calcification is a consideration in the setting of chronic renal failure and could be confirmed with radionuclide bone scan. findings were communicated via phone call by dr. <unk> to dr. <unk> on <unk> at <unk> pm. </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>> unchanged cardiomegaly. the aorta is calcified, indicating atherosclerosis. there is a moderate right pleural effusion with overlying compressive atelectasis. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] unchanged chronic right pleural effusion. bibasilar atelectasis. unchanged 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>> the lungs are well expanded and clear. no pleural abnormality is seen. the heart is normal in size. the hilar and mediastinal silhouette is normal.Write the impressions of this report findings [/INST] no evidence of acute pulmonary tuberculosis. </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>> compared to the prior study, the patient is in true ap position, without rotation. a left ij central line is present. allowing for differences in patient rotation, left ij line tip appears to been retracted slightly compared with the prior film. it now lies slightly to the left of the expected site of confluence of the left brachiocephalic and right subclavian veins. it does not clearly reach the svc. the opacity in the expected location of the azygous vein measures approximately <num> mm, larger than a normal azygos vein. overall, the cardiomediastinal silhouette is similar and hazy opacities in both bases are also similar. as before, the right hemidiaphragm is partially obscured and there is dense increased retrocardiac density. there is upper zone redistribution and mild vascular plethora. no pneumothorax detected. et tube and ng tube again noted.Write the impressions of this report findings [/INST] on the current examination, the left ij line lies slightly proximal to the expected site of confluence of the right subclavian and left brachiocephalic veins and does not appear to reach the svc. no pneumothorax detected. </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 exaggerate the cardiomediastinal silhouette, which is otherwise unremarkable. there is mild bibasilar atelectasis. no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no focal consolidations concerning for pneumonia 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>> ap and lateral views of the chest are compared to previous exam from <unk>. left basilar pleural effusion appears slightly smaller when compared to prior. there is new small right-sided pleural effusion. nodular opacities at the left lung base again seen previously characterized as rounded atelectasis on prior ct scan. superimposed linear opacity at the right lung base is most suggestive of atelectasis. superiorly the lungs are clear. single-lead pacing device seen with tip in the right ventricle. median sternotomy wires again seen. cardiomediastinal silhouette is unchanged. left upper extremity vascular stents partially visualized. osseous and soft tissue structures are otherwise unremarkable.Write the impressions of this report findings [/INST] bilateral pleural effusions, slightly smaller on the left but new on the right compared to <unk>. right basilar linear opacity most likely due to atelectasis however clinical correlation would be necessary to exclude component of 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>> overall, there has been no significant interval change. no focal consolidation, large pleural effusion, or evidence of pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. multiple left-sided rib fractures seen on chest ct performed today at <time> were better appreciated on chest ct, which is more sensitive.Write the impressions of this report findings [/INST] no evidence of 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>> cardiac silhouette size is normal. aortic knob is calcified. enlargement of the pulmonary artery is again noted bilaterally compatible with pulmonary arterial hypertension. pulmonary vasculature is normal. lungs are hyperinflated without focal consolidation. minimal blunting of the costophrenic angles bilaterally likely reflects small bilateral pleural effusions, decreased from the previous study. no pneumothorax is present. deformity of the right seventh anterolateral rib appears new in the interval, but potentially subacute.Write the impressions of this report findings [/INST] <num>. small bilateral pleural effusions, decreased from the previous exam. <num>. enlargement of the pulmonary artery compatible with pulmonary arterial hypertension. <num>. mild deformity of the right seventh anterolateral rib appears new in the interval, but may be subacute in nature. clinical correlation is recommended. </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 unchanged and remains at the high end of normal. again, calcifications are seen within the arch of the aorta. cardiomediastinal contours are unremarkable. lung volumes are low but not significantly changed from the prior study; however, bilateral pleural effusions are markedly improved on the left and somewhat better on the right. no pneumothorax. the position of the chest tube remains unchanged.Write the impressions of this report findings [/INST] bilateral pleural effusions have decreased in size. lungs appear to be better aerated. </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. leads of a left chest wall pacer are in stable position. heart size and cardiomediastinal contours are normal. lungs are clear without focal consolidation, pleural effusion, or pneumothorax. the pacemaker was separately evaluated by dr. <unk>, who confirmed that this pacer is mri-compatible.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>> chest, supine portable. a new right internal jugular central venous catheter has been placed, whose tip terminates at the cavoatrial junction. there is no pneumothorax. the examination is otherwise unchanged from <num> hour earlier.Write the impressions of this report findings [/INST] appropriately positioned right internal jugular central venous catheter, without 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 heart is at the upper limits of normal size with a left ventricular configuration. there is mild unfolding of the descending thoracic aorta with calcification along the arch. the mediastinal and hilar contours appear stable. there are no pleural effusions or pneumothorax. patchy opacities are streaky in association with mild-to-moderate relative elevation of the right hemidiaphragm, suggesting minor associated atelectasis or perhaps scarring. otherwise, the lungs appear clear. mild degenerative changes are noted along the mid thoracic spine.Write the impressions of this report findings [/INST] no evidence of acute 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>> ap and lateral views of the chest. there is a new left lower lobe consolidation. there is also some right basilar opacity seen anteriorly on the lateral view. superiorly, the lungs are unchanged. tenting of the right hemidiaphragm is again seen. probable changes from right-sided lobectomy is unchanged. bilateral shoulder arthroplasties are seen.Write the impressions of this report findings [/INST] bibasilar opacities which would be compatible with pneumonia in the proper clinical setting. recommend repeat after treatment to document 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>> pacer device from a left-sided approach with <num> lead extending to the right atrium and <num> leads extending to the right ventricle is stable in position. the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.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 mild hyperexpansion. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is within normal limits with a tortuous descending aorta. focal narrowing of the upper trachea is unchanged from the prior study and may be due to an enlarged thyroid gland.Write the impressions of this report findings [/INST] <num>. no evidence of acute cardiopulmonary process. <num>. unchanged mild narrowing of the upper trachea, potentially related to an enlarged thyroid gland. </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. 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>> the heart size is normal. the mediastinal and hilar contours are unchanged, with calcification of the aortic knob again noted. pulmonary vasculature is normal. lungs remain hyperexpanded. no focal consolidation, pleural effusion or pneumothorax is seen. there are multilevel degenerative changes in the spine.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>> ap upright and lateral views of the chest provided. cervical spinal hardware partially visualized. 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>> there is somewhat increased degree of volume loss in the right hemithorax although with a persistent large right hydropneumothorax following pneumonectomy although air and fluid have mildly decreased. the left lung remains clear.Write the impressions of this report findings [/INST] large but somewhat decreased right hydropneumothorax following recent right pneumonectomy. </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. no focal consolidation, effusion, or pneumothorax is present. there are diffuse flowing anterior osteophytes in the thoracic spine. cardiac and mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. please refer to the concurrently obtained ct report for better assessment of small nodules. </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 more superior and smaller of the two pleural pigtail catheters has been removed in the interim. additionally, the more inferior and larger pleural pigtail catheter has been nearly entirely withdrawn, with more than <unk>% of its sideholes projecting outside the thoracic cage. there is no pneumothorax. moderate-sized, loculated left pleural effusion is similar to <unk>. pulmonary vascular engorgement and pulmonary edema is similar. right pleural effusion is slightly increased. dense retrocardiac and right base atelectasis is unchanged. the cardiac silhouette and mediastinal contours remain indistinct, in this patient following aortic graft repair.Write the impressions of this report findings [/INST] <num>. pleural pigtail catheter pulled back to an abnormal position largely outside the thoracic cage. <num>. left loculated pleural effusion is unchanged, right pleural effusion is slightly increased. no pneumothorax. these findings were discussed with dr. <unk> at <time> a.m. 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>> ap and lateral views of the chest. the lungs are hyperinflated but are clear. focal opacity projects over the anterior right <num>th rib is thought to be calcification of the costochondral cartilage. the lungs are otherwise notable for right apical calcified scarring. small hiatal hernia is noted. no acute osseous abnormalities detected.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 evidence of pulmonary edema or pleural effusions. lung volumes are low causing areas of focal atelectasis such as of the right middle and lower lobe. the right lower lobe atelectasis on the frontal radiograph appears slightly nodular. there is no evidence of pneumonia. cardiomediastinal sillouette is normal.Write the impressions of this report findings [/INST] low lung volumes contribute to focal atelectasis in the right middle and lower lobe. the right lower lobe atelectasis on the frontal view has a somewhat nodular appearance. given this, a short term interval follow up pa and lateral views of the chest are recommended in to assure that no more worrisome underlying lesion/mass is present. findings and recommendations were discussed with <unk> at <time> pm via telephone. </s>

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