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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>> pa and lateral views of the chest were obtained. heart is normal in size and cardiomediastinal contour is unremarkable. 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>> 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>> a left internal jugular sheath is present. there is no focal consolidation, pleural effusion or pneumothorax. the heart is mildly enlarged, consistent with a post-operative appearance. median sternotomy wires and clips are noted. there is no pleural effusion or focal consolidation. note is made of a distended stomach.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>> portable semi-erect chest radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] there continue to be layering moderate to large pleural effusions, right greater than left. evaluation of the underlying lung parenchyma is challenging, although it does appear to be more consolidative in the retrocardiac region suggesting that there is at least left lower lobe atelectasis. the cardiac and mediastinal contours are difficult to assess due to marked patient rotation on the current study. no obvious pulmonary edema or pneumothorax. right internal jugular central line appears to have its tip in the right atrium unchanged. left subclavian picc line is unchanged in position. a nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach. the endotracheal tube has its tip approximately <num> mm above the carina and should be pulled back <num>-<num> cm. </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 <unk> <unk>. heart size remains normal. unremarkable appearance of thoracic aorta and mediastinal structures. the on previous examination identified parenchymal densities in the periphery of the left upper lobe lingula bordering the lateral heart border is clearly regressed. the same holds for the previously identified suspicious hazy densities in right middle lobe and left lower lobe. presently there is thus no evidence of any acute ongoing parenchymal process. however, patient's general appearance with low positioned flattened diaphragms, hypertranslucent lung bases and multiple linear interstitial increased markings are consistent with rather advanced copd. no pneumothorax is identified.Write the impressions of this report findings [/INST] resolution of previously identified episode with multifocal infiltrates one month ago. </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, where not obscured by overlying cardiac leads. there is no effusion. cardiac silhouette is stable in configuration. atherosclerotic calcifications again noted at the arch. no acute osseous abnormality identified noting degenerative changes at the shoulders bilaterally.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 et tube is in more appropriate position at the level of the clavicles. the left picc line is visualized with tip terminating in the upper svc. the bilateral basilar atelectasis and pleural effusions are improved. the cardiomediastinal and hilar silhouettes are stable.Write the impressions of this report findings [/INST] <num>. appropriate position of et tube with tip terminating at the level of the clavicles. <num>. improved bilateral atelectasis and 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>> ap and lateral chest radiographs. there is a large bullae in the left lower lobe that has enlarged from prior and causes adjacent atelectasis. subsegmental atelectasis also involves the right lower lobe. there is no pleural effusion or pneumothorax. the cardiomediastinal silhouette is 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 is no focal consolidation, effusion, or pneumothorax. mild cardiomegaly is similar to prior. the cardiomediastinal silhouette is otherwise normal. imaged osseous structures are intact. no free air below the right hemidiaphragm is seen. left chest cardiac device and <num> lead tips appear in similar position compared to prior.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>> again seen is cardiomegaly and left-sided biventricular pacing device, with similar lead placement. also again seen is a right ij swan-ganz catheter, with tip near the origin of the right pulmonary artery. cardiomegaly is similar prior. there is upper zone redistribution, without other evidence of chf. there has been clearing of previously seen retrocardiac opacity. no new infiltrate is identified. no gross effusion. no pneumothorax detected.Write the impressions of this report findings [/INST] no focal pneumonic infiltrate detected. swan-ganz catheter tip lies in the region of the origin of the right pulmonary artery. </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>> interval resolution of the previously demonstrated superior right lower lobe and left mid lung opacities. redemonstrated is right-sided volume loss and a small pleural effusion, in addition to postsurgical changes seen following right upper and middle lobectomies. again seen is a posterior right rib resection, stable in appearance. there is no new, focal consolidation, pneumothorax, or pulmonary edema. the heart is normal in size. mediastinal contours are stable.Write the impressions of this report findings [/INST] resolved opacities of the superior segment of the right lower lobe and left mid lung. </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, mediastinal and hilar contours are normal. pulmonary vasculature is normal. lungs are clear. a tiny punctate granuloma is noted in the left upper lobe. no pleural effusion or pneumothorax is present. no subdiaphragmatic free air is present. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. no subdiaphragmatic free air. </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. the cardiomediastinal silhouette is unremarkable. there is no pleural effusion, pulmonary edema, pneumothorax, or focal airspace opacification.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 views were obtained with patient in upright position. left lung asymmetry is related to prior left lower lobe wedge resection with persistent elevation of the left hemidiaphragm. new fiducial marker has been placed at the right lung base. there is no evidence of pneumothorax. there is no pleural effusion. heart size is normal. air-fluid level in the left retrocardiac region is neoesophagus in patient with history of esophagectomy.Write the impressions of this report findings [/INST] there is no sign of pneumothorax after positioning of fiducial marker at right lung base. there is no 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>> 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 has been interval placement of a right internal jugular central venous catheter ending in the right atrium. the et tube and ng tube are in unchanged satisfactory position. no pneumothorax is detected. lung volumes remain low with unchanged extensive left lung opacity, which obscures the cardiac silhouette. the presence of air bronchograms suggest left lower lobe collapse and/or consolidation. a small left effusion would be difficult to exclude. again seen is some patchy opacity at the right cardiophrenic region, though the right lung remains otherwise grossly clear.Write the impressions of this report findings [/INST] lines and tubes as described. note is made that the right ij line overlies the right atrium, rather than the svc itself. 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>> no focal consolidation or pleural effusion currently pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there is questionable mild prominence of the left hilum on the frontal view, which may be artifactual, but underlying lymphadenopathy is not entirely excluded.Write the impressions of this report findings [/INST] no focal consolidation. equivocal mild prominence of the left hilum on the frontal view may be artifactual but underlying lymphadenopathy is not excluded. this could be further evaluated with a nonurgent chest ct. </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 contours are normal. the lungs are clear. there is no pneumothorax or pleural effusion. there are mild degenerative changes in the thoracic spineWrite the impressions of this report findings [/INST] no acute cardiopulmonary abnormalities </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. lung volumes are low limiting assessment. lateral view limited due to motion. no large consolidation, effusion or pneumothorax is seen. cardiomediastinal silhouette is unchanged. the aorta is unfolded. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] as above. </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 radiographs were provided. there is a hazy retrocardiac opacity as well as opacity projecting posteriorly over the spine on the lateral image consistent with left lower lobe pneumonia. the lung volumes are slightly low. the right lung is clear. there are no pleural effusions and the cardiomediastinal silhouette is unremarkable. the osseous structures are unremarkable.Write the impressions of this report findings [/INST] hazy retrocardiac opacity consistent with left lower lobe pneumonia. recommend treatment and followup chest x-ray to resolution. these findings were discussed with dr. <unk> by dr. <unk> <unk> telephone at <time> p.m. </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 interval retraction of the right picc line, with the tip now overlying the right subclavian vein. otherwise, the remainder of the exam is grossly unchanged, with slightly improved lung volumes and redemonstration of left lung base atelectasis and elevation of the left hemidiaphragm.Write the impressions of this report findings [/INST] interval retraction of the right picc line, with tip now overlying the right subclavian vein. the remainder of the exam is grossly unchanged, with slightly improved 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>> pa and lateral views of the chest are obtained. the lungs appear clear bilaterally without focal consolidation, effusion or pneumothorax. cardiomediastinal silhouette appears normal. an old right seventh posterior rib deformity is unchanged. there is 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>> there is a moderate to severe cardiomegaly without vascular congestion. the lungs, pleura and mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] moderate to severe cardiomegaly without vascular congestion, suggesting the possibility of a pericardial effusion or cardiomyopathy. the lungs are clear bilaterally. </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 single-lead pacer is unchanged in position. severe cardiomegaly appears progressed since <unk>. there is mild prominence of the central pulmonary vasculature, however, without interstitial pulmonary edema. right upper lung nodule appears larger than on prior exam. lungs are otherwise clear. there is no pleural effusion or pneumothorax. dextroscoliosis is redemonstrated.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. cardiomegaly has progressed since <unk>. right upper lung nodule appears larger than on prior exam and dedicated nonurgent ct suggested. </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>> cardiomegaly, as before. the aorta is calcified, indicating atherosclerosis. there are midline sternotomy wires. the inferior most sternotomy wire is fractured, as before. there are moderate to large bilateral pleural effusions with adjacent atelectasis, not significantly changed compared to <unk>. the pulmonary vasculature is normal. no pneumothorax is seen. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] unchanged moderate to large 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>> low lung volumes accentuate the cardiac silhouette and the bronchovascular structures. mediastinal and hilar contours are within normal limits. no focal consolidation concerning for pneumonia is identified. there are no pleural effusions or pneumothorax.Write the impressions of this report findings [/INST] no radiographic evidence of an 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>> assessment is slightly limited by patient rotation. the patient is status post median sternotomy, aortic valve replacement, and cabg. moderate cardiomegaly is present. there is a moderate size hiatal hernia. lung volumes are low which causes crowding of the bronchovascular structures. mild pulmonary edema is present along with small bilateral pleural effusions. patchy opacities in the lung bases may reflect areas of atelectasis though infection or aspiration cannot be excluded. no pneumothorax is identified. there are multilevel degenerative changes with bridging anterior osteophytes compatible with dish.Write the impressions of this report findings [/INST] mild congestive heart failure with small bilateral pleural effusions and mild pulmonary edema. bibasilar patchy opacities, likely atelectasis but infection or aspiration 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 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>> frontal and lateral views of the chest demonstrate top normal heart size and mild unfolding of thoracic aorta. there is no pneumothorax, pulmonary edema, or large effusion. multilevel thoracic spondylosis is present.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 radiographs were provided. lung volumes are slightly low. there is no focal consolidation, pleural effusion or pneumothorax. linear opacities at the bases are likely atelectasis. the cardiomediastinal silhouette is notable for a tortuous aorta. the bones are intact.Write the impressions of this report findings [/INST] 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>> cardiomediastinal silhouette normal. there is no pleural effusion or pneumothorax. hilar contours are unremarkable. there is no focal lung consolidation.Write the impressions of this report findings [/INST] no radiographic explanation for chest pain. </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 picc line is now properly placed at the cavoatrial junction. the left lower lobe atelectasis seen on the prior study persists; however, the right atelectatic base shows improvement. no pleural effusions and no pneumothorax.Write the impressions of this report findings [/INST] tip of the right-sided picc line is now positioned at the cavoatrial junction. </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 endotracheal tube terminates <num> cm above the carina. again seen are bilateral veil-like pulmonary opacities, unchanged in comparison to the <unk> radiographs, markedly improved since <unk>. the cardiac and mediastinal contours are unchanged. there is no pneumothorax. a small left pleural effusion is stable.Write the impressions of this report findings [/INST] diffuse veil-like bilateral pulmonary opacities are unchanged since <unk>, overall markedly improved since <unk>. unchanged 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 lungs are clear without focal consolidation, effusion, or edema. cardiac silhouette is top-normal. atherosclerotic calcifications are seen at the aortic knob and there is tortuosity of the descending thoracic aorta. 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>> left-sided aicd device is noted with lead terminating in the right ventricle. the patient is status post median sternotomy, cabg, and prostatic mitral valve. moderate cardiomegaly is demonstrated with mild pulmonary vascular congestion. thoracic aorta is diffusely calcified. small bilateral pleural effusions, greater the left are noted with bibasilar streaky opacities, likely atelectasis. the lungs are hyperinflated with emphysematous changes noted. no pneumothorax is present. no acute osseous abnormalities are seen. there are moderate multilevel degenerative changes noted in the thoracic spine.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion and small bilateral pleural effusions 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>> multiple support tubes and lines are in unchanged position. bibasilar atelectasis, left greater than right, is not significantly changed from prior exam. there is no new opacity to suggest a pneumonia. there is no pulmonary edema. there are likely small bilateral pleural effusions. the apparent decrease in size of the right pleural effusion is likely positional, rather than a significant change. there is no pneumothorax. the cardiomediastinal silhouette is normal. multiple consecutive left-sided rib fractures are unchanged.Write the impressions of this report findings [/INST] stable bibasilar atelectasis and small bilateral pleural effusions without a new consolidation to suggest a 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 are compared to multiple prior exams including ct torso from <unk> with most recent x-ray from <unk>. when compared to most recent exam, there has been near complete resolution of the right upper lung opacity. there is evidence of scarring at the upper lobes bilaterally with retraction of the hila and some nodular densities, particularly in the left upper lung. these have been seen on multiple prior exams. minimal blunting of the left posterior costophrenic angle may represent trace effusion. there is no large confluent consolidation. cardiomediastinal silhouette is stable as are the osseous structures, noting multiple orthopedic screws projecting over the right glenoid.Write the impressions of this report findings [/INST] essentially complete resolution of the right upper lobe opacity seen on prior. findings suggestive of underlying chronic upper lobe scarring, although superimposed acute infectious process, particularly on the left, is not completely 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>> endotracheal tube is in standard position, terminating approximately <num> cm from the carina. an enteric tube tip and side port are within the stomach. left internal jugular central venous catheter tip terminates at the confluence of the brachiocephalic veins. heart size is mildly enlarged. mediastinal and hilar contours are unremarkable. no pulmonary edema is demonstrated. no large pleural effusion or pneumothorax is seen. retrocardiac opacity may reflect atelectasis but infection or aspiration cannot be excluded. no acutely displaced fractures are seen.Write the impressions of this report findings [/INST] <num>. standard positioning of the endotracheal and enteric tubes. <num>. left internal jugular central venous catheter tip at the confluence of the brachiocephalic veins. <num>. retrocardiac opacity may reflect atelectasis but infection or aspiration 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>> low lung volumes continue to be low with bilateral small pleural effusions. the heart size is upper limit of normal, and the previous mild pulmonary edema is improving. lungs are clear of focal consolidation, and the et tube is in appropriate position. right ij hemodialysis line ends in the right atrium near the tricuspid valve, and the left ij central venous line ends at the cavoatrial junction. the feeding tube ends in the duodenum.Write the impressions of this report findings [/INST] mild pulmonary edema is improving with new small bilateral effusions compared to radiograph from <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>> left chest tube in place. no interval change in the appearance of the chest since the previous study.Write the impressions of this report findings [/INST] stable appearance of 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>> supine frontal chest radiograph demonstrates endotracheal tube in appropriate position at the level of the clavicles <num> cm above the level of the carina. the enteric feeding tube tip is now within the mid esophagus, retracted from previous examination. a right ij tip is seen at the proximal most portion of the right atrium. surgical clips are again seen over the epigastric region. opacity in the left mid lung, may be in the lingula or posterior left lower lobe is stable from previous examination. heart, mediastinal contour, and hila are unremarkable.Write the impressions of this report findings [/INST] <num>. right ij tip within the proximal most portion of right atrium. <num>. enteric feeding tube within mid esophagus, retracted from previous examination. <num>. stable opacity in left mid lung. </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. lung volumes are low. lungs appear clear without definite signs of pneumonia or edema. cardiomediastinal silhouette appears stable. healing fracture at the right distal clavicle noted.Write the impressions of this report findings [/INST] no acute intrathoracic process. healing right distal clavicle 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>> the cardiac, mediastinal and hilar contours are normal. the pulmonary vascularity is normal and the lungs are clear. no pleural effusion or pneumothorax is present. deformity of the right lateral <num>rd rib likely reflects an old healed fracture. no acute osseous abnormalities are otherwise demonstrated.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 cardiomediastinal and hilar contours are within normal limits. positioning is lordotic. given that, 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>> ap single view of the chest has been obtained with patient in semi-upright position. comparison is made with the next preceding similar study of <unk>. patient's inspirational effort is very shallow resulting in much higher positioned diaphragms than on the previous portable study. this results in crowded appearance of the pulmonary vasculature, but there is no conclusive evidence for any new parenchymal infiltrates. on the left base, a crowded vasculature is more marked and the possibility of an atelectasis is given. the right-sided pulmonary vasculature does not disclose an advanced pulmonary congestive pattern. there is no evidence of pneumothorax in the apical area.Write the impressions of this report findings [/INST] technically seen suboptimal portable chest examination related to poor inspirational effort. probably left lower lobe atelectasis. no conclusive evidence 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>> all previous supporting lines and monitoring devices have been removed except for a right ij introducer sheath. median sternotomy wires are intact, and the cardiac silhouette is mildly enlarged postoperatively with mild vascular congestion. bibasilar atelectasis and associated pleural effusions are seen. no focal consolidation is seen, and no pneumothorax is seen following chest tube removal.Write the impressions of this report findings [/INST] no pneumothorax visualized. bibasilar atelectasis and associated 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>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. no pulmonary edema 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>> 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>> an accessed right pectoral mediport terminates at the superior cavoatrial junction. there is no pneumothorax. mild prominence with increased density of the right hilus as compared to <unk> may be due to mild pulmonary artery dilatation or lymphadenopathy. a faint nodular opacity projecting at the superior aspect of the left hilus may be a small nodule. moderate cardiomegaly despite the projection is unchanged. background parenchymal changes consistent with emphysema are unchanged.Write the impressions of this report findings [/INST] nodular opacity at the superior aspect of the left hilus may be pulmonary nodule. stable emphysema. new mild prominence of the right pulmonary artery may be due to pulmonary arterial dilatation or lymphadenopathy. </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>> persistent left base atelectasis versus scarring is noted. lungs are otherwise clear. there is no new consolidation or edema. there is no large pleural effusion. vmoderate cardiomegaly is unchanged. no acute osseous abnormalities.Write the impressions of this report findings [/INST] cardiomegaly without superimposed 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 focal consolidation, pleural effusion or pneumothorax identified. the size of the cardiac silhouette is enlarged but unchanged.Write the impressions of this report findings [/INST] no radiographic 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>> ap and lateral views of the chest. right chest wall port is seen with catheter tip in the mid svc. the lungs are clear of focal consolidation or effusion. the cardiac silhouette is mildly enlarged, similar to prior, with prominence of the ascending aorta seen on prior pet-ct. no acute osseous abnormality is 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>> there is i bold ncreased opacity projecting over the anterior right <num>th rib which is felt to be related to callus formation from prior fracture. there is also a retrocardiac opacity. there is no effusion or overt pulmonary edema. right apical granuloma again noted. moderate cardiomegaly and aortic graft repair unchanged. no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] retrocardiac opacity, potentially atelectasis noting infection is not 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>> there is bilateral hilar engorgement and prominence of the central pulmonary vessels. mild-to-moderate cardiomegaly is also present. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] findings compatible with pulmonary edema in the setting of mild-to-moderate 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>> background hyperinflation/copd again seen, together with cardiomegaly, similar to the prior film. there is upper zone redistribution and mild vascular plethora, which is slightly more pronounced. no overt alveolar edema is identified. small bilateral effusions are again see, similar to the prior study. there is bibasilar atelectasis, but no frank consolidation is identified.Write the impressions of this report findings [/INST] chf with mild interstitial edema, slightly more pronounced than 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>> there is no consolidation, pleural effusion, or pneumothorax. cardiomediastinal and hilar silhouettes are normal size.Write the impressions of this report findings [/INST] normal chest radiograph. no pneumothorax is 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>> lung volumes are low. patchy bibasilar opacities are noted. no pleural effusion. severe degenerative change at the right glenohumeral joint. no displaced rib fracture is seen, but exam is limited by low lung volumes and ap technique. .Write the impressions of this report findings [/INST] <num>. patchy bibasilar opacities may represent aspiration, atelectasis or pneumonia. <num>. no evidence of acute, displaced rib fracture or pneumothorax. <num>. severe degenerative change at the right glenohumeral joint, unchanged. recommendation(s): repeat chest radiograph with improved technique is recommended when the patient is clinically able. </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 new left chest pacemaker with the lead overlying the right ventricle. there is no pneumothorax. mild cardiomegaly is unchanged and there is mild bilateral lower lobe atelectasis. the lungs are otherwise clear. there are small bilateral pleural effusions.Write the impressions of this report findings [/INST] <num>. interval placement of a left chest pacemaker with the lead overlying the right ventricle. no pneumothorax. <num>. mild bilateral lower lobe atelectasis and 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>> lung volumes are low, decreased when compared to the prior study with associated bilateral basilar atelectasis. superimposed infection cannot be excluded. mild cardiomegaly is unchanged compared to the prior study. a left-sided picc terminates near the cavoatrial junction. probable bilateral pleural effusions.Write the impressions of this report findings [/INST] volume loss with bilateral lower lobe atelectasis, progressed when compared to the prior study. superimposed infection 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>> there is persistent hyperinflation of the lungs which may be due to chronic obstructive pulmonary disease. no focal consolidation is seen. there is no pleural effusion or pneumothorax. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] hyperinflated lungs suggesting copd. 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>> the lungs remain hyperinflated, with flattening of the diaphragms. no focal consolidation is seen. 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 et and ng tubes have been removed. a right picc line terminates in the low svc. calcified left lung nodules are unchanged. the lungs are otherwise clear except for left basilar atelectasis. a small left pleural effusion has developed. moderate cardiomegaly is unchanged.Write the impressions of this report findings [/INST] no evidence of pulmonary edema. increased small left pleural effusion. stable moderate 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 et tube terminates in the mid trachea. a nasogastric tube courses into the stomach, distal tip not visualized. a right picc line terminates in the upper right atrium. bilateral airspace opacities have increased on the left and at the right base. small layering pleural effusion and basilar subsegmental atelectasis are stable. the cardiomediastinal silhouette is magnified by the projection but stable. gaseous distention of the stomach has increased despite the presence of a nasogastric tube.Write the impressions of this report findings [/INST] increased bilateral airspace opacities may be due to worsening pulmonary edema, or new aspiration/infection. increased gaseous distention of the stomach may increase the risk of aspiration. stable small left pleural effusions with bibasilar subsegmental 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>> mildly hypoinflated lungs with bibasilar atelectasis and crowding of vasculature. no pleural effusion or pneumothorax. there is a focal <num> cm nodular opacity projecting over the posterior right fifth rib at the lung apex. stable mild cardiomegaly. mediastinal contour and hila are unremarkable. left-sided pacer device is again seen along the left anterior chest wall with <num> intact leads, unchanged since prior examination. limited assessment of the osseous structures are notable for orthopedic hardware in the proximal left humerus.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. low lung volumes with bibasilar atelectasis and crowding of vasculature. <num>. right apical <num> cm nodular opacity for which dedicated, nonurgent chest ct is suggested. </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 markedly rotated limiting assessment. a tracheostomy, left and right internal jugular catheters are all unchanged in appearance when compared to the prior study. evaluation of the cardiomediastinal contour is not possible. hazy opacity in the left lung appears similar when compared to the prior study. no pleural effusion seen. no pneumothorax seen.Write the impressions of this report findings [/INST] limited evaluation does not demonstrate any 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>> supine portable ap chest radiograph is obtained. there has been interval increase in right pleural effusion, now large with diffuse pulmonary edema. a new moderate left pleural effusion is also seen. heart size is enlarged. mediastinal contour is stable. no pneumothorax is seen. bony structures are intact.Write the impressions of this report findings [/INST] new pulmonary edema with increased bilateral pleural effusions, large right and moderate left with enlarged cardiac silhouette. </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 left lower lobe opacity the with air bronchograms consistent with airspace consolidation accompanied by small left pleural effusion. the lungs are hyperinflated, with prominence of interstitial markings, chronicity indeterminate, probably due to chronic lung disease but not excluding mild interstitial edema. there is no pneumothorax. there is no right pleural effusion. moderate cardiomegaly is present. the patient is status post st the sign report ernotomy. there is a left chest wall aicd in place.Write the impressions of this report findings [/INST] findings concerning for left lower lobe pneumonia accompanied by 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 lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no displaced fractures 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>> the patient is status post aortic valve replacement and median sternotomy with the wires intact. the lung volumes are lower, resulting in new mild bibasilar atelectasis; otherwise, no focal consolidations concerning for pneumonia are identified. there is no pleural effusion or pneumothorax. the cardiomediastinal contours are stable. mild cardiomegaly is persistent compared to exams dated back to <unk>.Write the impressions of this report findings [/INST] no evidence of a pneumothorax status post lead revision. these findings were discussed with dr. <unk> by dr. <unk> by phone at <num>:<unk> a.m. on the day of the exam. </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, allowing for differences in technique. a vague peripheral opacity projecting over the right lung apex also appears unchanged. streaky opacities in the right lower lobe are most consistent with minor atelectasis. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] right basilar opacity suggesting minor atelectasis. no convincing evidence for pneumonia or congestive 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>> there is stable location and appearance of multiple discrete collections of surgical clips as seen previously. the cardio mediastinal silhouette is unchanged from prior radiograph. there is again redemonstrated moderate cardiomegaly as well as an elongated thoracic aorta as seen on lateral view, without interval changes. the bilateral hila are unchanged in appearance. there has been no interval change in the appearance of the right perihilar opacity as compared to prior radiograph. there is stable size and appearance of previously described right lower lung zone <num> cm nodule. there is again noted a small/minimal left pleural effusion, however more prominent on the current study is minimal tracking intrafissural fluid. there are no pneumothoraces.Write the impressions of this report findings [/INST] <num>. stable appearance of right perihilar opacity. <num>. stable small/minimal left pleural effusion, now with minimal tracking intrafissural fluid. <num>. stable right lower lung zone nodule. </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 lower on the frontal exam when compared to prior. there is secondary crowding of the bronchovascular markings particular in the perihilar region. on the lateral view, lungs are clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] perihilar opacities on the frontal view which may be due to crowding in the setting of low lung volumes. infection would be difficult to entirely exclude. consider repeat exam with improved inspiratory effort if further clarification if desired. </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 without focal consolidation. the heart is mildly enlarged. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. degenerative changes are seen throughout the thoracic spine.Write the impressions of this report findings [/INST] mild cardiomegaly without 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>> pa and lateral views of the chest were obtained. these demonstrate well inflated clear lungs bilaterally. the cardiomediastinal and hilar contours are within normal limits. there is no pleural effusion or pneumothorax. visualized osseous structures are without acute abnormality.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>> in comparison to the chest radiograph obtained <num> days prior, there is increased, mild pulmonary edema and increased bibasilar opacities with small, bilateral pleural effusions, likely dependent pulmonary edema, atelectasis, or developing pneumonia. mild cardiomegaly unchanged. cardiomediastinal and hilar silhouettes are unchanged. previously identified rounded opacity projecting over the lateral posterior seventh rib has resolved.Write the impressions of this report findings [/INST] new, mild pulmonary edema with bibasilar opacities reflecting dependent pulmonary edema or atelectasis or developing 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>> lung volume is low. there is no consolidation, pneumothorax, or large pleural effusion. there is no pulmonary edema. moderately enlarged cardiac silhouette is exaggerated by low lung volume.Write the impressions of this report findings [/INST] no notable interval change. no 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>> new right-sided picc terminates in the mid svc. normal cardiomediastinal and hilar contours. clear lungs. no pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] right-sided picc terminates in the mid svc. 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 heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the fact that the right cardiac border is mildly obscured suggests minimal opacification of the medial segment of the right middle lobe, not as well seen on the lateral view. the lungs appear otherwise clear.Write the impressions of this report findings [/INST] minimal opacification of the right middle lobe suspected, commonly due to atelectasis. comparison to prior radiographs may be helpful, if available. </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 radiographdemonstrates stable moderate sized right pleural effusion. heterogeneous rounded opacity only seen on lateral projection projecting over the mid thoracic spine is slightly more prominent from prior examination. no additional focal opacity. no pneumothorax. stable mild cardiomegaly is noted. mediastinal contour, and hila are unremarkable. limited assessment of the upper abdomen is within normal limits.Write the impressions of this report findings [/INST] <num>. heterogeneous rounded opacity only seen on lateral projection projecting over mid thoracic spine is most consistent with loculated effusion. recommend follow-up chest radiograph in <num> weeks to assess for resolution. <num>. stable moderate sized right pleural effusion. <num>. stable 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>> since the prior radiograph performed yesterday morning, there has been interval placement of an ng tube that is seen extending to at least the proximal stomach, but the distal tip is not captured on the current study. there are bilateral layering pleural effusions, right greater than left, with adjacent atelectasis; this is better demonstrated on the recent ct performed yesterday evening. no new areas of consolidation to suggest pneumonia. there is no pneumothorax or over pulmonary edema. cardiomediastinal silhouette remains mildly enlarged.Write the impressions of this report findings [/INST] interval placement of an ng tube which extends to at least the proximal stomach, but the tip is not visualized on the current 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>> pa and lateral chest radiographs were obtained. the lungs are well expanded and clear. minimal blunting of the left costophrenic angle likely reflects pleural thickening. there is no pleural effusion or pneumothorax. cardiac and mediastinal contours are normal. abdominal surgical clips are in unchanged positions.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>> compared to the prior study there is increase in the alveolar edema with bilateral pleural effusions, dense consolidation in both lower lungs right greater than left, pulmonary vascular redistribution, and hazy alveolar infiltrate. the et tube and ng tube are unchangedWrite the impressions of this report findings [/INST] worsened appearance to the lungs. </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 pneumothorax. median sternotomy wires are intact and tunneled dialysis catheter ends in the right atrium. there is a small left effusion which is unchanged from comparison study. there is mild cardiomegaly. there is no mediastinal shift, pneumothorax, or consolidation.Write the impressions of this report findings [/INST] small left effusion from chest xray <unk> and 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>> frontal and lateral views of the chest demonstrate low lung volumes, lungs are clear without pleural effusion, focal consolidations or pneumothorax. hilar and mediastinal silhouettes are unremarkable. heart size is normal. there is no pulmonary edema. free intraperitoneal air is seen under the left hemidiaphragm. ng tube terminates in the stomach.Write the impressions of this report findings [/INST] <num>. no evidence of acute cardiopulmonary process. <num>. free intraperitoneal air. please refer to concurrent ct abdomen for further 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>> the lungs remain hyperexpanded, without increased interstitial opacities to suggestive pulmonary edema. streaky bibasilar opacities are likely secondary to atelectasis. the heart size is normal. the mediastinal contours are normal. tiny pleural effusions are not excluded. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. minimal bibasilar atelectasis without focal consolidation. <num>. possible tiny 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>> there is mild right base base atelectasis. no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. right paratracheal opacity without indentation on the adjacent trachea is stable, possibly prominent vasculature.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 borderline or slightly enlarged. of note, there is a hazy somewhat triangular opacity centered in the anterior segment of the right upper lobe, abutting the minor fissure which appears very slightly retracted. otherwise, no focal opacity and no frank consolidation identified. this opacity partially obscures the right hilum, but otherwise, the hilar contours are grossly unremarkable. there is upper zone redistribution, without overt chf. no effusion. no pneumothorax detected. mild right convex curvature of the thoracic spine and background degenerative changes noted.Write the impressions of this report findings [/INST] <num>. right upper lobe opacity suggestive of atelectasis. early pneumonia is a less likely consideration but cannot be entirely excluded. resultant partial obscuration of the right hilum noted. if clinically indicated, followup imaging to assess for evolution is recommended. <num>. in addition, followup chest radiograph in <num> weeks is recommended 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>> heart size is normal. mediastinal contour is unchanged. hilar contours are similar, with no pulmonary vascular congestion. no focal consolidation, pleural effusion or pneumothorax is seen. there are no acute osseous abnormalities. several clips are noted within the upper 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>> pa and lateral chest radiographs. lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. cardiomediastinal silhouette is normal. the imaged upper abdomen is 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 cardiac, mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. the lungs appear clear. there is moderate reversed s-shaped curvature to the visualized thoracic spine.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. lungs are clear. cardiac silhouette is normal. mildly torturous descending aorta is again noted. there are no pleural effusions.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>> the lungs are clear of focal consolidation, pleural effusion or pneumothorax. the heart size is normal. the mediastinal contours are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. this examination neither suggests nor excludes the diagnosis of pericarditis. </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 film is limited due to the patient's body habitus and underpenetration. moderate cardiomegaly is accompanied by pulmonary edema, which is slightly asymmetric right greater than left. atelectasis in the left lower lobe is stable. there are no focal consolidations that are concerning for pneumonia. no pleural effusions are appreciated.Write the impressions of this report findings [/INST] cardiomegaly and mild pulmonary edema, not much changed over <num> days. </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, pleural effusion or pneumothorax. the cardiomediastinal and hilar contours are normal. no free air. there is an apparent long standing anatomic anomaly of t<num>/t<num> vertebra.Write the impressions of this report findings [/INST] <num>. no acute cardiopulmonary process. <num>. apparent long standing anatomic anomaly of t<num>/t<num> vertebra. if the patient has symptoms, nonurgent imaging can be done. </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 resultant bronchovascular crowding. as before, there is a large right-sided pleural effusion and a small left-sided pleural effusion with adjacent atelectasis at both bases. the cardiomediastinal and hilar contours are unchanged. the endotracheal tube ends <num> cm from the carina. a left-sided internal jugular central venous line ends in the origin of the svc. the nasogastric tube courses into the stomach with the last side port just below the ge junction. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. endotracheal tube ends <num> cm from the carina. <num>. nasogastric tube ends in the stomach with the side port just below the ge junction. </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>> diffuse extensive interstitial opacities bilaterally representing severe pulmonary edema. the cardiac silhouette is top-normal in size. the mediastinal contours are not well evaluated due to background of pulmonary edema. small bilateral pleural effusions.Write the impressions of this report findings [/INST] new, severe pulmonary edema. 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>> single portable view of the chest is compared to previous exam from <unk>. left picc is in stable position with tip in the mid svc. tracheostomy tube is also seen with tip approximately <num> cm from the carina. low lung volumes are again noted. there is silhouetting of the left hemidiaphragm consistent with pleural effusion which may be smaller when compared to prior. there is probably underlying atelectasis. superiorly, the lungs are grossly clear. cardiomediastinal silhouette is stable. osseous and soft tissue structures are otherwise notable for a peg tube in the left upper quadrant. suggestion of right basilar atelectasis seen projecting over the hemidiaphragm.Write the impressions of this report findings [/INST] probable interval decrease in size of left-sided pleural effusion with underlying atelectasis or consolidation. otherwise, 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>> pa and lateral views of the chest. the lungs are clear without consolidation or pulmonary vascular congestion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>