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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 mild to moderate cardiomegaly. the mediastinal and hilar contours are unremarkable. there are small bilateral pleural effusions. pulmonary vasculature is again noted to be slightly engorged, especially at the lung bases. the left axillary pacer is present with tip terminating in the right atrium right ventricle as expected.Write the impressions of this report findings [/INST] small bilateral pleural effusions with vascular engorgement. no obvious 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>> in the interim, an ett has been placed and its tip projects over the t<num>-t<num> level. a newly placed enteric tube traverses the hemidiaphragms and its tip and side pole or project over the mid right upper quadrant in the expected region of a gas distended stomach. bilateral lower lung predominant opacities are re- demonstrated. surgical clips project over the right upper abdomen. mild dextroconvex scoliosis is unchanged. blunting of the bilateral costophrenic angles suggests bilateral small pleural effusions. nonspecific distention of multiple loops of small bowel is now seen. no pneumothorax. appearance of the cardiomediastinal silhouette and hila are unchanged.Write the impressions of this report findings [/INST] no significant change other than placement of a ett and ogt. ogt tube appears to end in the stomach which is distended with 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>> pa and lateral views of the chest are compared to previous exam from <unk>. the lungs remain clear of consolidation. note is made of bilateral nipple shadows at the lung bases. there is no effusion or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are unchanged, noting degenerative changes at the left glenohumeral joint.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>> cardiomediastinal silhouette and hilar contours are unremarkable. lungs are clear. pleural surfaces are clear without effusion or pneumothorax.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are low in volume but appear clear. there is no pleural effusion or pneumothorax. the heart is top-normal in size with normal mediastinal contours.Write the impressions of this report findings [/INST] low lung volumes without 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>> compared with <unk> at <time>, the right-sided chest tube is been removed. there does appear to a been development of a small right apical pneumothorax. otherwise, i doubt significant interval change.Write the impressions of this report findings [/INST] interval removal of right chest tube, with interval development of small right 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 lungs are well expanded and clear. there is no focal consolidation, effusion, or pneumothorax. cardiac and mediastinal contours are normal. visualized osseous structures are unremarkable.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>> large right middle lobe and lower lobe pleural effusion with presumed underlying atelectasis is new compared to prior. the size of the pleural effusion is concerning. ct of the chest can further characterize the underlying etiology. minimal interstitial edema is present in the remaining lungs. the lungs are otherwise clear. mild cardiomegaly is unchanged. the mediastinum is unchanged. no pneumothorax. left anterior eighth to tenth rib fractures. the pacemaker leads and sternotomy wires are in unchanged position.Write the impressions of this report findings [/INST] <num>. large pleural effusion in the right middle and lower lobe of unknown etiology. <num>. left <unk> to <num>th rib fractures. recommendation(s): ct of the chest can further evaluate the etiology of right-sided 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>> a left port-a-cath terminating at the cavoatrial junction is unchanged in position. the previously noted opacity overlying the right upper lung field is no longer seen. there is no lobar consolidation, pleural effusion, pneumothorax, or pulmonary edema. the cardiomediastinal silhouette is unchanged. numerous surgical clips are seen overlying the abdomen.Write the impressions of this report findings [/INST] no evidence for 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 subtle increased opacity in the left mid lung seen posteriorly on the lateral view. elsewhere, there is no confluent consolidation nor effusion. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.Write the impressions of this report findings [/INST] subtle opacity in the left lower lobe 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>> a <num> x <num> cm relatively nodular opacity is seen projecting over the right upper lung, worrisome for pulmonary lesion. right middle lobe opacity is seen which may be due to atelectasis or consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable and stable.Write the impressions of this report findings [/INST] <num> x <num> cm right upper lung nodular opacity is new since the prior study and worrisome for pulmonary lesion. recommend further evaluation with chest ct. right middle lobe consolidation versus 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>> the dobbhoff tube loops in the stomach and has its tip terminating in the approximate antrum. pulmonary vasculature remains prominent without frank pulmonary edema. mild cardiomegaly is unchanged. the mediastinal and hilar contours are stable. the aorta is tortuous and calcified. bibasilar atelectasis is stable. there is no large pneumothorax.Write the impressions of this report findings [/INST] <num>. dobbhoff tube tip terminates in the stomach <num>. stable pulmonary vascular congestion, mild cardiomegaly, and bibasilar atelectasis results telephoned to dr. <unk> by dr. <unk> at <time>, <unk>, <num> minutes after discovery. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 top normal. mediastinal and hilar contours are unchanged. the pulmonary vasculature is normal. lungs are clear. no focal consolidation, pleural effusion or pneumothorax is present. cholecystectomy clips are noted in the right upper quadrant of the abdomen. no acute osseous abnormalities are seen.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>> no definite focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable with the cardiac silhouette borderline in size.. evidence of dish is seen along the thoracic spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear. the cardiomediastinal silhouette is normal. no acute osseous abnormalities 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>> an endotracheal tube is in place, the tip is appropriately positioned, <num> cm from the level of the carina. accounting for differences in technique, a moderate right pleural effusion is unchanged. there is atelectasis of the right lower lung. a probable small left pleural effusion is also present. there is mild pulmonary edema. an ng tube is in place, the tip is not seen, off the inferior margin of the film. cardiac and mediastinal contours are unchanged.Write the impressions of this report findings [/INST] <num>. et tube in appropriate position. <num>. accounting for differences in technique, a moderate right pleural effusion is unchanged. there is mild pulmonary edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is top normal. the aorta is mildly tortuous and demonstrates calcifications of the aortic knob. the pulmonary vascularity is normal. lungs are clear. no pleural effusion or pneumothorax is identified. no displaced rib fractures are seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. no displaced rib fractures are identified. if there is continued clinical concern for rib fracture, then a dedicated rib series 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>> the cardiomediastinal and hilar contours are stable. there is no pleural effusion or pneumothorax. lungs are well-expanded with mild vascular congestion but no focal consolidation. a left picc is present with tip at the cavoatrial junction.Write the impressions of this report findings [/INST] no pneumonia.mild congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate left pleural effusion and small left apical pneumothorax is stable compared to <num> day prior. left pleural pigtail catheter is in unchanged position. multiple lung masses are again demonstrated. right lung is otherwise clear. cardiac silhouette is obscured by pleural effusion.Write the impressions of this report findings [/INST] no notable interval change. stable left hydropneumothorax. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 new endotracheal tube tip projects approximately <num> cm into the right mainstem bronchus and should be withdrawn for optimal placement above the carina. mild to moderate pulmonary edema is unchanged. moderate severe cardiomegaly is stable. right lung opacities are again noted, likely atelectasis or developing infection. bilateral pleural effusions are grossly unchanged. no evidence of pneumothorax.Write the impressions of this report findings [/INST] <num>. the new endotracheal tube has been placed into the right mainstem bronchus, and should be withdrawn for optimal placement. <num>. persistent pulmonary edema, right lung opacities, and bilateral 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 a focal opacification in the lingula. there is no pleural effusion, vascular congestion, or pneumothorax. the heart size is normal. the cardiac, hilar, and mediastinal contours are within normal limits.Write the impressions of this report findings [/INST] lingular pneumonia. these findings were relayed by dr. <unk> to dr. <unk> by phone at <time> a.m. 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>> pa and lateral views of the chest provided. ill-defined ground-glass opacity projects over bilateral upper lungs at the apices, as on prior. remainder of the lungs appear clear, though hyperinflated. left nipple shadow is noted. no pleural fusion, no pneumothorax, no edema. 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] biapical opacities persist and remain concerning for pcp or other atypical lung infection. however, if patient has been treated and opacities are not resolving, consider ct to further assess </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. cardiomediastinal silhouette is normal. no pleural effusion or pneumothorax.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>> lungs are clear. there is no 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>> posterior right base opacity is seen, which may be due to atelectasis or pneumonia. no large pleural effusion is seen. there is no pneumothorax. the cardiac silhouette is top-normal. mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] patchy posterior basilar opacity could be due to 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 patient is rotated. lungs are hypoinflated, which results in crowding of the bronchovascular structures and bibasilar atelectasis. there is mild vascular congestion without frank pulmonary edema. no pleural effusion, pneumothorax or focal airspace consolidation. heart is mildly enlarged, unchanged. left pectoral pacemaker is constant. cholecystectomy clips are again noted.Write the impressions of this report findings [/INST] unchanged, mild vascular congestion without overt 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] dual lead left-sided pacer with leads terminating over the expected location of the right atrium and right ventricle, respectively. cardiac and mediastinal contours are within normal limits. lungs appear well inflated without evidence of focal airspace consolidation, pulmonary edema, pleural effusions or 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>> frontal and lateral chest radiographs demonstrate clear well expanded lungs. there is interval improvement in pulmonary vascular congestion. there is no pleural effusion, or pneumothorax. the cardiac silhouette remains moderately enlarged. the mediastinal contours are notable for aortic tortuosity and prominent contours of the pulmonary arteries.Write the impressions of this report findings [/INST] moderate cardiomegaly, with no acute chest 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. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities 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>> cardiac silhouette size is normal. leftward deviation and narrowing of the trachea at the level of the thoracic inlet due to a right upper paratracheal mass is re- demonstrated, better assessed on the recent ct. multiple clips are again noted within the right neck. hilar contours are unremarkable. pulmonary vasculature is not engorged. known metastases within the lungs, the largest within the left lower lobe and left upper lobe, are also better assessed on the recent ct. remainder of the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is present. hypertrophic changes are seen throughout the thoracic spine.Write the impressions of this report findings [/INST] <num>. re- demonstration of leftward tracheal deviation and narrowing at the level of the thoracic inlet due to known right upper paratracheal mass, better assessed on recent ct. <num>. known pulmonary metastases are better assessed on recent ct. no new focal consolidation 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>> stable right mid lung opacity at the site of the patient's known right lung mass which was recently biopsied via bronchoscopy. otherwise, the lungs are clear. no new focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette and hila are unchanged from the prior exam. no acute osseous abnormality.Write the impressions of this report findings [/INST] <num>. stable right lung opacity, post-biopsy. <num>. 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's known dominant right upper lobe mass is difficult to completely ascertain; however, there are clearly parenchymal abnormalities within the lungs in the right upper lobe, left upper lobe as well as probable right lower lobe, better appreciated on the chest ct. there is no evidence of pneumonia. there may be a small right pleural effusion. the cardiac size is normal. the aorta is tortuous. no pneumothorax.Write the impressions of this report findings [/INST] known malignancy better appreciated on ct, but the parenchyma is clearly abnormal in multiple areas. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 tiny catheter tip projects over the upper svc, unchanged <num>. left ij catheter tip also unchanged. ett in standard position. median sternotomy wires and replaced aortic valve appear intact. lungs are well-aerated. right lower lobe opacity has nearly resolved in the interim. the large pleural effusion. no pneumothorax. cardiomediastinal silhouette is normal. edema has improved.Write the impressions of this report findings [/INST] interval resolution of right lower lobe opacity and decrease in edema and 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 right-sided picc terminates in the mid svc. the appearance of the lungs is stable compared to prior, with left basilar opacities representing a combination of atelectasis and pleural fluid. there is a stable postoperative appearance of the cardiomediastinal silhouette. no evidence of pneumothorax.Write the impressions of this report findings [/INST] <num>. right picc in appropriate position. <num>. stable left basilar atelectasis and pleural effusion. <num>. stable postoperative appearance of the cardiomediastinal 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>> lung volumes low and the lungs clear. cardiomegaly is mild and stable <unk>. mediastinal contours and hila are normal. no pleural effusion or pneumothorax.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>> single upright view of the chest and upper abdomen. no prior. relatively low lung volumes are seen. the lungs, however, are grossly clear. the cardiomediastinal silhouette is within normal limits given low inspiratory effort. no acute osseous abnormality identified. no free air is seen below the diaphragm.Write the impressions of this report findings [/INST] no definite acute cardiopulmonary process. no free intraperitoneal 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>> overlying ekg leads are noted. lung volumes are low. allowing for this, the lungs appear clear. no focal consolidation, effusion or convincing signs of edema. cardiomediastinal silhouette appears normal. bony structures are intact.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, mediastinal and hilar contours are normal. lungs are clear. small left pleural effusion is present and has decreased in size since the previous chest radiograph. there is no evidence of right pleural effusion or pneumothorax. no acute, displaced rib fracture is identified, but a portion of the lower right lateral rib cage has been excluded from the study and cannot be evaluated. compression fracture at thoracolumbar junction, unchanged since prior study.Write the impressions of this report findings [/INST] <num>. no evidence of pneumonia or pleural abnormality in the right lung to account for the patient's symptoms. if a rib fracture is suspected clinically, dedicated rib radiographs may be considered. <num>. small left pleural effusion, decreased since <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 size is normal. small left pleural effusion has increased in size compared to the prior exam. the hilar and mediastinal contours are stable. the lungs are otherwise clear without evidence of focal consolidations concerning for pneumonia. there is mild left basilar atelectasis. left-sided pacer leads are in appropriate position. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] interval increase in a small left pleural effusion with adjacent atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. there is indistinctness of the pulmonary vasculature suggesting mild interstitial edema. there is no effusion or confluent consolidation. cardiac silhouette is enlarged but unchanged. atherosclerotic calcifications noted at the aortic arch. no acute osseous abnormality detected.Write the impressions of this report findings [/INST] mild interstitial edema without confluent 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. lungs are clear bilaterally. no pleural effusion or pneumothorax. cardiomediastinal silhouette normal. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] no acute findings in the chest. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. linear opacities overlying the right lower lobe likely represents subsegmental atelectasis. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is normal.Write the impressions of this report findings [/INST] <num>. mild bibasilar atelectasis. <num>. 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 cardiac silhouette is normal in size. the hilar and mediastinal contours are within normal limits. 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>> frontal and lateral chest radiographs demonstrate a normal cardiomediastinal silhouette and well-aerated lungs which are clear. there is no focal consolidation, pleural effusion, or pneumothorax. the visualized 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>> in comparison to the prior exam, the lung volumes are low, accentuating the vascular structures. there is a hazy opacity at the right base, which given the low lung volumes, is likely atelectasis, although in the proper clinical setting, pneumonia cannot be fully excluded. there is no evidence of pulmonary edema, pleural effusion or pneumothorax. the heart is mildly enlarged, and stable from the prior exam. tortuosity of the aorta is unchanged. the mediastinal contours are within normal limits. moderate upper thoracic dextroscoliosis is stable. rib deformities on the right reflect old healed injuries.Write the impressions of this report findings [/INST] <num>. hazy opacification at the right base, in the setting of low lung volumes, is likely atelectasis. in the proper clinical setting, pneumonia cannot be completely excluded. <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>> the patient is somewhat rotated. the lungs remain hyperinflated. biapical pleural thickening is noted. no new focal consolidation is seen. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable. partially imaged bilateral humeral prostheses 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>> an endotracheal tube terminates <num> cm above the carina. an enteric tube is seen within the stomach and could be advanced <num>-<num> cm for appropriate placement. no focal consolidation, pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. endotracheal tube terminates <num> cm above the carina. enteric tube could be advanced <num>-<num> cm for appropriate position. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart size is normal. the hilar and mediastinal contours are unremarkable. the lung volumes are low. note is made of bibasilar atelectasis. no focal consolidations concerning for infection is identified. there are no pleural effusions or pneumothoraces. the visualized osseous structures are unremarkable.Write the impressions of this report findings [/INST] no focal consolidations concerning for infection. 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>> 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>> a moderate to large right pleural effusion is present. compressive right basilar atelectasis is also demonstrated. heart size is difficult to assess given the presence of this effusion. mediastinal and hilar contours are unremarkable. left lung is clear. no left-sided pleural effusion is present. no pneumothorax or pulmonary vascular congestion is seen. the osseous structures are unremarkable.Write the impressions of this report findings [/INST] moderate to large right pleural effusion with right basilar atelectasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are well expanded and clear. cardiomediastinal and hilar contours are unremarkable. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] normal chest radiographic examination. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> status post extubation and orogastric tube has been removed. ill-defined opacity at the left lung base obscuring the diaphragm margin is new since <unk> and is concerning for aspiration. pleural effusion if any is very minimal on the left side. otherwise, there are no interval changes in the lungs. heart size, mediastinal and hilar contours are normal. there is no pneumothorax.Write the impressions of this report findings [/INST] left lung base opacity new since <unk>, is concerning for aspiration. presumed 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>> as compared to the previous radiograph, post radiation changes at the right apex and bilateral hilar enlargement is stable. heart is normal in size. lungs are otherwise clear. there is no pleural effusion or pneumothorax.Write the impressions of this report findings [/INST] <num>. stable post radiation changes, without evidence of pneumonia. <num>. pulmonary arterial hypertension. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. the opacity in the medial right lung base is decreased slightly in conspicuity in the interval, consistent with resolving abscess. a small area of consolidation is again seen in the left mid lung, unchanged from prior exam. no pleural effusions are smaller than on prior exam. there is no pneumothorax. the cardiomediastinal silhouette is stable from prior exam. endobronchial bowel is again noted in the right lung.Write the impressions of this report findings [/INST] <num>. decrease conspicuity of right medial lung base opacity, consistent with resolving abscess. <num>. small area of consolidation in the left mid lung, unchanged from prior 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>> a left picc is in place with the tip terminating at the cavoatrial junction. the lungs are symmetrically well expanded and well aerated. there is an ill-defined airspace opacity projecting over the left mid lung zone, which is decreased from the prior study. the left lung base is better aerated. no pleural effusion or pneumothorax is present. biapical scarring appears symmetrical. there is no overt pulmonary edema. the cardiomediastinal and hilar contours are within normal limits. there is no free air beneath the right hemidiaphragm.Write the impressions of this report findings [/INST] <num>. focal airspace opacity in the right mid lung most likely represents residual/resolving infection. <num>. no evidence of 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>> ap supine portable chest radiograph is obtained. overlying ekg leads are present, somewhat limiting the evaluation. however, allowing for this, there is no focal consolidation, effusion, or pneumothorax seen. cardiomediastinal silhouette is normal. bony structures are intact.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>> ap portable semi upright view of the chest. left upper extremity picc line again noted with unchanged position in the distal left brachiocephalic vein. tracheostomy projects over the superior mediastinum. area of partially calcified consolidation in the right lower lobe is grossly unchanged better assessed on prior ct. streaky left lower lobe opacity likely represents atelectasis. blunting of the right cp angle may indicate a small right pleural effusion. no large pneumothorax. cardiomediastinal silhouette is unchanged. no acute bony abnormalities.Write the impressions of this report findings [/INST] findings as above. no convincing signs of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> low lung volumes are again seen on the current exam. increased opacity at the lung bases particularly on the lateral may be secondary to atelectasis given lower lung volumes, the frontal view is relatively clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] limited exam. bibasilar opacities particularly on the lateral view could represent atelectasis in the setting of low lung volumes although 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>> frontal and lateral views of the chest were obtained. the heart size and cardiomediastinal contours are normal. lung volumes are low. small opacity obscuring the left posterior costophrenic angle could represent consolidation or effusion. no pneumothorax.Write the impressions of this report findings [/INST] small opacity obscuring the left posterior cp angle could represent consolidation or effusion. no 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 clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. as on the previous ct neck and there is substantial prominence of the azygos vein that might potentially represent congenital abnormality such as interrupted inferior vena cava, please correlate with outside imaging if available.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. prominent azygos vein, potentially representing interrupted ivc with azygos vein drainage of the lower body. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the lungs are clear. the cardiomediastinal silhouette is within normal limits. 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>> the exam is limited secondary to the patient position. within these limitations, the visualized lung fields do not have any focal opacities, pleural effusions or pneumothorax seen. there has been interval removal of a right picc line. the cardiac and mediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] limited secondary to patient position. no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. lungs are clear though volumes are low. cardiomediastinal silhouette appears stable and normal. multiple calcified mediastinal lymph nodes are noted. no large effusion or pneumothorax. no signs of congestion or edema. the aorta is slightly unfolded. bony structures are intact.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>> right-sided port-a-cath tip terminates at the low svc. heart size is normal. mediastinal and hilar contours are unremarkable. pulmonary vasculature is not engorged. bronchiectasis with associated patchy opacity in the right lower lobe is similar compared to the recent ct. left lung is clear except for unchanged left upper lobe <num> mm pulmonary nodule. other previously seen pulmonary nodules on ct are not well assessed on the current radiograph. no new focal consolidation, pleural effusion or pneumothorax is present. right eleventh expansile lytic rib lesion is re- demonstrated. thoracolumbar fixation devices are re- demonstrated in the osseous structures are diffusely demineralized unchanged appearance of compression deformities at the t<num> and t<num> vertebral bodies.Write the impressions of this report findings [/INST] patchy right lower lobe opacity with bronchiectasis, similar to the prior ct, which may reflect post radiation change or inflammation. no new focal consolidation. similar appearance of right eleventh rib lytic metastasis. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 with the prior study, the appearance is grossly unchanged. again seen is tracheostomy tube and right subclavian and left ij central lines, similar in appearance. no pneumothorax is detected, allowing for obscuration of the lung apex by the overlying mass. again seen are diffuse interstitial and alveolar opacities throughout both lungs, with increased retrocardiac density and obscuration of both hemidiaphragms. probable right and suspected left pleural effusions. the appearance is compatible with pulmonary edema and bi basilar effusions, but the possibility of an associated pneumonic infiltrate cannot be excluded.Write the impressions of this report findings [/INST] doubt significant change compared with <unk> at <time> </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 exam, there are new moderate bilateral pleural effusions. additionally, there is haziness at the right base, which could be pneumonia or aspiration. alternatively, it could be compressive atelectasis related to the effusions. the interstitial markings are increased, likely due to mild edema and lower lung volumes. atherosclerosis of the aortic arch is unchanged. mild cardiomegaly is stable. there is no pneumothorax.Write the impressions of this report findings [/INST] <num>. new small-to-moderate bilateral pleural effusions. <num>. more focal hazy opacification of the right base may be aspiration or pneumonia. <num>. mildly increased interstitial markings consistent with mild edema. results were discussed with the emergency room attending at <time> a.m. on <unk> via telephone by dr. <unk> at the time the findings were discovered. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 port-a-cath terminates within the mid svc. there is no evidence of focal consolidation, pleural effusion, pneumothorax, or pulmonary edema. asymmetry of the breast shadows is noted, unchanged from prior. the cardiomediastinal silhouette is within normal limits.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided. there is a subtle nodular opacity at the right lung apex projecting at the overlap between the right clavicle and right first rib, appears more conspicuous than on prior exam, possibly a pulmonary nodule. please correlate with nonemergent chest ct. otherwise lungs are clear. there is no pleural effusion, 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] subtle nodular opacity at the right lung apex for which nonemergent chest ct may be performed to further assess. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 nasogastric tube has been exchanged and can be followed to the diaphragmatic inlet where it may terminate possibly in the distal esophagus. there is a large left-sided pleural effusion. allowing for suspected differences in orientation, there is no definite change in its size. there is similar mild rightward shift of mediastinal structures and a moderate pleural effusion is probably unchanged on the right. opacification appears increased in the left lower lung with new total opacification of the superior segment, in addition to a substantial suspected pleural effusion and consolidation or atelectasis of the left lower lobe and lingula.Write the impressions of this report findings [/INST] increasing opacification of the left lower hemithorax reflecting a persistent moderate-to-large pleural effusion and suspected consolidation or atelectasis involving the lingula and left lower lobe, now involving the superior segment. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 of consolidation or effusion. 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>> ap upright and lateral views of the chest provided. previously noted right upper extremity access picc line is been removed. cardiomegaly is again seen. lung volumes are low though allowing for this the lungs appear clear. no convincing signs of edema though mild congestion is suspected. mediastinal contour is stable. no pneumothorax or pleural effusion. bony structures are intact with chronic degenerative disease at bilateral shoulder.Write the impressions of this report findings [/INST] stable cardiomegaly with probable mild congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> a port-a-cath terminates in the upper right atrium, as before. the heart is normal in size. the mediastinal and hilar contours appear within normal limits. there is no pleural effusion or pneumothorax. moderate relative elevation of the right hemidiaphragm appears similar. there is blunting of the right costophrenic sulcus which appears unchanged. correlating with the recent prior ct, there has been no definite change and this appearance seems to be due to scarring in the costophrenic sulcus rather than a pleural effusion. the lungs appear clear. surgical clips project about the epigastrium. the bony structures are unremarkable.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>> there is a retrocardiac lucency with a thick wall. question if this is related to a hiatal hernia, but none seen on prior barium swallow study. does not appear to correspond to known epiphrenic diverticula. cannot exclude a pulmonary process. linear atelectasis is seen in the left mid lung. there is no effusion or pneumothorax. the there is mild cardiomegaly. there are old right sided rib deformites.Write the impressions of this report findings [/INST] retrocardiac lucency with a thick wall. question whether this is related to a hiatal hernia, but given that none was seen on the prior barium swallow, pulmonary process not excluded. pa and lateral views or ct scan of the chest may be helpful to further evaluate. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 with chest radiograph from <unk>, bilateral pleural effusions are again seen, with minimal improvement on the right. left pleural effusion is unchanged and appears loculated. moderate central vascular congestion with mild interstitial pulmonary edema is unchanged. left-sided cardiac pacing device with dual leads following their expected courses to the right atrium and right ventricle, respectively. median sternotomy wires, mediastinal clips and a prosthetic mitral valve is seen. mediastinal and hilar contours are stable. moderate cardiomegaly is unchanged.Write the impressions of this report findings [/INST] stable cardiomegaly with small pleural effusions unchanged, left greater than right. congestion and mild interstitial edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable and 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>> the cardiomediastinal and hilar contours are stable. the lungs are grossly clear, except for mild atelectasis in the right base. no focal consolidation, pleural effusion, or pneumothorax. there has been improvement in the previously noted pulmonary vascular engorgement. an electronic rectangular device overlying the left chest is again seen, similarly to the prior chest radiograph. mild compression deformities of the thoracic spine are unchanged since <unk>.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>> mild enlargement of the cardiac silhouette is relatively unchanged. the mediastinal and hilar contours are unremarkable. there is no focal consolidation, pleural effusion or pneumothorax. linear opacity within the anterior aspect of the upper lobe, possibly in the left upper lobe, is best seen on lateral view, and is compatible with subsegmental atelectasis. while there may be mild pulmonary vascular congestion, no overt pulmonary edema is seen. mild degenerative changes of the thoracic spine are visualized. clips are seen within the upper abdomen on the lateral view.Write the impressions of this report findings [/INST] mild pulmonary vascular congestion. subsegmental atelectasis within likely the left upper lobe. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> moderate to severe cardiomegaly is re- demonstrated, unchanged. the mediastinal contour appears similar. perihilar haziness is present along with mild to moderate pulmonary edema, similar to that seen on the prior study. no large pleural effusion, focal consolidation, or pneumothorax is present. there is probable bibasilar atelectasis. no acute osseous abnormalities detected.Write the impressions of this report findings [/INST] unchanged moderate to severe cardiomegaly with mild to 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>> endotracheal tube ends <num> cm from the carina. enteric tube ends off the imaged portion. low lung volumes crowd the pulmonary vasculature. there is likely mild pulmonary edema. no large pleural effusions or pneumothorax.Write the impressions of this report findings [/INST] enteric tube ends off the inferior portion of the image, it at least reaches the lower part of the stomach. there is likely mild 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 radiograph of the chest shows interval intubation with the endotracheal tube tip approximately <num> cm from the carina. the right internal jugular catheter tip projects at the low svc. the enteric tube is appropriately positioned. lung volumes have improved since the prior study with pulmonary vascular prominence and evidence of mild congestive heart failure. otherwise, the cardiac and mediastinal contours are unchanged. no pneumothorax.Write the impressions of this report findings [/INST] satisfactory positioning of endotracheal tube with evidence of mild 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>> no focal opacity to suggest pneumonia is seen. no pleural effusion, pulmonary edema, or pneumothorax is present. there is elevation and eventration of the left hemidiaphragm. the heart size is normal.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> single portable view of the chest demonstrates mild cardiomegaly. opacities at the right lower lobe as well as retrocardiac areas are likely atelectasis. no large pleural effusion or pneumothorax. old rib deformities are noted on the left.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>> patient is rotated to the left. the lungs are clear without consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities, hypertrophic changes seen in the spine.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiac silhouette is normal. there is no pleural effusion or pneumothorax. mediastinal contour is unremarkable. there is left upper lobe nodular opacities, not seen in <unk>. there is no focal consolidation. no acute osseous abnormality.Write the impressions of this report findings [/INST] no evidence of pneumonia or pneumothorax. left upper lobe nodular opacities, a nonemergent chest ct can 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>> the lungs are well expanded. there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. the bones 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 clear without focal consolidation, effusion, or edema. mild cardiac enlargement is noted. tortuosity of descending thoracic aorta is noted. no acute osseous abnormalities.Write the impressions of this report findings [/INST] mild 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>> mild to moderate enlargement of the cardiac silhouette is re- demonstrated. atherosclerotic calcifications of the aortic arch are present, and mediastinal contours are unchanged. mild pulmonary edema is slightly improved in the interval. bibasilar patchy opacities likely reflect atelectasis, and there are likely trace bilateral pleural effusions, not changed from prior. no pneumothorax is detected. there are no acute osseous abnormalities.Write the impressions of this report findings [/INST] mild pulmonary edema, slightly improved in the interval, with continued small bilateral pleural effusions and 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>> there is redemonstration of a left apical pneumothorax approximately <num> cm in craniocaudal dimension, previously measuring <num> cm. allowing for differences in technique and position, this could represent a minimal increase in size. there is no mediastinal shift. no focal consolidation or pleural effusion is identified. the cardiac and mediastinal silhouettes are normal. there is redemonstration of a left clavicular fracture.Write the impressions of this report findings [/INST] redemonstration of left apical pneumothorax measuring approximately <num> cm in craniocaudal dimension, allowing for differences in technique and position this could represent a minimal increase in size when compared to prior examination. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without any focal opacities, pleural effusion, pulmonary edema or pneumothorax. the heart and mediastinal contours are normal. no rib fractures are seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process or rib fractures. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are within normal limits. the lung fields are clear. there is no pneumothorax or pleural effusion. no fracture. limited assessment of the abdomen is unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. lungs are hyperinflated. there is no focal consolidation, large effusion or pneumothorax seen. cardiomediastinal silhouette appears normal. imaged bony structures are intact. no acute osseous abnormality.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>> ap portable upright view of the chest. right ij access dialysis catheter again seen with tip extending into the right cavoatrial junction. there is mild pulmonary vascular congestion and probable mild interstitial pulmonary edema. there is no focal consolidation concerning for pneumonia. no large effusion or pneumothorax. the cardiomediastinal silhouette is unchanged. bony structures are intact. vascular calcifications are present.Write the impressions of this report findings [/INST] pulmonary congestion and mild interstitial edema. no convincing signs of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal silhouette and pulmonary vasculature are unremarkable. there is no pneumothorax or pleural effusion. the lungs are clear. a convex density is noted along the right paraspinal region, and is of unclear etiology.Write the impressions of this report findings [/INST] <num>. no pneumonia. <num>. convex opacity along right paraspinal contour just above the right hemidiaphragm. follow up with non-emergent ct scan is recommended to exclude a posterior mediastinal abnormality. recommendation(s): convex opacity along right lower paraspinal region. follow up with non-emergent ct scan is recommended to exclude a mediastinal 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>> no significant change from the prior radiograph performed yesterday. mildly hyperinflated lungs, clear lungs.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 basilar atelectasis and bilateral pleural effusion appear less prominent, which may be partially due to patient position. no new consolidation. no pneumothorax. moderate cardiomegaly is unchanged. the mediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] slight improvement of right basilar atelectasis and bilateral pleural effusion, probably partially due to patient position. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the og tube terminates in the upper to mid stomach. the left-sided picc terminates at the mid svc. <num> chest tubes remain in place with no evidence of pneumothorax. diffuse bilateral pulmonary opacifications consistent with pulmonary edema appear grossly unchanged from prior. the possibility of superimposed pneumonia is extremely difficult to exclude in this setting. again seen are the previously described left rib fractures.Write the impressions of this report findings [/INST] the og tube terminates in the upper to mid stomach. study is otherwise grossly 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>> the lungs are overinflated but clear which likely reflect underlying copd. the cardiomediastinal silhouette, hilar contours, and pleural surfaces are normal. there is no pleural effusion or pneumothorax. visualized upper abdomen is unremarkable. there is unchanged severe compression deformity of the t<num> vertebral body.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process.overinflation of the lungs likely reflects underlying copd. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 aorta is tortuous. there is no focal consolidation, pulmonary vascular congestion, pulmonary edema, pneumothorax, or pleural effusion. there is stable mild cardiomegaly. kyphosis and multilevel mild compression deformities are unchanged dating back to <unk>.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> when compared to prior, the opacity at the right lung base has essentially resolved. the lungs are clear of consolidation, effusion or overt pulmonary edema. cardiac silhouette is slightly enlarged, but similar in configuration. atherosclerotic calcifications noted at the aortic arch. 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>> a portable semi-erect frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea, left picc terminating in the mid to low svc, and enteric tube terminating in the stomach. bilateral pigtail catheters are unchanged in position. heart size remains moderately enlarged. there is increased left pleural effusion. the right pleural effusion is likely unchanged. there is no focal consolidation or pneumothorax.Write the impressions of this report findings [/INST] moderate bilateral pleural effusions, right greater than left, increased slightly on the right, and substantially on the left since <unk>. no pneumothorax. otherwise unchanged exam. </s>