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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>> mild cardiomegaly is unchanged. there is no focal consolidation, pleural effusion, vascular congestion, or pneumothorax. no fracture is identified. multilevel degenerative changes of the thoracic and upper lumbar spine are grossly similar from <unk>.Write the impressions of this report findings [/INST] no acute cardiopulmonary process or 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>> pa and lateral views of the chest are provided. lungs appear clear bilaterally, allowing for underpenetrated technique on the frontal radiograph. no effusion or pneumothorax. cardiomediastinal silhouette is stable. hardware in the lower c-spine noted. otherwise, bony structures appear unremarkable.Write the impressions of this report findings [/INST] no acute findings. 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>> left chest wall port is seen with catheter tip in stable position. the lungs are relatively hyperinflated and there is biapical scarring. linear left lower lobe scarring is again noted. there is no focal consolidation, effusion, or edema. compression deformities in the thoracic spine are grossly unchanged from prior. degenerative changes noted at the left shoulder. surgical clips again noted in the right upper quadrant.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 lung volumes are low with adjacent bibasilar compressive atelectasis. the heart size is difficult to evaluate due to low lung volumes. mediastinal silhouette and hilar contours are unremarkable. lungs are otherwise clear. there is no pleural effusion or pneumothorax. the osseous structures are grossly unremarkable.Write the impressions of this report findings [/INST] low lung volumes with bibasilar atelectasis. no focal consolidation worrisome for pneumonia. no 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>> 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.Write the impressions of this report findings [/INST] no acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest. the biapical fibrosis and bronchiectasis, right greater than left, representing scarring is unchanged. mild cardiomegaly is stable. there is no evidence of pneumonia. no pleural effusion. no pneumothorax. mediastinal and hilar contours are normal and stable.Write the impressions of this report findings [/INST] <num>. no evidence of pneumonia. chronic biapical scarring and pleural thickening is stable. <num>. mild cardiomegaly is stable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is no focal consolidation, pleural effusion or pneumothorax. the cardiomediastinal silhouette is normal. bones are intact. 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>> pa and lateral views of the chest were reviewed and compared to the prior studies. the lung volumes have severely decreased since <unk>. moderate right middle and lower lobe atelectasis and mild left lower lobe atelectasis is new since <unk>. otherwise, the lungs are clear without evidence of pulmonary edema or vascular congestion. there is no pleural effusion or pneumothorax. the cardiac and mediastinal contours are stable.Write the impressions of this report findings [/INST] <num>. severely decreased lung volumes are new since <unk>. <num>. moderate right middle and lower lobe atelectais and mild left lower lobe atelectasis is new since <unk>. <num>. clear lungs without evidence of pulmonary edema or vascular congestion. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest: the lungs are clear. there is no pleural effusion or pneumothorax. there is no focal airspace consolidation to suggest pneumonia. the heart size is normal mediastinal contour 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 lungs are normally expanded and clear. the heart is not enlarged. the mediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. there is no pulmonary edema. surgical clips project over the right anterior chest. there is an incompletely healed right rib fracture.Write the impressions of this report findings [/INST] no convincing evidence of pneumonia or other acute cardiopulmonary abnormality. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs clear. cardiac silhouette is normal. no pleural effusion or pneumothorax.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>> frontal and lateral views of the chest were obtained. there are diffuse increased interstitial markings bilaterally, as also seen in prior study. however, on the lateral view they seem slightly more prominent compared to the prior study and i cannot exclude an acute-on-chronic process. mild left base atelectasis/scarring is seen. no pleural effusion or pneumothorax. cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] diffuse increased interstitial markings bilaterally seen on the prior study; the frontal view appears similar to the prior study, although the lateral view suggests possible mild increase in the markings and thus an acute-on-chronic process may be present. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> bilateral lung volumes are low. bibasilar lung opacities likely atelectasis, left side more than right, and mild to moderate left pleural effusion is present. because of the left lower lung opacities obscuring the cardiac margin, assessment of heart was limited. mediastinal and hilar contours are normal.Write the impressions of this report findings [/INST] bibasilar atelectasis, left side more than right, and minimal-moderate 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>> low lung volumes are present. the lungs and pleural spaces are clear without evidence of pneumothorax or pleural effusions. no focal consolidations are seen. there is tortuosity of the thoracic aorta. the heart is normal in size. visualized bowel gas pattern is nonspecific and osseous structures are grossly 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>> lung volumes are low. the lungs are clear. heart size and mediastinal contours are normal. there is no pleural effusion or pneumothorax. osseous structures are intact.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral radiographs of the chest were acquired. the lungs are clear. the cardiac and mediastinal contours are normal. there are no pleural effusions. no pneumothorax is seen.Write the impressions of this report findings [/INST] no acute cardiac or pulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. lung volumes are low. bronchovascular crowding limits assessment for mild pulmonary edema. there is no large effusion or pneumothorax. no focal consolidation concerning for pneumonia. the heart size appears top-normal likely due to technique. chronic right posterior rib deformities again seen. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] low lung volumes with possible 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 and lateral views of the chest were obtained. left base opacity likely represents combination of pleural effusion and atelectasis with underlying consolidation. right base opacity is seen which may be due to atelectasis and possible consolidation. the cardiac silhouette is mildly enlarged. the aorta is somewhat tortuous.Write the impressions of this report findings [/INST] left base opacity may be due to combination of pleural effusion and atelectasis with consolidation. patchy right base opacity may be a second focus of consolidation versus possible 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>> ap and lateral views of the chest. no prior. there is a focal peripheral opacity in the left mid lung laterally with configuration suggesting that it is pleural-based. the lungs are otherwise clear. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormality is identified.Write the impressions of this report findings [/INST] approximately <num> cm likely pleural-based mass on the left. dedicated chest ct can be performed to further characterize. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest were provided. there has been interval extubation and removal of the ng tube. there are tiny bilateral pleural effusions. the lungs are clear without signs of consolidation. cardiomediastinal silhouette appears grossly unremarkable. the imaged bony structures appear intact. surgical drain is partially imaged in the upper abdomen. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] tiny bilateral pleural effusions. 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>> there is small area of consolidation in the left lung base in retrocardiac region which may be atelectasis, however pneumonia is possible in correct clinical setting. cardiac silhouette is again accentuated by low lung volume. there is no pulmonary edema. left picc terminates in low svc.Write the impressions of this report findings [/INST] there is small area of consolidation in the left lung base which may be atelectasis, however pneumonia is possible in correct clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs remain hyperinflated. bibasilar atelectasis is seen. no definite focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] no 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 provided. there has been interval removal of the right ij central venous catheter. there is no focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is stable with mild cardiomegaly. imaged osseous structures are intact. dish related changes of the t-spine noted. no free air below the right hemidiaphragm is seen.Write the impressions of this report findings [/INST] mild cardiomegaly, otherwise unremarkable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the heart is at the upper limits of normal size. the mediastinal and hilar contours appear within normal limits. patchy right infrahilar opacity has remained the same and so is probably due to minor atelectasis or scarring. otherwise, the lungs appear clear. there are no pleural effusions or pneumothorax. slight degenerative changes are similar along the thoracic spine.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lungs are hyperinflated. there is no focal consolidation, effusion or pneumothorax. moderate to severe cardiomegaly noted without signs of edema or pulmonary vascular congestion. the thoracic aorta is tortuous. the bilateral hila are unremarkable. there are tiny bilateral layering pleural effusions. there is biapical pleural parenchymal scarring. bones are diffusely demineralized. there is a lower thoracic compression fracture with mild kyphotic angulation noted. please refer to same day mr spine for further details. chronic deformity of the sternum noted appearWrite the impressions of this report findings [/INST] <num>. cardiomegaly, tiny pleural effusions. <num>. no overt evidence for pneumonia or edema. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal chest radiographs demonstrate low lung volumes, bilateral moderate pleural effusions and bibasilar atelectasis. the cardiomediastinal silhouette cannot be well evaluated due to these other findings, but the heart does not appear enlarged. mild pulmonary vascular congestion is also noted with some fluid within the minor fissure.Write the impressions of this report findings [/INST] mild pulmonary edema with bibasilar atelectasis. 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>> frontal and lateral views of the chest demonstrate normal cardiomediastinal silhouette. the lungs are well expanded and clear. there is no pneumothorax, vascular congestion, or pleural effusion.Write the impressions of this report findings [/INST] no evidence of pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> heart size is mildly enlarged. atherosclerotic calcifications are noted at the aortic knob. pulmonary vasculature is indistinct, and there is diffuse parenchymal opacification in the right lung, as well as patchy opacity in the left lung base. no pleural effusion or pneumothorax is present. moderate multilevel degenerative changes are seen in the thoracic spine.Write the impressions of this report findings [/INST] diffuse parenchymal opacity in the right lung and patchy left basilar opacity along with vascular indistinctness, findings suggestive of asymmetric pulmonary edema. multifocal infection, however, is not excluded in the correct clinical setting. consider follow up radiographs after diuresis for further assessment. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> frontal and lateral chest radiographs demonstrate an unremarkable cardiomediastinal and hilar contours. there are minimal atelectatic changes noted in the left lower lung without focal opacification concerning for pneumonia. no pleural effusion or pneumothorax evident. no osseous abnormality is identified.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are within normal limits. the lungs are clear. there are no pleural effusions or pneumothorax. there is no definite soft tissue swelling or abnormalities in the right clavicle.Write the impressions of this report findings [/INST] no radiographic evidence of an acute cardiopulmonary process. no definite right clavicular abnormalities or soft tissue swelling. however, if clinical symptoms persist, further followup is recommended with ultrasound or ct. these findings were discussed with dr. <unk> by dr. <unk> via telephone on <unk> at <num> p.m., at time of 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>> a portable frontal chest radiograph demonstrates a right pigtail catheter within the right pleural fluid collection which is likely unchanged in size, allowing for changes in patient position. the remainder of the exam is unchanged, including retrocardiac atelectasis. the cardiomediastinal silhouette is similar in appearance. there is no pneumothorax.Write the impressions of this report findings [/INST] unchanged chest radiograph demonstrating a moderate right 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>> frontal and lateral views of the chest. no prior. the lungs are clear of consolidation, effusion, or pulmonary vascular congestion. cardiomediastinal silhouette is within normal limits. osseous and soft tissue structures are grossly unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. no findings suggestive of congestive 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>> frontal and lateral views of the chest demonstrate low lung volumes. retrocardiac consolidation is seen on the lateral view projecting over spine. hilar and mediastinal silhouettes are unchanged. tortuous descending aorta is noted. aortic arch calcifications are seen. moderate cardiomegaly is stable. mild pulmonary vascular congestion is present. eventration of the right hemidiaphragm is unchanged.Write the impressions of this report findings [/INST] left lung base consolidation may represent atelectasis or infection in the appropriate clinical setting. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> sternotomy wires are intact. low lung volumes with mild bibasilar atelectasis, left greater than right and small bilateral pleural effusions. interval decrease in vascular congestion. aortic valve replacement noted. no pneumothorax, pulmonary edema, or new focal opacity. heart size is top normal with normal mediastinal contour and hila. no bony abnormalities.Write the impressions of this report findings [/INST] mild bibasilar atelectasis, left greater than right with small bilateral pleural effusions. 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 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>> pa and lateral views of the chest. no prior. lungs are clear. there is no effusion or pneumothorax. 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>> heart size is normal. the mediastinal and hilar contours are normal. the pulmonary vasculature is normal. there is an interstitial process seen throughout both lungs as well as a more confluent area of consolidation involving the right lower lobe chest above infection, possibly atypical. no pleural effusion or pneumothorax is seen.Write the impressions of this report findings [/INST] diffuse interstitial prominence seen throughout both lungs as well as a area of consolidation involving the right lower lobe concerning for infection, possibly atypical. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 reviewed. cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. lungs are well expanded with no focal consolidation concerning for pneumonia. pulmonary vasculature is within normal limits. mild dextroscoliosis of the thoracic spine is noted.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral views of the chest provided demonstrate diffuse pulmonary opacity involving the mid to lower lung, superimposed on a background of interstitial lung disease. no large effusion is seen. no pneumothorax is present. heart size appears grossly unremarkable, though difficult to visualize on the lateral view. mediastinal contour is normal. bony structures are intact.Write the impressions of this report findings [/INST] findings concerning for pulmonary fibrosis with superimposed pneumonia in the mid-to-lower lungs. followup to resolution is advised. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> central venous catheter terminates with tip projecting beyond the superior cavoatrial junction into the right atrium. the lungs are somewhat low in volume but clear. there is no pleural effusion or pneumothorax. the heart is normal in size with normal mediastinal contours. vague right apical opacity can be assessed by non-emergent ct.Write the impressions of this report findings [/INST] <num>. no acute intrathoracic process with central venous catheter tip in the right atrium. <num>. vague right apical opacity can be assessed by non-emergent 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>> left-sided port-a-cath is re- demonstrated with tip in the proximal right atrium, unchanged. lung volumes remain low with moderate enlargement of the cardiac silhouette appearing unchanged. mediastinal and hilar contours are unremarkable. crowding of the bronchovascular structures is present though no overt pulmonary edema is seen. linear opacities in the right upper lobe are compatible with post radiation changes. patchy and linear opacities in the lung bases likely reflect a combination of chronic interstitial lung disease and atelectasis. no new focal consolidation is present. elevation of the right hemidiaphragm is again noted, and a subpulmonic effusion may be present. there is no new pleural effusion or pneumothorax. no acute osseous abnormality is visualized. clips are seen in the right axilla, and the patient is status post bilateral breast reconstruction.Write the impressions of this report findings [/INST] low lung volumes with linear and patchy bibasilar opacities likely reflecting a combination of chronic interstitial lung disease and atelectasis. post radiation changes in the right upper lobe, unchanged.probable right subpulmonic effusion accounting for the right hemidiaphragmatic elevation. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> right picc tip is in low svc. interval clearing of left lower lobe opacity. no pneumothorax, pleural effusion, new focal opacity, or pulmonary edema. subtle right-sided impression on the trachea at the level of thoracic inlet is likely from thyroid goiter. heart size, mediastinal and hilar contours are normal. widening of the left coracoclavicular joint is likely from prior ligamentous injury. no additional bony abnormality.Write the impressions of this report findings [/INST] no radiographic 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>> the lungs are hyperinflated, suggesting chronic obstructive pulmonary disease. streaky right middle lobe opacity may be due to pneumonia versus atelectasis. there is mild left base atelectasis. no focal consolidation or pleural effusion is seen. the heart is normal in size. mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] right middle lobe opacity could be due to pneumonia or 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>> portable ap upright chest radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] the heart remains markedly enlarged. there is increasing consolidation at the left lung base concerning for pneumonia or aspiration in the correct clinical setting. a nasogastric tube is again seen coursing below the diaphragm with the tip projecting over the stomach. right lung is grossly clear. postoperative changes in the left upper lung are stable. 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>> there is a right dialysis catheter seen with tip projecting over the right atrium. there is no evidence of pneumothorax or pleural effusions. there is fluid overload with mild pulmonary edema. mediastinal contours are grossly unchanged. there are surgical clips and a stent noted in the right upper quadrant of the abdomen.Write the impressions of this report findings [/INST] 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 lungs are clear besides mild left basilar atelectasis. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap semi-upright view of the chest was reviewed and compared to the prior study. the nasogastric tube is in proper position with its most proximal side port located in the stomach. there are two additional lines that are known to be external. left lower lung atelectasis is minimal; otherwise, the lungs are clear. normal heart, pleural, and mediastinal surfaces.Write the impressions of this report findings [/INST] nasogastric tube is in proper position with the most proximal side port located in the stomach. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation, effusion, or pneumothorax. the cardiomediastinal silhouette is within normal limits. no acute osseous abnormalities.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there is a focal opacity obscuring the right heart border as well as a retrocardiac opacity with air bronchograms. the cardiomediastinal silhouette and hilar contours are normal. there is no pleural effusion or pneumothorax. included upper abdomen is unremarkable. osseous structures are grossly intact. nipple shadows project over the bilateral lower lung zones and should not be mistaken for pulmonary nodules.Write the impressions of this report findings [/INST] bibasilar opacities concerning for pneumonia. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the cardiomediastinal and hilar contours are normal. the lungs are clear. there is no pleural effusion or pneumothorax. on the lateral view, alignment of the thoracic spine appears appropriate. no rib fractures are seen.Write the impressions of this report findings [/INST] no evidence of acute intrathoracic injury. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. there is no focal consolidation, effusion, or pneumothorax. mediastinal and hilar contours are normal. heart size is normal. vp shunt projects over the chest.Write the impressions of this report findings [/INST] no acute intrathoracic process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> the lungs are clear without focal consolidation. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are unremarkable. there are no findings to suggest pneumomediastinum. no radiopaque foreign body is seen.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. no radiopaque foreign 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>> 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>> there no focal consolidation, pleural effusions or pneumothoraces. the heart is top-normal in size, and mediastinal contours are within normal limits.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. mild basal atelectasis noted. hilar congestion noted without frank edema. no large effusion or pneumothorax. heart size is normal. mediastinal contour is unchanged. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] hilar congestion without frank 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 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] 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>> the lung volumes are low. the heart is normal in size. the mediastinal and hilar contours are unremarkable. the lungs appear clear. there are no pleural effusions or pneumothorax. mild-to-moderate degenerative changes are noted along the mid thoracic spine. the patient is status post partly visualized left shoulder replacement.Write the impressions of this report findings [/INST] no evidence of acute disease. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap portable upright view of the chest. midline sternotomy wires and tracheostomy tube again noted as well as a right ij access dialysis catheter with its tip extending to the right atrium. previously noted picc line has been removed. bilateral extensive airspace opacities concerning for edema with possible superimposed pneumonia. bilateral pleural effusions are small. no pneumothorax. cardiomediastinal silhouette appears unchanged. bony structures appear intact.Write the impressions of this report findings [/INST] diffuse pulmonary airspace opacities as on prior likely represent pulmonary edema with possible superimposed pneumonia. small bilateral pleural effusions are likely present. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 slightly decreased. the heart continues to be enlarged with associated mild-moderate pulmonary edema. a left subclavian port-a-cath is in stable position with its tip terminating in the proximal right atrium. no definite focal consolidation or pneumothorax is seen. although probably merely a prominent right upper lobe vessel there is some nodularity in the right suprahilar region. followup is recommendedWrite the impressions of this report findings [/INST] congestive heart failure with cardiomegaly and mild-moderate pulmonary edema. some nodularity is seen in the right suprahilar region which likely is merely prominent vessel but followup 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 lungs are clear aside from minimal bibasilar atelectasis. left ventricle is again enlarged. there is no pleural effusion or pneumothorax. elevted right hemidiaphragm again noted. this patient is status post median sternotomy as well as mitral valve replacement. aorta is tortuous with a calcified aortic knob.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. 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>> the heart is normal in size. the mediastinal and hilar contours appear within normal limits. the lungs appear clear. 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>> no focal consolidation, pleural effusion, or pneumothorax is seen. heart and mediastinal contours are within normal limits. cervical spine hardware is incompletely imaged.Write the impressions of this report findings [/INST] no radiographic 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 the chest were reviewed. the cardiomediastinal and hilar contours are normal. there is no pleural effusion or pneumothorax. the lungs are well expanded and clear. pulmonary vasculature is within normal limits. no nondisplaced rib fracture 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>> portable supine ap view of the chest provided. neurostimulator device projected over the left chest wall with leads extending to the left neck. the heart remains top normal in size with mild left basilar atelectasis. no convincing sign of pneumonia or chf. no large effusion is seen on the supine film. no supine evidence for pneumothorax is seen. old right clavicle mid shaft deformity is noted.Write the impressions of this report findings [/INST] mild left basal atelectasis. no convincing signs of pneumonia or aspiration. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 left lower lobe opacity. new focal opacity projecting over the intersection of the <unk> posterior and <unk> anterior right ribs. no pneumothorax or pleural effusion. heart size, mediastinal contour and hila are normal. no bony abnormality.Write the impressions of this report findings [/INST] <num>. poorly definted focal opacity projecting over the intersection of the <unk> posterior and <unk> anterior right ribs. if the patient has experienced recent infectious symptoms, a repeat radiograph in <num> weeks to assess for clearing after antibiotic would be recommended. otherwise, consider chest ct for further characterization. <num>. interval resolution of left lower lobe opacity. on <unk> report was entered into critical results by dr.<unk> <unk> to be conveyed to the referring physcian. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. no focal consolidation is seen. there is mild left base linear atelectasis/scarring, in the similar location as that seen on the prior study. no pleural effusion or pneumothorax is seen. the cardiac and mediastinal silhouettes are stable.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright portable chest radiograph obtained. midline sternotomy wires are again noted. there is a right arm picc line with its tip terminating at the level of the low svc. multiple overlying ekg leads are present. there is interstitial edema with left lower lobe opacity concerning for atelectasis or pneumonia. small bilateral effusions are present. there is no pneumothorax. overall, cardiomediastinal silhouette is stable. bony structures are intact.Write the impressions of this report findings [/INST] mild pulmonary edema with small bilateral effusions and left lower lobe opacity concerning for atelectasis or consolidation. a lateral view would be helpful 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>> cardiac size is normal. the lungs are clear. there is no pneumothorax or pleural effusion.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 right picc terminates at the upper svc. the heart size remains normal. there is no pneumothorax, focal consolidation, or pleural effusion. postsurgical changes are again seen at the left apex. ill-defined left basilar opacity persists.Write the impressions of this report findings [/INST] minimal change in appearance of a persistent left basilar opacity. postsurgical changes in the left apex are stable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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.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>> subtle heterogenous opacity is seen in the right upper lung, which is concerning for aspiration or developing pneumonia. a small left pleural effusion is noted, but otherwise remains clear. the heart size is normal. no pulmonary edema or pneumothorax. tracheostomy is in unchanged position.Write the impressions of this report findings [/INST] <num>. subtle heterogenous opacity in the right upper lung is concerning for aspiration or developing pneumonia. <num>. 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>> there is persistent left lower lobe collapse with resultant shift of the cardiomediastinal contours to the left. superimposed infection of the left lower lobe is not excluded. atelectasis at the right lung base is increased compared to the most recent prior study. the left internal jugular catheter terminates at the brachiocephalic, svc junction. ett is in standard position. enteric tube courses towards the stomach with distal tip not captured on the current study.Write the impressions of this report findings [/INST] persistent left lower lobe collapse, superimposed infection not excluded. increased 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>> a large hiatal hernia is re- demonstrated. there is no focal consolidation, pleural effusion, pulmonary edema, or pneumothorax. the cardiomediastinal silhouette is unchanged.Write the impressions of this report findings [/INST] large hiatal hernia, otherwise unremarkable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> lung volume is low, decreased compared to <unk>. there is pulmonary vessel engorgement, suggestive of volume overload. mediastinum is widened, possibly secondary to the pulmonary vessel congestion, however aortic pathology cannot be ruled out. aortic contour is not clearly visualized and may appear artificially widened due to rotated position. cardiac silhouette is enlarged.Write the impressions of this report findings [/INST] mediastinum is widened, possibly secondary to the pulmonary vessel congestion, however aortic pathology cannot be ruled out. repeat conventional chest radiograph with erect ap view is recommended. if there is high clinical concern for aortic pathology, ct arteriogram can be obtained. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 prior chest radiograph from earlier today, there has been interval placement of an endotracheal tube, terminating <num> cm above the carina. the cardiac silhouette is enlarged. as before, there is mild pulmonary edema. lungs are otherwise clear. there is no focal consolidation, pneumothorax or pleural effusion.Write the impressions of this report findings [/INST] <num>. endotracheal tube terminates <num> cm above the carina. <num>. unchanged mild pulmonary edema. findings discussed with <unk> by <unk> via telephone on <unk> at <time> am. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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>> the previously seen left pigtail catheter is no longer visualized. there has been interval accumulation of a small to moderate size left pleural effusion with some degree of underlying collapse and/or consolidation, though there is relative translucency of the left lung base itself. air bronchograms are seen in the retrocardiac region. there is upper zone redistribution, without overt chf. the cardiomediastinal silhouette is probably unchanged. minimal atelectasis at the right base, but, in the right lung, no focal infiltrate, consolidation, or effusion. no pneumothorax detected.Write the impressions of this report findings [/INST] left lung base pigtail catheter no longer visualized. interval development of small to moderate left effusion with underlying collapse and/or consolidation. if clinically desired, a left-side-down decubitus view a help to better quantify the amount of pleural fluid. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 frontal radiograph of the chest demonstrates the et tube is <num> cm above the carina. otherwise there is little overall change in the appearance of the chest other than lower lung volumes and bibasilar atelectasis. pulmonary vascular congestion persists. the cardiac and mediastinal silhouettes are grossly stable.Write the impressions of this report findings [/INST] et tube in 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>> pa and lateral chest radiographs were obtained. there are a few tiny focal densities scattered throughout the right lung suggestive of granulomas. there is however no evidence of active granulomatous disease. the lungs are otherwise clear with no evidence of a consolidation, effusion, or pneumothorax. the heart size is top-normal. osseous structures are normal.Write the impressions of this report findings [/INST] no acute cardiopulmonary process. top-normal heart size. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. cardiac silhouette is normal in size. hilar and mediastinal contours are normal. no pleural effusion. no evidence of pneumothorax.Write the impressions of this report findings [/INST] no evidence of acute cardiopulmonary process. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> there again appears to be slight interval increase in the loculated left basal pneumothorax compared to the film from <unk> performed at <time> a.m. the pigtail catheter appears to be in place. there is again minimal left-sided pleural effusion, stable compared to the prior exam. the fissural loculation in the left upper lung appears stable compared to radiographs dating back to <unk>. the heart size is normal. the hilar and mediastinal contours are unremarkable.Write the impressions of this report findings [/INST] interval increase in the loculated left basal pneumothorax. these findings were discussed with dr. <unk> at <time>pm by dr. <unk> <unk>, by telephone, 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>> pa and lateral views of the chest were obtained. the patient is slightly rotated. the lungs are symmetrically expanded and clear. pulmonary vasculature is within normal limits. heart is normal in size, and mediastinal contour is unremarkable. 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>> cardiac, mediastinal and hilar contours are normal. pulmonary vasculature is not engorged. patchy opacity within the lingula is concerning for an area of infection. right lung is clear. no pleural effusion or pneumothorax is demonstrated. several fiducial markers are noted projecting over the upper abdomen, just to the right of midline.Write the impressions of this report findings [/INST] findings concerning for lingular pneumonia. followup radiographs after treatment are recommended to ensure resolution of this finding. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright chest radiograph <unk> at <time> is submitted.Write the impressions of this report findings [/INST] nasogastric tube is seen coursing below the diaphragm with the tip not identified. the endotracheal tube has its tip <num> cm above the carina. lung volumes are slightly diminished and there are patchy opacities at the lung bases, right greater than left, favoring atelectasis. no pulmonary edema. no pneumothorax. overall cardiac and mediastinal contours are stable. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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. eventration of the right hemidiaphragm again noted. the lungs appear clear without focal consolidation, effusion or pneumothorax. the cardiomediastinal silhouette appears normal. bony structures appear intact. prominent anterior osteophytes in the thoracic spine likely account for prevertebral opacity.Write the impressions of this report findings [/INST] no acute findings. prominent anterior osteophytosis in the thoracic spine likely accounts for prevertebral opacity seen on prior imaging 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>> interval increase in moderate-sized right pleural effusion, and right lower lobe opacity with new right upper lobe heterogeneous opacity. unchanged left apical pleural thickening and scarring. no interval change in the dense retrocardiac opacity obscuring the left hemidiaphragm which represents a bochdalek hernia. no pneumothorax or pulmonary edema. heart size is partially obscured by the pleural parenchymal process. mediastinal contour and hila are normal. no bony abnormality.Write the impressions of this report findings [/INST] <num>. interval increase in moderate-sized right pleural effusion. <num>. worsening right lower lobe opacity and new right upper lobe opacity are likely due to evolving pneumonia or aspiration. results were conveyed via telephone to primary team by dr. <unk> on <unk> at <time> p.m. within <num> minutes of observation of findings. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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, mediastinal, and hilar contours are normal. the lungs are clear without pleural effusion, focal consolidation, or pneumothorax.Write the impressions of this report findings [/INST] within the limitations of plain radiography, no evidence of active intrathoracic malignancy. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> ap upright and lateral views of the chest provided. left chest wall pacemaker is seen with intact appearing leads extending to the region of the right atrium and right ventricle. cardiomegaly is moderate. no focal consolidation, effusion or pneumothorax is seen. no overt edema. mediastinal contour is within normal limits. no acute osseous injury.Write the impressions of this report findings [/INST] moderate cardiomegaly without edema or 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>> 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>> the heart size, mediastinal, and hilar contours are normal. there is unchanged tenting of the left hemidiaphragm. there are coarse interstitial markings in the bilateral lung bases, consistent with chronic changes. however, there is an increased coalescent opacity at the right lung base, consistent with developing pneumonia.Write the impressions of this report findings [/INST] increased coalesce in opacity at the right lung base, consistent with developing pneumonia given the patient's clinical history. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> pa and lateral chest views were obtained with patient in upright position. the heart size is normal. no configurational abnormality is present. thoracic aorta and mediastinal structures are unremarkable. the pulmonary vasculature is not congested. no signs of acute or chronic parenchymal infiltrates are present and the lateral and posterior pleural sinuses are free. no pneumothorax in apical area. skeletal structures of the thorax grossly unremarkable. our records do not include a previous chest examination available for comparison.Write the impressions of this report findings [/INST] normal chest findings, no evidence of pulmonary infiltrate in this <unk>-year-old male patient with history of cough. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> surgical clips are seen projecting over the left mediastinal region. mild cardiomegaly and mild vascular congestion, but no pulmonary edema. no pleural effusion and no pneumothorax. no evidence of pneumoperitoneum.Write the impressions of this report findings [/INST] <num>. mild cardiomegaly and mild vascular congestion, but no pulmonary edema. no acute cardiothoracic process. <num>. no pneumoperitoneum. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 radiographs of the chest demonstrate low lung volumes resulting in bronchovascular crowding. there is increased opacification at the left lung base, which is concerning for pneumonia, and is similar to the most recent prior chest radiograph. there is slight increased opacification at the right base but improved from prior, which likely represents atelectasis. there is no pneumothorax, pleural effusion, or overt pulmonary edema. the cardiomediastinal and hilar contours are unchanged. no acute bony abnormality is present. the patient is status post spinal fusion, with fracture of the right-sided fusion rod, unchanged from prior exams.Write the impressions of this report findings [/INST] increased opacification at the left lung base is concerning for pneumonia, with similar appearance to the most recent 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>> the endotracheal tube has been retracted, now with tip projecting in a more optimal position, <num> cm above the carina. pulmonary edema is persistent. no new pneumothorax. cardiac silhouette is unchanged.Write the impressions of this report findings [/INST] the endotracheal tube now terminates in a more optimal position, <num> cm above the carina. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> portable ap upright chest radiograph obtained. lung volumes are low. midline sternotomy wires and mediastinal clips are noted. there is bibasilar atelectasis without clear signs of pneumonia or chf. no large effusion is seen. heart size is normal. mediastinal contours are unremarkable. bony structures are intact. no free air below the right hemidiaphragm.Write the impressions of this report findings [/INST] mild bibasilar atelectasis. evidence of prior cabg. otherwise, normal. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following 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 hyperinflated but clear without focal consolidation, effusion, or edema. the cardiomediastinal silhouette is within normal limits. slight tortuosity of descending thoracic aorta is noted. 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>> the tracheostomy tube is in appropriate position. compared to the prior study performed <num> hours prior, there is increase in consolidation in the right lower lobe and possibly more septic emboli throughout the right lung. there is increased left basilar atelectasis and the left pleural effusion has increased. there is a minimal amount of leftward shift of the mediastinum. no pneumothorax is identified. the cardiac and mediastinal contours are stable.Write the impressions of this report findings [/INST] consolidation in the right lower lobe has increased compared to the prior radiograph performed <num> hours prior which raises the possibility of increasing septic emboli. left basilar atelectasis and a small left pleural effusion have also increased. </s>
<s>[INST] <<SYS>> As a radiology assistant, summarize the following findings in two sentences maximum. Exclude any references to Dr. or examination dates, and ensure no sentence is repeated or contains unidentified words. <</SYS>> upright pa and lateral radiographs of the chest. the lungs are normally expanded and clear. the cardiomediastinal silhouette and hilar contours are normal. pulmonary vasculature is normal and symmetric without pulmonary edema. there is no pleural effusion or pneumothorax. the costophrenic sulci are sharp.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 heart size is moderately enlarged, overall stable compared to the exam from <unk>; however, increased from the exam from <unk>. there is mild prominence of the pulmonary vasculature, however no definite pulmonary edema is identified. the hilar and mediastinal contours are unremarkable. post-radiation changes at the lung apices appear unchanged. no new focal consolidation concerning for infection is identified. there is no pleural effusion or pneumothorax. there appears to be interval improvement of the diffuse interstitial markings seen throughout the lungs. the visualized osseous structures are unremarkable. the bones demonstrate degenerative changes.Write the impressions of this report findings [/INST] interval improvement of the diffuse interstitial markings previously seen throughout the lungs bilaterally. </s>

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